82R12674 AJZ-D
 
  By: Coleman H.B. No. 3197
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to creating a pilot program to implement the culture
  change model of care at certain state supported living centers.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  DEFINITION. In this Act, "department" means the
  Department of Aging and Disability Services.
         SECTION 2.  CULTURE CHANGE PILOT PROGRAM. (a)  The executive
  commissioner of the Health and Human Services Commission shall
  create a pilot program to implement the culture change model of care
  at one state supported living center. In implementing the pilot
  program, the department shall, to the extent possible, implement
  processes, policies, and practices designed to:
               (1)  shift decision-making to the individual with the
  disability;
               (2)  improve the quality of care; and
               (3)  improve the workforce.
         (b)  The executive commissioner of the Health and Human
  Services Commission shall select the state supported living center
  that is most representative of the state supported living center
  system to participate in the pilot program based on the following
  considerations:
               (1)  the physical characteristics of the campus;
               (2)  the size of the staff;
               (3)  the turnover rate of the staff;
               (4)  the residents' level of need and disability;
               (5)  the number of confirmed abuse allegations;
               (6)  the frequency of the use of restraints;
               (7)  the opportunity for community involvement; and
               (8)  the leadership of the center.
         (c)  The department may hire a consultant with a proven
  record of implementing the culture change process in long-term care
  facilities serving persons with mental and physical disabilities to
  assist in the implementation of the pilot program.
         SECTION 3.  REPORT. (a)  Not later than May 1, 2012, the
  department shall submit a report to the governor and the
  Legislative Budget Board on the pilot program that includes:
               (1)  a detailed description of the culture change
  process at the state supported living center;
               (2)  specific examples of changes in processes,
  policies, and practices that have occurred or will occur at the
  state supported living center as a result of the implementation of
  the culture change model of care;
               (3)  a timeline of the implementation of new policies,
  processes, and practices;
               (4)  feedback from professional and direct care staff
  regarding the culture change process;
               (5)  recommendations for future goals for
  implementation of the culture change model of care at other state
  supported living centers; and
               (6)  the following information from the state supported
  living center chosen for the pilot program:
                     (A)  the number of allegations of abuse, neglect,
  or exploitation, as defined by 40 T.A.C. Section 711.425, that the
  department determines to be unfounded, as defined by 40 T.A.C.
  Section 711.421;
                     (B)  the number of allegations of abuse, neglect,
  or exploitation, as defined by 40 T.A.C. Section 711.425, that the
  department determines to be confirmed, as defined by 40 T.A.C.
  Section 711.421;
                     (C)  the rate of staff turnover;
                     (D)  the frequency of the use of restraints,
  identified by type;
                     (E)  the number of individual resident outings and
  group outings;
                     (F)  the results of the employee job satisfaction
  survey;
                     (G)  the consistency of staff assignments to the
  same group of residents; and
                     (H)  any other information relevant to improving
  the quality of care at state supported living centers.
         (b)  The department shall file a quarterly report with the
  Legislative Budget Board for each state supported living center
  that includes:
               (1)  the number of allegations of abuse, neglect, or
  exploitation, as defined by 40 T.A.C. Section 711.425, that the
  department determines to be unfounded, as defined by 40 T.A.C.
  Section 711.421; and
               (2)  the number of allegations of abuse, neglect, or
  exploitation, as defined by 40 T.A.C. Section 711.425, that the
  department determines to be confirmed, as defined by 40 T.A.C.
  Section 711.421.
         (c)  The department shall input the information from the
  quarterly report under Subsection (b) into the Legislative Budget
  Board's automated budget and evaluation system.
         SECTION 4.  EXPIRATION. This Act expires September 1, 2013.
         SECTION 5.  EFFECTIVE DATE. This Act takes effect
  immediately if it receives a vote of two-thirds of all the members
  elected to each house, as provided by Section 39, Article III, Texas
  Constitution.  If this Act does not receive the vote necessary for
  immediate effect, this Act takes effect September 1, 2011.