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Tribal girls complete nursing course


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Students from the 2019-20 classes of the NMDC BalikaShiksha Yojana received their B.Sc and GNM (nurses) certificates in Hyderabad today. The total number of participants from the 2 classes were honored on their graduation ceremonies held on the premises of Secunderabad which was which was attended by top NMDC officials.

It is the NMDC has been running its B. Shiksha Yojana program since 2011 to 2012, to provide female tribal women in the Division of Chhattisgarh to enroll in a nursing school within the ApolloInstitute of Nursing. Through this program, every year, fourty students with low incomes from poor backgrounds have been given the opportunity to continue their nursing education for more than 10 years now.

The initiative has helped around four hundred tribal female students from socio-economically marginalized sections of the communities that are located within NMDC activities within Bastar, Chhattisgarh. When the course, the students are enrolled in a variety of hospital facilities, both private and public, across the nation.

The program did not just create roles models for the young women who reside in Bastar as well as aided the efforts of the government to improve health services in the challenging district within the BastarDivision.

The CSR efforts of NMDC’s in the education field and skill development have brought dreams real for students living in the most remote regions in the United States.

We wish the students a prosperous career ahead Deb, Shri Sumit, CMD, NMDC stated, “It’s just a matter of pride for the NMDC to play a role in the progress of female tribal students in being health experts in the nation. I am hoping that the girls will become the change agents within their communities, much like their parents.

White House announces big COVID-19 vaccination push in nursing homes and providers push back


The Biden administration on Tuesday announced a six-week, $475 million campaign to boost COVID-19 vaccination rates among nursing home residents, and industry leaders immediately responded with a unified demand for responsibility shared by other suppliers and stakeholders.

Several direct threats have been made against nursing home operators as part of the White House’s multi-pronged plan to increase recall awareness and vaccine accessibility for the frail and elderly.

The Department of Health and Human Services and the Centers for Medicaid & Medicare Services each issued supplemental announcements highlighting elements of the overall announcement. The White House announcement singled out nursing homes in the context of federal enforcement of guidelines to educate staff and residents and offer vaccinations to residents.

“CMS will make it clear that nursing homes with low vaccination rates will be referred to state investigative agencies for scrutiny, and that facilities that fail to comply with the requirement to offer and educating on the benefits of life-saving COVID-19 vaccinations will be subject to enforcement action. , including the requirement to submit corrective action plans to achieve compliance,” the White House statement read.

Additionally, the White House is appealing to governors to increase pressure on vendors, noting that the administration will “highlight for them the performance of their states relative to their peers.”

Additionally, CMS will share data with states and health plans to highlight “worst performing nursing homes to help them spur action” to increase immunization rates.

Suppliers defend the record

The American Health Care Association/National Center for Assisted Living and LeadingAge quickly pushed back with a special, combined statement in defense of providers.

“Nursing homes have done an amazing job of vaccinating residents, but we have work to do with the most recent booster,” said AHCA/NCAL President and CEO Mark Parkinson, and LeadingAge President and CEO Katie Smith Sloan in a rare joint statement. “According to the Centers for Disease Control and Prevention, 43% of residents are up to date on their COVID vaccinations, which is almost four times higher than the dismal rate of 11% among the general population.

“We all share the same goal: to ensure the health and well-being of older people. We believe we can continue to increase this recall rate, and doing so requires a shared commitment from government and other health care providers. For example, 90% of residents are admitted to nursing homes from hospitals, and very few of these residents are up to date on their vaccines upon admission. Through collaboration with hospitals, the number of vaccines can be improved.

The Biden administration has said it wants to help the cause by: making vaccinations more convenient; increase funding for community organizations and health centres; emphasize enforcement of nursing home requirements to educate staff and residents about vaccines and offer them to residents; continue to work with communities and organizations to offer pop-up clinics; and awareness.

Callback clinics are a solution

A prominent nursing home advocate said the campaign could work with additional federal help. of Health Care Policy at Harvard University’s Department of Health Care Policy for McKnight Long Term Care News.

“Some facilities have done really well administering boosters, but others have really struggled,” Grabowski said. “For the facilities with low recall rates, I’m not convinced that you can bring them to an acceptable level through fines. These are facilities that often face greater challenges on top of the boosters.”

Grabowski has always encouraged the use of booster clinics in nursing homes.

“This approach worked with the initial rollout of the vaccine and I think it can work for boosters,” he said. “They were working under the original long-term care pharmacy program, but I’m not aware of them being widely used for reminders. It would clearly take federal dollars and a similar type of national pharmaceutical partnership that has was used in the initial deployment of the vaccine.”

The administration appeared to be heading in that direction with Tuesday’s announcement, but it was unclear how the scope of the involvement would compare to the federal government’s initial outreach after the COVID vaccines became available. In addition to $350 million for community center participation, officials said they would allocate $125 million to organizations that serve the elderly and people with disabilities and to help run “vaccination events at community centers.” for the elderly and community”.

Ethel Lund is remembered as a pioneer in Southeast Alaska Native health care

The Alaska Native Sisterhood honored Ethel Aanwoogeex’ Lund as a champion of Indigenous health care during a memorial service in Juneau on Friday. Lund died earlier this month at the age of 91.

Lund grew up in Wrangell, the daughter of a Lingít from a prominent family and a Swedish fisherman.

In 1975, she used her influence as an ANS officer to help found the Southeast Alaska Regional Health Consortium, which became one of the largest managed health care organizations. by natives of the country.

“She had a big heart for everyone,” said Marcelo Quinto, who first met Lund at a joint Alaska Native Sisterhood and Brotherhood convention.

“She was a smart girl. And she was determined for sure,” Quinto said. “She was probably one of the nicest people I’ve ever met in my life. She was just a real lady.

Quinto is 81 and recently served with Lund on the board of the Healing Hand Foundation. He says they often shared stories of difficulties getting medical care when they were growing up.

Quinto believes the death of Lund’s mother from tuberculosis fueled his passion for health care.

In an interview two years ago with Sage Smiley on KSTK Radio, Lund opened up about her own battle with tuberculosis while in nursing school in Portland.

“Nowadays it’s enough to take pills once a week,” she said. “I had to stay in hospital for a year and a half in bed. It really made me angry.

Tuberculosis ended his schooling and other dreams. She told Smiley about a boyfriend she had but could only see from her hospital window. It wasn’t long before the boyfriend fell in love and married someone else.

Lund eventually recovered, became a medical transcriptionist, married, and had three children.

In his later years, one of his passions was to integrate traditional and modern medicine. His grandfather took him to the forest to teach him the healing power of plants.

“The Devil’s Club,” she said, “is a magic plant for our people.”

Lund spent his final years at the Sitka Pioneer Home and spoke of his hopes that a new generation of Alaska Native health professionals would incorporate traditional healing into their work.

In 2020, she was named Grand President Emeritus of the Alaska Native Sisterhood. She has also served on the Sealaska Board of Directors and served as Executive Vice President of the Tlingit and Haida Tribes of Alaska.


Offices at Wayne County Nursing Home soaked after small fire sets off sprinkler system | New


LYON — Salvage work continues at Wayne County Nursing Home, where the administrative wing suffered extensive water damage when a small fire set off the sprinkler system Thursday morning.

According to County Administrator Rick House, nursing home staff noticed a large amount of smoke coming from the office. They put out the fire, which was from a burning computer that House says was started by an electronic device that apparently ignited near the computer.

The smoke triggered the sprinkler system and over 3,000 gallons of water sprayed over the commercial area, soaking much of the office contents and eventually seeping into the retirement home‘s basement , where it damaged computer servers, telephone systems and other electronic devices. . House said the sprinkler system fired at 75 gallons per minute and released water for about 45 minutes.

“There is significant water damage and minimal smoke damage,” he said.

House said the power was temporarily shut off to inspect the safety of the facility’s electrical wiring.

“No staff or resident was ever in danger,” he said. “No smoke entered the residential areas.”

Recovery efforts continue, he noted. The county’s information technology department was on hand Thursday to set up temporary servers so the nursing home could access its medical records system.

Servpro was called in to help with recovery efforts, House noted.

Nursing home administrator Jeff Stalker and compliance officer Collyn Algier are managing recovery efforts, House said, adding that the state Department of Health has also been notified.

Tours have been temporarily suspended due to water leaking into the main entrance. That restriction has been lifted, House said.

Administrative staff are moving to another part of the facility until remediation efforts are complete, House said.

Worker Kaycee Hutchinson said the fire was at her workstation. In a Facebook post following the incident, she said she was “on her way to work. I received a phone call saying our office had caught fire. When I walked in and I saw the damage, I was in shock. Our office, the entire foyer of the retirement home and several hallways were flooded by the sprinklers. All our files, soaked and so many things ruined. My computer, my keyboard, my mouse, my desk melted. What caused the fire? My computer — where I would have been sitting just 45 minutes later. My heart sank when I realized this.

Hutchinson said she was “grateful for my friends and family and especially for my colleagues and bosses who went out of their way to check on me today, give me hugs and just be a support system.”

The Lyon Fire Department and Wayne County Sheriff’s Office also responded to the scene.

ProMedica Transfers Ownership and Management of Skilled Nursing Facilities to Welltower

The real estate investment trust will now enter into a joint venture with Integra Health to operate the skilled nursing assets.

Last week, ProMedica, a nonprofit health and wellness organization based in Toledo, Ohio, announced plans to transfer real estate and management responsibilities for its skilled nursing facilities to Welltower, a trust of real estate investment, also based in Toledo.

According to a press release, the transfer will address operating losses ProMedica had suffered within its senior care division and is also part of a broader effort to improve the organization’s financial performance.

“By engaging in this transaction, we will be able to increase focus and resources on other areas of our health system while continuing to provide high-quality, compassionate care and investing in our communities and our dedicated caregivers,” said Arturo Polizzi, President and CEO. of ProMedica, said in a statement.

In addition to the sale and transition of ProMedica’s 147 skilled nursing facilities, in accordance with its agreement with Welltower, it will also divest a 15% interest in the skilled nursing assets currently held within an existing joint venture. and will provide “significant working capital support” to ensure a smooth transition of patient care and operations.

Along with the announcement of the transfer, Welltower also announced that it would simultaneously enter into an 85/15 joint venture with Integra Health and enter into a master lease agreement, which would result in a combined increase in cash rent of more than 4% in Welltower. The business is expected to close before the end of the year.

“We thank ProMedica for its partnership and the high-quality care provided to residents throughout the devastating COVID-19 pandemic,” Welltower CEO and CIO Shankh Mitra said in a statement. “We are delighted to announce the partnership with Integra, as Integra’s focused asset management and extensive network of strong regional providers enables the new joint venture to build on ProMedica’s positive performance momentum, investing in all communities and hiring talent.”

“We are delighted to announce this joint venture with Welltower,” said David Gefner, CEO of Integra Health, in a statement. “These communities are located in extraordinary locations and constitute an important segment of the healthcare continuum. We aim to restore them to their former glory through focused asset management and a regional operator strategy focused primarily on quality. care.”

“We believe there is significant value to be created here for all stakeholders, especially the residents and staff at the facility. We couldn’t be more excited about what lies ahead.”

Healthcare — Senate bill seeks to reduce monthly premiums

You may soon be able to taste some lab-grown meat. The FDA has lab-approved meat for human consumption for the first time.

Today in health care, we’re looking at a new bipartisan bill that two senators hope to pass before the end of the year that could significantly reduce monthly prescription drug costs for Medicare Part D enrollees. .

Welcome to night health care, where we follow the latest developments in policies and news concerning your health. For The Hill, we are Nathaniel Weixel and Joseph Choi. Did someone forward this newsletter to you?

Bill would reduce Rx costs for some seniors

Senators Tom Carper (D-Del.) and Bill Cassidy (R-La.) on Wednesday introduced a bill that would allow those enrolled in the All-Inclusive Care for the Elderly (PACE) program to choose their plan of drug coverage under Medicare Part D and save more on monthly drug costs.

PACE is a Medicare/Medicaid program that provides medical and social services through a team of medical professionals that enrollees have regular access to, with the goal of avoiding placement in a nursing home.

The problem to solve: Individuals enrolled in PACE must currently obtain their Medicare Part D covered drugs through the program. Joining another Medicare drug plan means opting out of PACE benefits.

  • Carper and Cassidy’s bill, the PACE Part D Choice Act, would allow PACE recipients to enroll in standalone drug plans not operated by the program. It would also make beneficiaries eligible for drug plans subject to the $2,000 annual cap that was instituted by the Cut Inflation Act earlier this year.
  • “PACE participants in Delaware and across the country face rising prescription drug costs every time they need a refill for their life-saving medications. It makes no sense that these older Americans can’t choose which Medicare Part D plan is best for them financially,” Carper said in a statement.

The legislation, if passed, would require PACE to inform beneficiaries of their options for prescription drug plans outside of the program and help facilitate enrollment.

Under the current rules, PACE recipients have an average monthly premium of $1,015.03, according to lawmakers. The senators estimated that their bill would save PACE participants an average of $972.03 per month on prescription drugs, which would translate to an average monthly payment of $43.

Learn more here.

Coalition calls for increased CDC oversight

The Health Innovation Alliance on Tuesday called on congressional leaders to pass legislation that would increase the accountability of the Centers for Disease Control and Prevention (CDC) and other public health agencies.

“Not only has the CDC received significant additional funding for the COVID-19 response, but the agency has failed to update and modernize its response plans and systems as required by Congress in 2006, and again twice since,” the band executive said. Director Joel White wrote in a letter to key legislators.

White urged Congress to “ensure that the CDC does not use the additional funding to duplicate successful work already underway in the private sector” and to prevent the agency from demanding “unnecessary reports” from the agencies. national and local health.

“Instead, the CDC should focus on taking concrete steps to ensure that data flows both to the agency but also to providers, frontline health workers and public health entities that need it for treatment and response,” White added.

  • The CDC has come under scrutiny amid the COVID-19 pandemic, receiving criticism for slow responses and unclear guidance, among other missteps.
  • Following an extensive internal review, CDC Director Rochelle Walensky said earlier this year that the agency needed to speed up its response time, simplify its communication with the public and adopt other changes to ensure that it fulfills its mission.

Learn more here.


The Food and Drug Administration (FDA) on Wednesday warned several e-cigarette makers to stop selling vapes and other products that look like toys and appeal to children.

The FDA told the five companies – Wizman Limited, Shenzhen Fumot Technology, Shenzhen Quawins Technology, Ruthless Vapor and Moti Global – to stop selling e-cigarettes designed to look like glow sticks, Nintendo Game Boys and walkie-talkies, or imitate foods such as popsicles.

“The designs of these products are an utterly blatant attempt to target children,” Brian King, director of the FDA’s Center for Tobacco Products, said in a statement. “It’s hard to suggest that adults using e-cigarettes for the purpose of quitting smoking need a cartoon character on the front of the product to do so successfully.”

But what kind of impact FDA warning letters have on compliance is unclear.

Wizman had previously received a warning letter in 2020 regarding his product which imitated the Nintendo Game Boy – one of the same products Wizman had been reprimanded for in Wednesday’s letter.

Learn more here.


According to a new study published in the journal BMJ Public Health, Compiled with results from over 30 different studies, up to 1.35 billion adolescents and young adults worldwide are potentially at risk of hearing loss due to exposure to headphones, earphones and places loud music venues such as clubs or concerts.

All studies were published between 2000 and 2021 and included people aged 12 to 34.

The findings indicate “an urgent need to prioritize policies focused on safe listening,” the authors wrote, noting that recreational noise exposure is a modifiable risk factor for hearing loss.

The results also come a month after the United States authorized the sale of hearing aids over the counter at retailers like Walgreens, Walmart and CVS.

Acceptable volumes for personal listening devices are around 80 decibels (dB) for adults and 75 dB for children. However, some users may choose to listen to content as loud as 105 dB. Meanwhile, average sound levels in entertainment venues range from 104 to 112 dB, according to the researchers.

Learn more here.

American transgender people face an ‘epidemic of violence’

At least 32 transgender and gender non-conforming people have been killed since the start of the year, the Human Rights Campaign (HRC) reported on Wednesday, bringing to more than 300 the number of violent deaths recorded by the group during the last decade.

At least 302 transgender people have been killed in the United States since 2013, when the FBI began reporting hate crimes motivated by anti-transgender bias, the HRC said Wednesday. in an annual report.

  • More than 85% of the victims tracked by the group over the past decade were people of color, of which about 69% were black and
    15 percent who were Latino. More than three-quarters, or 77%, were under 35 years old.
  • At least two-thirds of violent deaths of transgender people recorded since 2013 involved a firearm, according to the HRC report. Gun Control Group Everytown for Gun Safety recently found that 73% of transgender homicides since 2017 involved a firearm.

Wednesday’s report also comes at the end of a year in which state lawmakers have introduced at least 145 bills aimed at restricting the rights of transgender youth. At least 17 have become law in 13 states, according to the HRC.

The release of Wednesday’s HRC report coincides with Transgender Awareness Week, observed annually from November 13 and leading up to Transgender Remembrance Day on November 20, which commemorates victims of deadly violence.

Learn more here.


  • Amid Adderall shortages, people with ADHD face withdrawal and despair (New York Times)
  • Pediatricians are asking for more federal help to fight the surge of RSV (Call)
  • Covid deaths and hospitalizations are falling in the United States (BNC News)


  • South Dakota embraced Medicaid expansion. And after? (PBS NewsTime)
  • Struggle for health care minimum wage results in split decision in Southern California (California Healthline)
  • The Abortion Election: Democrats bet on abortion politics to win the midterm elections. It worked. (The times of the ceiling)


An Unexpected Midterm Winner: Public Health

That’s all for today, thanks for reading. Discover The Hill’s Healthcare page for the latest news and coverage. Until tomorrow.

US investigates Missouri’s use of skilled nursing facilities

Picture KOAM

WASHINGTON, DC – Is Missouri unnecessarily institutionalizing adults with serious mental illness in skilled nursing facilities? That’s what a federal investigation is trying to find out.

The US Department of Justice announced the investigation today. They opened it under the Americans with Disabilities Act (ADA).

According to the federal agency, they will investigate,

  • If the state could serve these adult people with serious mental illness in the community with services such as
    • supported accommodation,
    • affirmed community treatment,
    • crisis services and peer support services.
  • Also, whether the state’s use of guardianship for people with severe mental illness contributes to unnecessary placements in nursing care facilities.

Guardianship is a process in which a court appoints someone to make certain decisions for a person, often including decisions about where to live.

Prior to the announcement, the department notified state officials of the investigation.

“Disabled people have too often been unlawfully isolated in institutions and deprived of their autonomy,” said Assistant Attorney General Kristen Clarke of the Justice Department’s Civil Rights Division. “The Civil Rights Division will continue to advocate for the rights of people with mental disorders to access the community services they need and to participate fully in community life.”

The US Department of Justice is still investigating the case. If you have relevant information, they encourage you to contact the department by email at Community.Missouri@usdoj.gov or through the Civil Rights Division’s Civil Rights Portal, available at https ://civilrights.justice.gov/.

Clearday will provide robotic services to skilled nursing facilities

San Antonio, Texas, Nov. 14, 2022 (GLOBE NEWSWIRE) — Clearday (OTCQX: CLRD) is pleased to announce that Chandler Hall Health Services intends to use Clearday’s breakthrough “companion robotics” in the Chandler Hall Health System. Companion robots include Clearday at Home, Clearday’s proprietary digital care system that helps Americans with geriatric issues and their caregivers. Chandler Hall offers independent living, personal care, memory care, skilled care, hospice home care, and community hospice services in Newton, Pennsylvania on a 13-acre campus that can accommodate more than 170 residents of long-term, as well as palliative care residents.

John Whitman, CEO of Chandler Hall, noted that “Engaging companion robotics will be critical as acute and non-acute healthcare providers face workforce shortages now and in the years to come. “.

“Clearday’s companion robotic services offer healthcare providers large and small the ability to enhance their care at very attractive prices. We are thrilled to see our investment over the past year provide us with additional revenue streams and opportunities as we continue to innovate care for older Americans and support their caregivers,” said James Walesa, CEO, Founder of Clearday. Mr. Walesa added, “We plan to continue our Clearday Labs to develop additional products and services that may add multiple new revenue streams.

Clearday, through a joint venture, is committed to bringing its unique companion robots to market. Robots can serve assisted living communities, skilled care communities, independent living centers and others through many applications or care cases that have been used in residential facilities in Clearday that improve care and strengthen the commitment to provide a better and more efficient level of service to residents.

Clearday previously announced its home robotic applications to expand innovative care services to the geriatric home market and plans to develop sales opportunities in this market with home care and other companies. Jim Walesa noted “we are all very proud to see the tremendous work that has successfully brought robotic services to our residential care communities being embraced and made available to help all older Americans at home fulfill our mission of letting older Americans age in the right place. .”

About Clearday

Clearday is an innovative non-acute longevity health care services company with a hopeful, modern vision to make high-quality care options more accessible, affordable, and empowering for older Americans and those who love and care for them. care. Clearday has a decade-long track record in non-acute care through its Memory Care America subsidiary, which operates highly rated memory care residential communities in four US states. Clearday at Home – its digital service – brings Clearday to the intersection of telehealth, software as a service (SaaS) and subscription content.
Learn more about Clearday at www.myclearday.com.

About Chandler Hall

Chandler Hall’s mission is to support individuals in all aspects of life: physical, emotional, cognitive and social. Residents and participants of Chandler Hall are empowered to make choices whenever they can. Following the Quaker principle of seeking the Light in everyone, we view aging as a natural developmental process and offer individuals support to live creatively and meaningfully. Our affiliation with the Chandler Hall Corporation strengthens our ability to provide innovative, state-of-the-art services to improve the lives of seniors and their families in our community.

Forward-looking statements

This press release may contain forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. All statements other than statements of historical fact are, or may be deemed to be, forward-looking statements. In some cases, forward-looking statements can be identified by the use of terms such as “anticipate”, “estimate”, “believe”, “continue”, “could”, “intend”, “may”, “plan”, “potential”, “predict”, “should”, “shall”, “expect”, “goal”, “projection”, “forecast”, “goal”, “direction”, “outlook” , “effort”, “target”, “path”, “focus”, “work for”, “try”, “pursue” or other comparable terms. However, the absence of these words does not mean that the statements are not forward-looking. These forward-looking statements are based on certain assumptions and analyzes that we have made in light of our experience and our perception of historical trends, current conditions and expected future developments, as well as other factors that we believe are appropriate in the circumstances. and are not guarantees. future performance. Actual results may differ materially from those indicated by the forward-looking statements due to various factors, risks and uncertainties. These forward-looking statements should not be taken to represent the views of Clearday as of any date subsequent to the date hereof. This release includes information from third-party sources from published reports providing such information and we have assumed the accuracy of such reports without independent inquiry or inquiry. This communication is for informational purposes only and does not constitute an offer to sell or a solicitation of an offer to buy securities of the Company.

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MLK dinner at the Palatine to highlight healthcare equity

The 53rd Annual Dr. Martin Luther King Jr. Memorial Dinner will be held Saturday at the Cotillion Banquets in Palatine.

This year’s event will focus on “Heeding Dr. King’s Call for Equity in Health Care”.

At a 1966 meeting in Chicago, King addressed the health care inequalities experienced by black people. Those disparities persist in communities of color today and have been accentuated by the COVID-19 pandemic, said Chris Mier, president of MLK Dinner.

“The huge disparity in experience in providing medical services, whether through public or private healthcare providers, is considerable,” Mier said. “Continued exposure to trauma is truly creating an urgent national mental health crisis (in) communities of color.”

Guest speakers include Dr. Georges Benjamin, executive director of the American Public Health Association, based in Washington, DC, who will deliver the keynote address, and Timothy Killeen, president of the University of Illinois system.

Organizers will honor Harper College President Avis Proctor and Dr. LaMar Hasbrouck, Executive Director of the Cook County Department of Public Health, for their role in promoting equity in health care during the pandemic.


Many local hospitals rely heavily on graduates of the Palatine College nursing program to fill positions, Mier said.

And during the pandemic, Hasbrouck advised Fortune 500 companies on virus mitigation and safe reopening strategies. He previously served as executive director of the National Association of County and City Health Officials, which represents 3,000 local health departments.

The MLK Dinner is hosted by the Illinois Commission on Diversity and Human Relations. About 700 people are expected.

Election firsts

A large number of candidates from minority communities were elected to positions across the state on November 8. And there were many firsts among them.

State Rep. Delia Ramirez became the first Latina in Illinois’ congressional delegation, after winning the 3rd congressional district seat; State Representative-elect Hone Huynh became the first Vietnamese American member of the Illinois General Assembly; and elected state representative Abdelnasser Rashid is the first Palestinian American to be elected to the state legislature, representing the 21st House District.

Also, Nabeela Syed, 23, from the Palatine, became the first Native American woman and one of the first Muslims, along with Rashid, to be elected to the General Assembly. Syed will represent the 51st State House District.

Esiah Campos of Round Lake Beach became the first Latino and youngest member of the Lake County Board. He will represent District 16, which focuses on Round Lake’s four communities that are heavily Hispanic in west-central Lake County.

Muslim success stories

The Council of Islamic Organizations of Greater Chicago celebrates 30 years of serving the region’s more than 400,000 Muslims at its annual gala, scheduled for 6 p.m. Saturday, in the Grand Ballroom of the Hyatt Regency O’Hare, 9300 Bryn Mawr , Rosemont.

During the event, the organizers will present the Muslim Achiever Award to four community leaders for their contributions in various fields. The winners are:

• Dr. Sameer Vohra, director of the Illinois Department of Public Health. Vohra is a general pediatrician and an interdisciplinary leader in state and national health policy formulation. He now focuses his efforts on improving health outcomes in central and southern Illinois.

• Naheed Qureshi, formerly of Libertyville, Policy Partnerships Manager for Instacart and member of President Joe Biden’s Advisory Commission on Asian Americans, Native Hawaiians and Pacific Islanders. She was co-founder and then deputy director of Muslim Advocates, a national civil rights organization.

• Rashad Hussain, Goodwill Ambassador for the Office of International Religious Freedom. Hussain leads efforts to monitor religious freedom abuses, persecution, and discrimination around the world. He was appointed by former President Barack Obama to serve as Special Envoy to the Organization of Islamic Cooperation, Special Envoy for Strategic Counterterrorism Communications, and Deputy Associate Counsel for the White House.

• Fatima Abueid, founder of Chicago-based Sanad Community Services & Sanad Food Pantry, will receive the Dr. Bambade Shakoor-Abdullah Award for Civic Engagement. She was honored in 2021 as Chicago Woman of the Year for Human Services for helping communities on the southwest side of the city.

The council is made up of more than 60 member organizations, including mosques, Islamic schools and community groups. For more information, visit ciogc.org.

LGBTQ Advisory Council

Last week, Aurora City Council named the first members of the city’s new Lesbian, Gay, Bisexual, Transgender and Queer Advisory Council.

“It’s been a long journey that we’ve all been on, but we’re here and we’re going to do a great job with this,” said 21-year-old Adam Pauley, the youngest board member.

Members appointed to the nine-member advisory board include Zachary Bishop, Brittney Borowicz-Keller, Sean Li, Briana Moss, Ivan Quinones, Paulene Spika, Michael Vargas and Frederick Yanos. He will advise the city regarding the needs of Aurora’s LGBTQ community, as well as:

• Organize, support or promote events recognizing June as Pride Month.

• Encourage education, advocacy and community engagement of LGBTQ youth.

• Help promote greater cross-cultural awareness and understanding of the LGBTQ community.

• Recommend actions to improve the overall quality of life of the LGBTQ community.

• Coordinate and participate in educational programs for the LGBTQ community.

The council will be managed by the Mayor’s Office of Community Affairs, which leads the city’s equity and inclusion initiatives.

Corporate gala

The Arab-American Business & Professional Association of Illinois will host its annual gala Friday at the Esplanade Lakes by Doubletree, 3500 Lacey Road in Downers Grove.

The reception will begin at 6:00 p.m., followed by dinner at 7:00 p.m. It will feature some of the country’s top Arab-American civic, business and entertainment leaders.

Special guests include ABC 7 Chicago anchor Diane Pathieu, a Syrian-Lebanese American; Palestinian American comedian Amer Zahr; Palestinian American mixed martial artist Belal “Remember the Name” Muhammad, who competes in the Ultimate Fighting Championship welterweight division; Khalil Ismail, owner of Al Bawadi Grill; Talat Othman, chairman of Grove Financial Inc. and founding chairman of the ABPA; and ABPA President Rush Darwish.

The gala will benefit the association’s new Economic Development Center. The association will launch the center and a Community Retail Association in January to benefit the local community and minority-owned businesses. The association will also launch a new Middle East and North Africa-owned business registration website, weMENAbiz.comin the new year.

• Share stories, news and happenings from the Suburban Mosaic at mkrishnamurthy@dailyherald.com.

Blountstown offered a special lunch to veterans at their retirement home


PANAMA CITY, Fla. (WMBB) – The Calhoun County Veterans Affairs Bureau has partnered with Blountstown Health and Rehabilitation Center to celebrate their veterans at nursing homes.

Service members were served steaks while swapping stories of their time on duty.

Calhoun County Veterans Services Officer Eric Daniels said veterans in nursing homes weren’t in the spotlight, so the office wanted to do something special.

“It’s really important because I don’t feel like we’re focusing on our nursing home veterans as much as we should be on a county society level,” Daniels said.

The event was supposed to bring together nine veterans, but only five from the retirement home were able to attend.

“That’s what makes it even more important that we get things done and honor our veterans because, you know, that population seems to be leaving us faster than others,” Daniels said.

Some Calhoun County veterans came out to help celebrate and honor the older generation.

The five veterans in attendance served in the Air Force, Reserves and Marine Corps.

“I was told I would consider a veteran only because I served in the Vietnam War,” said veteran Johnny Miller. “It has apparently been extended beyond Vietnam War veterans, to anyone who was in service and got an honorable discharge. Maybe I was lucky to be right.

The Calhoun County Veterans Affairs Office hopes to expand its services and provide lunches to more veterans next year.

Brothers apply skills learned in the military to healthcare careers

In the space of 10 days in 2008, Nick Poch went from a patrol in Iraq to a full day of nursing classes at the University of Iowa.

It was a transition, to say the least.

“We did our homecoming ceremony on Saturday, and the following Monday I was in class for eight hours learning pharmacology and pathophysiology,” Poch explains.

Poch has deployed three times with the Army National Guard – twice to lead a platoon tasked with disposing of roadside bombs in Iraq and once to conduct security checks in Afghanistan. He graduated from MSN between deployments and started with UI Health Care in 2011 as a nurse.

Nick Poch, DNP, RN, MBA, VA-BC and Joe Poch, PA-C

Poch was with his younger brother, Joe, during his first deployment to Iraq in 2005. Serving in separate platoons, they conducted route clearance from inside an armored vehicle known as the “Buffalo”.

Nick Poch, DNP, RN, MBA, VA-BC, is currently the Acting Director of Centralized Functions and Acting Deputy Director of Quality in the Department of Nursing. Joe Poch, PA-C, joined the UI Organ Transplant Center in 2012 as a medical assistant and is still active at the rank of major in the Iowa National Guard.

Having both worked at UI Health Care for over 10 years now, the brothers continue to draw on their experiences in the military to better serve the teams they work with, patients and families.

Along the way, they carry a unique perspective.

“After our deployments, the people on the other side, they just listened to us,” says Nick Poch. “Now it’s our turn to listen to people as they go through trauma and their worst days.”

Deactivation of bombs in Iraq

Risk and fear were part of the job as Nick Poch climbed into “the Buffalo” and set off for another night of roadside bombings in western Iraq.

In these road-clearing operations, Poch would lead about 30 troops spread over at least five vehicles. His primary role was to instruct the platoon, including the soldier controlling their vehicle’s robotic arm used to disconnect the wires leading to the improvised explosive device.

“I was really scared every day for my life,” Poch says. “I was scared. With some of the named operations, I was even more nervous because we were going towards a specific action.

The Poch brothers, who grew up in Riverside, disabled hundreds of bombs on separate teams during their time in Iraq. Both feel lucky that the explosions they suffered – either triggered by approaching insurgents or exploding during an attempt to incapacitate them – did not cause them injuries more serious than concussions.

The brothers are two of more than 100 veterans currently employed by UI Health Care.

“We had some hard knocks and we tempted fate,” says Joe Poch. “It really puts everything into perspective.”

The Poch brothers on their first tour of Iraq.

Trust and communication are the keys to success

Whether it’s a combat mission or bedside patient care, trust is critical to team success, the brothers say.

“I have to trust that I can rely on my teammates, not just to do their job, but to be connected and aligned with me,” Nick Poch says. “I can’t do my job without you, and vice versa. This element of trust is at the heart of your operation.

Nick Poch says he’s seen many examples over the years of how investing time and energy in your teammates can build trust. This often results in stronger relationships and safer environments. Those daily interactions with teammates that help build trust are under everyone’s control, he says.

Effective communication is another key to success in both the military and health care, the brothers say. Soldiers receive training on a concept called “BLUF,” which stands for Bottom Line Up Front. In other words, share the most important information first and avoid including unnecessary context.

The Poch brothers say this type of clear and effective communication is essential during critical situations in both areas. In some cases, lives can be in danger if there is miscommunication.

“What should we do and how should we achieve it? said Joe Poch. “We don’t need to water it down. How can we better serve the patient? »

Learn to stay calm under pressure

The Poch brothers knew adversity would strike during their deployments. They have been trained to do their job to the best of their abilities, whatever the situation.

They both had to learn how to best adapt to changing circumstances.

Prior to each route clearing mission, Nick Poch would review intelligence, draw up an operation plan and prepare his platoon. But once inside the “Ox”, he received new information via his helmet, including on possible threats in the region.

There are similarities to healthcare, the brothers say, such as when test results change the course of a patient’s treatment or if a patient goes into cardiac arrest. Training is key in these times, understanding not just your role, but the roles of your teammates.

“You deal with stressful situations,” says Joe Poch. “Ultimately, you’re trained to keep a cool head, assess the situation, and determine the best course of action, whether it’s for your patient, your team, or the unit.”

Welltower sells 147 nursing homes to Integra JV

Welltower is selling and transferring 147 skilled nursing facilities currently operated by ProMedica to a newly formed partnership between Welltower and Integra Health, the companies announced this week.

Toledo, OH-based ProMedica will continue to operate 58 Arden Courts Memory Care Communities in a joint venture with Welltower REIT.

ProMedica, with its portfolio now focused on memory care, has agreed to divest its 15% stake in the SNF assets involved in their existing 85/15 joint venture with the REIT and will provide significant working capital to ensure a transition smooth skilled nursing facilities to new operators, the Welltower release said.

Terms of the transaction were not disclosed. The agreement does not include non-Welltower senior care centers leased by ProMedica in Adrian and Monroe, MI, skilled nursing and memory care facilities on the ProMedica Flower Hospital campus in Sylvania, OH, the statement read.

In its recent third quarter earnings report, Welltower reported total comparable store net sales growth of 7.2% year-on-year, driven by 17.6% growth in the operating portfolio of Retirement Housing (SHO) from the REIT.

Annual same-store sales in Welltower’s SHO portfolio increased approximately 11% in the third quarter, driven by average occupancy growth of 390 basis points and REVPOR growth of 5.3%.

“Third quarter comparable store REVPOR growth reached the highest level in our recorded history and is expected to accelerate further in the fourth quarter,” the REIT’s third quarter earnings release said.

Welltower has steadily expanded its senior housing portfolio in California this year. Last month, the Ohio-based REIT, formerly known as Health Care REIT, purchased Oakmont of Segovia, a 160-unit property in Palm Desert, for $49.3 million as part of a deal that amounts to $308,000 per unit.

The Oakmont campus, encompassing 218K SF, was sold by Irvine-based Oakmont Senior Living. The campus opened in 2010 on an 8.6-acre site located at 39905 Via Scena in Palm Desert in the Coachella Valley.

In February, Welltower acquired two seniors’ residences in Sacramento that were part of six-asset sales worth $297 million by Windsor-based Oakmont Senior Living. Welltower recorded $787 million in acquisitions in the first quarter of 2022 and 78% occupancy for its senior housing portfolio.

About 78% of senior housing vacated during the pandemic has been reoccupied, according to a recent report by the National Investment Center.

Senior housing occupancy reached 81.4% in the second quarter of 2022, up 3.4% from the pandemic low of 78% in the second quarter of 2021.

“The industry has not fully recovered from occupancy losses at the height of the pandemic, but the continued upward trend in occupancy despite labor and supply issues is a positive sign “said Cuck Harry, COO of NIC, in a press release.

On the supply side, inventory rose a meager 3,489 units due to slower construction. The number of units under construction is the lowest since 2015, the NIC reported.

Rest house? No thanks. 70% of respondents would prefer not to.


The pandemic has damaged opinions about nursing homes as a large majority of older Canadians are more likely than before to flee nursing homes after observing the initial wave of COVID-19 outbreaks and poor living conditions. substandard living conditions in some institutions.

According to Boston College’s Center for Retirement Research, more than 70% of respondents said they were less likely to enter a retirement home after the pandemic, while a quarter reported no change in their care plans. long duration.

Lily: Goodbye, senior centers and retirement homes. Older people do not want to spend their time in places where they are seen as declining victims.

“We expected to see some aversion to nursing homes, but we were surprised by the magnitude of it,” said Minjoon Lee, visiting scholar at the Center for Retirement Research and associate professor of economics. at Carleton University in Ottawa, Canada. “I would expect to find similar attitudes in the United States”

In many countries, including Canada and the United States, COVID deaths were heavily concentrated among the elderly. At the start of the pandemic, many of these deaths occurred in nursing homes.

Lily: ‘The hell they put me through’: Nursing homes suing carers for debts they don’t owe, regulator says

For example, in May 2020, more than 90% of COVID deaths among people aged 70 and over in Quebec occurred in nursing homes, while in Ontario it was more than 70%.

Additionally, many care home workers left during COVID due to the harsher conditions, which meant that the remaining care home residents faced increasing health risk and worse living conditions with less support.

These issues received extensive media coverage, so they were highly visible to the public and may have a lasting impact on individuals’ choices between entering a nursing home or receiving home care, the researchers found.

According to the survey, aversion to nursing homes was widespread across all demographic groups. Survey respondents were between the ages of 50 and 69 with no limitations in activities of daily living. A total of 3,004 respondents completed the survey.

Lily: The retirement home crisis is “worse than ever”

“This is very alarming news for the nursing home industry. For people, the impact of the pandemic will be lingering,” Lee said. “I don’t see an easy solution to this if I’m a manager of a retirement home.”

While respondents were concerned about care homes, some are also aware that planning to use home care instead may require more money. More than a quarter of respondents said they were ready to save more after the pandemic.

For this group, the survey further asked if they would save more to avoid entering a nursing home when they need long-term care and 83% answered yes.

The survey also asked if the pandemic had changed their views on a home care subsidy. The result confirms that the pandemic has strengthened support for such a policy. About 40% said they were more supportive of a home care subsidy than before the pandemic, and only around 10% were less supportive after the pandemic.

If individuals are primarily responsible for covering the risk of needing end-of-life home care, this could represent an excessive burden. Therefore, those considering using home care can support new public policies to subsidize home care.

To explore this question, the survey asked: “Suppose the government proposes a policy to increase access to home care for people who need help with activities of daily living…to reduce their likelihood of go to a retirement home, but would raise taxes. to finance this policy. What…would be your opinion…? »

The results show strong support for such a policy. About 70% agree with the higher tax funded home care subsidy, and 20% strongly agree. Only 12% strongly disagree with such a policy.

The United States has had similar experiences with nursing homes during COVID and also tends to subsidize institutional care more easily than home care.

As a result, the survey results likely apply to the U.S. context as well, suggesting that policies aimed at making home care more affordable may better meet the preferences of older Americans in the wake of the pandemic, researchers said. researchers.

Nursing Course Information Sessions | Community

The Penn College of Wellsboro Practical Nursing Program will host four information sessions: November 10, November 21, December 1 and December 12, all at 6:30 p.m. The sessions will be held at the Wellsboro campus of the Pennsylvania College of Technology , 22 Walnut St., and will be connected to the Potter County Education Center via Zoom.

Lauren M. Scheetz, Associate Program Director, will discuss admissions requirements, application processes, tuition and financial aid, obtaining licensure, and employment opportunities for graduates .

The next full-time practical nursing course will run from March 14, 2023 to March 8, 2024.

A part-time program, which will combine classroom instruction one day per week with evening/weekend clinics two days per week, will also be offered this year. This program is scheduled to begin June 8, 2023 and end March 25, 2025.

Classroom experiences will take place on the Wellsboro campus, with clinical experiences throughout the Northern Tier.

The Essential Academic Skills test and a minimum passing score are required for admission. Before taking the TEAS, an application must be submitted to the Wellsboro office. Completed application documents and entry prerequisites must be submitted by February 27 to be considered for admission to the March class and by May 26 for the June class.

Coursework in the 12-month, full-time practical nursing program takes place at Penn College’s Wellsboro campus, with clinical experiences at UPMC Wellsboro, Green Home, and Broad Acres Health and Rehabilitation Center, as well as in other local facilities. Potter County students join the Coudersport Board of Education with clinical experiences at UPMC Cole and Sweden Valley Manor.

The practical nursing program is approved by the Pennsylvania State Board of Nursing. Those who complete the program will be prepared to take the National Board licensing exam for licensure as an LPN.

Training opportunities for the advancement of registered nurses are available.

This is an hourly program, designed specifically by Workforce Development at Penn College in Williamsport. Students are potentially eligible for Federal Pell Grants, Federal Direct Loans, and PA Targeted Industry Program grants.

For more information and to register, call 570-724-7703, email northcampus@pct.edu, or visit www.pct.edu/north.

Nursing Course Information Sessions | Health

Penn College in Wellsboro’s Practical Nursing Program will hold four information sessions for those considering a career in nursing: November 10, November 21, December 1, and December 12, all at 6:30 p.m. The sessions will be held at Pennsylvania College. from the Wellsboro Campus of Technology, 22 Walnut St., and will be connected to the Potter County Education Center via Zoom.

Lauren M. Scheetz, Associate Program Director, will discuss admission requirements; application, tuition and financial aid processes; Licence ; and employment opportunities for graduates. It will be possible to ask questions.

The next full-time practical nursing course will run from March 14, 2023 to March 8, 2024 (with a graduation date of March 12, 2024). Classroom experiences will take place at the Wellsboro campus and Potter County Education Council, with clinical experiences throughout the Northern Tier.

A part-time program, which will combine classroom instruction one day per week with evening/weekend clinics two days per week, will also be offered. This program is scheduled to begin June 8, 2023 and graduate March 25, 2025. Classroom experiences will take place on the Wellsboro campus, with clinical experiences throughout the Northern Tier.

The Essential Academic Skills test and a minimum passing score are required for entry into the program. Before taking the TEAS, an application must be submitted to the Wellsboro office. Completed application documents and entry prerequisites must be submitted by February 27 to be considered for admission to the March class and by May 26 for the June class.

Coursework in the 12-month, full-time practical nursing program takes place at Penn College’s Wellsboro campus, with clinical experiences at UPMC Wellsboro, Green Home, and Broad Acres Health and Rehabilitation Center, as well as in other local facilities. Potter County students join the Coudersport Board of Education with clinical experiences at UPMC Cole and Sweden Valley Manor.

The practical nursing program is approved by the Pennsylvania State Board of Nursing. Those who complete the program will be prepared to take the National Board licensing exam for licensure as an LPN. Training opportunities for the advancement of registered nurses are available.

This is an hourly program, designed specifically by Workforce Development at Penn College in Williamsport. Among financial aid options, students are potentially eligible for Federal Pell Grants, Federal Direct Loans, and PA Targeted Industry Program grants.

For more information and to register, call 570-724-7703, email northcampus@pct.edu, or visit www.pct.edu/north.

Valparaiso nursing home case goes to U.S. Supreme Court


Gorgi Talevski, 85, died on October 6, 2021 in a retirement home in Bremen after being transferred there against his family’s wishes from the Valparaiso care and rehabilitation center.

His treatment at the Valparaiso facility, which is owned by the Health and Hospital Corporation and in turn Marion County, and transfer to Bremen began as a family battle to care for their patriarch, who they say was chemically restrained without consent to the care facility. not far from their home in Valparaiso.

It’s turned into so much more, as a case that has made its way through the federal court system and is now scheduled for oral argument Tuesday in the U.S. Supreme Court, with what family and attorneys Talevski said could have a profound effect on people’s ability to receive federal assistance to exercise their rights.

“The case exploded. It started as a very narrow problem and it exploded. It was shocking to me,” said Valparaiso attorney Susie Talevski, who began arguing for her father’s care in 2016, although she is not taking the case to the Supreme Court.

Family photo of Gorgi Talevski taken in Macedonia in the late 1960s. A complaint filed by Talevski's daughter, Susie Talevski, about her care at a Marion County-owned retirement <a class=home in Valparaiso, Indiana, must to be heard by the U.S. Supreme Court on November 8. (Andy Lavalley for the Post Tribune)” src=”https://www.chicagotribune.com/resizer/4QCtrynMQdi1PMi0pkWHFKqgNu0=/1440×0/filters:format(jpg):quality(70)/cloudfront-us-east-1.images.arcpublishing.com/tronc/LSGYKMEBDVGGRAU44SNIKZHW5Q.jpg” width=”1440″ height=”0″ loading=”lazy”/>

She first came through the Indiana State Health Department with her family’s concerns about the care of her father, who suffered from dementia. A state agency administrative law judge determined that Gorgi Talevski should return to Valparaiso Care and Rehabilitation, but an attorney for American Senior Communities, an HHC partner, said he could not back out. HHC has retirement homes throughout the state.

Talevski held up a copy of the nursing home bill of rights, which she said is posted in every facility across the country and given to patients and their families.

“Basically it says you have rights. You have protections,” she said. “In Indiana, that means nothing.”

She went back to the state health department to see what she could do to enforce the agency’s administrative judge’s decision and they told her she needed to get a lawyer and proceed on her own. .

She began studying the federal Nursing Home Reform Act, or FNHRA, which was signed into law by then-President Ronald Reagan in 1987, which outlines protections for residents of nursing homes.

“It was obvious to me that this was a civil rights violation,” Talevski said.

In January 2019, a lawsuit was filed on behalf of Gorgi Talevski against HHC in the U.S. District Court in Hammond. HHC filed a motion to dismiss the case, which the court granted.

Late one Sunday evening, Talevski received an email from a Washington, D.C. attorney, Andrew Tutt, asking to appeal the case to the United States Court of Appeals for the 7th Circuit in Chicago. Talevski thought the email was fake until she did an internet search for Tutt.

Tutt handled the and the 7th Circuit ruled unanimously in favor of Gorgi Talevski. HHC asked the US Supreme Court to reconsider the case, which was granted in May.

“This is becoming, to my dismay, a groundbreaking affair,” Talevski said.

The implications of the case go far beyond the Talevski family and its origins in the treatment of Gorgi Talevski at the Valparaiso Care and Rehabilitation Center.

“What struck us was what HHC is trying to get the Supreme Court to say,” said Kim Dodson, executive director of The Arc of Indiana, a nonprofit disability services and advocacy agency. . “If you use these federal programs, you no longer have any protected rights.”

That, she added, includes anyone with a disability and anyone whose income qualifies for the federal Supplemental Nutrition Assistance Program, or SNAP. Anyone with a loved one in a retirement home owned and operated by HHC or its partner, American Senior Communities, should also be concerned.

“They’re asking for no more accountability for what they do at their facilities and anyone who doesn’t want accountability is probably doing something wrong,” she said. “We can’t just erase decades of precedent because a specific vendor doesn’t want to be responsible. It’s not appropriate.

More broadly, said Emily Munson, an attorney at Indiana Disability Rights, said HHC was trying to take away the rights of nursing home residents.

Decisions regarding these rights would be determined by an administrative law judge rather than by federal case law, as is currently the case.

The case, Munson said, could impact anyone who receives services from a federal program covered by the “expenses clause,” which also includes Medicaid, children in foster care and those attending Temporary Assistance for Needy Families, or TANF.

More than 80 million people receive Medicaid, Munson said, and at least 20 million more people participate in other programs covered by the expense clause.

“At least a third of the country could be affected by this decision,” she said.

HHC, she added, has blown the case as a court ruling in their favor could hurt many people.

“I personally think it is immoral of HHC and its partners in this case to take the case all the way to the Supreme Court when they could have helped just one man,” he said. she stated.

Both Indianapolis-based agencies filed briefs with the court in support of the Talevskis, along with a long list of legal advocacy organizations and current and former members of Congress.

Family photo of Gorgi Talevski taken in 2012 in San Diego, California.  A lawsuit filed by Talevski's daughter, Susie Talevski, regarding her care at a Marion County-owned retirement home based in Valparaiso, Indiana, is set to be heard in the U.S. Supreme Court on Nov. 8.  (Andy Lavalley for the Post Tribune)

Attorney Lawrence Robbins, who represents HHC in oral arguments before the Supreme Court on Tuesday, said in an email that he does not comment on pending cases.

Indiana Attorney General Todd Rokita, however, filed a brief in support of the HHC along with attorneys general from 21 other states.

In a press release last month, Rokita, from Munster, said the issue is whether someone who is not a party to a contract with the federal government can take legal action to enforce the terms. of this contract, adding that this case focuses on grants awarded by a federal government. agency to a state or local government.

“Some commentators have interpreted this case as primarily about the rights of older adults and their families to use the legal system to advocate for their proper care. And we all want nothing but the best care for our seniors,” said Rokita.

“But this case is primarily about the need to hold voters accountable for grant relationships — and the need to respect the authority of Congress. This means that individual grantees who are not parties to the contracts should not be able to sue in court to enforce the terms of the grant unless Congress specifically authorizes them to do so.

Dodson, with Indiana Disability Rights, said a decision after Tuesday’s oral argument could come in three to 12 months. In the meantime, she and other advocates will work to get the HHC to withdraw the case, which can be done until a decision is made, including lobbying elected officials who appoint the HHC Board of Directors.

Susie Talevski and a handful of supporters, including her mother, Ivanka, plan to be in the courtroom on Tuesday.

“It became a crusade for me,” she said. “It started when I was trying to help my father.”


Health care – COVID tests, treatments could soon cost you

🚫 It shouldn’t be necessary to say it, but don’t lick the toads, especially poisonous ones. The National Park Service asks everyone “please refrain from licking” anything they encounter in national parks.

In health news, the federal government will soon stop paying for COVID-19 tests, treatments and vaccines, and it will likely come as a shock to people who don’t realize this is happening.

Welcome to night health care, where we follow the latest developments in policies and news concerning your health. For The Hill, we are Nathaniel Weixel and Joseph Choi. Did someone forward this newsletter to you?

Why you may soon have to pay for this COVID test

The federal government is set to stop paying for COVID-19 vaccines, tests and treatments in the coming months, shifting the costs from taxpayers to individual patients.

Experts say most Americans are unaware this will happen and will be in for a major case of sticker shock. They warn that without additional protections and funding, the transition to commercialized preventive treatments and services will lead to barriers to health.

  • Instead of free access to tests and treatments like Paxlovid, insurance companies and manufacturers will set the price.
  • The days of free and easily accessible COVID-19 testing will also come to an end. Private insurance may no longer cover over-the-counter tests, and patients may first need a prescription for a PCR test.

Vaccines will still be free for those with private insurance, although the cost is likely reflected in premiums. Even with insurance, patients will likely see costs if they go to an out-of-network provider.

But the biggest impact will be on uninsured or underinsured Americans, many of whom have jobs that put them at greater risk of exposure to COVID-19.

Reflection of a larger system: “The way it works in the United States [right now] is actually more similar to how a lot of healthcare works in other countries as well,” said Cynthia Cox, insurance expert and vice president of the Kaiser Family Foundation.

“But when the public health emergency ends, it will start to look like health care in the United States, which is that it’s complicated and it costs a lot of money.”

Learn more here.

Rise in RSV hits children’s hospitals across US

Children’s hospitals across the country are dealing with an increase in respiratory syncytial virus (RSV) cases, stressing health services and millions of parents with sick children.

RSV is a common and usually mild illness, but millions of children are at risk later in life due to the coronavirus pandemic. Babies locked up during the pandemic did not catch RSV, and now children born just before or during the pandemic are catching it en masse.

What suppliers see:

  • “We see older patients who are admitted with RSV because they simply haven’t seen it before. And your first illness is usually the worst and results in more people being hospitalized,” said Jason Newland, a pediatric infectious disease specialist at Washington University in St. Louis.
  • “Cases continue to rise and we haven’t seen a spike yet,” said Caroline Njau, senior vice president of patient care services and chief nursing officer at Children’s Minnesota. “And RSV itself accounts for about two-thirds of the respiratory viral illnesses we see.”

Systemic issues: Healthcare providers who spoke with The Hill agreed that this recent RSV surge has highlighted issues within the US pediatric healthcare system, old and new.

Newland said there are concerns that children’s hospitals are understaffed, which could lead to a situation where some services like non-emergency surgeries are delayed, as happened during the most challenges of the COVID-19 pandemic.

  • Another problem providers cite is the lack of capacity in children’s hospitals. Stephen Dolter, division chief of pediatric hospital medicine at Children’s Hospital & Medical Center of Nebraska, said his main concern during this virus surge was running out of space.
  • “We will do everything we can to get them into the hospital, whether that means turning the hospital playrooms into treatment rooms or turning our emergency department into an inpatient unit,” Dolter said.

Learn more here.


The companies said the data showed that clinical trial participants over the age of 55 who received the bivalent booster targeting omicron BA.4/BA.5 had antibody levels nearly four times higher than those who received received the original reminder.

The results are based on blood samples taken from adults one month after receiving single doses of the updated booster or the first version of the vaccine.

Rollback: The firing was authorized without human data.

The number of study participants was small. Only 36 people received the new booster and 40 received the old one.

Federal health officials are banking on the updated vaccine as a crucial part of the administration’s COVID-19 response. As the weather turns cold, officials are trying to convince people to get the updated vaccine to avert another wave of serious infections and deaths.

But two months after the administration first authorized the shootings, adoption has been low. According to federal data, less than 9% of Americans have received one. Officials blame pandemic fatigue and a lack of resources to fully promote the snaps.

Learn more here.


Centrist Sen. Joe Manchin (DW.Va.) on Thursday called for broad bipartisan agreement to protect the solvency of Social Security, Medicare and Medicaid, popular programs that will face serious funding challenges in the coming months. decades.

“You will put your financial affairs in order. We can’t live with this crippling debt,” Manchin, whose crucial vote both delayed and helped push through big pieces of President Biden’s agenda, told Fortune’s Alan Murray at a CEO conference. .

“If we don’t look at the trust funds that are going bankrupt, whether it’s Medicare, Medicaid, Social Security, the highway, all of those — there are huge problems right now,” Manchin said when was asked where he saw potential areas. compromise in Washington after the November 8 midterm elections.

If Manchin continues to push for a bipartisan deal to shore up Social Security and Medicare finances, he may have a negotiating partner in Senate Minority Leader Mitch McConnell (R-Ky.) , which has proposed sweeping rights reform on several occasions.

Learn more here.

Lawmakers push to end maternal health crisis

The Black Maternal Health Caucus led discussions on the legislation. The caucus was created in 2019 to address the drastic racial disparities that exist for pregnant black women. Despite proposing a 12-package law of protections for pregnant women, most of the caucus laws did not pass.

The Momnibus Black Maternal Health Act of 2021 called for recognizing and addressing the social determinants of health, funding community organizations, diversifying the perinatal workforce, and other key provisions. But so far, only part of the package has been signed into law by President Biden – the Protecting Moms Who Served Act.

This particular law commissions the first-ever in-depth study of America’s maternal health crisis among female veterans while supporting maternal care programs at Department of Veterans Affairs facilities.

  • Still, Rep. Lauren Underwood (D-Ill.), one of the main sponsors of the “Momnibus” bill and founder and co-chair of the Black Maternal Health Caucus, said the caucus is pleased with the progress made so far. .
  • “We have incredible momentum,” Underwood told The Hill. “Eighty percent of the rest of the Momnibus was included in Build Back Better and we worked with our Senate colleagues to find a way to put a vehicle in place for the Momnibus. And I feel very optimistic right now.

Recently, the Maternal Immunization Act, which would fund programs to increase maternal immunization rates, was passed with bipartisan support in the House.

But with days to go before the midterm, legislative talks were suspended, though the caucus worked with Sen. Cory Booker (DN.J.), the Senate bill’s lead, to tie up the rest of the package. to another vehicle. hoping to pass.

Learn more here.


  • A ‘blank cheque’: A bill to spur antibiotic development touted as a ‘flawed’ gift to the pharmaceutical industry (Statistical)
  • A treatment approved in Europe to prevent RSV in infants may soon be coming to the United States (CNN)
  • For Republican candidates, talking about moms and babies is a thorny issue (Kaiser Health News)


  • The Rio Grande Valley Abortion Clinic was purchased by an anti-abortion pregnancy center (Texas Grandstand)
  • Florida could surpass record number of Affordable Care Act enrollments in 2023 (Tampa Bay Weather)
  • Colorado and Idaho pull out of national survey that tracks adolescent mental health (KUNC)

🏎 Lighter Click on: The hills Pictures of the week

That’s all for today, thanks for reading. Discover The Hill’s Healthcare page for the latest news and coverage. See you next week.

Reliq Health Technologies, Inc. Announces 50 New Skilled Nursing Facility Customers in Florida | New

HAMILTON, Ontario, Nov. 04, 2022 (GLOBE NEWSWIRE) — Reliq Health Technologies Inc. (TSXV: RHT or OTC: RQHTF or WKN: A2AJTB) (“Reliq” or the “Company”), a global health technology in fast-growing company that develops innovative virtual care solutions for the multi-billion dollar healthcare market, today announced that a previously disclosed client with a network of Skilled Nursing (SNF) facilities in Florida added 50 more locations to its contract with the company. This addition to the existing contract is expected to add an additional 5,000 new patients per month or 60,000 new patients per year to Reliq’s iUGO Care platform starting in 2023.

“We are very pleased that our existing customer has chosen to expand the deployment of our iUGO Care platform to an additional 50 Skilled Nursing (SNF) facilities in their network,” said Dr. Lisa Crossley, CEO of Reliq Health. Technologies, Inc. “As with the 40 facilities previously announced, we will provide our iUGO Care Transitional Care Management (TCM), Remote Patient Monitoring (RPM), Chronic Care Management (CCM) and Behavioral Health Integration (BHI) solutions to help improve post-discharge health outcomes and reduce readmissions, while generating new revenue streams for facilities. Reliq will provide TCM to newly discharged patients at a rate of $60 per patient, with recurring revenue from RPM, CCM and BHI of $65/patient per month, at a gross margin of 75%. We will begin onboarding patients to these additional facilities in early 2023. Once all 50 facilities are operational, we expect to onboard over 5,000 of their newly discharged patients each month going forward. Skilled nursing facilities represent a large and previously untapped market for Reliq’s products. There are more than 15,000 SNFs in the United States and more than 1.5 million Medicare patients received care in an SNF setting in 2021 (www.cms.gov). We are very pleased to gain significant traction in this space.

Reliq Health

Reliq Health Technologies is a rapidly growing global health technology company specializing in the development of innovative virtual care solutions for the multi-billion dollar healthcare market. Reliq’s powerful iUGO Care platform supports care coordination and community-based virtual healthcare. iUGO Care enables complex patients to receive high-quality care at home, improving health outcomes, improving the quality of life for patients and families, and reducing the cost of delivering care. iUGO Care provides real-time access to remote patient monitoring data, enabling rapid care team interventions to avoid costly hospital readmissions and emergency room visits. Reliq Health Technologies trades on the TSX Venture Exchange under the symbol RHT, on the OTC as RQHTF and on the Frankfurt Stock Exchange under the name WKN:A2AJTB.


“Dr. Lisa Crossley”

CEO and Director

For more information, please contact:

Company details

Investor Relations at ir@reliqhealth.com

US Investor Relations Contact

Investor Relations

Lytham Partners, LLC

Ben Chamsyan

New York | Phoenix



Neither the TSX Venture Exchange nor its Regulation Services Provider (as that term is defined in the policies of the TSX Venture Exchange) accepts responsibility for the adequacy or accuracy of this release.

Cautions Regarding Forward-Looking Information

Certain statements contained in this press release constitute forward-looking statements, within the meaning of applicable securities laws. All statements that are not historical facts, including, without limitation, statements regarding future estimates, plans, programs, forecasts, projections, goals, assumptions, expectations or beliefs, are “forward-looking statements.”

We caution you that these “forward-looking statements” involve known and unknown risks and uncertainties that could cause actual and future events to differ materially from those anticipated in these statements.

Forward-looking statements include, but are not limited to, statements regarding business operations, including technology development, anticipated revenues, projected market size, and other information based on forecasts of future results, estimates of amounts not yet determinable and management assumptions.

Reliq Health Technologies Inc. (the “Company”) does not intend and undertakes no obligation to update these forward-looking statements, except as required by law. These forward-looking statements involve risks and uncertainties related to, among other things, technology development and marketing activities, the Company’s historical experience in technology development, uninsured risks. Actual results may differ materially from those expressed or implied by these forward-looking statements.

SOURCE: Reliq Health Technologies Inc.

Copyright 2022 GlobeNewswire, Inc.

Reliq Health Technologies, Inc. Announces 50 New Florida Skilled Nursing Facility Customers

HAMILTON, Ontario, November 04, 2022 (GLOBE NEWSWIRE) — Reliq Health Technologies Inc. (TSXV: RHT or OTC: RQHTF or WKN: A2AJTB) (“reliq“or the”Company”), a rapidly growing global health technology company that develops innovative virtual care solutions for the multi-billion dollar healthcare market, today announced that a previously disclosed client with a network of Skilled Nursing (SNF) facilities in Florida added 50 additional installations to its contract with the Company. This addition to the existing contract is expected to add an additional 5,000 new patients per month or 60,000 new patients per year to Reliq’s iUGO Care platform starting in 2023.

“We are very pleased that our existing customer has chosen to expand the deployment of our iUGO Care platform to an additional 50 Skilled Nursing (SNF) facilities in their network,” said Dr. Lisa CrossleyCEO of Reliq Health Technologies, Inc. “As with the 40 facilities previously announced, we will provide our iUGO Care Transitional Care Management (TCM), Remote Patient Monitoring (RPM), Chronic Care Management (CCM) and Behavioral Health Integration (BHI) solutions to help improve post-discharge health outcomes and reduce readmissions, while generating new revenue streams for facilities. Reliq will provide TCM to newly discharged patients at a rate of $60 per patient, with recurring revenue from RPM, CCM and BHI of $65/patient per month, at 75% gross margin. We will begin onboarding patients to these additional facilities in early 2023. Once all 50 facilities are operational, we expect to onboard over 5,000 of their newly discharged patients each month going forward. Skilled nursing facilities represent a large and previously untapped market for Reliq’s products. There are more than 15,000 SNFs in United States and more than 1.5 million Medicare patients received care in an SNF setting in 2021 (www.cms.gov). We are very pleased to gain significant traction in this space.

Reliq Health
Reliq Health Technologies is a rapidly growing global health technology company specializing in the development of innovative virtual care solutions for the multi-billion dollar healthcare market. Reliq’s powerful iUGO Care platform supports care coordination and community-based virtual healthcare. iUGO Care enables complex patients to receive high-quality care at home, improving health outcomes, improving the quality of life for patients and families, and reducing the cost of delivering care. iUGO Care provides real-time access to remote patient monitoring data, enabling rapid care team interventions to avoid costly hospital readmissions and emergency room visits. Reliq Health Technologies trades on the TSX Venture Exchange under the symbol RHT, on the OTC under the name RQHTF and on the Frankfurt Stock Exchange under the WKN: A2AJTB.

“Dr. Lisa Crossley”
CEO and Director

For more information, please contact:

Company details
Investor Relations at ir@reliqhealth.com

US Investor Relations Contact
Investor Relations
Lytham Partners, LLCBen ChamsyanNew York | Phoenix

Neither the TSX Venture Exchange nor its Regulation Services Provider (as that term is defined in the policies of the TSX Venture Exchange) accepts responsibility for the adequacy or accuracy of this release.

Cautions Regarding Forward-Looking Information
Certain statements contained in this press release constitute forward-looking statements, within the meaning of applicable securities laws. All statements that are not historical facts, including, without limitation, statements regarding future estimates, plans, programs, forecasts, projections, goals, assumptions, expectations or beliefs, are “forward-looking statements.”

We caution you that these “forward-looking statements” involve known and unknown risks and uncertainties that could cause actual and future events to differ materially from those anticipated in these statements.

Forward-looking statements include, but are not limited to, statements regarding business operations, including technology development, anticipated revenues, projected market size, and other information based on forecasts of future results, estimates of amounts not yet determinable and management assumptions.

Reliq Health Technologies Inc. (there “Company“) does not intend and assumes no obligation to update these forward-looking statements, except as required by law. These forward-looking statements involve risks and uncertainties relating to, among other things, technological development and marketing activities, company history, technology development experience, uninsured risks Actual results may differ materially from those expressed or implied by such forward-looking statements.

THE SOURCE: Reliq Health Technologies Inc.

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Source: Reliq Health Technologies Inc.

2022 GlobeNewswire, Inc., source Press Releases

The Staten Island nursing home’s water systems tested positive for Legionella, the state health department said.


STATEN ISLAND, NY – A person has tested positive for Legionellosis, a disease caused by exposure to Legionella bacteria, at the Eger Health Care and Rehabilitation Center in Egbertville after water tests at the facility revealed high levels of the bacteria.

The building water systems at 110 Meisner Ave. – an assisted living facility – and at 140 Meisner Ave. – a nursing home – both tested positive for Legionella, according to documents provided to Advance/SILive.com by a former staff member at the facility.

The state health department confirmed Legionella was found in a large number of samples at the facility and said the agency is actively investigating the human case of Legionnaires’ disease. ArchCare provides support for the administrative functions of the facility.

“The New York State Department of Health (NYSDOH) worked closely with the New York City Department of Health and Mental Hygiene (NYSDOHMH) to investigate a single case of Legionnaires’ disease associated with the Eger Healthcare and Rehabilitation Center located at 140 Meisner Avenue,” Jeffrey said. Hammond, a spokesperson for the state health department.

“No other cases have been identified at this time. In its regulatory role, NYSDOH has advised active clinical surveillance for Legionnaires’ disease and pneumonia to identify any additional potential cases of Legionnaires’ disease,” Hammond added. The Eger Harbor House at 110 Meisner Avenue has not reported any cases of legionellosis.As this is an ongoing investigation, no further information is available at this time.

State Health Department regulations state that facilities must perform Legionella culture samples quarterly and report results to the agency if sample results exceed 30% positive tests.

The care home where the only case of Legionnaires’ disease was discovered was then required to report results showing that almost all of its water systems had detectable levels of Legionnaires’ disease in September. According to an analysis, earlier tests in April failed to find Legionella at the facility.

While the number of positive tests at the assisted living facility also exceeded the 30% threshold, the state health department said the location is not regulated by state requirements.

Due to the positive tests, the facilities are considered to be under an active clinical surveillance period where patients will be identified with healthcare-associated pneumonia. Specific Legionella tests are then performed for each of these residents.


Jon Goldberg, a spokesman for ArchCare, said routine water tests on October 11 found high levels of Legionella bacteria at Eger Health and Rehabilitation Center and Harbor House and that these results were “immediately reported” to the city and state health departments. Facility water systems were then flushed as thermal disinfection protocols were initiated.

Additional layers of protection have also been put in place, including the use of continuous chemical disinfection equipment at both facilities.

The nursing home resident who tested positive for Legionella on Oct. 18 has responded well to treatment and is recovering in the nursing home, Goldberg added.

“Staff communicated with residents as needed and stayed in close contact with the families of all residents tested for Legionella to keep them informed,” Goldberg said. “Eger consulted with state and city officials throughout this process and continues to do so. We are grateful for their guidance and feedback on all the actions we have taken and welcome their continued input. »

The cause of the presence of Legionella in water systems is not immediately clear. The main way to control the risk of Legionella is to store at higher temperatures.


Legionnaires’ disease comprises two illnesses — Legionnaires’ disease and Pontiac fever, the latter of which is milder, the Centers for Disease Control and Prevention said. Legionnaire’s disease is fatal in about 10% of cases.

People can contract Legionnaires’ disease or Pontiac fever when they breathe in small water droplets in the air that contain Legionella, which can come from cooling towers, water tanks and other infrastructure. building plumbing.

Symptoms include fever, chills, muscle aches and a cough, the New York City health department said.

The state health department passed regulations requiring cooling towers to be registered, inspected, and tested regularly for Legionella beginning in 2015, launching an early nationwide effort to reduce exposures.

Two cooling towers at 140 Meisner Ave. listed in city records have not been violated in annual inspections since 2017. Data shows that no testing was conducted in 2020 and an inspection for 2022 has yet to be completed.

HSE recognizes graduates of the SETU Psychiatric Nursing Course

Wexford STUDENTS were among those honored recently for successfully completing four years of study at South East Technological University (SETU).

n all 39 SETU B.Sc. graduates. (Honours) in Psychiatric Nursing were recognized at ceremonies following the completion of the course which included 80 weeks of clinical placements at HSE/South East Community Healthcare Mental Health Services.

Concluding their fourth year of courses and a continuing 36-week placement with HSE/South East Community Healthcare (SECH), 18 of the students from Waterford and Wexford Mental Health Services received their qualifications at St. Patrick’s Gateway Centre, Waterford.

A similar presentation ceremony was held for 21 students from Carlow, Kilkenny and South Tipperary Mental Health Services at St. Canice’s Hospital in Kilkenny.

Upon completing their training at the HSE in the coming weeks, which began in September 2018, the 39 participants will register with the Nursing and Midwifery Board of Ireland as psychiatric nurses.

Speaking at the ceremony in Kilkenny, Irene Ryan (ESCN Nursing Practice Development Coordinator for Carlow-Kilkenny/South Tipperary), thanked all the students for continuing their education during the unprecedented time of the pandemic.

“They were instrumental in providing the highest possible standards of care in mental health services at this time,” Ms Ryan said.

“They have both our sincere gratitude and our admiration for their commitment,” she added.

Speaking at the Waterford ceremony, Ursula O’Neill (SECH Nursing Practice Development Coordinator for Waterford/Wexford) also praised the students.

“We are delighted that these students have chosen this career,” she said.

“Psychiatric/mental health nursing is a specialized area within the health profession,” she added.

“It involves an interpersonal and caring process that recognizes the uniqueness of each person. The psychiatric nurse is concerned with the promotion of mental health, the prevention of mental illness and the provision of care to people with mental health problems.

The ceremony at St. Canice’s Hospital was delivered by SECH’s Carlow-Kilkenny/South Tipperary Mental Health Services Region Director of Nursing, Avril Nolan, in addition to respective Clinical Placement Coordinators, Emer O’ Donnell (South Tipperary), Claire Fitzgerald (Kilkenny) and Helen Heffernan (Carlow).

The ceremony at St. Patrick’s Gateway was also delivered by SECH’s Waterford/Wexford Mental Health Services Area Director of Nursing, Kasia Nolan, and Clinical Placement Coordinators John Fitzgerald (Waterford) and Marilyn Vereker ( Wexford).

Also in attendance were Joan Croke Power (Assistant Director of Nursing) and Colman Noctor (Speaker, Department of Nursing and Health Care, SETU).

A spokesperson for HSE/South East Community Healthcare said it was working closely with SETU to facilitate clinical placements across a diverse range of mental health services. This includes work in the Department of Psychiatry’s acute mental health inpatient units and residential units for elderly psychiatry and rehabilitation centers.

There are also placements in other high, medium and low support residences, day hospital services, specialized nursing support in acute care hospitals such as emergency services liaison services and participation in community mental health teams and other community supports and services based in and from primary care centres. .

The spokesperson said the diverse training offered in the Southeast to psychiatric nursing graduates provides a solid foundation for students to grow professionally and make lasting contributions to the delivery of quality, safe mental health care. and effective at local, national and international levels.

The cooperative aggregates EHR data from nursing facilities

A collective of long-term care providers and tech companies are working together to develop the nation’s most comprehensive health records system to monitor the impact of care treatments on nursing home residents and nursing homes. conduct robust public health surveillance of infections.

The Long-Term Care Data Cooperative is the first of its kind where providers oversee how their data is used, especially by academic researchers and public health specialists, according to the American Health Care Association (AHCA), which represents more than 14,000 nonprofits and owners. skilled nursing centers, assisted living communities, sub-acute care centers and homes for people with intellectual and developmental disabilities.

Healthcare technology platform company PointClickCare recently joined MatrixCare, American HealthTech Inc., Brown University, and Exponent Inc. to aggregate EHRs and related data representing geographically and structurally diverse nursing care facilities to create health records. to monitor residents’ needs and outcomes. The system will allow providers to receive targeted data reports that can help improve care. It will also support public health surveillance and academic research to generate concrete evidence on the effectiveness of different treatments and care practices.

“We are extremely excited that PointClickCare, a company committed to improving resident outcomes with data, is joining the cooperative to help us continue to protect and care for our most vulnerable resident population in an ever-changing environment,” said David Gifford, MD. , MPH, AHCA’s chief medical officer and board-certified gerontologist, in a statement. “Prior to beginning this effort, we found little academic research or clinical evidence on effective treatments for elderly nursing home residents, as they are often excluded from federally funded research due to lack of data. . Today’s announcement opens the door to research to help understand how to best treat our residents.

“The pandemic has driven long-term and post-acute care providers as well as life science companies to leverage longitudinal patient data to mitigate the challenges of on-site clinical trials, and we can expect this collaboration to pave the way for future innovations in healthcare,” said Jeff Wessinger, vice president and general manager of life sciences at PointClickCare, in a statement. “We have an idea of ​​the majority of aging patients in North America, and we are proud to share this data, where permitted, with healthcare organizations, government agencies and life science companies. to help discover cures and improve outcomes.

The AHCA notes that a barrier to developing appropriate clinical and operational responses to COVID-19 has been the lack of comprehensive data. In fact, most clinical guidelines are based on studies in younger, healthier people, with no idea what works for older people living in nursing homes, often with multiple chronic conditions. Although the Centers for Medicare and Medicaid Services and the Centers for Disease Control and Prevention have data reporting systems, they do not provide enough clinical information to understand and assess the impact of treatments such as vaccines and antivirals. on the lives of residents. The cooperative will try to meet these challenges.

Best Bad Credit Loans of 2022 – Forbes Advisor


When it comes to personal loans, you can apply for two types: secured and unsecured loans. However, if you are having difficulty qualifying for a personal loan, consider other bad credit loans.

Secured and Unsecured Personal Loans for Bad Credit

Traditional personal loans can be secured or unsecured. Secured loans require you to provide something of value (also called collateral), such as your car, savings account, or home, to secure (or secure) the loan. The lender can repossess the collateral if you are late paying or in default. This makes them less risky for a lender, which also means they tend to come with more favorable terms, like lower interest ratesand fewer qualification requirements.

Unsecured Loans, on the other hand, are the more common of the two and do not require any guarantees. Since these loans do not require collateral and therefore pose more risk to lenders, they usually come with higher qualifying conditions and higher interest rates. The loans on this list are all unsecured personal loans.

Student loans for bad credit

If you are trying to cover graduate school fees, student loan for bad credit is probably the direction you want to look. Although private student loans generally require good credit, borrowers with bad credit can take out federal student loans, which do not require a credit check. Federal loans also come with the most flexible repayment terms, including forgiveness if you work in the civil service or choose certain repayment plans.

Car loans for bad credit

A car loan is a secured loan that uses your car as collateral, meaning the lender can repossess your car in the event of a late payment or default.

Similar to personal loan, car loan qualification requirements vary for each lender and dealer. Although we recommend a minimum credit score of 670 to qualify for the most favorable terms, you can still get a car loan with a lower score as long as you complete the debt/income (DTI) and make a larger down payment.

payday loans for bad credit

Payday loans are small, short-term loans (usually up to $500) that you repay once you get your next paycheck, usually two to four weeks after you take out the loan. Many lenders don’t require a credit check, which is often appealing to people with bad credit. However, don’t get too many illusions. Payday loans come with a ton of risk and exorbitant fees. Consider other alternatives first, such as personal loans or borrowing money from friends and family.

Home equity loans and HELOCs for bad credit

If you have sufficient equity in your home (the current market value of your home minus the remaining balance of your mortgage), you may be able to get a home equity loan Where home equity line of credit (HELOC). Both allow you to draw on your home, meaning your home secures the transaction and the lender can take it back if you don’t pay back. However, home equity loans are paid out in lump sums, while HELOCs limit you to withdrawing funds as needed.

But borrowers with bad credit ratings are unlikely to qualify for these loans. Most traditional lenders require minimum scores between 600 and 620. There may be a specialty lender or credit union that will make an exception, but this is not common. People with scores below 600 should go through hard money lenders, such as private or corporate investors, not a bank. While hard money lenders are more flexible, they are generally a more expensive route.

Whistleblowers add to nursing homes’ COVID relief charges


A $105 million federal lawsuit filed last week — one possibly set to be dismissed quickly — shows the growing threats nursing home operators face to justify their right to collect and spend COVID relief funds.

A civil whistleblower lawsuit filed Wednesday in U.S. District Court for the Southern District of New York alleged that the owner of nursing homes, home health care and recruitment agencies in at least four states “fraudulently obtained the CARES Act disaster relief through fraudulent certifications of eligibility.”

GNGH2, which claimed to be making its allegations on behalf of the federal government, accused New York-based Citadel Care Centers and its affiliates of wrongfully accepting forgivable loans from the Paycheck Protection Program. The 2020 program was intended to help small businesses and was funded by the Coronavirus Aid, Relief, and Economic Security Act, or CARES, Act.

A total of 15 Citadel-linked companies, including four nursing homes in New York and six in Florida, linked to owner Leopold Friedman received individual loans ranging from $164,000 to $9.1 million.

GNGH2, a New Jersey company led by David Abrams, the attorney who filed the lawsuit, said the combined loans totaling $35.3 million violated the CARES Act’s $10 million per company cap.

“Looking at the concern as a whole, defendants and related entities had far more than the maximum assets, payroll size and earnings for qualification,” Abrams said in his filing. “Thus, the defendants necessarily made false statements when they executed [a PPP loan application].”

A request for comment from Citadel Care Centers was not acknowledged prior to the production deadline.

While the CARES Act limited receipt of PPP loans to businesses with 500 or fewer employees, small nursing homes and other health care providers would have been eligible to apply, said Donna Fudge, a civil attorney who serves as counsel. in tort for the Florida Health Care Association.

“EHPAD and ALF [assisted living facilities] would have been eligible to receive PPP loans provided they met government eligibility criteria,” said Fudge, of Fudge BRoadwater, PA. “The long-term care industry has been one of the hardest affected by the negative impacts of COVID-19 on their cost of doing business…and their incomes (decrease in new admissions, decrease in resident census levels) falling.

“In short, in my opinion, long-term care businesses were the exact type of business that the PPP loan was designed and intended to help weather the COVID-19 storm.”

Before learning that Abrams planned to withdraw the False Claims case, Fudge said it would lead the industry into “uncharted waters”. But providers face many pressures to document and report provider relief funds, and related auditing activities by health and human services and the Department of Justice are intensifying.

But Fudge said she was not aware of any similar whistleblower claims against long-term care providers regarding relief qualifications or expenses.

It was unclear how GNGH2 could have had visibility into the company’s operations or otherwise know that it was in violation of qualification rules. Asked about the company’s status as a whistleblower on Friday, Abrams said McKnight Long Term Care News that he anticipated that “the case will be voluntarily dismissed shortly, that is, it will not proceed”.

He declined to comment further.

It is unclear what type of business GNGH2 provides, but it was founded by Abrams in early 2020. The government declined to intervene in the Citadel lawsuit but had asked the court to keep it informed of any dismissals or settlement.

Abrams filed a similar lawsuit against a group of New Jersey nursing homes late last year; he requested and obtained the voluntary dismissal of this case in September.

But in at least one case, a company agreed to a financial settlement after GNGH 2 filed a similar whistleblower claim. The government intervened in the case, and Milwaukee Target Public Relations paid $2.25 million to resolve the allegations. He did not admit any wrongdoing.

State House candidate Nash, a nurse, for better health care

Barb Nash

Barb Nash

“We need to focus on access to health care and expand Medicaid,” says Barb Nash.

Nash, one oneAdvanced Practice Registered Nurse and Adjunct Professor at USC Beaufort is running as a Democrat for the SC House of Representatives in District 124 in the Nov. 8 election.

She has her registered nursing degree from Christ Hospital School of Nursing, and a master’s and bachelor’s degree in nursing from The Ohio State University.

She has never held public office but ran for District 124 in 2020.

The Island Packet sent out questionnaires to all contenders in contested races. Candidates were asked to limit their responses to 150 words per question.

Here are Nash’s responses:

Barb Nash

What are your main challenges for this campaign?

1. Improve access to health care in South Carolina through Medicaid expansion, increase primary care providers by removing barriers to advanced practice nurses, and improve health care for women, including women having access to legal and safe abortions without restrictions.

2. Safer communities by providing law enforcement with the support they need and equipping them with the resources to deal with the issues they face in today’s world. Implement gun safety laws and close the Charleston loophole.

3. Fully fund public education and provide a solid public education for all children so they are ready to live their best lives, and improve teachers’ working conditions and pay.

4. Combating the threats of climate change for the Lowcountr.

5. Protect our voting rights by removing arbitrary barriers.

6. Pass a hate crimes bill.

What issues affecting the district will be addressed in the next legislative session?

The 2023 legislative session in South Carolina must complete unfinished business from 2022 and address new initiatives. Budget and spending are a concern as the new tax cut takes effect, and lawmakers need to determine what revenue is available to fund needed social programs, infrastructure and education.

Hopefully we will achieve full funding for public education and reform that allows teachers to do their job without wasting time on bureaucratic duties. South Carolina is one of two states without a hate crimes bill and I anticipate that this legislation will be reintroduced and eventually enacted.

We need to focus on access to health care and expand Medicaid so that people currently at risk of financial ruin are assured of a safety net.

Should the state use public money to create scholarship accounts to allow parents to send their children to private schools?

All children deserve access to a solid, quality public education. Private schools have their place in our state, but public money (taxpayer money) should never be used to fund them. If private schools have an endowment, they are free to offer scholarships from their own funds. Instead, we must fully fund public education from universal K-12, which we have never done. We have teacher flights to South Carolina, because between 5,000 and 7,000 teachers leave each year.

We need to hire the best teachers we can find, pay them well, improve the facilities they work in, reduce class sizes, and provide statewide broadband. Siphoning off public money for private schools contributes to the continued decline of the public education system and keeps South Carolina ranked 46th in education in the nation. Our children deserve better!

Should SC ban abortion? What exceptions, if any, should there be for an abortion ban?

Abortion is a health care procedure performed for a variety of reasons and should never be prohibited or restricted in any way. Criminalization and restrictive abortion laws prevent health care providers from doing their jobs properly and providing the best care options to their patients, in accordance with good medical practice and their professional ethical responsibilities. Pregnancy is complicated and the development of the fetus is not always a smooth and perfect process. Abortion bans endanger health care for those who do not seek abortions, such as women who experience an ectopic pregnancy or miscarriage, and the bans are a slippery slope toward banning certain forms birth control.

For women who are denied an abortion, household poverty increases and often entails difficulty finding housing, food and escaping abuse. Bans do not stop abortions. They just make them less safe and more women die. Women deserve the right to bodily autonomy without government interference.

The Green Space Sales Tax Referendum is also on the ballot for Beaufort County voters. Do you support the statewide effort to fund conservation efforts with sales taxes?

Yes, I support green space conservation funding as long as the money goes to its intended use. We need to preserve areas that will remain intact and contribute to the quality of life in the county. This proposal is an example of a true bipartisan initiative that not only benefits our county but also our state.

Is there anything that can be done at the state level to address the shortage of affordable housing in the Lowcountry?

The South Carolina Code of Laws, Title 31 – Housing and Redevelopment, Chapter 22, Section 31-22-10(B), addresses affordable housing. However, the purpose of this chapter is to authorize a local government to establish and manage, individually or jointly, a local housing trust fund or a regional housing trust fund in order to promote the development of affordable housing. Recently, eight cities and towns and counties…signed on to invest $10 million over the next 10 years to find and build affordable and workforce housing in the region. This example of cooperation and coordination is a great start, but it still takes land, money and developers to come together to build truly affordable housing for our families and workers.

At the state level, measures can be adopted through the tax system to provide incentives to developers, but also to provide tax credits to future owners. For example, in South Carolina, the allocation of low-income housing tax credits is limited below what we are allowed at the federal level. We could also launch a basic state tenant assistance program to help young families meet their housing needs. We need a willingness to work together – state, counties and local municipalities – to solve this problem.

Sebastian Lee covers Beaufort County for The Island Packet and Beaufort Gazette. He’s graduating from the University of South Carolina in 2022. If he’s not working, he’s probably watching a good movie.

Department of Health Updated Regulations to Improve Care for Nursing Facility Residents, Clears a Major Hurdle | New

HARRISBURG — Regulations that govern resident care at skilled nursing facilities are about to be updated for the first time in nearly 25 years following a meeting Friday in Harrisburg, where the secretary at Acting Health and Pennsylvania Surgeon General Dr. Denise Johnson explained the benefits of the regulations to the Independent Regulatory Review Commission (IRRC), which unanimously approved the regulations, and parties stakeholders.

“Today’s unanimous approval by the Independent Regulatory Review Commission is an incredible step in a years-long process to develop regulations to improve the care residents receive in skilled nursing facilities across state,” Dr. Johnson said. “These regulations incorporate valuable input from interested stakeholders, including industry groups, resident advocates and the public. Carefully crafted regulations benefit residents, staff and facility operators.

Llanyravon Court Nursing Home: A resident has broken both legs


A RESIDENT at a care home in Cwmbran fell trying to reach the toilet bell and broke both legs – she died 16 days later.

Llanyravon Court Nursing Home resident Patricia Parfitt – who died aged 90 in March 2019 – rang the toilet bell for almost two hours.

South Wales Argus: Photo of Patricia Parfitt's broken legs: Kathryn RimmerPhoto of Patricia Parfitt’s broken legs: Kathryn Rimmer (Photo: Kathryn Rimmer)

The broken legs of Patricia Parfitt. Photo: Kathryn Rimmer

TheArgus has previously reported concerns about the Llanfrachfa Way care home.

The home has been instructed to take steps to improve issues around cleanliness, kitchen hygiene and staffing levels, as well as medication management and governance systems and processes. by the end of October.

Her daughter Kathryn Rimmer said: ‘She started ringing the toilet bell at 5pm and she kept ringing it, they moved the bell so she couldn’t press it – that’s what They did.

“At 6.45pm she leaned forward to press the buzzer and fell out of her chair – she broke both legs at the top end.

South Wales Argus: Patricia in happier times photo: Kathryn RimmerPatricia in happier times photo: Kathryn Rimmer (Photo: Kathryn Rimmer)

Patricia Parfitt in happier times. Photo: Kathryn Rimmer

“She had to go to hospital for 16 days and then died. They couldn’t operate on him, so they put plaster up to his thighs.

“I stayed with her for 16 days – I returned home when she was in hospital dying, and I was disgusted by their response.

“They didn’t say they were sorry or offer their condolences.

“It was a terrible time; this kind of thing really weighs on you.

Ms Parfitt, who lived in the house for almost four years, celebrated her 90th birthday in January 2019 – she died two months later.

South Wales Argus: Patricia in hospital - she died 16 days after breaking both legs Photo: Kathryn RimmerPatricia in hospital – she died 16 days after breaking both legs photo: Kathryn Rimmer (Photo: Kathryn Rimmer)

Patricia Parfitt in hospital – she died 16 days after breaking both legs. Photo: Kathryn Rimmer

Ms Rimmer said: ‘She still had a few years left and she still had her faculties – it’s very sad to think she could still be here now.

“At night she would press the buzzer and call to go to the bathroom and on several occasions they would tell her to pee in her diaper pants.

“Another time, she turned the TV on so loud they came to her because they weren’t answering.

“It was good at first, but I saw the deterioration of the house and her.

“She was constantly having urinary tract infections, they put water in the room but they put her out of the way so she couldn’t reach it.

“I dread to think what happens to people who aren’t being watched by people.”

Senior staff at Llanyravon Court met with residents, families and representatives last Thursday, alongside Torfaen County Borough Council and Aneurin Bevan Health Board, to discuss concerns raised by CIW.

Last Wednesday, manager Neil Reid said: “The inspection was daunting, but we are confident we can achieve compliance.”

Llanyravon Care Home has been contacted for comment.

Why the future of autonomous skilled nursing facilities could be bleak

The nursing home sector remains largely fragmented, as evidenced by the fact that just under a third of the sector is currently made up of single-site providers.

But that number is starting to slowly decline — after dropping two percentage points during the Covid-19 pandemic, according to NIC MAP Data, powered by NIC MAP Vision.

Even before the challenges that were exacerbated by Covid, industry leaders across the country were the least optimistic for self-employed skilled nursing workers. Specifically, 36% of respondents to Lancaster Pollard’s 2019 Housing and Aged Care Survey rated the outlook as “poor”.

While single-site SNFs may actually have a competitive advantage in occupancy and staffing, industry experts believe the wide variation in operational performance between these organizations could lead to sales and closures in years to come. coming.

Cory Rutledge, CliftonLarsonAllen (CLA) industry general manager, healthcare, said he expects that number to eventually decline as buyers of skilled nursing facilities do not enter the market to purchase a establishment.

“A lot of these are private companies or multi-site investors looking to add to their portfolio. Even if single sites and multiple sites sell at the same rate, the overall percentage of single sites will decrease over time as the vast majority of buyers are multi-site,” he wrote in email responses to Skilled Nursing News.

Rutledge expects to see more regional providers in three to five years with between 10 and 30 facilities that have a geographic focus.

A competitive advantage

When comparing the performance of single sites to multiple sites, the data shows that free-standing retirement homes can have a competitive advantage when it comes to occupancy and staffing.

For example, the average number of nursing hours per day is higher for single sites (4.72) than for multiple sites (4.26), according to data from the 2021 Medicare Cost Report analyzed by CLA.

Agency staffing as a percentage of all nursing is also lower for single sites — 9.24% versus 10.51%. Occupancy is also “significantly higher” for stand-alone establishments (81.61%) compared to multi-site providers (71.57%).

On the other hand, the occupancy of smaller operators tends to be more unpredictable, according to NIC senior data analyst Omar Zahraoui.

“Generally, the smaller the property, the more volatile the occupancy due to the impact of a few moves…especially if they’re not part of a larger portfolio,” he said.

The biggest opportunity for single site operators is reputation and local community engagement, according to Rutledge.

“Skilled nursing has struggled with public perception nationally, but a single-site facility that is an integral part of the community has the potential to generate both referrals and workforce work if it can turn its reputation into a strategic advantage,” he told SNN.

Chelsey Gray, transformation manager at Revive Health Senior Care Management, saw this firsthand as a small operator in Northern Nevada.

Gray and her husband, Zachary Gray, bought their first retirement home together in 2019 and were single-site providers until they acquired two more facilities earlier this year.

Being a small operator allowed them to understand where there were opportunities for efficiency in all positions, whether it was housekeeping for a registered nurse – and what they needed to do their work.

Gray said their goal was to ultimately transform how people think about skilled nursing in the state of Nevada, and being small and living in the state where they operate allowed them to develop relationships. with state legislators.

“Zach and I are also licensed CNAs. I did it to get to know the industry better, because that’s the biggest part of our staff… And we did everything from washing the dishes to cleaning the rooms. Honestly, part of it was because of understaffing or being called, but other parts are that we need to understand the departments and where their gaps might be and how to improve them,” Chelsey Gray told Skilled Nursing News.

Rutledge said one of the ways vendors have managed to operate with fewer employees overall has been to leverage outsourced help, especially with roles like human resources, accounting, financial reporting, invoicing and collections, among others.

To look forward

Despite some of the community and reputation-based benefits that exist with a stand-alone qualified nursing facility, the headwinds are, in many cases, stronger than those of a multi-site regional provider. said Rutledge.

The main issue impacting transactions today is financial viability – particularly considering the negative operating margins over the past 18 months and the largely dried up federal government support related to Covid, noted Rutledge.

Regarding the ability to generate cash, measured by the EBIDA margin, these figures are slightly lower for single sites (11.36%) than for multi-site operators (11.60%).

And this can vary greatly depending on the type of unique site provider. Stand-alone nursing homes fall into one of three categories: private (33%), government-run (19%) or non-profit (48%).

But there are scenarios in which there is a real possibility that each of these types of facilities will end up in the hands of a multi-site provider, according to Rutledge.

For example, facilities that are privately run in many cases are owned by people approaching retirement age who have no succession plan.

In the case of government-run facilities, many cities and counties review their budgets and determine if they have the finances and skills to operate the retirement homes under their jurisdiction. Those who decide that running an SNF is not a priority will close or sell to a multi-site operator.

For nonprofit autonomous operators, Rutledge likened it to the “haves” and the “have-nots.”

“High performers may have the resources to continue to succeed, but nonprofits in financial difficulty will likely sell or go out of business. My advice to struggling nonprofits is to raise your hand and start affiliation discussions before they are under financial duress. The number of options for a financially viable nonprofit are many, but those options quickly dwindle in times of financial hardship,” he said.

Stefanik calls for federal investigation into deaths in New York’s COVID-19 nursing homes – Saratogian


NORTH GREENBUSH, NY – At Van Rensselaer Manor, Representative Elise Stefanik was joined by Rensselaer County Executive Steve McLaughlin on Monday afternoon to announce that if Republicans take control of the House after the midterm election By then, she plans to convene a congressional inquiry into March 2020 ordering New York Governor Andrew Cuomo to force COVID-19-positive residents into nursing homes.

In January 2021, New York State Attorney General Letitia James released a report stating that the state health department had underestimated the number of COVID-19 deaths in the world by 50%. retirement homes. The decision resulted in the deaths of as many as 15,000 long-term care residents.

Rensselaer County and McLaughlin defied the order and chose not to allow COVID-19 positive patients to return to the Van Rensselaer Mansion, saving countless lives.

“We said no and decided to protect the lives and safety of our elders,” McLaughlin said.

“We stayed strong. We got up. We deserve the answers. The people of New York deserve answers. They were promised these answers and this congresswoman from New York is about to give them to us. We’re so proud to have stood up and I’m so proud we all have to stand next to Congresswoman Elise Stefanik who’s going to get the answers that the people of New York state and the people of the United States deserve,” added McLaughlin.

Stefanik (R-Schuylerville) thanked healthcare workers who care for the elderly and protect their health and well-being.

“I am so grateful that this is a priority for Rensselaer County in terms of protecting the residents of Van Rensselaer Mansion,” Stefanik remarked.

“Make no mistake, there must be accountability and there must be transparency and answers for New York State, Governor Cuomo’s executive order that failed to meet CMS guidelines, which forced Covid-positive patients into nursing homes across this state,” Stefanik continued regarding the need for further investigation into these nursing home deaths.

“Once again, Rensselaer County has made the right decision under Steve’s leadership to stand firm in protecting the health and safety of seniors,” Stefanik noted.

“So while Democrats in Albany have refused to conduct a full investigation; while Washington Democrats declined to conduct a full investigation. House Republicans will,” Stefanik added.

Last month on 60 Minutes, President Joe Biden said “the pandemic is over.” While the president and members of both parties have apparently chosen to pretend to ward off the pandemic, COVID-19 continues to kill nearly 3,000 people or one 9/11 a week in the United States.

Additionally, according to the New York State Department of Health, in the Capital Region, the seven-day rolling average positivity rate for Rensselaer County is 8.1%, Saratoga County is 7.6% and Albany County is 8.1%.

With these numbers lingering, Stefanik commented on what should be done to protect the elderly and vulnerable populations in the future.

“Well, look here in Rensselaer County, the fact that they opposed Governor Cuomo’s unscientific and fatal executive order and the fact that Governor Cuomo and his public health office refused to listen to our workers. healthcare on the front line of retirement homes. who are responsible for the welfare of the elderly in nursing homes like this. We will use best practices, like in Rensselaer County, thanks to the strong local leadership of Steve McLaughlin who works with county employees to prioritize health and wellness,” Stefanik said.

“Also, we know a lot of research from when COVID first hit to where we are today in terms of therapies, in terms of ensuring that we have adequate testing, adequate PPE, but certainly this economy is reopening, we are moving on. But you what also one of the fatal decisions was the isolation. The isolation that older people faced was devastating and it has major impacts on their health, their physical health and I think any healthcare worker will tell you that hearing from family members and having that type of activity, it’s very, very important for older people,” Stefanik explained.

“I therefore congratulate the management of Van Rensselaer Manor. I commend Rensselaer County leaders and we will be looking to this county for best practices that should be adopted nationally,” added Stefanik.

The congresswoman also remarked on whether she and her colleagues in Washington would look into other scandals involving the former governor.

“Well, the list goes on, doesn’t it, of Albany Democrat corruption scandals?” Stefanik was of the opinion.

“It keeps growing. I mean, look at Kathy Hochul’s latest bribery scandal. The fact that we are paying more in New York State for Covid testing and now she has a first campaign donor of over $100,000,” Stefanik continued.

“This is corruption and it should be investigated and if the Democrats in Albany refuse to do so, we will look into corruption to expose it at all levels because we represent the taxpayers and For too long Democrats in Albany have focused on protecting themselves and it’s building.” this cesspool of corruption. We need to stand up for transparency and accountability, which House Republicans are going to do,” Stefanik added of further investigations.

When asked to comment on Stefanik’s remarks, Rich Azzopardi, founding and senior partner of Bulldog Strategies and spokesperson for the former governor, offered the following statement.

“She’s said this 100 times and I’m sure she has a lot of questions about Jeff Clark, the Trump insurgent in charge of the DOJ’s bogus investigation into blue state nursing home policies before he be reassigned to help cancel the election,” Azzopardi said. .

Alongside Rensselaer County Executive Steve McLaughlinat Van Rensselaer Manor in North Greenbush, Representative Elise Stefanik announced Monday afternoon that she intends to conduct a congressional investigation into former Governor Andrew Cuomo on the deaths in COVID-19 nursing homes, if Republicans retake the House.
Alongside Rensselaer County Executive Steve McLaughlin at the Van Rensselaer Mansion in North Greenbush, Rep. Elise Stefanik announced Monday afternoon that she plans to conduct a congressional investigation into former Gov. Andrew Cuomo on COVID-19 nursing home deaths, if Republicans retake the House.
Alongside Rensselaer County Executive Steve McLaughlinat Van Rensselaer Manor in North Greenbush, Rep. Elise Stefanikan announced Monday afternoon that she plans to conduct a congressional investigation into former Governor Andrew Cuomo on the deaths in COVID-19 nursing homes, if Republicans retake the House.
Alongside Rensselaer County Executive Steve McLaughlin at the Van Rensselaer Mansion in North Greenbush, Rep. Elise Stefanik announced Monday afternoon that she plans to conduct a congressional investigation into former Gov. Andrew Cuomo on COVID-19 nursing home deaths, if Republicans retake the House.
Alongside Rensselaer County Executive Steve McLaughlinat Van Rensselaer Manor in North Greenbush, Rep. Elise Stefanikan announced Monday afternoon that she plans to conduct a congressional investigation into former Governor Andrew Cuomo on the deaths in COVID-19 nursing homes, if Republicans retake the House.
Alongside Rensselaer County Executive Steve McLaughlin at the Van Rensselaer Mansion in North Greenbush, Rep. Elise Stefanik announced Monday afternoon that she plans to conduct a congressional investigation into former Gov. Andrew Cuomo on COVID-19 nursing home deaths, if Republicans retake the House.
Alongside Rensselaer County Executive Steve McLaughlinat Van Rensselaer Manor in North Greenbush, Rep. Elise Stefanikan announced Monday afternoon that she plans to conduct a congressional investigation into former Governor Andrew Cuomo on the deaths in COVID-19 nursing homes, if Republicans retake the House.
Alongside Rensselaer County Executive Steve McLaughlin at the Van Rensselaer Mansion in North Greenbush, Rep. Elise Stefanik announced Monday afternoon that she plans to conduct a congressional investigation into former Gov. Andrew Cuomo on COVID-19 nursing home deaths, if Republicans retake the House.
Alongside Rensselaer County Executive Steve McLaughlinat Van Rensselaer Manor in North Greenbush, Rep. Elise Stefanikan announced Monday afternoon that she plans to conduct a congressional investigation into former Governor Andrew Cuomo on the deaths in COVID-19 nursing homes, if Republicans retake the House.

UMass Memorial Health nurses and healthcare workers ratify new hospital contracts

WORCESTER – About 2,770 nurses and health care workers from several hospitals in the UMass Memorial Health System have ratified new contracts in recent months, offering pay increases of between 8% and 19.5%, depending on the institution and the contract length.

“Our UMass nurses and healthcare professionals have been the backbone of Worcester area hospitals since the pandemic began in early 2019. But those same professionals have also been overstretched and often burnt out,” Katie Murphy, a registered nurse and president of the Massachusetts Nurses Association, said in a statement Friday announcing the ratifications.

“Too many patients, too few resources and insufficient compensation forced them off the bedside,” Murphy added. “But with overdue improvements like those seen in these UMass contracts, we expect nurses to come back and stay at the bedside – something our local communities need.”

Related:Nurses at St. Vincent’s Hospital overwhelmingly approve contract, officially ending strike

Contracts involving nurses and medical professionals were ratified June 29 at the Memorial and Hahnemann campuses of UMass Memorial Medical Center; September 29 at UMass Memorial Medical Center – University Campus; July 28 at Marlborough Hospital; and Sept. 7 at the Clinton Campus of UMass Memorial HealthAlliance – Clinton Hospital.

Clinton and Marlborough hospitals ratified two-year contracts, while UMass Memorial contracts were for three years.

“Every day, we are moved by the compassion, resilience and professionalism of our nursing staff, who continue to provide exceptional care to all of our patients and their loved ones,” Justin Precourt, who is a registered nurse and head nurse / chief nursing vice president of patient care services at UMass Memorial Medical Center and chief nursing officer at UMass Memorial Health, said in a statement.

“We are excited to have these newly ratified contracts in place, which will bolster critical recruitment and retention efforts for our system and support our talented clinical teams to improve patient outcomes,” Precourt said. “Given the pervasive economic challenges of the healthcare industry, we are grateful to our nurses for engaging in amicable negotiations throughout this process.

“We look forward to continuing to partner with them to create a work environment that values ​​the contributions, well-being and growth of our nurses. »

Faith Community Nursing course aims to connect churches through holistic health care

Oct. 22—FAIRMONT — A nursing initiative designed to provide health care in churches is free for nurses in Marion County.

The West Virginia University School of Nursing offers a Faith Community Nursing course for individuals wishing to help meet the specific needs of faith-based organizations. The course can be taken anywhere in the state, but for the fall semester, Mingo and Marion counties take priority.

The eight-week course is scheduled to start in mid-November. The course was made free through a grant from the Rusty and Kimberly Hutson Family Foundation.

“We are looking for ways to educate nurses across the state of West Virginia, and our Foundations of Faith Community Nursing course is completely online. So any nurse from anywhere in the state can do the training, without, you know, there’s no need to travel and we get financial support to be able to deliver the course through scholarship funds, so any nurse who wants to take it, you know, in different parts of the state we have these scholarship funds to cover the cost,” said Angel Smothers, associate professor of clinical nursing at West Virginia University.

Smothers and Stephanie Young, faculty members of the School of Nursing, will facilitate the nationally recognized faith-based community nursing courses.

The program will help nurses use the skills they have already developed to work in faith-based community settings, where they are able to provide support, advocacy and education to community members in the area, Smothers said. .

Health issues are among people’s top concerns. Churches are places of trust where information can be shared. If a member of the church is a nurse with this specific training, they can – they can – respond to questions, perform certain functions, and be easily accessible to what faith means, in the context of health and wholeness,” said Reverend DD Meighen of West Virginia University Campus Ministries.

Smothers said she looks forward to the semester and connecting nurses to other counties in the state in the future.

“We look forward to connecting the nurses going through the training in Marion County, with the nurses going through the training and Mingo County. These are very different counties with very different populations. But we want to connect them so they can learn from each other,” Smothers said.

The faith-based community nursing professional practice program focuses on intentional care of the mind as part of the process of promoting holistic health and preventing or minimizing illness in a faith-based community, according to a news release.

“A lot of what we do in nursing is advocacy – we advocate for patients, no matter what setting we work in. And the role of faith-based community nursing is not new. But we are beginning to see more and more faith-based communities investing in and paying for faith-based community nurses, when in the past these were volunteer positions,” Smothers said.

The course is also open to chaplains, pastors, social workers and others, but only registered nurses who complete the course can use the title “Faith Community Nurse”.

To register or for more information about the course, email Angel Smothers at asmother@hsc.wvu.edu.

Contact me at sshriver@timeswv.com or 304-367-2549.

Consolidation of student loans, IRS tax brackets, gas prices…


Hello everyone and thank you for participating in this latest edition of our daily MARCA in English American financial news blogthe space where we bring you updates on all financial news and benefit plans of the whole world United Stateswith this edition which will reach you on friday 21 october.

We use this space to explain how you can make more money, through programs such as 2023 IRS Tax Brackets, Dunning checks Where Student loan consolidationas well as how to save money on things like Gas prices.

Combined, this all leads to more money remaining in your bank account. So, follow us for all the latest updates, which follow below with the most recent ones closest to the top.

U.S. Finance Updates, Friday, October 21: The latest money-saving tips and benefits news.

It is therefore our MARCA Financial news blog in Englishwhere we bring you daily information about benefit programs worth knowing in the US, detailing what they are called and who is eligible.

As mentioned above, this still includes, for now, Dunning checksthat still exist in some states, depending on where you live and your state government’s current policies.

There is also more general money saving tips namely, especially in this period of very high inflation.

Gas prices remain very high, especially in certain states such as California, and this is why it is necessary to keep in mind that it is possible to pay a little less at the pump if you shop around a little. So we will provide you with a list on today’s blog of cheap gas stations in major cities in the United States of America.

Besides that, there’s a lot more to discuss too, so stay here for that. The American Friday financial news blog.

Faith Community Nursing Course Aims to Connect Churches Through Holistic Health Care | Local News

FAIRMONT – A nursing initiative designed to provide health care in churches is free for nurses in Marion County.

The West Virginia University School of Nursing offers a Faith Community Nursing course for individuals wishing to help meet the specific needs of faith-based organizations. The course can be taken anywhere in the state, but for the fall semester, Mingo and Marion counties take priority.

The eight-week course is scheduled to start in mid-November. The course was made free through a grant from the Rusty and Kimberly Hutson Family Foundation.

“We are looking for ways to educate nurses statewide in West Virginia, and our Foundations of Faith in Community Nursing course is completely online. So any nurse anywhere in the state can take the training, with no, you know, no travel required. And we get financial support to be able to offer the course through scholarship funds, so any nurse who wants to take it, you know, in different parts of the state, we have these scholarship funds studies to cover costs,” said Angel Smothers, associate professor of clinical nursing at West Virginia University.

Smothers and Stephanie Young, faculty members of the School of Nursing, will facilitate the nationally recognized faith-based community nursing courses.

The program will help nurses use the skills they have already developed to work in faith-based community settings, where they are able to provide support, advocacy and education to community members in the area, Smothers said. .

“Health problems are among the main concerns of people. Churches are places of trust where information can be shared. If a member of the church is a nurse with this specific training, they can – they can – answer questions, perform certain functions and be easily accessible to what faith means, in the context of health and wholeness. West Virginia University Campus Ministries Rev. says DD Meighen.

Smothers said she looks forward to the semester and connecting nurses to other counties in the state in the future.

“We look forward to connecting nurses undergoing training in Marion County, nurses undergoing training and Mingo County. They are very different counties with very different populations. But, we want to connect them so they can learn from each other,” Smothers said.

The faith-based community nursing professional practice program focuses on intentional care of the mind as part of the process of promoting holistic health and preventing or minimizing illness in a faith-based community, according to a news release.

“A big part of what we do in nursing is advocacy – we advocate for patients, no matter what setting we work in. And the role of faith-based community nursing is not new. But we are starting to see more and more faith-based communities investing in and paying for faith-based community nurses, where in the past these were volunteer positions,” Smothers said.

The course is also open to chaplains, pastors, social workers and others, but only registered nurses who complete the course can use the title “Faith Community Nurse”.

To register or for more information about the course, email Angel Smothers at asmother@hsc.wvu.edu.

Self-employment assistance, free school meals, gas prices…


Hello everyone and thank you for participating in this latest edition of our daily MARCA in English American financial news blogthe space where we bring you updates on all the financial news and benefits plans from around the world United Stateswith this edition which will reach you on Sunday October 23.

We use this space to explain how you can make more money, through programs such as Self-Employment Assistance, Dunning checks Where Free school mealsas well as how to save money on things like Gas prices.

Combined, this all leads to more money remaining in your bank account. So, follow us for all the latest updates, which follow below with the most recent ones closest to the top.

U.S. Finance Updates, Sunday, October 23: The latest money-saving tips and benefits news.

It is therefore our MARCA Financial news blog in Englishwhere we bring you daily information on benefits programs to know in the United States, detailing what they are called and who is eligible.

As mentioned above, this still includes, for now, Dunning checksthat still exist in some states, depending on where you live and your state government’s current policies.

There is also more general money saving tips deserves to be known, especially in this period of very high inflation.

Gas prices remain very high, especially in certain states such as California, and this is why it is necessary to keep in mind that it is possible to pay a little less at the pump if you shop around a little. So we will provide you with a list on today’s blog of cheap gas stations in major cities in the United States of America.

Besides that, there’s a lot more to discuss too, so stay here for that. The American Sunday financial news blog.

Smith shares plans to deal with nursing home closings


FLANDREAU, SD (KELO) — The question arises with the age of loved ones: how to take care of them when their daily needs require more regular medical care?

Brett Hoffman, director of public policy and communications for the South Dakota Health Care Association, said 12 South Dakota nursing homes have closed permanently since 2017. The state learned more Thursday about what a candidate as governor planned to solve the problem.

“On day one of a Jamie Smith administration, we will be developing a Blue Ribbon Task Force that will be led by Lieutenant Governor Jennifer Keintz here, and she has her own expertise on this,” the Democratic presidential nominee said. Governor Jamie Smith. “This task force will focus its attention on studying proven methods of keeping our nursing homes open.”

Smith spoke Thursday outside a new retirement home run by the Flandreau Santee Sioux Tribe.

“Almost every family will be faced with long-term care decisions at some point,” Keintz said. “If current policies continue, more facilities will be forced to close.”

“It has also become increasingly difficult for care homes to retain staff,” Smith said. “When they don’t get paid enough, people quit their jobs, and those jobs are then filled by travel companies who can charge up to $200 an hour for setups. This is not sustainable for our care facilities.

In addition to the gubernatorial race, South Dakota voters are considering Constitutional Amendment D that would expand Medicaid eligibility. If it passes, more people would be eligible for this federally and state-funded medical coverage. Smith shared strong support for the expansion.

“State data that we have suggests that 27 nursing homes in South Dakota are at risk of closing through 2023, and you know, many of those nursing homes are in rural communities,” a said Smith. “Our Medicaid reimbursement rates are far lower than neighboring states, making it difficult for facilities with a high percentage of Medicaid patients to stay open.”

KELOLAND News has also reached out to Governor Kristi Noem’s campaign for this report; Noem is the incumbent Republican in the gubernatorial race. They referred us to a spokesperson for the governor’s office who said in an email that they had sent the request to the Department of Human Services. That spokesperson later said by phone that the state government was reviewing KELOLAND News’ question about the governor’s plan to deal with nursing home closings.

Sanford Health clinic president to speak at healthcare leadership summit

Luis Garcia, MD, FACS, MBA, president of the clinic at Sanford Health, will join the HealthLeaders The Way Forward Leadership Summit as a panelist October 20-21, 2022 in Atlanta, Georgia. The two-day summit brings together 30 healthcare system leaders – CEOs, CFOs, CMOs, chief executives and CIOs – to discuss strategies to address current challenges facing healthcare systems and the way forward .

The Way Forward will be the most widely distributed content Health Leaders has published.

Garcia was invited to participate in a roundtable with clinical leaders from health systems across the country, including Jordan Asher, MD, executive vice president and chief medical officer of Sentara Healthcare, Hoda Asmar, MD, executive vice president and CMO of the system for Providence, Eric Eskioğlu, MD, executive vice president and chief medical and scientific officer of Novant Health and Janet Tomcavage, executive vice president and chief nursing officer of Geisinger Health.

The roundtable will be an opportunity for clinical leaders to share their perspectives on a range of topics, including how systems partner with population health initiatives, recruitment and retention strategies, investments in digital health and new models of care delivery.

“It is an honor to join such accomplished and respected healthcare leaders to discuss solutions to the challenges we all face,” said Garcia. “I’m proud of Sanford Health’s ongoing journey to transform the healthcare experience and provide access to world-class care for our patients. »

As President of Sanford Health’s Clinical Division, Garcia oversees governance, recruitment and retention, clinician wellness initiatives, and overall clinic development and integration for physicians and advanced practice providers. .

Garcia has worked for Sanford Health since 2002 and is a board-certified surgeon specializing in advanced laparoscopic and bariatric surgeries. He is a strong advocate for Sanford Health in health care policy development and serves on several important industry boards and committees, including the International Esperanza Project, American Medical Group Association, Leadership South Dakota and Morrison Family College of Health.

Nursing facilities – A medical crisis requiring a prescription

David Chess, MD

Nursing facilities have evolved from nursing homes to medical facilities over the past 20 years.

Patients are sicker, older, have more medical comorbidities and are more fragile. They need more help with activities associated with daily living and have much higher rates of cognitive impairment. People over the age of 85 are the fastest growing demographic group, and the elderly segment of the US population is expected to double in 2030 compared to 2010.

Even with a shift to providing higher-intensity care in people’s homes, the demand for care at the nursing facility level is expected to double. Meanwhile, there are significant workforce challenges that prevent nursing home patients from getting the medical care they need. Fortunately, telehealth can help fill these gaps.

Seema Verma

The availability of clinicians has always been a challenge. The medical community too often shuns nursing facilities, with less than 1% of medical school graduates choosing to work in geriatrics. The total number of board-certified geriatricians in the United States has fallen from over 10,000 in 2000 to less than 8,200 today. By 2030, we should have fewer than 7,300 geriatricians nationwide. Approximately 50% of spaces in geriatrics training programs go unfilled each year.

Among the many challenges these staffing shortages cause is that they prevent facilities from accepting new patients because they don’t have the staff. This, in turn, clogs up hospitals as they have no place to offload patients, prolonging hospital stays and increasing costs.

Too often, state and federal investigators evaluating nursing care facilities focus on outdated regulations regarding site visit requirements rather than other attributes that better define quality care, such as comprehensive ratings with plans. usable care or timely care on admission or readmission. Current federal requirements introduced in 1991 require patients to be seen onsite by a physician within one month of admission and monthly for an additional two months, after which the patient must be seen at least every two months.

A disproportionate number of hospitalizations occur within 10 days of admission to a nursing facility, and more than 10% of patients admitted to a nursing facility never see their doctor. For patients not seen, the risk of hospitalization is double that of patients who have been seen. In addition, nearly 40% of hospital admissions are preventable. These potentially preventable hospitalizations cost Medicare roughly more than $1 billion a year, not to mention the personal toll of a fragile population and their loved ones.

Current regulations, although well-intentioned, do not take into account new technological advances via telehealth, nor respond to the clinical needs of patients. Simultaneously, they create an administrative and operational burden for the many underfunded and underfunded institutions, which often cannot be satisfied. Further, regulation does not reflect the reality of our growing gap in the clinician workforce.

The standard of care should be for one-time and face-to-face (virtual or on-site) visits. People should be seen and clinically assessed within 72 hours of admission and immediately if there is a change in condition, not just once a month unless they are hospitalized. Today, when a patient has a change in condition, the clinician is called and orders are given to treat or send the patient to hospital.

Telemedicine can help solve this problem.

Telemedicine – defined as two-way video, a digital stethoscope allowing the clinician to listen to the patient’s heart and lungs, an otoscope and a wound care camera – can provide on-demand care and reduce hospitalizations. Telemedicine equipment is inexpensive to implement and almost universally available, with high-speed Internet access even in most rural areas. In a 2018 study, an after-hours telemedicine program at a facility with 365 patients averted 91 hospital admissions over the one-year study period, with a net saving planned for Medicare of more than $1.3 million.

Allowing telemedicine visits within the regulatory framework and updating clinical requirements to be in line with science regarding rehospitalization would enable on-time care, high patient satisfaction, reduced hospitalizations and lower burdens administrative burden for our already overburdened nursing facilities.

We need to modernize federal regulations to allow both urgent and follow-up visits to be provided via telemedicine. Creating an improved standard such that all people must be seen within the first week of admission and allowing telemedicine visits to meet the monthly visit requirement would go a long way to closing the clinical care gap.

We call on Medicare to update its regulations if we are serious about improving care for America’s most vulnerable population – our seniors.

David Chess, MD, is Chief Health and Policy Officer, Chairman of the Board and Founder of Tapestry Health.

Seema Verma is the former administrator of the Centers for Medicare & Medicaid Services.

The opinions expressed in McKnight Long Term Care News guest submissions are those of the author and not necessarily those of McKnight Long Term Care News or its editors.

Alexander House Private Nursing Home closed by CQC


A SOUTHEND care home has been closed after the regulatory watchdog ruled residents were ‘at risk of harm’.

The private care home Alexander House has been closed after bosses failed to correct faults found at the home by Care Quality Commission (CQC) inspectors.

Residents were escorted out of the 25-resident home in Westcliff, operated by Heath and Home, on Friday evening.


“The CQC has taken urgent action to prevent Health and Home from providing care to people at the private care home Alexander House,” a CQC spokesperson said.

“We have taken this action because we believe that if we do not, people using the service may be at risk of harm.

“Santé et Maison has the right to appeal, and we will release further information when we are able to do so.”

A neighbor who wished to remain anonymous said he was relieved to see the back of the house.

“As of Friday evening, all remaining residents were evacuated from the house,” they said.

“There was a lot of commotion outside and when I got to the window there was a line of people coming out.

“We are glad it was closed as it was unpleasant to live next to as we could often hear screaming and a lot of noise coming from inside.”

The First Avenue care home was placed in special measures earlier this year after a CQC inspection found ‘no evidence’ the home was properly testing people transferred to the service from the provider’s other care homes for Covid-19.

The home has also been criticized for its PPE policies, with the report citing “inconsistencies” in how staff wore PPE, such as face masks and aprons.

The report further revealed that staff did not recognize the types of abuse and what steps to take if abuse is suspected.

The house was given the lowest possible rating by the CQC – ‘inadequate’ – and was told to take shape as it was placed in special measures.

When houses are placed in a special measure, they are given a delay to improve or they will be closed.

Health and Home has been contacted for comment.

Shortage of nursing home workers puts aging Oklahomans at risk | Health


Daily nasal swabs and layers of gloves, masks and other protective gear became the norm for nursing home staff during the height of the COVID-19 pandemic.

For some, these demands remain a reality and are part of what drives workers out of the industry, leaving aging Oklahomans without proper care.

Low pay and high stress have left more than 30% of nursing homes across the state shorthanded, according to the latest Centers for Medicare and Medicaid Services. Data.

This means increased work for the remaining staff. Less time spent with each resident. And lower quality of care.

Staffing shortages affect homes in rural, urban and suburban communities. Without workers, facilities are forced to hire temporary staff at almost double the salary and cut the number of residents, which reduces their income and has led to the closure of at least six nursing homes since 2021.

Two additional homes in Oklahoma City and Ardmore are empty but have not officially closed, said Steven Buck, who represents the state’s for-profit nursing homes at Care Providers Oklahoma.

Rural communities are particularly affected by these closures, said Mary Brinkley, who represents nonprofit retirement homes at LeadingAge Oklahoma.

When Medford’s Servant Living Center closed in fall 2021, it was the city’s only retirement home of 988 people near the Kansas border. The nearest alternative for local families who needed to find a new home for their loved one was over 30 miles away. And if those beds were full, it would be even further.

Low pay and harsh working conditions have been piling up in the industry for years, but have intensified during the pandemic, Buck said.

Nurses, orderlies, cooks and cleaners risked their own health and that of their families to care for residents of nursing homes as COVID has ravaged group homes across the state, killing 2,594 residents and 65 employees, according to federal data.

Care Providers Oklahoma and LeadingAge Oklahoma, joined by the state hospital and nursing associations, have asked lawmakers for $500 million in federal pandemic relief funds to address “a debilitating shortage of health care workers. health seriously exacerbated by COVID-19,” according to his request for financing. The request was among 1,440 applications vying for the state’s second phase of American Rescue Plan Act funding. Lawmakers doled out the bulk of the $1.87 billion in public funds. Labor shortage demand was not one of them. Approximately $85 million remains uncommitted.

This spring, the Legislature allocated $4.5 million in COVID relief funds to Oklahoma healthcare providers for workforce training and additional funding for nursing schools.

Buck and Brinkley warn that more is needed, and fast, as Oklahoma’s elderly population continues to grow. Otherwise, families will have to pay for expensive home care or may have to quit their jobs to stay home and care for loved ones, they said.

Editor’s note: Federal data was updated after recording the conversation with OETA. This story reflects the most recent available data for the week of September 25, 2022.

Watch Oklahoma, at oklahomawatch.orgis a nonprofit, nonpartisan news organization that covers public policy issues facing the state.

Iwi expands health care in Pākehā


As mainstream health services struggle to keep up with demand, an initiative by Ngāi Tahu on the west coast of the South Island sees treatment offered to all comers

Could this be the way of the future for small towns with declining services?

Health care provided by Maori organizations that bring it to the people?

Everyone, that is, not just tangata whenua.

It’s an idea whose time has come, say organizers of a ‘Wellness Day’ novel in Reefton this month.

Poutini Waiora, a health and social service provider from Ngāi Tahu who has been supporting west coast whānau for 21 years, reached out to the wider community last week with an expo-style multi-clinic at the town hall.

“Come join us for a free health check,” the posters read.

And the people of Reefton – more used to losing health services than seeing them coming to their doorsteps – jumped at the chance.

“About 200 people showed up during the day, which is not bad for a town of 900 people. It shows there is a real need out there,” says organizer Tess Hunter.

Hunter and her husband Tony Manuel, both community veterans, encounter much of this need daily in Reefton.

“People have been going through a really anxious time in the last year or so since Covid. We didn’t have a GP over the winter due to shortages of locums so it was a way of saying we care and can help.

The event brought together the services of Maori and traditional providers.

“Services are there but many are 80km away in Greymouth or Westport. And rural folks may not even know they exist,” says Hunter.

At the Reefton event, blood pressure and diabetes checks, peak flow tests for asthma, child checks, advice on breast and bowel screening, green prescriptions , mental health support and Covid or flu shots were offered at the Reefton event.

Surprised locals were greeted with non-clinical offers including free hand knits and activity packs for children. Sausages, hot drinks and soup were also available.

“A man drove his 90-year-old mother from Maruia in the snow for her Covid recall. They were happy to have a cup of tea after that,” says Hunter.

Vaccinators ran out of boosters, administering 30 shots during the day, and the gut screening nurse distributed 10 test kits, a significant number for the small town.

“A young mum told me that she brought up a few things with Tamariki Ora’s nurse that she didn’t feel comfortable telling anyone, I think because she felt felt comfortable and welcome.”

Regular rehearsals

The plan now is to make Reefton Wellness Day a quarterly event, Hunter says.

In the past, Poutini Waiora has held such events at Arahura marae and Hokitika to cater to the higher numbers of tangata whenua in these areas.

“Our first priority is Maori, but the well-being of the whole community is important,” says Dianna McLean, team leader for Poutini Waiora in Westport.

The organization has contracts for services ranging from community mental health to truancy and its staff are a mix of Maori and Pākehā.

“We don’t turn people away just because they’re not Maori. We have a percentage allocation for non-Maori in our budgets and mainstream services are currently in shock.

Robyn Abbey, volunteer in St John, checks blood pressure. Photography: Lois Williams

Practicing Māori tikanga means teams start the day with karakia and put clients’ needs first, new experiences for staff previously employed in the mainstream health sector, she says.

“Our new mental health worker is from Finland. He asked me how long his appointments were supposed to last. We told him, ‘As long as it takes.’ He was blown away by it.

Poutini Waiora administrator Joan Blacktopp says the success of Reefton Wellbeing Day shows what is lacking in rural health services.

“It filled real gaps. Many people avoid going to GP clinics. It’s all formal and they have to pay, so they’re less likely to go get their blood pressure or diabetes checked.

The result, as a surgeon leaving Greymouth observed, is that many West Coasters only turn to the health system in an emergency or with advanced illness that could have been detected by routine checks. .

Greater things are calling

The success of Reefton Wellness Day is now causing some locals to wonder if some bigger things could also be better handled with a tikanga Māori approach.

“The DHB closed our nursing home and sent our elderly to die away from home – now they are coming back in wooden boxes,” says Ali Caddy, local businessman and health representative.

“Nurses want to work here – we know that – but the DHB is diverting them to Greymouth or Hokitika because there is a national shortage of nurses. We are just not their priority.

Graeme Neylon, a former member of a primary health organization and Buller adviser, said as part of health reforms the government has asked West Coast councils to take the lead in consulting communities on services of health they need and who should provide it.

“Reefton, Westport and Karamea all had a raw deal with the former Greymouth-based DHB system. But under this pilot program, we have a chance to make a fresh start, to structure things from the bottom up.

“It’s not like we’re going to find a local surgeon or anything, but if organizations like Poutini Waiora are already doing the mahi we need and doing it well, we can say they should be funded to extend their services to places like Reefton.”

Coastal councils should start working on health consultation in the near future, now that local elections are over, says Neylon.

Produced with the support of the Fund for Public Interest Journalism

Hogan Administration Announces $80 Million for Maryland Hospitals, Skilled Nursing Facilities and Medicare Advantage Plans

October 14, 2022

Media Contact:

Chase Cook, Acting Director of Communications, 410-767-3536

Hogan Administration Announces $80 Million for Maryland Hospitals, Skilled Nursing Facilities and Medicare Advantage Plans

The additional funding will help ease pandemic-related burdens for health care providers as Maryland nears the end of the federal public health emergency

Annapolis, MD – The Maryland Department of Health (MDH) today announced $80 million in additional funding to support hospitals and skilled nursing facilities across the state as federal support for the COVID-19 pandemic 19 is expected to decline with the end of the Federal Public Health Emergency (PHE), expected in January 2023.

When the PHE expires, Maryland will no longer receive increased federal funding.

“This additional funding will help further alleviate some of the burdens the COVID-19 pandemic has caused to our hospitals and skilled nursing facilities across the state,” MDH Secretary Dennis R. Schrader said. “These funds will especially help facilities support our frontline healthcare heroes, who sacrifice so much every day to keep Marylanders healthy and safe.”

In agreement with the Presidents of the Maryland General Assembly, Governor Larry Hogan committed $50 million in funding to be split between the Hospitals and Skilled Nursing Facilities sectors ($25 million each), which were hard hit by the COVID-19 pandemic. and labor challenges.

An additional $30 million will be allocated to Medicare Advantage plans operating in Maryland, building on existing support of $20 million for fiscal year 2023. The new funds will be allocated to all Medicare Advantage plans operating in the state according to the proportion of each plan. Medicare Advantage enrollment in Baltimore City and Baltimore County.

Since Medicare Advantage is a federal program, this funding is a one-time initiative to stabilize the market as plans work to develop long-term proposals to discuss with the federal government.

The federal Public health emergency is currently scheduled to end in mid-January 2023.


The Maryland Department of Health is dedicated to protecting and improving the health and safety of all Marylanders through disease prevention, access to care, quality management, and community engagement.

follow us on Twitter@MDHealthDept and to Facebook.com/MDHealthDept.

Manager who oversaw care home when it was first hit by Covid-19 wins unfair dismissal case – The Irish Times


The operator of a Co Monaghan care home which was hit by an outbreak of Covid-19 in which a number of patients died in the early weeks of the pandemic has been ordered to pay its former nursing manager more €63,000 for wrongful dismissal.

The Workplace Relations Commission found there was ‘no evidence’ produced by the company to support the ‘inferences of misconduct or poor performance’ made against Caroline McAree, who was director of care nurses at Drumbear Lodge.

Through her attorney, she accused the center operator of failing to provide administrative support and refusing to purchase scrubs for staff in her segregation unit who she said wore scrubs. clothes made from sheets as they treated elderly people infected with the virus.

His claim under the Unfair Dismissal Act 1977 against Newbrook Lodge Nursing Home ULC, trading as Drumbear Lodge Nursing Home, was upheld by the commission in a decision released Friday morning.

The company’s position was that its chief executive, Phil Darcy, had “concerns” about how the house was run in 2020.

He had written to the complainant in early April that year to ensure she had ‘observed all relevant instructions’ after concerns were raised by the Information and Quality Authority about the Health (Hiqa) regarding household emergency preparedness and planning, its legal team said. the Commission.

Ms McAree then “failed to submit” the required documents to Hiqa on April 21, 2020, the company said.

Three days later, management was again contacted by a representative of Hiqa, who said the regulator had been made aware of “significant health and safety issues” at Drumbear Lodge, the court heard.

Mr Darcy said he decided to fire Ms McAree on a ‘no-fault’ dismissal because he ‘needed to put the safety of his patients first’, the company argued.

Mr Hickey said his client had ‘kept herself fully informed and aware’ of the safety measures needed to stop Covid-19 infections, had held daily meetings to brief managers and staff and had them ‘rigorously’ informed about the use of PPE.

Social distancing of two meters was “always maintained” and staff wore masks as soon as the order came from health authorities via the nursing home group’s head office.

“The apparent or overt attempt to blame [my client] for the tragic Covid-19 viral infection outbreak at Drumbear Lodge, which was confirmed on April 9, 2020, and its aftermath[s] …is grossly unfair and should not be allowed in this form or any form,” Mr Hickey said.

“Under the complainant’s direct supervision and guardianship, staff did everything in their power to prevent this from happening,” Mr Hickey said.

Staff fetched homemade face masks from local women; as well as 3D-printed visors and protective masks donated by a nearby furniture factory, he said.

“This viable PPE was in general use in the nursing home long before the respondent chose to supply Drumbear Lodge with medical masks,” he said.

He said the general manager was aware that staff in the segregation unit were wearing scrubs made from sheets by a resident’s family.

“No scrubs were purchased for staff by the Newbrook Group and when the complainant procured a supply… Mr Darcy refused to purchase [them] on the basis that they would cost money,” he said.

He said his client failed to send the notification to Hiqa on April 21, 2020, due to “oversight, fatigue and human error”.

Mr Hickey said she worked until almost 7pm that evening in her office and made up to 70 phone calls to family members of residents to update them on the situation at home.

When she spoke to Inspector Hiqa by phone the next day, she was told “not to worry about it and to make sure she submits the notifications in the future”.

“Despite the enormous pressure she and her staff were under, no additional administrative staff, resources or support were provided by the respondent to the management of the retirement home,” Mr Hickey said.

He said the care home “did not dispute that the dismissal was unfair”.

Cross-examining Mr Darcy, Ms McAree’s solicitor said his client ‘had to carry dead patients out of the nursing home herself’. Mr Darcy said he ‘disputed that she was not taken care of’.

He said the decision to fire Ms McAree was his own and that he was ‘no longer happy’ that she was in the position of director of nursing ‘but [I] only took care of it in September”.

Asked what had changed between April and September, Mr Darcy said he ‘didn’t want to make a hasty decision’ as it was ‘in the middle of the first wave of Covid-19.

He said he was considering using a performance enhancement plan for Ms McAree but it was a ‘difficult time’ and it would have been ‘difficult to put one in place’.

Cross-examined by Ms McAree’s lawyer, Kevin Hickey, Mr Darcy said the decision to fire Ms McAree was made in conjunction with the company’s two other directors, who were only identified by their initials in the decision.

He said he would have executive power in the matter.

The court heard that a company director had been appointed to replace Ms McAree.

Regan O’Driscoll of Colleen Cleary Solicitors said her client “didn’t dispute that the dismissal was unfair but needed to put the matter into context”.

Mr Hickey, on behalf of the complainant, said the dismissal was ‘grossly unfair’ and that the care home was ‘trying to blame’ its client.

In her direct evidence, Ms McAree said that after losing her job as Director of Nursing, she took up a position as Clinical Nurse Manager at an HSE hospital in the North West and was losing 30,000 to 35 000 € per year.

She said she had “lost confidence” to get a senior private sector job again because of what had happened.

In his decision, arbitrator Emer O’Shea wrote that the company had “not produced or specified evidence to support [the] inferences of misconduct or poor performance on the part of the plaintiff”.

She said Mr Darcy’s testimony about the decision to fire Ms McAree and replace her with a director had been “confusing and inconsistent”.

Plaintiff’s counsel’s argument that the proceedings were “devoid of natural justice” was “compelling and persuasive”.

It ruled that the dismissal had been substantively and procedurally unfair and ordered the employer to pay Ms McAree compensation in the amount of €63,740.38.

Ms O’Shea said this took into account the company’s behavior and the complainant’s loss of four weeks’ pay after she was made redundant and her new lower public sector pay.

UNISA Practical Nursing Courses and Requirements: Full List

The University of South Africa prides itself on being one of the best institutions of higher learning. It serves both local and international students. UNISA offers a wide range of engineering, arts and medical courses. In the medical school, the university offers courses to train future nurses, surgeons, doctors and clinicians. These details about the practical nursing course at UNISA highlight information about the program and why you should enroll.

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Professionals in the care of patients in palliative care. Photo: @BSIP (modified by author)
Source: UGC

The Practical Nursing course at UNISA prepares a student to be directly or indirectly responsible for a group of patients and to function under the direct or indirect supervision of a registered nurse. Given the technicality of the job, you have to study the ins and outs of the job to be fully competent. These details about the Practical Nursing Course at UNISA unveil information about the course while giving an overview of the job.

Read also

What are the required subjects to become a mechanical engineer in South Africa in 2022?

What is the nursing assistant?

A nursing assistant is also called a nursing assistant. They work closely with other healthcare professionals to provide patients with high quality care.

Where can a nursing assistant work?

A nursing assistant works in a hospital, private practice, or community setting such as a nursing home. The job description involves the following tasks:

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  • Dress the patients
  • Changing linens
  • Wash and groom patients
  • Make patients feel safe

More experienced practical nurses perform the following functions:

  • Blood pressure monitoring
  • Take body temperature
  • Patient weight tracking
  • Administer medications under the supervision of a registered nurse.

Does UNISA have a nursing assistant course?

Yes. The University of South Africa offers a Practical Nursing course at a postgraduate level. The program is preferred by students who do not meet the requirements to earn a nursing degree.

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What are the admission requirements to study medicine at UCT 2022?

With a higher certificate in Practical Nursing, you can further your education and pursue a Bachelor of Arts in Science to earn a nursing degree or any other health science degree.

Nursing assistant course to UNISA requirements

Practical Nursing Course Fees at UNISA
Occupational health professionals. Photo: @BSIP (modified by author)
Source: UGC

The Nursing Assistant course aims to provide you with the required scientific knowledge, interpersonal skills and clinical practice. The program also socializes you into the profession and ensures that you demonstrate the appropriate behavior, attitude and image in the medical field while adhering to the profession’s codes of ethics.

As a student, you must:

  • Demonstrate common sense and reliable problem-solving ability.
  • Have good health and high stamina that meets the physical, social and emotional strength required in nursing.
  • Have high interpersonal and communication skills.
  • Demonstrate a great desire to work with people.
  • Have a well-mannered disposition, be emotionally mature and have a positive attitude towards life.

However, you must qualify for this course.

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Complete List of University of Botswana Courses and Requirements 2021

Higher Certificate in Nursing at UNISA

Practical nursing is offered at the higher level of the University of South Africa certificate. The course aims to equip you with basic nursing care for individuals while working under the guidance of a nationally certified or certified nurse.

How many years does it take to become a caregiver?
The practical nursing course at Netcare. Photo: @BSIP and @ JEAN-SEBASTIEN EVRARD (modified by the author)
Source: UGC

What are the requirements to study Practical Nursing?

The University of South Africa is open for applications for the 2023 academic year. So, if you want to take a nursing assistant course at UNISA, you must meet the following admission requirements:

  • Have met the NSC minimum legal requirements for entry into higher education, degree entry level.
  • Math literacy at NSC achievement level of 3 (40-49%)
  • English language at NSC pass rating of 4 (50-59%)
  • Life Sciences at NSC pass rating of 3 (40-49%)
  • Computer literacy at NSC pass level of 3 (40-49%)

How to Apply for Practical Nursing at UNISA

After verifying that you meet the requirements for nursing at UNISA, you can move on to the application process, which is done online at the university portal. UNISA opened its portal for applications to its courses on August 11, 2022. The process closes on October 15, 2022.

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Corrections Apprenticeship Application, Forms, Dates 2022

The application process includes the following steps:

  1. Visit the UNISA website.
  2. Selection of the type of candidate you are, first-time student or former student.
  3. Choose the university degree in which you wish to register.
  4. Complete the online application form.
  5. Download the necessary supporting documents.
  6. Apply within the stipulated application deadline.

Submitting your application on time increases your chances of being selected. However, this does not guarantee that your application will be considered.

How long are you studying for a practical nurse?

The UNISA Practical Nursing course lasts one year. After completing the higher level of the certificate, you can register for the Nursing Diploma at UNISA.

How Much Does a Nursing Assistant Course Cost in South Africa?

The nursing assistant course fee in 2022 is around R2,176.

Where can I study practical nursing in South Africa?

Apart from UNISA, here are the institutions you might consider if you want to pursue practical nursing in South Africa:

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  • Ukase School of Nursing, Johannesburg
  • Letjhabile Libellee College of Nursing, Johannesburg
  • Khamis School of Nursing, Johannesburg
  • Ukwazi School of Nursing, Johannesburg
  • Netcare Education (Pty) Ltd
  • Gem School of Practical Nursing, Johannesburg
  • Future Nurses School of Nursing, Bedfordview

These details about the Practical Nursing Course at UNISA touch on all the details of the program. If you are considering venturing into the medical field and have not achieved the required score to pursue nursing studies, enroll in UNISA.

READ ALSO: What are the required subjects to become a mechanical engineer in South Africa in 2022?

Briefly.co.za has published extensive details on the subjects needed to become a mechanical engineer in South Africa in 2022. If you are planning to venture into the competitive field, consider checking out these details.

Mechanical engineering is one of the most challenging yet rewarding branches of engineering. Its technicality obliges the students of the prospectus to show critical thinking, especially when making technical decisions. As a result, they are needed to excel in particular subjects. Find out which ones.

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Nursing Courses & Colleges In South Africa 2022: How To Become A Nurse

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Source: News in Brief

Home visit: technology can benefit elderly health care

Dr. Jeff Markin

For the spokesperson’s review

Spokane appears to be returning to more routine days and more routine health care as the COVID pandemic fades from front-page news. Many people have delayed care during the pandemic. Demand rebounded as people returned to their doctors’ offices to catch up on routine healthcare needs such as cancer screenings, minor surgeries, wellness checkups and vaccinations.

Today, getting treatment doesn’t just mean making an appointment and driving to the doctor. In fact, many of your health needs can be addressed at home with what’s known as “telehealth,” a convenient way to get care with just your mobile device or computer.

Discover telehealth

With an increased demand for care, it is important to understand your options. There are many different entry points to get the care you need outside of a direct, face-to-face appointment with your primary care provider.

One of the most important things you can do to improve ease of access and communication between you and your healthcare team is to take advantage of technology or develop some degree of computer literacy or access a smart phone if needed. These devices can allow you to access your medical records through a secure portal, reorder medications, review test results, and send messages to your healthcare team.

It’s important to understand that your primary care provider is not “going away”. You can have in-person appointments even if you also use technology and virtual health. It is always very important to schedule this annual wellness visit to connect and review your comprehensive health care needs.

Telehealth appointments help you avoid travel

More and more providers are offering telehealth, which includes online chats with healthcare teams and phone or video appointments with your providers. For seniors, telehealth can mean not having to drive or commute to every appointment and being able to stay home when mobility is limited. Most of these services can be accessed using any smart phone or tablet like an iPad in addition to a computer.

Suppose a patient suffered a minor fall at home and fortunately only injured the hip muscles. After an acute care visit to check and treat minor injuries in an emergency room, for example, follow-up may be an in-person visit with a primary provider, review of ER notes and x-ray reports in electronic records, then another recording by video or telephone with the supplier.

This could include a recommendation for physical therapy. After an initial assessment with a physiotherapist, she may be able to choose between in-person visits or access home physiotherapy with telehealth visits with the therapist. She can also have online access to her exercise program and links to videos that show how to do the exercises.

Video and phone appointments can include everything from asking questions about a minor illness like the flu, getting a regular check-up with a specialist like a pulmonologist, or asking your primary provider about medications. You can even have a dermatologist look at a mole or blemish via video or photo sent via secure message and recommend if you should come in for an in-person exam. It may be faster and more convenient to start with telehealth, especially for older people who may need to arrange transportation to come.

Many mental health services now also offer telehealth options. Some providers also offer online ordering, mail order or prescription delivery. Find out what your suppliers have available.

For those with more limited technology access or know-how, it’s often straightforward to use healthcare technology platforms once you’re set up, so it can be helpful to ask a son, daughter, or a friend to help you the first time and show you how. You can also ask your provider if they have support or assistance with using technologies such as self-checking tools available as part of the online scheduling process.

Electronic health records coordinate all your care

If you are part of a system that uses electronic health records, which most do, clinicians have access to your medical data at their fingertips, including lab results, vaccinations and screenings, and visits to specialist providers.

Your primary care nursing staff and physician assistants can ensure that your vaccinations are up to date, that the appropriate labs are ordered and screened in advance for an upcoming appointment, or that necessary cancer screenings are ordered, all without having to see your provider face-to-face. Records of services you get outside of your primary care office, including emergency rooms and services like a colonoscopy or bone density or breast cancer screening, should be included in your electronic record and your primary provider can access it in one place.

If you’re in a healthcare system, records from labs, pharmacy, and other providers can be automatically transferred and accessed by your healthcare team, and if not, you want follow up and ask the external vendor to make sure the files get shared. This gives health care providers the full range of information to make decisions and can improve both the safety and quality of your care.

Apps and online platforms facilitate care

Many healthcare systems have a secure web portal or smart phone app where you can get your own personal ID to access care. For example, on our system, you can view your health records and reminders, schedule appointments, and renew your medications. You can often send a secure, private message to your health care providers for non-urgent questions and expect a response in about a day.

You’ll need to set up with a login account and for people with less tech savvy it might be helpful to have someone show you the tools.

What we all ultimately want is success for patients achieving their health goals, whatever that looks like to you. Using technology can help you get the best care quickly and efficiently to ensure you stay happy and healthy as the years go by.

Care home staff seek pandemic payment – ​​The Irish Times


Nursing home staff across the country gathered at the Department of Health in Dublin on Tuesday to protest a lack of communication over an announced payment to recognize their work throughout the Covid pandemic.

“We are here to give staff a voice, who feel they are being ignored… we are urging the government to speed up payment,” said Tadhg Daly, chief executive of Nursing Homes Ireland.

“Including all healthcare workers was Minister Donnelly’s right choice, but it’s been nine months and care home staff have yet to see their payment,” he said.

It was announced in January 2022 that frontline healthcare workers and paramedics would receive a one-time, tax-free special recognition payment of €1,000, and staff in private sector nursing homes and hospices would be also eligible.

More than 2,000 employees across the country have written letters to the department expressing their struggles during the pandemic and their frustration with the delays.

A letter from a Co Clare nurse said: ‘I have never been more stressed than since the days of Covid. I was terrified of contracting the virus and bringing it home. I didn’t go to visit my family or friends in case I got it back, I was so stressed that I ended up having panic attacks.

Representatives of cleaning and catering staff were also present at the rally on Tuesday. Jim O’Brien, chef at Darraglynn Nursing Home in Cork, traveled to Dublin by bus to help deliver the letters and requests.

“Coronavirus does not discriminate whether you have worked in the private or public sector,” he said. “Everyone in the public sector has received their payment… we are tired of waiting for what has been promised.”

Julie McNeela, head of household at Aras Mhuire nursing home in Drogheda, said: “Everyone knows what we went through during Covid… You were telling us back then that we were heroes wearing capes; we just ask Stephen Donnelly “where are you now?”

Among the nurses, caregivers, cleaners and chefs gathered was Sister Mary Ward, an 84-year-old resident of Maryfield Nursing Home in Chapelizod. “I am here to support the nurses and carers at our nursing home who are second to none,” she said.

“They have been with us throughout Covid, and I hope people understand that they were taking their own health into their own hands looking after all of us. I could never blame them, and it’s not just during Covid – it’s day in and day out.

Director of Nursing Hayley Gibbons was there to support her staff at Maryfield Nursing Home, many of whom are working during another Covid outbreak.

“We spent Christmases, birthdays, everything away from our families to be up to these residents, and it would be nice to get some recognition,” she said. “We are a charity retirement home…it would make a big difference to our staff, especially at this time of year.”

The office of Health Minister Stephen Donnelly has been contacted to comment on this article.

PointClickCare Launches Telemedicine Service for Skilled Nursing Facilities

Canadian health technology company PointClickCare has launched Virtual Health, a telemedicine service for skilled nursing facilities that provides 24/7 access to hospitalists.

Virtual Health is implemented in more than half of the US states with the help of its partner, Sound Physicians, a physician partner to hospitals, health plans, physician groups, and post-acute care providers.

“Telehealth is no longer a futuristic concept in long-term care, it’s table stakes,” Travis Palmquist, senior vice president and general manager of senior care at PointClickCare, said in a statement. “Our clients continue to navigate between care settings, and our team has sought to innovate and push the boundaries of virtual care delivery.”


This summer, PointClickCare achieved a valuation of more than $5 billion, up from $4 billion at the start of 2021. According to Crunchbase, the company has raised $230 million.

PointClickCare also made several acquisitions. At the beginning of 2022, he bought healthcare IT company Audacious Inquiry. He also picked up companies such as managed care platform Collective Medical, post-acute care management company QuickMar, analytics tool Co-Pilot and post-acute care-focused COMS Interactive.

The company dropped plans to go public several years ago after filing a registration statement with the U.S. Securities and Exchange Commission for an IPO in late 2015, announcing it had closed a round $85 million in funding instead.

State Neglect of Home Nursing Leads to Shutdown of Vital Service


We have been warned. A catastrophic winter is coming for our acute hospitals. Already, more than 10,500 people have found themselves lying on hospital trolleys in September. Health Minister Stephen Donnelly and the HSE spoke about the difficult winter facing our health service.

and within our healthcare system, vital services operating within the community that fulfill an essential role in easing pressures on our hospitals and meeting the community care needs of our aging population are being forced to close.

Is the healthcare mobility solutions market the next growth driver?

Healthcare mobility solutions market

AMA Research has launched a new business research with the title Health Care Mobility Solutions Market Study Forecast to 2028. This report on Healthcare Mobility Solutions Market brings data for the estimated year 2022 and forecast till 2028. in 2028 in terms of value (US$ MN) and volume (MT). The report also includes a detailed assessment of macroeconomic factors and market outlook for the Healthcare Mobility Solutions market. Also, to complete the information, EXIM Data, Consumption, Supply & Demand Figures, Gross Price Analysis, Market Revenue and Gross Margins.
Some of the companies listed in the research study are Oracle Corporation (USA), SAP SE (Germany), McKesson Corporation (USA), Cerner Corporation (USA), Omron Corporation (Japan), Zebra Technologies ( USA), Philips Healthcare (Netherlands), AT&T Inc. (USA), Cisco Systems, Inc. (USA), Airstrip Technologies, Inc. (USA).

Download sample PDF report (including full TOC, table and figures) @ https://www.advancemarketanalytics.com/sample-report/105737-global-health-care-mobility-solutions-market#utm_source=OpenPR/Rahul

Ever-growing and changing medical needs have driven the evolution of healthcare mobility solutions. The objective of these solutions is to reduce healthcare costs and provide patients with an optimal solution in a minimum of time. The simplicity of this objectivity has been successfully achieved through the development of healthcare mobility solutions products and services such as mobile devices, enterprise mobility platforms and mobile applications. Mobility is rapidly becoming an integrated part of the healthcare ecosystem. Mobility solutions can enable efficient patient care, improve response time, improve workflow efficiency and increase patient throughput, all while reducing cost and risk.

Market trends:
• Advanced connectivity to improve the quality of healthcare solutions
Market factors:
• Increased focus on patient-centric mobility applications
• Growing adoption of smartphones and tablets in health systems
• Shortage of nurses and doctors favoring the adoption of mobility solutions
Market opportunities:
• Robust penetration of wireless networks such as 2G and 3G
• Improved profitability of mobility solutions resulting in a streamlined workflow

The Global Healthcare Mobility Solutions Market segments and market data breakdown are illustrated below:
by Type (Mobile Devices, Mobile Applications (Apps), Enterprise Mobility Platforms), Application (Enterprise Solutions {Patient Care Management, Operations Management, and Workforce Management}, MHealth Applications), End User (payers, suppliers {hospitals)

The Global Healthcare Mobility Solutions Market report highlights information regarding current and future industry trends, growth patterns, as well as offers business strategies to help stakeholders to make sound decisions that can help ensure the trajectory of earnings over the forecast years.

You have a question ? Market a request before purchase @ https://www.advancemarketanalytics.com/enquiry-before-buy/105737-global-health-care-mobility-solutions-market#utm_source=OpenPR/Rahul

Geographically, the detailed analysis of consumption, revenue, market share and growth rate of the following regions:

The Middle East and Africa (South Africa, Saudi Arabia, United Arab Emirates, Israel, Egypt, etc.)
North America (United States, Mexico and Canada)
South America (Brazil, Venezuela, Argentina, Ecuador, Peru, Colombia, etc.)
Europe (Turkey, Spain, Turkey, Netherlands Denmark, Belgium, Switzerland, Germany, Russia UK, Italy, France, etc.)
Asia-Pacific (Taiwan, Hong Kong, Singapore, Vietnam, China, Malaysia, Japan, Philippines, Korea, Thailand, India, Indonesia and Australia).

Report objectives
To carefully analyze and forecast the Healthcare Mobility Solutions market size by value and volume.
-Estimate the market shares of the main segments of healthcare mobility solutions
To present the Healthcare Mobility Solutions market development in different parts of the world.
To analyze and study the micro markets in terms of their contributions to the Healthcare Mobility Solutions market, their prospects, and individual growth trends.
-To offer accurate and helpful details about factors affecting the Healthcare Mobility Solutions growth
-To provide a meticulous assessment of crucial business strategies employed by leading companies operating in the Healthcare Mobility Solutions market, which include research and development, collaborations, agreements, partnerships, acquisitions, mergers , new developments and product launches.

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Main highlights of the table of contents:

Healthcare Mobility Solutions Market Research Coverage:
It includes major manufacturers, emerging player’s growth story and major business segments of Healthcare Mobility Solutions market, years considered and research objectives. Further, segmentation based on product type, application, and technology.
Healthcare Mobility Solutions Market Executive Summary: It provides a summary of global studies, growth rate, available market, competitive landscape, market drivers, trends, and issues, along with indicators macroscopic.
Healthcare Mobility Solutions Market Production by Region Healthcare Mobility Solutions Market profile of manufacturers-players is studied on the basis of SWOT, their products, production, value, their finances and other vital factors.

Key points covered in the Healthcare Mobility Solutions Market report:
Overview, Definition and Classification of Healthcare Mobility Solutions Market Drivers and Barriers
Healthcare Mobility Solutions Market Competition by Manufacturers
Impact Analysis of COVID-19 on Healthcare Mobility Solutions Market
Healthcare Mobility Solutions Capacity, Production, Revenue (Value) by Region (2022-2028)
Healthcare Mobility Solutions Supply (Production), Consumption, Export, Import by Region (2022-2028)
Healthcare Mobility Solutions Production, Revenue (Value), Price Trend by Type {Mobile Devices, Mobile Applications (Applications), Enterprise Mobility Platforms}
Healthcare Mobility Solutions Market Analysis by Application {Enterprise Solutions {Patient Care Management, Operations Management & Workforce Management}, mHealth Applications}
Healthcare Mobility Solutions Manufacturers Profiles/Analysis Healthcare Mobility Solutions Manufacturing Cost Analysis, Industry/Supply Chain Analysis, Sourcing Strategy & Downstream Buyers, Marketing
Strategy by major manufacturers/players, standardization of connected distributors/traders, regulatory and collaborative initiatives, industry roadmap and analysis of value chain market effect factors.

Browse Full Abstract & Table of Contents @ https://www.advancemarketanalytics.com/reports/105737-global-health-care-mobility-solutions-market#utm_source=OpenPR/Rahul

Answers to key questions
How feasible is the healthcare mobility solutions market for long-term investment?
What are the factors influencing the demand for healthcare mobility solutions in the near future?
What is the impact analysis of various factors on the growth of the Global Healthcare Mobility Solutions Market?
What are the recent regional market trends and how successful are they?

Thank you for reading this article; you can also get individual chapter wise section or region wise report version like North America, Middle East, Africa, Europe or LATAM, Southeast Asia.

Contact us:
Craig Francis (Public Relations and Marketing Manager)
AMA Research & Media LLP
Unit #429, Parsonage Road Edison, NJ
New Jersey United States – 08837
Telephone: +1 (551) 333 1547

About the Author:
Advance Market Analytics is a global market research industry leader that provides quantified B2B research to Fortune 500 companies on emerging, high-growth opportunities that will impact over 80% of global business revenue.
Our analyst tracks high growth study with detailed and in-depth statistical analysis of market trends and dynamics that provides a comprehensive overview of the industry. We follow a thorough research methodology coupled with critical insights related to industry factors and market forces to generate the best value for our clients. We provide reliable primary and secondary data sources, our analysts and consultants obtain informative and usable data tailored to the business needs of our clients. The research study enables clients to achieve varied market objectives ranging from global footprint expansion to supply chain optimization and competitor profiling to mergers and acquisitions.

This press release was published on openPR.

A snapshot of vaccine and booster rates in nursing facilities as new boosters become available

Keeping nursing facility staff and residents up to date on their COVID-19 vaccines is an important tool to reduce deaths from COVID-19. This is particularly relevant now since KFF analysis found that more than one-fifth of all COVID-19 deaths in the United States have occurred in long-term care facilities and death rates from to COVID-19 increases for people aged 65 and older, which includes most residents of nursing care facilities. . The number of COVID-19 deaths per month among people aged 65 and over doubled between April 2022 and July 2022, exceeding 11,000 for the months of July and August.

Although the initial vaccination rates for both groups were quite high, the uptake of boosters was lower. These are troubling numbers as a recent CDC report found that receiving a second booster dose of COVID-19 was 90% effective against death and 74% effective against severe COVID-19 related outcomes for residents of nursing homes. This data note describes COVID-19 vaccination rates for residents and staff in nursing homes between August 2021 and the week ending September 18e, 2022. We briefly explore how federal policy actions have affected vaccine uptake so far, and what this might mean for uptake of the new bivalent boosters. Federal policy may be important in promoting adoption of these reminders, as the September 2022 KFF COVID-19 Vaccine Monitor shows that half of adults have heard little or nothing about the new reminders.

The uptake rate for the first series of vaccines has been relatively high, with more than 85% of residents and staff having completed the primary series as of September 18, 2022 (Figure 1). Among nursing facility residents, 87% have completed a primary vaccine series, which includes either 2 doses of the Pfizer-BioNTech, Moderna, or Novavax vaccines; or a single dose of the Janssen vaccine. There has been little change in this rate over the past year among nursing home residents – as of August 2021, 83% of residents had completed their primary series. Among staff in nursing facilities, 88% completed a series of primary vaccines by September 18, 2022. This rate increased from 62% in August 2021 to 88% in March 2022 and has remained stable since.

Booster uptake has been lower: only 74% of all residents and 51% of all staff had received one or more booster shots as of September 18, 2022. Among the population who completed the initial series of vaccines and were eligible for a booster, 86% of residents and 57% of staff had received one or more boosters. The CDC began recommending booster shots for nursing facility residents in September 2021, after data indicated that vaccinations become less effective over time, especially in older adults. Initial uptake among residents was rapid, and the percentage of residents who received a booster shot increased from 1% in September 2021 to nearly 60% in January 2022. Since then, the percentage of residents who received a booster shot has increased but at a much slower rate, rising to 74% in September 2022. The use of callbacks was much lower among nursing home staff. Between September 2021 and September 2022, the percentage of vaccinated personnel who received a booster rose from 1% to 51%. Any booster dose given to residents or nursing facility staff after September 1, 2022 is the new dual booster.

Vaccination and booster rates vary widely by state, and in 30 states, less than half of all staff had received one or more booster shots as of September 18, 2022 (Figure 2). Vaccination rates for nursing facility residents range from 76% in Arizona to 97% in Vermont. Recall rates are lower, ranging from 59% in Arizona to 92% in Vermont. Among staff, the vaccination rate ranges from 78% in Ohio, Idaho and Missouri to 100% in New York and Maine. Percentages who received a recall range from 32% in Missouri, Alabama and Mississippi to 96% in Massachusetts.

Going forward, federal policy and local outreach efforts may be important in promoting adoption of the new bivalent boosters among residents and nursing home staff. One of the likely reasons for the rapid initial uptake of vaccines and boosters in 2021 among residents and nursing facility staff was that there were three on-site vaccination clinics at all long-term care facilities. participating in the Federal Pharmacy Partnership for Long-Term Care. Care program. (Other factors contributing to the high participation rates include the very high death rates from COVID-19 among people in nursing care facilities and the fact that they were the focus of the initial vaccine rollout.) Facilities can always ask for additional clinics, but it’s unclear how many facilities do so or how many partner pharmacies continue to participate. Current CDC guidelines encourage facilities to inform residents and staff about opportunities to receive vaccines in the community. It is possible that lower use of boosters reflects increased difficulty in getting vaccinated in the community rather than on site. Among nursing facility staff, initial uptake of COVID-19 vaccines was low until the health care worker immunization mandate required providers who participate in Medicare and/or Medicaid to be vaccinated. Combined with other factors, this mandate has led to increased use of the primary series among nursing facility staff and early evidence suggests that it has not increased the frequency of staff shortages.

Creating new opportunities for on-site vaccinations and updating the healthcare worker vaccination mandate to reflect current CDC guidance could increase the number of residents and nursing facility staff who are at risk. day with their COVID-19 vaccinations. The CDC recently updated the definition of “up-to-date” immunization status for long-term care facilities to align with the definition of “up-to-date” that the CDC has rolled out more broadly nationwide. From September 2n/a across the country and September 26e for long-term care facility reporting/monitoring purposes, the CDC’s new definition of “up-to-date” means having received a bivalent booster or having received a last injection of the original vaccines less than 2 months ago. Nursing facilities may have been subject to this deferred definition of “up-to-date” to better align with quarterly reporting periods. As such, they began reporting the percentage of residents who met the new “up-to-date” standard from September 26.e2022. Once there is enough data available using the new definition, KFF will update this analysis and provide state-level results on State Health Facts.

This analysis uses federal staffing data reported weekly by facilities to the CDC’s National Healthcare Safety Network (NHSN) and reflects weekly data through the week ending September 18.e2022. This data is updated regularly to reflect revised data from previous weeks, so future versions of this dataset reflecting the same time period may produce different values.

Each week, approximately 15,200 nursing facilities submit data through the NHSN. CMS performs data quality checks to identify facilities that may have entered incorrect data before releasing that data for public download. Institutions that submitted incorrect data will see an “N” displayed in the column titled “Quality Assurance Check Passed”. Our final sample of nursing facilities in this analysis excludes facilities that CMS flagged in their data quality check, as well as facilities that lack shortage measures. This analysis reflects data from anywhere between 14,118 nursing facilities (93% of all facilities) and 15,043 nursing facilities (99% of all facilities) each week.

3 nursing home legal issues to watch in 2022 and beyond


As a slew of regulations and mandates befall the nursing home industry, such changes could create legal hurdles and suggest another difficult and onerous year for providers.

Staffing mandates, the consequences of the end of public health emergency responsibility (PHE) Covid and the PREP Act, all create “existential threats” to skilled nurse operators, at a time when so many are still trying to recover from the past two and a half years.

“It’s going to be a really, really tough year after a number of other tough years… Bad policy in any of these particular areas could have very significant consequences, and that’s the kind of thing those of us us who spend every day thinking about this stuff,” Mark Reagan, managing shareholder of Hooper Lundy & Bookman PC, told Skilled Nursing News.

Reagan also represented the California Association of Health Facilities and the American Health Care Association (AHCA).

The challenges associated with staffing and ongoing Covid-related lawsuits alone have the capacity to create huge hurdles for operators, according to Craig Conley, a shareholder at law firm Baker Donelson Bearman Caldwell & Berkowitz.

According to Reagan, it is about finding a balance between advocating for the sector with stakeholders in a way that advances some of the underlying political interests while ensuring that there is realism associated with what can be accomplished.

“The sector has incredible resilience which I have seen in my three decades of professional life representing the sector, but there are many existential threats… And so serious challenges continue. There’s no other way to think about it than that,” he told SNN.

Minimum endowments and mandates at the state and federal level

Suppliers agree that staffing continues to be the biggest challenge facing the industry right now, and that’s not expected to change as the federal government works to create its own federal staffing standard.

The Centers for Medicare & Medicaid Services (CMS) is expected to release a minimum proposal in the spring of 2023, if not sooner.

Meanwhile, federal officials are conducting a staffing study that includes site visits to nursing homes as well as cost analyses, among other qualitative and quantitative considerations.

Several questions surround the impending mandate, including whether it will be achievable, whether it will be tied to the presence of personnel, whether it will be phased in or whether it will be the subject of some sort of pilot program, Reagan said. .

“I think there are a lot of different potential options on how it could happen, but insofar as it’s set at a level that’s not sustainable and imposed on a timeline that’s not sustainable , I think that raises a number of questions about the underlying legality of such a warrant,” he said.

According to data from accounting and consulting firm CliftonLarsonAllen in partnership with AHCA, implementing a minimum of 4.1 staff hours per day per resident would require 94% of care homes to increase their staffing levels just to be in compliance.

Some states that have minimum staffing requirements in place have already had to make policy revisions given the current state of the labor market — and facilities that are unable to comply.

New York State’s staffing requirements were originally scheduled to go into effect in January of this year, but were delayed until April by Governor Kathy Hochul.

The state’s more than 600 nursing homes are required by law to provide 3.5 hours of care per resident per day.

About two-thirds cannot meet the minimum, Stephen Hanse, president and CEO of the New York State Health Facilities Association, said earlier this year.

Potential legal questions also relate to whether CMS has the authority to impose a minimum endowment mandate without congressional action, and if so, whether it could create future access issues for grantees. of Medicaid, Reagan said.

“I know the industry’s goal is to try to reach a reasonable compromise along those lines, but I think if that’s not reached, I think every single action or those are the kinds of issues that I ‘ve described… It might involve potential litigation at some point,” he added.

A budgetary precipice at the end of the health emergency

While the PHE remains in effect, providers and legal experts wonder what the impact will be for facilities if temporary programs such as increased Medicaid funding end.

The challenge now for advocacy groups is to convince heads of state to maintain these permanent increases.

AHCA President and CEO Mark Parkinson told SNN earlier this year that would be the association’s “top priority” for 2023.

Some states have already taken steps towards these efforts.

In California, for example, the 10% fare increase from 2019 will remain in place through 2023, whether or not the PHE ends before then.

The $700 million in Illinois facility staffing incentives implemented this year involve a data-driven staffing ratio program and salary incentive initiative — specifically the CNA’s tenure and promotion payment program to increase and maintain salaries for certified practical nurses.

“States that create permanent solutions to recognize these internal increases in labor costs will be better off when it comes to being able to provide access. Those who just have a hard stop and a cliff, it’s going to be a real problem and a real challenge,” Reagan said.

It remains to be seen whether the federal government will step in if Medicaid increases are not made permanent, although CMS has encouraged states to allocate funds for improved staffing – in line with its goals of strengthening health. quality of care, accountability and transparency in the sector. .

“Through initiatives like these, we expect Medicaid beneficiaries residing in nursing care facilities to receive better care through CMS and states working together to achieve the goals set out in the plan. nursing home reform action by the Biden-Harris White House administration,” Daniel Tsai, deputy administrator and director of the Center for Medicaid and CHIP Services, said in an August memo.

Tsai called Medicaid “a key lever” for achieving goals set by the Biden administration.

Covid liability cases and the PREP law

Although the Covid-19 pandemic has not necessarily created the “tsunami” of lawsuits that many legal experts expected, liability issues, including the Public Preparedness and Emergency Preparedness Act (PREP) , should remain in the minds of suppliers.

Many cases involving the PREP Act are currently at the stage of determining where the cases are to be heard, whether in federal or state court. But that will soon turn into a fight over whether the law protects nursing home providers, according to Reagan.

The law, established by Congress in 2005, provides immunity from liability, except for willful misconduct, against certain legal actions. The protection can be used in state and federal courts, and will continue to be used after the PHE.

Usually, when state and federal laws conflict, federal law takes precedence over state law, pursuant to the Supremacy Clause of the US Constitution. But that hasn’t really been the case for these nursing home cases.

The United States Supreme Court has been asked to decide whether it will hear a wrongful death case in a Covid-19 nursing home involving the PREP law – potentially interpreting federal law for the first time.

California-based nursing home operator Glenhaven Healthcare asked the Supreme Court to consider hearing the case in late August after the 9th United States Circuit Court of Appeals upheld more earlier this year a lower court’s decision to keep the case in state court.

Another issue concerns the role of insurance, or lack thereof, in dealing with these cases. Many insurers have offloaded responsibility for covering these issues amid the pandemic, creating a “significant fork” if providers were to take legal action and potentially settle or pay damages, Reagan said.

While the flood of lawsuits in the early stages of the pandemic didn’t materialize as expected, Conley said he’s seen an increase in care-related cases during the pandemic – what he calls “snapshot lawsuits.” .

“I think the recent surge in Covid-related lawsuits will likely continue, as memories fade as some of the immunity laws disappear and some of the other protections pass their deadlines and are no longer in place.” , did he declare. “I think Covid-related staffing and lawsuits, especially the so-called instant lawsuits, will be an ongoing hurdle for the industry and suppliers to manage.”

Are hospitals failing our frontline healthcare workers?

(NewsNation) – Healthcare workers have gone above and beyond for their patients, battling a global pandemic and countless natural disasters.

NewsNation examines whether America is failing them.

Florida nurse Sarah Warren told NewsNation’s “CUOMO” on Tuesday that conditions in many US hospitals were “treacherous.”

“No amount of money can compensate for a loss of dignity in your work,” Warren said. “When you’re working harder than ever before and still seeing poor outcomes for your patients because you don’t have adequate resources…it weighs on you.”

Critical care nurse Lauren Leanders said she and her colleagues were unprepared during the pandemic and did not have proper medical equipment to protect themselves.

“I think nurses have really lost faith in our hospitals and in our healthcare system throughout the pandemic,” Leanders said on “CUOMO. “Why weren’t we prepared? Where was our PPE? Why are we still wearing N95s for seven days straight?

Leanders says the healthcare system has a responsibility to try to earn back that trust in a meaningful way and rebuild the nursing workforce.

Minnesota ICU nurse Kelley Anaas and other healthcare workers went on strike for nurses’ rights. She underscored the importance of nurses to ‘CUOMO’, saying the profession is at a breaking point. She says as more and more resources are taken away, patients are going to struggle.

“We came out to say, ‘You need us.’ We need to be well staffed so we can do our best for our patients, not the bare minimum so you can save $1.

Will B., a registered nurse from Abilene, Texas, called “CUOMO” and said “we see states wasting money without helping people, and then we always get all the bad rap, so as a medical professional, we just appreciate you because there are a lot of issues that you talk about that no one else talks about.

Ensign Group acquires two skilled nursing facilities

SAN JUAN CAPISTRANO, Calif., Oct. 03, 2022 (GLOBE NEWSWIRE) — The Ensign Group, Inc. (Nasdaq: ENSG), the parent company of the Ensign™ group of companies, which invests in and provides skilled nursing care and services Life, Physiotherapy, Occupational and Speech Therapy, Other Rehabilitation and Health Care Services, and Real Estate, today announced the acquisition of the business of Oak Harbor Health Carea 132-bed skilled nursing facility located in Mount Pleasant, South Carolina, and Oak View Health and Rehabilitation, a 190-bed skilled nursing facility located in Conway, South Carolina. The acquisition took effect on October 1, 2022.

“We are excited to expand our South Carolina market,” said Barry Port, Ensign’s president and CEO. “For years we have carefully considered opportunities in and around South Carolina to add to our existing operations there and believe these two facilities are a great fit,” he added.

Adam Willits, President of Hopewell Healthcare LLC, Ensign’s South Carolina-based subsidiary, added, “These facilities represented an excellent geographic and strategic fit in South Carolina. We look forward to adding our experience to the exceptional team of caregivers at these facilities to enhance the care provided to residents.

In a separate transaction the same day, Ensign announced that Standard Bearer had also acquired the real estate and operations of Fountain Hills Post Higha 64-bed skilled nursing facility located in Fountain Hills, Arizona.

Also on the same day, Ensign announced that its subsidiaries had entered into new long-term leases on six new operations in Texas, including the following:

  • the operations of Brodie Ranch Nursing and Rehabilitationa 120-bed skilled nursing facility located in Austin, Texas, Onion Creek Nursing and Rehabilitation Centera 125-bed skilled nursing facility located in Austin, Texas, Riverside Nursing and Rehabilitation Center, a 122-bed skilled nursing facility in Austin, Texas, West Oaks Nursing and Rehabilitation Centera 125-bed skilled nursing facility in Austin, Texas, Lakeside Nursing and Rehabilitation Centera 118-bed skilled nursing facility in San Antonio, Texas, and Mystic Park Nursing and Rehabilitation Centera 119-bed skilled nursing facility in San Antonio, Texas.

All of these acquisitions also became effective October 1, 2022 and bring Ensign’s growing portfolio to 268 healthcare operations, 26 of which also include senior living operations, across thirteen states. Ensign subsidiaries, including Standard Bearer, now own 107 real estate assets.

Mr. Port reaffirmed that Ensign is actively seeking opportunities to acquire real estate and lease both skilled nursing, assisted living and other struggling and successful healthcare related businesses across the United States.

About the brand

Independent operating subsidiaries of Ensign Group, Inc. provide a wide range of skilled nursing and senior living services, physical therapy, occupational therapy and speech therapy and other rehabilitation and care services across 268 healthcare facilities in Arizona, California, Colorado, Idaho, Iowa, Kansas, Nebraska, Nevada, South Carolina, Texas, Utah, Washington and Wisconsin. More information about Ensign is available at http://www.ensigngroup.net.

Contact information

The Ensign Group, Inc., (949) 487-9500, ir@ensigngroup.net

SOURCE: The Ensign Group, Inc.

Two booster shots reduce severe COVID risk in nursing home residents by 74% –


Nursing home residents who received a second mRNA booster during waves of the omicron variant were significantly less likely to be hospitalized and die from COVID-19 than those who received a single one, according to a new study. booster dose.

A second booster provided residents with a 74% lower risk of serious outcomes, including hospitalization and death, and 90% protection against death alone over a 60-day period, CDC investigators and their researchers reported. colleagues in the CDC Morbidity and Mortality Weekly Report.

The study was conducted in 196 community care homes in the United States. Residents received a second booster dose (fourth COVID-19 vaccination) between March 29 and June 15, 2022, a period of omicron dominance ending with the BA.4 and BA.5 variants.

The findings suggest that facilities should continue to ensure nursing home residents stay up-to-date with COVID-19 vaccination, including new booster doses of the bivalent vaccine, “to prevent serious consequences of COVID-19,” the authors concluded.

Push to vaccinate seniors

The CDC’s vaccine advisory committee in March recommended a second booster dose of the COVID-19 mRNA vaccine for adults ages 50 and older and immunocompromised people who had received a first booster four months or more earlier. A bivalent booster vaccine targeting omicron was later cleared by the Food and Drug Administration and on September 1 recommended by CDC advisers for all people ages 12 and older who had completed the primary series using monovalent vaccines. two months or more earlier.

The White House is offering COVID-19 boosters as an annual vaccination. In early September, top health officials said they planned to raise awareness of vulnerable groups such as nursing home residents who may need more protection.

Two-thirds of adults receive no further booster shots

News of the findings among nursing home residents coincides with the release of survey results showing that, despite consistent findings about the protective effect of COVID-19 vaccines and boosters, two-thirds of American adults have failed. not intend to get a COVID-19 booster shot, according to a new survey by the Kaiser Family Foundation.

Within four weeks of its release, only 3.5% of the 215 million people eligible to receive the updated reminder did so, Reuters reported. Some adults were not eligible because they were not up to date on their other doses. And only half of adults surveyed said they had heard a lot or some information about new boosters.

Antibody levels match a younger cohort

Many studies have linked getting a booster shot to high levels of protection against severe COVID-19 disease, especially in those most at risk. In fact, a Johns Hopkins study published in May found that COVID protection matches that of young adults when seniors ages 75 to 98 receive a booster shot.

When blood samples from these elderly people were tested between 14 and 30 days after receiving the booster, their antibody levels matched those of a similarly vaccinated cohort aged 75 and under.

Young adults generally produce more antibodies against the disease, both naturally and after vaccination, than older people. They are therefore generally better protected against serious illnesses.

Related stories:

White House plans COVID boosters as annual shot, plans nursing home outreach

CDC: Older adults receive 80% protection against severe omicron disease with fourth dose of vaccine

Older people report fewer reactions after second COVID booster dose, CDC says

Pharmacy Residency Program | VA Finger Lakes Health Care

The VA Finger Lakes Healthcare System residency program is designed to develop the resident’s skills and competencies in providing patient-centered care as part of an interdisciplinary team with a focus on primary care, mental health, and geriatrics.

The VA Finger Lakes Health System includes the Bath and Canandaigua VA Medical Centers, and the Rochester VA Clinic, as well as several community clinics and rural health clinics. VA Finger Lakes provides primary care, long-term care, and mental health care services to more than 30,000 veterans in New York and Pennsylvania. As well as providing outpatient care, Bath also has a 200-bed residential rehabilitation treatment program, an 80-bed Community Living Center (CLC) and a 15-bed medical floor which offers detox and low complexity hospital treatment. Canandaigua also provides skilled nursing and rehabilitation care with an 80-bed CLC. The facilities are located in the heart of the Finger Lakes region in West Central New York where you can enjoy all four seasons with many year-round activities including hiking, biking, skiing , boating, gliding (gliders) and golf. The region is known for its beautiful lakes, waterfalls, gorges and hills, as well as its many vineyards and culinary specialties.

Finger Lakes PGY-1 Pharmacy Residency is in candidate status for ASHP Accredited and was established in 2022. Although the program requires core components of pharmacy practice, it also allows for flexibility in elective rotations so that the resident can personalize the program. interests. Residents will work with pharmacists in both outpatient and hospital pharmacies as well as clinics.

CareTrust REIT Completes Sale of Skilled Nursing Facilities in Ohio | New


SAN CLEMENTE, Calif.–(BUSINESS WIRE)–Sept. 30, 2022–

CareTrust REIT, Inc. (NYSE: CTRE) today announced that it has completed the sale of seven skilled nursing facilities in Ohio for a purchase price of $52 million. In connection with the completion of the sale, the Company’s head lease with affiliates of Trio Healthcare was terminated. The portfolio includes approximately 600 specialist nursing beds as well as approximately 100 seniors’ housing beds/units.

President and CEO Dave Sedgwick said: “In February we announced a plan to reduce portfolio risk by selling or re-letting 32 properties. Given how much the world has changed since we initiated this process, completing this important provision by the end of the summer is a testament to the talented team at CareTrust. Regarding the remaining 25 retirement homes currently slated for sale or re-letting, Mr Sedgwick said: “The remaining properties are progressing towards resolution in the coming months. We continue to see a path towards completion of this work by the end of the year for the majority of assets. As with today’s announcement, we will provide updates as definitive progress is made.


CareTrust REIT, Inc. is a self-managed, publicly traded real estate investment trust engaged in the ownership, acquisition, development and leasing of skilled nursing, senior housing and other healthcare related properties . With a national portfolio of long-term net leased properties and a growing portfolio of quality operators that lease them, CareTrust REIT seeks external and organic growth opportunities across the United States. More information about CareTrust REIT is available at www.caretrustreit.com.

See the source version on businesswire.com: https://www.businesswire.com/news/home/20220930005155/en/

CONTACT: CareTrust REIT, Inc.

(949) 542-3130




SOURCE: CareTrust REIT, Inc.

Copyright BusinessWire 2022.

PUBLISHED: 09/30/2022 06:01 AM/DISC: 09/30/2022 06:02 AM


Copyright BusinessWire 2022.

Significant Kansas closures reflect broader nursing home staffing issues across the United States


The recent Kansas nursing home closures and downsizing represent a microcosm of major issues facing nursing homes nationwide.

During the pandemic, 35 long-term care facilities across the state either closed or reduced admissions and capacity, according to LeadingAge Kansas.

Nationally, pre-pandemic staffing shortages intensified during the public health emergency and continue today. Meanwhile, federal and state funds to help with staffing are dwindling, facilities are competing more intensely for workers, and recruiting agencies continue to cost more than regular staff.

Kansas, like the rest of the United States, expects its aging population to increase by multiples over the next few decades. By 2036, the number of Kansans aged 65 and over is expected to increase by more than 40%, according to a local report this week.

A nursing home administrator said his facility closed a quarter of its residential capacity because it couldn’t find enough workers. She added that over the past year, about 20 of the 51 licensed practical nurse positions have remained vacant.

“For every person we hire, it seems like two leave,” she told the Pratt Tribune.

Research shows residents suffer when staffing levels are insufficient, lose weight and gain pressure sores and a higher risk of contracting COVID-19.

When nursing homes turn to recruitment agencies for help, it creates three problems: agencies cost more than full-time staff, successful agencies attract nurses for higher pay and therefore far of the facility’s labor pool, and residents receive care from workers who are not as familiar.

“It’s really hard to have a different person looking after you all the time,” Dana Weaver, chief operating officer of LeadingAge Kansas, told the Pratt Tribune. “It produces anxiety for the individual, and the individual actually has to teach the agency staff how to take care of them.”

A Guide to Consolidating Federal Direct Student Loans


Borrowers with multiple federal student loans may struggle to keep up with multiple payments per month. [IMAGE]…

Borrowers with multiple federal student loans may struggle to keep up with multiple payments per month.


To streamline the process, borrowers have the option of consolidating some or all of their student loans in one. Rather than multiple loans with different interest rates, borrowers who consolidate all of their student loans would have one monthly payment at a fixed interest rate.

However, consolidation is not for all borrowers, so here are some factors to consider before applying for a federal direct consolidation loan.

Eligible Types of Federal Student Loans

Borrowers must have the right type of student loans to qualify for consolidation. Most federal student loans qualify, including:

— Subsidized, Unsubsidized, and Unsubsidized Federal Stafford Loans

— Direct PLUS Loans

— Additional student loans

— Perkins Federal Loans

— Nursing student loans

— Loans of nursing professors

— Loans to support health education

Health Professions Student Loans

— Loans for disadvantaged students

— Subsidized and unsubsidized direct loans

— PLUS loans from the Federal Family Education Loans Program

— Certain FFEL consolidation loans and direct consolidation loans

— Federally insured student loans

— Guaranteed student loans

— National Direct Student Loans

— National Defense Student Loans

— Parent loans for undergraduate students

— Auxiliary loans to help students

[Read: Understanding the Types of Federal Student Loans Available.]

“There is always an opportunity to eventually consolidate student loans with a private lender,” says Jeff Arevalo, financial wellness expert at GreenPath Financial Wellness. “But the thing to keep in mind is that the borrower’s credit and debt to income ratios are going to come into play for this. And if you consolidate into some type of private lending product, you risk losing some of those protections and flexibility you have while still under the federal umbrella.

According to the U.S. Department of Education, borrowers who can consolidate may also lose certain benefits, such as principal discounts, loan forgiveness, or interest rate reductions.

Should I consolidate my federal student loans?

Consolidation is advantageous for borrowers interested in federal Cancellation of civil service loans program.

To be eligible for the program previously, borrowers had to be employed full-time by a U.S. federal, state, local, or tribal government or nonprofit organization in eligible employment; have direct loans; be on an income-based repayment plan and make 120 qualifying payments. But due to the implementation of the PSLF Limited Waiver on October 6, 2021, any prior repayment period is now temporarily eligible for the PSLF, regardless of the loan program.

All non-direct federal student loans, such as FFEL program loans or Perkins loans, must be consolidated into the direct loans program before the limited waiver expires on October 31, 2022.

Under ordinary circumstances, federal student loan consolidation erases any progress a borrower has made toward the PSLF by restarting the clock. Essentially, previous qualifying payments made for student loan forgiveness no longer count.

Consolidation also offers borrowers the option of changing their student loan officer, experts say. It can also lower monthly payments by giving borrowers up to 30 years to repay their loans.

Although borrowers can increase the repayment term, their interest rates could be higher. Taking longer to pay off the loan usually means more money being paid in interest over time.

[Read: How Your Existing Student Loan Debt Affects Graduate School Options.]

Under the current federal student loan payment suspension that began in March 2020 with the enactment of the federal CARES Act, the interest rate for direct consolidation loans is 0%. But when repayment resumes after December 31, 2022, all direct consolidation loans will have a fixed interest rate, which will be determined by the weighted average of the statutory interest rates on the consolidated loans rounded to the nearest eighth of 1. . %. And there will be no cap on the consolidation loan interest rate.

When deciding whether or not to apply for a consolidation loan, consider the interest you’ll pay “vs. what you were paying,” says Dan Claffey, director of EdMD, a college admissions and financial aid consulting firm.

“It can be hard for people to understand when you have eight different loans at eight different interest rates with eight different balances,” Claffey says. “Borrowers should make sure they compare these numbers themselves before jumping in and assuming they’re going to save money because they’re looking at the payment.”

Another important consideration is that if you are consolidating, any interest due on the loans to be consolidated will be added to the principal of your consolidation loan. It’s called capitalization and means that interest will have to be paid on a higher principal balance than would have been the case if you had not consolidated.

It is also important to note that federal student loans in default can be consolidated and, in some cases, reconsolidated.

How to Apply for Federal Student Loan Consolidation

There is no credit check to qualify for consolidation, and there are no application fees.

Borrowers can apply directly through Federal Student Aid website or download and print a paper application to be mailed to the chosen consolidation agent. These service options currently include Aidvantage, Great Lakes Educational Loan Services, HESC/EdFinancial, MOHELA, Nelnet and OSLA Servicing.

Be prepared to enter personal information, including a phone number and email address, as well as financial information such as account statements, invoices, and student loan records. You must have a verified FSA ID.

[Read: See How Average Student Loan Debt Has Changed in 10 Years.]

You will also be asked to indicate the loans you wish to consolidate and to select a repayment plan. The processing of your application may be delayed if one of the loans chosen for consolidation is in the grace period.

The form, which is free to complete, takes an average of 30 minutes or less, according to the Department of Education. After consolidation, borrowers will have only one monthly payment.

The request is timestamped. As long as borrowers submit it by October 31, they will still be eligible for the limited waiver even if it is not processed by that date.

“Consolidation is taking a little longer than normal due to Biden’s recent pardon announcement,” said Jan Miller, president of Miller Student Loan Consulting, LLC. “Be patient.”

In August, President Joe Biden announced plans forgive up to $10,000 in federal student loans for those earning less than $125,000 a year and up to $20,000 for borrowers who had a PellGrant while he was in college.

Who do I contact if I need help?

Borrowers who have questions about federal student loan consolidation can contact the Federal Student Aid Information Center, known as FSAIC, which provides support on behalf of the Ministry of Education. The FSAIC helpline number is 800-433-3243.

But the best point of contact, experts say, are your student loan managers.

“They’re the ones doing the consolidations and that’s who borrowers should go to,” says Claffey. “Not a third party mailing them something or sending them a solicitation email.”

Are you trying to finance your studies? Get tips and more at US News’ Paying for College hub.

More US news

Grad PLUS loans: everything you need to know

13 Benefits of Federal Student Loans

Is college worth the cost? Factors to consider

A Guide to Consolidating Federal Direct Student Loans originally appeared on usnews.com

Along the Way: Local Lions Serve Treats to Nursing Home Residents | Communities


All about “The County of Presidents”

Did you know that Norfolk County was the birthplace of four US presidents? Record of Deeds William O’Donnell explains all this and more when he presents “The County of Presidents” at the next meeting of the Foxboro Historical Society – 7 p.m. Tuesday, September 27, in the Library’s Community Meeting Room Boyden, 10 Bird St. O’Donnell’s presentation will include background information on the four presidents: John Adams, second president; John Quincy Adams, the sixth; John F. Kennedy, the 37th; and George H. Bush, the 41st.

Lions serve treats to nursing home residents

Members of the South Attleboro Village Lions Club recently visited Attleboro Healthcare to serve sundaes to residents of the retirement home. Club President Pat Allard and Connie Fedelia, member and resident of the home, served ice cream with Cheryl Olson, Norma Kimmell, Karen Smith and Karen Leclerc. Residents received vanilla ice cream with a variety of toppings available. The special treat was followed by a musical program from the Activities Director. The Lions hope to repeat this program at other facilities in the future.

“Community Preparation Night” in Foxboro

The Foxboro Fire Department is hosting a “Community Preparedness Night” from 5:30-6:30 p.m. Wednesday, along with Foxboro Social Services, Veterans Services, the Department of Health and SEMRECC. The event will include demonstrations on hands-only CPR, stopping bleeding, applying a tourniquet, Narcan awareness, fire detection tips, using fire extinguishers, preventing falls, senior safety and how to build an emergency kit. Social Services staff and the Veterans Services Officer will be on hand to speak to individuals, especially seniors and veterans, and families, about available resources and programs. The event will take place at the Public Safety Building, 8 Chestnut St.

Have you ever heard of the Saturday Night Girls Club?

The Saturday Night Girls’ Club is the subject of a free presentation hosted by the Seekonk Public Library from 6-7 p.m. Wednesday. The club was a social group for young immigrant women living in Boston’s North End that produced Paul Revere Pottery. Rick Hamelin, a master potter, will present on the group and their pottery, including a demonstration of their materials, techniques and products. The program will take place in the Library’s Great Meeting Room, 410 Newman Ave. Sign up at bit.ly/3UbGVuZ. Entrants are also encouraged to view a copy of the library’s historical fiction novel “The Saturday Evening Girls Club” for more information.

Do you have interesting news that you would like to see mentioned in the On the Way column? Email it to Natasha Connolly at news@thesunchronicle.com.

UAE: More than 1,600 scholarships awarded to Emirati students in the health sector

Dubai: Nafis, a federal program that supports Emiratis in the private sector, has signed five memorandums of understanding with higher education institutions in the United Arab Emirates to expand Emirati involvement in the health sector through of Nafis’ “National Health Care Program” initiative.

The new initiative, which opened for registration in late July, received applications from 3,721 Emirati students through the Higher Colleges of Technology, Fatima College of Health Sciences, Fujairah University, University of Sharjah, University of Ajman, Gulf Medical University and Ras Al Khaimah University of Medical and Health Sciences.

As many as 1,621 Emirati students have been accepted and started their studies, while those who have not met the initiative’s eligibility criteria will be listed for the initiative’s development program.

Scholarships paid

According to the MoUs, NAFIS will work closely with the five academic institutions: Higher Colleges of Technology, University of Sharjah, University of Ajman, Gulf Medical University and University of Science Medical and Health Services of Ras Al-Khaimah, to provide paid scholarships. It will also provide the training, labs and workshops needed to develop the skills of students and equip them with the qualifications they need to thrive in the health sector.

Academic programs included in the “National Health Care Curriculum” include the Health Care Assistant Program, Diploma/Higher Diploma in Emergency Medicine, and Bachelor of Nursing, in addition to a number of other practical and specialized health care and health assistant programs, which will be implemented in the future to enhance the participation of Emiratis in this vital sector.

Ghannam Al Mazrouei, Secretary General of the Emirates Talent Competitiveness Council (ETCC), the federal entity overseeing Nafis, said: “As the UAE moves to expand its national healthcare system to meet the growing needs of their population, we hope we see a greater presence of UAE nationals in this vital sector. Starting at the source of the health sector, the educational institutions, is a crucial step in the country’s ambitious health plans.


Al Mazrouei added that these partnerships align with the aspirations of the leaders to cooperate with all governmental and private entities to achieve Nafis’ objectives and support the implementation of its initiatives and programs, stressing that Nafis will strive to provide the budget necessary to cover the expenses of the study programs offered by these educational institutions to Emirati students in the field of health.

Saif Ahmed Al Suwaidi, Undersecretary of the Ministry of Human Resources and Emiratization for Emiratization, said: “The importance of the health sector has increased significantly over the past few years, particularly in light of the COVID-19 pandemic, during which healthcare personnel have become the first line of defense against the pandemic. We have also seen significant interest in joining the healthcare sector thanks to the generous support of the UAE government. »

He added, “In recognition of the government’s efforts to develop this sector, it is a priority to increase the presence of UAE nationals in healthcare and provide them with all the qualifications and skills they need.”

Registration methods and other program membership details will be announced at a later date.

Nursing home residents will keep more family home rental income to free up homes under new Fair Deal plan


Residents of nursing homes under the Fair Deal program will be able to keep more of the rental income generated by their family home, which could lead to around 1,200 additional homes on the market over time.

Currently, people benefiting from the Fair Deal program can only keep 20% of the money generated from the rent.

The rest is part of their HSE revenue assessment, which decides their contribution to the cost of their care, with the state paying the rest.

The change means that the amount that forms part of their assessed income will drop from 80% to 40%.

The Department of Health has confirmed that the proposal, which was approved by Cabinet earlier this year, will be rolled out “immediately”.

A report by the Ministry of Health analyzed different options to encourage more nursing home residents to rent their homes.

It reveals that there are currently over 22,000 nursing home residents in the Fair Deal program.

The report revealed that the number of properties that could be available for rent through them is 3,115, which would represent a maximum of 2,345 additional homes on top of those already rented.

However, he calculated that the figures for letting would likely range from 427 to 1,973 properties – with “a central estimate of 1,200”. Factors such as the state of repair of the houses are unknown.

The HSE worked on the operational aspects of the change before it was fully implemented. A Department of Health spokeswoman said: ‘The rental property assessment rate will be reduced from 80% to 40% for income from all primary residences.’

This will be reviewed after six months of operation, with the possibility of further amendment after this point.

This policy change responds to the commitments made under action 19.8 housing for all.

“The change was made through a committee amendment to the Regulation of Contractors of Construction and Building Controls (Amendment) Bill 2022. The bill was approved by the Oireachtas on June 30 and signed into law by President (Michael D) Higgins in July. .

“At the foot of the legislation and in consultation with the department, the HSE is currently working to make the necessary administrative, technical and operational changes to the scheme which will allow the imminent deployment of this measure.

The report looked at various options, including letting the resident keep all income. But he said the measure decided upon was a “balanced approach aimed at mitigating perverse incentives that would impact the protection and care of residents”.

He pointed out that “the generation of excessive additional income is considered a significant risk factor for poor resident outcomes in terms of inducing premature entry into care and exposing residents to protective risks” .

The higher the adoption, the more revenue it would generate for the program while generating more revenue for the resident, he said.

Only one property per person will benefit from the change – the property the resident lived in before moving into the house.

The analysis suggests it may be a slow burner and it may take two to three years for the full impacts to materialize.

“It is expected that increasing returns will be seen over time as measurement becomes embedded in the system and behavior change takes hold.

“In addition, new entrants to the program may have more capacity and cash flow to take on a rental than longer-term residents.”

Its estimate of 1,200 properties for rent would bring a net benefit to the Fair Deal program of €2.6 million.

“This does not take into account any financial or non-financial benefit to the state in terms of additional housing stock being brought to market – such as reduced demand for social housing.”

Age Action highlighted the need to ensure that any backup issues that may arise for residents as a result of the changes are resolved. He also pointed out that the income would be paid directly to the resident, which would cover additional needs not met by Fair Deal.

Eastern Plumas Health Care to build a new therapy and wellness center on the Portola campus

Lauren Westmoreland, Writer

[email protected]

Eastern Plumas Health Care continues to grow in a way that benefits the community, and the next phases of growth are no exception. In a recent chat with EPHC Director of Rehabilitation Services, Jim Burson, Plumas News learned about current Eastern Plumas Health Care (EPHC) offerings, as well as some exciting news about additions and upgrades. coming. “We are excited about the changes that have and are happening here – there are great things to come,” Burson said with a smile.

Current offers of rehabilitation services


Currently, there are a total of 14 employees in the rehabilitation services department. “This whole department only came into being about three and a half years ago. Among these staffing positions, the EPHC has five physical therapy positions, three occupational therapy positions, including a certified hand therapist and a speech therapist or speech therapist. The rest of the staff are supportive with me,” Burson said.

Something Burson really wants the community to be aware of is that Eastern Plumas Health Care understands the difficulties many have had in finding therapy services covered by MediCal insurance. “Most people in the area with MediCal need to know that our hospital offers therapy and takes out MediCal insurance,” Burson explained. About a quarter of all patients seen at the EPHC are currently using MediCal insurance. “This will hopefully help those who still travel to Truckee or Reno for these services, especially with gas prices so high!” Burson added.

In addition to other therapeutic modalities, the center on the Portola campus currently offers the services of a clinician named Amanda Ferraro, PT DPT, who has worked at EPHC for just over a year and focuses her practice on the balance and vestibular vertigo. , troubles. “There was a very strong community response,” Burson said. “We found that there are a number of people who have problems in this area.”

The EPHC has purchased special equipment such as vestibular goggles, which work much like virtual reality goggles with a computer in a set of goggles that helps identify problems and train the patient with clinician guidance.


“It’s just one of many tools that are used here,” Burson said. “Each budget year, we buy equipment. We use commercial grade Matrix equipment in our gym.

“Between the four physiotherapy staff at the outpatient center, we can treat virtually any physiotherapy-related condition or diagnosis. We have a lot of breadth in terms of experience and skills, and that includes orthopedics and neurology, as well as general conditioning,” Burson noted.

The department quickly outgrew its temporary 1,900 square foot space in the building that served as the education center on the Portola campus, as it is able to serve more members of the community. Burson said he and other members of the department are looking forward to the new therapy and wellness center that will be built on campus.

New building of the therapy and wellness center

Burson explained the exciting plans for the future at Eastern Plumas Health Care’s Portola campus, with final designs for a large new therapy and wellness center building undergoing final engineering stages before to obtain permits.


“The new center will be located between the Portola Medical Clinic and the Skilled Nursing Facility. Our patients will have a great view of the forest and the city park,” Burson said.

The new center will be located between the Portola Medical Clinic and the Skilled Nursing Facility. Our patients will have a beautiful view overlooking the forest and the city park. The EPHC expects to obtain the necessary permits by October this year and have shovels in the ground by spring 2023. The EPHC expects construction to take about a year and hopes to move the department into the new facility by early summer. 2024.

“We expect to obtain the necessary permits by October this year and have shovels in the ground by spring 2023.” The EPHC expects construction to take about a year and hopes to move the department to the new facility by early summer 2024.

The new center will expand the EPHC from its current 1,900 square feet to 8,400 square feet. “There’s so much potential, think about what we can offer with that kind of space,” smiled Burson.


The wellness center will include numerous programs, with Burson planning to collaborate with area talent such as yoga instructors, massage therapists, tai chi instructors and more.

The wellness center, located on the lower floor with separate parking and entrance, will have a therapeutic pool. Variable speed currents in the pool will allow swimming and walking on a treadmill built into the pool. The latter will provide some buoyancy for those who need to practice walking, but without the full effects of gravity. “It allows people with painful joints or neurological issues to work on their strength safely,” Burson said.

It will be large enough to accommodate up to five people at a time, allowing for future community classes, in addition to individual therapy.

Burson went on to say that the wellness center will focus on just that, and that wellness is much more than just exercise. “For example, an out-of-the-box program is a follow-up program. The aftercare program is very popular in many clinics – the patient graduating from therapy will be one of many to go there, in a separate gymnasium downstairs. Follow-up will include former patients who need supervised qualified counseling to advance their practice. This can be done in the gym, pool, or meditation room adjacent to the gym, which will be a room for quieter floor exercises, such as yoga or Pilates. “The meditation suite will be enclosed in the quietest part of the building and will have an adjoining terrace overlooking the forest,” Burson said.

The wellness center will include numerous programs, with Burson planning to collaborate with area talent such as yoga instructors, massage therapists, tai chi instructors and more. “We will give them a new place where they can make their own offerings,” Burson said. “Rather than the public perception that we will be competing with local practitioners, we want to make it clear that we are providing another venue for people with these certifications and talents to achieve.


There will also be a classroom that can accommodate 64 people in the new wellness center, which will provide space for gatherings such as nutrition classes, diabetes education and workshops on many related topics. to health and well-being. “It’s basically a public building,” Burson said. “It will be a way to share and receive wellness on many levels.”

For those interested in joining the therapy and wellness team at EPHC, there is currently an opening for a Speech-Language Pathologist. The position is full-time and offers a bonus and benefits of $5,000. Those who may be interested in joining the EPHC in this role are invited to visit ephc.org for more information.

Nursing home understaffing during pandemic hurt residents, House panel finds


A special House panel investigating the nation’s response to the coronavirus pandemic said it found anecdotal evidence of understaffing in nursing homes that led to patient neglect and harm.

At a hearing on Wednesday, the select subcommittee on the coronavirus crisis plans to discuss some of its findings, including how big care home chains have responded to complaints from staff and families.

“Many nursing facilities were severely understaffed during the early months of the pandemic, resulting in deficient care, neglect and negative health outcomes for residents,” the committee said in a statement Wednesday. press before the hearing.

Earlier this year, President Biden instructed the Centers for Medicare and Medicaid Services [CMS] develop minimum staffing standards for nursing homes. By highlighting issues during the pandemic, Wednesday’s House hearing increases pressure on nursing homes and the Biden administration as CMS’s work continues. The agency recently said it plans to study staffing levels over the winter.

The nursing home industry, represented by the powerful American Health Care Association, said proposed minimum staffing regulations would cost $10 billion a year. In addition, he says up to 187,000 new workers would need to be hired, what he calls an “impossible” task amid a severe nationwide shortage of healthcare workers. It says reaching higher staffing levels would force further reductions in bed availability.

But critics have long cited the poor staffing of for-profit nursing home chains as contributing to neglect and poor health outcomes for residents. The House panel on Wednesday released transcripts from the complaints hotline during the covid crisis. The subcommittee is chaired by Representative James E. Clyburn (DS.C.).

“For example, a former resident reported that a Sava facility in Nevada had only one nurse covering two entire floors on April 7, 2020, and that a resident of that facility vomited on himself and hadn’t been changed or showered for at least two days. later, while another resident had to wait four hours for water,” the committee reported.

SavaSeniorCare did not immediately respond to a request for comment.

The committee released a compilation of complaints, without any identifying information from the complainants, which were directed to three major nursing home chains, SavaSeniorCare, Ensign Group and Consulate Health Care.

The committee also released the organizational charts of five companies it investigated. Critics said the convoluted structure of nursing home chains – with hundreds of separate companies owning individual facilities and several related businesses that provide services to the homes – prevented accurate scrutiny of their profits, operations and of their safety records.

The American Health Care Association said the subcommittee’s focus on staffing and other issues in the early months of the pandemic predictably painted a picture for nursing homes. who were in shock. Hospitals were prioritized over nursing homes for government support in the early stages, the AHCA said, including personal protective equipment and testing supplies.

At that time, “every long-term care provider in the country was imploring public health agencies and policy makers to send help to the front lines and put our nation’s most vulnerable population first,” he said. said AHCA President and CEO Mark Parkinson. “It’s unfortunate that we have to remind lawmakers what those early days were like.”

Skilled Nursing Facility Revenue Cycle Streamlining – Market Experts

Jill Liila

As a qualified nursing care provider, billing and reimbursement are important considerations in ensuring quality patient care and adequate compensation. Skilled nursing organizations are at a tipping point with facilities operating on wafer-thin margins, not optimizing their current collections and now facing a $320 million cut proposal from Medicare in 2023.

Maximizing your revenue requires a coordinated team that understands the coding process and is committed to delivering optimal patient care. Maintaining consistent schedules and communication among team members can ensure that your facility is properly compensated for the high-quality care you provide.

Simplify your billing process for faster reimbursement

Nursing home administrators are always looking for ways to improve their facility’s bottom line. Nurses play a critical role in the Revenue Cycle Management (RCM) process. Understanding the process and staying abreast of coding and billing changes can ensure your facility is reimbursed accurately and efficiently.

Accurate and timely revenue cycle management requires constant interdisciplinary team coordination and communication with a shared vision for accurate coding and optimal patient care. Creating and adhering to an interdisciplinary team schedule results in a high level of teamwork and the highest standard of care. This will prevent important tasks from slipping through the cracks, leading to care delays and billing errors. Additionally, developing a consistent schedule for performing aging reviews and claim follow-ups will help identify potential issues so they can be resolved.

Use technology to your advantage to improve efficiency and accuracy

Technology can be a powerful ally in streamlining the revenue cycle for skilled nursing facilities. By automating workflows and leveraging analytics, SNFs can improve efficiency and accuracy while reducing errors and maximizing reimbursement.

Using analytics to regularly review the health of your revenue cycle, while tracking and trending progress will identify areas for improvement to streamline the billing process for faster reimbursement. Having a fully integrated Electronic Health Record (EHR) allows clinical data to seamlessly integrate into the billing cycle and save time and money by reducing errors and improving workflow. ‘efficiency.

Using technology to its fullest potential is key to optimizing the revenue cycle for skilled nursing facilities. Built-in RCM workflows help skilled nursing facilities maximize reimbursement while streamlining the billing process. By leveraging analytics to regularly review the health of your revenue cycle, you can identify areas for improvement and track progress over time. By automating workflows, leveraging analytics, and integrating clinical data, SNFs can improve efficiency, reduce errors, and maximize reimbursement.

Another factor is to-do lists without work, so that all tasks are completed accurately and on time. This allows providers to focus on areas needing attention and not issues already in progress, saving time that can be spent on residents.

Keep an open line of communication with payers and patients

Verifying insurance and coverage information for each patient is critical and should be done early and be an ongoing process throughout the patient’s stay. Knowing the correct payer to bill and the payer’s billing requirements ensures that your institution receives payment for your services.

Sharing this information with patients and their families is essential, so that they are aware of changes in eligibility and their responsibility for costs. All billing policies, payer coverage responsibilities, and schedules should be documented and communicated to patients, responsible parties, and families, as appropriate.

Set improvement goals and engage in continuous evaluation

Your goals should align with increasing positive patient outcomes that can be measured and tracked with analytics. Setting and meeting accounts receivable targets by payer, planning and performing aging reviews, and tracking claims will eliminate unnecessary problems. Survey your staff, patients and their families. When these groups all agree that the care provided is the best, a provider will be proud of their hard work and dedication.

Regularly monitor and review patient outcomes with analytics to ensure you are meeting your goals and making progress. Look for opportunities to improve patient care while reducing costs. Staying focused on the goals means you’ll provide quality care and generate the revenue needed to sustain and grow your organization. Critical thinking and creativity are key to developing new approaches and solutions.

Make sure your organization’s EHR experts keep up to date with new features and functionality to improve employee job satisfaction and quality of care, improve reimbursement, and provide training to all new employees after each release.

The financial and regulatory aspects of skilled nursing are becoming increasingly complex. Having a team dedicated to optimizing an organization’s revenue cycle can also be difficult to sustain amid the current staff shortage. Without the right people, the right processes, and the right technologies, skilled nursing organizations will grapple with impending financial challenges.

It’s important to remember that expert help is available outside of internal resources to help you identify issues in managing your revenue cycle, improve your cash flow and operate more efficiently. Outsourcing RCM services is an augmented approach that many are beginning to adopt to help streamline the revenue cycle and maximize current recoveries.

By following these tips, you can be sure to provide the best possible care to your clients and streamline your skilled nursing facility’s revenue cycle.

Jill Liila is Revenue Cycle Product Manager for MatrixCare Skilled Nursing, where she is responsible for the design and development of product features that comply with regulatory standards, optimize cash flow, increase productivity and reduce errors. She has has been a key revenue cycle player for MatrixCare Skilled Nursing since 2000 and has owned numerous positions, including Senior Business Analyst, working closely with clients at every stage of the path.

The opinions expressed in McKnight Long Term Care News guest submissions are those of the author and not necessarily those of McKnight Long Term Care News or its editors.

Most Assisted Living Employees Excluded From NYS Healthcare Worker Bonus Program

ROCHESTER, NY — For the past few weeks, News10NBC has been reporting on the fine print of the state’s healthcare worker bonus program. Most healthcare workers who are employed by private medical and dental practices are excluded, as are home healthcare and direct care workers and now most of those who work in assisted living facilities have discovered that neither did they receive any money.

Many healthcare workers are excluded based on the requirement that the facility or agency where they work serve at least 20% of the Medicaid population for them to be eligible. This excludes about two-thirds of assisted living facilities in the state and they are not happy with it. “Why should it be about whether the government paid these workers or whether it was paid by the resident, they were doing the exact same thing,” says Lisa Newcomb, executive director of the Empire State Association of Assisted Living. .

Assisted living facilities that accept Medicaid are further limited in who they can claim the bonus for because of another line in state rules that reads: “support staff are only eligible bonus if he works in a patient care unit of a hospital or other institutional medical setting. Assisted living facilities are not considered institutional. “These employees provide the same services, it’s the same, the Nursing home residents may be more fragile,” says Newcomb.

Newcomb says his organization, which represents hundreds of facilities across the state, has repeatedly sought clarification from the New York State Department of Health. “We need to be sure that the department actually sees them as eligible, because what we fear or fear is that if we go ahead without them providing this clarification and potentially submitting it for a year or two later, the department might come back to the assisted living provider and say your workers weren’t eligible, you have to pay that back,” Newcomb says.

News10NBC contacted both NYSDOH and Governor Kathy Hochul’s office. A spokesperson for the Executive Chamber said, “Governor Hochul is proud to have worked with the Legislature to provide bounties to hundreds of thousands of healthcare heroes across New York State, including a large range of employees in front-line health and mental hygiene professions. Governor Hochul remains committed to building on continued efforts to retain, rebuild and grow our healthcare workforce and ensure we provide the highest quality care to all New Yorkers.

The spokesperson also clarified that to be eligible for the bonuses, those employed in areas listed under “all other healthcare support workers” must be employed by a facility that provides ongoing medical or nursing services, such than the type provided in acute care hospitals, inpatient psychiatric facilities, skilled nursing homes, or other health-related facilities.

Since adult care and assisted living facilities are not permitted to provide the continuing medical or nursing services offered in acute care hospitals, inpatient psychiatric facilities, skilled nursing homes or other health-related facilities, generally speaking, adult care workers and assisted living facilities are not eligible to participate.

COVID rise linked to fair retirement home | Columbia County


HUDSON – The Columbia County Department of Health attributes an increase in COVID-19 cases in the county to an outbreak at Grand Rehabilitation & Nursing in Barnwell in Valatie and the aftermath of the Columbia County Fair.

As of September 19, Barnwell Care Home had recorded 41 cases among residents and another 13 among staff. The latest figures represent a slight increase from Friday, when 40 residents and a dozen staff confirmed cases at Valatie nursing home.

“I think this is likely due to the highly contagious Omicron and BA.5 variants of the virus that made their way into the facility,” Columbia County Health Department Director Jack Mabb said in a statement. communicated. “Barnwell moved positive cases to a separate wing and dealt with it positively.”

The county recorded 28 new positive COVID cases as of the end of the weekend on Monday.

As of Friday afternoon, the county had 72 active virus cases, with 12 county residents hospitalized and a pair in intensive care with COVID-related illnesses.

Mabb said Monday that the Columbia County Health Department has five positive COVID cases among its staff, with four of those employees having worked at the department’s booth at the county fair. The health director said there appeared to be a clear line between the recent increase in cases and the county fair, which took place from August 31 to September 5. On August 31, the county had 33 active cases, a number that rose to 72 by September 16.

“There’s no real science here because we don’t know exactly where they got it, but the timing was such that there’s a good chance some of them were exposed while working on the stand,” Mabb said Monday. “There are events at the fair that can be natural spreaders. There is the parade of firefighters, where they then gather in a tent and spend a few hours there. Our stand is in the main fair house, which is an old and beautiful building, but there is no real modern air circulation and there are a lot of people passing by.

The Greene County Public Health Department on Friday confirmed the 137th death in the county since the pandemic began in March 2020.

The unidentified woman was in her 60s and had received two doses of a COVID-19 vaccine at the time of her death. The woman also had unknown comorbidities and died in hospital.

The Columbia County Health Department will be offering COVID vaccination clinics at the AB Shaw Fire Department in Claverack on Thursdays from 3-5:30 p.m. throughout September. All vaccines will be available without an appointment.

The Columbia Health Agency will also be offering a monkeypox vaccination clinic on Sept. 29 from 4:30 p.m. to 7 p.m. at the Professional Academic Center at Columbia-Greene Community College. The Columbia Department has vaccinated 179 people with the monkeypox vaccine to date, including the first and second doses of the vaccine.

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After failing in high school, nurse practitioner now champions equity and diversity in healthcare – InForum

FARGO — Whitney Fear overheard a judgmental conversation between her fellow nurses in a hospital neonatal intensive care unit (NICU) that she couldn’t pass up.

Her fellow nurses were talking about a baby who was going to be brought to the unit at the White Earth Indian Reservation in Minnesota. One of the nurses said dismissively that the child probably had fetal alcohol syndrome.

“I turned around and told them you had no idea what it was like growing up there,” she said.

Fear, now a psychiatric nurse practitioner, knows firsthand what it’s like to grow up on a reservation, where entrenched poverty and lack of opportunity are entrenched realities of life. She is a member of the Oglala Lakota tribe and grew up on the Pine Ridge Indian Reservation in South Dakota.

Experiences like the NICU conversation convinced Fear that the nursing profession needs more diversity. She believes that the more educated healthcare professionals from diverse backgrounds are, the better the profession can provide comprehensive patient care.

“There really is a need for this,” said Fear, who works at the Family HealthCare clinic in downtown Fargo. There are only 12 Native American nurses with doctorate degrees in the United States, and 0.8% of nurses are Native American.

Yet Native Americans suffer from much higher rates of disease, including diabetes, heart disease, and alcoholism, than the general population.

Fear, which started talking about the need for more diversity in healthcare, is featured in a documentary film, ”

Who Cares: A Nurse’s Fight for Equity

which will be presented to an audience of nurses and nursing students in a special screening at the Fargo Theatre.

She hopes the film, which has been supported by the Robert Wood Johnson Foundation, will help open people’s eyes. It includes candid discussions between Fear and his colleagues – one of whom jokes that Fear “talks like a sailor” – and includes comments from his grateful patients, including a former homeless Indigenous man who struggles with addiction.

Fear worked her way up, starting as a licensed practical nurse, then working as a registered nurse before becoming a nurse practitioner.

She has found herself drawn to mental health and psychiatric nursing, and also enjoys working with the diverse community of patients at Family HealthCare, a federally licensed health center.

Today, with a dozen years of nursing experience, Fear says, “I’ve worked with people with mental illness since birth.”

Whitney Fear, right, then a nurse case manager and shelter outreach nurse at Family HealthCare, speaks with community member Harlan Sylvester following a community meeting. Fear was one of six panelists during the discussion.

Picture from forum folder

* * *

Fear’s grades were so low in high school that she thought she had carved an academic hole for herself that she couldn’t escape.
“I kind of hit a wall in high school,” she said.

Her grades plummeted as she grew apathetic about her school work, driven by deep pessimism.

She saw that her father never seemed to get ahead despite years of hard work, including jobs on the family’s cattle ranch to pay the bills.

“Many times it was by the skin of his teeth to go on another year,” she said. “He was exhausted all the time. What’s even the point of working so hard? You can work hard all your life and have nothing.

Disheartened, Fear fell into a period of alcohol abuse.

“I was a teenage alcoholic,” she said, adding that she also suffered from post-traumatic stress disorder. “It feels good not to feel anything. Poverty is so high there.

But then a high school counselor, who recognized his intelligence and saw his potential, was able to change Fear’s fatalistic attitude and help him find meaning in life.

“He was very direct about it,” she said. At the time, she was supposed to be in high school, but only had enough credits to be a sophomore. “I didn’t know how to fix it,” Fear said.

The counselor got her into an early entry program at the tribal college, Oglala Lakota College, where she attended classes two nights a week while attending high school.

“I basically kept myself busy as much as possible so I wouldn’t get lazy and give up again,” she said.

Encouragement from her teachers boosted her confidence and she entered a science competition. Inspiration also came from her family, especially her father, who is a role model.

“My family was very lucky in so many ways,” she said. “We had electricity and running water. We had enough to eat. »

She began her nursing education at a technical college, then attended North Dakota State University before earning a master’s degree in nursing from Maryville University in St. Louis. His clinical interests include disorders arising from trauma or stressors, schizophrenia and psychotic disorders, personality disorders and substance use disorders.

Early in her nursing career, much of her exposure to mental health cases came through contact she had with patients in the emergency room.

Her early experiences with mental illness and her childhood in rural poverty helped her build relationships with patients. She is also the mother of 9-year-old twins, a boy and a girl.

“I am no longer in this place and it has been a long time,” but this dark chapter in his life gives him insight into the illnesses of his patients.

To heal his patients, Fear learned to pick up cues from their body language while bringing them out by confiding in his own struggles.

She learned “the power of really listening to people”.

Psychiatric nurse practitioner Whitney Fear draws on her experiences, including early struggles with alcohol abuse and post-traumatic stress, to help treat her patients.

Courtesy of SHIFT Productions, Robert Wood Johnson Foundation

* * *

A panel discussion will follow the special, invitation-only screening of the documentary “Who Cares: A Nurse’s Fight for Equity” at the Fargo Theatre.
Participants will discuss health equity, how nurses can best provide individualized care and integrate health justice acts into their practice, and reshape the nursing narrative. They will end with a discussion on how to inspire the next generation of nurses.

The story of Whitney Fear shows how nurses can help achieve health justice for their patients, said Beth Toner, nurse and spokesperson for the Robert Wood Johnson Foundation.

“We really believe that nurses can — they already do — play a role in health equity,” she said. Nurses are vital links because they play a central role in direct patient care. “They have the most contact with people wherever they work – hospitals, community clinics, schools.”

Fear’s story and example in overcoming difficulties in her life can also inspire other nurses, Toner said. “In some ways, it reminds nurses why they got into nursing,” she said. “We wanted health professionals and the public to be represented in the health professions. The nursing profession needs to be more diverse.

You can stream the documentary “Who Cares: A Nurse’s Fight for Equity”

online here


The film, made by SHIFT Productions and funded by the Robert Wood Johnson Foundation, stars Whitney Fear, a psychiatric nurse practitioner at Family HealthCare in Fargo.

SHIFT_WhoCares_TrailerCover (1).jpg

SHIFT Productions, Robert Wood Johnson Foundation

A Snapshot of the Challenges Facing Nova Scotia’s Rural Health Care Teams – Halifax

The front lines of health care in rural Nova Scotia communities remain passionate about patient care, even when faced with challenges beyond their control.

“When people come in and we’re closed, we have to deal with a range of emotions,” said Andrea van Hal, a registered nurse prescriber with more than 20 years of experience.

“We have empathy and understanding, but we also feel a lot of anger and frustration from people. And it all really stems from the fear of not being able to access it for themselves or their loved ones,” van Hal said.

The registered nurse is part of a tight-knit healthcare team at Twin Oaks Memorial Hospital in Musquodoboit Harbour, Nova Scotia.

She says that even in the face of limited resources, staff often work 24-hour shifts to try to avoid having to temporarily close their emergency department doors.

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“Closing the emergency department is sort of the last, last resort. So what usually leads to that is staffing, whether it’s a lack of doctors or nurses,” she said.

Twin Oaks Memorial Hospital is located in Musquodoboit Harbour, Nova Scotia

Alexa MacLean / Global Halifax

Read more:

The NS Conservatives face heavy criticism for their healthcare management in the first year

While shortages of doctors and nurses are a province-wide problem, the result of these shortages in rural hospitals often leads to limitations in emergency care.

“Even calling an ambulance could also be a long delay due to the pressures on them. So knowing that they don’t have access to these community hospitals creates a lot of fear in the community and a lot of stress,” van Hal said.

According to data from Nova Scotia Health, in 2018 the Twin Oak emergency department was closed for 159 hours.

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In 2019, it was closed for 560 hours, increasing to 1,059 closing hours in 2021.

When a temporary emergency department closure is in effect, van Hal says people are still being assessed at the door. If they need intensive care, she says the nurse’s only option is to call 911.

“Nothing about turning people away does any good from a health care perspective. It doesn’t feel good not being able to provide care,” she said.

Read more:

New President of Doctors NS on Burnout, Backlogs and Virtual Care Adoption

Van Hal recently completed a new provincial program that expands the scope of nurses to include the ability to prescribe medication.

She hopes these types of innovative solutions along with active recruitment efforts will lead to a stronger health care system for Nova Scotia.

“I truly believe that we can do better and that people deserve better access to care.”

© 2022 Global News, a division of Corus Entertainment Inc.

Estes introduces bill to ensure quality nursing care for seniors


The nation’s significant shortage of certified practical nurses (CNAs) would be addressed under a bipartisan bill introduced Sept. 13 by U.S. Representative Ron Estes (R-KS) that seeks to ensure that older Americans receive quality care in nursing homes.

“Almost every business and industry is suffering from labor shortages, but perhaps some of the most significant shortages are those in facilities that provide care for others,” Rep. Estes said. “This bipartisan bill is critical right now to address the devastating CNA shortages, especially in rural areas, by allowing nursing homes to resume CNA education programs more quickly.”

Rep. Estes is the lead co-sponsor of ensuring seniors have access to quality care legislation, HR 8805, which is sponsored by U.S. Rep. Gerry Connolly (D-VA) to allow nursing homes that have suspended CNA’s in-house education programs due to receive some level of penalties for resuming once quality standards are met, according to a summary of the bill provided by the lawmakers’ offices.

“The law guaranteeing seniors’ access to quality care ensures that nursing homes continue to meet high standards without losing the levels of staff necessary for quality care,” said Rep. Estes.

Under current law, nursing homes that receive a threshold number of penalties for quality defects face a mandatory two-year suspension from their in-house CNA certification programs, according to information provided by staff. of Representative Estes.

If passed, the measure would lift those suspensions on CNA’s internal education once deficiencies are corrected and would require additional monitoring of facilities that does not exceed the initial two years, according to the reports.

HR 8805 is complementary legislation to S. 4381 of the same name introduced on June 13 by US Sens. Tim Scott (R-SC) and Mark Warner (D-VA).

The CFPB publishes a report and a circular on the recovery of EHPAD debts


Whether you are collecting a debt for nursing home care, you may want to check who is responsible for the payment. Last week, alongside an on-the-ground hearing, the CFPB released a new consumer financial protection circular and an update on violations of the Fair Debt Collection Practices Act (FDCPA) and the Fair Credit Reporting Act (FCRA ) in relation to the debt of retirement homes. The CFPB also released a letter sent jointly with the Centers for Medicare & Medicaid Services (CMS) on third-party guarantees for nursing home debt.

Spotlight on the problem. Motivated by concern for the rising cost of nursing home care and the financial difficulties consumers face in paying for it, the report examines the efforts of nursing facilities to obtain payment from non-residents. The Nursing Home Reform Act (NHRA) prohibits a nursing facility that participates in Medicaid or Medicare from seeking or requiring a guarantee of third-party payment as a condition of admission, expedited admission, or continued stay in the nursing home. ‘establishment. Provided that a resident’s representative does not incur personal liability, the NHRA permits a nursing facility to require a representative with lawful access to a resident’s income or available resources to sign a contract to pay a payment to the establishment from the resident’s income or resources.

The report finds that some nursing homes include clauses in their admission contracts that attempt to hold a third party financially responsible for the costs of the resident’s nursing home and discusses the different forms these clauses can take. The report says many third parties are unaware that there are legal restrictions on nursing home admission contracts and may also lack the resources to properly respond to a lawsuit seeking to recover costs from a resident on the basis of these contractual conditions. As a result, courts can issue default judgments, allowing debt collection companies to use wage garnishment or garnishment to recover residents’ costs from third parties. The report also states that nursing homes and debt collectors may also report a resident’s debts to credit reporting companies as a personal debt of a third party in order to create pressure on the third party to pays these debts.

The report also addresses claims made in debt collection lawsuits that a third party engaged in financial wrongdoing, such as intentionally misusing, hiding or stealing resident funds. As an example, the report refers to boilerplate language used in numerous trials in New Yorks alleging that a third party had engaged in fraudulent transfers.

Circular. The circular addresses the risk of violations of the FDCPA and FCRA based on debt collection and consumer reporting practices relating to debts that are invalid under the NHRA or state laws analogous to the NHRAs that contain similar prohibitions.

The CFPB acknowledges that it does not enforce NHRA compliance and is not generally responsible for overseeing the operations of nursing facilities. However, he warns that a debt collector, including a litigation law firm, who states that a third party must personally pay a nursing facility resident’s debt may violate the prohibition on FDCPA on misrepresentation when the debt is based on a contractual provision that is unenforceable under the NHRA or analogous state law. The CFPB also warns that a debt collector can violate the FDCPA’s prohibition on misrepresentation by making baseless allegations in a lawsuit that a third party has engaged in financial wrongdoing.

With respect to FCRA liability, the CFPB warns that because it is inaccurate to report that a consumer has a debt based on an illegal contractual provision, a debt collector who provides information about the debts of a nursing home or consumer reporting agency (CRA) that includes such information in a consumer report may violate the FCRA’s accuracy requirements if the debts are not valid under the NHRA or a analogous state law. (The issue of whether a CRA can be held liable for violating the accuracy requirements of the FCRA when the accuracy of a debt reported by the CRA requires a legal determination as to the validity of the debt is raised in a case currently pending in the Second Circuit.) A provider or consumer reporting agency may also violate the FCRA by failing to meet its litigation obligations with respect to information about nursing home debts.

Joint letter. CMS, in conjunction with the Department of Health and Human Services, has issued rules implementing the NHRA and, together with DHHS, is responsible for enforcing the NHRA. Their joint letter addresses the potential violations of the FDCPA and FCRA outlined in the circular and sets out CFPB and CMS expectations for nursing facilities and their collectors to comply with the NHRA, FDCPA and the FCRA.

None of the three new nursing home debt collection articles mention the Affordable Care Act (ACA), which the CFPB discussed in a blog post about the connection between eligibility for financial assistance in under policies mandated by the ACA and Medical Recoveries. The ACA requires nonprofit hospitals to establish financial assistance policies for consumers who are unable to pay their medical bills. It also prohibits nonprofit hospitals from reporting medical debt as collections to credit reporting companies or selling the debt to another party, without first trying to determine if the patient would be eligible for their medical policies. ‘financial aid. In the blog post, the CFPB suggested that nonprofit hospitals may not provide low-income consumers with the financial assistance for which they are eligible and may report medical debt in violation of the ACA. (Based on the CFPB’s position on the NAHA, it seems likely that the CFPB would similarly assert that attempts to collect medical debts incurred due to the hospital’s failure to provide medical assistance required by the ACA may violate the FDCPA and that reporting debts prohibited by the ACA may violate the FCRA.)

Best Bad Credit Loans and No Credit Check Loans with Guaranteed Approval in 2022


Best Loans for Bad Credit: Get No Credit Check Loans with Guaranteed Approval

Unless you can see the future, you cannot predict an emergency. So if a financial emergency arises and you are not well prepared, you will need a reliable solution to help you get through the trouble. At times like these, most people turn to quick loans. But it can be difficult to get an emergency loan if you’re struggling with bad credit.

Fortunately, no credit check loans are available to provide a convenient and safe way for people with bad credit to borrow money quickly on short notice.

Here are the best places where you can borrow no credit check loans with guaranteed approval.

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  7. Quick Payday Loans – Ideal for easy and fast bad loans in UK
  8. Easy Payday Loans – Ideal for no credit check loans with guaranteed approval
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Bad Credit Loans USA – Best for Small Bad Credit Loans with Guaranteed Approval

If your poor credit is preventing you from getting financial help when you need it, you should check . The platform has an excellent reputation for connecting borrowers with bad credit to lenders who will lend up to $5,000 without a credit check and on the same day.

The company partners with direct lenders who are reliable and trustworthy and who are ready to work with you to find a financial product that meets your needs. If you meet their reasonable requirements, they will offer you online loans regardless of your credit rating. There are dozens of lenders offering different types of loans. payday loans, title loans, installment loans, etc.


  • Dozens of reliable and trustworthy direct lenders
  • Quick approval and funding
  • Online and automated application process
  • Bad credit is considered

The inconvenients

  • Lenders can perform soft credit checks.

WeLoans – Best Overall for Bad Loans

is arguably the best online platform for bad loans. Although fairly new to the market, it quickly caught on and became a household name in the United States. This allows borrowers with not-so-stellar credit to easily access loans from some of the most reputable lenders in the country.

WeLoans partners with a large number of direct lenders who can provide different loans, including title loans, payday loans, and personal loans for bad credit. The site strives to ensure that borrowers who are looking for urgent loans get their money as quickly as possible to help them with their needs.

To access a loan, all you have to do is complete a simple online form which is then immediately distributed to several lenders. These lenders review the application and get back to you within minutes with offers. Once you have settled on a lender, you will receive your money as quickly as the same day.


  • Reliable and reputable lenders
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The inconvenients

  • You may need to provide proof of income to qualify

CocoLoan – Best for same day loans with no credit check

is another great platform that connects borrowers with direct lenders that offer different types of loans without credit checks. If you have a financial emergency, this platform can connect you with lenders who will lend you up to 35,000% without a credit check and on the same day.

To get instant access to multiple lenders, just go to the CocoLoan site, complete and submit the simple online form, and you’ll start receiving offers right away. Start by reviewing each offer you receive to find the one that best suits your needs.

Once you have chosen your offer, you can respond to the lender and discuss the terms. You will receive your money quickly once you sign an agreement. Quick, easy and effortless.


  • Practical – 100% online services
  • Dozens of reputable and reliable lenders
  • Effortless application, quick approval
  • Bad credit may qualify

The inconvenients

  • Some lenders may require proof of source of income.

Factors to consider when looking for the best loans for bad credit with guaranteed approval


Before applying for a loan, check your eligibility and their requirements. Even though payday lenders approve of low credit, some require a minimum FICO score of 620. You also need to consider your debt-to-equity ratio, which is your monthly expenses compared to your income. Lenders require borrowers to have a stable income to ensure timely repayments.

Interest charges

When you borrow money, the interest rate is crucial. Compare the minimum rates to see if they are reasonable. Also check your credit score because generally better credit means lower interest rates. bad lenders could offer fixed and non-variable interest rates. These fixed rates can remain constant for the duration of the loan, while variable rates are adjustable.

Terms and conditions

Before signing the contract, it is always advisable to read between the lines. Read carefully and make sure that the terms spelled out on the contract are favorable to your needs and you won’t have any problems with them during the repayment period.

Other expenses

Different lenders have different fees associated with the loans offered. For example, some lenders have initiation fees, processing fees, late payment fees, NSF check penalties, etc. Make sure you understand all the expected fees before signing the contract, so that there are no surprises in the future.

Last word

There aren’t many options available for people with bad credit. But that doesn’t mean you can’t get the help you need when you’re in a financial emergency. We have compiled these platforms to help you see some of the possibilities available that you can use when needed.

North Carolina Skilled Nursing Facilities Partner with Research Company to Bring Clinical Trials to Rural and Underserved Communities


RALEIGH, NC (WNCN) – A partnership that began in response to the COVID-19 pandemic is bringing clinical trials to North Carolina communities that would not normally have access to them. Skilled nursing facilities in the area are working with a research company to study treatments and prevention methods for diseases such as Alzheimer’s disease.

Mobile research units will soon be deployed to skilled nursing facilities in central North Carolina. They will be used for clinical trials, such as preventive studies on Alzheimer’s disease.

“They can essentially function as a comprehensive research site,” said Dr. Tyler Miller, medical and scientific adviser to research firm Care Access.

He also said that clinical trials can provide cutting-edge experimental treatments, but are normally only reserved for people who can access a research site.

“Clinical trials should not be reserved for young people close to university hospitals; they should be for anyone who wants to participate, and our goal is to open up more access,” said Lynn Hood, CEO and President of Principle Long Term Care, which has several skilled nursing facilities across the country. State.

Earlier in the pandemic, some of the principle qualified nursing facilities participated in a monoclonal antibody trial.

“COVID hit and residents of nursing homes were the people most at risk of getting the disease,” Miller said.

He believes these clinical trials have saved lives and prompted those involved to ask if more could be done.

“Can we take this model that we’ve created because of the pandemic and apply it to other diseases, to things that have a daily impact on people’s lives like Alzheimer’s disease, cardiovascular disease and diabetes ?

This is the goal of this partnership between Principle LTC and Care Access. A new research center is opening in Raleigh and mobile research units will visit long-term care facilities in rural or underserved areas.

While the mobile units will visit skilled nursing facilities, the studies are not just for patients. Their families, staff members and community members can also participate. All participation is completely voluntary and individuals must qualify and provide consent.

“Nursing facilities are often thought of as a place where someone goes at the end of an illness,” Hood said. “We’re trying to say, ‘No, we’re a health care resource. We are available for more than providing nursing home care.” We are a resource for the community to bring them services that they might not otherwise have access to.

The Care Access Facility Grand Opening Reception will be Thursday from 5:30-7:30 p.m. at 3921 Sunset Ridge Road, Suite 103, Raleigh, NC, 27607.

Mobile research units will be at the following locations in October:
-Oct. 17 2022: First Nursing and Rehabilitation Center (Onslow County)

225 White Street / Jacksonville, North Carolina:

-Oct. February 18, 2022: Willow Creek Nursing and Rehabilitation Center

2401 Wayne Memorial Drive / Goldsboro, North Carolina

-Oct. 19, 2022: Wilson Pines Nursing and Rehabilitation Center

403 Crestview/Wilson Avenue, North Carolina

-Oct. 20, 2022: Springbrook Nursing and Rehabilitation Center (Johnston County)

195 Springbrook Avenue / Clayton, North Carolina

-Oct. February 21, 2022: Franklin Oaks Nursing and Rehabilitation Center (Franklin County)

1704 NC 39 Hwy N / Louisbourg, North Carolina

If you would like to know more about the research on the prevention of Alzheimer’s disease, which is the current study, click here e-mail alzheimersinfo@principleltc.com.

Gracedale Nursing Home on the mend; operational study not necessary – The Morning Call


At its September 1 meeting, Northampton County Council introduced an order to conduct a comprehensive operational study of Gracedale Nursing Home. It looks like the board will vote at the September 15 meeting.

County council members have chosen an odd time to launch a study of Gracedale. After 2.5 years of battling a global pandemic and a national worker shortage, the facility is regaining its footing. The Center for Medicare & Medicaid Services recently raised Gracedale’s overall quality rating from one star to three stars. This calculation included a four-star rating for health inspection.

The administrators and staff of Gracedale have done an excellent job during a difficult time in history. It is very strange that the County Council has now chosen the moment to carry out an operational study. Investigations like these can be extremely expensive and do not always produce usable action items. Additionally, commissioners John Cusick and Lori Vargo Heffner recently said indicators show the facility is moving in the right direction.

In May, the board passed my “Saving Gracedale Again” resolution, which allocated $15 million in US bailout funds for retention bonuses, staffing bonuses, nursing care costs, and improvements. of the establishment’s fixed assets as well as the construction of a daycare centre. center.

Before spending hundreds of thousands of taxpayer dollars on an operational study, county council members should sit back and wait to see what kind of dividends those investments pay off.

One of the biggest problems faced by nursing homes during the pandemic was the lack of staff. This situation has not only affected long-term care facilities; this has impacted most industries. Gracedale, which serves the demographic groups most susceptible to respiratory viruses, has been particularly hard hit. Many employees left, but we were also blessed with a dedicated and heroic workforce who put in long hours caring for residents.

When the federal government demanded that Gracedale lay off unvaccinated employees or risk losing its funding, that also caused employees to leave. The resulting staff shortage created a problem with our calculation per patient day. The PPD measures the number of productive hours worked by nurses with direct patient care responsibilities. With a decline in staff, Gracedale’s PPD fell below the mandate of the Department of Health. To compensate, the establishment had no choice but to lower its census of residents.

Over the past few years, our human resources department has launched a truly impressive recruitment campaign for all departments: nursing, dietetics, office, housekeeping, etc.

Gracedale employees are county employees, which means they belong to a union and receive union benefits unlike most private nursing home employees. Gracedale employees receive pensions, prescription coverage, medical, dental, vision and life insurance.

Our administrators have developed more incentives, including a $2,500 annual bonus over the next four years, tuition assistance, and the opportunity to work part-time. Early indications are that awareness is working. Recently, Gracedale’s PPD rose to an average of 2.95, above the state’s 2.7 requirement. Certified Nursing Assistant courses at Gracedale are now full.

Administrator Jennifer Stewart-King reports that she has witnessed interest from outside agencies in providing staff members to the nursing home. As the economic fallout from the pandemic continues to diminish, we hope to once again be able to staff Gracedale at a sufficient level to handle its full census of 688 residents.

The Council should explain to ratepayers the benefits that an operational study would bring at this stage. Gracedale is the most regulated of all county departments in Northampton, subject to constant inspections and audits. If something in its operations was not done correctly, we would have already received a detailed report.

Government officials have a sacred duty to their constituents not to waste taxpayers’ money. In my opinion, an operational study of Gracedale will not give us any information that we do not already know.

Lamont McClure is the County Executive of Northampton.

Skilled Nursing Facilities and Nursing Homes: What’s the Difference?


Many use the terms “skilled nursing facility” and “nursing home” interchangeably. However, they are separate care facilities. Although skilled nursing facilities and nursing homes appear similar, they have fundamental differences, including the level of medical care they provide.

While nursing homes are long-term residential facilities that serve people with chronic illnesses, skilled nursing homes are centers for rehabilitation and treatment. Nursing homes are suitable for long-term residents, while skilled nursing facilities support short-term recovery from acute medical conditions.

The duration of the stay; duration of stay

How long a person must stay in a facility can determine whether they go to a nursing home or a skilled nursing facility. People generally stay in nursing homes longer than in skilled nursing facilities. Many older people move permanently into nursing homes. Those in skilled nursing facilities tend to stay for less time and then return home or receive long-term care.

According to the National Care Planning Council, people who enter nursing homes stay on average for more than two years. The average stay in a skilled nursing facility is about one month.

Skilled nursing

Aside from length of stay, a significant difference between skilled nursing facilities and nursing homes is the type of care available. Skilled nursing facilities specialize in meeting the unique medical needs of residents.

Skilled nursing requires qualified practitioners with advanced training and specific certifications. Licensed healthcare professionals work in skilled nursing facilities, including:

  • Registered Nurses (RNs)
  • Licensed Practical Nurses (LPNs)
  • Speech therapists
  • Physiotherapists and Occupational Therapists

Depending on the type of care you need, note that you can also obtain skilled nursing services in other settings, including your home and nursing homes.

Types of Care Available at Skilled Nursing Facilities

People with serious accidents, such as falls, may need acute care in a trained nursing facility. Others may go to skilled nursing facilities to receive treatment for serious illnesses like cancer. People may also need to stay in a skilled nursing facility while recovering from surgery.

Types of care available at skilled nursing facilities include:

  • physical therapy
  • occupational therapy
  • Speech therapy
  • Wound care
  • Intravenous therapy
  • Injections
  • Catheter care
  • Medical supervision

As part of medical care, specialized medical equipment is available at skilled nursing facilities.

Retirement homes

When people can no longer safely live in their homes and need help with daily living, they may choose to move into a retirement home. Nursing homes also provide activities for residents, such as social events, shopping trips, and access to religious services. Day and night, residents have access to nursing services.

However, unlike specialized care facilities, retirement homes do not provide medical care that meets the specific needs of all residents. Nursing home residents with specific medical needs often visit health facilities for care. Family members can drive residents to appointments or use transportation services to access medical care that meets their specific needs.

Also, although registered nurses work in nursing homes, fewer licensed professionals may be available to residents of this type of facility.

Learn more about choosing and evaluating nursing homes.

Help with daily living

Skilled nursing facilities and nursing homes provide 24-hour assistance with daily living, including:

  • Shower and bath
  • Dress
  • Cooking and meals
  • Personal hygiene
  • While walking
  • Mobility
  • Getting in and out of bed
  • Getting in and out of a wheelchair

Last modification: 09/13/2022

Learn the secrets of estate planning with an expert


Alaska Primary Care Association hopes to boost local healthcare workers with new grant

Providence Alaska Medical Center in Anchorage. (Jeff Chen/Alaska Public Media)

The Alaska Primary Care Association recently received $9.7 million through the US Economic Development Administration’s Good Jobs Challenge Grant. The funds will be used to increase the number of Alaskans entering the health care field, with a particular focus on apprenticeships.

Jared Kosin is CEO of the Alaska Hospital and Healthcare Association. He explains what this grant means for Alaska’s health care industry and how advocates are changing the approach to address long-standing labor shortages.

The following transcript has been lightly edited for clarity.

Jared Kosin: The workforce issue, if you will, has been a health care issue for years. And now with the pandemic, now that we’re kind of coming out of it, the problem has gotten worse. And we know that, we commissioned a study from the association last year, and we are going to do it again this year. But at the end of the day, in our healthcare workforce in Alaska, there’s a huge hole. Each year, we have more than 63,000 vacancies across the industry. More than 14 hundred of them are for registered nurses only.

So we have this huge labor hole that exists, and it’s probably worse. The problem is that, both in the health sector and in any sector, you post jobs, but no one applies. Where has everyone gone? So we’re in a situation where we can no longer rely on people responding to our messages and coming to work at our facilities, so you kind of have to change your thinking. How do we take our existing workforce, certainly support them through burnout and all the challenges they’ve had, but how do we train them for positions rather than looking and bringing people ? This is where this concept of learning really comes into play.

Michael Fanelli: So what do you think are the biggest hurdles to convincing Alaskans to become healthcare professionals? And how would that money perhaps seek to mitigate them?

JK: There are many obstacles. I mean, definitely, the post-pandemic world – if you could call it that, I know we’re still in it, and it’s going to be a part of our lives for a long time – but there’s a lot of toxicity to that. Health care workers have seen a lot that others would never want to see. And that both got political and affected people’s direct lives when they were coming home from shifts, so I think one of the challenges or obstacles that we have is, well, why would I get into health care? I just saw what they went through. Both publicly and we hear the stories privately – why should I choose this profession?

And so we need to do a better job, from a health care perspective, of engaging people at a much younger age and explaining what health is. You know, we don’t need those A+ students and those people who all their lives knew they were going to be a doctor. We need those people who may not know what they want to do and want to explore a professional field. Healthcare is ripe for it because once you get in, you can go anywhere with it.

FM: OK. So, other than this grant, what else does the health industry in Alaska need to get to where it needs to be?

JK: You know, we are in a much better situation than a year ago now. A year ago, we were preparing for Delta’s surge. And I would say that was the worst part of the pandemic for us. And that’s my personal opinion. But a year later, what do we really need? I think an understanding that things fluctuate, we are always busy. Fortunately, it’s not [because of] COVID, COVID has an impact [us] when he knocks out staff, but I would say probably behavioral health.

Behavioral health is something we all know, in the last couple of years it’s probably taken a big hit. People have experienced trauma. And now that things have sort of calmed down, I think that’s showing up more. What we’re going through is a broken continuum, where we see people in crisis, who need to be matched with counsellors, people trained in behavioral health therapy, but there aren’t any out there. So they end up going to the emergency department of a hospital and eventually wait to be placed in an inpatient psychiatric bed. It’s bad care. And I would say that’s a big priority for us, even though we’re in hospitals and nursing homes. If a piece of the continuum is extremely deficient, if it is broken, we all feel it. So we need to do our part when it comes to behavioral health.

Nursing home sales, closures and admissions halts come as staff shortages continue


As staffing shortages continue to plague nursing homes, sales, closures and admission halts are becoming more common, according to respondents to a survey conducted by Long-Term Care Imperative, a collaboration between LeadingAge Minnesota and Care Providers of Minnesota, the state affiliate of the American Healthcare Association.

Sixty of 100 survey respondents said that due to staffing shortages, they have already reduced or will reduce the number of residents and patients they can accept. Twenty percent of responding providers said they were considering selling their NFS or closing altogether.

More than 100 nursing homes across the Gopher state have closed since 2000, including six this year alone, the associations say.

Lack of state funding is one of the reasons for financial instability, according to LeadingAge Minnesota. Additionally, according to LeadingAge Minnesota, state-provided rates no longer cover the cost of care.

Patti Cullen, CAE, president and CEO of Care Providers of Minnesota, told the The McKnight Business Daily that Minnesota’s rate equalization law limits the ability of providers to charge private residents more than the Medicaid program will pay. The nursing facility‘s base rate in 2020 was about $270 per day, with variances based on resident/patient acuity, historical rates and geographic location, she added. .

“Our payment system for nursing facilities, which is technically a ‘cost-based’ system, was designed at a time when average inflationary cost increases were 2% to 2% and the census was over 90 %,” said Cullen, a 2022 McKnight’s Inducted into the Hall of Honor for Women of Distinction. “The rates must be high enough to cover their costs and be able to be competitive in the labor market for the recruitment and retention of staff.”

Nursing homes have faced double-digit increases in wages and product costs, she said, and those increased expenses won’t be reflected in increased rates for at least 18 months.

“As a result, nursing facilities have taken drastic financial measures to ensure cash flow for their operations,” Cullen said. “They are forced to spend all their reserves, reduce their cash and pay salaries well above what they are paid in their tariffs to retain and recruit staff.

As a result, she said, nursing homes are also experiencing a voluntary decrease in occupancy because they don’t have the workers to provide care — and empty beds mean lower revenue.

Survey responses show that nearly half of the state’s nursing facilities operate with an annual loss of $300,000 or more, 43% have no financial reserves, and many say they have no line of credit available to them.

Cullen said members of his organization “would like to see their current expenses reflected in their current rates, which means a change to the formula to accommodate known cost increases.”

“They would like to see a significant increase in rates so they can compete in the job market and fill vacancies so they can start filling their open beds,” she added. “They would like COVID-19 related expenses, such as personal protective equipment, to be paid directly by the state.”

Additionally, Cullen said, the state must help bolster the direct care workforce by continuing to offer the practical nurse program that was tested during the pandemic, which paid for tuition, uniforms and transportation of incoming students obtaining their nursing assistant certification.

“We also need regulatory flexibility as we phase out some of the public health emergency waivers,” Cullen said, “and for nursing facilities that are in serious financial difficulty, we need to help them pay their providers. and work towards financial health before they are. forced to close. »

Admission to Master of Nursing Course in Kerala: Apply by September 13 Admission to Master of Nursing Course in Kerala: Apply by September 13


The Office of Entrance Examination Commissioner (EEC), Housing Board Buildings, Santhi Nagar, Thiruvananthapuram-695001, has invited applications for Entrance Examination for Admission to Postgraduate Science Courses nurses (M.Sc. Nursing) 2022.

Admission will be offered to government colleges of nursing in Thiruvananthapuram, Alappuzha, Kottayam, Thrissur, Kozhikode, Kannur and government seats in various self-funded colleges in (i) medical and surgical nursing (ii) community health nursing ( iii) Child Health Nursing ( iv) Obstetrics and Gynecology Nursing (v) Mental Health Nursing Specialties.

Eligibility: Applicants must be Indian citizens of Kerala origin. Sons/daughters of non-Keralite parents, who have completed a B.Sc. Nursing degree from any of the Kerala nursing colleges; those who are not of Kerala origin but have resided in Kerala for at least five years can also apply. Non-Keralite applicants will not be eligible for communal/disabled (PD) booking benefits.

Academic qualification: The candidate must have obtained (i) a Bachelor of Science in Nursing or (ii) a post-basic Bachelor of Science. Nursing after acquiring the general nursing and midwifery course with +2 science subjects. Applicant must have achieved 55% overall marks (50% for SC/ST/SEBC/PWD) at bachelor level and must have obtained registration with Kerala Nurses and Midwives Council/any Nursing Council of the state from which he qualified.

Live: The candidate must have one year of experience on 5.09.2022, after registering with the respective National Board of Nursing or at least one year of work experience before or after the basic bachelor’s degree in nursing. Details are given in the Prospectus available at www.cee.kerala.gov.in

The upper age limit will be 46 years from 05.09.2022. It will be 49 years for service candidates.

Application: Applications, including those for service quota applicants, must be submitted online at www.cee.kerala.gov.in by 10 a.m. on 13.09.2022.

The application fee is Rs. 1050/- (Rs. 525/- for SC/ST categories). For service quota, it is Rs. 1050/-. General quota applicants who wish to be admitted into the service quota must pay an additional amount of Rs. 1050/-. Fees can be paid online using internet banking/credit card/debit card or in cash using e-chellan at any of the main/sub post offices in Kerala.

Service quota applicants, in addition to applying online, must forward a copy of the application acknowledgment page and all required documents, including their service details, to the Screening Officer. (DME/DHS/IMS) concerned, as stipulated in clauses 6.3 and 8.2.5 of the Prospectus, to be received no later than 4:00 p.m. on 17.09.2022.

Selection will be based on Entrance Examination to be conducted by CEE to be held on 26.09.2022 at various centers in Thiruvananthapuram, Ernakulam, Thrissur and Kannur. It will be a computer-based test lasting 2 hours with 200 multiple-choice questions. The schedule and other details of the exam will be communicated later. Details of the review are set out in the Prospectus.

Lutheran Services Carolinas partners with Asheville Health Care Center – Reuters

Lutheran Services Carolinas partners with Asheville Health Center

Posted at 12:00 p.m. on Sunday, September 11, 2022

SALISBURY — Lutheran Services Carolinas (LSC) recently announced a nonprofit partnership with Aston Park Health Care Center to serve seniors in Asheville. Aston Park has served the Asheville area for over 42 years.

Executive director Marsha McClure, who has more than four decades at Aston Park, will continue to lead the centre. “We are delighted with this partnership and look forward to strengthening Aston Park and LSC to serve in the future,” said McClure.

The partnership will include working together to support Aston Park’s dedicated team, ameliorate workforce issues, provide operational support and continue to explore Aston Park’s dream of adding apartments for the elderly on the campus.

“I have known and respected Marsha McClure and Aston Park for over 30 years,” said LSC chairman Ted Goins. “It is an honor to partner with such a strong nonprofit to serve the Asheville/Buncombe area for years to come.”

Aston Park is one of the few remaining nonprofit healthcare providers in western North Carolina.

Aston Park was founded as a non-profit community organization in Asheville in 1980 and has 120 skilled nursing beds and 19 assisted living beds. Aston Park provides rehabilitation, long-term care and memory care services to its residents and has been a strong community partner since its inception.

LSC was established in 1960 as a nonprofit organization and has grown to serve North Carolina residents and families with eight nursing homes, four senior living communities, senior housing low-income, PACE, home care and adult day services. LSC’s child and family programs are offered in both Carolinas and include foster care, refugee resettlement, disaster relief, supportive living, and more. LSC is a $140 million health and human services organization with more than 1,800 teammates. The closest LSC services to Aston Park are a seniors’ community in Arden, Trinity View, and a New Americans (refugee resettlement) program office in Asheville.

You can learn more about LSC and its programs at www.LSCarolinas.net.

Barrow – Risedale Nursing Home praised for outstanding care


PRAISE was paid to a nursing home in Barrow by a relative for the ‘incredible’ care provided to a relative.

The Risedale Nursing Home on Abbey Road was chosen for a special tribute by Anne Hall, whose 96-year-old aunt Margaret Proctor is a resident of the home.

In a letter to the Mail, Anne applauded Risedale staff for their ‘loving care’ of Margaret since she arrived home in poor health after spending weeks in hospital after breaking the hip during a fall.

“Since her arrival there, they have revitalized her with uplifting events, encouraged her to return to drawing as a previously proficient artist with trips to Barrow Park on sunny days, and encouraged bench drawings. park and trees,” she said.

“The love we have for her with the hairstyle, the painted nails, the exercises and the quiz sessions, the photos of her at afternoon cocktail parties, and being a country woman, going out in the garden on sunny days, brings it to life.

“Recently I was amazed when they took her and 14 other people in wheelchairs with their own personal carers to Bowness to watch the boats and swans and have a picnic.

READ MORE: Nursing home receives new rating from Care Quality Commission

“I was even more amazed two weeks ago to hear it and four others were taken in wheelchairs with carers on the train to Blackpool among arcades and fun – who at 96 could ask for more?

“This week, upon hearing that his niece was due to celebrate her 80th birthday at Coniston, they rearranged staff rotations so she could be on the surprise guest list.

“On top of that they took her to a shop in Barrow to pick out a new dress for the party, arranged a taxi and her amazing assistant, Courtney, made sure she was reunited with lots of friends from the past, returning home exhausted but full of happy memories of her former native village.

“We hear of nursing home residents being abandoned and treated poorly, but we as a family couldn’t believe how much their loving care had transformed her spirit, and everyone at the party was amazed. to see how well and cared for she was.

“A tribute to every member of staff who has lovingly cared for her over the past few years and who deserves to be commended.”

Hannah Fell, Assistant Senior Practitioner at Risedale Nursing Home, said: ‘How lovely for the hard working staff to receive such lovely feedback from the family, and we thank the family for taking the time to do so. .”

Mass. Nursing facilities operator settles with DOJ over substance abuse discrimination claims

Next Step Healthcare, an operator of 21 skilled nursing facilities in Massachusetts, has settled with the U.S. State’s Attorney’s Office allegations that it turned away hundreds of patients because they were taking drugs to treat their opioid use disorder.

Over a two-year period, from September 2017 to August 2019, Next Step reportedly denied admission to 548 patients who told the provider they were being treated for addiction, even though all of these patients were seeking admission to facilities for unrelated health issues. .

“It’s awful,” Dr. Andrew Kolodny, medical director of the Opioid Policy Research Collaborative at Brandeis University, told GBH News. “There would have been no medical reason – no justification for denying them treatment – ​​other than stigma or misunderstandings about opioid use disorder.”

Next Step did not respond to a request for comment from GBH News.

People who use drugs to treat substance use disorders are protected under the Americans with Disabilities Act. The federal government is cracking down on institutions that discriminate against this population — the latest settlement is the 10th the Massachusetts U.S. Attorney’s Office has reached with a qualified nursing facility.

Kolodny said he thinks bias against drug treatment of the disease was likely at play in denying Next Step admission to so many people.

“This is a systemic problem rooted largely in a misunderstanding of both the disease of opioid addiction and its treatment,” Kolodny said. “With effective treatment, people can be productive members of their community. They can be good parents, good citizens.

Kolodny said many people suffer from opioid use disorder because of doctors’ prescribing practices, not because they seek opioids. But, he added, regardless of how a person develops an addiction, experts agree that the best treatment option is taking drugs to curb cravings.

“Opioid addiction is most effectively treated with medication. Without medication, people are at very high risk of overdose death,” he said. ‘abstinence is thin.’

Next Step agreed to adopt a policy of non-discrimination against people with disabilities, train its admissions staff on disability discrimination, and pay a civil penalty of nearly $100,000 to the federal government under the settlement. She will only have to pay $10,000 if the company respects the agreement.

In a statement, Massachusetts attorney Rachael Rollins said, “When people finally find the strength and courage to be open to healing, they should be met with support and understanding, not discrimination and barriers to health care. … We appreciate Next Step’s cooperation in changing its policies and practices to comply with the ADA, and we strongly encourage other qualified nursing facilities to proactively do the same.

Harry Weissman, director of advocacy for the Boston-based Disability Policy Consortium, said Next Step’s alleged discrimination devalues ​​and endangers the lives of people with disabilities. He added that people with mental health conditions often suffer from discrimination rooted in stigma, which he says was the root of Next Step’s treatment of people with opioid use disorders.

“People who deal with these things should never be turned away,” Weissman said, “whether it’s because they’re seeking treatment for this problem or something else, they’re people like the rest of us.” between us. And, you know, disabled lives are just as worth living as a non-disabled life.

The Disability Policy Consortium is continuing its efforts to pass legislation in Beacon Hill that would improve protections against discrimination for people with disabilities in health care settings. Weissman said they support a proposed bill in the state Legislature, which reached the Ways and Means Committee, but stalled there in the formal legislative session that ended over the course of the summer.

Weissman said the bill would be a big help for low-income Massachusetts residents or people of color, who are more likely to have a disability.

“To deny treatment to someone on this basis is discriminatory. … It’s racist, it’s ableist, it’s classist,” he said. “Everyone has the right to health care and should not be denied that health care for any reason.”

Minnesota Hospital combines horses and health care – InForum

CROSBY — Most people have never heard the phrase, “There’s a horse in the hospital today,” but those at Cuyuna Regional Medical Center in Crosby know it very well.

Cuyuna Regional Medical Center hosts a weekly “take your pet to work” day for its care center patients. The care center strives to schedule pet visits with cats, dogs, goats, and even horses to interact with residents. The event has been part of CRMC’s programming for about 10 years and Wednesday, September 7 was not the first time a horse came to visit.

Residents of the Care Center were surprised Wednesday with a visit from Vegas, a once-wild and now-tame mustang. Ashlin Schneider, a certified practical nurse at the CRMC-Care Center, brought Vegas into the program.

Vegas seemed thrilled to visit long-term care residents who gathered outside the care center to see him. Vegas wasn’t the only one excited, however.

“Residents really love seeing animals, it kind of revives them and brings them back,” said Rachel Weidell, director of activities for the Care Center. “It’s good to reminisce and it’s good for their minds too. It’s nice to have them come (and) see all kinds of creatures.

Residents enjoyed the beautiful weather while petting and feeding Vegas treats. Care Center resident Benita Harrison said she didn’t want to come in until Vegas left.

Cuyuna Regional Medical Center-Care Center patient Doris feeds Vegas during her hospital visit Wednesday, Sept. 9, 2022.

Steve Kohls/Brainerd Dispatch

Weidell used to bring in her two horses for residents, but she will be moving soon. Before Weidell, another employee brought in her horses. The tradition is set to continue with Schneider and his horses in the future.

Vegas is an 8-year-old mustang gelding who spent six years with Schneider. Schneider entered the Mustang Heritage Foundation’s Extreme Mustang Makeover contest as a teenager and later got Vegas.

“I was 13 and there’s an event called Extreme Mustang Makeover,” Schneider, 20, said. “So you have about 100 days to take a wild horse and for the youngsters you just train them to lead and back and you can do freestyle events.”

Schneider begged her parents to do it and they initially said no, but eventually changed their minds.

A woman in a wheelchair reaches out to stroke a horse's muzzle while its owner holds on to a leash
Ashlin Schneider and her horse Vegas interact with Bernita Harrison, a long-term care patient at Cuyuna Regional Medical Center in Crosby, Wednesday, September 7, 2022.

Steve Kohls/Brainerd Dispatch

Vegas was a wild horse originally from Nevada, but Schneider went to Nashville to look for him. She trained him and after 110 days, Vegas and Schneider made the trip from Minnesota to Virginia to compete.

Schneider was a 4-H participant throughout high school and still participates in barrel racing when she can. Now she divides her time between work at the health center and nursing school. She said she has a passion for horses and health care, and CRMC gives her the opportunity to combine the two for their long-term residents.

SARA GUYMON can be reached at 218-855-5851 or sara.guymon@brainerddispatch.com. Follow her on Twitter at twitter.com/SaraGuymon.

Operator of 21 Massachusetts Skilled Nursing Facilities Agrees to Resolve Disability Discrimination Allegations | USAO-MA

BOSTON — The U.S. Attorney’s Office has reached an agreement with Next Step Healthcare, LLC (Next Step), the operator of 21 skilled nursing facilities in Massachusetts, to resolve allegations that Next Step violated the Americans with Disabilities Act (ADA) by refusing patients who indicated that they had been prescribed medication for opioid use disorder (MOUD).

“No one would ever choose to have a substance use disorder. The destruction this disease inflicts on its victims is unconscionable. When people finally find the strength and courage to be open to recovery, they must be greeted with support and understanding, not discrimination and barriers to health care,” said U.S. Attorney Rachael Rollins. “As our Commonwealth continues to grapple with an opioid epidemic, this office will ensure that people who receive MOUD have access to the health care they are legally entitled to and often need. We appreciate Next Step’s cooperation in changing its policies and practices to comply with the ADA, and we strongly encourage other skilled nursing facilities to proactively do the same.

People receiving treatment for an opioid use disorder are generally considered disabled under the ADA, which, among other things, prohibits private health care providers from discriminating on the basis of disability. The United States alleges that Next Step denied admission to 548 individuals who indicated that they were prescribed MOUD while seeking admission to Next Step’s programs. These people asked to be admitted to the facilities for health problems unrelated to their addiction, but also asked the MOUD to treat their OUD.

Under the terms of the agreement, Next Step will, among other things, adopt a non-discrimination policy regarding the provision of services to people with disabilities, including people with SUD or people under MOUD, provide training on related discrimination to Disability and SUD to Admissions Staff, pay a civil penalty of $92,383 to the United States, of which $10,000 will be paid now and $82,393 will be suspended and waived if Next Step materially complies with the terms of the agreement .

This case is part of an ongoing effort by the U.S. Attorney’s Office to remove discriminatory barriers to the treatment of OUD through the enforcement of the ADA. This is the United States Attorney’s Office’s 10th settlement agreement with a qualified nursing facility operator. The Bureau has now entered into 16 settlement agreements and six resolution letters to ensure ADA compliance stemming from OUD processing. The District of Massachusetts is leading the nation in this important type of work and will continue to champion the ADA and support people with substance use disorders.

Assistant U.S. Attorneys Michelle Leung, Gregory Dorchak, and Annapurna Balakrishna of Rollins’ Civil Division handled the case.

The United States Attorney’s Office Civil Rights Unit was established in 2015 with a mission to improve federal civil rights enforcement. For more information about the Bureau’s civil rights efforts, please visit www.justice.gov/usao-ma/civil-rights

HCBS Direct Care Workforce Growth Outpaces Assisted Living and Nursing Home Workforce Growth


The direct care workforce has created 1.5 million new jobs, growing from 3.2 million to 4.7 million, over the past decade, according to a new report from PHI. The growth in the direct home and community care workforce is outpacing the growth in the assisted living and nursing home workforce.

“This trend is expected to continue, with the direct care workforce expected to add an estimated 1.2 million new jobs from 2020 to 2030 – more new jobs than any other occupation in the country,” the author wrote. “Direct Care Workers in the United States: Key Facts.”

Among direct care workers, the approximately 2.6 million segment of nursing aides, home health aides and nursing assistants who work in private homes has the fastest employment growth rate. higher among direct care workers. According to the report, the home care workforce is expected to grow by 37% over the next decade.

The report includes data on three segments of the direct care workforce: home care workers, care aides working in assisted living facilities and similar communities, and care aides in nursing homes. retirement.

“Also taking into account jobs that need to be filled when existing workers transfer to other occupations or leave the workforce, there will be approximately 7.9 million total job vacancies in direct care. 2020 to 2030,” the report notes.

The Future of the Residential Caregiver Workforce – those who assist people in assisted living communities, group homes and other residential care settings – ​is a little harder to predict, PHI noted, due to a recent decline in employment in residential care. Yet the organization predicts that workers in this segment will increase by 22% over the next 10 years. Currently, there are 647,500 health care aides in the United States.

Meanwhile, PHI predicts that the number of practical nurses working in nursing homes will continue to decline from the 471,000 currently working in the field.

“These divergent trends in the long-term care industries are largely the result of consumer preferences for home care and public policies that have expanded [home- and community-based services] funding and access,” according to the report.

Direct care workers often work part-time for pay, but wages tend to rise, even after adjusting for inflation, the report said. PHI credited state and federal investments in Medicaid programs and the Workforce for Change. The report, however, noted that the median hourly rate for direct care workers was $14.27 in 2021.

“As a result, long-term care employers face serious recruitment and retention challenges as they compete with employers in other industries who can offer higher wages in a fiercely competitive job market. “, said PHI.

St. Anne’s Hospital medical staff awards scholarships to area healthcare students

Fall River, MA – Ste. Anne’s Hospital medical staff announced the recipients of this year’s scholarship program for healthcare students.

The awards are part of a long-standing annual program established by the hospital’s medical staff in recognition of outstanding academic achievement by area students and demonstrated commitment to the health professions.

This year’s $3,000 award recipients are:

Anne’s Hospital Family Award:

  • Katelyn Medeirosfrom Dartmouth: Enrolled at Rhode Island College, with a major in medical imaging, Katelyn will study radiological technology, specializing in CT imaging.
  • Tara Cordeirofrom Westport: Enrolled at Bristol Community College, majoring in nursing, Tara’s professional goal is to become a nurse practitioner.
  • Camryn Loomisfrom Seekonk: Enrolled at Plymouth State University (NH), with a major in nursing, Camryn plans to earn a bachelor’s degree in nursing and continue to earn her nurse practitioner degree.

Community Rewards:

  • Hannah Caouettefrom Rehoboth: Enrolled at UMass Dartmouth, majoring in nursing, Hannah plans to pursue studies in pediatric critical care.
  • Lily Giffordfrom Westport: Enrolled at Rivier University, Nashua, NH, majoring in nursing, Lily plans to major in surgical or emergency nursing.
  • Melissa Sousafrom Fall River: Enrolled at the Brockton Hospital School of Nursing, Melissa’s long-term goal is to earn a master’s degree in nursing.

Additionally, Jason Arruda, enrolled in RI University’s Doctor of Pharmacy program, received the award. 2022 Malcolm W. MacDonald, MD, Memorial Scholarship. This $1,000 scholarship is sponsored by Saint Anne’s Hospital Massachusetts-Rhode Island Independent Physician Association..

For more information on the annual scholarship program, call St. Anne’s Hospital Medical Staff Office, 508-674-5600, ext. 2002.

About Ste. Anne’s Hospital

Founded by the Dominican Sisters of the Presentation in 1906, Saint Anne’s Hospital in Fall River, Massachusetts, is a full-service Catholic acute care hospital with 211 beds and satellite locations in Dartmouth, Attleboro, Swansea, New Bedford and Stoughton , Massachusetts. A member of Steward Health Care, Saint Anne’s provides patient and family-centered inpatient care and outpatient clinical services to patients in surrounding communities in Massachusetts and Rhode Island.

Saint Anne’s main services include the Orthopedic Center of Excellence; bariatric surgery; multiple robot-assisted surgical capabilities, including orthopedic surgery, spine surgery, and general surgery; Regional Cancer Center of Sainte-Anne Hospital; two outpatient surgery centers; the Pain Management Center; and inpatient geriatric psychiatry services. In addition to earning Straight A’s for Patient Safety since 2012, Saint Anne’s has earned national recognitions for Cancer Care, Spine Surgery, Bariatric Surgery, Stroke Care and patient experience. follow us on Facebook, Twitterand LinkedIn.

Blog: BBB Tips: Student Loan Consolidation (07/09/22)


With the impact of COVID-19 on daily life greatly reduced, student borrowers whose repayments have been suspended due to COVID-19 may consider their options for resuming payments on this life-changing debt. This may lead some borrowers to look into debt consolidation, but it’s important to research these options carefully and not give in to the temptation to look for a quick fix that could turn out to be a scam.

After recent action by the Biden administration, federal student loan repayments remain suspended without interest until December 31, 2022. Additionally, borrowers earning less than $125,000 per year are eligible for up to $10,000 in forgiveness. loan, borrowers who also received Pell grants. able to receive up to $20,000 in pardons. Consumers should beware of scammers who take advantage of the news by offering bogus ways to apply for loan forgiveness.

Better Business Bureau® (BBB®) Scam Tracker received over 500 reports of debt relief and credit repair scams in North America in 2021. These scams cost consumers a reported total of over $283,000, with the median consumer losing $600 $. Most often, these reported scams involved payment by bank account debit.

Upfront fees, including fees to enter a repayment plan, are a common thread among debt relief scams. These upfront charges are illegal. Loan repayment assistance – including loan deferrals, forbearance, repayment, and forgiveness or release programs – is available directly from the Department of Education and Loan Services, and application for these programs is always free.

Some scam companies ask consumers to sign a power of attorney for financial decisions, use it to suspend the consumer’s loans – a way to temporarily stop or reduce payments, during which the loans continue to earn interest – and require the consumer to make payments directly to them rather than to the loan officer. In reality, the company keeps the payments for itself and the forbearance eventually expires without any repayment progress.

Borrowers seeking student loan relief should consider the following tips:

  • Do your research on the company and the options available to you. BBB business profiles on debt consolidation and other businesses are available at BBB.org or by calling 888-996-3887. These include customer complaints and how they were handled, customer reviews, and an A+ to F grade.
  • Do not pay upfront fees to debt repayment companies. If a rescue company asks for money before helping you, report it to BBB.
  • Think twice before signing a power of attorney or giving a company your bank account information or your Federal Student Aid website login information. These actions allow a company to make potentially devastating financial decisions for you.
  • Don’t agree to a long-term abstention or deferment plan without doing your homework. These should only be seen as temporary solutions.
  • Don’t be fooled by promises of quick relief. The loan relief and forgiveness options available through the Department of Education still require years of payments, and these loans cannot be canceled by bankruptcy.

Fairlawn retirement home resident turns 105


Frank Mekina was 96 when he moved to St. Edward’s Village in Fairlawn in 2013. Today he celebrates a milestone.

FAIRLAWN, Ohio – Staff and residents of St. Edward’s Village in Fairlawn have celebrations in store.

Frank Mekina, resident since 2013, turned 105 on September 6!

Frank grew up in Barberton with his Slovenian parents, lived through the Great Depression and at 16 joined the Civilian Conservation Corps.

During his deployment to the “west”, he received training in forest fire prevention, helped clear forests, build roads, bridges and windmills.

After taking a job as a welder, he meets his wife Catherine. The two were married for 68 years before Catherine passed away in 2010. They have two daughters, Eileen and Jennifer.

Frank also joined the Navy Seabees, helping with construction, ship repairs, damaged bridges and other projects, working at Pearl Harbor, Midway Island and the Tinian Islands, according to a statement from hurry.

After retiring from a successful career in construction, Frank enjoyed staying active! He walks five miles before breakfast “rain or shine”, all year round. And according to his family, loves the polka.

Frank credits his good health and longevity to “living day to day, taking life as it comes, avoiding worries, and a bologna sandwich for lunch and a glass of wine every night,” the statement said.

From all of us at WKYC, Happy Birthday Frank!

Editor’s Note: The following video is from a previous report.

Healthcare workforce shortage necessitates shift to team-based care, experts say


Nearly two and a half years since the start of the COVID-19 pandemic, the staffing conundrum initially driven by high infection rates has turned into an acute workforce challenge.

Herb Emery, Vaughan Chair of Regional Economics at the University of New Brunswick, said that when it comes to staffing shortages, the pandemic was “like the straw that broke the camel’s back.”

“These emerging shortages have been there for decades,” Emery said. “So no one should be surprised that we’re running out of doctors that we’re running out of nurses.”

In recent weeks, hospitals across the country have taken drastic measures to deal with staff shortages, including temporarily closing emergency departments.

The labor shortage is not unique to health care. Nationally, Statistics Canada indicates that approximately one million jobs are unfilled. But health care shortages are most pronounced.

Statistics Canada said healthcare vacancies in the first quarter of this year were nearly double what they were two years ago. Nurses and nurse aides were among the top ten occupations with the largest increases in job vacancies during this period.

Emery says health care shortages are the result of policies introduced in the 1980s and 1990s that aimed to reduce health care costs. Physicians, who are paid on a fee-for-service basis, have been identified as a key driver of high healthcare costs and policies have been introduced to limit the supply of doctors, it said. -he declares.

The Canadian Institute for Health Information said in a 2002 report that policies such as reduced medical school enrollment and restrictions on international medical graduates have contributed to a lower influx of new physicians. .

On the nursing side, Emery said the stress of the pandemic and increased workloads have led to high rates of retirements and exits from the profession, and enrollments in nursing schools. nurses have not been high enough to compensate for the departure of nurses.

Some experts say one solution could be a move towards a team-based approach to care that ensures healthcare professionals are working at their level of skill. This would be tantamount to relieving doctors of the tasks that nurses or pharmacists could perform while leaving nurses to perform only work requiring nursing training.

Armine Yalnizyan, economist and Atkinson Fellow on the Future of Workers, called on provinces to develop a plan to address today’s health issues, including outlining a health human resources strategy.

“The most expensive parts of the system are overworked doing things they shouldn’t be doing, like cleaning rooms or moving patients down the hall on a stretcher,” Yalnizyan said.

The idea of ​​changing the scope of practice of health care workers is far from new. In 2002, the Royal Commission on the Future of Health Care in Canada, also known as the Romanow Report, highlighted the need for this change in practice.

“Changes in the way health care services are delivered, particularly with the growing emphasis on collaborative teams and networks of health care providers, mean that traditional scopes of practice must also change” , says the report. “It suggests new roles for nurses, family physicians, pharmacists, case managers, and a host of new and emerging health professions.”

Emery said the fee-for-service structure for physicians is a barrier to moving toward team-based care.

“What 1/8 fee-for-service 3/8 discourages is that a nurse does some of the things she is qualified to do and can do very well because the doctor she works in doesn’t can’t charge for that.” Emery said.

The shift to team-based care would also require the restructuring of collective agreements, he said, which dictate “who does what” in hospitals.

“There are things that can be done, but they are politically controversial,” Emery said.

In Ontario, the provincial government has said it is considering the privatization of health care as a solution to the challenges facing hospitals. The suggestion provoked considerable backlash from opposition politicians as well as advocates.

However, Emery says privatization in this context refers to service delivery, not how services are paid for.

“It’s really, I think, about changing the site where care is provided from settings that tend to have more rigid rules about who can do what to whom and on what basis, to a setting where there’s has more potential to have that scope of practice, team-based care, and basically see more patients with the same number of doctors and nurses.”

Yalnizyan says the health system has faced low staffing levels for too long due to a lack of funding.

“It’s not just about not planning for the future. It’s about absolutely committing to not spending any money,” she said.

However, Emery warns that more funding will not solve the underlying problem, which is how workers are distributed within the system.

Failing to address these issues, he says, is what led to these shortages and health care pressure in the first place.

“What’s frustrating is that now that he’s been affected, we’re wringing our hands and saying, ‘Well, what do we do’, because there’s no easy way out. in the short term,” Emery said.

This report from The Canadian Press was first published on September 5, 2022.

Best Loans for Bad Credit: Top 5 Loan Companies with No Credit Check and Guaranteed Approval


We’ve all experienced that sinking feeling when we have to pay for something but can’t due to a lack of money. We might want to borrow money, but worry about high interest rates or whether we will be accepted for a loan.

Fortunately, some reputable credit brokerage firms specialize in connecting a network of reputable lenders who are willing to provide bad credit loans. These lenders lend money to people in need who do not have the best financial background and help you get a loan instantly.

These types of loans are also called “cash advance loans” because they provide money as soon as you apply. These loans are designed for short-term use and are repaid in installments over several months.

  1. – Find the best loan for bad credit without credit check online
  2. – An ideal choice to choose bad loans in the United States
  3. – Most favored bad credit loan with shortest deposit term
  4. – Select bad credit loan with guaranteed approval
  5. Loan for bad credit in UK – Getting bad credit loans in the UK has never been easier



There is no need to worry about bad credit because does not conduct in-depth background investigations. They connect you with a network of reputable lenders willing to help people in financial difficulty, regardless of their credit history.

If you need money urgently, WeLoans’ network of lenders will help you with a same day loan. With their extensive network of direct lenders, you can easily compare rates, maximum loan amounts, and flexible terms. To avoid late fees and high interest rates, this loan must be repaid by the due date of the next pay period.


  • Competitive and fixed interest rates
  • Rapid approval and disbursements
  • Friendly repayment schedule

The inconvenients

  • Not a direct lender
  • Does not work outside the United States

Problematic loans in the United States


People with bad credit can get quick short-term loans through , an online broker that connects them to lenders. Bad credit loans in the USA can help you get a loan, regardless of your credit history. They engage you with creditors who are willing to negotiate for the best bad credit loans.

The approval rate for bad credit loans is very high as 90% of lenders are likely to approve your loan application. Borrowers with bad credit have a better chance of getting a loan because the lenders here do not perform rigorous credit checks on them.


  • Most loan applications are approved, including almost all of those submitted the same day
  • Easy to use and secure websites are the best
  • People with less than perfect credit are eligible to apply

The inconvenients

  • Not a direct lender
  • Only US citizens and Lawful Permanent Residents can use it.



can help you find the best short term personal loans for people with bad credit in the industry. You can start the CocoLoan application process on their website. It’s simple and only takes a few minutes to complete on the internet. Once your loan application is approved and processed, the money will be deposited into your bank account electronically.

You can apply for a personal loan for as little as $100. If the conditions are met, you may be able to obtain a loan of up to $5,000. The length of time you have to repay the loan is flexible; somewhere between 2 and 24 months is doable.


  • The website is easy to use and provides a wealth of useful content.
  • No stringent credit checks are performed, allowing for quick approval decisions

The inconvenients

  • There is a chance that you have to shell out more money
  • To be eligible for a loan, you must meet certain criteria

American Installment Loans


is a company committed to connecting borrowers with many reputable online lenders to apply and secure small amount payday loans instantly and securely. If you need urgent money to meet unexpected emergencies such as medical bills, home or car repairs, or education expenses, you can turn to US installment loans for additional help. .

Here are some advantages and disadvantages of American installment loans before you want to apply for loans on its platform.


  • Candidates with bad credits are accepted
  • Different types of loan choices are available
  • Safe and secure to use
  • Quick approval from our cooperating lenders

The inconvenients

  • Applicants must be residents of the United States
  • Not a direct lender to fund the money directly

Loans for bad credit in UK

If you have bad credit, it can be difficult to get a loan to pay for something unexpected. But Loans for bad credit in UK will be able to quickly and easily connect you to a vast network of lenders who are ready to grant you a loan even if you have a bad credit history.

Keep in mind that some loans for people with bad credit have higher interest rates and fees than other loans. People with low credit scores are considered high risk by lenders, so they are less likely to get loans from them.


  • Fast approval and processing
  • The approval rate is higher

The inconvenients

  • High annual percentage rate of charge in the event of late payment
  • Can perform soft credit checks

For more information on UK bad credit loans click here >>


Now you know the top 5 loan companies to get bad credit loans with no credit check and guaranteed approval. Whether it’s for an emergency or because you want to make improvements to the house, you don’t always need to have all the money up front. These types of loans can also be useful if you are short on time and need money quickly.

You can get approved for a bad credit loan online in as little as 10 minutes, making approval instantaneous. You can then act quickly to get the money.

It is not necessary to have perfect credit or even good credit to obtain loans without a credit check, same day payday loans, or any other type of loan; the crucial requirement is that you have a stable income or have enough resources available in your bank account to cover the loan repayments.


1) Can online loans for bad credit improve my credit?

Yes, bad credit loans can be used to build credit, especially for those without extensive credit history. Choose a loan that fits your budget and a lender that records payments with credit bureaus.

You can get loans like installment loans, bad credit loans, and title loans, but remember to make payments on time, it can help improve your credit. Make sure payment is made on time to avoid negative reports in case of late payment.

2) Am I allowed to get a personal loan if my credit is bad?

The answer is yes! Even if your credit score isn’t great, you can still get a personal loan to meet an unexpected expense or combine other debts.

Applicants with low credit (a FICO score of 629 or less) may have to work a little harder, but it can help with quick approval without any rigorous credit checks and may attract a lower interest rate.

3) What are the disadvantages of no credit check loans for bad credit?

Loans with no credit check for bad credit have certain disadvantages, such as the risk of default, late payments and loss of collateral.

As with any type of loan, the interest rate on a fixed rate loan may be higher than what is currently available in the market. Borrowers can refinance their loans now to take advantage of today’s lower interest rates.

Medicare Advantage HMO NOT Accepted at Nursing Home? | Life


Hello Tony:

My mom has a Medicare Advantage HMO and on August 1 she moved into a nursing home. They have a doctor who visits patients who don’t accept the HMO she has. The director of the retirement home advises me to unregister her from this plan, so that my mother can call on the doctor of the retirement home. Otherwise, they will have to ambulance her when she needs medical attention. Is there a way for her to get moving before Medicare open enrollment in October? I need to do this ASAP and put her on Original Medicare.

I have followed your column and I have never seen you address this type of problem. What do I have to do?



There is help for your mother and it really isn’t as hard as you think.

Typically, I write about Special Enrollment Periods (SEPs) for those over 65, retiring and leaving company benefits, but there is a SEP for those moving to care facilities such as nursing homes.

The Medicare and You Handbook talks about specific SEPs for Medicare Advantage plans: “In most cases, if you are enrolled in a Medicare Advantage plan, you must remain enrolled for the calendar year from the start date of your cover. However, in some situations…you may be able to join, switch, or drop out of a Medicare Advantage plan during a special enrollment period.

The following are examples of MS from the Medicare Advantage plan:

–Moved out of area

–Enrolled in Medicaid

–Qualified for “Additional Help” for prescription drugs

–Moved to an institution such as a nursing home (for which your mother qualifies) or a long-term care hospital

–Loss of creditable prescription drug coverage insurance (through your employer)

The trick to opting out of a Medicare Advantage plan when an SEP is granted is to enroll in a standalone Part D plan and be able to answer “yes” to the qualifying question: did you move into a long term care facility within 2 months, or did you leave a long term care facility within 2 months?

You will need to contact Medicare at 800-633-4227 to change the SEP and give Medicare Customer Service all of your mother’s current prescriptions. They will enroll him in the Medicare Part D prescription drug plan that will meet his needs. The Medicare representative will ask you for the date she moved into the nursing facility, and it must be within that 2 month window.

If you wait beyond the 2-month window, you will have to wait for Medicare’s annual open enrollment period, which runs from October 15 to December 7 each year.

When Medicare enrolls your mother in the new Medicare Part D plan, she will be de-enrolled from the Medicare Advantage plan and revert to original/traditional health insurance. This will take effect on the first day of the following month.

Remember that with Original Medicare, she will have a Medicare Part A (inpatient inpatient) deductible for 2022 of $1556 every 60 days or 6 times a year and a single annual Medicare Part B (medical insurance) deductible that changes every year. The Medicare Part B deductible for 2022 is $233 and once the deductible is reached, Medicare pays 80% and the Medicare beneficiary (your mother) pays 20% of the Medicare-approved amount. She may qualify for a Medicare supplement by answering health underwriting questions.

Stephanie, your mother’s Medicare Advantage HMO plan situation is why someone enrolling in Medicare should consider the various Medicare options. No one ever knows when serious illness will strike, and they may need serious medical attention.

– – –

Toni King is an author and columnist on Medicare and Medicare issues. She has spent over 27 years as a sales leader in the fields. For answers to Medicare questions, email: info@tonisays.com or call 832-519-8664.

Frontline Nurses and Healthcare Professionals Pledge to Protect Public Health Care

TORONTO, September 3, 2022 /CNW/ – With 68,000 members, the Ontario Nurses Association (ONA), from Canada the largest union of nurses, celebrates Labor Day 2022 more determined than ever to protect public health care for all Ontarians.

Ontario Nurses Association logo (CNW Group/Ontario Nurses Association)

“The current government’s unprecedented war against the very people who have dedicated their careers to caring for others has only strengthened our resolve to stand up for our patients, residents and clients,” said the ONA President. Cathryn Hoy, RN “The pandemic has brought to light the very real and devastating damage that privatization does when it creeps into the public system that all Canadians value so much.

Hoy says we’re at a turning point in Ontario and believes that the Ford government created the current crisis in the health care system in order to justify its privatization.

“The nursing shortage is a direct result not only of government neglect, but also of government policies that were undoubtedly aimed at sending nurses running for the exits,” she says. “However, as patient advocates, our commitment and solidarity have only been strengthened. We will do all we can to prevent the damage that the introduction of private profit into healthcare will cause to our patients.”

Hoy encourages Ontarians to pay attention to the province’s actions and to speak out. “We are strong and united, and we would welcome the support of the people we are committed to protecting,” she said.

The ONA is the union that represents more than 68,000 registered nurses and health professionals, and 18,000 affiliated nursing students, who provide care in hospitals, long-term care facilities, public health, community, clinics and industry.

www.ona.org; Facebook.com/OntarioNurses; Twitter.com/OntarioNurses; instagram.com/ontario.nurses

SOURCE Ontario Nurses Association



Show original content to download multimedia: http://www.newswire.ca/en/releases/archive/September2022/03/c7020.html

Gracedale’s rating shows signs of ‘moving in the right direction’, says nursing home


Gracedale Nursing Home is showing signs that it is “moving in the right direction,” nursing home administrator Jennifer Stewart-King told the Northampton County Social Services Committee on Thursday.

During an August report to the committee, Stewart-King said Gracedale’s federal health and safety rating and overall rating had both increased by one point to a five-star rating. The facility was also able to increase its average number of patients per day, she said.

“Our star rating has increased to three stars and our health inspection rating has increased to four stars, which is incredible given that we have been impacted by COVID for the past two and a half years. I am very proud of my team and every member of the Gracedale team has contributed to it,” she said.

Gracedale’s average direct care hours per patient per day, or patient per day (PPD), is 2.94, according to the state’s website. Pennsylvania requires nursing homes to provide 2.7 hours of PPD.

Nursing homes, including Gracedale, have often struggled in the past to meet the state’s benchmark, County Executive Lamont McClure said in an open letter this year.

It also looks like the county-run care facility could bounce back from the staff shortages it has experienced for most of the coronavirus pandemic.

Stewart-King said recent courses to train CNAs were full and she has seen growing interest from outside agencies to provide staff members to the retirement home.

According to Stewart-King, a series of county-approved bonuses may also have thwarted a series of departures the facility has experienced, as the nursing home wants to reduce its reliance on temporary nurses.

“From what I heard, a lot of people were excited and stayed with us because of the bonus system,” she said. “I had people who were ready to retire but they wanted to stay for the next four years.”

New and current employees were approved in May to receive annual bonuses of $2,500 for the next four years.

The county council then approved a preliminary reading of a bid-seeking plan for a comprehensive review of Gracedale’s operations.

Gracedale in numbers

Number of inhabitants: 403

Max: 688

Open beds: 283

Admissions (August): 18

Waiting list : 42

Discharges: 12

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Glenn Epps can be reached at gepps@lehighvalleylive.com Where glenn_epps_ on Twitter.

Comment: The school is where health care is provided for children. Changes to Medicaid may help

Schools are places where health care takes place, an essential part of the country’s public health infrastructure. During COVID-19, schools across the country responded to call to action immunize students and community members and provide nutritious meals and mental health counseling services to the children – despite the closed classrooms. Even before the pandemic, schools were providing care that supports classroom learning for 14% from public school children with special health care needs, including those with chronic physical, developmental, behavioral or emotional conditions.

A recent JAMA Pediatrics study found that schools are “the de facto mental health systemprogram, providing services to 57% of adolescents who needed care before the pandemic. In 2019, centers for disease control and prevention found 37% of high school students reported lingering feelings of sadness or hopelessness; 19% having seriously considered suicide; and 9% having attempted suicide. And the need is even deeper now. From April to October 2021, the proportion of pediatric emergency department visits related to mental health increased by almost a third for 12-17 year olds and 24% for children 5-11 years old.

As is always the challenge of public education, the needs far outweigh the available resources. But changes to federal Medicaid payment policy have paved the way for schools to access millions of dollars to fund school nursing, behavioral health and other services in schools.

For example, in 2014 the Centers for Medicare and Medicaid Services expanded a long-standing network Politics to allow schools to be reimbursed for providing covered services to any Medicaid-eligible child. But only 17 states took advantage of this funding stream by modifying their state Medicaid plans (the document that defines the types of services and providers eligible for reimbursement) to reflect the new policy.

Michigan modified its state plan to include behavioral health analysts, school social workers, and school psychologists as covered providers, while the state legislature approved $31 million to fund behavioral health providers in schools. Since this change, there has been approximately one 6% increase in the amount of Medicaid reimbursement directed to schools. Louisiana changed its state Medicaid plan in 2015 and saw a 30% increase in Medicaid income as school nurses increased by 15%. Last year, Georgia changed its plan to allow Medicaid to pay for more school health services. Half the children of Georgia are covered by Medicaid or the state’s PeachCare system, so this change is dramatic and creates an opportunity to bring hundreds of millions of dollars to Georgia school districts to support the most vulnerable students.

More states can position themselves to take advantage of Medicaid funding for schools by clarifying and expanding the scope of school health services and providers covered in their state Medicaid plans. However, some schools face additional hurdles, such as complex billing processes. This question is addressed in the Bipartisan Safer Communities Act, which directs federal policymakers to issue guidance, launch a help center, and release $50 million in planning grants over the next 12 months to help state Medicaid agencies and local educational entities navigate these challenges. These supports are likely to include strategies and tools to reduce billing administrative burdens, especially for rural schools, and best practices that schools and state Medicaid agencies can use to modify plans. so that the services students need and the providers who provide them become eligible for Medicaid reimbursement.

The National Collaborative for Healthy Schools 10-year roadmap for healthy schools prioritizes maximizing schools’ ability to bill Medicaid for school health services and, importantly, recognizes that when health and education officials do not collaborate, it is very difficult to achieve this objective. School nurses, district administrators, and state education officials should be prepared to work with state Medicaid agencies to take advantage of the supports the law will provide – prepare health needs data of their school communities, the types of services provided in schools (and that schools could begin to provide if reimbursed) and the types of licenses and credentials required for staff providing services in schools. State Medicaid officials can then ensure that changes to the state plan reflect the exact types of services students need and schools are able to provide.

How else can school nurses, district administrators and national education officials prepare?

  • To find states reimburse Medicaid. Share information about upcoming supports to increase access to Medicaid funds for school health services and providers.
  • Engage with the school or district Student Health Advisory Committees to gather community feedback on the health services they want to access, understand the unmet health needs of school communities, and increase awareness of the availability of Medicaid services at school.
  • Review the Community health needs assessments local hospitals to better understand the important health needs of the community and the resources available to meet those needs.
  • Make connections at the state Medicaid agency and advocate for reimbursement of school providers for specific services (e.g. counselling, personal care, case management, vaccinations) that are a priority for students.

Jury finds former nursing home worker Marion not guilty in abuse trial


A Marion County jury returned a verdict of not guilty on all charges against a woman charged in a nursing home abuse case that went to trial last week.

Randi Noel McKinley, 33, Marion, was acquitted last Friday by the Marion County Court of Common Pleas of all charges related to a September 14, 2019 incident at Community Care and Rehabilitation (now known as Embassy de Marion) in which she and another employee of the facility were accused of unlawfully restraining a patient with dementia. McKinley admitted that she and an assistant Jennifer Williams used a gait belt to restrain the patient in a reclining medical chair to prevent him from falling.

Robert Whittington, 85, the patient who was retained, died on September 15, 2019. The coroner ruled Whittington’s death was due to natural causes and was unrelated to the incident on September 14, 2019. September 2019, when he was retained.

Following investigations by Community Care and Rehabilitation, the Ohio Department of Health, the Ohio Board of Nursing, and the Ohio Attorney General, prosecutors with the Attorney General’s Office requested an indictment in the case, which was granted Sept. 8. 2021, by the Marion County Grand Jury.

After the three-day trial last week in Marion County Court of Common Pleas, the jury returned a verdict of not guilty on the following charges against McKinley: kidnapping, a third-degree felony; tampering with evidence, a third degree felony; and false, a fifth degree felony. She was charged with tampering with evidence for allegedly trying to delete a video of the incident and was charged with forgery for allegedly falsifying a report of the incident.

“(The not-guilty verdict) was validation not just for Randi McKinley, but it was validation for our medical professionals who sometimes have to make split-second decisions to do what they think will save a life. person and will not endanger her,” said Rocky Ratliff, McKinley’s attorney. “The state had a witness who was the director of nursing at this facility who was talking about ‘the patient’s right to fall.’ protect, not to let us down and then pick up the pieces.

“He’s not a toddler you’re teaching to walk; he’s an elderly person who is dealing with safety issues. So (Friday’s) verdict was a message from the public that our health professionals healthcare should have some leeway to do what they think is right to protect our elderly patients and people with dementia who are unfamiliar with their surroundings.”

Ratliff also pointed out that the incident was never reported to local law enforcement and that it took nearly two years before charges were filed in the case.

McKinley, who is a licensed practical nurse, now works at an assisted living facility in Marysville, Ratliff said.

“The one thing I left out in my closing argument is that when I get older and I’m in Mr. Whittington’s potential position, I really want a nurse like (McKinley) to take care of me,” Ratliff said. “I don’t want anyone to let me down and bang my head on various things, especially when I don’t know what’s going on. I would definitely entrust my care to Randi McKinley or anyone else involved in this matter. “

Williams, who was a community care and rehabilitation assistant when the incident occurred, entered into a plea deal with the Ohio attorney general to testify against McKinley. Williams was initially charged with one count of kidnapping, a third degree felony. Under the terms of the plea agreement with the Ohio Attorney General, Williams pleaded guilty to one count of attempted kidnapping, a fourth-degree felony.

Last Friday, Judge Edwards sentenced Williams to three years of “intensive” community control and a total of 80 days in jail to be served at the Marion Multi-County Correctional Facility. The judge allows Williams to serve her prison sentence on weekends so she can work on weekdays. The judge waived all court and attorney fees and imposed no fine on Williams.

Louis Schoeneman, who was a registered nurse at Community Care and Rehabilitation, was also charged in connection with the incident in September 2019. After being charged with one count of aiding and abetting kidnapping and one count of tampering with evidence , both third-degree felonies, he entered into a plea deal with the state, although he never took the stand to testify against McKinley.

Schoeneman pleaded guilty to one count of obstructing official business, a fifth degree felony. Schoeneman’s sentencing hearing is scheduled for August 30 before Judge Edwards.

Email: ecarter@gannett.com | Twitter: @AndrewACCarter

Wyoming Plans to Join Interstate Mental Health Care Compacts | Wyoming

Lawmakers, seeking to alleviate the shortage of mental health professionals in Wyoming, are considering measures that would make it easier for practitioners to work across state lines.

The joint labor, health and human services committee this month considered two bills that would allow the state to join the interstate psychology and counseling pacts. By allowing professionals licensed in one compact state to practice in all compact states, proponents say the agreements would give Wyoming patients access to more counselors and psychologists, and give Wyoming providers access to larger markets.

Wyoming residents could connect virtually with a counselor in Denver, for example, or a University of Wyoming student returning home for the summer could continue treatment with a Laramie-based psychologist. Expanding mental health care options is especially appealing in a rural state where the per capita suicide rate is often the highest in the country.

Proponents of the bill say state licensing requirements can be time-consuming, costly, and ultimately discourage psychologists and counselors from going through the process. Skeptics, however, worry that joining the covenants could wrest regulatory control from the state and cost mental health professionals clients.

The nonprofit advocacy group Mental Health America ranked Wyoming last in its 2022 State of Mental Health Report due to a dangerous combination of factors: a high prevalence of mental illness and access mediocre in care.

There’s been a phantom pandemic of behavioral health issues across the country, said Julia Harris, senior policy analyst for the Health Policy Project at the Bipartisan Policy Center. “There have been some of the highest overdose rates that have ever occurred in this country during the pandemic. There is increasing anxiety and depression due to pandemic pressures. »

“The demand is on the rise,” said Donald Benson, a Casper-based psychologist and president of the Wyoming Psychological Association. “Part of that has been the pandemic and the stress people have been under.”

“My phone is ringing non-stop,” said Cheyenne-based counselor Lindsay Simineo. It had been a long time since she had had a place in his schedule.

“We don’t want our counselors in Wyoming to get to the point where they’re so exhausted with overwhelming need that they walk away from the profession,” Simineo said. “So this additional out-of-state workforce will be extremely important to support our current mental health workforce.”

Simineo is also lobbying on behalf of the Wyoming Councilors Association, which supports joining the council pact.

The needs exceed the supply of mental health professionals, but the two pacts offer a potential way to alleviate this stress. Plus, joining them could make Wyoming a more attractive place for specialists to live and work.

Utah has joined the psychology and counseling pacts in recent years.

Anna Lieber, a licensed clinical mental health counselor and president of the Mental Health Counselors Association of Utah, says Logan, Utah’s proximity to the Idaho border is a prime example of the benefits pacts. “Most Logan therapists must be licensed in both Idaho and Utah,” Lieber said. “Which is a financial burden.”

“With COVID, we realized we could use telehealth a little more effectively and better,” said Amanda Alkema, deputy director of substance abuse for the Utah Department of Health and Human Services. “It’s really helped in our rural areas to expand that.”

She noted that Mountain West states often compete for the same workforce and that pacts allow for greater collaboration and shared expertise.

Wyoming has joined several pacts in recent years, noted Wyoming Hospital Association President Eric Boley. The pacts for doctors and nurses have proven particularly useful during the pandemic. Nurses and doctors from participating compact states were able to work in Wyoming without going through an arduous licensing process.

“We didn’t see any downside to that,” Boley said. “Everything has been really positive.”

The Wyoming Psychological Association has yet to take an official position on the pact, Benson said.

“There are absolutely people who are concerned that people in other compact states will select patients from Wyoming,” Benson said. “And it will reduce the livelihood of psychologists here.”

Additionally, some fear that states will lose regulatory control over their counselors and psychologists.

“And when it comes to the Legislative Assembly,” Boley of the Hospital Association said, “there is always a concern about oversight and who is ultimately responsible for making sure they are good practitioners, and that they adhere to all rules, regulations and guidelines.”

However, he also said earlier pacts for doctors and nurses had not resulted in substandard care. “There’s still oversight and they’re still allowed in their home country,” Boley said.

The pact is just an important step forward, said Andi Summerville, executive director of the Wyoming Association of Mental Health and Addiction Centers. “But we still need people on the ground in Wyoming. Telehealth is great, but it’s not a panacea.

She says the state should still focus on increasing the number of counselors living and working in Wyoming and improving salaries.

Summerville supports psychology and counseling pacts and the potential for more telehealth options.

“It’s important to recognize that this is how the country is moving in general,” Summerville said. “And without being part of the pact, it creates barriers for people to come and practice in our state.”

The Joint Labor, Health and Human Services Committee voted to move forward with the bills and formally finalize them at its next meeting.

WyoFile is an independent, nonprofit news organization focused on the people, places, and politics of Wyoming.

Nessel’s effort to help protect nursing home residents is a great idea | News, Sports, Jobs


We love a new initiative launched recently by State Attorney General Dana Nessel and her team to help protect nursing home patients.

What we have here is an online portal that will allow complaints to be lodged on behalf of nursing home residents, particularly in the area of ​​financial abuse.

“This portal will provide care home employees with a way to report suspected embezzlement and financial abuse,” Nessel said in a written statement. “If a facility knows that a resident has an income stream, but their patient account is in the red, it may be a warning sign that someone is misappropriating the patient’s assets. This concern can be reported through this portal directly to our team for assessment for investigation. We look forward to working collaboratively with the long-term care community to root out and prosecute any alleged abuse. »

The new portal is now live and focuses on the tenth initiative in the state’s second round of elder abuse task force initiatives. Care home administrators will provide information directly to the department’s Health Care Fraud Division for follow-up and investigation.

If applicable staff know or have reason to believe that someone is using a nursing home resident’s assets or benefits for purposes other than the care, needs and wishes of the resident, a complaint can be filed online.

The complaints system can be accessed directly through the department’s website at www.michigan.gov/ag/complaints.

Residents of retirement homes are among our most vulnerable fellow citizens, very often completely dependent on others.

Will this portal solve all the problems in this area? Of course not. But it is a step in the right direction.

— Mining Review

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CMS Releases FY2023 Final Rule to Update PPS Skilled Nursing Facilities – Status of Reform

The Centers for Medicare and Medicaid Services (CMS) recently released a final rule to update the Medicare Fee-for-Service (FFS) Prospective Payment System (PPS) for Skilled Nursing (SNF) facilities. for fiscal year 2023. Major updates include:

  • A negative parity adjustment of 2.3% to the patient-based payment model (PDPM) case distribution indices following the implementation of PDPM to maintain budget neutrality with the previous case distribution system of the RUG-IV. CMS finalized a 2-year phased introduction of the proposed 4.6% negative adjustment despite opposition from MHA, the American Hospital Association and others.
  • A net rate increase of 5.1% after the Market Basket Update and other adjustments, up from the proposed net rate increase of 4%. NFS that fail to comply with CMS’s Quality Reporting Program (QRP) requirements are subject to a 2% federal rate update reduction. Institutions should note that the 5.1% increase will be offset by the negative parity adjustment of 2.3% described above.
  • Adoption of a new quality measure in the SNF Quality Reporting Program (QRP) beginning in FY2024: the Influenza Vaccine Coverage Measure among Healthcare Personnel (HCP) (NQF #0431).
  • Revise the compliance date for certain measures and data reporting that have been delayed due to the COVID-19 Public Health Emergency (PHE). Specifically, effective October 1, 2023, NFS will be required to collect data on certain Standardized Patient Assessment Data Elements (SPADE) and two new quality measures, namely:
    • Transfer of medical information to the patient
    • Transfer of medical information to the provider
  • Update to the SNF Value-Based Purchase (VBP) program, including the continued removal of the SNF 30-day all-cause readmission measure for the SNF VBP program year from fiscal year 2023 through scoring and payment adjustment purposes.
  • Added new measures to the SNF VBP program beginning with the “Skilled Nursing Facility Healthcare Associated Infections Requiring Hospitalizations” and “Total Hours per Resident Day Staffing” measures in fiscal year 2026 and the “Discharge to Community” measure in fiscal year 2027.
  • Establish a permanent policy to limit annual wage index declines to 5%.
  • Implement a small increase in the work-related portion of the federal rate from the current 70.4% to 70.8%, which will result in a small increase in payments for NFCs with a wage index above 1.0 .

The MHA will provide members with an updated impact analysis and additional details on the final rule in the near future. Members with questions should contact Vickie Kunz at MHA.

This press release was provided by the Michigan Health & Hospital Association.

Gardiner Health Care Facility will close its nursing home unit


HOULTON, Maine (WABI) – The Gardiner Health Care Facility in Houlton recently announced that it will be closing its nursing home unit.

The CEO of North Country Associates says this will reduce their reliance on nurses.

We are told that Gardiner Health Care will change models from a 38-bed nursing facility and a 10-bed residential care unit to a 40-bed residential care unit.

North Country Associates, based in Lewiston, operates several nursing and residential care units throughout the state.

“It’s really up to residents and their families to choose another location, but we’ll definitely help,” said Mary Jane Richards, CEO of North Country Associates. “North Country Associates has a number of facilities. Unfortunately, many of them are quite far from the Houlton community. We also spoke to the owner of Madigan Estates. This is another nursing facility in Houlton so hopefully some people will be able to go.

The nursing side of the healthcare facility is expected to close by October 30.

They will then begin the renovation process for the expansion of the residential care unit.

They say that with the number of workforce development programs the state is investing in for the healthcare workforce, there is a chance they could reopen the nursing side in the future. .

CMS Releases FY2023 Final Rule to Update PPS Skilled Nursing Facilities – MHA

The Centers for Medicare and Medicaid Services (CMS) recently released a final rule to update the Medicare Fee-for-Service (FFS) Prospective Payment System (PPS) for Skilled Nursing (SNF) facilities. for fiscal year 2023. Major updates include:

  • A negative parity adjustment of 2.3% to the patient-based payment model (PDPM) case distribution indices following the implementation of PDPM to maintain budget neutrality with the previous case distribution system of the RUG-IV. CMS finalized a 2-year phase-in of the proposed 4.6% negative adjustment despite opposition from the MHA, American Hospital Association and others.
  • A net rate increase of 5.1% after the market basket update and other adjustments, up from the proposed net rate increase of 4%. NFS that fail to comply with CMS’s Quality Reporting Program (QRP) requirements are subject to a 2% federal rate update reduction. Institutions should note that the 5.1% increase will be offset by the negative parity adjustment of 2.3% described above.
  • Adoption of a new quality measure in the SNF Quality Reporting Program (QRP) beginning in FY2024: the Influenza Vaccine Coverage Measure among Healthcare Personnel (HCP) (NQF #0431).
  • Revise the compliance date for certain measures and data reporting that have been delayed due to the COVID-19 Public Health Emergency (PHE). Specifically, effective October 1, 2023, NFS will be required to collect data on certain Standardized Patient Assessment Data Elements (SPADE) and two new quality measures, namely:
    • Transfer of medical information to the patient
    • Transfer of medical information to the provider
  • Update to the SNF Value-Based Purchase (VBP) program, including the continued removal of the SNF 30-day all-cause readmission measure for the SNF VBP program year from fiscal year 2023 through scoring and payment adjustment purposes.
  • Added new metrics to the SNF VBP program beginning with the “Skilled Nursing Facility Healthcare Associated Infections Requiring Hospitalizations” and “Total Hours per Resident Day Staffing” metrics in fiscal year 2026 and the “Discharge to Community” metric in fiscal year 2027.
  • Establish a permanent policy to limit annual declines in the wage index to 5%.
  • Implement a small increase in the work-related portion of the federal rate from the current 70.4% to 70.8%, which will result in a small increase in payments for NFCs with a wage index above 1.0 .

The MHA will provide members with an updated impact analysis and additional details on the final rule in the near future. Members with questions should contact Vickie Kunz at MHA.

Family of healthcare worker who drowned on Facebook Live raises over $50,000 to bring body back to Kenya

The family of a woman who drowned in a swimming pool while streaming live on Facebook have received the money needed to bring her body back to her native Kenya.

Hellen Wendy Nyabuto, a healthcare worker in Toronto, Canada, was the only breadwinner in the African country, according to her relatives. Her father, a smallholder farmer in Kisii, southwestern Kenya, said Hellen would send money to cover school fees for his younger siblings back home. She died on August 18 while struggling to stay above water in a hotel swimming pool.

“She helped me financially to educate her brothers and sisters, especially in terms of school fees and other expenses. I’m stuck now and back to square one. I wonder how his younger siblings are going to continue their education,” Nyabuto John Kiyondi Told CNN.

Hellen Wendy Nyabuto died in a hotel pool in Toronto, Canada on August 18, 2022, while livestreaming on Facebook. (Photo: GoFundMe)

The family set up an online fundraising account to raise $50,000 Canadian, or about $38,000 US, to cover repatriation and funeral costs so Wendy can be buried where she was born, according to tradition. . As of August 24, the family has raised nearly $52,000 Canadian or $40,000 US.

“I will not feel comfortable, psychologically, if my daughter is buried away from Kenya,” Kiyondi said.

Hellen’s younger brother, with whom she lived in Toronto, said she was “full of life” and had a warm smile and a lovely heart. Hellen worked part-time as a personal support worker and studied nursing at Peak College, according to reports. She emigrated to Canada in 2018. The 24-year-old smiled, swam and interacted with viewers on Facebook in the video which was later deleted, reports the Toronto Star.

“Everyone who met Wendy was in high spirits,” wrote Enock, one of the woman’s five siblings.

The Star reports that the video shows the woman spending three minutes frolicking in the shallow end of the pool at the Key Motel, where she was a guest. Hellen then moved to the bottom of the pool, where she began to thrash frantically. She disappeared from frame but could be heard calling for help. The newspaper, which viewed the video before it was removed from Facebook, reports that the pool was quiet and empty for hours until other motel guests discovered her body.

“I watched this video. I cried. It’s terrible,” her father said.

Family friend Alfonce Nyamwaya said Hellen “was a superhero in Canada” who worked with the elderly during the COVID-19 pandemic.

“She worked with seniors until the end,” he said. said. “She really had a passion for it.”

What you need to know about student loan consolidation


Our goal at Credible Operations, Inc., NMLS Number 1681276, hereafter referred to as “Credible”, is to give you the tools and confidence you need to improve your finances. Although we promote the products of our partner lenders who pay us for our services, all opinions are our own.

Interested in consolidating your private or federal student loans? Discover the advantages and disadvantages of this financial operation. (Shutterstock)

Student loan consolidation is the combining of multiple student loans into one loan. When you apply for student loan consolidation, you receive a new interest rate. If the rate is lower than your original average interest rate, you can save money.

Two types of student loan consolidation are possible: direct consolidation loans for federal loans and a private refinance loan (which combines federal loans, private loans, or a combination of the two into a single private loan).

Keep reading to learn more about how student loan consolidation works for federal and private student loans.

Consolidating private student loans is also called refinancing. You can learn more about refinancing student loans by visiting Credible and comparing rates from several private student lenders.

How to Consolidate Federal Student Loans

If you have multiple federal student loans, you can consolidate them into a new federal student loan called a direct consolidation loan.

Here are the steps you will typically need to take to consolidate federal student loans:

  1. Choose the loans you want to consolidate. You may decide not to consolidate all of your federal student loans. Choose the ones you want to consolidate before applying.
  2. Complete the Federal Direct Consolidation Loan Application and Promissory Note. By completing this free application, you confirm the loans you wish to consolidate and agree to repay the new direct consolidation loan.
  3. Make payments. Once you complete the consolidation process, you will only have one loan payment to make each month instead of several.

Federal consolidation student loans is quite simple and quick. You need to complete the whole process in one online session, which usually takes less than 30 minutes.

Requirements to Consolidate Federal Student Loans

You must meet certain requirements if you wish to consolidate your federal student loans, such as:

  • The loans you consolidate must be federal student loans.
  • Loans must be in repayment or in grace period.
  • If you have an existing consolidation loan, you must include an additional eligible loan in the consolidation (some exceptions apply).
  • If the loan is in default, you must make satisfactory repayment arrangements (three consecutive monthly installments) or agree to repay your new direct consolidation loan under certain repayment plans.
  • A wage garnishment order should be lifted, if it is in place for a delinquent loan.

When Should You Consider Consolidating Federal Student Loans

One of the main advantages of consolidating federal student loans is to simplify the repayment process. When you consolidate multiple loans into one loan, you only have to make one payment per month and can easily see how much you owe in total.

But consolidation is not always the most logical. It should be noted that if you have outstanding interest on existing federal student loans, when you consolidate them, that interest will be added to your balance and may increase. Keep in mind that you can also lose your progress towards canceling your student loan if you made payments under an income-driven repayment plan.

Consolidating federal loans into private loans means losing access to federal benefits, like student loan forgiveness programs and income-based repayment plans, so it’s important to carefully consider your options if you decide to consolidate federal loans into private loans.

Whether or not to consolidate federal student loans depends on your preferences and financial goals.

If you decide to refinance, you can easily compare prequalified rates from several lenders using Credible.

How to consolidate private student loans (also called refinance)

You cannot consolidate private student loans with a federal direct consolidation loan – but many private student loan issuers offer consolidation, which is often called refinancing. Here are the steps you’ll typically take to consolidate private student loans (or a mix of federal and private loans or only federal loans):

  1. Review your credit score. If your credit score is higher than when you originally applied for your private student loans, you may qualify for a better interest rate, which can save you money on interest payments.
  2. Compare the prices. Check out a few different lenders to see who can offer you the best rates. The lower the interest rate you get, the more money you can save. You can prequalify with a soft credit check to get an idea of ​​the types of rates you qualify for.
  3. Choose terms. Chances are, you can choose between several different repayment terms. The longer terms you choose, the lower your monthly payments will be, but the more interest you will pay.
  4. Gather the required documents. With private student loan consolidation, you will typically need to submit supporting documents to complete the application process, such as tax forms, pay stubs, or W-2 forms. You will also need to provide a repayment statement that tells the lender exactly how much of your current loan balance the new loan will need to repay.
  5. Submit your application. Apply for the loan you have chosen and wait to hear from the lender. If you are approved, the lender will pay off your existing student loans. But be sure to keep making payments on your loans until you get confirmation that they’ve been paid in full.

Requirements to Consolidate Private Student Loans

Private lenders have different consolidation requirements than the federal government. Although all lenders have unique requirements, you may encounter the following issues:

  • Have a certain credit score
  • Apply with a co-signer if your credit score is low
  • Provide supporting documents
  • earn some income

When Should You Consider Consolidating Your Private Student Loans

Consolidating private student loans can make a lot of sense if you can get a lower interest rate. This way you can streamline the repayment process (which is very useful if you have loans from multiple private lenders) and potentially save money on interest.

If you think of refinancing federal loans into a private loan, it is possible but not always the best decision to make. Remember that you lose access to federal benefits when you do this.

Carefully compare all your options and do your research to make sure private student loan consolidation is right for your unique situation.

To start refinancing your student loans, visit Credible and compare prequalified rates from several lenders.

Pressure Ulcer and Nursing Home Assessments


The beginning of a pressure ulcer

Before diving into the study, let me say a few words about bed sores, or as we call them in the trade, pressure ulcers. These occur in individuals who are increasingly less mobile. This may be due to a stroke, muscle loss associated with aging (sarcopenia), or being overweight. Pressure ulcers are a problem of debilitated people, and they require care to prevent and treat these sores.

Wounds are formed due to the constant pressure from the bony parts of the body and the bed – the pressure leads to a decrease in blood flow, which in turn causes death and infection of local tissues. The swelling associated with the infection can expand the wound further reducing blood flow. Two other factors favor bedsores, the frictional and shearing forces of the movement of the body against the mattress. There is a grading system for these ulcers as they redden the skin (stage 1) to erode through the skin into the underlying soft tissue and eventually expose muscle or bone (stage 4). Pressure ulcers are not pretty in these later stages.

Pressure ulcer risk and management can be mitigated by reducing mattress impact, using air or water mattresses to distribute body pressure; and by supernormal oxygen levels, to increase the oxygen reaching these tissues, delivered by placing the patient in a hyperbaric chamber – such as those used for SCUBA divers with elbows.

But because the main driver of pressure ulcers is immobility, turning and repositioning patients is the mainstay of prevention and care – needed every 2-3 hours, 24 hours a day, seven days a week. [1] This requires not only coordination but one, or more frequently, two nurses or orderlies; it is labor intensive and in some ways the canary in the coal mine of quality care nursing homes.

The study and its results

The researchers used data on patients admitted to a nursing home between 2011 and 2017. Whether admitted for a short or long stay, these patients must undergo a “present on admission” examination, including the presence and the extent of the bedsores. Minimum Data Set (MDS) exams are repeated quarterly and upon discharge. The patients’ subsequent hospitalization records, which recorded the presence or absence of pressure ulcers during hospitalization while residing in a nursing home, were linked to their MDS. Hospital claims also indicated whether pressure ulcer was the primary reason for admission or a secondary diagnosis – a comorbidity not necessarily related to the need for hospitalization. Based on approximately 400,000 hospital admissions and 60,000 related nursing home admissions:

  • 75% of primary pressure ulcers were reported and 70% were classified as stage 1 by hospital diagnosis
  • 52% of secondary pressure ulcers were reported and 46% were classified in 1 stage of hospital diagnosis
  • Primary ulcers were more severe than secondary ulcers, and “reporting increased significantly with higher stages.”
  • For primary pressure ulcers, 22% were not reported by nursing homes to the CMS; this percentage doubled to 45% taking secondary pressure ulcers into account.

In 2014, the best nursing homes (on a quintile basis) had 0.4 pressure ulcers per 100 residents; the worst was 3.2 pressure ulcers per 100 population. Despite the 8x difference in results, 75% of the best nursing homes had 4 or 5 stars for quality, while the worst had 65% with 4 or 5 stars. As the researchers write, “…correlation coefficients between claims-based pressure ulcer rates and NHC 5-star ratings were extremely low.” This showed a slight tangible improvement in 2017. A closer look at the criteria for nursing home quality stars is instructive. The stars are based on an inspection of the hospital’s condition, its workforce, and 11 of 18 outcome measures publicly reported by CMS on Nursing Home Compare. In the words of CMS, “the heart of the overall score is the health inspection score” raised or lowered based on staffing and these actual results.

Here is the conclusion of the researchers.

“…a high star rating did not inform the risk of developing a pressure sore in a care home that was later diagnosed by a hospital. … the risk of developing a serious pressure sore in a care home does not could not be gleaned from publicly published ratings.

When you self-report poor results, especially when coupled with financial penalties, it’s tempting to under-report issues. We see it, especially with those early stages of pressure sores, reddened skin, where only 12% are reported. As the pressure ulcer worsens, the accuracy of reporting improves, until, in the presence of exposed muscle and bone, 88% is reported. The authors suggest additional penalties for misrepresentation, but who should be the arbiter in matching nursing home reviews to hospital reviews?

This is an example of how incentives and disincentives moderate our performance. In this case, not in the desired direction. Before adding another punitive layer of financial penalties for under-reporting, we could reweight the criteria for these CMS stars. Or perhaps we should look for better ways to inform families faced with the decision to place a family member in a nursing home. Perhaps we should recognize that closeness to family can trump “quality” and that in many cases the choice of nursing home depends on the hospital and where a bed is. currently available; when we talk about health care, we are all patients, not consumers.

[1] I remember working in a community hospital where a bell rang every two hours, much like the class change bell in high school, to remind nurses to reposition their patients.

Source: Accuracy of Pressure Ulcer Events in US Nursing Home Assessments DOI: 10.1097/MLR.0000000000001763

St. Catharines MPP urges province to address health care with focus on hiring and retaining nurses

Photo credit: Facebook by Jennie Stevens

Jennie Stevens says the Ford government should focus less on private clinic surgeries and more on hiring and retaining nurses.

St. Catharines MPP Jennie Stevens is sounding the alarm on health care in Ontario.

Stevens says that in recent days, several patients at Juravinski Hospital have had their procedures canceled at the last minute due to a lack of beds, including one person who waited three hours at the hospital to have stomach cancer removed. suspected ovary.

She calls on the Ford government to help eliminate the surgical backlog by recruiting, hiring and retaining nurses instead of pushing for private clinics.

“Doug Ford’s agenda to expand the use of private, for-profit clinics will suck resources from a public health care system that is already short by thousands of nurses and support workers,” Stevens said. “Women like my constituent, women with ovarian cancer — who need surgery in the hospital — will wait longer and live in fear longer. I urge the government to invest what is needed to eliminate the surgical backlog and fix our public health care system by taking steps like recruiting, hiring, training and retaining nurses.

Last week, Health Minister Sylvia Jones announced details of a plan to ease pressures on healthcare by funding more surgeries at private clinics and waiving fees for examinations and medical procedures. registration for internationally educated nurses.

More local news

NMC approves children’s nursing course at new Peterborough University

A children’s nursing degree program has become the latest to be given the green light to take place at a new university which will open in Peterborough next month.

The pre-registration program adds to a list of health and care courses to be offered at the new Anglia Ruskin University (ARU) Peterborough, including adult nursing, midwifery and public health, during its opening to students in September.

“We can provide a local route to qualification and employment for people who wish to work as pediatric nurses”

Ross Renton

ARU Peterborough is a partnership between Anglia Ruskin University, the Cambridgeshire and Peterborough Combined Authority and Peterborough City Council, and includes purpose-built nursing skills labs and simulation areas.

Work has been underway since 2020 to prepare several courses in the incoming higher education institution.

The university announced this month that it has now received approval from the Board of Nursing and Midwifery to offer a pre-registration degree program in children’s nursing.

Dr Esther Norton, Deputy Director responsible for health courses at the new university, said: “I am delighted that our hardworking team has managed to achieve this important milestone.

“We have benefited greatly from the continued support of [Anglia Ruskin University]who have a long and successful track record of delivering health courses in the east of England.

She added, “The nursing profession is truly a job for life and our graduates, 100% of whom are employed within six months of graduation, are in high demand and go on to fulfilling careers in a variety of fields.”

Meanwhile, Professor Ross Renton, Director of ARU Peterborough, added: “The Nursing and Midwifery Council’s endorsement of the Nursing for Children degree means we can provide a local route to qualification and employment. for people who want to work as pediatric nurses.”

He explained that the new university was “established with the aim of increasing opportunities for young people in and around the city, which has long been a ‘cold spot’ for higher education”.

🌱 Broadmoor homicide and care home evacuation sites still insufficient


Hello, neighbors! Shannon Denney here with your new copy of the New Orleans Daily, full of everything you need to know about what’s happening in town. Let’s dive right into it…

First, today’s weather forecast:

Cloudy, showers and a thunderstorm. High: 83 Low: 76.

Here are the top stories in New Orleans today:

  1. A man was found dead at the scene on Monday when police arrived at a residence in Broadmoor on General Taylor Street. The man has not yet been identified, but an investigation has begun to try to obtain details of a cause of death, which has been ruled a homicide. (WGNO New Orleans)
  2. Despite the utter disaster that the elderly faced when nursing home residents were evacuated to poor facilities last year during Hurricane Ida, it appears that more than a dozen nursing homes across NOLA are set to evacuate to locations that have failed state inspections. (Louisiana Weekly)
  3. A On Friday, a staff member at New Orleans Charter Math and Science High School tested positive for Monkeypox. The staff member arrived at the school last Monday but was evacuated from the school clinic when he began to have symptoms. The staff member tested positive later in the week and the school notified parents on Sunday. (WDSU New Orleans)

Today in New Orleans:

  • Day of the week High Flow Yoga at the Hotel Pierre et Paul (7:00 a.m.)
  • Free Hurricane Preparedness Workshop in Spanish (6:00 p.m.)
  • Bounce Ya Brass Workout Class at Crescent Park (5:45 p.m.)

From my notebook:

  • NOMA opened a new photography exhibition showcasing the work of Polo Silk, who is well known for his incredible career chronicling black life and culture in New Orleans. (Louisiana Weekly)
  • The Regional Transport Authority rolls out a new application, Le Pass, which will help navigate buses, trams and the app itself. They’re having an open house at Duncan Plaza from 6-11am if you have any questions about the new system! (Regional Transport Authority via Facebook)
  • OZ, Cafe’ Lafitte in Exile & Louisiana Department of Health are hosting a ‘vaxxtravaganza’ block party in preparation for Southern Decadence this Wednesday, August 24 from 4 p.m. to 10 p.m. on Bourbon Street for the Monkeypox Vaccine. (New Orleans Department of Health via Facebook)

More from our sponsors – please support the local news!


Thanks for following and staying informed! See you soon.

Shannon Deney

Do you have a news tip or a suggestion for an upcoming New Orleans Daily? Contact me at neworleans@patch.com

5 types of bad loans


Our goal at Credible Operations, Inc., NMLS Number 1681276, hereafter referred to as “Credible”, is to give you the tools and confidence you need to improve your finances. Although we promote the products of our partner lenders who pay us for our services, all opinions are our own.

If you have bad credit, it is still possible to qualify for a loan. Learn about the types of bad credit loans and which ones you should avoid. (Shutterstock)

Emergencies don’t just happen when your credit is in great shape. If you have bad credit and need to borrow money for an unexpected expense, it is possible to get loan approval.

If you have bad credit, you’ll need to research lender options to avoid predatory lending, but it’s possible to find the financing you need. Here are five types of bad credit loans you should know about.

Unsecured Personal Loans

An unsecured personal loan is funding that you receive in a lump sum and then make fixed monthly payments over a set period of time. Since they don’t require collateral, you don’t have to put your personal assets at risk when you take out an unsecured loan.

You can use the funds from an unsecured loan for many purposes, including debt consolidationhome improvement projects or other major expenses.

Unsecured loans can be a little harder to get if you have a poor credit history, but many lenders work specifically with bad borrowers. Keep in mind that unsecured loans often have higher interest rates than secured loans, especially if you have a lower credit score.

Visit Credible for view your prequalified personal loan rates from various lenders, all in one place.

Secured Personal Loans

A secured personal loan requires you to provide an asset as collateral for the loan, such as a car, house, or savings account. If you can’t repay the loan, the lender keeps the property to pay off the debt.

Since secure personal loans are backed by collateral, they usually have lower interest rates because they pose less risk to the lender.

Home Equity Loans or HELOCs

If you own a home, you can use the equity in your home to take out a home equity loan or a home equity line of credit (HELOC).

A home equity loan works like a personal loan, except the lender uses equity (the difference between the value of the property and what you owe on a mortgage) to determine how much you can borrow. You usually can’t borrow more than 80% of your home’s equity, and your home serves as collateral for the loan. You will need to make payments on your home equity loan in addition to your regular mortgage payments. If you fail to repay the loan, you risk foreclosure.

A home equity line of credit also uses your home as collateral, but it works a bit more like a credit card. The lender uses the equity in your home to determine a spending limit. You have repeated access to this line of credit during the payment period, also known as the drawdown period. You can borrow against the available credit as often as you want as long as you repay it. During the repayment period, you cannot borrow from the line of credit.


Car title loans

A car title loan is like a secured loan, but the interest rates and fees are usually much higher. When you take out a title loan, you give the title to your car to the lender. If you are unable to repay the loan, the lender can repossess your vehicle.

Car title loans are generally much more expensive than traditional loans and come with a higher risk of default. Car title loans have a shorter repayment period, usually 30 days, which makes repayment more difficult. The lender will charge a fee if you extend the loan over another repayment period, which can make paying off the loan even more difficult.

You should avoid car title loans because they have high interest rates and often create a cycle of debt that is hard to escape. Plus, a car title loan won’t show up on your credit reports, so any one-time payments you make won’t benefit your score.

Payday loans

Payday loans get their name from the way they work. Payday lenders offer small loans, usually $500 or less, that must be paid off by your next payday (including fees).

Payday loans have extremely high fees and interest rates that equate to an annual percentage rate (APR) of over 400%, according to the Consumer Financial Protection Bureau (CFPB). While payday lenders often allow you to defer your loan to a new repayment cycle, the lender usually charges an additional fee for this. If you don’t repay that loan quickly, you may find yourself on the spot, unable to pay off the debt faster than it accumulates.

Like car title loans, payday loans won’t show up on your credit report (unless you pay off your loan), so making payments on time won’t benefit your credit score.


How to get a loan for bad credit

If you need money and your credit is poor, follow these three steps to find a Personal loan that meets your needs:

  1. Check your credit report. Equifax recently reported an error that potentially lowered the credit scores of thousands of borrowers between March and April. If your credit score seems low, be sure to check your report to determine if there are any errors.
  2. Compare rates from multiple lenders. Use an online tool, like Credible, to compare personal loan rates and terms from multiple lenders in one place. You can find pre-approved rates without affecting your credit score. Review the loan amounts, repayment terms, interest rates, fees, and financing terms of each lender.
  3. Complete the application. Once you have decided on the lender that best suits your needs, you will complete an application. You will need to provide information including your social security number, address, and proof of income. If you are approved for the loan, your lender will have you sign an agreement to accept the loan before depositing the funds into your bank account.

If you’re having trouble finding a lender, here are some things you can focus on to improve your credit score (and your chances of loan approval):

  • Pay off your credit card balances to reduce your credit usage.
  • Catch up on late payments and make all future payments on time.
  • Increase your income by accepting a part-time job or starting a side business.
  • Find a co-signer with good credit to help you land a lower interest rate.

If you’re ready to apply for a personal loan, Credible makes it quick and easy compare personal loan rates to find the right one for your financial situation.

What is Payday Loan Consolidation? – Forbes Advisor


Editorial Note: We earn a commission on partner links on Forbes Advisor. Commissions do not affect the opinions or ratings of our editors.

Payday loans can give you a quick cash injection to keep you going if you’re in dire straits, but you don’t want to rely exclusively on them or you might run into problems later.

For example, if you’ve taken out a payday loan, you probably know how harmful it can be. The fees are equivalent to APRs as high as 400% APR. That’s more than 10 times higher than the 36% rate cap that consumer advocacy groups define as the upper limit of what’s affordable.

Although payday loans usually last for two weeks, many people turn them into a new loan if they are unable to repay it, creating a debt trap. If you’re in a similar situation, consider payday loan consolidation, which lets you take out debt at a lower cost, like a personal loan, and use it to pay off your higher-interest debt. It can help you save money, pay off debt faster, and build your credit.

How does payday loan consolidation work?

The principle of personal loan consolidation is the same as for any debt consolidation: you take out a new loan, ideally at a lower rate, and you use it to pay off your existing debt. Many debt consolidation lenders automatically pay off your debt once you are approved. If your desired lender does not offer this feature, you will need to repay your payday loan once you receive the funds.

For example, if you borrow $100 and renew it for an entire year, you can expect to pay $350 in finance charges, more than three times what you originally borrowed. Compare that to a personal loan with a 36% interest rate, and the one-year finance charge is only $20 to $330 less than the cost of the payday loan.

How to consolidate payday loans

Follow these steps to consolidate your payday loans:

  1. Account for your payday loans. Many people have multiple payday loans at once. If this is your case, add the balances of all your loans to get a total amount. This is the amount you will need to request, in addition to any origination fees your new lender may charge.
  2. Check your credit. People often choose payday loans because these lenders don’t check your credit. However, your new lender will consider your credit during the application process. Be sure to check your credit score before applying.
  3. Compare the prices. Check your rate with as many lenders as possible. Most lenders offer a pre-qualification process, which has no impact on your credit and allows you to see what terms you might qualify for when you apply.
  4. Apply for a loan. Choose the lowest loan rate and submit your application online or in person. Your new lender may repay your payday loans automatically, but if they don’t, be sure to submit your payment immediately.
  5. Sign up for automatic payment. The most important part is paying on time or in advance. Signing up for autopay will help you never miss a payment and grow your credit over time.

Can Payday Loan Consolidation Hurt My Credit?

Payday loan consolidation can both damage and improve your score over time. At first, you will likely see a small drop in your credit score. This is normal, as lenders perform a rigorous credit check when you complete a full loan application. The good news is that this drop in credit score is temporary.

If you make late payments, especially if you fail to repay the loan, it will usually have a long-lasting negative impact on your credit score. If you make all your payments on time, however, the opposite is true. You will typically see your credit score increase over time, as your payment history accounts for 35% of your FICO score.

This is the great advantage of using a personal loan to consolidate payday loan debt. You can build up credit so that the next time you need to borrow money, you can do it cheaply.

Alternatives to Payday Loan Consolidation

Personal loans are a great way to consolidate your payday loan debt, but it’s not an option for everyone. If that’s not in the cards for you, there are other options, including:

  • Mutual aid. Community groups and your support network may be willing to step in and help you get rid of that monkey on your back. A good resource is 211.org for personalized assistance in finding local options available to you.
  • Credit advice. The National Credit Counseling Foundation also offers affordable or even free personalized assistance to get your finances back on track, whether through budgeting assistance, debt management plans and more.
  • Extended repayment plans. Sixteen states require payday lenders to offer extended payment plans at no cost if you are unable to repay your payday loan in full at the end of the two-week period. But they’re not widely advertised, so most borrowers don’t know they’re available. Instead, they opt for the more expensive option of rolling over the loan into a new two-week payday loan.

Compare personal loan rates from top lenders

Compare personal loan rates in 2 minutes with Credible.com

Health Tech Company Donates $20,000 to Celebrate 20th Anniversary | New

FAIRMONT — A Company Fairmont has taken the company’s anniversary celebration to a whole new level.

To celebrate its 20th anniversary, the leaders of Healthcare Management Solutions LLC decided to donate $1,000 to 20 different nonprofit organizations in North Central West Virginia, many of which are in Marion County, for a total of $20,000.

“We are proud to share some of the fruits of our 20 years of success with 20 deserving nonprofits,” HMS President Leah Heimbach said in a press release. “These charitable donations not only amplify the spirit of our work to protect vulnerable populations, but they also help make our local communities safer, stronger and healthier.”

Here is a list of the 20 organizations selected to receive donations.

Milan Puskar Health Right / Friendship House, Morgantown, which offers peer-to-peer recovery programs for people living with substance use disorder and other mental health issues. Health Right also funds and operates Friendship Fairmont at the corner of Locust and Cleveland Avenues.

Health Access Inc., of Clarksburg, works to eliminate disparities for those who do not have access to basic health care. They help residents of Harrison and Doddridge counties get primary and specialty care, prescription drugs, cancer screenings, vision care, dental care, and more, all for free.

The Disability Action Center, Fairmont, is a comprehensive education, training and enrichment center for more than 450 children and adults with disabilities and their families in North Central West Virginia.

Marion County Humane Society, of Fairmont, is a non-kill, non-profit animal welfare organization that provides care to more than 5,000 animals annually.

Hope Inc. Domestic Violence Center, of Fairmont, provides resources and services for domestic violence, dating violence, sexual assault, harassment and human tracking victims in Marion, Harrison, Doddridge counties, Gilmer and Lewis, keeping them safe, encouraging self-sufficiency, and promoting lives free from violence.

CASA of Marion County, which is based in Fairmont, advocates, educates and promotes the well-being of Marion County children who have been abused and neglected, harnessing the talents of community volunteers who ensure that children benefit from secure and permanent housing.

Pet Helpers Inc., of Fairmont, is an all-volunteer non-profit foster network for homeless pets waiting for forever homes. In the absence of facilities or paid staff, all funds are spent on veterinary care, food and medicine for the animals.

Soup Opera, of Fairmont, serves a daily meal seven days a week, 365 days a year, to more than 100 people in need daily in and around Marion County. Sobrania Inc./Soup Opera also provides hygiene and shower products, clothing, blankets, dishes and more depending on availability.

Stepping Stone Inc., of Fairmont, is a community treatment facility that serves adolescent males ages 14-17 and transitioning adult males ages 18-21, who are in the care of the Department of Health and West Virginia Human Resources, are victims of abuse or neglect and/or have resigned from higher level treatment or out-of-state placement, and exhibit disruptive behaviors and emotional distress. The program teaches residents to respect themselves, their community, their parents, the police, officials, adults and their peers.

Tygart Valley United Way, which has offices in Fairmont and Elkins, provides funding to several nonprofit organizations in a five-county region that improve the lives of others. This year, United Way is focusing on families who are employed but ineligible for any type of state or federal assistance, but simply cannot make it.

The Op Shop, by Fairmont, is a nonprofit, community-based rehabilitation program that creates opportunities for adults with disabilities in sheltered or competitive employment. Services include independent living skills, life skills training, job placement, job coaching, work adjustment and supported employment.

Pressley Ridge, of Morgantown, provides families and individuals with support and hope, through fostering and adoption assistance, community and home services, outpatient services, special education, autism services, residential services and transitional age services.

March of Dimes, of Arlington, Va., has been fighting for the health of mothers and babies for 80 years, supporting research, leading programs and providing education and advocacy so that every family can have the best possible start.

WV Rescues Ministries/Union Mission, of Fairmont, provides physical and spiritual services to those in need in West Virginia through a Men’s Shelter, Women’s and Children’s Shelter, Family Shelter, From a soup kitchen, thrift store and lounge, no one is turned away and everyone has access to hot meals and shelter.

Connecting Link, by Fairmont, responds to the immediate needs of people in crisis and helps locate resources for residents of North Central West Virginia, including assistance with utility termination, prescriptions, transport, eviction and the first month’s rent.

Genesis Youth Crisis Center in Clarksburg provides a safe, temporary place for children to stay until permanent placement arrangements can be made.

The Bi-County Nutrition Program, with offices in Nutter Fort, Salem and Shinnston, provides congregate and home-delivered meals, nutrition education and referrals for people 60 and older, their spouses and dependent children disabled.

WV Coalition to End Homelessness, of Bridgeport, assists agencies and communities in West Virginia where homelessness is a widespread or hidden issue, to ensure that no child, veteran, or family becomes homeless first venue. Housing people is the only way to end homelessness.

The Clarksburg Mission Community provides comfort, comfort and resources to those in need, including emergency shelter, transitional housing, food, assistance, and more.

Clarksburg Mustard Seed is a food pantry that serves community members with free food, clothing, cleaning and hygiene items, and household items. The pantry also accepts donations for those in need.

HMS uses a blend of healthcare and technology expertise to create cost-effective solutions that federal and state agencies and our private sector partners need to ensure residents of nursing homes and other facilities health care professionals receive the best possible care, no matter where in the United States.

Warren nursing home cases drop to zero | News, Sports, Jobs


Warren’s nursing home, which had 55 COVID-19 cases last week, dropped to zero this week, according to the Ohio Department of Health’s COVID-19 website.

The Community Skilled Health Care Center nursing home on Mahoning Avenue recorded 25 patient cases and 30 staff cases last week, but has none left.

Another Trumbull County facility, the Liberty Health Care Center Nursing Home in Liberty, had 12 patient cases and no staff cases last week, but has no cases of either type. this week.

The highest number of cases among any facility in Trumbull County this week is four.

In Mahoning County, meanwhile, three nursing homes have six or more cases. The highest number of cases are at the Windsor House Omni Manor care home in Youngstown, which has six patient cases and seven staff cases. There were 15 patient cases and six staff cases last week, according to ODH data. Another facility has one patient case and five staff cases; the other has three patient cases and four staff cases.

Columbiana County COVID-19 cases continue to be zero or near zero.

The number of reported COVID-19 patient cases in long-term care facilities statewide fell by 159 cases this week — from 1,183 last week to 1,024 this week. The number of staff cases fell by 211 cases this week – from 1,274 last week to 1,063 this week.

Among the three counties, the number of deaths associated with long-term care facilities such as nursing homes and assisted living facilities did not increase this week. There are still 312 in Mahoning County, 192 in Trumbull County and 94 in Columbiana County, as of last week.

Statewide, the number of deaths associated with long-term care facilities increased by 25 over the past week – from 9,158 last week to 9,183 this week, according to the ODH.

The number of deaths in Mahoning County in long-term care facilities increased by one over the past month, but the number of cases in the other two counties did not increase over the past month.

Among prisons in the region, the Northeast Ohio Correctional Center in Youngstown currently has 14 staff cases of COVID-19 and two inmate cases. Ohio State Penitentiary in Youngstown has no cases of either type and Trumbull Correctional Facility has three staff cases and no inmate cases.

There are 62 staff cases among all Ohio prisons this week and 36 inmate cases.

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IMPACT: Campbellford, Quinte hospitals manage diagnoses of more patients, healthcare staff shortages

Campbellford Memorial Hospital (CMH) CEO Eric Hanna said the hospital would like to hire more part-time registered nurses (RNs) to work in the emergency department. Pictured is Jen Woods, a registered nurse, who has worked at CMH since 2013.

Every two weeks, Campbellford Memorial Hospital (CMH) in Trent Hills is on the verge of having to close its emergency department (ED).

With the shortage of healthcare personnel across the sector, it is not easy or always possible to staff the emergency department at Campbellford Hospital. The CMH closed the emergency department at the end of 2021 from December 24 at 5 p.m. to December 25 at 7:30 a.m. due to a shortage of nurses.

Although the hospital’s emergency room hasn’t been closed since, CMH is often in a precarious position these days when it comes to keeping the doors open, CMH CEO Eric Hanna said at Brighton Independent.

“All healthcare professionals are in high demand and in short supply,” Hanna said, noting that this is not a situation unique to CMH.

“But we are doing everything we can to prevent an ED shutdown from happening. We have plans in place in case a closure is necessary as well as excellent local partners in both emergency medical services and nearby hospitals to ensure the impact on patient care is minimal.

One of the problems with small hospitals like Campbellford is that one or two healthcare workers miss a given shift, which can lead to closure, the CEO said.

“We would love to hire more part-time RNs who have the skills to work in the emergency department.

Over the past few months, more than 50 people a day have sought care at the Campbellford emergency room, peaking at more than 70 people a day over the May long weekend. This represents an increase of more than 25% in emergency room visits for the 34-bed rural hospital.

“The increase in ER visits on holiday weekends is nothing new, nor is it a busy day here and there, especially in the summer, but what has been different over the past few months is is how busy it gets almost every day,” said Dr. Eshay Elia, ED Chief and Acting Chief of Staff.

“We certainly don’t want to discourage people from going to the ER if they need to, but we do encourage those who have other options, like their family doctor, to consider them first for non-emergency issues.” , added Elia. .

Health Access Ontario, formerly Telehealth, is another way for patients to get non-emergency care. The free program allows patients to speak with a registered nurse online or by calling 811 to discuss their condition and determine if a trip to the emergency room is necessary.

While the increase in patient numbers continues to strain CMH’s emergency department, so does the level of acuity of patients seen and the resulting number of admissions.

Staffing shortages are also taking their toll, and various hospitals across Ontario have had to close their emergency departments, sometimes for days at a time, due to a lack of staff.

CMH’s vacancy rate is around seven percent right now. When taking into account absenteeism based on whether staff are absent due to COVID or other illnesses, it recently hovers around 10%.

At Quinte Health Care (QHC), which includes Trenton Memorial Hospital, the main hospital for Brightonians, ‘the unprecedented pressure on healthcare continues’. That was the message shared at QHC’s board meeting earlier this summer, while marking the board’s final year cycle.

“To say last year was difficult is an understatement,” said President Nancy Evans.

“The multiple waves of COVID outbreaks have strained our healthcare system, our hospitals, our staff, our patients and their families, and our communities like never before.”

And COVID infections are expected to rise again in the fall and winter.

QHC anticipates these impending surges — but they will come on top of seasonal flu rates and in the context of the troubling disruptions that have occurred within the healthcare system, Evans noted, in his report to the board.

“The health human resource challenge is widespread. Although QHC has been more successful than many others in continuing to attract people to work with us, we continue to see retirements or departures.

“Some areas of QHC are facing critical staffing challenges. The health human resource crisis requires an urgent system-wide approach, but one that takes into account the wide variety of settings, hospital sizes and community profiles in Ontario.

QHC is seeing higher patient volumes than pre-COVID – and expects this to continue for the “foreseeable future”.

Evans said it was also due to a mix of patient health situations that escalated during the pandemic; a large percentage of people in the region without regular primary care or access to basic health services, making them dependent on hospitals; and the health profile of the region’s population.

“These volumes can no longer be seen as temporary surges, but as the new normal for QHC. This means that our operating and funding models must adapt.

Evans noted an evolution of regular funding, recognizing the specific realities of local demand and the unique structure of the QHC is needed. Progress towards an evolved funding model must be a top priority for QHC in 2022-23, she added.

Story behind the story: We reached out to area hospitals to see how they were handling the surge in patients and staffing shortages.

-with files by Sarah Hyatt

Tribal students denied permission to take nursing course halfway

Alirajpur (Madhya Pradesh): Alirajpur tribal students studying at private nursing schools in Indore, Ratlam, Bhopal, Alirajpur and Barwani since 2020 have been denied admission to the next class citing that their documents show they are not haven’t studied English.

MP Mukesh Patel has written a letter to State Chief Minister Shivraj Singh Chouhan saying that about 15 pupils from Alirajpur district had been admitted to grades 9-12, under the national education scheme. secondary education funded by the state government.

After passing Class 12, these students were admitted in 2020 into private nursing schools based on the documents submitted by them and filing the required fees.

The decision of the colleges not to allow them to continue their studies in the middle of their course has made the future of the students uncertain and it seems that their two years have been wasted.

MP Patel has urged the Chief Minister to allow them to continue their education at the respective nursing colleges to avoid further learning losses. He also demanded that the registration of the college that denies them admission be canceled immediately.

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