Beyond Data

1. Beyond Data A New Mexico Perspective Mikki Rogers Division of Health Improvement Incident Management Bureau Chief 505-476-9015 mikki.rogers@state.nm.us

2. Incident Management BureauNM

3. Typical Data from Critical Incidents Statewide Average of confirmed Abuse, Neglect, and Exploitation is 25 per 100 consumers Provider specific confirmation rates per 100 consumers Ranking of Providers Number of consumers requiring medical attention beyond first aid Raw data is published on the DHI website. Data is available for the past 8 years.

5. Data is broken down by the five different state regions. Data is available by consumer Data is trended by consumer, by provider IMB management looks for increases in use of emergency services for consumers. On a quarterly basis we ask IDT�s to meet and complete assessments for consumers identified as showing changes in status (behavioral, medical or other) and develop a plan to address the H & S needs of the individual.

6. Typical authority model

7. Problems NM found with system Isolation of knowledge Direction is Linear Protection of power Little communication between authorities

8. New Mexico Model

9. New data collection based on collaboration between authorities Specifics targeted to outcomes Data that can focus Technical assistance by the program authority Information to Medicaid for quality oversight Providing data that can target Quality Management Audits Targeted services to consumers that promote health and safety Problem areas within different regions within the state Ability to focus technical assistance in a specific region

10. Benefits Collaboration between different Authorities Cooperative relationship with Adult Protective Service- sharing investigative findings Develop focused data Focus direction of change Information flows out to each layer then back toward the consumer based on system change or technical assistance provided

11. What is the change The structures are really no different The focus is As an entity we need to change our focus on data Take a different approach Look for stats that will change systems or improve care.

13. Consumers involved in serious incidents with DX of

14. Causes of trips to Emergency Rooms

15. Agreements MOU with Adult Protective services to share information and conduct joint investigations when necessary Joint Protocol Agreement with Dept. of Health, Human Services Dept., Aging and Long-Term Services Dept., and Children Youth and Families Dept. Both of the above include holding monthly meetings in each of 5 regions of the state; purpose is discussion consumers and providers as well as systems issues for HCBS and Licensed/Certified facilities.

16. Agreements cont. Quality Steering Committee: looks at quality indicators to address system change. Players at the table: DDSD DHI MAD As needed other members ACQ- stakeholders are DOH, MAD, Providers, Consumers. This group assisted with establishment of the Quality indicators in conjunction with HSRI/NCI.

17. Changes to Incident Management as a system No change to the work process of the Bureau Changes exist in the data accumulated Changes exist in data presentation to different entities, providing a different look at the information. Data can afford the authority a better look at needed technical assistance or provider assistance or support for system change