The Who, What, When, Where And How Of Ombudsman Services For Home Care .

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The Who, What, When, Whereand How of OmbudsmanServices for Home CareConsumersLynne Person, DC State OmbudsmanOffice of the DC Long-Term CareOmbudsman ProgramOctober 25, 2013an AARP affiliatePart of the Senior Service NetworkSupported by the DC Office on Aging

Who Are We? The Office of the DC LTC Ombudsmanooooo2 Nursing Home OmbudsmenBoard and Care Ombudsman/Program ManagerVolunteer Specialist2 Administrative Support StaffAttorney Home and Community-Based Program (HCBS)o 3 ombudsmeno Attorneyo Administrative Support Staff

Program StaffDC LTCOmbudsmanLynne PersonBoard and CareOmbudsman/Mgr.Lydia WilliamsSr. SecretaryStaff AttorneyToni EgglestonMary Ann ParkerHCBSOmbudsmanSheila PannellHCBS OmbudsmanBecky HazlettHCBS OmbudsmanSpecialistWalter WilliamsSMP SupervisorTheresa BrownsonVolunteer SpecialistVolunteer SpecialistGenesis CachedonDalila RiveraOmbudsmanAssociateAdmin. AssociateKeisha DavisNH OmbudsmanVacantNH OmbudsmanAnthony KahalyDarnetta Adams

Who Do We Serve? Elderly and Physical Disability (EPD) MedicaidWaiver Beneficiarieso 4,000 residents wait listo Engaged (face-to-face) 125 residentso Nursing home residents transitioning to community (MFP)

What Do We Do?Scope of Work and Services Advocate on behalf of District residentsooooooooConduct home VisitsInvestigate and resolve complaintsMonitor provider complianceMonitor government enforcementEducate and train residents and stakeholdersCollaborate with other agencies resolutionEndorse changes quality improvementLegislate New/amended statutes, regulations, policies and procedures, etc. improved service delivery system

When Did We Begin? Impetus for advocacy HCBS role – 2009 Implementation – October 1, 20122009201020112012

Where Are We?Everywhere Residents’ homesStakeholder Meetings (ongoing, one time, etc.)Care Plan MeetingsDischarge MeetingsHome Care AgenciesNursing HomesCity Council Testify Meet with councilmembers Attend hearings on related topicso Media Events Television Radio newspaperooooooo

How Did We Get Here?Program Expansion Wilmerhale Study completed (2009)TestimoniesMeetings with DC City Council MembersLong-Term Care Ombudsman Program Amendment Actof 2012o Introduced June 2011 Wilmerhale Study updated (July 2011)Program Bill Hearing (October 2011)Full Council Support (January 2012)Sent to US Congress (January 2012)Roundtable Discussion (February 2012)Fiscal Impact Statement & BudgetFunding Approved (May 2012)

Challenges & BestPractices Challengeso Waiver Implementation Slow Inconsistent frustratingo Complaints language barrier between resident and aide Durable Medical Equipment (DME) Best PracticesoooooOngoing educationEngagement with residentsPositive ImpactResident voices being heardSeptember HCBS Forums (9/3 and 9/4)

Complaint & ActivityDataCasesComplaints Closed113Home artiallyResolved64.9%17.28%Home VisitsConsultation Consultation toNon-Complaint to Individuals Agencies/ProvidersRelated162629010

DCLTCOPProgram Contact Information DCLTCOP Hotline: (202) 434-2190HCBS Hotline: (202) 434-2160E-mail: DCOmbuds@aarp.orgWebsite: http://www.aarp.org/states/dc/LCE.html

The Who, What, When, Where and How of Ombudsman Services for Home Care Consumers Lynne Person, DC State Ombudsman Office of the DC Long-Term Care