Guest Columns

Guest Columns

Providers must see clearly before they CHOW down

Providers must see clearly before they CHOW down

When a skilled nursing facility changes ownership, the change is known in healthcare vernacular as a change of ownership or "CHOW." Because this could wind up endangering a Medicare provider agreement, It is imperative that more people understand the process, know the parties they're involved with and develop better awareness of the regulatory issues involved.

Emergency department efficiency vs. customer service

Emergency department efficiency vs. customer service

In healthcare, not all "wasted time" is truly wasted. In fact, some of the most important aspects of healthcare are less than 100% efficient. Of course, we can and should strive for greater efficiency. But we also must understand that absolute efficiency would eliminate the human elements of care.

The Five Star Report, once again, in the SNF spotlight

The Five Star Report, once again, in the SNF spotlight

The Five Star Quality Rating System takes the spotlight on the front page of the New York Times and the top of the news cycle, kicking off other publicity and political pressure. Regardless of any of the program's weaknesses, however, it cannot be ignored that providers have used this metric to establish goals and measure improvement — and improved they have.

Use caution in antipsychotics reduction

Use caution in antipsychotics reduction

It is true that I began speaking out about the misuse of antipsychotics drugs long before they came to national attention. But as I applaud the efforts of our providers and regulators around this important initiative, I would like to make two cautionary points.

Non-profit nursing homes offer advantages

Non-profit nursing homes offer advantages

Knowing the right questions to ask and the right characteristics to look for are vital for potential residents and family to making a better and more informed choice. Potential customers, however, may not consider whether a facility is for-profit or non-profit

The call for action to prevent norovirus

The call for action to prevent norovirus

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.

Stakeholders need to prepare for the loss of long-term care's exemption to e-prescribing

Stakeholders need to prepare for the loss of long-term care's exemption to e-prescribing

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 end of fee for service

The end of fee for service

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.

Looking at short stay assessments

Looking at short stay assessments

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?

Planting seeds, lifting spirits at Hebrew Home

Planting seeds, lifting spirits at Hebrew Home

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

Guest Columns

Guest columns are written by long-term care industry experts, ranging from academics and thought leaders to administrators and CEOs.

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