The State Long Term Care Ombudsman Program
The Effective Ombudsman
Program: A Symphony of Advocacy
Margaret Niederer, Ph.D.,
Director of Special Projects
Illinois Retired Teachers Association Foundation, May 2, 2004
Foreword
This paper has been prepared for use
by nursing facility residents; their families, legal representatives, and
friends; family councils; and resident councils to help evaluate their long term care ombudsman program.
The questions, based on federal law,
reflect how the Office of Long Term Care Ombudsman should work within a
state.
The Office should be headed by a state
ombudsman who can resolve major system problems and carry out all the duties of
the program without interference from state agencies, political interests and
other entities.
Anyone who is a long-term care ombudsman
(state, regional local—paid or volunteer) within a state is required to be free
of conflicts. This includes no fiscal
interest in facilities, and it also includes all types of conflicts, including
any organizational conflict.
Studies have shown that there are conflicts within states
that prevent residents from having an
effective long term care ombudsman program
in most, but not all,
states.
The Administration on Aging, which has oversight of the
program, has not monitored the ombudsman program for years, and refused to
respond to multiple requests from Illinois advocates to address conflict and
willful interference issues in 2002-03.
Fortunately, the Illinois legislators and the governor saw fit to change
the Illinois ombudsman law to address this issue. Other states with
conflicts have not been as fortunate.
In order to fully protect residents in licensed long term
care nursing facilities in any state, the long term care ombudsman program is
required to operate in accord with federal law. If any state law conflicts with the federal law, the federal law
prevails.
If you have questions about conflicts or willful
interference or how to obtain an efficient and effective ombudsman
program, contact your state ombudsman
or email Margaret Niederer,
mniederer@icare.
The resident’s question:
“Is My Ombudsman Program Working?”
I have the right to quality care and a quality of life. This means that I have the right to be
protected from physical and mental harm.
I have the right to choose what I want to do, including when to get up,
when to eat, what to eat, when to take a bath and the right to have the medical
treatment from my doctor and restorative care I need. I need all of these things to stay active as along as possible
and not be a burden to anyone.
I want to pursue my interests and hobbies and learn new
things. I want to listen to music that I like, play the games that I like to
play, and interact with friends and family as much as I want. I want to have the pets that make me happy
and plants to grow.
I do not like to share my room, my dining table, and my
games with people that I would never have chosen. I want all of these things even though I may not remember that
I want them. The things that I want
are important to my staying mentally and physically healthy as long as
possible.
I do not want to be treated as if I am not a person, only a
body.
Because I am often afraid, I need to be able to complain if
I do not get the care or have the quality of life that makes life worth
living. I need to complain often if I
do not get the care I need. Sometimes
I observe serious situations, which makes me very upset. I cannot stand to live in a place that is
unable to care for me or give me the things I need.
I need a home in
which to live my last days. I want my
family and friends to be able to come and see me as often as they would like,
at times that fit their schedule. I
want my family to join a family group to protect me. I feel better when I know that there is a group of families that
are working to improve this place in which I live.
I do not ask for gold, only an environment that allows me to
have some quality in my life, an environment in which there are people who
really know me, can take care of me and anticipate my needs.
I have questions about whether my ombudsman program can
actually help me.
I want some questions answered to determine whether my
ombudsman program can help me, really help me, and also help other residents of
facilities in my state to overcome severe and chronic care problems. What can my ombudsman program do when there
are problems concerning issues that adversely affect my health, safety, welfare
and rights, including my rights with respect to the activities of legal
representatives and provider and public agencies? Is my Ombudsman Program actually effective in every area of the
State?
Resident Level Advocacy--Regular and Timely Access to
Ombudsman Services: What Does This
Mean?
- Do I
know my ombudsman?
- Do I
see him or her on a regular basis?
- I do
not want the time between my ombudsman’s visit to be so long that I forget what my concern is.
- Is my
ombudsman sufficiently informed that he or she can inform me about long
term care services in this state, including in-home services?
- Does
my ombudsman tell me what I can do about a problem or what he or she will
do to help?
- Is my
ombudsman more concerned about the facility staff/administration’s
feelings and concerns than my feelings, concerns, problems and ideas?
- Is my
ombudsman more willing to believe what the facility staff says over what I
have said?
- If the
complaint is not resolved by what I do, or what my local ombudsman does,
how will it get resolved?
- How long
will it take to resolve my complaint?
- Will
my ombudsman really fix the situation that caused my complaint?
- My
complaint is about abuse—this needs to be fixed quickly, within a day or
two. How can the ombudsman resolve
the issue when the facility does not agree with my complaint?
- Do I
have to be injured before the situation that is likely to harm me is
fixed? What is the timeline for
this type of complaint? Who will
handle it? What is the procedure
for handling this quickly? What
can my ombudsman do about chronic problems that put me in jeopardy for
harm?
- My
complaint is about neglect—I am not getting the restorative nursing
services I need. I do not like the
food. I do not get enough exercise
nor do I have anything that I like to do.
I wish I were dead. What
can my ombudsman do to fix this type of situation? How will this situation be
addressed? What will make my
ombudsman’s strategy successful?
- How
can my ombudsman address my fears of retaliation? Does my ombudsman actually realize that
retaliation is real in my facility?
- Is my
ombudsman sufficiently trained to know how to handle my complaints and
that of other residents?
- Does
my ombudsman know what to do about confidentiality issues when a family
member/friend reports abuse and neglect?
- Does
my ombudsman know what to do about confidentiality when a capable resident
reports abuse or neglect, but does not authorize the ombudsman to report
this to the state certification agency?
- Does
my ombudsman know what to do about confidentiality when a resident who is
not capable reports abuse or neglect, but does not authorize the ombudsman
to report this to the state certification agency?
- Does
my ombudsman know what procedures to follow that will quickly address the
issue when he or she observes physical or mental abuse or neglect? How will the ombudsman keep this
neglect from happening again?
- Can my
ombudsman have immediate access to the State Ombudsman when there are
serious complaints? What is my
State Ombudsman able to do?
- Does
my ombudsman have a trainer, a certified ombudsman, who can accompany my
ombudsman to a facility to help in resolving my complaints?
- Does
my ombudsman have a trainer who continues to have first hand experience in
handling complaints?
- Does
my state ombudsman have someone in the local provider ombudsman entity
that is able to identify problems in handling complaints, by monitoring
and handling the documentation of complaints, and then use that
information to improve the training for ombudsmen?
- Can my
ombudsman secure the services of the ombudsman legal counsel to help me
with my complaint, including filing a lawsuit?
Systems-Level
Advocacy—Consistently and Aggressively Address the Broader or Underlying Causes
of Residents’ Problems: What Does This
Mean?
- Do
other facility residents have the same or similar problems that I
have? How does my ombudsman
program know this?
- How
does my ombudsman program know if the number of problems that has been
identified by my ombudsman program is all or part of the problems that
exist? Does my ombudsman program
visit my facility and others often enough, talk to the residents long
enough to actually know and report the extent of the problems?
- If my
ombudsman program knows the number and kind of problems, to whom does the
program give this information? Do
those agencies or legislators receive the ombudsman report believe the
report? Do these legislators and
agencies do anything about the causes of the problems? What does my ombudsman program do if
nothing is done to address these problems?
- Does
my ombudsman program discuss what needs to be changed in laws, regulations
and policies to address the underlying causes of residents each year? What is the outcome of those
discussions? What is the plan of
action?
- What
are my ombudsman program’s next steps to fix the underlying causes of the
problems?
- What
is my ombudsman program’s record on having been successful in fixing
residents’ problems and the underlying problems of the complaints?
- When
educating facility owners and staff, what nursing home improvement models
does my ombudsman program use to demonstrate the need for change?
- How
does my ombudsman program use Pioneer Practices information, which when
supported by the facility administration, can solve the problem of direct
care staff not knowing or not being interested in me?
- How
does my ombudsman program work with my family (friends) and others to form an independent family
council? How is that family
council trained so that both family members and the residents know how
these members can be the “eyes and ears” for residents and help solve
problems?
- My
state has powerful citizens’ groups who work toward better care for me and
other residents in all certified
facilities. How does my ombudsman
program work with these citizens groups?
If there are not citizens groups in other communities, does my
ombudsman program help to develop these citizen organizations?
- Does
my ombudsman check to see that my resident council is not controlled by
the facility? What does my
ombudsman do to make certain that my resident council can function, as it
should? Does my ombudsman check to see if the facility has addressed my
resident council’s concerns so there isn’t a constant repetition of the
problems?
- Is my
ombudsman or the state ombudsman able to represent me and others who have
the same or similar problem before the governor, or any federal, state, or
local official, without first asking permission from a governmental or
other agency/entity?
- Does
my ombudsman program have a public relations plan in which my ombudsman
program facilitates the public knowing about facility deficiencies identified
by the certification agency? Facilitates
public knowledge of residents’ rights and the long-term care system?
Facilitates public comment on issues that affect residents?
- Does
my ombudsman operate within the Office of State Long Term Care Ombudsman,
a program headed by the State Long-Term Care Ombudsman who designates local
ombudsman program provider entities and designates paid and volunteer ombudsmen?
- Does
my ombudsman operate within a system in which the State Long Term Care
Ombudsman coordinates the plans and activities of the local ombudsman
entities?
- Does
my ombudsman operate within a system in which the State Unit on Aging has
established in writing, polices and procedures for monitoring my local ombudsman
entity? Monitoring identification
of conflicts and willful interference? Procedures for handling conflicts and
instances of willful interference from state and local agencies?
- Does
my ombudsman operate within a system in which the ombudsman legal counsel
can file a lawsuit against a facility because of poor care?
- Does
my ombudsman operate within a system in which the local entity is more
concerned about the relationship with the facility than my protection?
- Does
my ombudsman operate within a system in which time and effort is focused
on concerns of residents, as opposed to conflicts within the Office of
State Long Term Care Ombudsman Program?
- Does
my ombudsman operate within a system in which there are clear lines of
authority of the State Ombudsman who controls the administrative, advocacy
and budget decisions of the Office in order to accomplish the task of
resolving my complaints and identifying the underlying problems of my
complaints and that of other residents?
- Does
my ombudsman operate within a system that functions like a cacophony in
which there are there distinct groups of musicians, each playing their own
tunes, or does my Long Term Care Ombudsman Program operate like a
symphony, playing in perfect harmony, a magnificent song of protection?