Risk Management

Where are we going with long-term care?

Where are we going with long-term care?

Long-term care was never planned. It was never even consistently defined. A generally useful definition is that it is a set of services to assist persons who have lost, or never acquired, basic capabilities for self-care and management.

Inclement weather is here, and so is increased elopement danger

Inclement weather is here, and so is increased elopement danger

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I was fortunate to be able to spend the past week visiting London, which was a good reminder that perception of weather is partially dependent on where you are from, where you live, and whether you have invested in flannel-lined jeans and sock liners. Similarly, the implications of elopement and wandering among long-term care residents have become more serious.

The tie between revenue and risk managment

The tie between revenue and risk managment

By providing the best level of care, a provider will help ensure resident satisfaction as well as foster a positive work environment for employees. Poor quality will affect a provider's revenue stream.

Sanchez joins Pendulum LLC

Sanchez joins Pendulum LLC

John Sanchez has joined Pendulum LLC as its Vice President Compliance - Risk Management. He begins June 1.

Reducing the threat of carbon monoxide poisoning

Reducing the threat of carbon monoxide poisoning

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More than 400 Americans die from unintentional CO poisoning every year, and fatalities are highest among older adults. Though CO is a threat to every residential facility, long-term care facilities should be thoughtful and thorough in addressing the risk of CO poisoning.

PSA Insurance & Financial Services acquires risk management firm

Maryland-based PSA Insurance & Financial Services has bought Councill, a risk management and insurance company specializing in long-term care.

Are risk management and corporate compliance necessary?

Are risk management and corporate compliance necessary?

Risk Management and Corporate Compliance are both integral components of effective administration and both are necessary within the healthcare setting.

Program to reduce hospital readmissions would link nursing homes with partners

Program to reduce hospital readmissions would link nursing homes with partners

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The Centers for Medicare & Medicaid Services is setting aside $128 million for organizations that collaborate with nursing homes to establish programs that prevent residents from going back to hospitals within a month. Physician groups, accountable care organizations and other independent entities would be eligible.

Retirees' long-term care risk management plans may not be realistic, actuaries find

Retirees' long-term care risk management plans may not be realistic, actuaries find

Planning for long-term care continues to be a major concern for many facing retirement, but their risk-management plans need some improvement, according to a new report from the Society of Actuaries.

Demystify risk management in nursing homes

Demystify risk management in nursing homes

What if every staff member was asked to define risk management? It's likely that no two responses would match. It's even possible that some responses would be incorrect.

FDA warns: Emergency alert pendants carry potential for choking, death risks

A popular emergency alert pendant could pose a deathly choking hazard, the Food and Drug Administration cautioned consumers Tuesday.

Senate Aging Committee to focus on emergency preparedness

Best practices for assisting seniors and the disabled before, during and after natural or manmade disasters will be the topic of a Senate Special Committee on Aging hearing Wednesday morning. Local, state and federal officials, including LuMarie Polivka-West, MSP, senior vice president of policy for the Florida Health Care Association, will testify at the hearing. Florida long-term care officials have been among the leaders in designing policies and practices for dealing with hurricanes and other disaster scenarios. Topics will include terrorism preparedness and responses.

Obama to AMA: Liability reform is on the table

At his biggest, and longest, healthcare policy address to date, President Obama on Monday stated that he'd been privately discussing the idea of liability reform with the American Medical Association for weeks.

Doctors warn: Non-payment for patient falls could lead to increased use of restraints

New regulations that stop payments to hospitals for treatment after potentially preventable patient falls could backfire, leading instead to increased use of restraints, a Harvard Medical School physician and colleagues are warning.

Therapy dogs can transfer MRSA and C. difficile among nursing home residents, researchers say

A recent Canadian study finds that methicillin resistant Staphylococcus aureus (MRSA) and C. difficile can be transferred between long-term care residents and therapy dogs, opening a new possible avenue for infection.

Officer ordered accused nursing home shooter to drop gun three times before downing him

The police officer being called a hero for halting a North Carolina shooting rampage that left seven residents and one nursing aide dead said he was just doing his job when he entered the building alone.

Fire at unregistered Japanese nursing home kills 10, investigation gears up

Local authorities were set to start a formal investigation of an unregistered nursing home in Japan that was the site of a fatal fire late last week. The Thursday night fire wound up killing 10 residents after three more perished Saturday.

Nursing home operator faces setback in lawsuit that brought $30 million judgment against it

An appeals court has ordered the retrial of a lawsuit in which a major nursing home chain had most of a $29.8 million punitive damages award against it thrown out. The Tennessee Court of Appeals ruled last week that a Warren County Circuit Court judge had made a mistake two years ago when he reduced the damages amount to $163,000.

Docs ignoring majority of medication safety alerts, study shows

Physicians are overriding a vast majority of safety alerts about potentially bad drug interactions, a new three-state study finds. Doctors, probably more annoyed than enlightened, instead are relying on their own judgment rather than that of commercial services, researchers said in last week's edition of the Archives of Internal Medicine.

Study: Proactive measures can halve the risk of hip fractures in seniors

Taking proactive steps, including using certain tests and medications, can help reduce hip fracture rates among those at risk by as much as 50%, according to a new online study.

Attorney General says more cameras will be hidden in nursing homes

New York State Attorney General Andrew Cuomo is expanding his practice of installing hidden cameras in nursing homes to include facilities in western New York, according to local news outlets.

Another hospital bed entrapment concern: 'power down' versus 'gravity down'

Another hospital bed entrapment concern: 'power down' versus 'gravity down'

There is more to bed-entrapment dangers than just side-rail risks. In a follow-up to his popular column on side-rail concerns, academic researcher William A. Hyman warns providers about the potential hazards of head- and foot-board entrapment.

Officials give nursing homes new help to avert fraud and abuse

Officials give nursing homes new help to avert fraud and abuse

Health officials on Tuesday issued new voluntary guidelines for nursing homes to help them avert fraud and abuse in Medicaid, Medicare and other federal healthcare programs. The 17-page long document was published in the Federal Register and complements guidance issued in 2000.

Study: More affluent ZIP codes consistently see higher rates of surgery survival among the elderly

Seniors in more impoverished areas of the country are significantly more likely to die after surgery than their wealthier neighbors, according to recent research.

OIG: Nearly all nursing homes violated federal standards in 2007

OIG: Nearly all nursing homes violated federal standards in 2007

More than nine out of 10 nursing homes in the United States last year were cited for violating federal health and safety standards, according to a report released Monday by the Department of Health and Human Services' Office of Inspector General.

Senate introduces Silver Alert Act; president signs ADA

U.S. Sens. Herb Kohl (D-WI) and Mel Martinez (R-FL) introduced a Senate version of the National Silver Alert Act, which recently passed through the House.

Study: Sleep helps older women prevent falls

Women aged 70 or older who receive less than five hours of sleep per night are at a greater risk of falls, according to a recent study.

Elderly dementia residents on antipsychotic drugs have soaring stroke risks, researchers find

New study results further underscore scientists' warnings about the risks of stroke involved with giving elderly patients antipsychotic drugs.

CMS sets deadline of 2013 for installation of nursing home sprinkler systems

CMS sets deadline of 2013 for installation of nursing home sprinkler systems

Long-term care facilities have exactly five years to fully equip their facilities with automatic sprinkler systems, according to a final rule published Wednesday by the Centers for Medicare & Medicaid Services.

Study: Falling like 'parachutist' lowers seniors' hip fracture odds by 70%

If falling seniors tumble like a landing skydiver-and do it promptly-they can reduce their likelihood of a hip fracture by 70%, University of Michigan researchers say.