Long Term Care Om budsm an San Diego County 4/ 26/ 2016 The - - PowerPoint PPT Presentation

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Jan 27, 2023 146 likes •288 views

Long Term Care Om budsm an San Diego County 4/ 26/ 2016 The mission of the Long Term Care Ombudsman Program is to advocate for dignity, quality of life, and quality of care for all residents in long-term care facilities Mission Statement

SLIDE 1

Long Term Care Om budsm an

San Diego County

4/ 26/ 2016

SLIDE 2

Mission Statement

The mission of the Long Term Care Ombudsman Program is to advocate for dignity, quality of life, and quality of care for all residents in long-term care facilities

4/ 26/ 2016

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Program History

Major Growth in Nursing Home Industry

1965 Medicare & Medicaid provided

public money for care What was happening?

Abuse, neglect, substandard care
Fires resulting in deaths
Publicity about poor care and owner

profits

Apparent that systems to protect

individuals had failed

Improvements in quality of care were

needed

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Program History



1978-all states were required to operate a Ombudsman Program



The Ombudsman Program operates in all 50 states, District of Columbia, Puerto Rico and Guam



Every state has an Office of the State LTC Ombudsman to guide statewide efforts



In California, there are 35 local Ombudsman programs that collectively cover all counties in the state with the state office in Sacramento

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Program Jurisdiction

 90 Skilled nursing facilities  659 Residential care facilities for the elderly  1340 estimated total of all facilities in San Diego County  RCFE’s, ARF’s, ADHC  The Ombudsman Program is divided into 5 regions

1. South
2. Central
3. East
4. North Coastal
5. North Inland

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Volunteers

 There are approximately 80 certified volunteer

Ombudsman

 11 full time staff members

Volunteers: Complete a 36 hour training course Minimum of 10 hours of mentoring Physical and background check to become certified

12 hours of continuing education annually

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Role of Ombudsman: What we do . . .

 Receive, investigate and resolve complaints  Investigate issues of elder abuse in facilities  Ensure a regular presence in skilled nursing

facilities and residential care facilities for the elderly

 Advocate for residents rights & resident safety  Educate residents and families about their rights,

facility obligations, regulations, and encourage self- advocacy

 Coordinate with licensing agencies, protective

services agencies, and community resources

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Promoting Quality Long Term Care

July-June 2015…

 Ombudsman have conducted 6,818 facility visits

Skilled Nursing Beds-9,291
Assisted Living/RCFE Beds-18,860

 Received and investigated at least 2,637 complaints

Skilled Nursing-1,502
Assisted Living-712
ARF’s-423

 Witnessed over 400 advanced healthcare directives

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What do Ombudsman look for during facility visits?

 Facility poster & license is clearly displayed  Safety hazards  Temperature of facility  Clean and odor free  Medications & Chemicals are locked/stored safely  Resident’s are clean and well groomed  Visible injuries (i.e. bruising, skin tears, sores)  Adequate food supply  Emergency disaster plan

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Resident Rights

 Be treated with respect and dignity  Be free from chemical and physical restraint  To be free from verbal or physical abuse and neglect  Right to Self determination (right to choose and refuse)  To be involved with their care decisions  Voice grievance or complaints without fear of retaliation  Enjoy privacy in association/communication with anyone of their

choosing

 Privacy/access to receive and make confidential phone calls  Send and receive mail (unopened)

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Common Problems and Complaints



Discharge/Eviction/poor discharge planning



Quality of Care



Inadequate supervision/staffing



Food quality/selection/diet



Theft-financial and property



Allegations of Elder Abuse-physical, financial, emotional etc.



Fear of retaliation

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 Reports can be received 24-hours a day

 Ombudsman office hours are Monday-Friday 8-5pm  Phone number to Crisis line is provided for after hours and

weekends when reports are needed to be made.

All reports made to the Ombudsman

ffice are confidential

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QUESTIONS

LTC Ombudsman Program 1-800-640-4661 858-560-2507

4/ 26/ 2016