Nurse Aides, Nurse Aide Training Programs & …

1 C U S T O M E R D R I V E N. B U S I N E S S M I N D E Aides, Nurse Aide Training Programs & Nurse Aide TrainersBureau of Community and Health SystemsOctober 18, 2017C U S T O M E R D R I V E N. B U S I N E S S M I N D E D. Bureau Director-Larry Horvath Division Director-Teri Lee Dyke Section Manager-Jim Wiggins Investigators-Sergio Grijalva, Steve Weber and Ryan Schoch Departmental Analyst-Moneah James Department Te c h s- Tina White and Linda MillerIntroductionsC U S T O M E R D R I V E N.

2 B U S I N E S S M I N D E AidesTraining ProgramsNurse Aide Trainers53,0002151000 FactsC U S T O M E R D R I V E N. B U S I N E S S M I N D E of Nurse aides-during WWIIO mnibus reconciliation bill of 198742 CFR states to establish and maintain registryC U S T O M E R D R I V E N. B U S I N E S S M I N D E Aide enforcement history in Michigan state governmentThe regulatory function of Nurse aides was transferred to the Bureau of Community and Health Systems in March of 2016.

3 Prior to that, it was under the Bureau of Professional Licensing, beginning in U S T O M E R D R I V E N. B U S I N E S S M I N D E Nurse aide history in MichiganIn 1988, Gwendolyn Graham and Catherine Wood were arrested for the killing of 5 elderly female residents at a long term care facility near Grand Rapids. Woods agreed to testify against Graham, who was convicted of 5 counts of first degree murder for allegedly suffocating her victims with a washcloth. Forever and five days by Lowell Cauffielwas a book covering this U S T O M E R D R I V E N.

4 B U S I N E S S M I N D E for hiring Nurse Aide,Facility (State licensed long term care facility) (g)Required in-service review and approval of Nurse aide Training and competency evaluation for Aide Competency of Nurse of on complaints of abuse, neglect and misappropriation of resident propertyFederal code and legal authorityC U S T O M E R D R I V E N. B U S I N E S S M I N D E aide establishment of registryCurrently being run by Prometrics.

5 : PrometricMI Nurse Aide7941 Corporate MD 21236 Phone: U S T O M E R D R I V E N. B U S I N E S S M I N D E D. Bureau web page-File a complaint- Nurse aides Individuals-Allegation form There is no facility reporting form No Change in Staff Privileges form not apply- Nurse aides are not licensed health professionals Heather Hosey-Complaint Intake Manager-FRI, MI-ACTS portalReporting abuse, neglect and misappropriation of resident propertyC U S T O M E R D R I V E N.

6 B U S I N E S S M I N D E U S T O M E R D R I V E N. B U S I N E S S M I N D E aide Investigations and EnforcementIntroduction-Jason Scheeneman-Administrative Law Specialist-Enforcement SectionInvestigationsLawRelevance42 USC1395i-3 (g) (1) (C)Authority to resident (a) (b)Investigation (c)(d)(e)(f)Actions after investigationsC U S T O M E R D R I V E N. B U S I N E S S M I N D E LegislationSenate Bill 286-Codifies Federal Code into the Michigan Public Health Code for the Training and registration of Nurse aides.

7 Allows reciprocity of Nurse aides from other states. Also allows for the regulation of Nurse aides in other settings then long term care. Establishes U S T O M E R D R I V E N. B U S I N E S S M I N D E Aide Training state reviewCurrently, we have 215 Training requirements for approval of Training program*New program application-Combined instructions and applicationPrimary instructor-Supplemental by PrometricC U S T O M E R D R I V E N. B U S I N E S S M I N D E USC 1395i-3 (f)(2)(c)Waiver is only for a Nurse aide Training program offered in, not by the facility is locked out when:a) They have operated under a waiverb)Have been under a partial extended or extended surveyC) Have been assessed a civil money penalty of not less than $5000 Applying for a waiver: Follow direction on Bureau s web page ,4601,7-154-63294_74190---, U S T O M E R D R I V E N.

8 B U S I N E S S M I N D E Aide Trainers42 CFR (a) (5) (i)Must be a registered Nurse with two years of nursing experience. At least one year must be in the provision of long term care facility is defined in 42 CFR Result: You must have worked for 1 year in a state license long term care facility to be a Nurse aide trainer (NAT). No instructors: May supplementthe NAT. They must have 1 year experience in their fields. They primarily are licensed health Reported Incidents (FRIs)C U S T O M E R D R I V E N.

9 B U S I N E S S M I N D E D. F225 (c)(1): All alleged violations involving abuse, neglect, exploitation or mistreatment, including injuries of unknown source and misappropriation of resident property. What is a FRI? C U S T O M E R D R I V E N. B U S I N E S S M I N D E D. 2 hour reporting: All alleged violations involving abuse, neglect, exploitation or mistreatment, including injuries of unknown source and misappropriation of resident property or result in serious bodily injury, are reported immediately, but not later than 2 hours after the allegation is made.

10 Up to 24 hour reporting: If the events that cause the allegation do not involve abuse and do not result in serious bodily injury the facility has up to 24 hours to report. These allegations should be reported as soon as hour versus up to 24 hour reporting: C U S T O M E R D R I V E N. B U S I N E S S M I N D E is a FRI reported? To the State of Michigan, Department of Licensing and Regulatory Affairs, Bureau of Community and Health Systems. ,4601,7-154-63294_63384_75971---, U S T O M E R D R I V E N.