Guest Columns

Guest Columns

The value of attending national Open Door Forum calls

The value of attending national Open Door Forum calls

I often describe the monthly CMS Open Door Forum call as a monthly staff meeting; if you miss the meeting you better read the minutes to see what projects were assigned to you!

Final rate notice signals continued pressure on Medicare Advantage payments

Final rate notice signals continued pressure on Medicare Advantage payments

CMS recently finalized Medicare Advantage plan payment rates for Calendar Year 2015 and announced other changes to payment and program policies for MA and Part D plans. Although the announcement included some positive changes for plans, the overall impact is mostly negative.

Top 10 ways to avoid litigation

Top 10 ways to avoid litigation

In nursing home lawsuits, plaintiffs are often unhappy family members of residents who have experienced falls, pressure wounds, unexplained injuries or death. In our practice defending long-term care facilities, we have identified some relatively simple and straightforward actions that nursing homes can take to avoid litigation.

Asking about end-of-life care when patients can still answer

Asking about end-of-life care when patients can still answer

It's a scene at plays out all too often in hospitals across the United States. A stroke leaves a frail senior incapacitated, lying in a hospital bed. Family members gather around, but no one can say for sure what their relative wants for her end-of-life care, and no advance directive or healthcare power of attorney is on file for her.

Integrating mind, body and spirit

Integrating mind, body and spirit

As technologies continue to develop, our residents' needs also change. The need for a computer lab is waning as our residents are starting to be more tech-savvy. Life enrichment teams in long-term care must come up with new ideas of how to embrace technology.

Pain: An LTC rehab perspective

Pain: An LTC rehab perspective

LTC therapists seem to be stuck between a rock and a hard place when it comes to patient pain. Pain management is at the forefront of surveyors and scrutinized as a CMS quality measure.

High stakes and rewards at ACHCA Convocation

High stakes and rewards at ACHCA Convocation

Themes at ACHCA included leadership excellence, mentoring, culture change and reducing hospital readmissions.

Why LTC organizations should conduct end-of-life planning conversations

Why LTC organizations should conduct end-of-life planning conversations

Advance end-of-life planning can spare patients unwanted, aggressive treatments and it can help physicians calibrate care in more reasonable manner.

Self-esteem, the universe, and checks and balances for all of us

Self-esteem, the universe, and checks and balances for all of us

I have always been a person who never just dips a toe in the water. I jump in whole hog! Most of the time it works very well for me. I've been this way as long as I can remember.

Leadership and execution: Keys to culture change

Leadership and execution: Keys to culture change

A student preparing her master's thesis in healthcare management recently asked me, "Why aren't more organizations doing The Eden Alternative or something like it?" From the tone of her voice, it was obvious that she was struggling to find an answer. Well, I've thought about this question a lot, so I had my answer ready.

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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