Agenda - 02-16-1993 - IV-C - Laserfiche WebLink

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/1,4" ,7-/4 - A RESOLUTION REQUESTING ACTION ON CRITICAL DOMICILIARY CARE ISSUES WHEREAS, North Carolina has the second highest domiciliary bed to older adult population ratio in the nation; and North Carolina has the fourth highest Domiciliary reimbursement rate in the nation; and has never conducted an independent fiscal audit with which to establish an actual reimbursement rate; and WHEREAS, it is estimated that 66% of domiciliary residents have physical disabilities; over 50% have mental disabilities; and less than 7% of the resident population have no physical or mental disability; and WHEREAS, N.C. domiciliary care regulations require only an annual review with no ongoing medical status review, resulting in only an occasional and incidental medical care review for each resident; and WHEREAS, there currently are no specific formal training requirements for domiciliary home personal care staff in North Carolina's regulations and standards; and WHEREAS, most domiciliary residents have multiple prescription/medical needs and they do not manage their own medications or self medicate; and WHEREAS, there are no requirements for formal training in drug management practice for domiciliary staff, and medications are given to residents by untrained staff; and WHEREAS, domiciliary homes remain exempt from registration under the N.C. Controlled Substances Act; and WHEREAS, N.C. domiciliary homes vary in size from small family care homes with under seven residents to large institutional facilities with 200 residents or more; NOW, THEREFORE BE IT RESOLVED THAT: 1. A formal resident assessment procedure, including an ongoing level of care review, be established for all N.C. domiciliary residents. 2 . Regulations governing the procedures for procuring, storage, handling, and administration of prescription and over-the-counter medicines (drugs) be reviewed and strengthened as needed. 3 . Regulations be developed to identify the level of specialized training requirements for the staff responsible for handling and administering all medicines. 4 . Domiciliary homes should be included under the North Carolina Controlled Substances Act. 5. Laws and regulations establishing a consistent state certified training program for all personal care staff in North Carolina's domiciliary homes be enacted and enforced. 6. North Carolina conduct in independent fiscal audit to establish a basis for setting sound domiciliary reimbursement rates.