Administration

The first 24 hours: Best practices for response to serious incidents

While not every prospective adverse event can be mapped out with anticipated responses and scenarios, there are steps owners and providers can take, especially in the first 24 hours after a serious event, to better protect residents, their families and employees. Read More »

Study indicates a vascular link to Alzheimer’s

A study shows how ApoE4 can unleash an excess of the protein cyclophilin A into the cardiovascular system, causing inflammation in atherosclerosis and other conditions. The study also found that ApoE4 makes it more likely for cyclophilin A to accumulate in cells that help maintain the blood-brain barrier, reducing blood to the brain and allowing toxic substances to infiltrate. Read More »

AMA works with insurers to cut medical claim errors

Making the claims processing more efficient, leads to savings and allows physicians to spend more time on patient care and less on payment reconciliations. Read More »

Senate committee rejects attempts to shackle reform’s prevention funds

The Senate Appropriations Committee today struck down several amendments aimed at putting a chokehold on funds allotted by the Affordable Care Act, including a prevention fund containing millions for eldercare initiatives. Read More »

U.S. healthcare spending to surge in 2014; overall spending to rise with or without the ACA, journal reports

A detailed economic forecast, released this week by Health Affairs, predicts national healthcare spending will experience “modest growth” during the next nine years, but will spike in 2014 when the Affordable Care Act (ACA) coverage expansions activate. Read More »

TV show inspires creativity in LTC staff

I admit it. On Sunday nights I watch The Apprentice. Watching the team dynamics and project development is compelling entertainment for me. I recently heard about a CCRC in Spring, Texas, that has adopted the show’s format as a team-building project. Read More »

MDS 3.0: Processing the flurry of updates

AANAC’s Judi Kulus provides a roadmap through the maze of recent MDS 3.0 updates and errata releases, while pointing out some potential pitfalls in handling resident interviews, assessments, file error correction and queries to CMS. Read More »

Slicing and dicing nursing home business risk

Owner/operator, management contractor or lessee, how you approach business risks depends upon what side of the coin you fall. Business risks (and strategies) differ depending on a facility’s business model. Read More »

Report: Half of violent victimizations of elderly involved serious acts of violence

A new report found that half of violent victimizations of persons age 65 or older involved serious violence, based on data from crimes known to Michigan law enforcement from 2005 to 2009. Perpetrators of elder abuse were often related to the victims. Read More »

Omnicare appoints interim CEO in wake of Figueroa’s resignation

Following Omnicare CEO John Figueroa’s resignation, the board appoints new leadership as it begins its search for a new chief executive. Read More »

A bitter battle on Capitol Hill

Another bitter battle is brewing on Capitol Hill over how to prevent student loan interest rates from increasing from the current 3.4 percent to 6.8 percent on July 1, and believe it or not, nursing homes and other long-term care facilities may be asked to help pay the tab. Read More »

Opportunities for enhancement

In Texas, an innovative approach by academia and the long-term care industry to improve the culture of long-term care offers CNAs education to improve their skill levels and professionalism. With this background in critical thinking, they can begin to take their first steps on the career ladder. Read More »

Teamwork, communication tied to quality of nursing home care

Nursing homes that foster an environment in which workers feel they are valued contributors to a team of caregivers provide better care to their residents, according to a new study. Read More »

AARP launches online personal health record

AARP and Microsoft Corp. have teamed up to offer a free online health record to AARP’s 40+ million members. The tool gives residents and their family members a single online repository for vital health information, and it will assist those who are designated caregivers of loved ones. Read More »

Pentecostal moments in long-term care

Can religion add quality to life in advanced age? Can it do so when dementia sets in? Ethnographic evidence, abundantly found in long-term care, speaks of the salutary contribution religion makes in advanced age. Read More »

Innovation clashes with harsh economic reality in LTC design

When a book that addresses architecture and design for an aging population landed on my desk last week, I was eager to review it. However, the ideals it promotes are tempered by current harsh economic realities in the LTC industry. Read More »

AHCA to Congress: Don’t use Medicaid’s provider tax rates to bail out student loans

The American Health Care Association and the National Center for Assisted Living (AHCA/NCAL) tell Congress to stop eyeing Medicaid tax rates as rescue funds for student loans. Read More »

Key considerations when transitioning to an eMAR system

With the growing use of electronic data in healthcare to improve quality of care and lower provider costs, more long-term care organizations are making the transition from paper medication administration records (MARs) to electronic medication administration records (eMARs). Read More »

The new Community First Choice program: How will it affect LTC providers?

The Obama Administration seems determined to keep patients in their community settings and out of nursing homes for as long as possible. Obviously that will mean fewer admissions to long-term care facilities, so those facilities must be thinking of ways to adapt in order to remain viable. Read More »

An apple a day: Female longevity study linked to fresh foods and exercise

Eat your veggies and take a long walk, especially if you’re a woman over 70. Read More »

When a facility needs to be fixed up

With the Medicare/Medicaid cutbacks to facilities today, I wonder how facilities built from the ’70s through the ’90s will be maintained. I wonder too how the grand looking nursing homes built in the last 10 years will hold up. Read More »

U.S.News & World Report releases list of top nursing homes in California

Among best nursing homes in California, both for-profit and non-profit facilities earn five-star ratings. Read More »

5 team building practices that will make your staff want to stay

When it comes to building a team, forget corporate retreats and singing “Kumbaya” around the campfire. Here are five practical, easy-to-incorporate strategies you can use at your nursing stations starting today. Read More »

HHS funds Aging and Disability Resource Centers

Funds for improved access for consumer information on community services and supports for seniors and others with disabilities is on the horizon. Read More »

UV treatment shows promise in curbing Clostridium difficile infections in LTC environments

Ultraviolet light treatment works better than bleach to control outbreaks of Clostridium difficle infections (CDI) in resident spaces, and UV cleansing technology may be a smart addition to routine housekeeping and infection-prevention measures, researchers find. Read More »

End-of-life discussions shouldn’t be saved til the end, ACPEL conference urges

Experts at this week’s International Society of Advance Care Planning & End of Life Care conference discuss medical ethics, caregiver responsibilities, and a culture of avoidance when it comes to end-of-life care decisions. Read More »

The case for hospice in the skilled nursing setting

In my years as a med nurse, unit manager and DON I always enjoyed working with hospice. My experience was that they were also there for the resident and staff. That is why hospice belongs in long-term care. Let us help you help the resident. Let’s collaborate and share the load. How can we help you today? Read More »

Dedicated staff enhances a facility’s reputation

In every walk of life there are people who go beyond the parameters of their job description. Long-term care has no shortage of these dedicated employees who give the best of themselves to the residents they serve. Read More »

The changing landscape of assisted living

The Assisted Living Federation of America (ALFA) conference, held earlier this month in Dallas presented this observer a close-up look at the critical issues and opportunities facing a senior living sector in transition. Read More »

CMS announces partnership to reduce improper antipsychotic drug use

CMS announces a new partnership initiative to combat the improper use of antipsychotic drugs in nursing homes. Through better reporting and data sharing, the partnership vows to cut the use of antipsychotics in nursing homes by 15 percent before the end of this year. Read More »