It all started with a gathering. My family had lost a loved one. Some of us flew, others drove but whatever it took, we came together to celebrate the life of our loved one. Within 48 hours after the service, the texts started flying. Seven of us were ill, feeling like we were going to die. Two of us ended up at the hospital. The two who were seen at the hospital were positive for norovirus. The rest of us knew that we were right there with the others. Norovirus had claimed victory over our bodies.
The Centers for Medicare & Medicaid Services is set to lift long-term care's exemption from its e-prescribing rule as of Nov. 1. This is bigger news than most realize right now, and there has been no indication CMS is going to postpone things.
The seeds that have flowered into the burgeoning of ACOs - groups of providers accepting the responsibility, and risk, for caring for the health of a designated patient population according to defined quality benchmarks (CMS measures quality of care using 33 measures in four key domains) - was planted long ago, in the baby boom.
In reviewing the MDS, there are several areas to check related to short stay requirements. First, is the Start of Therapy assessment checked in A0310C? If there is not a 5-day scheduled assessment or readmission/return assessment checked in A0310B, has this already been done?
At the Hebrew Home at Riverdale, a large long-term care facility on 32 lush and efficiently manicured acres, it might seem strange to hear about a garden that is purposefully tended slowly and methodically. But in the garden created by the Harry and Jeanette Weinberg Center, the nation's first emergency elder abuse shelter, that is exactly what the gardeners are encouraged to do
Our elders enjoyed the unique experience of watching firsthand the life cycle of monarch butterflies. Each of the five small houses in the neighborhood were provided two monarch caterpillars in viewing containers that allowed them to observe the day to day transformation from a caterpillar to a butterfly.
Earning more than the cost of capital is not unreasonable and can generally be accomplished without taking extraordinary risks, but New York is hamstrung by investment restrictions. Investment returns are important to the financial health of a CCRC and can help minimize fee increases for residents.
SNF providers are scrambling to prepare to be "bought" by ACOs, aligned with potential bundling partners, selected as a preferred provider, and ultimately "sold" to the best, not highest, bidder.
For skilled nursing facilities it's a struggle to stay ahead of the Medicare initiatives and market forces that are causing hospitals and health systems to narrow their post-acute care networks. With so many competing priorities — the alphabet soup of BPCI, ACOs, VBP, etc. — it can be hard to stay ahead of all the changes.
The Medicare stakes are about to get higher.
Guest columns are written by long-term care industry experts, ranging from academics and thought leaders to administrators and CEOs.