Introducing NC NOVA: New Organizational Vision Award
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Transcript of Introducing NC NOVA: New Organizational Vision Award
Introducing NC NOVA:New Organizational Vision Award
A Voluntary Special
Licensing Award for Home
Care Agencies, Adult Care
Homes & Nursing Facilities
Part of the Better Jobs Better Care initiative funded by The Robert
Wood Johnson Foundation and The Atlantic Philanthropies
NC NOVA: Overview and objectives
Link state policy and practice through licensure
Systematic, sustainable culture change
Voluntary, incentive-based model
Special license awarded independently of
regulatory survey process
Ultimate goal is financial reward for NC NOVA
designation
NC NOVA’s focus is the workplace
Help providers “raise the bar” to foster meaningful
workplace culture change
Flexibility in how the criteria are implemented
Organizations with an operating license in good
standing are eligible to apply
Providers meeting the challenge are rewarded with
special NC NOVA license
NC NOVA: Legal basis
Established, in law, as a statewide program effective January 1, 2007
Broad-based Partner Team spent more than three years developing NC NOVA– Piloted in 60 organizations
NC NOVA:Creating workplace culture change
SupportiveWorkplaces(45%)BalancedWorkloads(25%)Training (20%)
CareerDevelopment(10%)
Orientation
Peer Mentoring
Coaching Supervision
Management Support
Rewards & Recognition
Worker Empowerment
NC NOVA Designees
As of 6/12/08 – Total of 5 NC NOVA designees3 nursing facilities 2 home care
Had pilot sites that serve almost all Medicaid eligible residents –still working toward
Only publish names of those that attain designation
NC NOVA:Application and review
The provider obtains an application from
www.thecarolinascenter.org (CCME) or
www.ncnova.org
The provider submits the completed application
and supporting documentation to CCME
CCME first verifies with DHSR that the
provider’s license is in good standing
NC NOVA:Application and review, continued
CCME conducts a desk review of the application– If the application is in order, the reviewer schedules a
site visit– If not, CCME notifies the applicant
During a site visit, CCME conducts separate interviews with direct care workers and supervisors
CCME then determines whether the applicant has successfully met the criteria for NC NOVA
NC NOVA:Application and review, continued
If the applicant HAS met the criteria– CCME notifies DHSR to reaffirm that the applicant’s
license remains in good standing– If so, DHSR issues the special NC NOVA license
If the applicant has NOT met the criteria– CCME gives applicant general information about areas
needing additional work– Eligible for 1 time re-review no sooner than 90 days –
nor later than 12 months from notification letter
NC NOVA:Term and conditions of designation
NC NOVA designation is good for two years
Provider must go through full process again
If ownership change before two years up, the
new owner may request an expedited review
NC NOVA designation may be terminated early
if action is taken against the provider’s license
Turnover Data
2007 Turnover Data: NH- Overall state aggregate data = 109.7%
– NC NOVA NH designees – 35% HC – about same as state ave. & why
Administrator & Tenure data
NH – Occupancy – 94% vs. 86%
Our experiences
Developed under a grant Working to ensure on-going Review Costs Integrated all functions into existing operations Have worked to integrate NC NOVA into other
QI initiatives State Statute- included: reviews, reviewer,
partner Team (vs. admin. Rules), protect data
What’s Next
Now – help providers “Get There”– DVD and Getting Started document– Self-Assessment – Readiness Tool
Will develop “how to” guide for other states Beginning work on financial reimbursement
differential Systems integrated Structure for Partner Team to meet - tweak
NC NOVA: Website
www.ncnova.org
Acknowledgements
NC NOVA Partner Team thanks the following for the technical assistance they provided
Paraprofessional Healthcare Institute (PHInational)
Institute for the Future of Aging Services
Barbara Bowers, Ph.D., University of Wisconsin