The Affordable Care Act, commonly known as, "ObamaCare," is well understood to be in place primarily to assist Americans in need of healthcare insurance. It might be safe to assume then, that Obamacare should not affect most residents of nursing homes since many already have some type of insurance, such as an HMO, Medicare and/or Medicaid. ObamaCare, however, brings a range of unintended consequences and potential challenges to Skilled Nursing Facilities that administrators must face in order to identify solutions long term.
I have always welcomed change, as I truly believe that growth and progress require it. So, why do I have such a hard time embracing an occupational title change for certified nursing assistants? I guess it's because of the suggested titles and terminology.
Home- and community-based care advocates seek a total rebalance of care. They want the care dollars to be shifted to home- and community-based care, which has been historically short-shifted. However, shifting one group of care against another does not achieve a balance. Home-based caregivers still must be able to rely on good nursing home care.
As we enter the holiday season, AARP's recent report on caregiving highlights the impact of changing demographics in American households: there will be dramatic shortages of paid and unpaid caregivers by 2050 in the US.
We know that ranking high among the top priorities of seniors, is to optimize and maintain good health and wellness, and to stay on top of technology. It's by design and not by coincidence that these are two areas in which Monarch Landing excels.
In my years of working in rehabilitation, I have been in hundreds of independent and assisted living communities that cater to the older generation. I have seen beautiful fitness and pool areas that cost hundreds of thousands of dollars — and next to no use of these fitness centers. What good does this do for older people in our communities?
A relatively new administrator asked me a great question recently. He asked, "Do you (and should I) always give a raise along with an annual review?"
Even though this legislation ostensibly is supposed to help providers, the "Medicare Established Provider Act" may encourage facilities to react or continue to act ultra-conservatively in the therapy provisions to Medicare beneficiaries.
Studies show that while people across the country are increasingly embracing hospice, many receive hospice care too late, including sometimes in the last three days of life. By accessing hospice care sooner, patients and families can benefit from months, rather than days, of extraordinary healthcare in their homes, symptom control, and enhanced quality of life.
Many of the men that we currently work with in our retirement communities are pioneers forging new territory. Men of past generations either did not live long enough, could not afford, or did not embrace the opportunity to reside in a retirement community.
Guest columns are written by long-term care industry experts, ranging from academics and thought leaders to administrators and CEOs.