DQA Quarterly
Information Update
April 2008
PDF Version of this month's
Quarterly Update (PDF, 149 KB)
UPCOMING EVENTS
NEW THIS ISSUE
REGULAR FEATURES
Rules - Letters
- Memos
Focus 2008 Conference - Navigating the Waters of Emerging
Issues
The Wisconsin Department of Health and Family Services, Division of
Quality Assurance is pleased to announce the 8th Annual Conference for
health care providers and DQA staff on August 6, 2008. This year's
conference, developed in collaboration with health care providers and
associations, is designed to bring together a variety of experts to share
strategies and provide learning opportunities for all caregivers and
managers. The conference will be held at the Stevens Point Holiday Inn and
Convention Center in Stevens Point, WI.
FOCUS 2008 will provide numerous formats to engage all participants in an
exciting lineup of presenters. The conference will be kicked off with
opening remarks by Kevin Hayden, Secretary of the Department of Health and
Family Services, and Otis Woods, Administrator of the Division of Quality
Assurance. Cheryl Kirking, author, Certified Personality Trainer,
songwriter, and recording artist, will present a motivating,
thought-provoking keynote, "Splashes of Joy".
The August 6th conference program is designed for staff from Assisted
Living Facilities, Facilities Serving People with Developmental
Disabilities, Nursing Homes, and staff from the Division of Quality
Assurance. Additional information on the presenters, breakout sessions, and
exhibits is available at:
http://www.dhs.wisconsin.gov/rl_dsl/Training/focus08.htm. The FOCUS 2008
Conference brochure will be mailed in late May and online registration for
the conference will be available at the same time.
The conference will include a special session, "Spotlight on Complex
Issues in Bariatric Health Care," on August 5, 2008. The keynote
for this special session is Dr. Lloyd Stegemann, a leading expert on the
topic of obesity, weight loss surgery, and surgical aftercare. His
post-operative program, "The Prescription for Success after Weight Loss
Surgery," has helped hundreds of patients achieve long-term care
success by addressing the dietary, physical, and emotional changes needed to
maintain their weight loss.
Breakout sessions will address skin care, medical equipment, mobility
rehabilitation, emergency medical services, provider experiences, and
sensitivity. This special session is designed for staff from all provider
types, as well as Occupational Therapists, Physical Therapists, Emergency
Medical Services Personnel, and staff from the Division of Quality
Assurance.
Back to top
Government Performance Results Act (GPRA) Goals - WI
Nursing Homes Excel in Restraint Reduction
On October 14, 2004, CMS issued Survey & Certification (S&C)
Letter number 05-01, titled Guidance on Working with Quality Improvement
Organizations. This letter provided further guidance on CMS's expectation
that State Survey Agencies (SSA) work with Quality Improvement Organizations
(QIOs) in improving care for nursing home residents.
This letter also articulated CMS' two Government Performance Results Act
(GPRA) goals for nursing homes, i.e., reducing the number of restraints used
and reducing the number of pressure ulcers in nursing homes. This S&C
Letter can be viewed as a PDF file at the Internet site http://www.cms.hhs.gov/medicaid/survey-cert/letters.asp.
In July 2006, CMS Region 5 provided the Division of Quality Assurance (DQA)
with regional GPRA goals for pressure ulcers and restraints. GPRA goals are
calculated using Minimum Data Set (MDS) data in the CMS system. The CMS
Regional GPRA goal for pressure ulcers was set at 7.4%. The CMS Regional
GPRA goal for restraints was set at 4.5%. However, Wisconsin's average
percentage of restraints was 2.6% based on second quarter 2005 MDS data. The
DQA selected 2.6% as the WI GPRA goal for Restraints.
The DQA monitors on a
quarterly basis the progress of WI Nursing Homes in achieving the GPRA
goals. As of 03/14/08, Wisconsin's average percentage of restraints is 1.7%
based on third quarter 2007 MDS data. You may view the progress of restraint
and pressure ulcer reduction in WI Nursing Homes at the following links:
Restraint Chart 03/08
Restraint Map Q3 2007
Pressure Ulcer Chart 03/08
Pressure Ulcer Map Q3 2007
One of the primary ways that CMS has promoted the reduced use of
restraints and reduction in the number of pressure ulcers is through the
annual survey process. State and CMS surveyors who conduct annual
inspections of nursing homes will focus on these areas during every annual
survey.
Therefore, prior to each nursing home's annual survey, state
surveyors review each nursing home's Quality Measure/Quality Indicator
Reports to determine if the nursing home's "observed percent" of
pressure ulcers is 7.4% or above and whether the "observed
percent" of restraints is 2.6% or above.
The survey team must select these areas for review for any nursing home
whose "observed percent" is at or above these thresholds. The DQA
encourages all nursing homes to routinely review their Quality
Measure/Quality Indicator Reports with their quality assurance committee to
determine if their "observed percent" is at or above the
thresholds for pressure ulcers and restraints.
The quality assurance
committee should also review on a quarterly basis the number of pressure
ulcers that are present on admission versus facility acquired ulcers as the
majority of serious deficiencies issued in 2007 for pressure ulcers were
related to lack of prevention.
If you have questions about GPRA goals, contact the WI GPRA Goal
Coordinator:
Vicky Griffin
(414) 227-4705
griffvl@dhfs.state.wi.us
Back to top
Hand Hygiene Interactive Training Course Launched by CDC
On 2/12/08, the CDC's National Center for Infectious Diseases, Division
of Healthcare Quality Promotion announced the availability of a Hand Hygiene
Interactive Training Course that reviews key concepts of hand hygiene and
other standard precautions to prevent healthcare-associated infections. You
may access this training course at
http://www.cdc.gov/handhygiene/training/interactiveEducation/.
This training course is consistent with the CDC Guideline for Hand Hygiene
in Healthcare Settings - 2002 that is located at http://www.cdc.gov/handhygiene/. If you have questions about this information, contact
DQA Nurse
Consultant:
Vicky Griffin
(414) 227-4705
griffvl@dhfs.state.wi.us
Back to top
Integrated Evacuation Planning for Long Term Care (LTC)
Facilities
The State of Wisconsin expert panel on Healthcare Facilities Evacuation
Planning has developed and adopted a policy on the "Evacuation of
Healthcare Facilities." Institutional based, LTC organizations
participated in the development of the policy and identified a need to
network, educate, and support such organizations to ultimately assure
compliance and integration of planning efforts.
In response to this need, the city of Madison and the Metro Area Medical
Response System (MMRS) have established a comprehensive strategy to support
long term care facilities within Dane County by offering training and
technical assistance with development of comprehensive emergency management
plans and evacuation procedures.
As identified in the aftermath of hurricane Katrina and Rita in 2006,
evacuation and shelter in-place procedures are very complex tasks for LTC
facilities. The goal of this project is to support the institutional based
facilities of the LTC continuum, specifically nursing homes, assisted living
facilities, and hospices, to understand the Incident Command System for
Healthcare Facilities and the State's "Policy on the Evacuation of
Healthcare Facilities" principles and standards with a goal of having
standardized evacuation planning within the LTC industry.
Melissa Waller, a consultant with Pre-Emergency Planning, LLC, will serve
as the Dane County Long Term Care Disaster Preparedness Liaison for this
project. She will provide the technical assistance to individual agencies in
becoming compliant with the new policy. The assistance will include training
sessions, one-on-one on-site visits, phone consultations, and resource
networking to support the planning process with each facility.
The training sessions will be offered to all LTC facilities in Dane
County. The program will provide an overview of the Incident Command System
to gain an understanding of collaboration of LTC facilities and the
community emergency response system and to introduce long term care
organization to the new healthcare evacuation policy.
If you have any questions or would like to learn more about this program,
please contact
Melissa Waller
(608) 635-2903
Melissa@pre-emergency.com
Back to top
Non Long Term Care Facility Complaint Contact
Non Long Term Care (LTC) providers (Ambulatory Surgery Centers, End Stage
Renal Dialysis Units, Home Health Agencies, Hospices, Hospitals, Outpatient
Physical Therapy/Speech Language Pathology Services, Outpatient
Rehabilitation Facilities, and Rural Health Clinics) may now provide the
direct telephone number of the Non LTC Complaint Coordinator to patients or
others who desire to make complaints regarding potential violations of
licensure or certification regulations.
Helen Brewster, Complaint Coordinator
DQA / Bureau of Health Services
(608) 266-0224
In Ms. Brewster's absence, telephone messages to (608) 266-0224 will zero
out to (608) 264-9888 (the Bureau of Health Services main telephone number)
and will then be directed to other staff for timely response.
Hospitals, required by patient rights regulations to provide patients
with DQA contact information, may now provide Helen Brewster's direct
telephone number and continue to utilize materials that provide the Bureau
of Health Services main telephone number, (608) 264-9888.
Home Health Agencies must continue to provide patients with the toll-free
telephone number of the federally funded Home Health Hotline, (800)
642-6552. The Hotline is a voice message center that is checked periodically
during the work day by Helen Brewster or other DQA staff.
Back to top
OASIS Implementation Manual Updates
Portions of the OASIS User's Manual have been revised to reflect changes
from the Final Regulation, effective 1/1/08, which includes revisions to
Chapters 2, 3, 4, 8, 11, and some appendices. CMS recommends that each
revised chapter and appendix be printed so home health agencies can be
assured that their manual is complete and accurate. The last page of each
revised chapter includes a Change Page that summaries the changes made to
that chapter. The updated manual can be found on the Centers for Medicare
and Medicaid Services (CMS) website at http://www.cms.hhs.gov/HomeHealthQualityInits/14_HHQIOASISUserManual.asp
.
The updated chapters can be found in the Downloads area at the bottom of
the web page. Select "Part I Implementation (OASIS) Manual Updates
(2008)."
Back to top
Plan Review and Construction Inspection - DHFS Q & A
Listed below are questions and answers that the Division of Quality
Assurance developed to aid in understanding the plan review and construction
inspection process.
Plan Review and Construction - DHFS Q & A
Back to top
Preventing Accidents and Injuries in the Magnetic
Resonance Imaging (MRI) Suite
Over the years there have been multiple reports of accidents and injuries
occurring in MRI suites. The Joint Commission recently published some
guidelines to prevent these accidents. Those guidelines can be found at:
http://www.jointcommission.org/
Back to top
WI Nursing Home Immunization Rates Approach Healthy
People 2010 Immunization Goals
Healthy People 2010 is a comprehensive, nationwide health promotion and
disease prevention agenda developed by the U.S. Department of Health and
Human Services. It contains 467 objectives designed to improve the health of
all people in the United States.
Year 2010 objectives are (1) to increase the proportion of adults living
in nursing homes who are vaccinated annually against influenza and (2) to
increase the proportion of those who have ever been vaccinated against
pneumococcal disease to 90%.
Influenza and pneumonia are vaccine-preventable diseases; yet, combined,
they are the 5th leading cause of death in the U.S. for patients/residents
aged 65 years and older. According to the most current (2004) CDC National
Nursing Home Survey, immunization rates for influenza (63%) and pneumonia
(38%) are well below the Healthy People 2010 goal of 90%
In 2007, the Division of Quality Assurance (DQA) analyzed data that was
collected from the Centers for Medicare & Medicaid Services (CMS) 672
form, titled "Resident Census and Conditions of Residents Reports"
for all 2006 surveys.
Immunization rates for influenza (80%) and pneumonia (72%) were well
above the National Nursing Home Survey rates, but still below the Healthy
People 2010 goal of 90%. However, in 2008, DQA analyzed data that was
collected from the (CMS) 672 for all 2007 surveys.
Immunization rates for influenza (82%) and pneumonia (80%) increased and
are approaching the Healthy People 2010 immunization goals. DQA updated the
state maps that identify the percentage of WI nursing home residents who
received the influenza and pneumococcal vaccine in 2007. You may access
these maps at
Percentage of Wis. Nursing Home Residents Receiving Influenza Vaccine in
2007
Percentage of Wis. Nursing Home Residents Receiving Pneumococcal Vaccine in
2007
Influenza and Pneumococcal Immunization Rates 2002-2007
State maps for 2006 were published in the July 2007 Quarterly Information
Update which are available at http://www.dhs.wisconsin.gov/rl_DSL/Publications/dqaUpdate0707.htm#Immunization
One of the primary ways that CMS has promoted the improvement of
immunization rates for nursing home residents is through the annual survey
process. State surveyors who conduct annual inspections of nursing homes
will focus on the nursing home's immunization and infection control program
during every annual survey.
DQA encourages all nursing homes to review their immunization program and
immunization rates with their Medical Director and Quality Assurance
Committee to ensure their program is consistent with current standards of
practice and to determine the effectiveness of their program in achieving
the Healthy People 2010 goals.
If you have questions, contact
Vicky Griffin, Nurse Consultant
414-227-4705
griffvl@dhfs.state.wi.us
Back to top
Changes in DQA Staff
New DQA Divisional Records and Forms Manager
The Division of Quality Assurance is pleased to announce that Diana
Cleven has been hired as the new Divisional Records and Forms Manager. In
her new position, Diana has lead responsibility for the management of DQA
records, the operation of the DQA file center, provision of responses to
open records requests, compliance with state open records law, and oversight
of the Division's forms and publications program.
Prior to joining DQA,
Diana was an Administrative Assistant with the Rock County Department of
Human Services and, from 2001 through 2005, she was the Records Officer for
the Wisconsin Department of Corrections.
You may contact Ms. Cleven during normal business hours with questions
concerning records and forms at:
Diana Cleven, Divisional Records and Forms Manager
DQA / Bureau of Licensing, Technology and Education
P.O. Box 2969
Madison, WI 53701-2969
608-266-8368
CleveDI@dhfs.state.wi.us
Back to top
Office of Caregiver Quality (OCQ) Updates
Nurse Aide Candidate Handbook Updates
The National Nurse Aide Assessment Program (NNAAP™), used in Wisconsin
to determine competency for enrollment on the nurse aide registry, has been
updated. In April 2007, Pearson VUE convened a panel of Subject Matter
Experts (SMEs) to review and update the NNAAP Skills examination.
The
revised skills reflect the SMEs' careful consideration of the
practicalities and constraints related to the administration of the skills
in a laboratory environment, current nursing assistant practice
requirements, skill components identified in the federal regulations, Center
for Disease Control (CDC) guidelines and recommendations of the infection
control practitioner.
Pearson VUE will republish the Wisconsin Nurse Aide Candidate Handbook to
include the revised NNAAP skills with an edition date of July 2008 on the
front cover. The new handbook will be available to download by early May
from Pearson VUE's website at http://www.pearsonvue.com. (Follow the
navigation prompts to the Wisconsin Nurse Aide web page.) Training programs
should provide the new handbook to any candidate likely to take the NNAAP
Skills examination on or after July 1, 2008.
Caregiver Background Check Updates
The Background Information Disclosure Form, HFS-64, has been updated.
Please access the Department's website at http://www.dhs.wisconsin.gov/caregiver/BkgdFormsINDEX.HTM
to obtain a copy of the 2008 version of the form.
Effective April 1, 2008, the Department will charge $3.00 for the
Response to Caregiver Background Check letter that is included in a
caregiver background check request. This is the first increase in the DHFS
fee since it was implemented in May 2000.
Reporting Misconduct Incidents
For allegations involving all staff (non credentialed and credentialed),
submit the Incident Report to:
Department of Health & Family Services
Division of Quality Assurance
Office of Caregiver Quality
PO Box 2969
Madison, WI 53701-2969
All caregiver misconduct reports should be submitted to DQA, who will
forward reports involving credentialed staff (doctors, RNs, LPNs, social
workers, etc.) to the Department of Regulation and Licensing (DRL) for
review. For additional information, please see the website at http://www.dhs.wisconsin.gov/caregiver/contacts/Complaints.htm.
Questions?
Contact the DQA Office of Caregiver Quality at:
(608) 261-8319 phone
(608) 264-6340 fax
Caregiver_intake@dhfs.state.wi.us
Back to top
Quarterly Provider Overview Report
The Division of Quality Assurance (DQA) publishes a Quarterly Provider
Overview Report. This report summarizes information on the number of
providers by type of provider and includes survey, complaint, and forfeiture
activity that occurred during the quarter. This Quarterly Provider Overview
Report is for the timeframe of October 2007 through December 2007. This
report can be viewed on the following DHFS websites:
http://www.dhs.wisconsin.gov/rl_DSL/Providers/QuaProvOver.htm
http://www.dhs.wisconsin.gov/bqaconsumer/HealthCareComplaints.htm
If you have questions or comments regarding this report, please e-mail DQA
by using the "Contact" function that can be found on the very
bottom of these websites.
Back to top
Administrative Rules Update
HFS 83 - Community Based Residential Facilities
On October 18, 2007 the Wisconsin Administrative Register published the
Initial Proposed Rulemaking Order including a summary and text of the
proposed rule, Wisconsin Administrative Code Chapter HFS 83. The goal of the
proposed rule is to focus on resident outcomes and quality of life and
quality of care, improve readability and organization, eliminate excess and
prescriptive language, revise staff training standards establishing a more
cost effective system for providers and promote the use of nationally
recognized standards of practice.
Public hearings were held in December 2007
in 5 locations Eau Claire, Milwaukee, Green Bay, Rhinelander and Madison.
For more information, you may view the proposed rule on the Wisconsin
Administrative Rules website at https://health.wisconsin.gov/admrules/public/Home.
HFS 85 - Non-Profit Corporation as Guardian
On September 19, 2006, the Wisconsin Administrative Register published a
Statement of Scope of proposed rules to amend Chapter HFS 85, Non-profit
Corporation as Guardian. Through this initiative, the Department proposes to
make the rule reflect current standards of practice, recognizing the
increase in the number of adults in need of guardianship and the increase
in the complexity of their needs.
An Advisory Committee, including
advocates, providers, registers in probate and County adult protective
services staff, meets regularly to review proposed rule language and make
recommendations for revision to the rule. For more information, you may view
the Statement of Scope on the Wisconsin Administrative Rules website at https://health.wisconsin.gov/admrules/public/Home.
HFS 124 - Hospitals
On April 1, 2005, the Wisconsin Administrative Register published a
Statement of Scope of proposed rules to amend Chapter 124. The Department is
planning to update Chapter HFS 124 to eliminate overly prescriptive and
outdated regulations, clarify the Department's enforcement authority, and
make the rule more consistent with the federal Medicare requirements.
An
advisory committee has been formed, including a large number of trade and
professional associations, hospitals and other interested parties, to review
the proposed revisions and make recommendations for change. For more
information, you may view the Statement of Scope on the Wisconsin
Administrative Rules website at https://health.wisconsin.gov/admrules/public/Home.
HFS 129 - Certification Programs for Training and Testing Nurse
Assistants, Home Health Aides, and Hospice Aides
On March 31, 2006, the Wisconsin Administrative Register published a
Statement of Scope of proposed rules to amend Chapter HFS 129. Through this
initiative, the Department proposes to make the rule more consistent with
federal regulations, to include the feeding assistant and medication aide
training and testing program requirements, and to reflect the Department's
decision to standardize administration and operation of nurse aide
competency evaluation by contracting for this service.
An advisory
committee, including advocates, educators, association representatives,
workforce development specialists, and representatives from private
industry, meets regularly to review the proposed revisions to the rule and
make changes, as necessary. For more information, you may view the Statement
of Scope on the Wisconsin Administrative Rules website at https://health.wisconsin.gov/admrules/public/Home.
HFS 133 - Home Health Agencies
On December 1, 2007 revisions to Wisconsin Administrative Code Chapter
HFS 133 went into effect. The revised Chapter HFS 133 eliminates rules that
were overly prescriptive and modifies rules for consistency with federal
regulations. Other revisions were made to reflect current terminology and
standards of practice and to include standards promulgated in other statutes
and administrative codes since the last code revision in 2001.
The rule was
also revised to recognize that Wisconsin now allows advanced practice nurse
prescribers to be the primary care providers for home health care patients.
For more information, you may view the rule on the Wisconsin Administrative
Rules website at https://health.wisconsin.gov/admrules/public/Home.
Back to top
CMS Survey & Certification Letters (January, February, March)
Listed below are Survey and Certification (S&C) Letters distributed
by CMS during the last quarter. Please note that the CMS Internet site where
you can review all S&C Letters is
http://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions.html
List of CMS Survey & Certification Letters
S&C No.
|
Title
|
Summary
|
Providers Affected
|
| 08-08 |
Requirements for Provider-based Off-Campus Emergency
Departments and Hospitals that Specialize in the Provision of
Emergency Services |
Growth in the demand for hospital emergency services
has resulted in a number of hospitals seeking to expand their
emergency department (ED) services to off-site locations. This
memo provides guidance for those interested in pursuing this. |
Hospitals |
| 08-09 |
Nursing Homes: Surveying Facilities that Receive Food
Prepared by Off-Site Kitchens |
The purpose of this memorandum is to
instruct surveyors on the appropriate action when surveying nursing
homes that procure food prepared by sources external to the facility
for the purpose of consumption by residents. |
Nursing Homes |
| 08-10 |
Use of Interpretive Guidance by Surveyors for LTC
Facilities |
CMS has been asked to clarify the use of
the Interpretive Guidance to Surveyors for LTC Facilities in reviewing
for compliance with the regulatory requirements for nursing
homes. Surveyors must cite all deficiencies based on a violation
of statutory and /or regulatory requirements. |
Nursing Homes |
| 08-11 |
Accreditation Option for Critical Access (CAH)
Distinct Part Units |
CMS has approved the American Osteopathic
Association (AOA) for recognition as a national accreditation program
for CAHs. This recognition includes CAH distinct part
units. The final notice of approval for AOA's deeming authority
will now have a deemed accreditation option. States may continue
to treat CAH distinct part surveys as a Tier 3 priority. |
Critical Access Hospitals |
| 08-12 |
Revised Interpretive Guidelines for Hospital
Conditions of Participation |
The interpretive guidelines correspond to
the regulatory changes published 11/27/06 amending Hospital Conditions
of Participation pertaining to requirements for history and physical
examinations; authentication of verbal orders; securing medications;
and post-anesthesia evaluations. The tag numbers reflected in
the December 2007 ASPEN release. The interpretive guidelines
also include newly-adopted additional changes that were incorporated
into the Calendar year 2008. Outpatient prospective Payment
System (OPPS) regulation. They are effective 01/01/08. |
Hospital |
| 08-13 |
Initial Surveys of Rural Health Clinics and SNFs -
Raised to Tier 3 Priority |
Congress's appropriation of part of the increase in
Medicare Survey and Certification funds requested in the President's
proposed FY 2008 budget permits us to raise initial surveys of RHCs
and SNFs to Tier 3 priority from Tier 4. For initial surveys
assigned Tier 3 priority status, States may prioritize the initial
surveys within Tier 3. We encourage States to offer a high Tier
3 status for initial surveys of dialysis facilities given the unique
reliance on Medicare on the part of end stage renal disease patients. |
Rural Health Clinics Skilled Nursing Facility |
Back to top
DQA Numbered Memos (January, February, March)
Access these memos via http://www.dhs.wisconsin.gov/rl_DSL/Publications/BQAnodMems.htm
or from individual providers' publications pages via http://www.dhs.wisconsin.gov/rl_DSL/.
List of DQA Memos
|
Memo No. |
Title |
Summary |
Providers Affected |
|
08-001 |
Life Safety Informational Release |
DHFS is attempting to address the disparity between
the federal and state survey findings by proactively notifying all
providers subject to the Life Safety Code of conditions that will
prompt CMS to cite. The purpose of this memorandum is to notify the
health care provider community of common Life Safety Code NFPA 101 (LSC)
items that have been cited in recent Medicare or Medicaid surveys. |
Facilities Serving Persons
with Developmental
Disabilities
Hospices
Hospitals
Nursing Homes |
|
08-002 |
Warfarin Monitoring |
In reviewing recent citations related to warfarin,
DQA found that the standards for monitoring warfarin, and the extent
of potential harm, is not known or recognized by many staff. The memo
is intended for staff members who are working each day with residents
who are taking warfarin. |
Adult Family Homes
Community Based
Residential Facilities
Nursing Homes
Residential Care Apartment
Complexes |
|
08-003 |
Medication Waste and Collection Programs |
Household waste collection events, such as those held
by county Clean Sweep programs, have generated questions from
facilities about participating in these programs. DQA and the DNR have
developed a document intended to help facilities determine if they are
considered a household or business for the purposes of potentially
participating in Clean Sweep medication waste collection programs. |
Adult Family Homes
Community Based
Residential Facilities
Hospices
Nursing Homes
Residential Care Apartment
Complexes |
|
08-004 |
Practice and Role of a Physician Assistant in
Certified Mental Health Programs |
In advance of the rewrite of administrative rules,
the DHFS is issuing a statewide variance to provide immediate
regulatory relief regarding the roles of physician assistants (PAs) in
certified mental health programs. The variance provides the
flexibility for certified mental health programs to use PAs to serve
their clients. |
Area Administrators /
Assistant Administrators
Bureau Directors
County DHS Directors
Tribal Chairpersons / HS Coordinators
Community Mental Health Providers
Hospitals |
|
08-005 |
Resident-to-Resident (Client/Patient) Abuse Webcast
Training |
DQA, in collaboration with a private practice
attorney, an attorney from the Coalition of Wisconsin Aging Groups (CWAG),
and the Board on Aging and Long Term Care (BOALTC), has developed a
three-part webcast training series, "Identifying and Responding
Appropriately to Resident-to-Resident Abuse, Including Sexual Assault,
in Regulated Facilities."
The purpose of the training is to raise facility awareness of issues
related to resident-to-resident abuse and provide information and
guidance in preventing and responding to these situations. |
Adult Day Cares
Adult Family Homes
Community Based
Residential Facilities
Facilities Serving Persons
with Developmental
Disabilities
Home Health Agencies
Hospices
Hospitals
Nursing Homes
Residential Care Apartment
Complexes |
|
08-006 |
Non-Long Term Care
Complaint Contact Information |
Non-Long Term Care (LTC) providers may now provide
the phone number of the non-LTC Complaint Coordinator. |
Ambulatory Surgery Centers.
Outpatient Physical
Therapy/Speech Language Pathology Services
End Stage Renal Dialysis Units
Home Health Agencies
Hospices, Hospitals
Outpatient Rehabilitation
Facilities
Rural Health Clinics |
|
08-007 |
Caregiver Background Check Update |
The purpose of this memo is to share information
regarding the upcoming caregiver background check fee increase and the
revised Background Information Disclosure Form. |
Certified Mental Health
and AODA Facilities
Community Based
Residential Facilities
Facilities Serving Persons
with Developmental
Disabilities
Home Health Agencies
Hospices, Hospitals
Licensed Adult Family
Homes, Nurse Aide Training Programs
Nursing Homes
Residential Care
Apartment Complexes
Rural Health Clinics |
Back to top
Content contact: Gina
Bertolini
Phone: (608) 266-6691
Last Updated:
April 04, 2013 |
