Service Area Strategic Plan
4/21/2014   10:39 am
Department of Behavioral Health and Developmental Services (720)
Biennium:
Service Area 1 of 1
Facility and Community Programs Inspection and Monitoring (720 787 01)
Description

The Office of the Inspector General for Behavioral Health and Developmental Services (OIG) inspects, monitors, reviews, and makes recommendations to the Governor and General Assembly regarding the quality of services provided in facilities operated by the Department of Behavioral Health and Developmental Services (the Department) and by providers as defined in §§ 37.2-4-4 through 37.2-422 that are licensed by the Department. These include hospitals as defined in § 32.1-123, community services boards and behavioral health authorities as defined in § 37.2-100, licensed private providers, and other similar providers.
Background Information
Mission Alignment and Authority
  • Describe how this service supports the agency mission
    The OIG is a separate agency from the Department and therefore has its own mission and goal. It is the mission of the Office of the Inspector General to serve as a catalyst for improving the quality, effectiveness, and efficiency of services for people whose lives are affected by mental illness, intellectual disability, or substance use disorders. It is the goal of the OIG that the Office of the Governor, the General Assembly, the Secretary of Health and Human Resources, the Department, and the system of service providers understand the quality of services being provided and take actions that will enable improvement in the quality of services provided.
  • Describe the Statutory Authority of this Service
    Chapter 4 of Title 37.2 of the Code of Virginia establishes the Office of the Inspector General for Behavioral Health and Developmental Services.
    • §§ 37.2-423 through 37.2-425 create and outline the powers and duties of the Office of the Inspector General and specify the reports required of the Inspector General.
Customers
Agency Customer Group Customer Customers served annually Potential annual customers
Governor (Office of the Inspector General Reports) Governor (Office of the Inspector General Reports) 1 1
Members of the General Assembly (Office of the Inspector General Reports) Members of the General Assembly (Office of the Inspector General Reports) 140 140

Anticipated Changes To Agency Customer Base
None
Partners
Partner Description
Department of Behavioral Health and Developmental Services Office of Human Rights (OHR): The OHR oversees the human rights protection system in the state facilities and licensed community programs and conducts investigations of human rights complaints. The OIG coordinates any work involving human rights with the OHR to prevent duplication of effort and to obtain information when needed.
Department of Behavioral Health and Developmental Services Office of Licensing: The OIG coordinates work with the Licensing Office to avoid duplication of effort and to obtain information when needed.
Individuals receiving services and family members: The OIG routinely invites individuals receiving services and family members to make input to the design of the OIG's work. Individuals receiving services are invited from time to time to serve as members of the OIG inspection teams.
Office of the Secretary of Health & Human Resources: The Secretary of Health and Human Resources oversees the work of the Department of Behavioral Health and Developmental Services. The OIG keeps the Secretary informed about the work of the office and seeks input from the Secretary as OIG plans are developed.
Public and private providers: The OIG routinely invites input to the design of OIG projects from the CSBs, state facilities, and other licensed providers.
Virginia Office of Protection and Advocacy (VOPA): The OIG and VOPA utilize information generated by both agencies to enhance the information available to both agencies.
Products and Services
  • Factors Impacting the Products and/or Services:
    The Department of Behavioral Health and Developmental Services initiative to transform the system of care that is consumer-driven and guided by the principles of self-determination, resilience, recovery, and community participation.

    • The gradual downsizing of state facilities and increase in the severity and complexity of consumer needs.

    • The shift of care for many consumers with severe disabilities to the community and an increase in the number of community-based public and private providers.

    • The federal Department of Justice (DOJ) expectation for ongoing compliance by the state facilities with DOJ-VA settlement agreements.

    • Limited OIG staffing with which to carry out the responsibilities established in the Code of Virginia.
  • Anticipated Changes to the Products and/or Services
    The OIG will focus more inspections of state facilities and community programs on topical areas that enable a targeted look at specific functional areas across the broader system of care.
  • Listing of Products and/or Services
    • Reports including findings and recommendations regarding the quality of services that result from inspections of facilities operated by and programs licensed by the Department.
    • Investigations of complaints regarding abuse, neglect, and quality of services.
    • Consultation to state facilities and licensed programs regarding compliance with OIG recommendations.
    • Review of Department instructions and regulations.
    • Support to the Office of the Governor and the General Assembly, as requested.
Finance
  • Financial Overview
    This service area is funded with 70 percent general funds and 30 percent non-general funds. Non-general funds are derived from the collection of fees from Medicaid, Medicare, private insurance, private payments, and Federal entitlement programs related to indirect services costs of patient care.

    Note: The information on the following tables is presented at the service area level. However, funding by fund source is appropriated at a higher program level. This results in the allocation of the non-general fund amounts to the various service areas within the program level in accordance with reasonable allocation methodology. This methodology has been applied and is represented in these amounts.
  • Financial Breakdown
    FY 2011    FY 2012
      General Fund     Nongeneral Fund        General Fund     Nongeneral Fund  
    Base Budget $400,900 $168,000    $400,900 $168,000
    Change To Base $0 $0    $0 $0
               
    Service Area Total   $400,900  $168,000     $400,900  $168,000 
Service Area Objectives
 
  • Systematically assess the quality of care delivered by providers and formulate recommendations for quality improvement.
    Objective Description
    In order to make recommendations for improving the quality of services provided by state facilities and licensed providers, the OIG must develop and implement methods that will enable a thorough assessment of the service providers. It is through inspections, reviews, and responses to complaints and concerns that the quality of services delivery is assessed. This service is called for in VA Code §37.2-424. In addition, this objective aligns with these state long-term objectives: Objective 4 – Be recognized as the best-managed state in the nation. Objective 5 – Inspire and support Virginians toward healthy lives and strong and resilient families. It also aligns with the mission of the OIG.
    Objective Strategies
    • Conduct inspections or reviews of state facilities and licensed community programs.
    • Assess compliance with prior recommendations regarding state facilities and community programs.
    • Seek input to the design of inspections or reviews from consumers, family members, community providers, state operated facilities, and the Department central office staff.
    • Involve consumers in the inspection and review of programs.
    • Provide adequate training to OIG staff to assure state of the art knowledge of investigation and inspection methods.
    • Investigate complaints/concerns/requests with the cooperation of providers and follow-up to assure that resolution is reached.
    • Review reports of critical incidents (CI) provided by state facilities and investigate those that are of concern.
    • Review reports of autopsies of deaths in state facilities performed by the Office of Medical Examiner and investigate those that are of concern.
    • Enhance the data systems within the OIG to monitor information on an ongoing basis. This strategy includes collaboration with the Department to avoid duplication
    • Submit all findings and recommendations to the Governor for review and approval.
    • Place all reports on the OIG website in a timely fashion.
    • Prepare semi-annual reports of OIG activities and provide to the Governor, General Assembly, Joint Commission on Healthcare, and other interested parties.
    • Make presentations to committees and subcommittees of the General Assembly
    • Make presentations to provider groups and community groups as requested.
    Link to State Strategy
    • nothing linked
    Objective Measures
    • Percentage of complaints/concerns/requests received by the Office of the Inspector General that are responded to within two business days.
      Measure Class:
      Other
      Measure Type:
      Outcome
      Measure Frequency:
      Annual
      Preferred Trend:
      Maintain
      Measure Baseline Value:
      85.1
      Date:
      6/30/2007

      Measure Baseline Description: Percentage of all complaints/concerns/requests to which the OIG responds within two business days

      Measure Target Value:
      95
      Date:
      6/30/2012

      Measure Target Description: Percentage of all complaints/concerns/requests to which the OIG responds within two business days

      Data Source and Calculation: Number of complaints/concerns/requests to which OIG staff provide an initial response within two business days divided by the total number of complaints/concerns/requests received during a fiscal year.


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