Every enterprise needs worker bees. Clearly, if the work is going to get done, those on the frontline — and elsewhere — must soldier on. But if an enterprise — be it a company, industry or other entity — is going to survive into the future, it also needs a visionary. Without forward-looking inspiration, any enterprise will surely fade, just as a houseplant will shrivel without mindful tending.
We have a problem with funding and the service delivery models in aging services. Both are broken, and both need to be addressed in any real solution is to be implemented. If the service delivery system continues without fundamental change, then costs will continue to escalate unabated. All of the money ultimately comes from the same source, us.
The Five-Star System has a systematic and profound bias that favors smaller facilities and penalizes larger facilities.
Here's a new concept in aging services: the Senior Health and Housing Initiative For Transformation (SHIFT). It would provide an all-inclusive approach to care in a continuing care retirement community (CCRC) setting.