Everyone is aware that the healthcare system for reimbursement is changing rapidly and reimbursement will now be the driver of how we get our business instead of the reward for filling the bed.
A lack of communication between a discharging hospital and a residential-care facility is being blamed for the death of a 63-year-old man found drowned in a marsh, nine days after leaving the hospital.
Easier said than done. That phrase often pops into my head when I read the latest long-term care research.
Of the many intriguing philosophies offered up at the Long Term Post Acute Care Health IT Summit, one that stuck with me was from Andrey Ostrovsky, M.D., the founder of Care at Hand. (He's also a pediatric resident at Boston Children's Hospital, and my lunch table had a debate as to whether he ever gets to sleep).
We appreciate the opportunity to be part of a transition team approach with the skilled nursing facility when patients are discharged home. The technologies available can reduce anxiety for both families and the patients upon their return home.
What may appear to be minor administrative problems in a nursing home - a fax machine locked away at night or no one designated to copy paperwork - can cause major headaches in care transitions, a geriatrician warned in a webinar Thursday. "The most minute things can ruin a good transition," said James Lett II, M.D., a geriatrician and past president of the American Medical Directors Association - The Society for Post-Acute and Long-Term Care Medicine.
Advanced certified nursing assistants — with specialized skills in care transitions, dementia and other areas — could become important staff leaders in long-term care facilities through newly proposed federal legislation. The "Improving Care for Vulnerable Older Citizens through Workforce Advancement Act of 2014" was introduced Thursday by Rep. Matt Cartwright (D-PA) and Sen. Bob Casey (D-PA).
One area where many SNFs have room to improve is medication management. Optimizing medication management services during care transitions will position SNFs as high-value partners in the preferred referral networks of hospitals and health systems.
Poor communication between physicians is the No. 1 issue hurting patient transitions between hospitals and nursing homes, according to a recent survey of long-term care professionals.
McKnight's Long-Term Care News will be reporting from the 2013 LeadingAge Annual Meeting & Expo in Dallas next week.
The Centers for Medicare & Medicaid Services recently announced 20 new organizations participating in the Community-based Care Transitions Program (CCTP), which is an initiative to cut down on hospital readmissions by facilitating better patient transitions between acute and post-acute providers.
Seventeen new sites, which includes some skilled nursing facilities, were added to the Centers for Medicare & Medicaid Services care transitions program, the agency announced Friday.
Who's Who of long-term care to explore care transitions at 2nd annual Long-Term Quality Alliance meetingFebruary 10, 2012
Providers, academics, policy makers and other key stakeholders in U.S. long-term care will meet Thursday for a day of workgroup updates and educational sessions centered on care transitions. Quality measures and improvement also will be highlighted during the Long-Term Quality Alliance's second annual meeting at the National Press Club in Washington. Leading Age President and CEO Larry Minnix, American Health Care Association Vice President David Gifford and former Centers for Medicare & Medicaid Services Administrator Mark McClellan are among a long list of distinguished presenters.