Since 2004 ProvidersWeb has been delivering "best practice" information to assist care providers with Regulatory Compliance and meeting Care Standards for the community based care industry.
Hiring New Employees
All types of care facilities hire staff. Hiring new employees can be tricky and whom ever does the hiring must be sure to understand the do’s and don’ts otherwise the care facility can be sued. The most common lawsuits pertaining to hiring new employees relate to:
- Discrimination related to age, race, religion, sexual orientation, marital status, or disability.
- Hiring illegal immigrants
- Breaching the applicant’s privacy rights
- Making promises that are not kept
You cannot ask or prompt questions about number one listed above however, the applicant may volunteer the information without you asking and that is ok. For example, you are allowed to say: “Tell me about yourself.” The applicant might say something like, “I am married, have 4 kids, I go to church on Saturday, I’m 42 years old, I don’t currently have a car but I am getting one soon, and I take medication for my blood pressure.”
The applicant may have told you a lot of information, but remember that you cannot discriminate against her for these things since you are not allowed to ask if they are married, have kids, go to church, have a car or take any medication. However, if they volunteered the information then you have done no wrong as long as you don’t discriminate against them for their answers. You may find another applicant was better suited for the position and that is ok. You can discriminate against someone if you don’t like their personality.
DO NOT ASK ABOUT:
- Religious beliefs
- Disabilities – Do not ask if they have any physical disabilities that would prevent them from doing the job. Read more
Referral Agencies – The Paying Truth
By Diane Morrow, LNHA
Referral agencies have been around a long time. Unfortunately there are referral agencies that take advantage of providers and sometimes the consumers (persons to be placed) for the love of money.
So what is the low down on referral agencies? There are basically two main types of referral agencies. The for-profit type usually deals with private pay elderly care placements, and the other type is usually ran by a non-profit or state agency and deals with consumers on government funds.
The problems associated with the For-Profit agencies can include but are not limited to:
Doubling the Fees
- Not Knowing Enough About The Consumer’s Health Condition to help find proper placement.
- Not Knowing Enough About The Care Facility they are sending the consumer to; the referral agency could easily send someone to a care facility that provides sub-standard care.
- Referring Only To The Care Facilities That Pay Large Referral Fees; and referring to the care facilities that pay them the fastest. Often times the fee is the first month’s rent or a large portion thereof which is around $1500 to $5000.
- Once a referral is made and the resident is placed, checking up on the resident to see if they are happy and if not they quickly assist them into moving to another facility, so they can earn another referral fee. Read More
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Steps to Risk Management
We do risk management because it’s the right thing to do.
In order to establish your own good risk management program, you will need to take many steps, however the first steps are as follows:
Learn About Risk Management
There is good information on the internet about risk management and several good books. Do the research to help you develop your program. It is essential to understand that risk management is not effective in businesses that do not think it’s important.
If you want to reap the benefits of a great risk management program make it part of every weekly meeting, and let everyone that has a stake in the success of the plan contribute. See Risk Management Programand Risk Management Handbook Table of Contents
Form a Risk Management Committee
To create a program first set up a Risk Management Committee and create standards, identify stakeholders, identify risks, analysis risks, create risk reduction treatment plans, establish policies, procedures, goals, terms, and a mission statement. The Risk Management Committee will review all aspects of the business to help improve the quality of care and services. One important goal will be to establish a process for continual improvement. See Risk Management Committee
Our decisions and actions in the present can
greatly influence the future.
These are the people who have a vested interest such as the residents, staff, visitors and the medical community. If your risk management program is going to work, everyone must feel comfortable to openly communicate any problems, concerns or issues they feel need addressing.
There are known risks already discovered for just about every business. In the care service business, improper care, high staff turnover, and documentation problems are commonly known. Read ProvidersWeb’s Risk Report and Citations to review common industry risks. When identifying risks all stakeholders involved should be allowed input. We have developed an awesome form to help you evaluate risks. See Identifying the Risks
Be sure to review all currently available accident/incident injury reports and workers compensation reports, conduct reviews and assessments for each department. Look for trends, errors and potential problem areas. Once the risks have been identified, then the level of risk needs to be determined. Some risks are severe, some serious and others are limited risks. Each risk will have to be analyzed for its importance, cost impact and other considerations.
Create a Risk Reduction Treatment Plan
A strategy plan will need to be developed to avoid, reduce, accept or transfer the risk. An appropriate response to the risk will need to be developed. Staff and stakeholders will need to know what his/her role is and have input in developing his/her response. Processes to reduce the risk will need to be defined in writing to lessen the chance of miscommunication. See Risk Treatment Plan Form, Risk Reduction Treatment Evaluation, and Risk Preparedness
For more Information see:
Risk Management Benefits
Cost of Insurance
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Flex Time Work Arrangements– Most care facilities are legally
required to comply with certain basic standards such as providing
written proof of: Read more...