The Experts

The power of a gentle reminder

We all need reminders sometimes, whether it's on the basketball court or in our senior living community.
 

How nurse call systems pay long-term dividends

Our company has provided communication solutions for healthcare facilities for more than 50 years. And in that time, we've witnessed an ever-changing landscape. An aging population, increased government regulations and a troubled economy all add to the many challenges facing the skilled care and LTC communities today.
 

Orientation: The right start

Debi Damas, RN

Senior care organizations have always experienced a high rate of employee turnover, averaging 75 percent or higher. With an ongoing nursing shortage, in addition to other employee recruitment challenges, senior care providers need to do everything they can to ensure that once employees are hired, they feel positive about their position and can have an immediate impact on the quality of care provided. The solution is simple: Implement a positive, effective orientation process.
 

EHRs are a necessity for long-term care providers

Rob Kerr

Electronic health record systems provide a tremendous opportunity to integrate information between the many providers of care for long-term care residents. With an EHR system, providers are better positioned to reduce critical errors, improve resident safety and quality, increase nursing satisfaction and decrease costs.
 

Finding a match for families

Sherwin Sheik

From a first-hand perspective, I know that families have a hard time finding compatible caregivers. It takes a lot of time and effort, and can be draining. Both my professional and personal experiences led me to establish CareLinx Inc.
 

The joy of a bath

Jennifer Eichstaedt

Taking a bath does more than reduce stress. It can reduce the pain and swelling associated with arthritis. When you can't take a bath on your own, the answer is a bath lift.
 

Top priorities in infection prevention for 2012

Long-term care facilities (LTCFs) continue to be riddled with Healthcare-Associated Infections (HAIs), and 2012 will prove to be an increasingly challenging year, specifically as it relates to the prevention of HAIs and the demand for public transparency.
 

A wonderful life to share with future generations

Many health professionals extol the benefits of reminiscence and caregiving. From conflict resolution and improved social connections to discovering the value of one's life, reminiscing helps build trust and comfort among patients, caregivers and family members. Reminiscing can engage people with dementia, provide therapeutic benefits for Alzheimer's patients, ease depression and offer comfort for hospice patients to reflect on their lives and their legacies.
 

Skilled nursing and assisted living facilities require specialized pharmacy solutions

Pam Burch

There is no doubt residents in skilled nursing and assisted living facilities are using more medications and taking them more frequently than patients in community and other traditional hospitals. The challenges associated with this situation ripple through facility administration, billing and reimbursement, professional staffing and drug sourcing. This represents an equally daunting set of challenges for the alternate site pharmacies supporting these residents and facilities.
 

Register for McKnight's Online Expo

The sixth annual McKnight's Online Expo will be held March 21-22. Participants can earn up to five hours of continuing education credit simply by attending one-hour webinars, which are free.
 

How to processing claims faster and protect revenue

With the projected increase in new patients due to healthcare reform, combined with having to manage tight budgets and even tighter resources, it's important for providers to get paid faster and reduce their rate of uncompensated care.
 

Developing training and educating staff about resident sexuality

Gayle Appel Doll

I was recently visiting with my brother and we were reminiscing about some old high school friends. Having been transported back to that time in my life and now sitting down to write a blog about my sexuality and aging book gives me a bit of whiplash.
 

Sudden cardiac arrest: How to be prepared

It strikes without warning, affecting not only the residents in our assisted living or skilled nursing facilities, but the staff and the visiting family. Learn how to prepare for sudden cardiac arrest.
 

Redefining what it means to manage disease

The process of aging is different today from how it used to be. It is fraught with the incidence of chronic disease and the implications of a much older population. For example, in 1980, just 5.6 million Americans faced diabetes. By 2009, the latest year for which data is available, the number had jumped to nearly 20 million, and we're seeing no signs of abatement. And that doesn't even touch on the millions more dealing with conditions such as congestive heart failure, chronic obstructive pulmonary disease, or cancer.
 

The Walking Table: A versatile stride in rehabilitation training

In its most general form, gait training is the act of learning how to walk. However, the term is most often used in reference to a person learning how to walk again after injury or with a disability. Throughout the last decade gait training has become one of the most frequent regiments in rehabilitation, used by physical and occupational therapists worldwide.
 

Another way to address the challenges of Medicare and Medicaid reimbursement reductions

A group of executive directors and senior living executives related to me recently that their communities are faced with an increasingly challenging dilemma. Seniors, families and prospects are demanding more and varied service offerings from senior living and service agencies, yet these same service providers are challenged with decreased revenues due to a struggling economy and Medicare and Medicaid reimbursements reductions. How can senior living communities and service agencies survive and even thrive?
 

Finding new approaches to changing bad behaviors

At a recent seminar, I learned how positive outcomes in therapy may be achieved more easily through changes in the environment and behavioral modifications rather than medication.
 

A special thanks to caregivers

In 2011, 14 non-professional caregivers from around the world were recognized in the first ever Shire BRAVE Awards. These individuals are truly inspiring, consistently giving their time, support and compassion to care for those in need. I was touched by the selfless stories of these individuals, who often have health challenges of their own, but choose instead to focus on helping others.
 

American obesity: Bariatric equipment is a necessity in healthcare services

Gary Nowitz

Moving bariatric patients safely, comfortably and with dignity can be a challenging task. Thus, caregivers are looking to healthcare manufacturers to develop safe, sturdy and state-of-the-art bariatric equipment. Bariatric beds, wheelchairs and mobile lifters are staples in the facility product line.
 

Innovate to rehabilitate

Christopher Krause

When I started college we talked about advancing technology and how it could be used. We would transform therapy provision; we were going to lead innovation! As professional caregivers, isn't it incumbent upon us to adopt something new from time to time?
 

Healthcare provider earns honor for integrated pest management excellence

Zia Siddiqi, Ph.D., BCE

In a sensitive health care environment, programs for infection control, cleaning, waste removal and pest management must be developed and executed with attention to minimizing the impact on the facility environment. For Westminster-Thurber Community, a continuing care retirement community that offers assisted living, apartment homes, rehab, long-term care and home care, commitment to an exemplary Integrated Pest Management (IPM) program is part of protecting the environment of care.
 

The story behind the pink bathtub

Jim Novotne

During the month of September the three owners and marketing staff of MasterCare Patient Equipment, Inc. were brainstorming different ways to make our booth at the mid-October "Leading Age" conference in Washington D.C be more than just a "display" for our products. We're a company of 'caring' - it is after all our last name -- MasterCare. How can we illustrate caring as well as the function of our bathing products?
 

Overcoming information barriers between physicians

Jeff Tangney

Not long ago, a report from the Institute of Medicine warned that in terms of manpower, geriatric care is stretched precariously thin, a situation that stands to worsen as more and more baby boomers contend with the symptoms and diseases of aging.
 

A testbed for independent living research

In 1948, the famous Framingham Heart Study was launched in Massachusetts, kicking off what would be one of the most significant medical projects in history. The objective was simple: to learn more about cardiovascular disease by following its development over a long period of time in a large group of participants who had not yet developed the disease.
 

Picking the right shoe for the job

Terel S. Newton, M.D.

Standing on your feet all day can come with the job, but painful feet don't have to. Picking the right shoe, and in the right size, can help ease the tension felt from the heel to the toes.
 

Skills review: cleaning and disinfecting of glucometers

Blood glucose meters or glucometers are a staple piece of medical equipment in long-term care facilities due to the large number of residents that have diabetes or other medical conditions requiring glucose monitoring. Because of the sampling method, there is a risk for cross transmission of blood from one resident to another with particular risk for acquisition of HIV, HBV, or HCV.
 

Increasing patient safety through technology

Shane Bishop

Patient safety must be at the forefront of healthcare. Medication errors can cost organizations a lot of money, especially when they lead to residents having to go back to the acute care setting. Driving out preventable medication related incidents should be a top priority.
 

5010: Why practices should update

Matthew J. Hawkins

Implementing the 5010 transaction offers providers several advantages. Payers and clearinghouses benefit from more streamlined processes and practices become enabled to better manage EDI transactions. 5010 transaction improvements also help healthcare providers achieve larger strategic goals, such as better connecting with HIEs and monitoring care quality measures that are vital to earn full reimbursement.
 

Electronic medical credentialing: Proactive prevention of medical errors and fraud

Matthew Haddad

Long-term patient care begins and ends with healthcare provider quality. At the same time, there is an increasing probability that long-term healthcare provider quality will decrease due to seismic social changes. With so many challenges, the answer can be found in continuous electronic credentialing for affiliation with an organization and licensing by a state medical board.
 

Strategies to make patients more accountable to their own health

Ryan Sparks

As healthcare reform focuses on holding providers accountable for patient outcomes, how do providers engage their patients to adopt better self-care behaviors? In terms of patient involvement, most research has revealed low participation regarding compliance to a prescribed self-care regimen.
 

Do automated reminders work for seniors?

The mission to keep seniors active has never been more acute. Research has shown that seniors who are active and engaged are more likely to live a healthier and more satisfied life. Additionally, feedback from some ALFA and LeadingAge member communities suggest prospective residents and their families place a great emphasis on assuring that communities keep their residents involved in activities as a prerequisite to consideration as a home for seniors.
 

Caregivers are calling. Are you listening?

Bob Bua

A new caregiving service will soon be available online, giving care providers an opportunity to reach the growing number of caregivers looking for support. Are you ready to join?
 

Communication makes for improved patient care

Bill Savino

In a long-term care environment, service is the most important factor in sustaining business and gaining new clients. How fast staffers can respond to patient needs can be the make or break of a facility. Nowadays, with strained budgets due to higher expenses and an influx of patients, it can be almost impossible for smaller staff to effectively cater to the needs of an ever expanding patient base. Newer call button systems can be effective, but with changing technology can be costly to maintain and may require additional wiring, adding a new systems expense.
 

Preventing hospital readmissions

Wendy Trimboli, LNHA, MA, RN, CPHQ, CIC

River View Post Acute Care Center in New Jersey continually searches for ways to improve our residents' lives. The facility's leaders observed admission histories, in-house treatment options and readmission to hospital for causalities and rationales.
 

Flu season creating spikes in Medicare and Medicaid claims

In a typical year, approximately 5 to 20 percent of the population gets the seasonal flu, resulting in an average of 23,600 flu-related deaths across the United States. For older people, influenza and pneumonia is the seventh leading cause of death and more than 50 percent of flu-related hospitalization occurs in people age 65 or older.
 

The hunt for affordable bath accessibility

Chris Stafford

Accessibility issues and fall prevention are topics that are of obvious and growing importance to long-term care administrators. According to the Centers for Disease Control and Prevention, as many as three out of four nursing home residents fall each year. Falls, particularly in the bathroom, are a leading cause of injury and the cost to renovate can be substantial. In addition, many residents feel frustration when they move out of the comforts of their home into a senior care facility due to accessibility challenges, only to find out that the facility they have chosen has many of the same environmental challenges in the bathroom.
 

The future of technology in creating healthy lifestyles

We live in an information-driven world, and health and senior care are no exception. Senior care providers and healthcare organizations rely on clear data to make decisions about their members' needs and to collect reimbursement. The obsession with information isn't going to let up, either, as health reform provisions continue to be implemented (see the timeline from Kaiser Family Foundation for more detail). Organizations will be required to offer clear evidence of how they're improving quality and cutting costs to avoid penalties.
 

Helping seniors close the digital divide

Mike MacLeod

Like many seniors, my mother didn't have email so she couldn't view my daughter's photos from Europe until they were face to face, but that would be a few months. How could I close this digital distance between the generations in my family?
 

Enhancing long-term care safety through design

Kerrie Cardon

Did you know medical errors are the leading causes of injury, with more than half occurring in patient-care areas? While long-term care facilities often put heavy emphasis on aesthetics to enhance the healing environment, there are also many effective measures that can significantly reduce the risk of caregiver, resident and visitor injuries simply by implementing the power of space.
 

Reducing readmission rates from skilled nursing centers

Anthony Adinolfi, Brian Karstetter, Tina Thomas and Tom DePoy

About 40% of Medicare patients who are discharged from hospitals are admitted to a skilled nursing or rehab facility to complete their recovery. But within 30 days, nearly one in five of these patients will wind up back in the hospital
 

Wound Photography: Friend or Foe?

Wound photography is a subject that divides many wound care professionals. On one hand, photography is a valuable tool to show trends in patient healing, and on the other hand, it can be polarizing in a courtroom. My experience as a clinician is positive with wound photography, especially in a courtroom setting.
 

Mobility: An age-old issue

Lila Corwin

When we think of the aging process, images of people slowing down and becoming less mobile, come to mind. As one of largest population segments starts hitting the high notes of age, reaching this new milestone will also bring about change.
 

The importance of evaluating microorganism claims on environmental disinfection products

Disinfecting is a difficult task, but an integral part of your facility's infection prevention risk plan because, as an Infection Preventionist, you need to pick the right type of product for the right job.
 

Preparation is the key to entering your exit strategy

Jeff Binder

In most cases, desired or not, the sale of a seniors housing property is the ultimate end to ownership. The preparation for this event is varied, but in most instances, the more time preparing for a sale, the smoother the transaction and higher the pricing. More so than any other sector of real estate, confidentiality is key. Word of a potential sale can increase anxiety in both staff and residents. When handled appropriately, a sale can be kept quiet, without jeopardizing confidentiality or limiting adequate exposure to the market. Fortunately, there are several simple concepts to consider before embarking on this process.
 

CMS releases final rule for ACOs: What it means for providers

CMS released its much-awaited final rule for Medicare accountable care organizations (ACOs), which is intended to renew interest in this integrated care model. ACOs have been hyped as one of the most promising new models of delivering healthcare by rewarding providers for rendering high quality care to Medicare beneficiaries, while keeping costs down. The proposed rule was issued with much fanfare in March, but it was roundly criticized by most provider groups for being too heavy on regulations and risk
 

Is Paul Revere working at your senior living communities?

Paul Revere made a famous ride through Boston - my hometown - alerting the townspeople that the British were coming. Fast forward over 235 years and things have not changed much in senior living communities. Rather than alerting townspeople to get ready for battle, community staff are knocking on residents' doors to get them to activities, calling residents to dinner, updating families on the latest happenings in the community, calling additional staff members to ask for cover for call-outs, stuffing mailboxes with leaflets about maintenance activities, hanging calendars in elevators, and going door to door to make sure residents are updated about a particular emergency.
 

Sights and sounds from the LeadingAge annual meeting

It was a family affair at the Hydroworx booth at Monday's exhibit hall at the LeadingAge show. Hydroworx X80/H71 product specialist Michele Reber enlisted her parents, Ruth and Ron Rauchnor, to be the "test models" in the Hydroworx pool to show how the companies' underwater treadmills work.
 

Quality-of-life tools remain essential as researchers continue to seek new treatments for blindness

As the editor of a nonprofit organization that services the visually impaired and physically disabled community by providing free audio recordings of fine literature from magazines, I'm always interested in hearing about statistics that involve seniors because they correlate directly with our subscribers.
 

How to create a healthy revenue stream for 2012

John F. Buckles

Whether you like it or not, it is that time of year to start reflecting on that age old question, "How did business do in 2011?" You will then be asking yourself the common follow-on questions "What worked well for us this year, and what can we implement next year in order to create an even stronger revenue stream?"
 

Establishing proactive norovirus prevention

Jeff Anderson

What is the next public health risk with which the long-term care industry should be concerned? The answer is norovirus.
 

Nurse practitioners are diamonds in the rough, Part Two

Has your facility considered a third-party nurse practitioner? Third-party nurse practitioners can provide much needed support to physicians. While family practice physicians may only be able to visit once every 60 days, many patients' need for higher level care does not wait for a house call. By having a nurse practitioner overseeing long-term and skilled nursing residents, these physicians can concentrate on their practice, and avoid frequent and sometimes unnecessary calls and visits to the facilities.
 

Nurse practitioners are diamonds in the rough

Sarah Stephens

More long-term care and skilled nursing facilities are assuming care for the elderly. These facilities feel the brunt of a changing America and a healthcare crisis. That's why Medicare should mandate the use of third-party nurse practitioners in long-term care and SNFs. Long-term care and skilled nursing facilities would greatly benefit from this.
 

Eldercare robots: ethical, efficient, or eerie?

Michelle Seitzer

The Jetsons had Rosie. But that futuristic cartoon family isn't light years away anymore, with robots filling a number of roles today - including eldercare. Elderbots aren't exactly a new thing, either. Scientists around the world have been exploring the possibilities for years now (Kompaï, Enon, Twendy One, and CareBot are among the current models on the market).
 

Understanding electronic submission of medical documentation (esMD)

Beginning this month, some contractors are going to begin accepting Electronic Submission of Medical Documentation (esMD). Currently, the MAC, RAC, CERT, and PERM Contractors issue requests for records and the provider mails the paper copy of all the records to them for review. In an effort to reduce expenditures on paper and postage, these entities will begin accepting the records electronically. By October 2012, the entire process is expected to be completely electronic, meaning that even the request for records from the contractors will be received electronically by the provider.
 

Lighting long-term care environments with LEDs

Al Near

Though important, aesthetics can no longer be the driving force behind finishing products specified for the long-term care environment. With the evolution of evidence-based design theories, product specification goes beyond simply picking a chair, table or surface because it fits within a facility's feng shui. There are an increasing number of architects, designers and facility managers that utilize research-driven design, recognizing that the physical environment of a space can have a measurable influence on the well-being of its occupants, especially in a long-term care setting.
 

Grandmas, now for hire

If you're in Los Angeles, Rent-A-Grandma may be the answer to your prayers.
 

Tracking documentation requests during Medicare audits

The Centers for Medicare and Medicaid Services (CMS) has authorized several audit programs to mitigate the impact of improper payments made to healthcare providers. Each audit involves an Additional Documentation Request (ADR) in which healthcare providers must submit medical records used to substantiate Medicare claims. Given the challenging time constraints and significant financial costs of an ADR, long-term care and assisted living providers must be prepared to respond efficiently.
 

Mapping out a plan for visitors

Even with today's technology there is still a need for old-fashioned, personal service. I recently got a call from someone who lives outside of Philadelphia: she needed a map of the hospital she was visiting. The hospital is in downtown Philadelphia and she wanted to know where she should drop off her son and park.
 

Exhibitors get creative at AHCA/NCAL show

If you're a vendor at the 62nd AHCA/NCAL convention in Las Vegas, you can literally look down on your competitors. To do so, you have to visit the MDI Achieve double-decker exhibit, where you can walk up a flight of stairs to hang out with a beverage in a comfortable chair or play Xbox Connect. It's believed to be the first time an exhibitor has created a two-story exhibit at the convention.
 

Paper disposal in long-term care facilities can be managed better

A major contributor to the waste stream in healthcare facilities is paper. All types of paper, be it newspapers, junk mail, and the always common white printer paper can and should be properly segregated and disposed of. The overall management of paper output of a facility can lead to significant savings in waste disposal costs. Close to 3% of a facility's gross revenue can come from internal printing.
 

How to keep your residents laughing

For seniors in our care, laughter is especially important to their health and well-being. Research at California State University, Long Beach has studied the impact of humor on seniors and concluded that seniors exposed to humor showed significant improvement in life satisfaction scores.
 

How to bridge the generation gap through therapeutic activities

Anthony Sterns

Creative Action LLC's gerontolgists develop and distribute interventions for both residents and staff, conduct market research studies, consult with and train staff in long-term care. With four years of NIH NIA funding and follow-up co-funding by Golden Living and HCR Manor Care, Creative Action LLC developed and tested a Montessori-based, therapeutic intervention for groups of people with dementia.
 

McKnight's Super Tuesday tackles MDS 3.0

Join us for the last 2011 McKnight's Super Tuesday webinar, "Keeping pace with the MDS 3.0." Earn one free continuing education credit — approved by the National Association of Long Term Care Administrator Boards — by tuning in at 3 p.m. (Eastern) tomorrow to hear Leah Klusch discuss potential changes to MDS 3.0.
 

How do you market your senior community in the healthcare reform storm?

There are many factors playing into low occupancy in senior living settings at this point in time. The million dollar question is, "How can we weather the storm?" I have heard many suggestions and strategies on this topic. I wanted to share what we at HealthPRO Rehabilitation have found to be successful tactics for our customers whether they are in the sub-acute setting or community-based service sector.
 

Technology, not paper, is the key to helping wound care nurses

Recently a colleague sent me a link to "Preventing Pressure Ulcers in Hospitals, A Tool Kit for Improving Quality of Care," from the Agency for Healthcare Research and Quality. It's the latest "how-to" manual designed to help wound care providers improve pressure ulcer prevention. It didn't contain anything really new. It would seem not much has changed in the 16 years since the original AHCPR Pressure Ulcer Guidelines were published. But as I read it three things struck me.
 

An update on CDC guidelines to prevent catheter-associated urinary tract infections

The U.S. Centers for Disease Control and Prevention (CDC) recently updated their Guideline to Prevent Catheter Associated Urinary Tract Infections (CAUTI). The original guideline was published in 1981. The new guideline includes the latest evidence-based practices and technological advancements for the prevention of CAUTI. It is also the first CDC guideline to be released following the new HICPAC standardized methodology, which incorporates the latest systematic, transparent review of clinical evidence.
 

Reducing health and budget risks - one floor at a time

Keith Gray

According to the Journal of the American Academy of Orthopedic Surgeons, up to 20 percent of individuals fall at least once during their stay at a healthcare facility. Falls are the leading cause of fatal and nonfatal injuries to those over 65-years old in the United States.Slip-and-fall injuries do not just risk the health of residents; they put the economic health of the facility at risk as well. Financial restraints stemming from the recession have triggered stringent insurance policies, putting additional tension on healthcare budgets. In fact, since October 2008, Medicare and private insurers no longer cover preventable in-hospital injuries and hospital-acquired infections - healthcare facilities are responsible for 100 percent of all costs.
 

Product solutions designed to assist in pressure ulcer prevention

The first three articles in this series focused on the new classifications of pressure ulcers, the identification of at-risk populations susceptible to pressure ulcers, and the caregiver team approach that is critical to pressure ulcer prevention and treatment. This final article assesses the various support surface products that are designed to assist in pressure ulcer prevention.
 

Interoperability: What does it mean?

Teresa Chase

"Interoperability" is the buzzword when talking about information technology purchases. How can providers best reach this desired status with their systems? Provider needs to define an Interoperability Strategy by answering three simple questions: Who do we need to connect with? What data do we need to share? What are we going to do with the data, i.e., what are my goals for Interoperability?
 

Consider mattresses when targeting pressure ulcers

Sonal Patel

Nearly 24% of skilled nursing residents develop a pressure ulcer at any given time. The focus on more effective prevention and quicker healing is driven, and even mandated by, many government and medical associations. Shear is a primary contributing factor in the development of pressure ulcers, but is sometimes overlooked because the damage is often undetectable from the outside.
 

Social networking as a marketing and census growth strategy

I know what you're thinking...social media? Used in the long-term care industry? Bah humbug! What a complete waste of time and energy! Please don't hold it against me if I tell you that, if you hold this belief, you are wrong. Whether you're on the vendor side or provider side of the long-term care industry, social media can generate significant face-to-face encounters with new, targeted opportunities.
 

RAC audits: Are you prepared?

We are well aware of the current challenges that the long-term care industry is facing and are doing our part to ensure that we are preparing our customers. We wanted to take the time to share some tips on how to ensure you are ready when the RACs come knocking at your door
 

Develop a disaster relief plan; consider involving distributors

Craig Miller

When tornados hit long-term care facilities across Alabama in April, Turenne PharMedCo wanted to help. Hurricane Katrina taught us that for disaster relief it is the basic needs - generators for electricity and gas for cars - that really make a difference.
 

New awards program to honor unsung heroes

For many nonprofessional caregivers, helping those in need is instinctive and comes naturally. Caregivers who provide regular, consistent care and give their time, support, and compassion to care for a relative, neighbor, or friend generally do so without the expectation of compensation or recognition, and often at a great personal expense. In fact, a recent study conducted by AARP estimated the economic value of caregivers' unpaid contributions in 2009 to be approximately $450 billion.
 

How to market your community to prospects

In tough economic times, competition for residents becomes more intense as senior living communities chase fewer qualified prospects. The knee jerk reaction in such difficult times is often to reduce prices to try to attract residents. This is a strategy fraught with problems.
 

When the family caregiver is a nurse

Janet M. Cromer

Seasoned nurses think we've seen it all. We're confident that our extensive experience prepares us for whatever may befall our loved ones. But even 28 years as a medical and psychiatric registered nurse couldn't prepare me for the challenges of brain injury. My husband, Alan, suffered a harrowing heart attack and cardiac arrest that left him with a severe brain injury from lack of oxygen
 

Technology challenges addressed at McKnight's Super Tuesday webinar

Clinical software, data sharing, wireless applications are all among the topics for discussion at McKnight's Super Tuesday tomorrow at 3 p.m. ET. Participants can earn a free continuing education credit with the webinar "Surveying the technology landscape."
 

Does your company have a diversity spend program?

Many companies are now dedicated to diversity supply and are supporting their goal by purchasing from companies owned by women, veterans, minorities or the disabled. The purpose of the WOSB Federal Contracting Program is to enable contracting officers to set aside certain contracts for competition among WOSBs for the provision of goods and services to the federal government.
 

Preventing pressure ulcers requires a team approach

The first two articles in this series outlined the new classifications of pressure ulcers and who are the at-risk populations susceptible to this serious medical condition. Although this is important information, the critical element in preventing and treating pressure ulcers rests with the patient first and foremost, if possible, but also with all the people who impact the patient's care either directly or indirectly: family member, caregiver, physician, nurse, therapist, dietician. If these individuals, however, are to provide truly effective care, they must not carry out their duties in isolation, nor be unaware of the responsibilities of others, nor fail to communicate their own roles. In other words, it takes a team approach for real pressure ulcer prevention and treatment.
 

Breaking up a sedentary day

The human body is a kinetic motion machine that is designed to move and is healthiest and happiest when it is moving regularly. In our modern society, instead of moving all day in order to make our living, we sit. We sit to drive, to eat, to work at computers, to watch TV and even to socialize. Culturally we have evolved into very sedentary beings.
 

Keeping up with the times: Introducing electronic access to the medical industry

Barbara Bellman

Between text messages, video chats, tweets and televisions the size of our palm, methods of communication are changing by the minute. Fifteen years ago, you had to pick up the phone, write a letter, or stay home to catch your favorite weekly program. Now, as our lives move at warp speed, technology is actually changing to keep pace.
 

Using technology to help home care and hospice providers comply with new Medicare mandates

In accordance with the Patient Protection and Affordable Care Act, all patients needing Medicare reimbursed home health services are required to have a documented face-to-face encounter with a physician or nurse practitioner within 90 days prior to the start of home healthcare or within the first 30 days after start of service. This documentation is required in addition to completing and signing a Centers for Medicare & Medicaid Services (CMS) Form 485 (also known as the Home Health Certification Plan of Care), which is currently used by home health agencies to certify a patient's need for services. For hospices, a face-to-face encounter must be made by a physician or nurse practitioner with a Medicare beneficiary enrolled in hospice care before their 180-day recertification and for each 60th day of recertification period after that date
 

Recognizing at-risk groups and detecting pressure ulcers

In our first article on the new definitions and categories of pressure ulcers, we noted that the estimated total national cost of pressure ulcer treatment exceeds $1.335 billion, not to mention the higher costs in terms of human suffering. A major step in bringing down this cost of treatment, and alleviating this serious medical condition, is educating healthcare providers not only in the detection and management of pressure ulcers but also in raising their awareness of the prevalence of pressure ulcers in certain at-risk populations. The Agency for Health Care Policy and Research (AHCPR) provides much guidance along these lines.
 

Using technology to battle social isolation in seniors

In the age of digital, senior service providers are increasingly searching for innovative ways to guide, educate, and empower their residents to make healthy changes in their daily behaviors. Part of this challenge is giving seniors the tools that can help them build ties to their communities and avoid loneliness. Recent studies have shown that social interaction plays a critical role in preserving the physical and mental health of our country's aging seniors; for example, loneliness, as a health risk factor, is twice as detrimental as being obese, and equal to the risk of smoking cigarettes and alcoholism.
 

Health insurance coverage is as important as ever

Risa Lavizzo-Mourey, M.D.

With so much discussion about the value of Medicaid and the merits and demerits of expanding its coverage, a new study demonstrates what happens when previously uninsured people get Medicaid coverage: They experience better health, consistently and with less financial strain.
 

Long-term care technology forecast: Partly to increasingly "cloudy"

It's not every day that the long-term care industry is mentioned in the same sentence as companies like Apple and Google. Believe it or not, long-term care has a lot in common with these tech behemoths. I'm not talking about the latest technology gadgets or the battle for smart phones. The common element here is something much larger and with greater impact. I'm talking about "the cloud."
 

A primer on pressure ulcers

Healthcare professionals with special expertise in diagnosing and treating skin problems have developed new terminology and a new classification system of pressure ulcers. Pressure ulcers have been known by many names in the past: decubitus ulcers, bed sores, or pressure sores. Some of these names lack accuracy and assign blame for the development of such skin problems on one's bed, which may or may not be the case. Pressure ulcers are a serious acute medical condition that can develop quickly, within a few hours, and not just over an extended period of time from lying in bed.
 

Education is the answer, not a quick fix

Take a good hard look at your facility and the issues you contend with every day. From employee issues to budget constraints, from patient issues to growing (or downsizing) pains, every problem can be solved—even avoided in the first place—with education.
 

Earn free CE credit at McKnight's Super Tuesday

Time flies: it's time for the fourth McKnight Super Tuesday webinar. Tuesday's event, "Taking stock of new survey realities," will feature highly successful provider and respected presenter Kimberly Corrigan, president of SJK Healthcare Resources, LLC. Continuing education (CE) credit is available for free.
 

Tidal waves at a local theater

A confession: sometimes I am only half-listening to my mother. So when she asked if I'd like to go see a local play featuring John Mahoney (of Frasier fame), I said, "Sure!" went back to Twitter, and didn't listen to anything else she said. So imagine my surprise recently when I opened the program for the production of The Outgoing Tide and discovered Mahoney portrays a man with Alzheimer's, fighting with his family about end-of-life decisions and whether or not to enter an assisted living facility.
 

Imagery is a key part of evidence-based design

Lee Skandalaris

Healthcare construction worldwide has been booming, and with is so has the field of Evidence-Based Design (EBD). EBD emphasizes the importance of using credible data to guide the design process of everything from a residential home, to a hospital. Researchers in the field have provided healthcare architects and designers with irrefutable data on the impact of design features. In turn, the results of these studies are being incorporated into new and refurbished healthcare facilities in an effort to dramatically improve patient and staff well-being, patient healing process, stress reduction and safety.
 

Don't let an emergency catch you by surprise

In an emergency, time is of the essence, lives could be at stake and communications are critical. The devastating tornadoes in western Massachusetts last month reminded us all of the importance of an emergency response plan.
 

Education dispels fear in the healthcare setting

, Merrilee Kittelstad

Fear is the feeling we experience when looking into the unknown. It's the space we inhabit when we leave behind what we know and embark on a new journey; we are no longer in our old familiar situation and we are not yet settled into our new circumstances. Journeying down the path of change can be overwhelmingly fearful, but that fear can be dispelled with education.
 

Bed rail entrapment must be addressed

Lauren Hickey

Between 1985 and January 1, 2009, there were 803 incidents of patients caught, trapped, entangled or strangled in nursing home and hospital beds with rails reported to the U.S. Food and Drug Administration. Of these reports, 480 people died, 138 had a nonfatal injury and 185 were not injured because staff intervened.
 

Why is indoor air quality so important for eldercare?

Marilyn Black

For residents of long-term care facilities, good indoor air quality (IAQ) is paramount. Research has shown that improved IAQ can do wonders for a person's health, boosting productivity and improving overall brain function. This is especially important for aging adults, many of whom have unique health needs and environmental sensitivities, such as weakened immune systems and compromised organ functionality.
 

Are you compliant with Safe Patient Handling laws?

Candy Wolff

Safe patient handling is now the new norm for healthcare facilities. Many states have safe patient handling laws including Minnesota, Texas, Rhode Island, Maryland, Washington, New Jersey and Illinois.
 

No expert in the house? No problem - health information technology can transform wound care into a team sport

Every nurse is not a wound expert. In fact many nurses have no in-depth wound care training outside of what they experienced in nursing school. Yet wound care is an integral part of caring for the elderly. Whether it is monitoring new surgical incisions, caring for skin tears on fragile skin or addressing pressure ulcers, wound care is unavoidable in long-term care.
 

New solution for hearing loss in long-term care residents

Chris DiCostanzo

Over 34 million Americans suffer from hearing loss, accounting for 50% to 60% of the adult population over the age of 65. Interestingly, the incidence of hearing loss in long-term care facilities is reported to range at a much higher rate from 70% to 80 percent. Why is the incidence so much higher for these adults?
 

A day in the life of your data: using interactive care to achieve optimal clinical outcomes

As a result of healthcare reform, data is a key element in the equation of how to best deliver favorable outcomes for residents. If data is not used proactively, outcomes might not be optimal. As the acuity levels in SNFs increase, closing communication gaps and using data efficiently is crucial to success.
 

Using technology to reduce labor costs and improve the health of your residents

Research has shown that seniors who are active and engaged are more likely to live a healthier and more satisfied life. A Rush University Medical Center and Northwestern University research study confirmed the link between senior health and social activity. The study, Association Between Late-Life Social Activity and Motor Decline in Older Adults, found that "less frequent participation in social activities is associated with a more rapid rate of motor function decline in old age."