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