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P008: Division of Health Improvement/Health Certification Licensing and Oversight

What We Do

The Division of Health Improvement (DHI) plays a critical role on improving the health outcomes and ensuring the safety of New Mexicans. DHI ensures that healthcare facilities, community based Medicaid waiver providers and community support services deliver safe and effective healthcare and community services in accordance with laws, regulations, and standards of practice.

Who We Serve

DHI works closely with key stakeholders to promote and protect the health, safety, and quality of life of New Mexicans. Our stakeholders include executive and legislative policy makers; providers; facilities and contractors; other state, local, and federal government agencies; advocacy groups; professional organizations; provider associations; various task forces and commissions; and the tax paying public at large.

How We Impact

Key DHI enforcement activities include: conducting various health and safety surveys for both facilities and community-based programs; conducting investigations of alleged abuse, neglect, exploitation, death or environmental hazards; and processing over 44,000 caregiver criminal history screenings annually.

Budget

FY18 OPERATING BUDGET: $12,047,500

  • General Funds: $4,192,600
  • Other Transfers: $3,348,400
  • Federal Funds: $2,613,000
  • Other State Funds: $1,893,500

Accomplishments

During the third quarter of FY18, some of DHI’s accomplishments included:

  • The caregiver criminal history screening program processed 9,954 background checks during the third quarter. The average number of days to complete a background check was one day.

Health, Facilities, Licensing, and Certification:

• Participated in the HealthInsight statewide panel discussion “ Improving nursing home care”.
• Statewide NMHCA presentation to nursing home providers, provide training and data on: survey citations, incident reporting and overall compliance to regulations.
• Participated in the statewide conference on “Emergency Preparedness” 
• Conducted statewide video meeting with HealthInsight on  “understanding crisis”


Community Based Waiver Programs:

  • The Online Abuse, Neglect and Exploitation (ANE) annual refresher training was activated on 3/1/18.  the online ANE refresher training is now available to all community-based service providers, Developmental Disabilities Supports Division and Division of Health Improvement staff.
  • Incident Management Bureau (IMB) released its 2017 annual report.
  • IMB released the 2018 ANE reporting guide
  • The new Individual Quality Review team (IQR) is now 90% staffed and have completed training. Filling the final vacancy is in process. 
  • The Quality Management Bureau QMB Community Programs survey unit completed a redesign of the provider compliance determination scoring in conjunction with the new Developmental Disability Waiver (DDW) standards. 
  • The QMB Community Programs Surveyors completed training on the new 2018 DDW standards and are implementing the new survey tools beginning April 1,2018.
  • The QMB Community Programs survey unit completed a redesign and revisions of Living Care Arrangements, Community Inclusion and Case Management survey tools in conjunction with the new Developmental Disability Waiver (DDW) standards.


Clear Impact Suite is an easy-to-use, web-based software platform that helps your staff collaborate with external stakeholders and community partners by utilizing the combination of data collection, performance reporting, and program planning.

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