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Office of Health Facility Complaints (OHFC) Legislative Report March 2006

Office of Health Facility Complaints (OHFC) Legislative Report March 2006. Minnesota Department of Health. OHFC Budget And Staffing History. Nursing homes represent approximately 52% of OHFC’s complaints in FY05

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Office of Health Facility Complaints (OHFC) Legislative Report March 2006

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  1. Office of Health Facility Complaints (OHFC) Legislative Report March 2006 Minnesota Department of Health

  2. OHFC Budget And Staffing History

  3. Nursing homes represent approximately 52% of OHFC’s complaints in FY05 Nursing homes represent approximately 83% of OHFC’s facility reported incidents in FY05 No significant change in number of nursing home complaints between FY03 and FY05 Significant decreases in number of nursing home facility reported incidents between FY03 and FY05

  4. Table 2: Complaints & Facility Reported Incidents by Facility Type FY03, FY04, FY05

  5. All complaints and facility reported incidents receive an initial OHFC review Only a small proportion require further review (15% in FY05) OHFC onsite investigations decreased and referrals to survey increased in FY05

  6. Table 7: Complaints and Facility Report Incidents Assigned for further ReviewFY03 FY04 FY05

  7. An onsite investigation is required for OHFC to make a finding that an allegation is substantiated Of the 5,121 complaints and facility reported incidents received by OHFC in FY05, only 165 (3.2%) resulted in findings of a substantiated allegations The proportions of substantiated, inconclusive and unsubstantiated findings have remained relatively consistent between FY03 and FY05

  8. Table 8: Results of completed Onsite Investigations FY03 FY04 FY05

  9. Areas of Focus for FFY06 • Comparison with Region versus state • Accuracy and consistency • Training

  10. Comparison Region v State Minnesota is an outlier within Region V, with far fewer complaint surveys than facilities CMS is reviewing our processes, including triage methods MDH staff are collecting information from other states as to number of staff assigned to complaints, prioritization of complaints, and complaint procedures

  11. Table 13: FFY05 Complaint Surveys in Region V by State & Nursing Home Count as of 9/30/05 Source: Federal CASPER (Certification & Survey Provider Enhanced Reporting) System

  12. Table 14: FFY05 Deficiencies by Scope and Severity Issued as a Result of a Complaint Survey in Region V by State

  13. Source: Federal CASPER (Certification and Survey Provider Enhanced Reporting) System • Table 14 does not include 9 deficiencies included in the Department’s count of 82 deficiencies issued in FFY05, as 7 of the deficiencies were subject to IIDRs, all of which have been subsequently withdrawn by the nursing home. The remaining 2 deficiencies are subject to a pending IIDR.

  14. The MDH is aware there is a pending report on the complaint process to be issued by the Department of Health and Human Services Office of Inspector General, and it is possible that the report may recommend additional changes to the federal complaint process. As noted in a General Accountability Office report issued in December 2005, CMS is working on revised definitions of actual harm and immediate jeopardy that might alter the triaging decisions currently utilized by OHFC.

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