HB 294 -- Safe Staffing and Quality Care

Sponsor:  Walsh

This bill establishes the Safe Staffing and Quality Care
Accountability Act for Veterans Homes and the Safe Staffing and
Quality Care Accountability Act for Mental Health Facilities.

VETERANS HOMES

The bill:

(1)  Requires all veterans homes to adopt minimum staffing ratios
to ensure client and worker safety;

(2)  Requires veterans homes to employ the direct care staff
necessary to provide the active treatment as prescribed in a
client's habilitation plans or individualized treatment plan;

(3)  Requires the Missouri Veterans Commission to adopt and
maintain minimum staffing ratios for all veterans homes;

(4)  Specifies limits for the assigned duties of direct care
staff and requires that minimum staffing ratios apply to staff
with direct care responsibilities;

(5)  Prohibits mandatory overtime from counting toward the
minimum staffing ratios;

(6)  Prohibits the direct care staff of the commission from being
transferred to a general acute care hospital in the event that a
client of a veterans home is hospitalized in an acute care
facility;

(7)  Requires veterans homes to document and submit to the
commission on a monthly basis specified staffing information per
nursing unit, per shift, and day of the week;

(8)  Specifies the use of mandatory overtime for direct care
staff;

(9)  Requires complaints of the staffing ratios to be filed on a
form which will be distributed to veterans homes and the
commission.  The commission is required to investigate all
complaints;

(10)  Specifies corrective measures instituted by the commission
in the event that violations are found in a veterans home;

(11)  Contains whistleblower protections for direct care staff
and a cause of action provision for staff who sustain a personal
injury resulting from violations of the bill;

(12)  Contains provisions pertaining to direct care transport
staff and drivers; and

(13)  Exempts direct care staff from responsibility for adverse
events resulting from violations of the bill.  Management
personnel of a veterans home will be held responsible for harm to
clients resulting from insufficient staffing.

MENTAL HEALTH FACILITIES

The bill:

(1)  Requires mental health facilities operated by the divisions
of Comprehensive Psychiatric Services and Mental Retardation and
Developmental Disabilities in the Department of Mental Health to
adopt minimum staffing ratios to ensure client and worker safety.
Facilities operated by the Division of Alcohol and Drug Abuse are
excluded;

(2)  Requires mental health facilities to employ the direct care
staff necessary to provide the active treatment as prescribed in
a client's habilitation plan or individualized treatment plan;

(3)  Requires the department to adopt and maintain minimum
staffing ratios for all department facilities;

(4)  Specifies limits for the assigned duties of direct care
staff and requires that minimum staffing ratios apply to staff
with direct care responsibilities;

(5)  Prohibits mandatory overtime from counting toward the
minimum staffing ratios;

(6)  Prohibits the direct care staff of the department from being
transferred to a general acute care hospital in the event that a
client of a mental health facility is hospitalized in an acute
care hospital;

(7)  Requires mental health facilities to document and submit to
the department on a monthly basis specified staffing information
per nursing unit, per shift, and day of the week;

(8)  Specifies the use of mandatory overtime for direct care
staff;

(9)  Requires complaints of the staffing ratios to be filed on a
form which will be distributed to facility supervisors and the
department.  The director of the department is required to
investigate all complaints;

(10)  Specifies corrective measures instituted by the department
in the event that violations are found in a mental health
facility;

(11)  Contains whistleblower protections for direct care staff
and a cause of action provision for staff who sustain a personal
injury resulting from violations of the bill;

(12)  Contains provisions pertaining to direct care transport
staff and drivers; and

(13)  Exempts direct care staff from responsibility for adverse
events resulting from violations of the bill.  Management
personnel of a mental health facility will be held responsible
for harm to clients resulting from insufficient staffing.

Missouri House of Representatives
93rd General Assembly, 1st Regular Session
Last Updated August 25, 2005 at 1:18 pm