nors training and reporting -...
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NORS Training and ReportingAre We There Yet?National Ombudsman Resource Center Training ConferenceApril 19, 2010
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Summary
• NORS Data Comparison Reports
• 2009 v. 2008 Reports/Reporting
• Assessment Review and Recommendations
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Data – Accounting for our work, value, need and worthiness of support
• Why is Data important to our work?• Tells our story – what we do? Why we do it? Our
value in the system. We are different and distinct
• Tells the story of residents and need for change• Tells the story of advocacy – differentiates us
from survey and compliance functions – ombudsman service is distinct
• Worthiness of financial support – documents need for funding, staffing, training
• Accountability • Federal OAA, state GR, Special Funds, local support• $32.5/$40 million authorized in PPACA for ombudsman –
must document what we do that is distinct, needed and valued (increased scrutiny)
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NORS State Data Comparison Reports
• Purpose for conducting the reports • Completion:
• Regions IV (Atlanta); V (Chicago); VI (Dallas); VII (Kansas City); VIII (Denver)
• In Progress: • Regions I (Boston); II and III (New York);
IX (San Francisco); X (Seattle)• Purpose
• Data improvements• Program Management
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NORS State Data Comparison Reports
Comments from State Ombudsman on the Process and Comparison Reports
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2009 v. 2008 Submissions
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2008 to 2009 Comparisons (Funding)
2008 2009 PreliminaryChangeTotal % of
TotalTotal % of
Total
Title VII, Chap 2 $16,117,283 19% $16,786,597 20% +4.15%
Title VII, Chap 3 $2,313,677 3% $2,432,295 3% +5.13%
Title III, State $10,583,718 12% $11,257,401 13% +6.37%
Title III, AAA $16,265,419 19% $15,737,506 19% -3.25%
Other Federal $3,884,466 4% $4,486,821 5% +15.51%
Total Federal $49,164,563 57% $50,700,620 60% +3.12%
State $30,830,602 35% $27,061,807 32% -12.22%
Local $6,881,130 8% $6,872,330 8% -0.13%
Total $86,762,295 $84,634,757 -2.58%
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2009 to 2008 Comparisons
2008 Preliminary 2009 Change
Total NF BC Total NF BC Total
Cases Closed 182,506 142,895 37,766 157,677 122,885 33,585 -14%
Complaints 271,650 208,749 60,172 233,194 176,162 55,119 -14%
Individual Consultations
327,028 343,410 +5%
% Visitation 79.7% 45.8% 77.8% 45.2%
Program FTE 1,293 1,198 -7%
Certified Vol 8,732 8,772 +1%
Staff/Beds 2,220 2,423 +9%
Facilities 66,865 16,749 50,116 69,446 16,652 52,794 +4%
Beds 2,870,978 1,740,115 1,130,863 2,901,801 1,734,815 1,166,986 +1%
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According to 2009 preliminary data, 29 states reported decreased cases and complaints
• 18 had decreases >10% in both cases and complaints ; 9 had >20%; 5 had >30%; 3 had >40%
• 12 (+3?) of the 29 had lower staffing and/or funding (two areas which are interrelated) which were cited as major causes of the decreased numbers.• 3 cited budget cuts• the rest cited staffing issues (turnover, furlough days, unable to
fill positions, illnesses, etc) some related to funding issues• 7 had decreases of 10% or more in cases and complaints
• Another 10 states cited shifts/changes in reporting• 4 reported shifts from cases and complaints to consultations• 4 others indicated improved accuracy in reporting• 3 had lower staffing and funding without citing them as a cause
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2009 to 2008 Cases/Consultations to Systemic Work
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ASPE Review and Comments
• Request by the Assistant Secretary
• Review included• SLTCO reporting instructions• 2008 Reports• 2008 Ombudsman Program Data
Comparisons
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ASPE Review and Comments
• Inconsistencies across states on major categories of data, e.g. complaints, verification rates, open/closed cases, subgroups• Accounting for variations (funding, staff,
turnover, state specific problems• Appearance of inconsistencies• Cause questions on data reliability
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ASPE Review and Comments
• Inconsistency, reliability concerns make it difficult to draw data conclusions
• Too many categories• Delineation is not clear – explains
inconsistencies• Category overlaps – too much individual
discretion• Definitional and category semantic issue
cause confusion
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Recommendations
• Determine the purpose of NORS
• Identify and development of data elements and definitions
• Identify Technical Considerations
• Develop Implementation Plan
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Jim VarpnessAdministration on Aging233 N. Michigan #790
Chicago, IL 60601(312) 886-8535