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Continuing Care Retirement Communities

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Continuing Care Retirement Communities & CARF-CCAC Accreditation Commission on Accreditation of Rehabilitation Facilities International accreditation and standard ... – PowerPoint PPT presentation

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Title: Continuing Care Retirement Communities


1
Continuing Care Retirement Communities
CARF-CCAC Accreditation
2
Commission on Accreditation of Rehabilitation
Facilities
  • International accreditation and standard setting
    organization
  • 1966 42 years old
  • Private, non-profit, independent organization
  • Customer Service Units
  • Aging Services
  • Behavioral Health
  • Child and Youth Services
  • Durable Medical Equipment, Prosthetics,
    Orthotics, and Supplies
  • Employment and Community Services
  • Medical Rehabilitation
  • Field driven standards developed with input from
    consumers, providers, payers,
  • Moral owners are persons served in accredited
    organizations

3
CARF
  • Accredits over 5,000 service providers, at over
    18,000 sites in U.S., Canada, Europe, South
    America
  • 6 million people served annually by accredited
    programs
  • Peer Review Process
  • Accreditation process emphasizes
  • person served
  • performance improvement
  • business aspects of human service delivery
  • good management process
  • Aging Services accredits the following settings
  • Assisted Living
  • Adult Day Services
  • Aging Services Networks
  • CCRCs (through CARF-CCAC program on next slide)
  • Person-Centered Long Term Care Community Nursing
    Homes
  • Dementia Care
  • Stroke Specialty Care

4
Continuing Care Accreditation Commission (CCAC)
  • Merged with CARF through an acquisition on
    February 1, 2003
  • Located in Washington, DC
  • In existence 23 years
  • CARF-CCAC is only accreditation system designed
    specifically for CCRCs

5
Mission and Accountability
  • Mission of CARF and CARF-CCAC
  • Promote quality
  • Promote value
  • Promote optimal outcomes of services
  • Through a consultative accreditation process
  • That centers on enhancing the lives of persons
    served.
  • Accountable to CARF Board of Directors

6
What is a Continuing Care Retirement Community
(CCRC)?
  • Provides coordinated care and services
  • Contractual and/or rental agreements
  • Residential living, assisted living, and health
    services
  • Ongoing financial and strategic planning
  • Ensures continuum of services over life of
    contract
  • Delivery of care and services
  • Screenings
  • Monitoring of health needs
  • Transition planning
  • Seamless transition between levels of care
  • Care that is centered on
  • The person
  • Quality of life
  • Wellness
  • Individual choice

7
The Variety of Service Options Out There for
Consumers
  • Continuing Care Retirement Community
  • Assisted Living
  • Adult Day Services
  • Nursing Home
  • Retirement Community, Active Adult Community,
    Retirement Residence
  • Senior Housing
  • Home Care
  • Home Health Care
  • It can be very confusing! Ask questionsContact
    CARF-CCAC for guidance..

8
Why Consider a CCRC?
  • Campus
  • Downsize into accessible home with privacy
  • Continuum
  • Access to multiple levels of care
  • Culture and Community
  • Activities
  • Safety and Security

9
Potential Concerns about CCRCs
  • Leadership and management changes
  • Development projects
  • Staff responsiveness
  • Level of input into governance decisions from
    residents
  • Resident culture
  • Link to external community

10
What Should You Always Ask
  • Is this CCRC CARF-CCAC Accredited?

11
Free Consumer Guide
  • http//www.carf.org/consumer
  • Entrance Fee Structure
  • Monthly Fees
  • Contract Types
  • Financial Culture of the CCRC
  • Financial Performance Indicators
  • CARF-CCAC Financial Standards
  • Financial Aspects to Consider
  • Questions to Ask

12
Some Questions..
  • Ownership stand-alone or corporate structure?
  • Current fees and history of increases?
  • What do fees include?
  • Refunds?
  • What if I have financial difficulty?
  • What financial information can I see?
  • Insurance and investments?
  • Plans for major projects?
  • Information sharing with residents?
  • There are many more questions about many aspects
    beyond finance that you should ask

13
Why is accreditation important?
  • Communication system
  • Management tool for better decision-making
  • Quality strategy
  • Supports development and use of outcome measures
  • Housecleaner
  • Establishes baseline of quality
  • Refocuses business on residents
  • Re-establishes relationships with all
    stakeholders
  • Risk management tool
  • Financial benchmarking with other accredited
    CCRCs

14
Meaning of Accreditation
  • Accreditation is not a guarantee or a sign of
    perfection
  • Accreditation is the following..
  • A public way to show that CCRC has chosen,
    usually voluntarily, to implement a rigorous set
    of standards above regulations
  • CCRC has had independent, third-party accreditor
    verify conformance to standards through on-site
    review and annual reporting
  • Standards include all parts of CCRC and focus on
    enhancing lives of residents

15
  • Quality is everyone's responsibility.

W. Edwards Deming
16
How CARF-CCAC Standards are Developed
  • Market research
  • International Standards Advisory Committee
  • Field review
  • Staff review
  • Board approval

17
ASPIRE to Excellence
  • System for organizing standards into logical,
    action-oriented framework
  • Emphasizes continuous improvement
  • Integrates all organizational functions
  • Reaffirms importance of input of stakeholders
  • Helps ensure that organizations purpose,
    planning, and activity result in positive outcomes

18
ASPIRE to Excellence
  • Leadership
  • Mission and Vision
  • Roles and Responsibilities
  • Business Structure
  • Corporate Responsibility
  • Ethical practices
  • Awareness of and engagement in the community
  • Governance
  • Accountability to stakeholders
  • Delineation of roles/functions
    (Board vs. Management)

19
ASPIRE to Excellence
  • Strategic Integrated Planning
  • Develop plans to accomplish mission and meet
    expectations of stakeholders
  • Identify internal strengths and weaknesses
  • Identify external opportunities and threats
  • Capitalize on strengths and opportunities
  • Minimize weaknesses and threats

20
ASPIRE to Excellence
  • Input is obtained and analyzed
  • Solicit, collect, analyze and use input to create
    and deliver services that meet or exceed the
    expectations of persons served and other
    stakeholders

21
ASPIRE to Excellence
  • Legal and Regulatory Requirements
  • Plans and actions to meet requirements at all
    levels
  • Financial Planning and Management
  • Supports mission and objectives
  • Follows generally accepted accounting principles
  • Demonstrates stewardship
  • Risk Management
  • Plans and actions necessary to manage risk and
    mitigate loss

22
ASPIRE to Excellence
  • Health and Safety
  • Plans and actions necessary to minimize risk of
    harm to all stakeholders
  • Human Resources
  • Demonstrate value of human resources
  • Involve and engage personnel in the success of
    the organization
  • Ensure qualified staff
  • Provide adequate training to ensure quality of
    services

23
ASPIRE to Excellence
  • Technology
  • Incorporate technology to support information
    management and performance improvement activities
  • Plans and actions to maintain system integrity
  • Rights of Persons Served
  • Protect and promote
  • Communicate rights with persons served
  • Plans and actions to provide methods for problem
    resolution
  • Accessibility
  • Promote accessibility and remove barriers
  • Includes both physical and attitudinal

24
ASPIRE to Excellence
  • Information management and measurement
  • Establish accurate and consistent data collection
    mechanism
  • Determine performance targets
  • Measure and analyze results against targets

25
ASPIRE to Excellence
  • Performance Improvement
  • Utilize information gathered to improve clinical
    and business services
  • Develop quality improvement plan

26
The Process
  • Use standards for at least 6 months - self
    assessment
  • 3 day on-site survey
  • Surveyors - Administrative, Program, Finance
  • Orientation conference
  • Tour
  • Interviews - staff, residents, board, others
  • Observation of processes
  • Review of policies, plans, other documents
  • Exit Conference

27
Consumer Interaction
  • Toll free number (866-510-CARF) and online
    interactive feedback form for consumers to voice
    their comments
  • Poster at least 30 days before survey announcing
    survey and giving people opportunity to contact
    CARF-CCAC

28
Annual Ongoing Reporting
  • Ongoing throughout each year
  • Healthcare inspections
  • Annually
  • Financial report
  • Annual conformance to quality report
  • Quality improvement plan

29
Certificate of Accreditation
  • Best Community, Inc.
  • Washington, D.C.
  • has earned accreditation as a
  • Continuing Care Retirement Community
  • This accreditation is valid through
  • March 2013
  • The accreditation seals in place belowsignify
    that the organization has met annualconformance
    requirements for quality standardsthat enhance
    the lives of persons served.
  • This accreditation certificate is granted by
    authority of

First year annual conformance
Second year annual conformance
Third year annual conformance
Fourth year annual conformance
Fifth year annual conformance
30
The Meaning of Accreditation...
  • CCRC has allowed independent, third-party
    organization to apply a set of internationally
    recognized standards and verify conformance to
    standards through on-site survey.
  • CCRC has voluntarily gone above regulations to be
    publicly accountable for quality.
  • CCRC is committed to continuous improvement.
  • CCRC has a focus on person served.
  • CCRC strives for good business strategies.

31
  • Susanne Matthiesen, Managing Director
  • 1-866-888-1122 ext. 5006
  • www.carf.org/aging
  • You may search our web site for accredited CCRCs
  • You may obtain a free consumer information packet
    including a national list of accredited CCRCs
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