overview of the new long term care homes act …...overview of the new long term care homes act...
TRANSCRIPT
![Page 1: Overview of the New Long Term Care Homes Act …...Overview of the New Long Term Care Homes Act (LTCHA) General Presentation for Staff and Managers Release date: October 29 2010Presentation](https://reader035.vdocuments.us/reader035/viewer/2022063000/5f11feefd508ea60c6038701/html5/thumbnails/1.jpg)
Overview of the New Long
Term Care Homes Act
(LTCHA)
General Presentation for Staff and Managers Release date: October 29 2010
![Page 2: Overview of the New Long Term Care Homes Act …...Overview of the New Long Term Care Homes Act (LTCHA) General Presentation for Staff and Managers Release date: October 29 2010Presentation](https://reader035.vdocuments.us/reader035/viewer/2022063000/5f11feefd508ea60c6038701/html5/thumbnails/2.jpg)
HOW LONG TERM CARE IS CHANGING
THE 30,000 FOOT VIEW
2
![Page 3: Overview of the New Long Term Care Homes Act …...Overview of the New Long Term Care Homes Act (LTCHA) General Presentation for Staff and Managers Release date: October 29 2010Presentation](https://reader035.vdocuments.us/reader035/viewer/2022063000/5f11feefd508ea60c6038701/html5/thumbnails/3.jpg)
Presentation Objectives
At the completion of this presentation you will:
• Have an overview of the new legislation, regulations and inspection
• Have an understanding of how this impacts you, your team and the resident
3
![Page 4: Overview of the New Long Term Care Homes Act …...Overview of the New Long Term Care Homes Act (LTCHA) General Presentation for Staff and Managers Release date: October 29 2010Presentation](https://reader035.vdocuments.us/reader035/viewer/2022063000/5f11feefd508ea60c6038701/html5/thumbnails/4.jpg)
MOHLTC Legal &
Funding Parameters
4
Long Term Care
LSAA
Compliance Transformation Act &
Regulations
![Page 5: Overview of the New Long Term Care Homes Act …...Overview of the New Long Term Care Homes Act (LTCHA) General Presentation for Staff and Managers Release date: October 29 2010Presentation](https://reader035.vdocuments.us/reader035/viewer/2022063000/5f11feefd508ea60c6038701/html5/thumbnails/5.jpg)
LTC Homes Act
and Regulations
5
The new legislation replaces the 3 previous Acts, Regulations and LTC Standards Manual as of July 1, 2010
1 • Nursing Homes Act and Regulation
2 • Charitable Institutions Act and Regulation
3 • Homes for the Aged and Rest Homes Act and
Regulation
![Page 6: Overview of the New Long Term Care Homes Act …...Overview of the New Long Term Care Homes Act (LTCHA) General Presentation for Staff and Managers Release date: October 29 2010Presentation](https://reader035.vdocuments.us/reader035/viewer/2022063000/5f11feefd508ea60c6038701/html5/thumbnails/6.jpg)
6
• 1 Act instead of 3
• New regulations based on “best practices” and previous guidelines – much of which we are already doing
• Expectations and Guidelines from previous LTC Facility Program Manual are now legislated and mandatory
LTC Homes Act
and Regulations
![Page 7: Overview of the New Long Term Care Homes Act …...Overview of the New Long Term Care Homes Act (LTCHA) General Presentation for Staff and Managers Release date: October 29 2010Presentation](https://reader035.vdocuments.us/reader035/viewer/2022063000/5f11feefd508ea60c6038701/html5/thumbnails/7.jpg)
7
New Act and Regulations
• The new Long Term Care Homes Act and Regulations are integrated into the Long-Term Care Homes Act, 2007 (LTCHA)
• It is important to read the Act and corresponding sections of the Regulations together
![Page 8: Overview of the New Long Term Care Homes Act …...Overview of the New Long Term Care Homes Act (LTCHA) General Presentation for Staff and Managers Release date: October 29 2010Presentation](https://reader035.vdocuments.us/reader035/viewer/2022063000/5f11feefd508ea60c6038701/html5/thumbnails/8.jpg)
8
A long term care home is primarily the home of its residents.
The home is to be operated so that it is a place where residents may live with dignity and in security, safety and comfort and have their physical, psychological, social, spiritual and cultural needs adequately met.
Fundamental
Principle of LTCHA
![Page 9: Overview of the New Long Term Care Homes Act …...Overview of the New Long Term Care Homes Act (LTCHA) General Presentation for Staff and Managers Release date: October 29 2010Presentation](https://reader035.vdocuments.us/reader035/viewer/2022063000/5f11feefd508ea60c6038701/html5/thumbnails/9.jpg)
9
Fundamental
Principle of LTCHA
This New Legislation is intended to:
• Improve the resident’s experience to promote a high quality of life for all residents
• Improve the safety and effectiveness of care provided in LTC homes
• Build capacity and strengthen accountability in the LTC sector
![Page 10: Overview of the New Long Term Care Homes Act …...Overview of the New Long Term Care Homes Act (LTCHA) General Presentation for Staff and Managers Release date: October 29 2010Presentation](https://reader035.vdocuments.us/reader035/viewer/2022063000/5f11feefd508ea60c6038701/html5/thumbnails/10.jpg)
“Old” Program Manual
10
The Former LTC Program Facilities Manual included:
• Standards – which were a “must do”
• Guidelines – which were considered a “should do”, or best practices (but they were not “required to do”)
Compliance was based only on:
• A review against Standards
• Mainly focused on chart audits and observations by compliance advisors
![Page 11: Overview of the New Long Term Care Homes Act …...Overview of the New Long Term Care Homes Act (LTCHA) General Presentation for Staff and Managers Release date: October 29 2010Presentation](https://reader035.vdocuments.us/reader035/viewer/2022063000/5f11feefd508ea60c6038701/html5/thumbnails/11.jpg)
11
LTCHA
What’s New?
• Are there changes? YES!
• Are many things exactly the same? YES!
• What do the changes mean to me and my Team? In most cases, “WHAT” needs to be done has not changed, however “HOW” you do it may be different.
![Page 12: Overview of the New Long Term Care Homes Act …...Overview of the New Long Term Care Homes Act (LTCHA) General Presentation for Staff and Managers Release date: October 29 2010Presentation](https://reader035.vdocuments.us/reader035/viewer/2022063000/5f11feefd508ea60c6038701/html5/thumbnails/12.jpg)
12
What’s New? ...cont’d
• MOHLTC Compliance Program has become the Long-Term Care Quality Inspection Program (LQIP)
• The Inspectors no longer have discretion. Errors resulting in non-compliance with the LTCHA and Regulation will generate a written notice of non-compliance
LTCHA
![Page 13: Overview of the New Long Term Care Homes Act …...Overview of the New Long Term Care Homes Act (LTCHA) General Presentation for Staff and Managers Release date: October 29 2010Presentation](https://reader035.vdocuments.us/reader035/viewer/2022063000/5f11feefd508ea60c6038701/html5/thumbnails/13.jpg)
What’s New? ...cont’d
• Inspectors have expanded powers, takeover and issuance of directives/actions/orders – graduated sanctioning
• Action/sanctions based on severity, scope and compliance history of the home and risk to the resident
• Homes may face severe penalties for continuing and/or serious non-compliance
13
LTCHA
![Page 14: Overview of the New Long Term Care Homes Act …...Overview of the New Long Term Care Homes Act (LTCHA) General Presentation for Staff and Managers Release date: October 29 2010Presentation](https://reader035.vdocuments.us/reader035/viewer/2022063000/5f11feefd508ea60c6038701/html5/thumbnails/14.jpg)
14
Categories of Importance : 1. Preamble: the fundamental principle
2. Residents: Bill of Rights, Care and Services
3. Admission of Residents
4. Councils
5. Operation of Homes
6. Funding
7. Licensing
8. Compliance and Enforcement
9. Administration, Miscellaneous and Transition
LTCHA
![Page 15: Overview of the New Long Term Care Homes Act …...Overview of the New Long Term Care Homes Act (LTCHA) General Presentation for Staff and Managers Release date: October 29 2010Presentation](https://reader035.vdocuments.us/reader035/viewer/2022063000/5f11feefd508ea60c6038701/html5/thumbnails/15.jpg)
15
Specifics • Residents’ Bill of Rights (expanded)
• Mission Statement to be developed, reviewed every 5 years & revised (as needed) with input from Residents’ and Family Councils
• Plans of Care, Care Conferences (focus on inter-professional/ restorative approach)
• Mandatory “Programs” for all aspects of operations with each program having stated goals & objectives, relevant policies, procedures, protocols, measurable outcomes and annual evaluation
LTCHA
![Page 16: Overview of the New Long Term Care Homes Act …...Overview of the New Long Term Care Homes Act (LTCHA) General Presentation for Staff and Managers Release date: October 29 2010Presentation](https://reader035.vdocuments.us/reader035/viewer/2022063000/5f11feefd508ea60c6038701/html5/thumbnails/16.jpg)
16
Specifics (continued) • Responsive Behaviours - more specific re: approaches
• Reporting complaints, abuse and neglect – detailed definitions, investigation, documentation and response requirements in legislation - “whistle-blowing” protection for anyone who reports
• Minimizing Restraints – includes PASD’s
• Admission of Residents (now choice of 5 homes)
• Councils (Family and Residents’) - increased involvement
• QI program (expanded) – integrated, inter-professional and outcome-focused
LTCHA
![Page 17: Overview of the New Long Term Care Homes Act …...Overview of the New Long Term Care Homes Act (LTCHA) General Presentation for Staff and Managers Release date: October 29 2010Presentation](https://reader035.vdocuments.us/reader035/viewer/2022063000/5f11feefd508ea60c6038701/html5/thumbnails/17.jpg)
17
What does it all mean? • Ministry requirements in law (Act and Regulation) affects
all departments (not just nursing)
• LTC homes policy, procedures and clinical protocols must be in compliance with the new legislation
• Initial and continuing education for all staff is prescribed
• Sharing relevant information with residents and families, including Residents’ and Family Councils required
LTCHA
![Page 18: Overview of the New Long Term Care Homes Act …...Overview of the New Long Term Care Homes Act (LTCHA) General Presentation for Staff and Managers Release date: October 29 2010Presentation](https://reader035.vdocuments.us/reader035/viewer/2022063000/5f11feefd508ea60c6038701/html5/thumbnails/18.jpg)
18
In Summary the New LTCHA means… • Homes need to review, revise and develop Core
Required Programs, with supporting protocols, policies and procedures to align with legislative requirements.
• Train ALL Staff on the new Inspection Process, Inspection Protocols, including the role they may be asked to play in the inspection process
LTCHA
![Page 19: Overview of the New Long Term Care Homes Act …...Overview of the New Long Term Care Homes Act (LTCHA) General Presentation for Staff and Managers Release date: October 29 2010Presentation](https://reader035.vdocuments.us/reader035/viewer/2022063000/5f11feefd508ea60c6038701/html5/thumbnails/19.jpg)
19
In Summary the New LTCHA means… • Do mock inspections
• Establish mechanisms to meet mandatory staff orientation and training requirements, including a method of tracking staff completion of required training
LTCHA
![Page 20: Overview of the New Long Term Care Homes Act …...Overview of the New Long Term Care Homes Act (LTCHA) General Presentation for Staff and Managers Release date: October 29 2010Presentation](https://reader035.vdocuments.us/reader035/viewer/2022063000/5f11feefd508ea60c6038701/html5/thumbnails/20.jpg)
20
Q & A