Features

Ulcers: closing the gaps

Ulcers: closing the gaps

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Lower-extremity diabetes wounds cost Medicare $9 billion annually — and providers still have a lot to learn about them and their care

Bugs and drugs

Bugs and drugs

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The focus shifts to infection control and medication management processes as preparations for Phase II of the new Final Rule ramp up for concerned providers

Lighting's prominence

Lighting's prominence

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Examining the rising role of how spaces are designed and illuminated

On the 'go'

On the 'go'

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In-bed washes and adaptive bathroom equipment keep comfort a reality

Tumblers in place

Tumblers in place

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Often-neglected data analysis can help when residents fall, revealing patterns and leading to better quality care and less duplication of effort

Joint exercise

Joint exercise

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One year into the Comprehensive Care for Joint Replacement bundled pay program results are mixed, creating heightened anxiety about possible expansion

Finding loose change

Finding loose change

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There are many ways to improve efficiency, keep staff happy and save money in the laundry room. Providers just have to look for them — and read this article

Parts science, humanity

Parts science, humanity

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Curbing incontinence requires more than theories or formulas; providers find answers to some of their toughest problems by using both head and heart

Winning the drug war

Winning the drug war

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Often forgotten or glossed over, there is still one sure answer to questions about how to improve medication mismanagement: have better documentation

Progress denied

Progress denied

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'Prior level of function' rule can complicate rehabilitation efforts, as providers wrestle with cost, quality of care and what a resident's goals are in maintaining quality of life

The Year of Uncertainty

The Year of Uncertainty

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Questions about the economy, Medicare funding and other reimbursement issues bring more risk to lending and investing in long-term care in 2017

EHR usage still too slow

EHR usage still too slow

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When it comes to electronic health records use, providers are filling a gradually building bandwagon, but struggling with resources and a lack of interoperability

IT's the real thing

IT's the real thing

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As the feds lurch toward value-based purchasing, having electronic records that integrate well is becoming more important than ever to maintain viability.

Winners in doubt

Winners in doubt

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No rest for weary providers in the battle to beat germs in long-term care settings

Feature: Built for success

Feature: Built for success

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The effectiveness of long-term care operations depends on obtaining capital for physical features as much as the staff members who work in them

The pressure's on

The pressure's on

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New skin injury standards may lead to clinical clarity but they also present myriad questions about billing and liability issues for many long-term care providers

Built for success

Built for success

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Success for long-term care safety and security systems depends on facilities' physical features as much as it does on the staff members who work in them

Pain points

Pain points

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'Getting ahead' has led to painkillers becoming long-term care's most vexing drug problem; addictions, overdependence cloud the newly restrictive picture

One section at a time

One section at a time

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Recurring errors in the MDS can place bottom lines and resident care at risk. Spending time to avoid potential repercussions is worth the effort, experts say.

Static on the line

Static on the line

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Connectivity one of the rural provider IT challenges that also can affect others

Room for improvement

Room for improvement

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Therapists and nursing homes are still looking for reimbursement — and clarity — 4 years after the landmark Jimmo settlement set the caregiving community abuzz.

Make it a clean sweep

Make it a clean sweep

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Laundry and housekeeping staff are key to survey success; they buff a provider's record or can be the source of embarrassing, costly survey findings

Keeping watch by night

Keeping watch by night

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Overnight incontinence care deserves special planning and strategies; providers get personal with individual options and high-tech solutions

Prolonging other lives

Prolonging other lives

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How, where and when furniture is used is directly related to the ability to extend its durability and life, especially in high-traffic areas like dining rooms or lobbies

Broken skin

Broken skin

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Liability threats of non-healing pressure ulcers put providers on the hotseat

Targeting a silent killer

Targeting a silent killer

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Infections may be causing up to 300,000 resident deaths in facilities each year. A new federal program hopes to improve assessments and caregiving practices.

A warm welcome mat

A warm welcome mat

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Providers are brushing up on new designs, textures, treatments and functions to discover how textiles are competing more against hard flooring surfaces.

An uplifting experience

An uplifting experience

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Rising to new standards of care by revising current areas for lifting and bathing units takes time, money and, maybe most of all, understanding of resident mix.

Mobile at bedside

Mobile at bedside

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Integrating point-of-care technologies into long-term care is becoming more routine, but providers still have a long way to go to capitalize on available tools

Lifting the veil

Lifting the veil

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Rehab offers promise to many deemed 'lost' in the fog, and providers are making strides in better delivering the therapy dementia patients need

Down and dirty

Down and dirty

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Cash- and staff-strapped facilities struggle to keep up with regulations and stay ahead of regulators when it comes to laundry and housekeeping operations

The 'other' incontinence

The 'other' incontinence

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Managing fecal incontinence takes a multi-layered approach that everyone in the caregiving loop better start learning more about as soon as possible

Evaluating good drugs

Evaluating good drugs

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The long-term care profession wrestles with medication management challenges, including opioid abuse, polypharmacy and overdosing

The red glare

The red glare

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Providers are looking for lessons how to bill therapy right and avoid the hot regulatory spotlight after the occurrence of numerous crackdowns

Cutting into costs

Cutting into costs

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A look inside the mind of lenders in the wake of a skilled nursing cost comparison report reveals reasons for optimism — and concern

A measure of success

A measure of success

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Technology and analysis prepare skilled nursing facilities and their staffs for Quality Assurance and Performance Improvement programs — and vice versa

Connecting at all hours

Connecting at all hours

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Software firms and providers are devising novel solutions to engage seniors, families and staff who are embracing technology to stay in better communication

Seasonal shifts

Seasonal shifts

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The threats will materialize but providers often seem to forget that being prepared for the flu and heading off C. diff can save time, money and resident lives

Vaccination quandry vexes LTC workforces

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Findings announced by the National Foundation of Infectious Diseases in September show that healthcare personnel in long-term care settings were least likely to be vaccinated against the flu.

To sell or not to sell

To sell or not to sell

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Many smaller operators now find themselves at an uncomfortable juncture; but deciding how to make that next move can be a simple matter

Getting a leg up

Getting a leg up

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Amputations and costs remain high, despite decades of research and caregiving improvements for diabetic foot ulcers; vigilance is needed, experts warn

Technology solutions shine in 4th annual McKnight's Excellence in Technology Awards

Technology solutions shine in 4th annual McKnight's Excellence in Technology Awards

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The success stories submitted to the 4th annual McKnight's Excellence in Technology Awards competition showcased how savvy providers put tech to use in meeting the needs of their residents and staff.

A personal choice

A personal choice

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Sex, consent and nursing home liability in the age of Alzheimer's can put providers in unfamiliar, uncomfortable and untenable situations — if they aren't prepared

Technology bytes

Technology bytes

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Working together to streamline electronic prescribing is a 'work in progress' that continues to challenge operators, prescribers and pharmacists to get it right

Reducing errors

Reducing errors

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Experts warn that common MDS mistakes still plague many providers, threatening the bottom line and resident care. But software may hold the solution.

Lifting the spirits

Lifting the spirits

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With resident choice and person-centered care on the rise, some rules and procedures should remain non-negotiable when it comes to lifting, bathing processes

Taking a load off

Taking a load off

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More facilities are pulling the plug on resource-robbing laundry practices — as they seek to lessen environmental burden and improve the bottom line

Damaging hand-offs

Damaging hand-offs

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With the stakes raised for more and more admissions — and departures — communication is critical for long-term care providers looking to partner with hospitals

Personal furniture

Personal furniture

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Not too hard, not too soft: Future selections for seniors will emphasize choice and style while embracing function to a higher degree than ever before, experts say

Skin in the MDS game

Skin in the MDS game

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Skin care and continence assessment are two of the most challenging sections of the Minimum Data Set. Here's how to generate positive outcomes