ARTICLE
Audio (MP3) Listen in New Window Presentation (PDF) Open in new window Key Areas for Today - Re-Approval Process - Complaint Investigations - Incident Reports Consistent Areas of Clarification - Continuous Competency - Prohibited Interventions Consistent Areas of Clarification: Continuous Competency How Provider knows, on an ongoing basis, staff is competent (understand requirements and expectations) Can be more formal - Assessment - Management checklist Can be informal - Observations - Conversations w the with staff Consistent Areas of Clarification: Prohibited Interventions How Provider knows, with certainty, staff understands what constitutes a prohibited intervention Goes beyond training of policy Does staff understand what they can/cannot do? - Block individual from leaving a room - Hold door shut so individual cannot exit - Deny meals Consistent Areas of Clarification: What is BQIS looking for? Clear, specific explanation of: - What happens? - How often? - By whom? - With whom? 2015 Complaint Investigations - Average of almost 3 complaints per each of the 65 unique Providers (2.93) - Average of 2.47 allegations per complaint - Average of over 7 allegations per Provider (7.26) Incident Report Groupings: Top Groupings by Quarter Medication Error: Top Category for Quarters 1, 2, and 3 Incident Report Groupings: Top Groupings by Quarter Alleged Abuse, Neglect, Exploitation: Second Highest Grouping for Quarters 1, 2, and 3 Incident Report Groupings: Top Groupings by Quarter Alleged Abuse, Neglect, Exploitation: Third Highest Grouping for Quarters 1, 2, and 3 Using the Data: Informal Consultation - BQIS Initiated: - BQIS sees potential incident report trends; reaches out to Provider for conversation - BQIS hears of a potential issue; reaches out to Provider for clarification and potential technical assistance Provider Initiated: - Provider reaches out to BQIS requesting review of an incident report or a potential issue - Provider calls with specific inquiry and request for consultation Using the Data: Semi-formal Consultation BQIS Initiated: - BQIS sees potential issue; data pull and review; follow-up with Provider if issue comes to light - Complaint investigation appeals; call to Provider in some cases where Provider may not understand a particular issue being appealed Provider Initiated: - Provider has question/concern and asks BQIS to review data - Provider seeks BQIS input regarding data analysis - Provider asks BQIS to meet and discuss a particular issue Using the Data: Formal Consultation All are BQIS Initiated - Re-approval Process - Mortality Review Recommendations - Data Driven Review Process - Technical Assistance Webinars Contact the Bureau of Quality Improvement Services Anne Davis Director Bureau of Quality Improvement Services Anne.Davis@fssa.in.gov 317-234-1147 Shelly Thomas Assistant Director Bureau of Quality Improvement Services Shelly.Thomas@fssa.in.gov 317-234-2764 Debra Running Director Provider Services Debra.Running@fssa.in.gov 317-234-6837