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VA Recognition Survey

VA Recognition Survey

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VA Recognition Survey

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  1. VA Recognition Survey March 16-18, 2010

  2. George E. Wahlen Ogden Veterans’ Home • Second Veterans’ Home in Utah • Construction completed November 2009 • Dedication November 19, 2009 • First Veteran admitted January 26, 2010 • 21st Veteran admitted March 10, 2010 • 120 bed facility. Largest Veterans’ Home in State • Four separate communities of 30 Veterans • One 30 bed Memory Care Community • Three 30 bed Skilled Nursing Care Communities • All sleeping areas are private • Some bathrooms are shared

  3. George E. Wahlen Ogden Veterans’ Home • Administration of the Veterans’ Home Contracted to Avalon Health Care • Currently 126 employees (new jobs in the county) • State Officer is the representative at the Home for oversight and Veterans’ advocacy • Census as of this morning 97 • Two Female Veterans • 86 Male Veterans • Two spouse and veteran live in Home • Seven surviving spouses

  4. VA Recognition Survey Process • SLVA Medical Center of Jurisdiction • Three members covered administration and finance • Finance completed on first day • Ascellon Corporation • Four members • Three nurses covered operations, dietary, nursing • Former Marine fire fighter covered life safety • Worked very well together as a team and with the Veterans’ Home staff

  5. VA Recognition Survey Process • Very professional approach • Instructive not Destructive • Very detailed • Allowed for on-the-spot corrections • Looked at every standard as a training opportunity • Very patient in working through each issue • This does not mean it was easy. You have to be prepared and ready.

  6. VA Recognition Survey Process • 158 Standards plus Life Safety Inspection • All standards must be passed with “MET” status • All Life Safety items must be met with no deficiencies • Three Day Process • 0800 In-Brief • 1500 – 1700 Out-Brief

  7. Dietary • Asked detailed questions of staff • Allowed for on-the-spot corrections • Eye Wash Stations • Had passed three previous surveys • Legitimate concern with hot water scalds • Worked with maintenance manager to install working solution

  8. Human Resources • Most stressful time was the preparation • Heard that the survey was “Brutal” • Worked with us to find solutions • Great coaching and mentoring

  9. Nursing • Extremely thorough • Very knowledgeable in all areas of patient care • Spent a great deal of time with the Veterans • More interested in systems than dotted i’s and crossed t’s • Our systems were improved and we are providing better care due to the survey

  10. Medical Records • Process went well • It was the best survey I have ever experienced. • Team was insightful, helpful and willing to work with the staff • It was a positive experience to work with them.

  11. Life Safety • Former Marine/Former fire fighter doing Life Safety – Watch Out! • In Reality – Very instructive and focused on the Veterans’ safety • Heavy on needing written logs to back up inspections and maintenance • One area that still is subjective from surveyor to surveyor • SLVH inspection criteria were slightly different

  12. Social Worker • RAP notes were “Canned” • Survey Team helped our understanding of how to improve the RAP notes to make them more effective • Very focused on training • Good experience which has helped improve the care to our Veterans

  13. OVERALL • Good learning experience • We had systems in place and working well in advance of the Survey Team arrival • Staff did not “Fight” any areas • Disagreements were allowed • Worked together for solutions • The Veterans’ Home staff and I were very appreciative of the work done by the Survey Team • “Oh By the Way, We Passed!”

  14. SUBJECT TO YOUR QUESTIONS THAT COMPLETES MY BREIFING