With off-label antipsychotic use dangerously high in U.S. nursing homes as reported by Human Rights Watch, a question undoubtedly on the tip of everyone's tongue is "How do we fix this?" We all know the scenarios. We've seen them happen. How do we handle them?
Many of us working on reform since the advent of Medicare and Medicaid in the turbulent 1960s witnessed reform in the guise of reworking, re-engineering, redevising, recreating, redesigning and refashioning.
As healthcare workers, especially as healthcare workers in long-term care, we don't have jobs that most people can identify with.
Many industry experts believe skilled nursing's current marketshare challenges are temporary — that SNFs only have to hang on until demographic shifts kick in. But I worry about this strategy.
For many patients and their families, the notion of choosing to stop life-prolonging treatment is unthinkable. Disagreements over when to "give up" can tear families apart, precisely at a time they should be coming together. It doesn't have to be this way.
A new law in Georgia signed by Gov. Nathan Deal (R) on May 7 will provide additional safeguards against elder abuse at long-term care facilities.
It is regrettable that 17 state attorneys general are grandstanding by demanding that federal officials impose stricter nursing home regulation and sanctions. Their letter shows no real understanding of skilled nursing care or its challenges.
The Centers for Medicare & Medicaid Services has clearly stated a pathway for change including health literacy, true partnerships and moving the focus of care into a self-management model.
Everyone working in the aging services field knows: Action is needed now when it comes to building the eldercare workforce. And the legislative approach cannot be our only strategy.
Gaining network participation with a managed care organization can be difficult. In the ever-changing landscape of requirements to participate with an MCO, providers not only need to know what areas matter but also what matters in those areas.
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- Managed Care Organizations
Guest columns are written by long-term care industry experts, ranging from academics and thought leaders to administrators and CEOs.