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Tribal girls complete nursing course

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HYDERABAD  

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.

8 System Scammed For $150 Million, Took Genetic Material From Nursing Home Residents

Federal authorities have charged eight businessmen in a massive alleged Medicare and Medicaid fraud case involving a genetic testing company and three marketing companies.

A federal grand jury in Nashville returned a 40-count superseding indictment Monday against the individuals, said Mark H. Wildasin, U.S. Attorney for the Central District of Tennessee. A replacement indictment is an indictment that replaces a previous indictment.

Three of the eight people were previously arrested on earlier indictments; the remaining indictments were unsealed after the arrest of the other five.

Federal authorities say the co-conspirators entered into fictitious contracts and paid bribes in exchange for genetic testing and urinalysis samples. They targeted and recruited elderly patients on the federal health care program to obtain their genetic material for genetic testing.

Often the patients or their treating physicians would never have received the test results. Although some of the victims were nursing home residents, the indictment announced Monday did not state that any nursing home provider was criminally involved in the alleged fraud.

Fadel Alshalabi, 54, of Waxhaw, North Carolina, was originally charged in July 2021 with conspiracy and anti-rebound law violations for his role in orchestrating the scheme, Wildasin said. Alshalabi is the owner and CEO of Crestar Labs, LLC, a series of labs based in Spring Hill, TN. Monday’s action charged Alshalabi and seven others with health care fraud, conspiracy to commit health care fraud and conspiracy to violate and violations of the Anti-Corruption Act. bribes. Alshalabi was also charged with money laundering.

The seven charged on Monday included Edward D. Klapp, former vice president of sales, and Dakota White, former director of customer services and vice president of operations, both at Crestar. In addition, individuals from three marketing companies that have contracted with Crestar: Melissa L. Chastain, owner and CEO, and Roger Allison, president, both of Genetix LLC; Robert Alan Richardson and Edward Burch, both directors of Freedom Medical Labs, LLC; and Samuel Harris, owner of Secure Health.

Edward Klapp and Lisa Chastain were originally charged in October 2021.

“The marketers, who were not medical professionals, obtained swabs from the mouths of patients at nursing homes, senior health fairs and elsewhere,” the indictment states. charge. “The tests were then allegedly approved by telemedicine physicians who did not engage in the treatment of patients, and often did not even speak with the patients for whom they ordered tests.”

Wildasin said Alshalabi and the co-conspirators paid illegal bribes and kickbacks in exchange for doctor’s prescriptions and tests, without regard to medical necessity, and during the period of 2016 as of July 2021, Alshalabi and his co-conspirators have billed Medicare and Medicaid over $150. million.

Genetic testing fraud on the rise

In 2019, the Department of Health and Human Services alerted the public to the growing incidence of fraud schemes involving genetic testing.

In December 2016, a woman pleaded guilty in a Medicare genetic testing program targeting the elderly. In this case, a New Jersey woman referred elderly people for genetic testing billed to Medicare, according to Bloomberg BNA. For nearly 18 months, the woman and her partner reportedly offered free ice cream and told the elderly that without test results they would be at greater risk of heart attack, stroke, cancer or suicide, authorities said.

A year later, the Justice Department announced that a qualified nursing facility operator based in Louisville, Ky., had agreed to pay nearly $1 million to settle claims related to his role in a genetic testing program that violated the False Claims Act. The activity allegedly involved performing genetic testing on Medicare residents without a doctor’s order to determine if they were “properly metabolizing” a certain drug, Justice Department officials said at the time.

If found guilty, Alshalabi faces up to 10 years on a money laundering charge, and all defendants face up to 10 years in prison for health care fraud and anti-corruption law charges. -bribes, and up to five years for conspiracy to violate the Anti – Bribery Statute.

SHU partners with Yale New Haven Health for student health care

FAIRFIELD, Conn.—Sacred Heart University partners with Yale New Haven Health’s Northeast Medical Group (NEMG) to provide health care for students. This arrangement will mean expanded health services available to all SHU students.

Beginning August 15, students will receive their health services at Yale New Haven Health’s state-of-the-art Park Avenue Medical Center, located down the street from campus at 5520 Park Avenue, Trumbull. SHU will provide a shuttle to and from the medical center.

The partnership gives students better access to medical care, as SHU health services will now be part of the larger Yale New Haven health system, and NEMG will provide coordinated health care. All Bridgeport Hospital and Yale New Haven Health resources will be available to students.

Students will also see some familiar faces as most of the SHU Health Services team will move to NEMG. Telehealth options will also be available in the evenings and on weekends.

“We are thrilled about this partnership with Yale New Haven Health and Northeast Medical Group,” said SHU Dean of Students Larry Wielk. “It will provide a wider range of services and more healthcare options for our students.”

“Yale New Haven Health is very pleased to partner with Sacred Heart,” said Anne Diamond, executive vice president of Yale New Haven Health and president of Bridgeport Hospital. “This collaboration will provide world-class care for students, day and night, very close to campus with seamless transitions to next-level care if ever needed.”

NEMG and SHU will continue to work closely with the Orthopedic Specialty Group, which will provide ongoing management of sports medicine for student-athletes.

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About Sacred Heart University

As the second largest independent Catholic university in New England and one of the fastest growing in the United States, Sacred Heart University is a national leader in shaping higher education for the 21st century. SHU offers nearly 90 undergraduate, graduate, doctoral, and certificate programs at its campus in Fairfield, Connecticut. Sacred Heart also has satellites in Connecticut and Ireland and offers online programs. Over 9,000 students attend the University’s nine colleges and schools: Arts & Sciences; Communication, media and arts; social work; computer science and engineering; Health Professions; the Isabelle Farrington College of Education and Human Development; the Jack Welch College of Business & Technology; Dr. Susan L. Davis, RN, & Richard J. Henley College of Nursing; and St. Vincent College. The Sacred Heart stands out from other Catholic institutions because it was created and run by lay people. The contemporary Catholic university is rooted in the rich Catholic intellectual tradition and the liberal arts, and at the same time cultivates students to be forward-thinking thinkers who embrace change – in their own lives, professions and communities. . The Princeton Review includes SHU in its Top 387 Colleges – 2022 Edition“Best Northeast” and Best Business Schools – 2022 Edition. Sacred Heart is home to award-winning NPR-affiliated radio station WSHU, a Division I athletics program, and an impressive performing arts program that includes a choir, orchestra, dance, and theater. www.sacredheart.edu

View SHU faculty experts here

About Yale New Haven Health

Yale New Haven Health, Connecticut’s largest and most comprehensive health care system, is recognized for its advanced clinical care, quality, service, cost effectiveness, and commitment to improving the health of communities that he serves. YNHHS includes five hospitals – Bridgeport, Greenwich, Lawrence + Memorial, Westerly, and Yale New Haven, several specialty networks, and Northeast Medical Group, a nonprofit medical foundation with several hundred community and hospital physicians. www.ynhhs.org

Nurses’ conference stresses importance of Hmong representation in healthcare

Hmong nurses from across the country are in St. Paul for a one-of-a-kind event highlighting the importance of culture in healthcare.

The inaugural conference of the Hmong Nurses Association began Friday at the University of St. Thomas.

Organizers told 5 EYEWITNESS NEWS that there is a severe lack of Hmong representation in health care, despite a large Hmong population in Minnesota.

Minnesota is home to a Hmong population of 81,000, making it the largest urban concentration of Hmong in the United States. according to the Wilder Foundation.

“One in three children in St. Paul’s public schools is a Hmong child,” said Maykao Hang, the conference’s keynote speaker and founding dean of Morrison Family College of Health at the University of St. Thomas. “Minnesota’s Hmong population is growing, but there are far fewer Hmong nurses than you might think.”

Minnesota had 118,000 registered nurses in 2021, according to data from the Minnesota Board of Nursing. Hang said only 125 of those nurses were Hmong.

“The way we think about some of these underrepresented populations in nursing: Anything we can do to advance nursing education and the field is a very good thing,” Hang said.

She said having first-hand knowledge of patients’ cultures can improve their hospital stay and health outcomes.

Deu Yang, a nurse from St. Paul who attended the conference, said she works with many elderly Hmong patients on home visits.

“I am the bridge between,” Yang said. “I interpret correctly in Hmong and in the Hmong way, then the elder understands.”

She said she was able to honor the wishes of dying patients, in keeping with their tradition.

“I say, ‘Now you’re going to die. What do you like the most?’ And a lot of them say, ‘Please put on my costume, the Hmong costume. Don’t let me die in a hospital gown,” Yang said. “Every day I go home happy, knowing that I made a big difference with this person.”

In addition to hosting this new conference, the University of St. Thomas is opening of a new nursing school in autumn. The university says the school will focus on health equity and diversity, including recruiting immigrants and refugees for health careers.

A St. Thomas spokesperson said 50 students were enrolled in the program and about a third of them were students of color. Four students in the inaugural class are Hmong.

Hang hopes to see Minnesota’s many cultures reflected in its nursing students and eventually in the state’s hospital systems.

The nurses told 5 EYEWITNESS NEWS that this conference also helped them learn to bridge the gap with their colleagues.

“I am always very alone in my job. I have to explain to my supervisor, to the people I work with, “Here is my culture,” Yang said. “Today I felt good.”

Hang added, “We need all kinds of people from all walks of life to take care of us. The Hmong community is here to stay, and it’s a big population. Everyone should recruit and attract new populations among us. »

The two-day conference in St. Thomas is expected to attract more than 200 nurses.

Nursing home staffing shortages create backlogs for hospitals / Public News Service

A new report from the Economic Policy Institute links staffing shortages in long-term care facilities in Nebraska and across the country to low wages and poor working conditions.

The median wage for caregivers, at just over $15 an hour, is significantly lower than the national median of $20 an hour.

Todd Stubbendieck, state director for AARP Nebraska, said the lack of sufficient staff can have significant negative effects on the health of residents.

“Decreased physical capacity, more infection rates, more falls, then more hospitalizations,” Stubbendieck pointed out. “Addressing this staffing issue is fundamental to ensuring that we provide good quality care to residents of long-term care facilities.”

Long-term care workers are also less likely to be covered by employer-provided pension and health insurance benefits. Even before COVID, nursing home staff could not keep up with demand and the industry has lost 235,000 workers since the pandemic began. AARP analysts found that a fifth of all nursing homes have reported insufficient staffing each month since the summer of 2020.

Jeremy Nordquist, president of the Nebraska Hospital Association, said understaffing at nursing homes is also impacting Nebraska hospitals. When long-term care facilities are not adequately staffed, he said inpatients cannot be discharged and their bed is not available for the next patient who needs it.

“We’ve seen recently, just in the Omaha area, hospital emergency rooms start to back down because beds weren’t available,” Nordquist observed. “Because we didn’t have enough skilled nursing facilities and nursing homes across the state to take these patients.”

The report called for increased public funding to ensure higher wages and better working conditions to attract and retain experienced and committed workers. States and localities can also establish industry-specific worker standards commissions to recommend changes to minimum wages and working conditions.

Stubbendieck added that helping Nebraskanians access home care would also reduce demand.

“We know people want to stay home as long as possible, or at the lowest level of care,” Stubbendieck noted. “People are staying at home and receiving care, and not having to go to long-term care facilities, which tend to be more expensive. And so strengthening home and community care is one solution. ”

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Nurses are the key to infection control in nursing facilities

When it comes to skilled nursing facilities and nursing homes, nurses are among the primary providers who provide day-to-day care to residents. These nurses are expected to adhere to strict infection control practices to ensure that the spread of infections and illness are kept to a minimum, yet nursing facilities often have infection rates very high.

Before COVID-19, 380,000 nursing home residents died from infection each year. Things like respiratory infections, skin and soft tissue infections, flu, and stomach related issues are some of the biggest illnesses that are spread in nursing homes. 1 to 3 million serious infections occur each year in nursing homes, skilled nursing facilities and assisted living facilities. With the infection so prevalent in these communities, one would assume that all necessary precautions are being taken, but in reality, 40% of nursing homes were cited for poor infection control practices prior to the pandemic.

When the pandemic hit, these problems were only higher. While nursing home residents make up less than 1% of the US population, they accounted for 1 in 5 COVID-related deaths. COVID-19 sadly killed 136,000 nursing home residents as well as 2,000 healthcare providers in the facility. While conditions were already poor before the pandemic in many facilities, a lack of staff and funding has only made matters worse and now more than 300 nursing homes have closed. Even in 2022, more than 400 certified nursing homes in the United States are on the verge of closing due to lack of staff and funding.

When it comes to preventing the spread of infection and COVID-19 in nursing care settings, nurses play a key role. However, 89% of healthcare organizations are experiencing staff shortages, which has significantly increased the stress levels of the remaining workers. Since January 2020, around 236,000 caregivers have left, and the remaining nurses are feeling burnt out, overwhelmed, undervalued, frustrated and stressed. Along with this, more than 1 in 4 nurses experienced increased incivility or intimidation from administration, managers, supervisors and other nursing staff. So, with so many nurses leaving during the pandemic, more than half of the remaining nurses have considered quitting their jobs.

Nurses who stayed on also had to deal with new policies being put in place as well as a shortage of personal protective equipment. These nurses were forced to reuse their PPE even though nearly 2 in 3 felt unsafe. Even last year, nearly 75% of establishments had still not had their staff tested for N-95.

Healthcare providers who have remained in their facilities have obviously had to deal with extra work and stress, which can cause them to forego simple practices like hand washing. Skipping these very important steps and having to reuse PPE increases the likelihood of transmitting infections and COVID-19. With so many facilities set to close, it is more important than ever to ensure proper practices are in place to help control infections. The best way to achieve this is to ensure that nurses receive the proper equipment and tools, as well as up-to-date training to ensure they are able to implement and practice security policies.

Facility nurses can benefit from monthly in-person training focused on preventing the spread of infections in their facilities. These training sessions go back to the basics before introducing more advanced techniques and offer hands-on training rather than just general guidelines. Even one day a month of in-person training can help ease the pressure on nurses to ensure their patients in assisted living facilities receive the best treatment possible.

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Old Man Healthcare Market Outlook 2028

Old Man Healthcare Market Overview 2022

Latest Update: This has resulted in several changes. This report also covers the impact of the current COVID-19 situation.

The report offers detailed coverage of the Old Man Healthcare industry and key market trends. The market study includes historical and forecast market data, demand, application details, price trends and company shares of major Old Man Healthcare by geography. The report splits the market size, by volume and value, on the basis of application type and geography.

Major Key Vendors of Old Man Healthcare Market are:- Benesse Style Care Co., Ltd, Econ Healthcare Group, Epoch Elder Care, St Lukes ElderCare Ltd, Latin America Home Healthcare, Samvedna Senior Care, Golden Years Hospital, Orange Valley Healthcare, NTUC Health Co-Operative Ltd, Carewell- Service Co., Ltd, Cascade Healthcare, Millennia Personal Care Services, Rosewood Care Group Inc., Pacific Healthcare Nursing Home

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This research report categorizes the global Old Man Health Care market by top players/brands, region, type and end user. This report also studies the global Old Man Health Care market status, competition landscape, market share, growth rate, future trends, market drivers, opportunities and challenges, sales channels. and distributors.

The main types of products covered are:
Home Care
Community care
Institutional care

The application coverage in the market is:
Complete self-care ability
Self-care ability
Unable to take care of self

Scope of Old Man Healthcare Market:

ATTRIBUTES DETAILS
YEAR OF REFERENCE 2021
FORECAST YEAR 2022-2028
UNITY Value (million USD/billion)
CAGR Yes (%)
BY COMPANIES Benesse Style Care Co., Ltd, Econ Healthcare Group, Epoch Elder Care, St Lukes ElderCare Ltd, Latin America Home Healthcare, Samvedna Senior Care, Golden Years Hospital, Orange Valley Healthcare, NTUC Health Co-Operative Ltd, Carewell- Service Co., Ltd, Cascade Healthcare, Millennia Personal Care Services, Rosewood Care Group Inc., Pacific Healthcare Nursing Home
SECTORS COVERED Types, applications, end users, etc.
REPORT COVER Total Revenue Forecast, Company Ranking & Market Share, Regional Competitive Landscape, Growth Factors, Emerging Trends, Business Strategies, etc.
REGIONAL ANALYSIS North America, Europe, Asia-Pacific, Latin America, Middle East and Africa

Performance by region of the senior healthcare industry

This report studies the world Old Man Healthcare Market status and forecast, categorizes the global Cable Conduit market size (value & volume) by key players, type, application, and region. This report focuses on top players in North America, Europe, China, Japan, Southeast Asia, India and other regions (Middle East & Africa, Central & South America) .

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  • To project the sales value and volume of Old Man Health Care submarkets, with respect to key regions.
  • Analyze competitive developments such as expansions, agreements, new product launches and acquisitions in the market.
  • To study and analyze the global Elderly Healthcare Market size (value & volume) by company, key regions, products and end-user, breakdown data for the last five years, and forecast to 2028.
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  • Share detailed information about key factors influencing market growth (growth potential, opportunities, Driversindustry-specific challenges and risks).

Scope of the Report:-

The scope of the report combines detailed research of Global health care for the elderly Market 2022 with the apprehension given to the advancement of the industry in certain regions.

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Omega CEO: Nursing home recovery hinges on extended and permanent state Medicaid increases

As the nursing home industry continues to navigate its way through today’s workforce and occupancy challenges, one of the nation’s largest skilled nursing home owners is closely monitoring how states extend or make permanent Medicaid funding increases related to the Covid-19 public health emergency (PHE).

The Omega Healthcare Investors (NYSE: OHI) leadership team highlighted a number of states, including Florida and Pennsylvania, that have already announced significant increases in Medicaid rates that reflect the need to fund higher costs, while balancing the desire for additional regulatory requirements.

Other states have also elected to continue providing Covid-related Federal Medical Assistance Percentage Rate (FMAP) increases after the PHE expires, either permanently or incrementally.

These kinds of “balanced state actions” are what Megan Krull, senior vice president of operations at Omega, hopes the federal government will keep in mind when proposing future mandates – as a federal requirement in personnel matters.

“Given that the long-term care industry is still deeply entrenched in the recovery phase of this pandemic, we hope the federal government will take note of some of these more balanced state actions and see the light to provide funding for all the mandates it could impose. “, Krull said Tuesday during the company’s second quarter 2022 earnings call.

Despite continued uncertainties and near-term headwinds, CEO Taylor Pickett remains optimistic about the long-term future of the skilled nursing industry.

Omega’s second-quarter revenue was approximately $245 million, compared to $257 million in the second quarter of 2021, with the year-over-year decline attributed to asset sales and restructuring operators.

Real Estate Investment Trust (REIT) adjusted funds from operations (FFO) of $0.76 per common share exceeded consensus estimate of $0.06, and Omega shares rose 0.61% at the end of the year. regular markets close on Thursday.

As of June 30, Omega had an operating asset portfolio of 939 facilities with approximately 92,000 operating beds.

Slowly increasing occupancy rate, improvement in the workforce

After seeing steady occupancy growth through 2021 for Omega’s core portfolio, the Census fell from 75.8% in December to 74.6% to start 2022 – largely in due to the surge of the omicron variant.

Omega is starting to see that number pick up, reporting occupancy as high as 77.7% in mid-July, according to preliminary results.

Specifically, 27% of Omega installations have fully recovered, and an additional 21% have recovered to within 5% of pre-Covid levels.

Pickett also noted an improvement in staff availability. He warned, however, that pay for full-time staff remains significantly higher than pre-pandemic levels, which he sees as a “permanent change” for operators.

The agency’s spend per patient day for Omega operators is still 6 times higher than in 2019, according to Krull.

Another factor that continues to impact staffing is the continued spread of Covid-19. Although clinical outcomes are much improved from what they were, any pressure on an already difficult staffing situation can delay recovery, she added.

Omega operators continue to offer pay raises and pursue other strategies to hire and retain staff, according to Kroll, even seeing some success in bringing in nurses from overseas.

Rent deferrals and restructurings

As Omega continues to address the challenges of operator restructuring, some progress has been made.

On April 8, Omega entered into a restructuring agreement with Guardian Healthcare where, under the plan, the REIT sold 12 facilities and vacated eight facilities. At that time, Guardian resumed paying rent and interest, according to COO Dan Booth.

Omega has also completed all restructuring work related to Gulf Coast Health Care. Last May, the REIT sold the majority of its facilities for over $300 million.

The real estate investment trust (REIT) sold 22 previously leased and operated facilities on the Gulf Coast for $318 million in cash, according to a news release. Net cash proceeds, including related costs, were $304 million, a net gain of approximately $113.5 million.

Discussions around a restructuring deal with Agemo Holdings, which accounts for about 6% of contract rent, are ongoing, according to Booth. The plan is expected to involve the sale of a “significant portion” of Agemo’s facilities within the Omega portfolio.

Two other anonymous operators were also unable to pay rents in the second quarter and in July.

Industry analysts noted that Omega having “a few more tenants paying rent and a few less not paying” can likely be attributed to the improving environment for the industry as a whole.

“Headwinds remain, including the effects of COVID on occupancy and high costs (particularly labor). But occupancy is growing and should improve further (assuming it does there is no COVID relapse) and labor costs appear to be rising at a slower rate,” Stifel analysts wrote in a note released on Monday.

Although not yet rated as “good”, according to Stifel, analysts expect CMS’s SNF final rule to improve the situation.

Medicare cuts come at the wrong time

Just days after the Centers for Medicare & Medicaid Services (CMS) released their final SNF rule, Krull, while acknowledging the improvement over what was originally proposed, expressed disappointment with the final result.

“So obviously it was great that they phased in that reduction, but we wish it hadn’t been taken at all this time around given the environment,” she said.

CMS said in its final rule that it would make phased reductions to the patient-based payment model (PDPM) over two years, which would result in a 2.3% reduction, or a $780 million reduction in 2023 and another reduction of 2.3% in 2024.

The agency, in its proposed rule, initially planned to adjust SNF payment rates by 4.6%, or $1.7 billion over one year, to achieve budget neutrality.

CMS had previously determined that the PDPM had resulted in an unintended increase in payments of approximately 5% per year since its implementation in October 2019.

Overall, the NFC Final Rule gives facilities a 2.7% increase in their payments for 2023. This reflects a $1.7 billion increase resulting from a 5.1% increase in rates of payment of NFCs. This includes a 3.9% increase in the FNS consumption basket, a consumption basket forecast error adjustment of 1.5 percentage points, and a productivity adjustment of less than 0.3 percentage points.

Skilled nursing facilities must keep pace with several quality programs

There are over 40 different quality measures (QM) that affect skilled nursing (SNF) facilities across multiple programs. MDS 3.0 Quality Metrics, SNF Quality Reporting Program (QRP) Metrics, SNF Value Based Purchase Program (VBP) Metrics, Nursing Home Compare (NHC) Claims Based Metrics ) and the five-star quality rating system are just a few of the quality measures that nursing leaders must follow.

To add to the confusion, some measures are used in more than one program, such as the Changes in Skin Integrity Post-Acute Care (PAC): Pressure Ulcer/Injury SNF QRP measure which also considers MDS 3.0 quality measures. The crossover between the programs may become even more complex if the Centers for Medicare & Medicaid Services (CMS) finalizes changes to the SNF VBP and SNF QRP programs, as proposed in fiscal year 2023 SNF Prospective Payment System (PPS) proposed rule . SNF management will need to recognize the key differences between each of the programs to understand the impact of the measures on their facilities.

MDS 3.0 Quality Metrics

MDS 3.0 quality metrics provide the foundation for measuring quality for short-term and long-term residents of all payer types. Institutions use these measures for quality improvement, while investigators use them to identify potential problems. MDS 3.0 measures are reported by facilities using MDS assessment data submitted to the national database. Specifications for these metrics can be found in the MDS 3.0 Quality Metrics User Manual.

Five-Star Quality Rating System Metrics and NHC Claims-Based Quality Metrics

The Five-Star Quality Rating System makes public facility health inspection quality ratings, staffing, quality metrics, and an overall star rating. The Quality Metrics area compiles ratings from MDS 3.0 metrics, SNF QRP metrics, and NHC claims-based metrics to calculate a star rating for short-stay metrics, long-stay metrics, and an overall rating of quality measurement. Additionally, the staffing domain has recently developed two staffing metrics, which are expected to be incorporated into the star staffing methodology in July 2022.

The Five-Star quality measures are published on the Care Compare website, along with the results of several other measures of the MDS 3.0 and SNF QRP measures that are not used in the Five-Star QM domain methodology. Consumers use five-star ratings when comparing nursing homes, and hospitals consider them when making recommendations. Additionally, the five-star rating may impact the facility’s ability to obtain contracts with certain managed care plans or participate in an Accountable Care Organization (ACO).

SNF QRP measures

The SNF QRP is a reporting program. The IMPACT (Improving Medicare Post-Acute Care Transformation) Act requires SNFs and other post-acute care facilities to report standardized Medicare beneficiary data elements to enable comparison of outcomes between different facilities. Specifications and reporting requirements for each exercise are available on CMS’s SNF QRP Technical Information and Measures website. This program only penalizes establishments if they do not communicate the data necessary to calculate the SNF QRP measures. Institutions are not penalized based on the results of these measures. For the SNF QRP program, facilities must submit at least 80% of MDS assessments with 100 percent required MDS data as well as 100 percent data submitted to the National Health Care Safety Network (NHSN) of the Centers for Disease Control and Prevention (CDC). Failure to submit the required data results in a 2 percent reduction of the annual payment update for the year of the SNF QRP program. Although facilities are only penalized if they do not comply with reporting requirements, it is important to note that measurement results are made public on Care Compare.

SNF VBP measures

The SNF VBP program is the result of the Protecting Health Insurance Access Act (PAMA) and links health insurance reimbursement to quality outcomes. This program retains 2 percent of Medicare funds for the program year and redistributes 50 percent at 70 percent to NSFs as an incentive payment. Institutions are scored according to the higher of an achievement score (institution relative to all institutions) or an improvement score (institution relative to its own benchmark score). Since its inception, this program has relied on a single measure of readmission of Medicare beneficiaries; however, the Consolidated Appropriations Act of 2021 allows up to nine additional measures to be added to the program. Low performing facilities may receive no incentive payment and lose all 2 percent which has been selected, while the best performing facilities can earn incentive payments which could exceed the 2 percent detention.

Understanding Metrics in Multiple Programs

CMS proposed to adopt two existing SNF QRP metrics in the SNF VBP program: the Healthcare-Associated Infections (HAI) metric requiring hospitalizations for the 2026 program year and the Community Discharge metric for the 2027 program. These two measures are both 100 percent claims-based measures, which means that the data comes only from hospital health insurance claims and not from MDS assessments. This also means that installations are not penalized in the SNF QRP program since the installation does not report the data. However, these measures are both made public on Care Compare. In addition, the community discharge metric also applies to the five-star quality star rating, but uses the name “Rate of Successful Return to Home and Community from an SNF”. At this time, facilities do not face any direct penalties related to reporting or the results of these actions. However, if the proposal is finalized, the results of these measures will affect the incentive payments received under the VBP program.

In addition, CMS proposed a new measure for the FY2026 VBP program year: the staffing measure of total nursing hours per resident day. In the proposed rule, this metric refers to the methodology for total nursing hours per resident day in the five-star staffing area. However, this measure is different from the weekend staffing and turnover measures, which are also expected to impact the staffing area from July 2022. Although the staffing hours and the star ratings are made public and may have historically impacted consumer referrals and perspective, if finalized. , staffing metrics scores will also impact SNF VBP incentive payouts.

Basically, when an existing measurement is adopted into another program, the specifications of the measurement remain the same, but the data is used in a new way. This allows institutions to continue the quality improvement efforts currently in place for the measure, even if the impact of the measure on the institution has increased. When the focus is on overall quality improvement, both the facility and the residents benefit, regardless of which program the measure belongs to.

Jessie McGill, RN, RAC-MT, RAC-MTA, is a Curriculum Development Specialist for the American Association of Post-Acute Care Nursing (AAPACN).

“The public has been misled:” Oversight launches investigation into COVID deaths in nursing homes

By CASEY HARPER

THE CENTER SQUARE

(The Center Square) — Republicans on the Select Subcommittee on the Coronavirus Crisis and the House Oversight Committee have joined forces in an investigation into the thousands of nursing home deaths in New State. York during COVID, saying New York Democrats ignored previous investigations.

The controversy began in 2020 when thousands of New York City nursing home residents died during the pandemic, drawing closer scrutiny from the government of the day. Andrew Cuomo’s policy of sending elderly patients recovering from COVID-19 to nursing homes.

Subsequently, Mr. Cuomo was criticized for allegations that he intentionally concealed deaths in nursing homes. New York State Comptroller Thomas DiNapoli released an audit earlier this year stating that the New York Department of Health “failed to account for more than approximately 4,100 lives in nursing homes. retirement due to COVID-19”.

“While the Department’s duty is to act only to promote public health, we have determined that, rather than providing accurate and reliable information during a public health emergency, the Department has instead matched its presentation to the narrative. of the executive, often presenting data in a way that misled the public,” the audit said.

Lawmakers have sent a letter to New York Governor Kathy Hochul demanding records of key information, including the total number of deaths and guidelines issued by the governor’s office “regarding discharges from hospitals to homes of nursing or any other kind of assisted living…”

“We owe it to the thousands of families who have lost loved ones in New York City nursing homes to hold Governor Cuomo accountable for his reckless policies that likely contributed to their deaths,” said Committee Ranking Member James Comer. monitoring. “It is high time that New York officials provide Congress with all the information and data on former Governor Cuomo’s murderous order. We need answers and accountability now.

Republicans say they have previously sent inquiries to Mr. Cuomo’s office to no avail.

“Every family deserves answers and accountability for the Corrupt Cuomo order that resulted in the deaths of thousands of elderly people in New York City nursing homes. For the sake of the families who needlessly lost loved ones, I provide critical oversight of all data on Cuomo’s death order,” said House Republican Conference Speaker Elise Stefanik. “We need to know what Kathy Hochul knew about Cuomo’s criminal retirement home cover-up and be held accountable for the senseless loss of life.”

Governor Hochul’s office did not respond to a request for comment in time for publication.

Meet the New Head of Healthcare at Trumbull Regional | News, Sports, Jobs


WARREN — Cindy Russo’s entry into health care and career trajectory in the field were marked by times when she listened to good advice from good people and formed meaningful relationships that opened doors to new ones. opportunities.

From a 17-year-old in high school taking advice from her guidance counselor, to being pushed by a supervisor into a nursing management role, to a friendly conversation that later led to a job offer with Steward Health Care here in the Mahoning Valley are points in its history that Russo highlights as trainers.

“You just think about all the connections you make and why to me it’s so important to develop those relationships and have good networks…I’ve just had really good mentors and making those connections has helped me. helped in my career trajectory, as well as finding new places and new opportunities,” Russo said. “It’s always something I tell myself, I want to be able to do this for other people too.”

The final opportunity to be presented to Russo was the role of president of Trumbull Regional Medical Center, a position she assumed on July 1.

Russo, 63, from Vienna, recently sat down with this diary as she increasingly acclimatizes to having the office nook.

She joined Steward Health Care in 2021 as Chief Operating Officer for the Ohio and Pennsylvania Region with over two decades of hospital and healthcare leadership experience.

In this role, Russo was responsible for departments such as laboratory, radiology, pharmacy, select outpatient departments, Trumbull Regional and Sharon Regional Medical Center facilities, and offsite subsidiaries.

His appointment to this position dates back to a period of transition in his career. She was working with a job search representative who put her in touch with Robert Rogalski, now Steward’s regional president for Ohio and Pennsylvania. He had worked with the job search company.

“We had a conversation, it was great… we had a conversation (because at that time the position was not something that was available. We were just talking about each other’s experiences and so on and we found out his neighbor was the president of Central Maine Healthcare while I was there as COO (chief operating officer),” Russo said.

The moment apparently left a mark on Rogalski. When the COO position for the Ohio/Pennsylvania region opened up, he called Russo and offered her the job, she said.

Prior to joining Steward Health Care, Russo held several leadership positions at Lewiston, Maine-based Central Maine Healthcare, including interim president and chief operating officer. Additionally, she previously served as President and Executive Director of Baystate Franklin Medical Center in Greenfield, Mass.

She spent most of her career at Hartford Healthcare in Meriden, Connecticut, before becoming Vice President of Patient Care Services/Chief Nursing Officer and Senior Vice President of Operations at MidState Medical Center.

Her entry into the field of health, specifically nursing, is the result of a meeting with her guidance counselor from high school and following the advice of this person.

“A lot of people will say that since they were little they wanted to be a nurse. That wasn’t me. met the guidance counselor who was also a good friend of the family, and I walked in and said… “I want to start looking for schools and I want to be in special education,” and she said, “No, you don’t.

Russo asked the obvious questions – what and why?

One answer, because that market would be saturated, “but more importantly, because I know you and I know the type of person you are and I think you should go into nursing,” Russo said, recounting what the counselor had said at the time.

That sealed the deal and Russo went into healthcare.

“To me again, that’s eye-opening. In my career, what I’ve learned is good advice from good people, and making those connections with good people and getting good advice has never let me down. leads to error,” Russo said.

This was another great piece of advice that applied to health care management.

“It never crossed my mind to go into management, to go into leadership. I always thought I would be at the bedside looking after patients and I said, what, that’s why I went to school, that’s why I’ll always be good,” she said. “(But) a supervisor tapped me on the shoulder and told me that I had a position to fill and that I would like you to speak about it.”

Russo took a chance and went in that direction. She learned to love the work, but had to overcome the feeling at first that she was betraying her profession.

“Like I was abandoning my patients in a way, so for a while I kind of swayed back and forth. I did a bit of nursing management as well as bedside nursing, but then on further reflection I said that if that is indeed where my skills and opportunities lead me, I have the opportunity to then influence the care of these patients and that’s when I was like, ‘OK, you can walk away now’, because I felt that at that moment , I wasn’t abandoning my patients, but I had the opportunity to influence their care in a different way,” Russo said. .

At Trumbull Regional, Russo was already familiar with hospital operations and the new position of president, but there is still a learning curve.

“I’ve served as president/CEO of several hospitals, a few home care agencies, but this market is different, this community is different and that’s where I think my learning curve is – for learn about the community, our physician base more than I’ve ever known before,” Russo said. “I think it’s important, I think it’s really important for the hospital to play a very important role in the community, and as a leader within that organization, it’s really important to have a connection to the community.”

rselak@tribtoday.com



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SF nursing home to stop rejections | New

SAN FRANCISCO — A city-run nursing home in San Francisco will stop discharging patients under a federally mandated closure plan after at least four patients died days or weeks after being transferred from Laguna Honda Hospital, officials said.

In April, the federal Centers for Medicare and Medicaid Services halted payments to Laguna Honda after two patients had nonfatal overdoses at the facility in 2021, and California Department of Public Health inspectors said he was “in a state of substandard care.”

FY2023 Final Rule for Skilled Nursing Facilities Reduces Payments to Compensate for New Payment Model

The Centers for Medicare & Medicaid Services today released its final rule for fiscal year 2023 for the Skilled Nursing Facilities Prospective Payment System, which is expected to increase fiscal year 2023 payments by 2.7%, or $904 million, compared to fiscal year 2022. This includes a 3.9% market basket update, a 1.5 percentage point market basket forecast error adjustment, and a reduction in productivity of 0.3 percentage point. This figure also includes a parity adjustment lag of 2.3%; the agency has finalized its 4.6% parity adjustment compensation proposal, which it says is necessary to achieve a budget-neutral implementation of the new SNF case group system (the model patient-based payment system), but will be phased in over two years. These impact figures do not include purchase reductions based on the value of NFCs for certain NFCs. In addition, to mitigate the year-to-year instability of SNF PPS payments, CMS has also finalized a permanent 5% cap on annual wage index declines.

CMS will adopt a new quality metric for the SNF Quality Reporting Program that assesses the rate of flu vaccination coverage among healthcare workers from the SNF FY 2024 QRP, as opposed to the FY 2025 program as originally proposed. CMS will also require SNFs, effective October 1, 2023, to report certain measurements and patient data that have been delayed due to the COVID-19 public health emergency.

In addition, the SNF VBP program will adopt two new quality measures starting in the FY 2026 program year, with one additional measure in the FY 2027 program year; update the scoring methodology used to determine payout adjustments; and continue the policy of removing last year’s measures.

EDUCATORS TALK: Teaching healthcare professionals under a new normal setup

THE Covid-19 crisis has disrupted many sectors, particularly the medical field, where the training of doctors, nurses, dentists and other health professionals has experienced unprecedented blockages.

Pandemic or not, it is still essential to train qualified and equipped health professionals to do more than just react. Thus, the University of the Philippines-College of Medicine (UPCM), UP-College of Nursing (UPCN) and UP-College of Dentistry (UPCD) have proposed collective efforts on how future clinical professionals can be trained. without compromising the need for knowledge and skills by using a synergistic roadmap for medical, nursing and dental education; traineeship; and same residence; using best practices and innovative teaching strategies.

All of this is made possible while adhering to guidelines set forth by the Commission on Higher Education (CHED) and the Department of Health (DOH) in a joint circular.

For Dr. Charlotte Chiong, Dean of UPCM, it was truly a disturbing experience from the early days of the pandemic, when many of their colleagues succumbed to the disease.

“It pushed us to work really hard and think of innovative ways [to produce medical graduates] our country really needs,” said Dr Chiong during the recent “Stop Covid Deaths” webinar: “Reading MedisinaMedical care, at Dentistry her New Normal” hosted by UP, in partnership with UP-Manila NIH National Telehealth Center and in cooperation with UP-Philippine General Hospital.

She said UPCM has made several adjustments during the pandemic, particularly on the academic calendar, where UP system semesters have been shortened to 14 weeks from the original 16, all off-campus elective rotations have been canceled with electives moved to mid-year, and course durations have also been reduced.

“The learning outcomes have been reviewed and adjusted to the essentials: ‘must know, must do’, especially in the clinical years,” explained Dr. Chiong. She added that the teaching and learning methodologies were transformed to be delivered to UPCM’s Learning Management Systems (LMS): the Canvas and the UP Manila Virtual Learning Environment. .

Other changes, she said, involved the increased use of asynchronous learning and increased use of meeting platforms such as Zoom, MS Teams and Google Meet: “We even offered honors students registration free to Harvard Medical School’s online courses in biochemistry and pharmacology. We have done this for 450 students over the past two years, and we plan to enroll another 220 before the next academic year.

The Dean also pointed out that assessments were done online using the Neuro Objective Structured Clinical Examinations, while psychosocial support was also provided to students, faculty and staff with more mentoring sessions, mindfulness training and even leniency in college course requirements and rules. as well as the virtualization of medical education using equipment provided by several donors.

“For the 2022-2023 academic year, we will combine distance technology-enhanced learning, online assessments, a mix of in-person and online lectures, and a mix of performance-based assessments and ‘in-person exams,’ Dr Chiong said.

Dr. Sheila Bonito, Dean of UPCN, noted that there were similarities and also variations in teaching changes in the said college. She also lamented that many schools have closed and clinical placements have been halted, while faculty development has been delayed due to the pandemic.

“It also revealed some issues, such as underinvestment in nursing education,” Dr. Bonito explained. “With insufficient investment, how can we continue to produce quality nurses? »

The dean said that UPCN was already doing this even before CHED made flexible learning compulsory for higher education, and that it had redesigned its courses, developed course modules, as well as designed learning activities. learning and planned assessments taking into account new ways of teaching and learning.

“We have also decoupled the courses to be able to deliver lectures, laboratory work and even clinical internships remotely,” she said. “Most importantly, faculty members also had to undergo training on how to redesign their courses, which we also shared with other nursing schools, being a CHED Center of Excellence.

Just like UPCM, UPCN has used online technologies such as LMS, Zoom meetings, video-based learning and the creation of virtual clinics that can give students the clinical practicum exposure scenario: a imaginary hospital setting where students perform various nursing duties.

“We believe that it is no longer possible to go back to the old ways of teaching and learning. The threat of infection will always be there, and there will be other challenges in the future,” she said.

Finally, Dr. Danilo Magtanong, Dean of the UPCD, pointed out that some members of the college, as well as other schools in the country, still hope that education will go back to the old way once the pandemic is over, or “return to normal”. “Personally, I wouldn’t want to go back there, because there’s nothing to come back to. Our so-called response to the pandemic, such as upgrading and renovating all college facilities, should not be seen as our preparations for the new normal. This is the environment necessary for training in dentistry long before.

He said the pandemic has exposed inadequacies, inabilities and a disregard for real-life situations in clinical training, and the risks, perils and dangers that come with them: “Our harsh lesson here is this: we simply lucky to have come this far.

Michigan nursing home providers to see survey reform after bill takes effect

Nursing home owners in the state of Michigan should anticipate changes to the speed and consistency of the state’s investigative process after the governor signed a bill earlier this week.

House Bill 5609, which was introduced in December last year, sought to establish clearer standards for health care inspectors in the state.

Governor Gretchen Whitmer gave the green light to the bill on July 25.

State Rep. Bronna Kahle, one of the lawmakers who introduced the bill, previously told Skilled Nursing News in an interview that she wanted to see a regulatory process that recognizes both the struggles and successes of providers. individual, and offering support and guidance throughout the course. of Covid – rather than creating obstacles.

“In Michigan, we were cited at more than four times the national average for staffing ratios,” she explained. “The fact is, we’re well above comparable national staffing ratios.”

Other sponsors of the bill included Representatives Jack O’Malley, Jeff Yaroch, Joseph Bellino, Bob Bezotte and Karen Whitsett.

Kahle previously told SNN that the purpose of the bill was not to downplay the importance of skilled nursing oversight, but rather to bring the state back into line with others across the country in this regard. regarding the frequency, scope and severity of citations.

“These facilities have struggled and adapted and ultimately become more nimble and innovative through the pandemic and it seems that rather than the state acknowledging the struggles that they have been through… it seems the state, through the regulatory process, yields a big stick that does not lead to better care outcomes,” she said.

Sheila’s Angels In Home Care provides home health care services in Clear Lake that provide independence and security for seniors

Houston, TX – Veterans are a unique health care population. They have specific needs that must be taken into account to ensure that they receive the best care possible. Home health care services for veterans is a growing field and many companies are specifically focused on providing care to this population. For the best possible service, it is essential to choose a provider with experienced, compassionate and reliable caregivers who understand the unique needs of seniors. In Clear Lake, Sheila’s Angels In Home Care is that provider.

The Clear Lake Home Health Care provider provides quality services to older veterans and their families. The company was founded by Sheila, a registered nurse who has worked in the healthcare industry for over 20 years. Sheila personally cared for her mother, who succumbed to a long battle with cancer. This experience and that of working in hospitals inspired her to dedicate her life to helping those in need and ensuring that they receive the best care possible. She has a team of experienced and compassionate caregivers who understand the unique needs of seniors. Each member of their team has been highly trained and background checked to ensure they provide the highest quality of care possible. Their goal is to help seniors stay healthy and independent in their own homes without having to move to assisted living facilities or nursing homes.

This award-winning home care provider offers a wide range of affordable and exceptional home care services to meet the unique needs of each individual. These services include personal care, housekeeping, transportation, shopping, laundry, food preparation, companionship, in-home RN assessment, RN wellness checks, respite care, etc. . To ensure that every veteran receives the best care possible, Clear Lake Home Health Care has a Caregiver Matching Service that ensures each client is matched with a caregiver they are compatible with. This allows for a more personalized level of care that meets everyone’s needs.

Specialized services are also available for people with Alzheimer’s and dementia. Their caregivers are specially trained in communication and the care of people with Alzheimer’s disease, dementia, hearing loss and aphasia. Their care plans are managed by registered nurses and are updated over time to ensure that each client receives the best possible care. In addition, their services are available 24 hours a day with flexible hours to meet the needs of each client.

The Clear Lake Home Health Care The provider has a Veterans Assistance Program that helps veterans access all VA benefits to which they are entitled. Additionally, they offer a Long Term Insurance Assistance Program that helps veterans apply for and access long term care insurance benefits. Sheila’s Angels In Home Care bills insurance companies directly to ensure clients are able to maintain control over their lives, health and well-being.

Sheila’s Angels In Home Care is located at 1350 Nasa Parkway st 204, Houston, TX, 77058, USA. To schedule a free, no-obligation home care assessment, contact their team at (281) 480-4846. For more information on the services offered, visit their website.

Media Contact

Company Name
Sheila’s Angels in Home Care
Contact Name
Sheila Perrin
Call
(281) 480-4846
Address
1350 NASA Parkway 204
Town
Houston
State
TX
Postal code
77058
Country
United States
Website
https://www.sheilasangels.com/

Grieving girl responds to Sydney care home inquiry

Virginia Clarke’s father has died after COVID-19 ravaged his nursing home.

Ron Farrell, 94, was one of 19 residents who died at Newmarch House in western Sydney in 2020.

On Tuesday, Clarke was one of the first family members to respond to the inquiry into what happened at Newmarch.

“There was no way Dad would survive, so they said they were going to make him comfortable,” Clarke said.

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Ron Farrell, 94, was one of 19 residents who died at Newmarch House in western Sydney in 2020. (Nine)

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It was the last time she spoke to her father. “I said ‘could I talk to him?’ and they held the phone to his ear, and he couldn’t talk, but I could talk to him.”

Clarke said goodbye.

Farrell had lived in the residential care facility since 2013. “He chose Newmarch. He wanted to go,” Clarke said.

The inquest is looking into all the circumstances surrounding the deaths of Newmarch residents.

Virginia Clarke's father died after COVID-19 tore through his nursing home.  Ron Farrell, 94, was one of 19 residents who died at Newmarch House in western Sydney in 2020.
The inquest is looking into all the circumstances surrounding the deaths of Newmarch residents. (New)
Virginia Clarke has described how she discovered by accident that her father Ron Farrell, 94, had COVID-19 in his nursing <a class=home. A few days later, she said goodbye on the phone.”/>
Virginia Clarke has described how she discovered by accident that her father Ron Farrell, 94, had COVID-19 in his nursing home. A few days later, she said goodbye on the phone. (New)

“It was very important to me because there was so much confusion at the time, we weren’t allowed to see dad.

A lot of families couldn’t see their loved ones,” Clarke said.

Farrell was an RAAF vet. He first enjoyed living in Newmarch.

But when the outbreak hit, her family say they felt left in the dark.

“Dad didn’t know what was going on. No one spoke to him or said anything to him,” Clarke told the inquest.

“Just trying to get information, trying to find out his test results, was very frustrating because by this point they had moved all the phones to a central area and people didn’t know what was happening at the central office, so they said “we’ll get someone to contact you”, and that’s all I got.”

Clarke said she only found out by accident that her father had been diagnosed with COVID-19.

“Someone rang like a courtesy call to check on us, and she said ‘you don’t know?’ and I said ‘no, we’re still waiting to find out what’s going on with dad’.

Virginia Clarke's father died after COVID-19 tore through his nursing home.  Ron Farrell, 94, was one of 19 residents who died at Newmarch House in western Sydney in 2020.
Farrell was an RAAF vet. He first enjoyed living in Newmarch. But when the outbreak hit, her family say they felt left in the dark. (New)

She said ‘oh, he tested positive'”.

READ MORE: Sydney rapist convicted after A Current Affair revealed sickening state of mind while on parole

Solicitor Assistant Coroner Simon Buchen SC told the inquest hearing that Newmarch House was not properly prepared for the scale of the COVID-19 outbreak.

He suggested the Anglicare Nursing Home was in the grip of ‘chaos and dysfunction when the epidemic hit’.

There were gaps in care, medication and the provision of meals, there was a level of disorganization and it was unclear who was responsible, he told the court.

The investigation is expected to last three weeks.

Deputy State Coroner Derek Lee said it will be a transparent, independent and full inquest.

Several experts will be called, as well as a number of family members of the victims.

Mary Van Put told the inquest she wanted her father removed from Newmarch House before he contracted COVID-19.

She said her family had been threatened with a fine or jail time for violating a public health order.

His father died 10 days later.

Farrell’s daughter is critical that many of the COVID-19 deaths at Newmarch are associated with underlying health conditions. She thinks her father would have had more time.

“All of those who died had underlying health conditions,” Clarke said.

“Unfortunately, when you walk into a care home it’s usually because you have an underlying medical condition.

Virginia Clarke's father died after COVID-19 tore through his nursing home.  Ron Farrell, 94, was one of 19 residents who died at Newmarch House in western Sydney in 2020.
Clarke hopes lessons can be learned from the survey to try to better protect older people from future outbreaks. (New)

“Dad was looking forward to his 95th birthday, he had already planned it, he was going to have a barbecue and I think, even with underlying health issues, if he hadn’t had COVID he would have survived a little bit longer.”

Clarke hopes lessons can be learned from the survey to try to better protect older people from future outbreaks.

“They said they had policies and procedures for a pandemic, but obviously (they) weren’t enough to protect people,” she said.

“So maybe two years later, learning from the mistakes that happened at Newmarch, they can come up with something to protect people.”

READ MORE: ‘We’ve had enough’: Flood-affected residents call for Sydney Dam walls to be raised

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Grants to KY colleges to boost healthcare workforce / Public News Service

A shortage of nurses and medical technicians has left communities across the Commonwealth struggling to meet healthcare demands. In response, the state board of education launched a new initiative aimed at increasing the number of students entering health fields.

State lawmakers have pledged $10 million to participating colleges and universities.

Aaron Thompson, president of the Kentucky Council on Post-Secondary Education, said the money will be distributed as grants to technical and community schools and four-year colleges, and said institutions must have a degree pipeline for students.

“They need to have a partnership with those employers who are willing to put their skin in the game,” Thompson explained. “A lot of our health care agencies put professors on campus, they invest their money in scholarships.”

According status data, Kentucky health care facilities operate with 12% to 20% nursing staff required. The state is expected to need more than 16,000 additional nurses by 2024.

Thompson pointed out that rural areas in particular need innovative ways to attract faculty and improve academic support, resources and clinical experiences for students.

“It’s very much a process of creating good clinical opportunities,” noted Thompson. “We need to expand our ways of thinking about clinical opportunities, and just the traditional way of doing it.”

He added that electronic records, mental health, and therapeutic and rehabilitative services are also experiencing staffing shortages, while at the same time the state is seeing the number of high school students entering college decline.

He argued that community colleges are uniquely suited to step in and fill the void.

“The other part, too, is that they provide most of the dual credit here in Kentucky, so we can start this pipeline for dual credit courses early,” Thompson pointed out. “We can do it statewide.”

The shortage of health professionals also affects neighboring regions. According to a investigation published last year by the American Association of Critical Care Nurses, more than 90% of nurses said the pandemic had exhausted nurses in their hospitals and as a result their careers would be shorter than expected.

Support for this report was provided by Lumina Foundation.

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Sabra Health Care REIT, Inc. (NASDAQ:SBRA) Receives Consensus “Hold” Rating from Brokerages


Sabra Health Care REIT, Inc. (NASDAQ: SBRAGet a rating) received a consensus rating of “Hold” by the twelve rating agencies that currently cover the stock, market beat reports. Seven equity research analysts rated the stock with a hold recommendation and five gave the company a buy recommendation. The 12-month average price target among brokers who have covered the stock over the past year is $15.85.

A number of brokerages have recently released reports on SBRA. Capital One Financial began covering Sabra Health Care REIT in a research note on Friday, June 3. They set an “equal weight” rating and a price target of $15.50 on the stock. Jefferies Financial Group downgraded Sabra Health Care REIT from a buy rating to a hold rating and reduced its target price for the stock from $15.00 to $14.00 in a Thursday research note June 30th. Mizuho upgraded Sabra Health Care REIT from a “neutral” rating to a “buy” rating and reduced its target price for the stock from $16.00 to $15.00 in a Wednesday, May 25 research note. StockNews.com began covering Sabra Health Care REIT in a research note on Thursday, March 31. They issued a “holding” rating on the stock. Finally, Credit Suisse Group raised its price target on Sabra Health Care REIT from $14.00 to $15.00 and gave the stock a “neutral” rating in a Monday, April 4 research note.

Sabra Health Care REIT Stock up 0.6%

Shares of NASDAQ: SBRA opened at $14.74 on Friday. The stock’s 50-day moving average price is $14.00 and its 200-day moving average price is $13.62. Sabra Health Care REIT has a 12-month low of $11.44 and a 12-month high of $19.01. The stock has a market capitalization of $3.40 billion, a P/E ratio of -30.08 and a beta of 1.33. The company has a current ratio of 3.60, a quick ratio of 3.60 and a debt ratio of 0.70.

Sabra Health Care REIT (NASDAQ: SBRAGet a rating) last reported quarterly earnings data on Wednesday, May 4. The real estate investment trust reported earnings per share (EPS) of $0.18 for the quarter, beating consensus analyst estimates of $0.17 by $0.01. Sabra Health Care REIT posted a negative return on equity of 3.15% and a negative net margin of 18.28%. During the same quarter of the previous year, the company achieved EPS of $0.39. On average, stock analysts expect Sabra Health Care REIT to post 1.47 earnings per share for the current year.

Sabra Health Care REIT announces dividend

The company also recently disclosed a quarterly dividend, which was paid on Tuesday, May 31. Shareholders of record on Monday, May 16 received a dividend of $0.30. The ex-dividend date was Friday, May 13. This represents an annualized dividend of $1.20 and a yield of 8.14%. Sabra Health Care REIT’s dividend payout ratio (DPR) is currently -244.89%.

Sabra Health Care REIT Institutional Negotiation

Institutional investors and hedge funds have recently been buying and selling stocks. Vanguard Group Inc. increased its holdings of Sabra Health Care REIT shares by 2.4% in the first quarter. Vanguard Group Inc. now owns 36,317,289 shares of the real estate investment trust worth $540,765,000 after purchasing an additional 859,548 shares in the last quarter. Principal Financial Group Inc. increased its equity stake in Sabra Health Care REIT by 1.5% during the first quarter. Principal Financial Group Inc. now owns 17,124,112 shares of the real estate investment trust worth $254,977,000 after purchasing an additional 256,869 shares in the last quarter. State Street Corp increased its holdings of Sabra Health Care REIT shares 18.1% in the first quarter. State Street Corp now owns 12,035,766 shares of the real estate investment trust valued at $179,213,000 after buying an additional 1,840,939 shares in the last quarter. Centersquare Investment Management LLC increased its position in shares of Sabra Health Care REIT by 23.3% during the fourth quarter. Centersquare Investment Management LLC now owns 7,289,224 shares of the real estate investment trust worth $98,695,000 after acquiring an additional 1,377,573 shares in the last quarter. Finally, Goldman Sachs Group Inc. increased its position in shares of Sabra Health Care REIT by 7.5% during the first quarter. Goldman Sachs Group Inc. now owns 5,486,951 shares of the real estate investment trust valued at $81,701,000 after acquiring 384,092 additional shares last quarter. 91.61% of the shares are currently held by hedge funds and other institutional investors.

Sabra Health Care REIT Company Profile

(Get a rating)

As of March 31, 2022, Sabra’s investment portfolio included 416 properties held for investment. These include (i) 279 skilled nursing/transitional care facilities, (ii) 59 senior housing communities (senior residences – leased), (iii) 50 senior housing communities operated by third-party property managers pursuant to property management agreements (retirement homes – managed), (iv) 13 behavioral health facilities and (v) 15 specialty hospitals and other facilities), an asset held for sale, an investment in a lease-purchase, 16 investments in loans receivable (including (i) two mortgage loans, (ii) a construction loan and (iii) 13 other loans), seven investments in preferred shares and an investment in a unconsolidated joint venture.

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Nursing home cases and deaths rise again

As COVID-19 continues to spread seemingly everywhere, President Biden is the latest in a long line of government leaders to become infected, isolating himself with mild symptoms. Most Americans said in a recent poll that they don’t think COVID-19 will ever go away. To encourage vaccination adoption among its members, the Air Force is now providing them with the newly approved Novavax, which uses technology more familiar than the mRNA vaccines from Moderna and Pfizer.

Nursing home cases and deaths rise again

COVID-19 cases and deaths among residents of U.S. nursing homes have increased substantially over the past two months, according to new data from AARP. Nearly 3,000 per 100,000 nursing home residents tested positive for COVID-19 in June, marking a 27% increase from the previous month. Deaths have also increased, with 70 per 100,000 people dying from COVID, up from 40 per 100,000 in May. The numbers are comparable to those recorded in early 2020 before vaccines became available. About 72% of nursing home residents nationwide are fully immunized with at least one booster, just below California’s rate of about 79%.

Bay Area is no longer California’s COVID hotspot

After several weeks of consistently reporting the highest COVID-19 infection rates in California, all nine Bay Area counties this week fell below the state average for new daily cases. The region now averages about 40 cases per 100,000 people compared to the overall state average of 45 per 100,000, based on public health department data analyzed by The Chronicle. Rural areas like Kings, Imperial and Del Norte counties are reporting the highest rate of daily infections, with the latter having 138 new cases per 100,000 people. But population centers like Los Angeles County, with 61 per 100,000, and San Diego County, with 56 per 100,000, are the new problem areas. California’s coronavirus test positivity rate, which is the proportion of positive tests, climbed to 16.7% on Friday. Deaths are also rising, with 41 people dying daily from COVID-19, up from 30 a month ago. In the Bay Area, there were 825 patients hospitalized with COVID-19 on Friday, the highest number since February.

President Biden’s condition has ‘improved’, says White House doc

President Biden’s COVID-19 symptoms “have improved” after his first day of taking the antiviral drug Paxlovid, White House physician Kevin O’Connor said in a letter Friday. The president had a fever of 99.4 F overnight and was given Tylenol, he added. Biden continues to have a runny nose and cough, while “his pulse, blood pressure, respiratory rate and oxygen saturation remain completely normal,” the letter states. On Thursday, the White House announced that Biden had tested positive after his recent trip to the Middle East and repeatedly assured that the president was working hard while self-isolating in residential areas of the White House with very mild symptoms. . Biden tweeted Thursday.

Bay Area man says he co-infected COVID, monkeypox: ‘Incredibly unlucky’

Sevastopol resident Mitcho Thompson says he tested positive for coronavirus in late June at the same time he was diagnosed with monkeypox. “The doctor was very certain I had monkeypox and I had both,” Thompson told NBC Bay Area. “That was the question. Can I have them at the same time? And he said, ‘Yes, yes, yes.’ He compared the feeling of co-infection to a bad flu. “Really sick,” he said. “And the worst was honestly where I could barely get out of bed and you could barely drink a glass of water.” Health experts say that although rare, it is possible to catch both viruses simultaneously. “It’s just unbelievably bad luck,” said Stanford professor of medicine and infectious disease specialist Dr. Dean Winslow.

BART sees decline in mask-wearing since mandate lifted

About 89% of BART passengers wore face coverings in June, based on regular monitoring by transit agents. BART operators conduct counts four times a month during morning and evening shifts to collect data on mask-wearing on trains – counting only passengers wearing masks covering their mouths and noses. Others are considered “non-compliant,” according to agency data. In the first three months of the year, officials saw roughly 98% compliance, but that figure has been steadily declining since April, when BART canceled, then reinstated a week later, its mask requirement. . The agency lifted the mandate again on Monday but will return to the matter at its next board meeting on July 28.

Over 97% of US counties have high or substantial COVID transmission

America is in the midst of the seventh wave of the coronavirus pandemic, with more than 93% of US counties reporting high levels of COVID-19 transmission and an additional 4% in the “substantial category”, according to data released Thursday. by the Centers for Disease Control and Prevention. This includes all of California’s counties, which are also classified as having high COVID-19 community levels in 51 of its 58 counties. Community levels include measures based on daily cases and hospital admissions. The latest wave of cases is due to the highly transmissible BA.5 omicron subvariant of the virus.

Air Force encourages use of Novavax vaccine

The Air Force will make the protein-based Novavax coronavirus vaccine available in the coming weeks for its members who have been hesitant to get an mRNA vaccine despite the Department of Defense’s COVID-19 vaccine requirement. . “Most airmen and guards have already received vaccines using similar technology to the Novavax COVID-19 vaccine, such as the hepatitis B vaccine, which is a Department of Defense requirement. Other vaccines produced with similar technology are the human papillomavirus vaccine and even one of the flu vaccines,” said Lt. Col. David Sayers, chief of preventive medicine, Air Force Medical Readiness Agency. “The Novavax COVID-19 vaccine uses technology that has been around since the 1980s. Not only do we have efficacy and safety data from Novavax clinical trials, but we also have decades of experience with this type of vaccine. .

UCSF’s Wachter weighs in on Biden diagnosis

Dr. Bob Wachter, chair of medicine at UCSF, analyzed President Biden’s diagnosis of COVID-19 in a Thursday Twitter feed, highlighting the long COVID as a risk it faces. He noted a risk of at least 5% of persistent symptoms such as exhaustion or brain fog, “nor good for someone in their line of work”. Wachter added that the president may also face a “small but significant long-term increased risk of heart attack, stroke.” Wachter said that since the president is taking Paxlovid, he could experience a rebound infection, but the benefits of the antiviral drug in preventing serious consequences from the disease outweigh the risks. Biden’s vaccination and boosters mean the president is likely to be fine, Wachter said, adding, “I wish him an easy course.”

COVID-infected Biden says it’ll be ‘OK’

President Joe Biden, in a video message, reassured Americans that he was feeling fine after testing positive for COVID. “Hey people, I guess you heard. This morning I tested positive for COVID,” Biden said in a video posted on social media Thursday afternoon. “But I was double vaccinated, double boosted. Symptoms are mild. The White House said he was working in solitary confinement until he tested negative and suffered from coughing, runny nose and fatigue. “Waiting, thank you for your concern“, Biden said. “And keep the faith. It’s going to be okay.” The president’s physician, Dr. Kevin O’Connor, said in a statement that Biden had a runny nose and “fatigue, with an occasional dry cough, which began last night.” White House press secretary Karine Jean-Pierre added that Biden was taking the antiviral drug Paxlovid.

Province Announces $5.2 Million for Training Programs to Address Health Care Staffing Shortages

Content of the article

The Manitoba government is spending $5.2 million on two programs to help address staffing shortages in the health care system and increase Indigenous representation on the ground, two cabinet ministers announced Thursday.

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The two programs, the Skills Development Program and the Indigenous Adult Health Internship, will provide the training and resources needed to meet immediate and emerging workforce needs in the health care sector, said the Economic Development, Investment and Trade Minister Cliff Cullen.

The Skills Development Program provides career counseling and financial support to eligible individuals seeking post-secondary education through programs lasting up to two years. Funding is available for students pursuing studies to become a health care aide, health office clerk, medical office assistant, pharmacy technician, or practical nursing student.

The Indigenous Adult Health Internship Program is an initiative between Indigenous communities and Southern Health-Santé Sud, serving a population of over 216,000 residents. The program has been running since 2015 and has seen 100 students enrolled in the program, said Jane Curtis, CEO of Southern Health-Santé Sud.

Content of the article

The program runs for 12 to 14 weeks each year from September to December and offers Aboriginal people the opportunity to participate in pre-employment training programs, job shadowing and paid internships.

“A quarter of these students were able to secure employment opportunities with Southern Health-Santé Sud,” Curtis said. “I am delighted to see increased support for students to participate in this program, as it has resulted in many successes and contributes to efforts to strengthen the health workforce. »

Design study announced for Beauséjour Road

Manitoba Transportation and Infrastructure Minister Doyle Piwniuk announced Thursday that the province will commission a functional design study for Provincial Highway 215 (Park Avenue) in Beausejour.

Some of the improvements include pavement surface and curb works, improved turning movements and improvements at the intersections of Provincial Trunk Road 44, PR 215 and PR 302.

“This project spanned over 15 years and began with previous councils,” Beauséjour Mayor Ray Schirle said in a press release. “The Town of Beauséjour is delighted that the Government of Manitoba is bringing this project to fruition.

Construction is expected to begin in 2025-26, but interim surface preservation treatment is planned on Beauséjour’s main tracks to improve existing conditions.

Dallas Nursing Home Operator Secured $44 Million Ch. 11 Sale

By Vince Sullivan (July 20, 2022, 7:01 p.m. EDT) — Dallas-area nursing home operators Christian Care Centers Inc. on Wednesday received approval from a Texas bankruptcy judge for a sale of $44.2 million under Chapter 11 of its three facilities, which will be able to close quickly and allow the new owner to continue to provide care to hundreds of residents.

In a hearing, debtor attorney Buffey E. Klein of Husch Blackwell LLP told the U.S. Bankruptcy Court for the Northern District of Texas that a number of objections to the sale had been fully resolved or deferred to a date. later, paving the way for approval. of the only qualified Christian Care offer…

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Goshen College gets $4 million to renovate and expand nursing facilities – Inside INdiana Business

(photo courtesy of Goshen College)

Goshen College received a $4 million grant from the U.S. Department of Commerce’s Economic Development Administration. The college says the funding will allow it to renovate historic Westlawn Hall, triple the size of its nursing facilities and increase enrollment.

Approximately 18,000 square feet on the second and third floors of Westlawn Hall will be renovated to create a nursing education center. The renovated facilities will include three inpatient simulation rooms and six exam rooms for simulation training, as well as a 10-bed skills lab, central teaching area, flexible classrooms, student lounges , study areas and offices.

With the additional space, the college says it will be able to quadruple the number of nursing students, which will help address the shortage of nurses in Elkhart County and the surrounding area.

“Goshen College is pleased and grateful for this investment from EDA, which will support the expansion of our highly regarded nursing program and address a critical shortage of skilled nursing labor in the region,” said the President Rebecca Stoltzfus. “The COVID-19 pandemic has demonstrated the importance of trained nurses and healthcare professionals in an emergency. As a regional workforce training provider for the health sector, we are well placed to help prepare the region’s workforce for future health emergencies, which will increase the resilience of the region in the face of future health-related crises.

In total, the renovation is estimated at $5.7 million, and the EDA’s investment will be matched by the college’s $1.7 million.

The college plans to begin renovations in 2023.

Home Healthcare and Residential Nursing Services Market is Booming Globally

According to research experts from Qurate Research, “Global Home health care and residential nursing services Market 2022 Insights, Size, Sharing, Growth, Opportunities, Emerging Trends, Forecast to 2028.” The study is an anthology of in-depth research studies on many aspects of the global home healthcare and services industry institutional nursing. It is an admirable effort to offer a true and transparent picture of the current and future conditions of the global Home Healthcare and Home Nursing Services market based on credible facts and exceptionally accurate data.

“Global Home Healthcare and Residential Nursing Services Market Overviews, Size, Share, Growth, Opportunities, Emerging Trends, Forecast to 2028,” according to a report by Qurate Research. Several in-depth research studies on various facets of the global Home Healthcare and Facility Nursing Services market are included in the report. It is a commendable effort to present a fair and transparent view of the current and future status of the global Home Healthcare and Home Nursing Services market based on reliable facts and extraordinarily accurate statistics.

The main players profiled in this report are:

Bayer Health
Omron Health
UnitedHealthcare Global
Teleflex Corporation
Southwood Health Center
Medtronic, F. Hoffmann-La Roche
Praxair Technologies
Phillips Health

Key Segmentation of the Home Healthcare and Facility Nursing Services Market:

On the basis of types, the cloud service brokerage (CSB) market from 2015 to 2025 is majorly split into:

Operations management
Catalog management
Workload Management
Reports and Analytics
Security and compliance

On the basis of applications, the Cloud Services Brokerage (CSB) market from 2015 to 2025 covers:

IT and Telecommunications
Retail and consumer goods
Manufacturing
Government and public sector
Media and Entertainment

Scope of Home Healthcare and Residential Nursing Services Market Report:
The research examines the major players of the global Home Healthcare and Institutional Nursing Care Services market in detail, focusing on their market share, gross margin, net profit, sales, product portfolio , new applications, recent developments and other factors. It also sheds light on the vendor landscape, helping the players to forecast future competitive moves in the global Home Healthcare and Residential Nursing Care businesses.

This study estimates the market size in terms of value (million USD) and volume (million units) (K units). Both top-down and bottom-up techniques have been used to estimate and validate the market size of the Home Healthcare and Residential Nursing Services market, as well as the size of various other dependent submarkets in the overall market. To identify significant players in the market, secondary research was used, and both primary and secondary research were used to determine their market shares. All breakdowns and percentage breakdowns have been calculated using secondary sources and verified sources.

The updated market report is available at the link below:@ https://www.qurateresearch.com/report/buy/HnM/global-home-health-care-and-residential-nursing-care-services-market/QBI-MR-HnM-1125659/

COVID-19 pandemic has had a major influence on the Home Health Care and Residential Nursing Services industry. In the second quarter, the sector showed signs of recovery around the world, but the long-term recovery remains a concern as COVID-19 cases continue to rise, especially in Asian countries like India. series of setbacks and surprises. As a result of the outbreak, many shifts in buyer behavior and thinking have occurred. As a result, the industry is even more stressed. As a result, market expansion should be limited.

Home Healthcare and Facility Nursing Services Market Region Majorly Focusing:
— European market for home health care and home nursing services (Austria, France, Finland, Switzerland, Italy, Germany, Netherlands, Poland, Russia, Spain, Sweden, Turkey, United Kingdom),
– Home healthcare and home nursing services market in Asia-Pacific and Australia (China, South Korea, Thailand, India, Vietnam, Malaysia, Indonesia and Japan),
– The home health care and home nursing services market in the Middle East and Africa (Saudi Arabia, South Africa, Egypt, Morocco and Nigeria),
– Latin America/South America Home Healthcare and Home Nursing Services Market (Brazil & Argentina), – North America Home Healthcare and Home Nursing Services Market ( Canada, Mexico and United States)

A sample free report from Qurate Research includes: FREE PDF SAMPLE
1) Introduction, Overview and In-Depth Industry Analysis for 2021 Updated Report
2) Impact analysis of the COVID-19 outbreak
3) A research report of more than 205 pages
4) Upon request, provide chapter-by-chapter assistance.
5) Updated regional analysis for 2021 with graphical representation of size, share and trends
6) Includes an updated list of tables and figures.
7) The report has been updated to include business strategies, sales volume, and revenue analysis of key market players.
8) Methodology of facts and factors for research

The main questions answered by this report are:
• How to get a free copy of Sample Home Healthcare and Residential Nursing Services Market Report and Company Profiles?
• What are the major drivers for the expansion of the Home Health Care and Residential Nursing Services market?
• What is the anticipated size and growth rate of the Home Health Care and Residential Nursing Services market?
• Who are the leading companies in the Home Health Care and Institutional Nursing Services Market?
• What market segments does the home healthcare and residential nursing services market cover?

Contents:

Chapter 1 Home Health Care and Facility Nursing Services Market Introduction
Chapter 2 Executive
2.1 Home Health Care and Home Nursing Services Market 3600 Overview, 2018- 2028
2.1.1 Industry trends
2.1.2 Material trends
2.1.3 Product trends
2.1.4 Operating trends
2.1.5 Distribution channel trends
2.1.6 Regional trends

Chapter 3 Home Health Care and Facility Nursing Services Market Overview
3.1 Industry Segmentation
3.2 Industry Ecosystem Analysis
3.2.1 Component Suppliers
3.2.2 Producers
3.2.3 Profit Margin Analysis
3.2.4 Distribution Channel Analysis
3.2.5 Impact of COVID-19 on the market value chain
3.2.6 Vendor Analysis
3.3 Technology landscape
3.4 Regulatory landscape
3.4.1 North America
3.4.2 Europe
3.4.3 Asia-Pacific
3.4.4 Latin America
3.4.5 Middle East and Africa
3.5 Price Analysis (including impact of COVID-19)
3.5.1 By region
3.5.1.1 North America
3.5.1.2 Europe
3.5.1.3 Asia-Pacific
3.5.1.4 Latin America
3.5.1.5 Middle East and Africa
3.5.2 Cost structure analysis
3.6 Industry impact forces
3.6.1 Drivers of growth
3.6.2 Industry Disadvantages and Challenges
3.6.2.1 Focus on weight reduction
3.7 Innovation & sustainability
3.8 Growth Potential Analysis, 2020
3.9 Competitive landscape, 2020
3.9.1 Company Market Share
3.9.2 Main actors
3.9.3 Strategy Dashboard
3.10 Porter’s analysis
3.11 PILON analysis

Chapter 4 Disclaimer

A question? Inquire here for discount or report customization

Contact us:

Nehal ChinoyQurate Business Intelligence Pvt ltd.
The Web:www.qurateresearch.com
Email: sales@qurateresearch.com
Phone: USA – +13393375221

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

Ill. Court denies arbitration in nursing home death lawsuit

By Lauraann Wood (July 18, 2022, 8:31 p.m. EDT) — An Illinois nursing home is facing negligence claims and other allegations regarding the death of a resident in 2019 in court because The settlement’s arbitration agreement became unenforceable immediately after the death, a state appeals panel said.

Oakbrook Healthcare Center Ltd. cannot arbitrate Nancy Clanton’s claims regarding the death of her mother, Laurel Jansen, because the facility’s contract with Jansen contained language expressly terminating their agreement either on seven days’ notice or immediately upon the death of the resident , a three-judge appeals panel said Friday.

“While we cannot know why the drafters inserted such a broad termination clause, defendants cannot avoid the effect of…

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Don’t be afraid to tackle health care reform in BC and across Canada – Maple Ridge News

Our health care system is more or less still in some sort of minor crisis.

There’s always a shortage of doctors, or a shortage of nurses, or overcrowding in the emergency room, or long waits for hip and knee surgeries.

It’s frankly impossible for such a massive and vital system to run perfectly all the time, so there will always be some sort of problem that needs fixing.

This time it’s different.

When ERs in parts of British Columbia, especially in the north, close their doors to patients because there are simply no more doctors or nurses to come and staff them, it’s a crisis on a whole new level.

The lack of fundamental reform in the way we deliver healthcare and how we educate and recruit healthcare workers has long been at the heart of our ongoing mini-crises.

Today, COVID and a rapidly growing and aging population are exposing areas where several previous governments simply applied band-aid solutions.

Previous mini-reforms may have solved individual problems. But none of them addressed the broader issues of an understaffed and overworked system.

The fact that our healthcare system is free and accessible to all, unlike the American system, is often presented as a sort of shield against criticism.

The choice is seen as binary – the Canadian socialized system that benefits everyone, or the American system that lets the poor slip through the cracks while providing gold-plated medical services to the wealthy.

But it’s a fake binary. There will always be people who will advocate having an American-style system – after all, it allows a few people to make giant piles of money – but we don’t have to go that route.

We can undertake major reforms and experiments in the way we deliver health care, entirely within the framework of universal care delivery.

READ ALSO: LETTER – Elect a Maple Ridge Council that takes governance seriously

READ ALSO: LETTER – Maple Ridge resident says outage exposed miscommunication

And we will have to, because what we are doing now is not working.

There are hints of new and better approaches – urgent care centres, faster accreditation for foreign doctors, the possibility of remunerating family GPs – but so far these approaches have been piecemeal or unhelpful. were not pushed with enough vigor.

These and other ideas, including those of people working in the current system, patients, outside experts, other countries, can help us restructure and get through this emergency, and beyond.

Solving this crisis is not enough. Now we need to find better ways to provide universal health care to all British Columbians.

EditorialsHealthOpinion

Dallas nursing home operator seeks OK for $44 million Ch. 11 Sale

By Rick Archer (July 15, 2022, 6:55 p.m. EDT) — Dallas-area nonprofit retirement home operator Christian Care Centers Inc. told a Texas bankruptcy judge on Friday that it would ask him to approve the sale of his assets to harassing bidder Horses in his Chapter 11 sale for $44.2 million.

The company told U.S. Bankruptcy Judge Stacey Jernigan that it had canceled an auction scheduled for Thursday and accepted the offer from North Texas Benevolent Holdings LLC, or NTBH, after receiving no other qualified offers by the deadline. July 12 offers.

CCCI, which operates three facilities in the Dallas-Fort Worth area with a total of 760 units, has filed for Chapter…

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The Current State of Health Care in Clearwater – Barriere Star Journal

Our team at the hospital hears and understands your frustrations with the ongoing emergency department closures. We know it’s frustrating. We know that’s scary. We know that is not an acceptable way to continue.

What you may not know are the realities of why this is happening and everything we are doing to try to fix this issue. Some background information.

Our hospital is made up of three types of people in direct patient care:

– Registered nurses (RN). They are what most people think of when they think “nurse”. These are the people who have the training and skills to assess and triage patients, administer medications, and perform certain critical care skills. There are certain treatments and medications they are allowed to give before receiving doctor’s orders within their scope of practice. These are the nurses who work in our emergency room, but not all RNs are trained/certified to work in the emergency room. According to College regulations and for safety reasons, RNs who do not have the training cannot occupy the emergency room.

– Licensed Practical Nurses (LPNs). These nurses are an often under-recognized part of health care. They are nurses whose scope is not as wide as a registered nurse, but they provide most of the day-to-day care of inpatients in our hospital. They do not have certification to provide IV medications and initiate critical care interventions. They often help in our ER, but are not trained or licensed (by College regulations) to be the only nurse in the ER.

– Doctors (doctors). They are people trained in the diagnosis and treatment of multiple medical problems. The physicians in our emergency room are family physicians who have undergone additional education and training to be able to provide emergency care outside of a tertiary care facility (eg Royal Inland Hospital ). Some of our attending physicians have also undergone extensive training to work at any level of emergencies. They work closely with RNs and LPNs to provide patient care.

During a day with all the necessary staff, our hospital is served by: one LPN per shift, one day shift, one night shift; three RNs, one day shift, one night shift and one on the emergency shift from 9 a.m. to 9 p.m.; a doctor, on call 24 hours a day from 8 to 8 a.m. and 48 hours from Saturday 8 a.m. to Monday 8 a.m. on weekends; and our locum physicians, who come to cover emergency work from Friday 6:00 p.m. to Monday 8:00 a.m.

If you look at these shifts, that means that in any given week there are 14 LPN shifts, 21 RN shifts, and six physician shifts. RNs and LPNs typically work four days in a row per shift (four 12-hour shifts = 48 hours per week). Our doctors work in the clinic when they are not working in the hospital.

This means that, at a minimum, you need six RNs and four LPNs to staff the hospital for a week. Our hospital is designated for eight RNs and four LPNs. Currently we have four RNs and four RPNs.

We have positions for up to seven additional RNs (full-time, part-time, or casual) and two LPNs.

Please be clear on this point above: we have four AIs. We’re supposed to have eight. We are operating at half capacity for AI. The emergency cannot be opened without a nurse trained in emergency medicine care.

Our registered nurses also have duties in the acute care department. A nurse trained in emergencies cannot be replaced by any other health professional. Physicians, LPNs, orderlies, paramedics, and RNs not trained in emergencies lack the skills and knowledge to safely care for patients. You could put as many of these other practitioners in the ER, but that’s not enough.

So why the nursing shortages? It’s a complex answer. To be clear first: Dr. Helmcken Hospital has not lost any nurses – RNs or RPNs – due to the vaccination mandate. The pandemic has played a certain role. It was tiring and exhausting. We had to learn about a whole new disease entity, its presentation, its treatments and how to protect ourselves and you as much as possible.

Medical professionals would be sleeping in their trailers and guest rooms rather than exposing their families to possible COVID infection. Patients were often frightened or angry and it was the job of our nurses to care for you, reassure you and educate you, while providing you with the medical care you needed.

Our hospital is busier than ever. Before the pandemic, a busy weekday in the emergency room would see between two and eight patients. Now we regularly see 12 to 18 patients a day. Some of these visits are straightforward, but many of them involve complex medical issues and very ill patients.

Many people have less patience and compassion for our staff when they are in the emergency room – they waited longer in the emergency room, they couldn’t get a timely visit to the health center because we didn’t than half of our physician workforce, they are injured, tired and sick. The nurse then becomes the person who experiences these frustrations the most because they are the ones who are there when people feel the worst.

None of this takes into account the personal life factors that influence a person’s decision to stay in nursing.

So what is our local health care team doing to address this issue, to try to prevent hospital and ER closures? Again, we posted several positions: RNs, LPNs and physicians. There are hiring bonuses to try to encourage people to come to Clearwater. Unfortunately, these shortages extend far beyond Clearwater and we are not the only community struggling to recruit available healthcare workers.

We have not given up on that. We continue to work hard to fill vacancies. We are expanding the training and skills of our LPNs where possible to help fill other gaps in care. They will not be able to be the nurse who covers emergencies, but they can offload other duties.

We are withdrawing nurses from other regions, temporarily sacrificing other services to keep the emergency room open. We have locum agency nurses who come in to help when they are available. We have pulled nurses from other Interior Health facilities to keep our emergency room open. In the meantime, our local RNs and LPNs are going above and beyond to keep our hospital open. We are lucky that all of our current RNs are trained in emergencies and can cover emergencies while on duty.

RNs and LPNs extend their shift hours until the next shift can make it happen. Our nursing managers are taken off duty to work on the floor or in the emergency room. Nurses are working overtime, knowing that if they don’t, the emergency room will be closed.

They return from a vacation they booked a year in advance to cover shifts. They lack time with their families to ensure that our community receives continued health care. Each time we close the ER, we have gone through every possible step, tried to adjust the current schedule, and called each of our nurses to see if they could come and help us.

Unfortunately, until we have gone through all possible steps and contingencies, we are not authorized to officially close ERs and therefore are not authorized to provide notice of closure. It also frustrates us and we know it frustrates our community.

So please remember this when we have no choice but to close the ER. We have done everything to avoid this. We are operating at half our RN staff. Without an ER-trained nurse, we cannot safely open the ER. A doctor does not have the training and skills of an emergency-trained nurse. An LPN lacks the training and skills that an ER trained RN has. Without a trained emergency nurse, it would be negligent and dangerous to pretend that we can give you the care you need.

We are actively recruiting to fill our vacancies. We are human too and the state of health care breaks our hearts.

Dr. Perdue and

the Dr Helmcken Hospital team

_______________

news@starjournal.net

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BC Health North Thompson Valley

Non-Clinical Staffing Shortages Create Pipeline Issues for Critical Nursing Home Positions

Care home leaders expect non-clinical staff shortages to have a crippling long-term impact on the talent pool and career interest in the space – both at the clinical and supervisory level – as many young people choose to enter the labor market via other industries .

Infection control protocol and more broadly the stringent regulatory requirements the industry is known for are currently seen as barriers to recruitment and retention of non-clinical staff, especially as industries outside of healthcare relax personal protective equipment (PPE) and sanitation requirements.

Dietary aides, housekeepers, kitchen staff and recreation services all fall under the non-clinical banner.

“We had these shortages before Covid and they only got worse after Covid…those areas haven’t come back either,” said Jay Moskowitz, CEO of Vivage Senior Living.

Around 90% of non-clinical employees are internal to Vivage – the operator has a few facilities that use national contracts for such positions.

For the first time ever, executives brought in agency staff, Moskowitz said, primarily for food and housekeeping.

Vivage operates 31 facilities in Colorado, one in Missouri and one in Nevada.

Non-clinical vacancies have more than doubled from pre-pandemic numbers, according to Scott Laakso, director of human resources for Massachusetts-based SALMON Health and Retirement. Open positions have increased from less than 10% to 20-25% at this stage of the pandemic.

“Staff members have so many other opportunities outside of health care right now,” Laakso added. Such opportunities don’t involve as much regulatory compliance and infection control, he said.

Nate Schema, CEO of the Evangelical Lutheran Good Samaritan Society, said about 300 of 1,400 nonclinical positions are currently open at its 150 locations in 22 states. In other words, one position in five is to be filled.

“It’s so critical. These non-clinical positions are part of your pipeline, it’s where you identify talent that is often your future leader or your nurses, your future clinical leaders in your communities,” Schema said.

The Good Samaritan has seen this type of career path time and time again, Schema said, with lawnmowers moving into executive directors and dietary aides moving into administrator roles.

“This affects the future of our organization in far more ways than what is happening on a day-to-day basis right now,” Schema noted. “Overview, this is a serious issue that we are working to address along with any clinical openings we know of.”

Non-clinical agency staff

Sky-high agency prices aren’t just a clinical staffing problem for the industry, executives told Skilled Nursing News. Operators are seeing a 35% to 40% markup on fares in some cases, as well as charges for Uber fees and other transportation costs to get to work.

“Before the pandemic, I never used temp agencies for these positions, ever,” Moskowitz said. “The administrators are in the kitchens, in a particular community. The cleaners help wash the laundry because we have to.

SALMON Health has had difficulty filling the recreation staff and dietary aide positions. Similar to Vivage, Laakso said the past year marked the first time in company history that they had to use agency staff for meals.

Although the operator has recently been able to maintain its staff, there have been times over the past 12 months where it has found staff to work, take extra shifts or work overtime.

Schema said bloat rates have normalized in recent months for agency staff, dropping from 1.5 to three times the normal agency rate to 1 to 1.4 times that rate. Non-clinical agency staff make up less than 5% of total agency usage at Good Samaritan, though the operator has “a long way to go” from what Schema would describe as a sustainable situation .

SALMON generally hires directly for catering and contracts with a third party for its housekeeping and laundry.

In order to compete with agencies and other industries, operators raised base salaries across the board for non-clinical staff.

Vivage increased non-clinical salaries in February for its establishments between 12% and 20% depending on the position. The move coincides with Colorado adjusting its living wage, which was raised to $12.56 an hour in January.

SALMON raised the hourly pay for chef positions from $17 to $18 an hour before the pandemic — Laakso said it’s closer to $23 to $24 an hour now for that particular position.

While non-clinical salaries vary widely for the Good Samaritan given its large footprint, Schema said the operator has increased salaries by 20% to 30% since the pandemic began.

Recruit and retain non-clinical staff

Many operators are offering first-time retention and referral bonuses for non-clinical positions — Vivage bonuses range from $500 to $1,500 depending on the community, according to Moskowitz.

Vivage also works with the state Department of Labor to post job openings and host job fairs at shelters for non-clinical positions.

“We are out of the agency because we have a lot of high school kids working for us,” Laakso added. “We offered a pretty lucrative referral bonus up to $1,000.”

Local high schools and technical college culinary programs have helped fill the void, especially this summer, he said.

There are simply too many pandemic hurdles to jump through, while other industries like hospitality and retail do not have to comply with the regulatory requirements imposed on the entire healthcare sector.

“We’re struggling to get employees who are tired of wearing face masks 24/7 in their jobs,” Moskowitz added. “Most industries now, most professions don’t require you to wear a mask… even though Covid is still here as we know.”

Schema says PPE requirements present a “unique disadvantage” for operators trying to find non-clinical staff.

“We have people applying for laundry, housekeeping, dietetics roles and one of their first questions at the interview is ‘well do I have to wear a mask? If you go to McDonald’s or Burger King, we all know the answer,” Schema said.

Outside of Covid, the long-term care environment requires non-clinical staff to be trained in dementia training, resident rights and other regulatory controls before they can hit the ground running, Laakso said.

This is another “inherent competitive disadvantage” compared to other industries, Schema added. Many potential non-clinical employees can’t afford to wait two to three weeks to get started, they can’t wait to pass multiple rounds of background checks.

“Restaurants and vendors here in the upper Midwest, they’re literally paying people to come in for an interview. They give them a gift card or entice them to show up for an interview,” Schema explained. “It’s a very dynamic time.”

The care home working environment has placed the non-clinical staff member under more scrutiny than ever before because of Covid, Laakso said.

Still, industry leaders hope high school and college students starting out as a non-clinical worker for a nursing home might consider a clinical pathway or a non-clinical supervisor position to stay in the industry. from an early age.

“You just have to be able to show people that within our profession there is a career ladder that people can move up,” Moskowitz added.

Laakso said SALMON has had some success that way, bringing in non-clinical staff at a young age, and then they see what clinical staff do in a facility and decide to pursue that career.

“We’re uncovering all the rocks and doing everything we can to get people into the building and get them interested,” Laakso said. “There are so many different paths you can take in health care and post-acute care…you can go into the kitchen, but you can end up becoming a nurse one day.”

Steward Health Care appoints Ruben Jose King-Shaw Jr to its Board of Directors

July 7, 2022 – Steward Health Care, the nation’s largest physician-led healthcare network, today announced the appointment of Rubén José King-Shaw Jr to its Board of Directors. King-Shaw is currently Executive Vice President and Chief Strategy Officer of Steward, where he led a number of key strategic acquisitions and divestitures, including the sale of Steward Health Choice Arizona and the significant merger of the Medicare business. based on Steward’s value with Caremax (NASDAQ: CMAX). King-Shaw also chairs Steward’s offshore captive insurance company, TRACO, domiciled in Panama.

In making the announcement, Dr. Ralph de la Torre, Chief Executive Officer of Steward, said, “Ruben continues to be an outspoken and relentless advocate for social justice and community engagement, which syncs perfectly with the mission principal of Steward to serve patients in their communities. In a post-Covid environment, his passionate leadership will be critical to our future and that of our patients. Ruben is integral to our continued success and we are delighted to welcome his expertise to our Board of Directors.

“I have long shared Steward’s commitment to providing our patients with the highest quality healthcare possible,” said Rubén José King-Shaw. “It is an honor to join the Steward Board of Directors and be part of a values-driven health care system.

Prior to serving Steward as Executive Vice President and Chief Strategy Officer of Steward, King-Shaw spent significant time in public service leading state and federally sponsored government health programs.

During the administration of President George W. Bush, King-Shaw served as chief operating officer and deputy administrator of the Centers for Medicare and Medicaid Services. He was also a senior adviser to the US Secretary of the Treasury on health care tax policy and a member of the Medicare Programs Advisory and Oversight Commission. In 2011, he was appointed to the Obama Administration’s Program Advisory and Oversight Committee to oversee and provide advice to Medicare’s Prosthetics, Orthotics and Durable Medical Equipment Supplies Tendering Program. . King-Shaw has also provided advice on areas of health care policy to the Trump administration, including CMS and the National Economic Council. At the state level, under Florida Governor Jeb Bush, he was secretary of the Florida Agency for Health Care Administration.

Former board members include the senior director of Athenahealth; Independent Living Systems, of Miami, FL; and WellCare Health Plans, Inc. of Tampa, FL. King-Shaw has also served on the board of Atlanta-based Cotiviti Holdings, Inc. and Intelligent Retinal Imaging Systems of Pensacola, Florida.

Contact: Josie Martin, Josephine.Martin@steward.org

About Steward Health Care

Almost ten years ago, Steward Health Care System emerged as a different type of healthcare company designed to usher in a new era of wellness. A system that provides our patients with better, more proactive care at a sustainable cost, our providers with unparalleled coordination of care, and our communities with greater prosperity and stability.

As the largest integrated, physician-led, tax-paying health care system in the country, our physicians can be confident that we share their interests and those of their patients. Together, we’re on a mission to revolutionize the way healthcare is delivered – creating healthier lives, thriving communities and a better world.

Steward is one of the nation’s largest and most successful Responsible Care Organizations (ACOs), with more than 5,500 providers and 43,000 healthcare professionals caring for 12.3 million patients annually through to a tightly integrated network of hospitals, multi-specialty medical groups, urgent care centers, skilled nursing facilities and behavioral health centers.

Based in Dallas, Steward currently operates 39 hospitals in Arizona, Arkansas, Florida, Louisiana, Massachusetts, Ohio, Pennsylvania, Texas and Utah.



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Why is Hochul reneging on its promised investigation into the Cuomo retirement home scandal?

Why is Governor Hochul reneging on her months-long promise to get to the bottom of the ex-governor. Andrew Cuomo’s nursing home scandals? Where is the promised probe?

At the behest of hospital lobbyists early in the pandemic, Cuomo’s health department ordered retirement and adult care homes to admit COVID-positive patients that hospitals wanted to dump. More than 9,000 people were pushed inside, and statistical analysis suggests this resulted in hundreds, if not thousands, of additional deaths.

The Cuomo team not only refused to take responsibility for the nursing home deaths, but they actively covered up the true numbers and broke state laws to keep key facts hidden. He even hid data from federal authorities.

Among other things, revealing the truth would have voided Cuomo’s $5 million book deal monetizing his pandemic ‘leadership,’ suggesting the cover-up crosses the line for a bribery case even below the high bar that the Supreme Court has set for such charges – if anyone investigates properly.

An investigation into the nursing home scandal could have put the brakes on Cuomo’s $5 million contract.
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At the same time, according to a new report, Cuomo & Co. “succeeded in coercing ‘ethical review’ with very minimal due diligence” on its book deal. Government loyalists on the now-replaced state “ethics” panel even covered up that report, though Post investigations led to its publication by the new Ethics and Lobbying Commission on the government website on Friday afternoon.

Perhaps other persistent Cuomo loyalists have somehow blocked the nursing home investigation. Or maybe Hochul fears being tainted by Cuomo’s wrongdoing, perhaps because she didn’t immediately fire Health Commissioner Howard Zucker, who is at the heart of the horror.

Whatever the reason, whoever she protects is an outrage. New Yorkers who have lost loved ones want answers, and the government has promised to get them. She has to follow, no matter who looks bad at the end.

Governor Wolf Signs Legislation to Help Skilled Nursing Facilities Meet Increased Staffing and Accountability Requirements

Among the laws Governor Tom Wolf signed today is House Bill 1421 which increases Medicaid rates for skilled nursing facilities to help them meet upcoming Department of Health regulatory updates that will in part increase staffing requirements.

The legislation also includes historic liability language that will require medically assisted nursing facilities to spend at least 70% of their total costs on resident care and resident-related care.

The governor also signed 39 additional bills into law.

HB 331 authorizes certain financial institutions to conduct savings promotion programs.

HB 430 amends the law on the collection of local taxes relating to the exemption from penalties.

HB 581 creates the Affordable Housing Tax Exemption Act
allowing local tax authorities to provide tax exemptions for the improvement of degraded areas and the improvement of affordable housing.

HB 773 increases penalties for those who repeatedly drive under the influence
convictions.

HB 940 provides an improved penalty for killing a domestic animal in cases of burglary or criminal trespass and makes it a crime to intentionally torture or kill police animals.

HB 975 provides that a carer of a dependent person commits a third degree felony if he has sexual intercourse.

HB 1312 designates two memorial bridges and a memorial road.

HB 1410 establishes the Weigh Station Preclearance Program Act, which provides criteria for a preclearance system and devices and data access.

HB 1594 modifies unfair commercial practices and consumer protection
Law relating to online marketplaces.

HB 1598 amends the Floodplain Management Act, replacing references to the Department of Community Affairs with the Pennsylvania Emergency Management Agency; in miscellaneous and credits, repealing the provisions relating to credits.

HB 1614 Amend the Pennsylvania Election Code relating to the printing of ballots.

HB1615 amends the liquor code to provide that a malt or brewed beverage produced for a brewery by an out-of-state manufacturer must be distributed through the three-tier system, manufacture-distribution-retail and provides for license renewal.

HB 1665 provides for the enforceability of certain indemnification provisions in certain contracts for snow and ice removal services relating to commercial properties.

HB 1867 amends the Public Schools Code, creating the Purple-Star school program to aid students of visiting military personnel.

HB 2032 amends the Sexual Assault Testing and Evidence Collection Act, providing that failure to report a firearm injury or a criminal act is not an offense if presenting evidence of a sexual assault is a anonymous submission.

HB 2039 Amends the Victims of Crime Act, with respect to victims of crime, providing more rights.

HB 2097 amends Title 35 (Health and Safety), in the Emergency Medical Services system, additionally provides for basic survival ambulances.

HB 2125 amends Title 18 (Crimes and Misdemeanors), relating to public indecency, further providing for the offense of prostitution and related offenses, and obscene and other sexual material and performances.

HB 2157 amends fireworks law to add restrictions and increase penalties for abuse.

HB 2271 provides for sentencing improvements related to the crime of sexual extortion.

HB 2419 amends the Ambulatory Psychiatric Monitoring Act by adding a definition of “telebehavioral health technology” as well as provisions regarding the use of the technology.

HB 2464 amends the Victims of Crime Act to provide legal status and notice to victims.

HB 2526 provides capital authorization for the repair, rehabilitation or replacement of state-owned bridges, as well as locally owned bridges.

HB 2604 amends the employee photo identification provisions of the Health Care Facilities Act.

HB 2679 amends the Pharmacy Act to preserve three regulatory suspensions allowed under the COVID-19 disaster emergency declaration, including the ability of pharmacists to provide flu and COVID-19 vaccines for children aged five and over.

HB 2702 authorizes detailed capital projects to be constructed by the Department of Transportation and financed by debt or current Motor License Fund revenue in the amount of $7,136,410,325.

HB 2709 further provides definitions for the lessee’s right to acquire the property and for the advertising and display of the goods.

SB 251 amends Title 3 (Agriculture), repealing the provisions relating to fertilizers, in the soil and seeds, also providing for the disposal of funds, establishing the agronomic adjustment account; imposing fees on the Ministry of Agriculture.

SB 382 requires that any proposed transportation project that includes optional user fees be unanimously approved by the transportation public-private partnership (P3) board. This bill does not prohibit public-private partnerships or optional tolls and allows bridge projects to proceed without mandatory tolls.

SB 588 amends Title 18 (Crimes and Misdemeanors), in its general provisions, further providing for when prosecution is barred by the former prosecution for a different offense.

SB 764 amends the provisions of the Department of State relating to the publication of proposed constitutional amendments under the Administrative Code.

SB 818 Amends the Health Care Facilities Act to allow day surgery facilities to request an exception or waiver from the Department of Health for certain surgical procedures and allows cardiac catheterization to be performed in day surgery facilities.

SB 982 amends the Electoral Code regarding third-party financing of elections and new subsidy financing.

SB 1093 amends the Outdoor Advertising Control Act for Energy Efficient Lighting.

SB 1094 amends various provisions of the Vehicle Code, including the provision known as Christina’s Law, requiring drivers to remove snow and ice from their vehicles after winter storms.

SB 1171 provides for restrictions on the use of highways and bridges, on the securing of loads in vehicles, on the width of vehicles and on movement allowances during manufacture, and on the promulgation of rules and regulations by the Pennsylvania Department of Transportation.

SB 1183 further provides for the confiscation of assets and provides for the disposal of confiscated property; in snowmobiles and all-terrain vehicles, additionally providing operation.

SB 1222 amends the Insurance Companies Act of 1921, adopting the National Association of Insurance Commissioners (NAIC) model creating a Group Capital Calculation (GCC) and Liquidity Stress Test (LST) for enhanced supervision and regulating peer-to-peer ridesharing insurance.

SB-1235 amends the Insurance Companies Act, regarding comprehensive health care for uninsured children, further providing for contracts and packages of coverage.

The governor vetoed SB 275. Read the veto message here.

Best payday loans and bad loans with guaranteed approval in July 2022


Do you intend to apply for a bad credit ready? Maybe you have bad credit or have been through a tough financial time. Are you late with your bills or do you owe money to a family member? Or maybe your car is in urgent need of repair costs or you just need money for your living expenses.

Surely, a bad credit loan with guaranteed approval and/or no credit check might just be what you need. In this in-depth review, we are going to highlight some of the major bad credit loan direct lenders. These companies are among the best in America for having strong customer satisfaction.

Truth be told, not all bad credit lenders are favorable to you. Of course, these lenders allow all types of emergency loans. What you need to watch out for and pay close attention to are the interest rates offered by some of these direct lenders.

We are pleased to introduce you to the leader payday loan lenders in this review. Some of the positive and negative reviews of these lenders are also available.

So sit back and enjoy this good read. This is sure to be one of the best bad credit loan reviews you will ever read. Here we are:

#1. MUTUAL MONEY – Best direct payday loan lender in America

#2. CREDITLOAN – Best installment loan provider today

#3. FUNDSJOY – Loans for bad credit without credit check

#4. REAL AMERICAN LOAN – Instant loans for bad credit

#5. XMASFUNDS.COM – Best emergency loans in 2022

#6.FUNDSDON – Loans for bad credit with fast approval

#1. MoneyMutual – The best bad credit lender in America

You may have been aware MoneyMutual as it is one of the best emergency loan providers in the industry. They are fast, reliable and service oriented. In addition, they have under their aegis one of the excellent spokespersons

Do you know Montel Williams?

One of the famous daytime talk show hosts. Montel’s customers grew exponentially in the 1990s. After a hugely successful career in daytime talk shows, Montel Williams moved into promoting MoneyMutual.

Since he is so famous, people will tend to come up to him and follow him, and they did. Montel Williams’ haters have come out of the woodwork and sued him for promoting a “bad credit loans” company. They said Montel exploited them by promoting a company that only went after people when needed.

Our opinions differ. Montel Williams has always shown himself to be a model citizen both during his time as a daytime talk show host and after. His MoneyMutual endorsement was a success in itself.

Visit the official Money Mutual website now!

#2. CreditLoan – Bad Credit Check Loans with Guaranteed Approval Online in 2022

Our strong second after MoneyMutual is CreditLoan. Their rise is so sudden, we were completely surprised! No one gave them much luck, but all of a sudden they started gaining momentum as a bad credit lender. Loan amounts and interest charges are basically the same as in MoneyMutual, but with a different branding. They are surely a good competition for MoneyMutual.

CreditLoan is certainly an up-and-coming money lender to watch out for. More about customer satisfaction. In this, as they continue to grow as a payday loan provider, they are able to maintain the same level of exceptional customer service for their clientele. Time will tell, as the personal loan industry is competitive.

Visit the official CreditLoan website now!

#3. FondsJoy – Bad credit emergency loans with 48 hour approval

FondsJoy is one of our most admired short-term loan providers. They are an absolute first on their marketing and user-friendly website. Their use of color on their website is very good as it creates a comfortable user experience for anyone looking for loans without credit check.

With FundsJoy, managing their rapid expansion is a breeze. Like CreditLoans, FundsJoy is very promising. As more and more people with bad credit apply for fast loans, are they able to handle the back-end and customer service that comes with an increased number of people taking out loans for bad credit.

There is nothing to say with this company. We’ll continue to keep an eye on this one. We definitely favor them and endorse them to anyone in need of a bad credit loan.

Visit the official FundsJoy website now!

#4. True American Loan – Best personal loans for veterans and army officers

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The name says it all – this bad credit loan provider caters to real Americans. Their target market as well as those who did payday loans with them were really Americans.

So how do you identify someone as a true American? Well, first and foremost, their love for America should be imminent. As such, this loan provider is popular with so many Americans all across our great country. Whatever loan you may need – payday loan, bad credit loan, no credit check loan, short term loan, installment loan, 24 hour loan, $500 loan, $300 loan or $100 loan – this company certainly provides them all.

So you might want to ask, are they as distinguished as MoneyMutual? Definitely not. But bigger isn’t always better, right? What is important is that they can provide the best loan for bad credit to the needs of their customers.

Visit the True American Loan website now!

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It may sound strange, but give us a chance! This money lender is definitely in demand this Christmas – as amazing as you might think. Seriously – SUPER popular. There are many people during the holidays who need money quickly and need emergency loans.

Do you think a bad credit lender tagged with Christmas only succeeds during Christmas time?

Well, check that out…even when it’s not Christmas time, this payday lender still manages to operate consistently. Why do you think that? The most popular opinion is that people love Christmas. Anything Christmas-sy is generally accepted.

Please take the time to check out this money lender, especially if you are looking for $5,000 loans.

Visit the official XmasFunds website now!

#6. FundGift – Fast cash with guaranteed approval and loans for bad credit

FundGift is a fairly new company. They can clearly cope with MoneyMutual without a doubt. See what we did there?

What’s most remarkable about FundsGift is how quickly they grew their customer base. Watch how fast they lend all types of bad credit loans with guaranteed approval to their customers. The rate at which they hand them out makes you think they’ve been in the business for years!

We are excited to see how far FundsGift will grow. Will they be as big as MoneyMutual in the future? We are now seeing conflicting opinions – some yes they will but not all are convinced.

The future is uncertain right now, but when it comes to short-term loans and overnight loans, FundsGift is definitely number 1. MoneyMutual might be a good choice for $5,000 loans and loans, though. of $10,000.

Visit the official FundsGift website now!


How to Avoid Bad Loan Scams

With good, there is always bad. Unfortunately, we have to let you know that there are a lot of bad credit loan scams out there. Some people take advantage of others and present fake bad credit loan companies.

As such, you should be very careful when working with a new payday lender. Maybe you found this company online and don’t know anything about them. If so, proceed with caution. Especially if they have little or no online presence.

Some of these terrible companies will trick borrowers into providing their personal information. Once they have done this, they sell the borrower’s personal information to other third parties, and the borrower is contacted by companies who only want to deceive the borrower.

These bad companies may offer a bad credit loan to an individual, ask them to provide a deposit for their loan, and once they send the deposit, the company runs away with their money.

As such, it is so important for us to review that you should always be very careful when looking for a bad credit loan. There are many bad people who will try to take advantage of you by stealing your personal information and money.

Final Words on Installment Loans and Payday Loans

This is ultimately the conclusion of this review. We analyzed six of the best loan for bad credit lenders in America. As we promised, we discussed the pros and cons of each lender.

Based on the information we have shared, you should be able to make a wise choice on which bad credit lender is best for you. After reading our in-depth articles, borrowers usually come to their own conclusion as to which lender to choose. And there are also those who are still undecided.

However, there is no reason to worry. There are other people who feel the same as you. For people like you, we suggest sticking with the largest bad credit loan provider in America. Yes, nothing but the best, which is MoneyMutual.

Please go to the official website of MoneyMutual by clicking on the link below. And start applying for a bad credit loan now!

Visit MoneyMutual official website now!

Bad Credit Loan Company Winner: MoneyMutual

We would like to officially conclude this article by talking more about MoneyMutual. This is the company we select as the best bad credit lender. Some may agree with our decision, others may not. The important thing to remember here is that we rank MoneyMutual on the following criteria. The criteria are:

  • Global customer service
  • Loan turnaround time
  • Market share
  • Online presence

When you compare any other payday lender to MoneyMutual, no one else comes close. MoneyMutual has been dominating the market share in this sector for years. We expect them to continue to take the lion’s share in the future.

So, we end with this, if you need a bad credit loan company now, select MoneyMutual. They are the best in the business and you will not regret your decision if you select them.

Apply now for a bad credit loan!

Interim Home Healthcare offers premier franchise opportunities for healthcare providers in Sunrise, Florida

Sunrise, Florida – Interim Home Healthcare is a national franchise that is part of global healthcare leader Caring Brands International. Founded in 1966, this franchise has built a renowned and extensive network of healthcare providers who provide comprehensive services for all their patient needs. This franchise partners with therapists, nurses, companions, aides and other healthcare professionals to meet a variety of needs in elder care, home care, palliative care, pediatric care and health personnel.

By investing through Interim Home Healthcare, franchisees receive comprehensive training, including pre-opening classroom training, facility opening support, on-site training, and support for new owners, operations , procedures, policies, training and regulatory updates and ongoing guidance, initial installation assistance with selection, licensing guidance and preferred vendor selection. For professionals looking for a profitable opportunity to establish a business or investors looking for better opportunities to invest their money, this franchise offers unparalleled opportunities for all franchisees.

“We have worked hard to establish ourselves as a brand that takes our values ​​seriously. Whether interacting with franchisees or customers, integrity and empathy come first in everything we do. If you’re looking for a home care franchise, brands like ours that take relationship building seriously are hard to find. Said the representative of Interim Home Healthcare regarding their high quality services.

Interim Home Healthcare promotes franchisees with other conveniences such as modern technology, marketing, operations and financial support, on-site visits when opening an office, and support calls during the first year of operation. Additionally, they are assisted with regulatory program applications and guided through human resource related functions such as recruitment, retention, payroll and insurance.

Interim owners of home care franchises may choose to open one or more locations to provide home care, assist seniors and others who must stay in their homes by assisting with transportation, light care, shopping and personal care such as bathing and also providing temporary services of health professionals such as registered nurses, nursing aides, auxiliary nurses, medical-social assistants, occupational therapists.

In addition, Interim Home Care Franchise also has a support network of physiotherapists and speech therapists, as well as health care aides and home health aides as temporary staff to assist other health care facilities and providers. Its franchisees may also explore the possibility of establishing their palliative care business to provide end-of-life care and other support services to eligible patients in their residences through licensed healthcare personnel, as well as counselors. spiritual, bereavement, dietary and support; in addition, they may provide home health care and home medicine equipment, products and supplies.

Those who seek to try the interim home care franchise can contact them by phone at 954-858-2672. The franchise is headquartered at 1551 Sawgrass Corp. Pkwy. Ste., 230, Sunrise, FL, 33323. For more information on their franchise or to request a quote, visit the office’s website.

Media Contact

Company Name
Interim Home Care
Contact Name
Steve Kwon
Call
954-858-2672
Address
1551 Sawgrass Corp. Pkwy. St., 230
Town
Sunrise
State
Florida
Postal code
33323
Country
United States
Website
https://www.interimfranchising.com/

A Tampa-area nursing home has lost its health insurance benefits. Residents lost a home.

The drawers opened and closed. Garbage bags full of clothes, birthday cards and wallets. They had to leave.

Just like Judith Goodman, 95.

Goodman had called Brandon’s Raydiant Health Care his home for 13 years. The next day she would be gone.

“I feel awful – I don’t want to leave,” she said late last month as she watched her two daughters pack her things. “But what can I do?”

Residents of the 120-bed Tampa Bay nursing home learned in June that it was closing. They said they were told they had 30 days to find accommodation.

About half of its 87 residents left within a week of the announcement, according to a spokesperson for the Centers for Medicare & Medicaid Services.

On Wednesday, the nursing home became the last in Florida formerly affiliated with Consulate Health Care to lose federal benefits since May due to poor quality of patient care. Federal government views termination of Medicare and Medicaid as ‘last resort’, implemented only after ‘all other attempts’ have failed to address health and safety issues.

Related: The Consulate nursing homes are changing their names. Are they changing owners?

A bankruptcy filing and bad press have plagued Consulate — the state’s largest nursing home chain — for the past few years. The local retirement home, about 14 miles east of Tampa, appears to have changed hands at least twice since January. However, such corporate intrigue is only a secondary concern for vulnerable residents who are caught up in the fallout of the for-profit industry.

Goodman was sitting in her wheelchair next to her roommate’s bed. She and her roommate had spent the morning together as always.

At noon, the roommate had already moved out. Goodman wasn’t sure she would see her again.

Judith Goodman, 95, sits among her belongings as her daughters prepare to discharge her from Raydiant <a class=Health Care in Brandon on June 26, 2022.” class=”lazy” src=”data:image/svg+xml,%3Csvg xmlns="http://www.w3.org/2000/svg" viewBox="0 0 4032 3024"/%3E” style=”object-position:50% 50%;transition:opacity 0.5s ease 0.5s;opacity:0″ title=”Judith Goodman, 95, sits among her belongings as her daughters prepare to discharge her from Raydiant Health Care in Brandon on June 26, 2022.” itemprop=”image” width=”4032″ height=”auto”/>
Judith Goodman, 95, sits among her belongings as her daughters prepare to discharge her from Raydiant Health Care in Brandon on June 26, 2022. [ Hannah Critchfield ]

‘A last resort’

The news fell during the bingo.

Residents recalled tears in the eyes of the care home administrator as she delivered the message June 21: In one month, the place would close. Residents suddenly found themselves looking for accommodation.

On the same day, the federal government said it would terminate Raydiant Health Care of Brandon’s health insurance contract, according to a letter saying it had not “met basic Medicare health and safety requirements.”

Related: Bill to change Florida nursing home standards was drafted by industry, emails say

The nursing home can no longer receive money from the federal government for the services it provides. The loss of these payments often makes it difficult for a place to survive, as Medicaid pays the bills for more than half of all Florida nursing home residents. Individual costs can approach $80,000.

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The administrator of Raydiant Health Care of Brandon did not respond to requests for comment on the loss of the federal contract or whether the nursing home plans to reopen.

The Florida Agency for Health Care Administration, which licenses nursing homes in the state, has not yet been notified that the nursing home plans to close permanently, according to the spokeswoman. the agency, Kayla McLaughlin.

A spokesperson for Raydiant Health Care’s reception in Brandon said new customers were no longer being accepted, including private-pay residents, as it was closing.

Problems have plagued the for-profit care home in recent years, inspection reports suggest.

Raydiant Health Care of Brandon currently has a one-star quality rating on the Centers for Medicare & Medicaid Services website, the lowest rating on a five-star scale given to nursing homes that receive federal money, earmarked for the poorest 20% of a state.

Some residents recall the night Hillsborough County Sheriff’s Department deputies showed up as staff searched outside for a missing resident.

The woman was out of the House, according to subsequent federal and state inspections. The staff had not checked if the alarm systems were working.

It was December 27 2021, according to Hillsborough County Sheriff’s Office call records and federal inspection reports. The woman had wandered along a two-lane road and crossed a “dangerous intersection”, according to inspection reports. She was later hospitalized for unspecified medical conditions.

The nursing home did not properly document the woman’s disappearance, according to inspection records. Raydiant’s administrator at the time initially told inspectors the resident did not escape, saying she left after going offline against medical advice.

Since January, the house was cited for failing to keep accurate medical records, failing to administer medication on time, and breaking state law by allowing nursing aides to work over the legal limit before passing their certification exam, according to state and federal inspections.

In April, Raydiant agreed to pay the state $11,500 after the Florida Agency for Health Care Administration said staff failed to wear proper personal protective equipment in guest rooms. COVID-positive residents or monitored their symptoms for worsening illness in the previous year, according to the settlement agreement. The company has denied the allegations, according to the documents.

A June 10 inspection found the care home failed to report a resident had a fractured bone during a staff-assisted transfer from her bed to a shower chair. in March.

After that, the Centers for Medicare & Medicaid decided to terminate Raydiant’s provider agreement, according to an agency spokesperson.

Related: The industry-backed nursing home bill is headed for DeSantis. Will seniors suffer?

Change of ownership

Several residents and family members said that Brandon’s Raydiant Health Care recently changed hands. Some worried the federal government hadn’t given the new company enough time to prove it would handle the previous owners differently, though they said they didn’t know the identity of the new operator.

For years, Raydiant Health Care of Brandon went through Consulate Health Care of Brandon, a nod to its parent owner, Consulate Health Care.

The nation’s sixth-largest retirement home company, Consulate Entities filed for bankruptcy last year after the United States Court of Appeals upheld a multimillion-dollar fraud judgment against the chain, judging that several of his nursing homes had defrauded taxpayers.

Shortly thereafter, the Consulate renamed and divided its retirement homes in Florida between three companies, which appeared at still be affiliated with the channel. One of them, Raydiant Health Care, took over the Brandon location around the new year.

On April 1, the Brandon nursing home changed hands again, according to Jared Elliott, chief executive of Raydiant Health Care, and a change of ownership application submitted to the Agency for Healthcare Administration.

The proposed new owner is “Brandon Health OPCO LLC,” according to the request, a Delaware-based limited liability company first registered in Florida in late January.

The change in ownership has not yet been approved by the state, according to McLaughlin, the Florida health agency spokesman, who noted that the application “remains under review.”

The state agency’s website still lists the former limited liability owner of Raydiant — who registered a consular office in Georgia as his mailing address — as its current operator.

A tarp now covers the former sign of Raydiant Health Care in Brandon.

It reads “Brandon Center for Nursing and Rehabilitation”.

A plastic sign for Brandon Center for Nursing and Rehabilitation was placed on the Brandon Raydiant Health Care sign at 701 Victoria Street on Tuesday, July 5, 2022, in Brandon.
A plastic sign for Brandon Center for Nursing and Rehabilitation was placed on the Brandon Raydiant Health Care sign at 701 Victoria Street on Tuesday, July 5, 2022, in Brandon. [ DOUGLAS R. CLIFFORD | Times ]

“Like a ghost town”

The buses arrived on June 24, said Karen Thiele, 61. They loaded bags and residents and transported them to new nursing homes.

“It’s literally become like a ghost town here,” Thiele said. “They evacuated them so quickly – there was a lot of tears and a lot of confusion. I was surprised there weren’t more families here to help with the transition.

Thiele leafed through a small notebook as she spoke. Inside were the phone numbers she had tried to collect from friends before they left.

“All my friends here are over 90, and a lot of them don’t take it well,” Thiele said. “That’s the main thing that breaks my heart – I’m afraid they won’t last long in their new places.”

In her ninth decade of life, Judith Goodman began another day of moving in. She started life in a nursing home 2 miles south of Raydiant, less than a week after the announcement. The new location is currently on the Centers for Medicare & Medicaid’s “specialty facility” candidate list, a designation reserved for nursing homes that fail to meet the agency’s safety requirements after multiple inspections.

When Goodman left her old retirement home, she thought of her husband of half a century, who died in 2006.

“I hope Julius knows where I am now,” she said.

Related: A bill would make it easier to sue Florida nursing homes. Advocates for seniors oppose it.

Graduates receive $1,000 scholarships for health care studies | Features

LAGRANGE — Three graduating seniors have each received a $1,000 scholarship for 2022 from the Parkview LaGrange Foundation as they pursue health-related studies.

High school students Allie Springer, Pilar Canedo and Samarah Orr were selected to receive the scholarships, which are made possible in part by donations to the foundation and proceeds from the Parkview LaGrange Hospital Gift Shop. Hospital volunteers provide sales assistance in the store and they have chosen to have a positive impact on the community by using proceeds to support scholarships for area residents pursuing an education in Health care.

“These recipients have demonstrated a commitment to service to others, academic and athletic excellence, personal initiative, mentorship and interpersonal skills, and community involvement, all of which will serve them well in their studies and careers in the field. health,” said Christina Blaskie, head of the service. excellence, volunteers and the PLH gift shop. “We congratulate these winners and look forward to a bright future for them.”

Allie Springer, from Westview Junior-Senior High School, will study biochemistry at Hillsdale College in preparation for medical school. The daughter of a dairy veterinarian and an elementary school nurse, Springer hopes to one day have her own dermatology practice in LaGrange County.

Both academically and athletically successful, Springer was an award-winning member of the varsity basketball and volleyball teams during all four years of high school, serving as captain of each team during her junior and senior years. She has served on the student council, in a student-run community service club, and in the school’s advanced choir, as class president, as a math peer tutor, and as president of her chapter. of the National Honor Society. She is very active in her church, having served as a worship leader on the student leadership team.

Springer caught the aviation bug as a teenager and started taking flying lessons at age 15. She made her first solo flight on her 16th birthday and spent her 17th birthday taking oral exams with a Federal Aviation Examiner for her pilot’s license, which she received. She also worked as an office assistant for the Goshen Municipal Airport Flight School during her junior and senior years.

Pilar Canedo of Lakeland Junior-Senior High School will attend Purdue University to study nursing. Canedo feels called to work in health care to alleviate suffering, especially in the area of ​​mental health. A year-long stint at the Bowen Center further attracted her to the field. Her long-term goal is to become a psychiatric nurse practitioner or psychiatrist.

Canedo was the valedictorian of his class, accumulated perfect attendance, and excelled athletically and academically while working through the school year and summer.

An award-winning three-year basketball letter-winner, Canedo was also a three-year member of the National Honor Society and the Varsity Team, where she served as team captain. Service to others has been a theme in her life, as she has volunteered at blood drives, mentored classmates, sung in nursing homes, volunteered to help very young players at camp Lakeland Girls’ Basketball and co-founded a community project, Seniors. Serving Seniors, which served meals to LaGrange County seniors and others in need during the holiday season.

Samarah Orr, from Prairie Heights High School, will study nursing at Indiana Wesleyan University. An academically strong student, she balanced a variety of interests while focusing on service to others. Orr’s desire is to live and share his faith while helping others through difficulties, a vocation that developed during his final year internship in the Health Professions Education Program at the Impact Institute at Parkview LaGrange Hospital, where she worked as a patient care technician in the medical department. operating room.

Orr was a member of the National Honor Society for two years; one honor roll “A” member every four years; a three-year varsity member and team manager of the tennis team; a three-year member of the English academic team; an active member of the Leo club, participating in community service; an Indiana State School Music Association gold medalist for her freshman performance on the piano; and senior president and four-year member of LaGrange Community Foundation LIFE, a youth philanthropy and service organization.

Through his church, Orr has participated in a missionary trip to Haiti, the church’s worship group, children’s ministry, and a ministry serving single mothers in the community.

The scholarship program is administered by Parkview LaGrange Foundation. Fellowship recipients are selected by a review committee of foundation and volunteer leaders through an impartial process that protects applicants’ personal information, so reviewers strictly vote on the essay responses contained in the nominations.

The scholarship winners were honored at a private reception at the hospital on June 8. Jordi Disler, President of Parkview LaGrange Hospital, congratulated the winners.

Proceeds from the 2021 Paddle for Parkview have also contributed to this scholarship fund, which is supported by the generosity of donors. For more information on donating to the scholarship fund, contact christina.blaskie@parkview.com.

Owners of Skilled Nursing Facilities Agree to Settle Americans with Disabilities Act Complaint | USAO-EDVA

ALEXANDRIA, Va. — The United States Attorney’s Office announced a settlement agreement under the Americans with Disabilities Act (ADA) with the owners of Carrington Place of the Tappahannock (CPOT), located in Tappahannock. The owners of CPOT also have an interest in 12 other nursing facilities, and the settlement terms of the settlement agreement apply to each of these nursing facilities.

The settlement agreement resolves allegations that CPOT denied admission to a Deaf individual because they would require sign language interpretation services while at CPOT. The ADA prohibits covered entities from excluding people with disabilities from their services because they need ancillary assistance or services, such as a sign language interpreter. In addition to making significant changes to the policies and procedures of their nursing facilities, the owners of the CPOT also agreed to pay $40,000 to the resident who was denied admission and a civil penalty of $50,000.

To resolve this complaint, nursing facility owners have agreed to adopt new ADA policies at the 13 nursing facilities in which they have an interest: (1) Essex Rehabilitation & Care Center, LLC d/b/a Carrington Place in Tappahannock; (2) Essex Rehabilitation & Care Center, LLC d/b/a Tappahannock Post Acute Care; (3) LA First Street, LLC d/b/a Springhill Post Acute & Memory Care; (4) LA Westfork, LLC d/b/a White Oak Post Acute Care; (5) LA Old Hammond HWY, LLC d/b/a Pines Retirement Center of Baton Rouge; (6) LA Park Manor, LLC d/b/a Lafrenier Assisted Living and Memory Care; (7) Place Zachary ALF, LLC d/b/a Oakwood Village; (8) East Lake Rehab & Care Center, LLC d/b/a Trinity Regional Rehab Center; (9) Place of St. Pete, LLC d/b/a St. Pete Post Acute Care; (10) Birdmont Health Care, LLC d/b/a Carrington Place in Wytheville; (11) Botetourt Health Care, LLC d/b/a Botetourt Post Acute Care; (12) Norfolk Area Senior Care, LLC d/b/a Chesapeake Post Acute Care; and (13) Cambridge Sierra Holdings, LLC d/b/a Reche Canyon Regional Rehab Center.

These policies will make facility services accessible to people with communication disabilities, including those who require the services of a sign language interpreter; requiring the appointment of ADA Administrators, who will be responsible for ensuring each facility’s compliance with the ADA; require institutions to enter into agreements with sign language interpretation service providers to provide services to those who need them; and provide training to facility personnel on the ADA’s effective communication requirements.

The case was investigated by Assistant U.S. Attorney Steve Gordon, who is the Civil Rights Enforcement Coordinator for the U.S. Attorney’s Office. The civil claims settled by this ADA Agreement are allegations only; there was no determination of civil liability.

The Department of Justice has a number of publications available to help entities comply with the ADA, including Effective Communication and a Business Brief on Communicating with Deaf or Hard of Hearing Persons in Hospital Settings. For more information about the ADA and to access these publications, visit http://www.ada.gov or call the Department of Justice’s toll-free ADA Information Line at 800-514-0301 or 800-514-0383 (TDD).

A copy of this press release can be viewed on the website of the U.S. Attorney’s Office for the Eastern District of Virginia.

Robots make their debut as care assistants at a Minnesota nursing home

Pepper the robot is programmed with hundreds of jokes, and if you don’t believe him, just ask him. Residents of the Estates Nursing Home in Roseville did so as the robot made its national debut as a personal care assistant.

“Do you want to hear more jokes? asked the robot.

“Yes!” replied the semi-circle of the elderly.

“Went on a date with a Roomba last week,” the robot said. “It totally sucks.”

Fortunately, the 4-foot-tall upright robot isn’t giving up on its day job, which now involves interacting with residents, reminding them to eat and exercise, and reacting to their facial expressions or tone of voice. their voice.

Pepper is one of two robots introduced to the nursing home by researchers at the University of Minnesota Duluth, with a 2-foot-tall robot called NAO designed to lead residents through group exercises and dance routines. . The aim is to provide technology support to a nursing home industry that is seeing more residents and more complex dementia cases at a time when it is losing staff and expertise, said Arshia Khan, professor of computing at UMD.

“If we don’t look for alternatives and think outside the box, our elders will suffer,” Khan said.

UMD researchers have been planning for years to modify SoftBank Robotics machines for use in nursing homes, but they’ve accelerated the timeline amid the pandemic. Isolation protocols to protect highly vulnerable nursing home residents have reduced their social interactions, accentuating how robots could make a difference, Khan said.

“Humans can easily spread the infection,” Khan said, “and robots, once you disinfect the robots, you can send them from person to person without fear of infections.”

As expected, Pepper will move around the nursing home independently and approach residents to see if they have any health issues or need companionship. Facial recognition software allows the robot to speak with residents by name and even detect their moods. Resident wristbands send biometric data wirelessly to the robot, which can then detect when residents aren’t eating or sleeping, having trouble breathing or feeling sad.

“Would you like to revisit some of your memories from the past? the robot said on Wednesday, demonstrating its reminiscence therapy mode. When uploaded with images and information, it can help residents remember some of their favorite times and supplement them with favorite songs.

“Graduation,” Khan said, choosing from a menu of memories on Pepper’s screen.

“Awesome,” Pepper replied, her dark eyes widening in excitement. “You were such a good student. Do you remember the day of your graduation?

The UMD team includes nurses, psychologists and ethicists, who have responded to social concerns about the introduction of robots to take on sometimes personal and intimate caregiver roles. A guiding principle was that robots offered new social outlets, but not at the expense of face-to-face human contact.

“It does not replace employees or reduce the need for human contact or human interaction,” said Dan Pollock, assistant commissioner of the Minnesota Department of Human Services. “It adds something that has the potential to improve lives and maybe support very mundane things like reminding residents when it’s time to eat or go to the bathroom or that sort of thing.”

The NAO and Pepper robots will soon be placed in seven additional Minnesota nursing homes operated by Monarch Healthcare Management. A $2 million grant from the Department of Social Services accelerated their deployment.

Robots can remind residents to eat or put on masks without getting frustrated or raising their voices. Khan said they could also talk about the old days with residents without ever getting tired – but for the once-a-night need to retreat to their self-charging docks.

Pepper doesn’t get tired of the jokes either.

“I went to Starbucks the other day, and one of the baristas asked me if I wanted some coffee. Can you believe that? Me,” the robot said, opening its palms to express its surprise. “I said, ‘No, I don’t need coffee. I’m already completely wired. “

Laughter and moans filled the room.

Sometimes Pepper’s high-pitched voice made the punchline hard to hear, leaving only the robot to laugh. Other times, he struggled to hear a response when he asked if he should tell more jokes.

Khan said adjustments will be made as needed and the robot’s use of sensor data to meet individual resident needs will be phased in over the next week.

Nursing homes in Japan have been more aggressive in using robots to augment care services, but they are also increasingly being used in US facilities. Monarch has tinkered with service-oriented robots that deliver drinks to residents and mop floors.

Personal interactions between staff and residents should become more meaningful if new robots can take on menial tasks, said Dan Strittmater, Monarch’s vice president of operations. If the NAO robot can lead group exercises, then staff can work closely with individual residents who need movement assistance. Or they may be down the hall tending to the needs of other residents.

“I want to put them at the service of the staff so that the staff can have better direct contact with the residents,” he said.

Resident Mary West enjoyed the robot’s jokes and was eager to test her level of personal interaction.

“I’m excited to talk to her,” West said, “telling her all about my kids and hopefully she remembers.”

Officials inaugurate housing for healthcare workers

BY KAREN BOSSICK

Representatives from three organizations recently held a groundbreaking ceremony for a quadruplex in Bellevue that will provide housing for St. Luke’s Wood River employees and their families.

Representatives from St. Luke’s Health System, St. Luke’s Wood River Foundation and ARCH Community Housing Trust gathered for the occasion.

They opened four long-term rentals for St. Luke’s employees at Quigley Farm in Hailey in September 2021, and those homes should be ready for occupancy this fall. Four more units are planned for the Woodside neighborhood of Hailey.

“ARCH is delighted to provide additional housing for St. Luke’s employees,” said Michelle Griffith, executive director of the nonprofit organization, which is committed to developing affordable housing solutions. “Our partnership has been a tremendous asset to our organizations and has served as a model for the development of employee housing locally, regionally and nationally.”

The Bellevue project is a quadruplex. Each unit features three bedrooms and two and a half bathrooms, as well as an attached garage, private outdoor space and plenty of storage. All units are pet-friendly, and all are near bus service.

The limited availability of housing to rent or own is having a significant impact on St. Luke’s ability to recruit and retain employees, said Almita Nunnelee, chief operating officer/chief nursing officer at St. Luke’s Wood River. .

“Despite the offer of financial incentives, the lack of available housing and the cost of living are frequently cited as the main reason for the decline in job offers. This is an important investment to help St. Luke’s Wood River recruit and retain essential healthcare workers,” she said.

“We are grateful to our donors who have helped put St. Luke’s Wood River Foundation in a position of strength from which to invest in a housing solution for healthcare workers,” added Megan Tanous, Director development of St. Luke’s Wood River. Foundation.

Those interested in supporting healthcare worker housing can visit https://www.slwrf.org or contact Megan Tanous at 208-727-8444.

HIRE TO HEALTHCARE WORKERS

Landlords who have rental properties that can accommodate current and potential St. Luke’s employees are encouraged to submit information to a St. Luke’s Health System portal.

Rental property information may be subject to https://www.stlukesonline.org/housing

It will be securely shared with employees, potential employees and contract labor in need of housing. The form allows for both short-term and long-term rental transactions.

St. Luke’s is not the listing agent and will not enter into any agreement or contract for the rental property.

Want to know more? Visit www.stlukesonline.org/housing

Ensign Group Adds Five Skilled Nursing Facilities in Texas | New

SAN JUAN CAPISTRANO, Calif., July 06 Feb. 20, 2022 (GLOBE NEWSWIRE) — The Ensign Group, Inc. (Nasdaq: ENSG), the parent company of the EnsignTM group of companies, which invests in and provides skilled nursing and senior living, physiotherapy, occupational therapy and speech-language pathology services. , Other Rehabilitation and Health Care Services, and Real Estate, today announced the acquisition of the operations of the following specialty nursing facilities in Texas:

  • The Eden of Las Colinasa 118-bed skilled nursing facility, located in Irving, Texas;
  • Pleasant Valley Health Care and Rehabilitation Centera 124-bed skilled nursing facility located in Garland, Texas;
  • Millbrook Health Care and Rehabilitation Center, a 124-bed skilled nursing facility in Lancaster, Texas;
  • McKinney Health Care and Rehabilitation Center, a 125-bed skilled nursing facility in McKinney, Texas; and
  • Park Mansion Bee Cavea 140-bed skilled nursing facility in Bee Cave, Texas.

The acquisitions became effective July 1, 2022. The acquisition of The Eden of Las Colinas also includes the property’s real estate, which was acquired by a subsidiary of Standard Bearer Healthcare REIT, Inc., the captive real estate company of ‘Ensign. The four other acquisitions will be subject to a long-term triple net lease.

“These acquisitions are a perfect fit and will serve to strengthen our existing operating markets and clusters in Texas,” said Barry Port, CEO of Ensign. “Our leaders are ready to improve the level of care provided to residents and their families,” he added.

“We look forward to working with the local healthcare communities at each of these facilities, home to an exceptional team of caregivers,” added Mike Muhlestein, an operational market leader at Keystone Care LLC, the holding subsidiary of ‘Ensign based in Texas.

In separate transactions the same day, Ensign announced that Standard Bearer had also acquired a new campus comprising real estate and three assets in California, including the following:

  • real estate and operations Villa Maria Post acute and rehabilitationa 65-bed specialist nursing facility, Villa Maria Wellness Livinga service residence with 31 beds and Recovery from Tucson to Villa Maria, a 30-bed behavioral health unit, each located in Tucson, Arizona; and
  • the real estate of Palm Springs First Care Center, a 99-bed skilled nursing facility located in Palm Springs, California, Brookside Health Center, a 97-bed skilled nursing facility located in Redlands, California, and Broadway Villa Post Acute, a 138-bed skilled nursing facility located in Sonoma, California, each operated by an independent operating subsidiary of Ensign.

Additionally, on the same day, Ensign announced that its subsidiary had entered into a new long-term lease for Henderson Health and Rehabilitationa skilled nursing facility with 266 skilled nursing beds, located in Henderson, Nevada.

All of these acquisitions also became effective July 1, 2022, and bring Ensign’s growing portfolio to 258 healthcare operations, 26 of which also include senior living operations, across thirteen states. Ensign subsidiaries, including Standard Bearer, now own 105 real estate assets.

Mr. Port reaffirmed that Ensign is actively seeking opportunities to acquire real estate and lease both skilled nursing, senior living facilities and other successful and struggling healthcare-related businesses across United States.

About the brand MT

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 258 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.

Copyright 2022 GlobeNewswire, Inc.

Ensign Group Adds Five Skilled Nursing Facilities in Texas

The Ensign Group, Inc.

SAN JUAN CAPISTRANO, Calif., July 06 Feb. 2022 (GLOBE NEWSWIRE) — The Ensign Group, Inc. (Nasdaq: ENSG), the parent company of the EnsignMT group of companies, which invests in and provides skilled nursing and aged care services, physical, occupational and speech therapy, other rehabilitation and healthcare services and real estate, announced today Today he had acquired the operations of the following skilled nursing facilities in Texas:

  • The Eden of Las Colinasa 118-bed skilled nursing facility, located in Irving, Texas;

  • Pleasant Valley Health Care and Rehabilitation Centera 124-bed skilled nursing facility located in Garland, Texas;

  • Millbrook Health Care and Rehabilitation Center, a 124-bed skilled nursing facility in Lancaster, Texas;

  • McKinney Health Care and Rehabilitation Center, a 125-bed skilled nursing facility in McKinney, Texas; and

  • Park Mansion Bee Cavea 140-bed skilled nursing facility in Bee Cave, Texas.

The acquisitions became effective July 1, 2022. The acquisition of The Eden of Las Colinas also includes the property’s real estate, which was acquired by a subsidiary of Standard Bearer Healthcare REIT, Inc., the captive real estate company of ‘Ensign. The four other acquisitions will be subject to a long-term triple net lease.

“These acquisitions are a perfect fit and will serve to strengthen our existing operating markets and clusters in Texas,” said Barry Port, CEO of Ensign. “Our leaders are ready to improve the level of care provided to residents and their families,” he added.

“We look forward to working with the local healthcare communities at each of these facilities, home to an exceptional team of caregivers,” added Mike Muhlestein, an operational market leader at Keystone Care LLC, the holding subsidiary of ‘Ensign based in Texas.

In separate transactions the same day, Ensign announced that Standard Bearer had also acquired a new campus comprising real estate and three assets in California, including the following:

  • real estate and operations Villa Maria Post acute and rehabilitationa 65-bed specialist nursing facility, Villa Maria Wellness Livinga service residence with 31 beds and Recovery from Tucson to Villa Maria, a 30-bed behavioral health unit, each located in Tucson, Arizona; and

  • the real estate of Palm Springs First Care Center, a 99-bed skilled nursing facility located in Palm Springs, California, Brookside Health Center, a 97-bed skilled nursing facility located in Redlands, California, and Broadway Villa Post Acute, a 138-bed skilled nursing facility located in Sonoma, California, each operated by an independent operating subsidiary of Ensign.

Additionally, on the same day, Ensign announced that its subsidiary had entered into a new long-term lease for Henderson Health and Rehabilitationa skilled nursing facility with 266 skilled nursing beds, located in Henderson, Nevada.

All of these acquisitions also became effective July 1, 2022, and bring Ensign’s growing portfolio to 258 healthcare operations, 26 of which also include senior living operations, across thirteen states. Ensign subsidiaries, including Standard Bearer, now own 105 real estate assets.

Mr. Port reaffirmed that Ensign is actively seeking opportunities to acquire real estate and lease both skilled nursing, senior living facilities and other successful and struggling healthcare-related businesses across United States.

About the brandMT

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 258 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.

Ensign Group adds five skilled nursing facilities to

SAN JUAN CAPISTRANO, Calif., July 06 Feb. 2022 (GLOBE NEWSWIRE) — The Ensign Group, Inc. (Nasdaq: ENSG), the parent company of the EnsignMT group of companies, which invests in and provides skilled nursing and aged care services, physical, occupational and speech therapy, other rehabilitation and healthcare services and real estate, announced today today that he had acquired the operations of the following skilled nursing facilities in Texas:

  • The Eden of Las Colinasa 118-bed skilled nursing facility, located in Irving, Texas;
  • Pleasant Valley Health Care and Rehabilitation Centera 124-bed skilled nursing facility located in Garland, Texas;
  • Millbrook Health Care and Rehabilitation Center, a 124-bed skilled nursing facility in Lancaster, Texas;
  • McKinney Health Care and Rehabilitation Center, a 125-bed skilled nursing facility in McKinney, Texas; and
  • Park Mansion Bee Cavea 140-bed skilled nursing facility in Bee Cave, Texas.

The acquisitions became effective July 1, 2022. The acquisition of The Eden of Las Colinas also includes the property’s real estate, which was acquired by a subsidiary of Standard Bearer Healthcare REIT, Inc., the captive real estate company of ‘Ensign. The four other acquisitions will be subject to a long-term triple net lease.

“These acquisitions are a perfect fit and will serve to strengthen our existing operating markets and clusters in Texas,” said Barry Port, CEO of Ensign. “Our leaders are ready to improve the level of care provided to residents and their families,” he added.

“We look forward to working with the local healthcare communities at each of these facilities, home to an exceptional team of caregivers,” added Mike Muhlestein, an operational market leader at Keystone Care LLC, the holding subsidiary of ‘Ensign based in Texas.

In separate transactions the same day, Ensign announced that Standard Bearer had also acquired a new campus comprising real estate and three assets in California, including the following:

  • real estate and operations Villa Maria Post acute and rehabilitationa 65-bed specialist nursing facility, Villa Maria Wellness Livinga service residence with 31 beds and Recovery from Tucson to Villa Maria, a 30-bed behavioral health unit, each located in Tucson, Arizona; and
  • the real estate of Palm Springs First Care Center, a 99-bed skilled nursing facility located in Palm Springs, California, Brookside Health Center, a 97-bed skilled nursing facility located in Redlands, California, and Broadway Villa Post Acute, a 138-bed skilled nursing facility located in Sonoma, California, each operated by an independent operating subsidiary of Ensign.

In addition, on the same day, Ensign announced that its subsidiary had entered into a new long-term lease for Henderson Health and Rehabilitationa skilled nursing facility with 266 skilled nursing beds, located in Henderson, Nevada.

All of these acquisitions also became effective July 1, 2022, and bring Ensign’s growing portfolio to 258 healthcare operations, 26 of which also include senior living operations, across thirteen states. Ensign subsidiaries, including Standard Bearer, now own 105 real estate assets.

Mr. Port reaffirmed that Ensign is actively seeking opportunities to acquire real estate and lease both skilled nursing, senior living facilities and other successful and struggling healthcare-related businesses across United States.

About the brandMT

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 258 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.

Demand for COVID nursing home deaths is mainstay of election campaign

HARRISBURG, Pa. (AP) — Doug Mastriano, Pennsylvania’s Republican gubernatorial candidate, has made a campaign staple of the allegation that Democratic Gov. Tom Wolf’s policy of readmitting COVID-19 patients from hospitals to homes retirement caused thousands of deaths – a baseless claim for which no investigator or researcher has provided evidence.

In fact, layers of inspections by researchers have uncovered something entirely different – ​​nursing home workers ushering in the virus every day – while investigators have found administrators flouting the requirements. personnel or infection control procedures.

Additionally, no Pennsylvania nursing home has made such a claim as Mastriano’s, and a national nursing home professional association has endorsed the findings of researchers who say the spread of the virus in nursing homes nurses is directly correlated with community spread.

Either way, Mastriano repeated the baseless claim in front of a friendly audience, weaponizing COVID-19 in an effort to hurt Democrats in one of the nation’s most important gubernatorial races in this mid-term election cycle. -mandate.

Mastriano, a state senator and retired U.S. Army colonel who won the Republican nomination while peddling conspiracy theories, has seemingly come out of nowhere to become a rising force in right-wing politics, mostly in leading anti-closure rallies at the start of the pandemic.

Opposition to shutdowns and mask and vaccine mandates is a central part of Mastriano’s campaign.

It’s also a key line of attack for Mastriano against Democrats, including the party’s gubernatorial candidate, state Attorney General Josh Shapiro, whose office has helped defend Wolf’s pandemic policies against legal challenges.

Over the past two years, new research has accumulated on how COVID-19 entered nursing homes.

The virus was widely introduced by asymptomatic workers in areas where the virus was heavily transmitted, the researchers said.

“Our research has been pretty definitive that by far the most important factor in determining if there is an outbreak in the building is community prevalence,” said Vincent Mor, professor of health services, policy and practice at the Brown University. “Nothing else comes close.”

David Grabowski, professor of health care policy at Harvard Medical School, echoed that, saying, “I think pretty strongly that the staff was the dominant route for COVID to enter these buildings.”

At the start of the pandemic, nursing homes lacked trained staff, testing supplies and personal protective equipment that could have helped them slow the spread, researchers say.

Nursing home administrators did not know if staff members were asymptomatic. But, they knew staff had to manage residents returning from hospitals according to infection control protocols, said R. Tamara Konetzka, professor of health economics and health services research at the University of Chicago. .

Additionally, the number of staff coming and going from nursing homes every day — hundreds a day at some facilities — has dwarfed the number of readmitted hospital patients, who may have been only a handful at each facility. during the first months of the pandemic, Konetzka and other researchers said.

Some of Konetzka’s research included using cellphone data to track workers’ movements to compare them to the location of outbreaks.

Still, the unproven theory about hospital readmissions featured prominently in Mastriano’s May 17 primary victory speech.

Mastriano made this his prime example that Democrats are “extreme” — an attempt to counter criticism, including from some members of his own party, that he is too extreme to win the fall general election.

“Only a Democrat could get away with failed policies, send sick people into homes killing thousands and get away with it,” Mastriano said.

Mastriano went on to say, “They were the ones who sent the sick back to the houses. Their policies, Democratic policies, and killed so many. It’s extreme.

Wolf’s office hit back, saying Mastriano’s claims were “demonstrably false.”

Mastriano, Wolf’s office said, is a “science denier” who “has put lives at risk throughout the pandemic by openly downplaying the crisis and opposing vaccines and other mitigation efforts.” .

Mastriano captured some aspects of Pennsylvania’s handling of the pandemic.

First, Pennsylvania has reported more COVID-19 deaths in nursing homes than any other state, according to federal data – although researchers have questioned whether states count COVID-19 deaths in the same way. and Pennsylvania has a disproportionate nursing home population.

Second, Wolf’s administration — like those of several other Democratic governors in hard-hit states — issued orders requiring nursing homes to continue accepting residents returning from hospitals to guard against overwhelmed hospitals.

Last week, Mastriano posted a social media meme that accuses Wolf and other governors whose administrations have issued a similar order of “premeditated murder” — another baseless claim.

Wolf’s administration argued that the order also required nursing homes to be able to protect other residents and that it worked with nursing homes that had concerns, she said.

In any case, readmissions were common in every state, and nursing homes received early advice from the federal government and professional associations on how to handle hospital readmissions.

Indeed, in every state, hospitals had to offload recovering patients to ensure they had beds for incoming patients, the researchers said.

A 2020 Justice Department investigation into those orders — during the home stretch of the presidential campaign under former President Donald Trump — ended quietly under President Joe Biden last summer.

The researchers pointed out that states that were hit by the pandemic after Pennsylvania were still unable to protect their nursing home populations, even though they had received more warnings and had no policy to order nursing homes to accept readmissions.

The spread of COVID-19 in nursing homes “was a far bigger problem than any policy could have caused,” Konetzka said.

___

Follow Marc Levy on Twitter at https://twitter.com/timelywriter.

Calls Grow for Maritime Governments to Address Health Care Staffing Shortages

FREDERICTON — Calls are mounting in the Maritimes for governments to tackle labor shortages in the health care sector, as hospitals are forced to close emergency rooms now that staff are tired takes a summer vacation to recover from the stress of the pandemic.

In New Brunswick, health care workers are leaving the province due to poor working conditions, uncompetitive wages and unreasonable workloads, according to Liberal Health Critic Jean-Claude D’Amours.

In Prince Edward Island, staffing shortages are so severe at Western Hospital in Alberton that its emergency department may be forced to close if someone is on sick leave, the door said. -Green Party Health Critic, Michele Beaton. Difficulties in recruiting and retaining health personnel have been rising in the province for years, she said.

“We need a very specific and strategic plan to ensure people working within the system are treated well,” Beaton said in a recent interview.

Last week, New Brunswick Health Minister Dorothy Shephard said the province was recruiting traveling nurses and encouraging retired nurses to re-enter the workforce to cover vacations.

Since April 1, Horizon Health Network — operator of English-speaking hospitals in New Brunswick — has hired 11 retirees and about 180 nursing students to work this summer. Meanwhile, the Vitalité Health Network — operator of its French-language hospitals — has hired 200 nursing students.

“We recognize the workforce challenges in our health care system, and many long-term efforts are underway to improve the situation,” New Brunswick Labor Minister Trevor Holder said in a statement. communicated. “While we are making significant progress, it will take time to fully address these challenges.”

Staffing shortages have led to intermittent overnight closures of some hospital emergency departments. The Horizon Network tweeted on June 24, saying it was experiencing a severe staff shortage, and it warned that patients with non-emergency medical conditions could face long wait times.

The tweet sparked a reaction on Twitter.

“It’s been like this for years and it’s getting worse,” one person wrote. “I’m afraid that if my disease gets worse, I won’t survive.” Another person said the government should spend part of its budget surplus on improving working conditions in health centers.

Back in Prince Edward Island, Beaton said the western part of the province has “essentially no walk-in clinics, so people have no choice but to go to the emergency room”. When the ER closes, she said, “people are going to travel over an hour to get to the next facility to get the care they need.”

Health PEI spokeswoman Jessica Bruce said the small staff at Western Hospital are working hard to avoid unplanned service disruptions. “We continue to review various options to ensure patients receive the care they need,” she said.

In Nova Scotia, nurses across the province have demanded action to address chronic staffing shortages they say have been made worse by the COVID-19 pandemic. The Nova Scotia Nurses Union says there are approximately 1,400 vacancies for registered nurses and 250 open positions for licensed practical nurses.

Nova Scotia’s Progressive Conservative government pledged during the election campaign to spend heavily on the province’s ailing health care system. The $13.2 billion budget for fiscal year 2022-23, tabled in March, contains $5.7 billion for health care, an increase of $413.4 million over government spending. last year. But Premier Tim Houston warned residents not to expect any quick changes.

Dr. Mark MacMillan, president of the New Brunswick Medical Society, said the growing number of vacancies in the health care field in Canada is concerning.

“We’ve seen this health human resources issue come our way for years,” he said in a recent interview. “COVID-19 has certainly exacerbated this problem and revealed how fragile the healthcare system is overall, not just in New Brunswick, but across the country. »

MacMillan said action by governments is needed now, but will require a long-term solution.

“In five, 10, 15 years, what will the demographics of patients be? What are the needs in this province? How many doctors do we need in northern New Brunswick, southern New Brunswick, east and west? do we need per unit? We need to be more proactive,” he said.

Health sector staff members are tired and need a break from the stress of the COVID-19 pandemic, he said.

“The last two and a half years have been very stressful and we really need to make sure these doctors and nurses get their time off for their own mental health,” he said.

This report from The Canadian Press was first published on July 3, 2022.

Kevin Bissett, The Canadian Press

Expanding Healthcare Knowledge: 11 SHS HOSA Students Participate in International Conference | Education






Scottsbluff High School HOSA members dressed in official HOSA attire for the 45th Annual International HOSA Leadership Conference Opening Ceremony in Nashville, Tennessee.


Jennifer Hare/Courtesy Photo


Scottsbluff High School and Health Occupations Students of America (HOSA) future healthcare professional members took advantage of an educational opportunity last week by attending the 45th Annual International HOSA Leadership Conference in Nashville, Tennessee.

Jennifer Hare, the SHS HOSA counselor, traveled with 11 students to the conference, which was held June 22-25. The conference took place at the Gaylord Opryland Resort and Convention Center. It featured competitive events focusing on leadership, professional and technical skills as well as training seminars, workshops and exhibitions.

“It was an opportunity to meet people from all over the world with similar goals,” Hare said. “Additionally, the general sessions provided recognition and opportunity for all HOSA members.”

The conference brought together over 10,000 HOSA members from across the country and around the world.







SHS HOSA Cardiothoracic Surgeons.jpg

Scottsbluff High School HOSA members Megan Bewley (left) and Emily Franklin (right) participate in the Healthcare Career Display competition. They did research and presentations on cardiothoracic surgeons and also made the exposed heart from clay.


Jennifer Hare/Courtesy Photo


Senior Madysen Powell, who is also a state officer from HOSA Nebraska, said the conference had a variety of sessions that students could choose to attend, which helped her learn more about careers in the healthcare industry.

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“We had the opportunity to attend educational symposia and many different activities through HOSA to expand our educational opportunities,” Powell said.

She participated in a “Guess Who” panel with five health professionals. After providing a brief description of their work, students used pre-response questions to determine their work before a question and answer session.

“I enjoyed this session because we got to talk about some areas of healthcare that aren’t talked about a lot, like podiatry and wound specialization, which was really interesting,” she said.

After high school, Powell wants to become an X-ray technologist, also known as radiographers, imaging patients.







Expanding healthcare knowledge: 11 SHS HOSA students participate in an international conference

HOSA member Madysen Powell donated blood at the International Leadership Conference Health Expo. Several members of SHS HOSA donated blood.


Jennifer Hare, courtesy photo


The Bearcats have competed in career posting competitions in healthcare, medical math, epidemiology, behavioral health, home health aide, nursing assistant, and HOSA bowl events.

“Many of the events start with a first round and then a small number of competitors move on to the second round,” Hare said. “Scottsbluff HOSA is proud to share that Alyssa Spurgeon has moved into the second round of home assist.”

Powell participated in a written epidemiology test, after qualifying for the state leadership conference.

“It was kind of scary but also kinda cool,” Powell said. “You had to be the best of the best to be able to go and I felt honored to be able to say that I competed against the best in the world.”

Along with the opportunities offered at the conference, students explored Nashville. They toured backstage at the Grand Ole Opry and rode the General Jackson Riverboat on the Cumberland River.







SHS HOSA resort.jpg

Scottsbluff High School HOSA members attended the International HOSA Leadership Conference at the Gaylord Opryland Resort and Convention Center in Nashville.


Jennifer Hare/Courtesy Photo


“This resort was beautiful. To be able to walk around and enjoy where we were was amazing,” Powell said. “We got to go behind the scenes at the Grand Ole Opry house and it was really cool. We were very lucky.

Hare said the conference was a meaningful learning and networking opportunity for students, made possible through the support of local businesses and the community.

“Scottsbluff HOSA is so grateful to the many local businesses and community members who helped sponsor the event with donations and purchases from our cookie dough fundraiser,” she said. . “It helped cover half of the costs for the students, and the students and their families covered the rest.”

Powell was a member of HOSA throughout high school and said the organization gave him the opportunity to learn more about the healthcare industry.

“I think this conference gave students who were able to learn about areas of health care that not all chapters or states could be exposed to, because not all states have the same opportunities as everyone else” , she said. .

HOSA is a global, student-led organization recognized by the US Department of Education and the US Department of Health and Human Services, as well as several federal and state agencies. Its mission is to empower future healthcare professionals to lead the global healthcare community, through education, collaboration and experience. HOSA actively promotes career opportunities in the health sector and improves the delivery of quality health care to all.

We are always interested in hearing news from our community. Let us know what happens!

Student Loan Refinance vs. Student Loan Consolidation: Know the Difference

Student loan consolidation and student loan refinancing are two very popular options for those looking to manage their student debt. But what is the difference between the two? And which one suits you best? If you decide to go the consolidation route, be sure to check out Credello debt consolidation loan calculator so you can find the loan that’s right for you.

Here is a brief overview of the main differences between student loan consolidation and student loan refinancing:

As any student knows, loans can add up quickly and it can be difficult to keep up with multiple payments. Student loan consolidation simply combines multiple student loans into one loan. This may make the repayment more manageable, but it doesn’t necessarily reduce the overall amount of interest you’ll pay.

Loan consolidation can be a useful way to simplify the repayment process, but there are also some potential downsides to consider. One of the benefits of consolidation is that it can lower your monthly payment by extending the repayment term. This can make loan repayment more manageable, especially if you’re struggling to keep up with multiple loans. However, consolidation also increases the total amount of interest you will pay over the life of the loan. Also, consolidating your loans may make them ineligible for certain repayment plans or rebate programs.

Student loan refinancing can be a great way to save money on your student loans. Student loan refinancing is basically taking out a new loan to pay off your existing student loans. This can help you get a lower interest rate, which can save you money over time. However, it is important to note that not everyone will be eligible for student loan refinancing. By refinancing, you can get a lower interest rate and extend the term of your loan, which can help make your monthly payments more affordable.

However, student loan refinancing also has some potential downsides. For one, if you have federal student loans, you may lose some benefits, such as income-based repayment plans and loan forgiveness programs. Also, if you refinance with a private lender, you may be giving up some federal student loan protections.

So which option is right for you? The answer will depend on your personal situation. If you’re struggling to repay your student loan, consolidation can be a good option to make things more manageable. On the other hand, if you’re looking to save money on interest, refinancing a student loan might be the way to go. Whatever you decide, be sure to do your research and compare all of your options before making a decision.


Black care home residents, those under 65 more likely to have repeat hospital transfers

Credit: Unsplash/CC0 public domain

Nursing homes transfer about 25% of their residents to the hospital at least once, at a cost to Medicare of $14.3 billion, according to a federal report from the Office of Inspector General.

But a new study from the University of Missouri found that the number of repeat transfers is much higher for black nursing home residents and those younger than 65.

In one of the few studies to analyze the demographics of nursing home residents who are repeatedly transferred to the hospital, Amy Vogelsmeier, an associate professor at the MU Sinclair School of Nursing, found that black nursing home residents nurses, those younger than 65, and those with “full code” status were significantly more likely to be transferred to hospital at least four or more times in a given year.

“Given that repeated hospitalization of nursing home residents can sometimes result in more harm than benefit, we wanted to look back to see if we could identify any patterns to potentially avoid hospital transfer,” Vogelsmeier said. “For example, if a resident becomes very ill and needs to be hospitalized, such as a blood infection due to a urinary tract infection, how can we better prevent the urinary tract infection in the first place? Are there opportunities to better equip nursing homes with the right equipment and trained staff to better manage these conditions without the need for relocation?”

Vogelsmeier and colleagues analyzed a subset of data from the Missouri Quality Initiative, an eight-year, $35 million program funded by the Centers for Medicare and Medicaid that implemented Advanced Practice Registered Nurses (APRNs) full-time at 16 Midwestern nursing homes with higher hospitalization rates. than the national average.

Due to the project’s implementation of APRNs, illnesses were detected early before there was a significant decline in patient condition, which reduced preventable hospitalizations. Yet, from 2017 to 2019, more than 1,400 residents were transferred to the hospital at least once a year, 113 residents were transferred at least four or more times a year, and 17 residents were transferred at least eight or more times. more during the period. three years.

“In addition to the financial burden and adverse health effects like hospital-acquired infections that can occur, transfers from a nursing home to hospital can be traumatic, stressful and frightening for the mental health of frail adults,” said said Vogelsmeier.

Vogelsmeier said young adults can be admitted to nursing homes after traumatic brain injuries or strokes, as well as with serious early-onset conditions, such as congestive heart failure or chronic lung disease. These conditions, combined with potential serious mental disorders, such as schizophrenia and other comorbidities, often require nursing home levels of care for the resident.

“End of life conversations can be difficult, especially with young adults and their families, and sometimes there can be confusion regarding the ‘do not resuscitate’ designation,” Vogelsmeier said. “It just means that no attempt at resuscitation will be made if you die, and does not mean denial of appropriate treatments. We want to focus on evidence-based treatments that are tailored to the resident given their multiple chronic illnesses; knowing that in almost all cases, nursing home residents will die even when cardiopulmonary resuscitation (CPR) is performed and suffer serious harm as a result of the intervention.”

Previous research has shown that black nursing home residents who are transferred to hospital tend to have more chronic conditions, poorer health outcomes and live in lower quality nursing homes, perhaps due to financial constraints.

“Other studies suggest that black residents and their families tend to be less likely to engage in conversations about goals of care and are more likely to seek aggressive treatment, but we don’t yet fully understand why.” said Vogelsmeier. “It could be distrust of the healthcare system, it could be providers assuming they don’t want to discuss these things, which could be rooted in structural racism, so these topics should be investigated. further to better ensure racial equity in health care.”

Vogelsmeier added that APRNs play a critical role in coaching and mentoring nursing home staff, but they were not always sought out or consulted in the decision-making process for study residents who have been transferred several times.

“Whether it’s working with nurses to develop skills or having conversations about difficult goals of care, early APRN involvement plays a key role in guiding appropriate care and reducing potential for avoidable transfers,” Vogelsmeier said. “We have learned from the COVID-19 pandemic just how vulnerable nursing homes are, and greater implementation of APRNs, Registered Nurses and Certified Social Workers in nursing homes can help remedy this. to these vulnerabilities in the future.”

The research has been published in BMC Health Services Research.


Advanced practice nurses reduce hospitalizations for nursing home residents


More information:
Amy Vogelsmeier et al, Repeat Hospital Transfers Among Long-Term Care Home Residents: A Mixed Methods Analysis of Age, Race, Code Status, and Clinical Complexity, BMC Health Services Research (2022). DOI: 10.1186/s12913-022-08036-9

Provided by the University of Missouri

Quote: Black Nursing Home Residents, Those Under 65 More Likely to Have Repeat Hospital Transfers (2022, July 1) Retrieved July 1, 2022 from https://medicalxpress.com/news/ 2022-07-black-nursing-home-residents-age.html

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Dunkirk nursing home fined $10,000 | News, Sports, Jobs


Photo submitted Dunkirk Rehabilitation and Nursing Center is pictured on Thursday afternoon.

The state Department of Health fined the Dunkirk Rehabilitation and Nursing Center $10,000 for failing to perform CPR on an unresponsive resident who later died.

The attached DOH citation, dated March 11, states that a licensed practical nurse not only did not perform CPR when she discovered the patient, but also failed to activate a code blue for request in-house emergency response assistance. She also did not use the 911 system.

Instead, the LPN contacted the facility’s director of nursing – who was on sick leave at the time.

“The administrator failed to ensure that a registered nurse (RN) was scheduled for eight consecutive hours per 24-hour period as required and failed to designate a full-time director of nursing when she was absent for an extended period, according to the DOH report. “Furthermore, the administrator failed to ensure that there was an effective system in place when there was no RN coverage in the building to respond to an emergency in accordance with the policy and protocols of establishment.”

The report indicates that corrective measures have been taken by the nursing home. He told staff that CPR should be performed on unresponsive patients unless they have legal do-not-resuscitate orders. The nursing home has also created a plan to ensure registered nurse coverage for the required periods and has designated acting directors of nursing on call when the regular person cannot be reached.

The Dunkirk Rehabilitation and Nursing Center did not return a message Wednesday seeking comment on the incident and the decision.

This is the second $10,000 fine for the establishment this year. The first was assessed in February on a September 2021 incident.

This time, a resident was burned by a baseboard heater in her room. As a result, she ended up in a hospital burn unit. The DOH said the facility failed to ensure residents remained as free from accident hazards as possible and failed to provide residents with adequate supervision to prevent accidents.



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Health care workers’ struggles continue in the United States

Stanford nurses at a mass picket

Nurses and other healthcare workers across the country are rising in a growing wave of strikes and protests over understaffing, lack of essential supplies, grueling workloads and the erosion of their standard of living by the sharp rise in inflation.

Conditions for healthcare workers around the world have been dramatically worsened by the ruling class’s response to the pandemic. Many are leaving the profession, further aggravating the crisis. According to a March 24 report in Healthcare IT News, 90% of American nurses are considering leaving the profession.

Not only do nurses have to manage inhuman levels of stress on the job, but they also face criminal prosecution as they struggle to perform their duties safely under impossible conditions. The case of RaDonda Vaught, who was arrested after a fatal medication error, met with a massive mobilization of nurses who were able to save her from having to serve a prison sentence. But nurses continue to be victimized, as can be seen in the case of Michelle Heughins and more than 100 nursing home workers in Ohio.

The growing struggles of healthcare workers are producing a direct collision with pro-corporate unions, which have done nothing to oppose these conditions and are instead working to suppress and block opposition. Nurses unions instead seek to promote inadequate legislation, such as national nurse-patient ratios, Bernie Sanders’ “Medicare for All” bill and workplace violence legislation will do nothing to address critical issues for health care workers across the country.

Nurses in the United States have taken an important step by forming a national steering committee to create grassroots committees in every hospital and health care facility to combat the victimization of medical workers. To find out more and form a grassroots committee in your hospital or workplace, please submit your information here and a member of the steering committee will contact you.

Below is a selection of the main developments in the United States.

Portland, OR

The Oregon Nurses Association (ONA) announced Thursday afternoon a new tentative agreement for 1,600 nurses at Providence St. Vincent Medical Center. While the union has been saying loud and clear that this is a “NURSE VICTORY”, the reality is that this is a victory for the ONA, which now has the chance to avoid a strike, scheduled for July 11.

As of this writing, the actual contract has yet to be sent to base members. On social media, ONA vice-president Jessica Lobell confirmed that the contract signing bonus had been removed in the final version of the tentative agreement.

Lobell also signaled that there would be no other major gains for nurses, while simultaneously trying to lessen the need for a strike, saying, “I can’t stress enough that we won’t get not everything we want in this round, whether we strike or not. .”

Northern California

At Seton Medical Center in Daly City, 300 nurses went on a two-day strike on June 22-23. The Seton nurses have been in contract negotiations since December 2021, and the nurses told WSWS reporters they were working without basic supplies, such as fresh produce. sheets, bath wipes and diapers. Nurses also said they are often forced to work near broken equipment, such as elevators and CT scanners.

Staffing is inadequate, with nurses reporting that they are outside of legally mandated state ratios on a daily basis and are additionally asked to perform the duties of other workers such as transporters and janitors to cover shortages. These intolerable conditions have led about 80 nurses to leave the hospital over the past two years.

June 18 also marked two months since a one-day strike by about 8,000 nurses at 15 Sutter Health facilities in the region. The nurses were then locked out for a further five days following the strike by hospital administrators and have now been working without a contract for a full year. The California Nurses Association (CNA) was forced to call a strike after a nearly unanimous vote to authorize a strike in March. The hospital’s contract proposal included a pitiful 2% annual salary increase and failed to address nurses’ concerns about insufficient staffing and personal protective equipment (PPE).

Newark, New Jersey

More than 300 nurses, respiratory therapists, X-ray technicians and other workers have returned to work at Saint Michael’s Medical Center in Newark, New Jersey, after a nearly four-and-a-half-week strike. The Jersey Nurses Economic Security Organization (JNESO) used totally undemocratic means to end the strike and impose an austerity contract on the workers.

Under the agreement, workers will receive annual increases of just 3%, less than half the current rate of inflation. Another cruel aspect of the contract is that these workers were saddled with a health insurance plan with a high copayment and a $5,700 deductible.

From the start, JNESO focused its efforts on isolating the strike by conducting closed-door negotiations with management under the auspices of a federal mediator. The union has never paid a dime in strike pay, never called on workers from other Prime Healthcare-owned hospitals or even workers from other hospitals in Newark to support Saint Michael’s workers.

Twin Towns, Minnesota

A month has passed since the expiry of the contracts for 12,500 nurses in the Minneapolis-St. Metropolitan area of ​​Paul. The Minnesota Nurses Association (MNA) has called only an information picket and remains silent on the status of contract negotiations.

Additionally, the contracts of some 2,500 nurses at Essentia and St. Luke’s Hospitals expired on June 30. Nurses at two other smaller regional hospitals in Moose Lake and Hastings also have contracts that recently expired, bringing the total number of nurses working without contracts in the Twin Cities area to 15,000. not even called a strike vote yet, calling instead for limited “information pickets” to let workers vent.

The MP is also working to keep the opposition led safely behind the Democratic Party. The “Keeping Nurses at the Bedside Act,” which has stalled in the state legislature, does not even address staffing ratios, but only establishes state-controlled “staffing committees” , who will do nothing to address the conditions nurses face.

San Diego, California

At Palomar Health in San Diego, 3,000 nurses and healthcare workers – who had voted 96% to strike – had their strike called off at the last minute by CNA and the Caregivers and Healthcare Employees Union (CHEU). They announced a sold-out tentative deal and rushed a vote, leaving workers little to no time to fully review the contract.

The union boasts of ‘strong’ health and safety ‘language’, the establishment of ‘committees’ where ‘RNs and caregivers meet with management to address patient concerns’. Creating these committees will do nothing to address the problem of insufficient staff-to-patient ratios, which allows burnout rates to increase and put patients at risk. The contract also provided for a paltry 10.25% “increase” in the minimum wage over the life of the contract, which works out to around 3.41% a year, well below skyrocketing rates of inflation.

Los Angeles, California

After a planned strike was called off at the last minute at Long Beach Medical Center/Miller’s Children’s & Women’s Hospital last Wednesday, the ANC was successful in pushing through a concession contract. As is common practice for the union, workers were unable to review the full text of the contract before the day of the vote.

Although the union has praised the contract for staff increases, there is nothing but the promise of a ‘professional practice committee’, an advisory body of nurses linked to the union which will hold meetings on the issue of staff shortages.

On June 23, 1,000 Los Angeles Kaiser nurses also began a one-day strike. Kaiser LA nurses have been working without a contract since September last year and report staff are so disastrous they are unable to treat patients safely and rarely take regular lunch breaks

Ann Arbor, MI

In Ann Arbor, Michigan, the contract for Michigan Medicine’s 6,200 nurses expired on June 30. Management at the University of Michigan-affiliated hospital is determined to impose a concession contract with wage increases that don’t keep up with inflation, relentless mandatory overtime. and an oppressive custody system.

After months of negotiations, the Michigan Nurses Association (MNA) and the University of Michigan Professional Nurse Council (UMPNC) did nothing to mobilize nurses’ strength, instead isolating nurses from other workers in the same hospital system as well as from nurses from other hospitals. across the state who suffer under the same conditions.

Nurses’ unions have tried to steer nurses’ opposition into dead-end appeals to millionaires and billionaires on the university’s board of trustees. Refusing to mobilize the force of the nurses, the UMPNC did not call for a vote to authorize the strike, warning its members that the management of the hospital will not shrink from its demands for concessions. Instead, they held an information picket on July 16, more than two weeks after their contract expired.

MDS coordinator strain hits nursing facilities where it hurts the most

Credit: The Good Brigade/Getty Images Plus

Labor shortages are costing providers dearly, but new data reveals that labor issues are also hampering their ability to collect payment for services they have already provided.

Challenges including reimbursement staff turnover, more time spent in the field by nurses in reimbursement positions and new hires with less experience are “negatively impacting earning potential,” according to a survey released Tuesday.

Market Report: SNF’s Clinical Reimbursement Status found that 90% of skilled nursing providers surveyed had issues with MDS coordinators and other billing staff that affected their ability to collect. Some 57% had a turnover in their clinical reimbursement team in the last six months.

“Resource constraints have a ripple effect that impacts reimbursement beyond the census,” said Ryan Edgerly, CEO of MedaSync, a software provider that co-sponsored the survey with rehabilitation company HealthPRO. Legacy. “We hear these scenarios all the time. A shortage of frontline caregivers forces MDS coordinators to work increasingly in the field, giving them less time and attention to properly fulfill their reimbursement responsibilities.

These demands, relentless during COVID and ongoing nursing shortages, are also driving more reimbursement professionals to leave the field, change employers, or permanently return to frontline nursing, adds Rosie Benbow, MDS consultant and owner of Leading Transitions Post Acute Care Consultation and Staffing.

She has seen the average salary for MDS coordinators rise from $60,000 to $65,000 per year, to $78,000 to $80,000 per year among the clients she serves in Indiana, Michigan and Wisconsin. Yet this is not enough to prevent workers from leaving and taking with them valuable knowledge and experience.

Finding a replacement or committing to training someone new to the role isn’t any easier than retaining coordinators, Benbow said. McKnight Long Term Care News Tuesday.

“The absolute biggest challenge is the availability of a qualified nurse,” she said, noting that a client had been using her as acting coordinator for more than a year while looking for an experienced replacement. “People feel like they need this perfectly trained person so they don’t lose the refund, but you’re having a hard time getting it.”

Managed care adds to the challenge

The job has gotten harder in recent years in more ways than COVID and smaller teams. The rise of managed care, plan tiers, shift to patient-based payment model, and state variations in client calculations add to the complexity of the job.

More than half of market report respondents cited an increase in managed care penetration and Medicaid rates as their primary concern. When asked to rate their level of concern about their ability to prevent missed refunds “in a multi-payer universe”, 65% ranked as moderately or very concerned.

Half said an increase in managed care penetration was their top concern, followed by Medicaid rates at 46%. The PDPM, however, ranked only 6th on the list, despite an investigation window that coincided with federal officials announcing that they planned to cut the PDPM in the next fiscal year.

Refusals of managed care and other payment factors, combined with inexperience or lack of training, can mean more opportunities to miss earned reimbursement.

Benbow estimated that average nursing homes could lose $150,000 to $200,000 per quarter due to missed diagnoses, miscalculations of PDPM, lower caseloads, or financial penalties related to reporting errors. quality.

“It’s definitely a struggle just to manage the care,” she said. “Another struggle of our time, aside from the staffing itself, is trying to follow all the angles, depending on what state you’re in.”

She encourages facilities to make a quick decision to fill a vacant MDS coordinator position – even if it means removing a savvy nurse from the floor. But then the facility must train that nurse side-by-side for weeks or even months with internal audits and external reviews to ensure that the dollars owed are actually collected.

Providing support through technology and counselling, she said, is likely to pay off in the long run.

“Some people don’t want to invest so much in their own financial future,” Benbow said. “Others absolutely do, and they see the value of weekly or monthly reviews to help seize opportunities.”

🌱 Roscoe Blvd Nursing Home Evacuation + Baseball Brawl Fallout

Hello everyone; today is national cuddle party day, which was put on the calendar by the Hugs for Health Foundation. It’s me, Sylvia, your Los Angeles Daily host — here to tell you everything you need to know about what’s happening locally.

No one was hurt when the LAFD arrived at a laundry room fire. Also there are suspensions that circulate angels and sailors. Finally, the first defendant in the case of bribes to a member of the city council was found guilty.


First, today’s weather forecast:

Sunny most of the time. High: 88 Low: 63.


⭐️ Three of the Cheapest Gas Stations in Los Angeles ⭐️

  • Arco at 2829 N Broadway$5.97
  • Mobile to 1502, boul. Robertson S.$5.97
  • Berri brothers at 3860 E 3rd Street.$5.97

💧 Survey on the water crisis! 💧
Residents are limited to watering their landscapes two days a week, before 9 a.m. or after 4 p.m. What else should the City do to address the water crisis? Please let me know your thoughts! So far, 42.9% want to impose drought-resistant landscaping, 28.6% want to recycle wastewater for irrigation, and another 28.6% want to build a desalination plant on the coast.


Here are the top stories in LA today:

  1. Early Tuesday morning, the LAFD evacuated approximately 20 of the 90 residents of the retirement home at 22125 W. Roscoe Boulevard. There was a fire in the laundry room which caused “thick black smoke”. Damage to the facility was minor, the fire was extinguished quickly, and evacuated residents returned to their rooms. (NBC)
  2. Angel vs Sailor Brawl Update: Yesterday we talked about the fight that took place during Sunday’s game. Monday evening, Major League Baseball has issued suspensions. “Los Angeles Angels interim manager Phil Nevin was suspended for 10 games and Seattle Mariners outfielder Jesse Winker received a seven-game ban.” Ten additional players received suspensions ranging from two to five games. (ESPN)
  3. City Hall Corruption Scandal Update: Earlier we talked about the bribes allegedly received by former Los Angeles City Councilman José Huizar to “grease the wheels for the approval of a downtown condominium project.” The first accused in the trial, a real estate developer, was tried and was sentenced on Monday of “bribery, honest service fraud and obstruction”. He will be sentenced on September 19 for paying a “$500,000 bribe”. (Spectrum News 1)
  4. If you take your dog to a local dog park, look for ice cream puppies. We learned on Tuesday that this vegan ice cream for dogs is the brainchild of a Los Angeles entrepreneur. You can find it at “local dog parks and several stores in the Los Angeles area.” (Spectrum News 1)
  5. Mark your calendars! Tickets for “Beyond King Tut: The Immersive Experiencewent on sale on Tuesday, with the exhibit’s opening date brought forward to September 16. “The exhibition will run until January and will mark the 100th anniversary of the discovery of Tutankhamun’s burial chamber.” So, head to Magic Box LA to immerse yourself in a reproduction of the burial chamber. (OC registration/paywall)

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Today in Los Angeles:

  • Surprising Treasure hunt Adventure / Los Angeles Mini Quest begins at the Los Angeles Public Library (8:00 a.m.)
  • Online Property Auctions Only collections of Dino/Martha DeLaurentiis and Mitzi Gaynor (10 a.m.)
  • Virtual story time for toddlers from Sherman Oaks Branch Library (11:00 a.m.)
  • Projector unplugged with the Music Forward Foundation on Instagram Live (2:00 p.m.)
  • LAFC vs FC Dallas at Banc of California Stadium (7:30 p.m.)

From my notebook:

  • THE Schools unveiled his Strategic Plan 2022-26! Read and download the Plan. (Los Angeles Unified via Instagram)
  • It’s HOT in LA County! 🔥🌞 Now that summer is in full swing, consider stopping at one of the paddling pools to cool off with the family! Fun designs and cool water to beat the heat. (Los Angeles County Department of Parks and Recreation via Facebook)
  • Our Baldwin Hills Estates neighbor has a dog looking for a forever home or foster family (with all supplies covered); he is about 6 years old, loves people and children. Selective dog, so best to be the only dog. Super soft and cold behavior. Likes to cuddle, is clean. (next door)
  • A East SoRo neighbor wants to know if it is better get devices from an appliance store, or is Home Depot or Lowes the same? Suggestions or recommendations? (next door)
  • A neighbor of West LA-Gardens District have a question about the Venice promenade. What is the state of it these days? They have friends from overseas, and it’s on their list of places to go, but they don’t want to bring them unless it’s decent enough. (next door)

More from our sponsors – please support the local news!

Featured companies:

Events:

  • Auction of goods from the collections of Dino/Martha DeLaurentiis and Mitzi Gaynor (June 29)
  • LA’s Sweetest Donut Party for Kids Who Love to Draw (July 2)
  • Estate Planning for Your Loved Ones – Webinar (July 2)
  • [Free Masterclass] Increase Your Website Sales and Leads Using SEO (July 16)
  • 7th Wine Festival Urban Garage Exhibition (July 23)
  • Add your event

You are now aware and ready to go out this Wednesday. I will see you soon!

Sylvia Cochran

About Me: Sylvia Cochran has been working in sunny Southern California and writing freelance full-time since 2005. Loves dogs, cats, books, plays Best Fiends (don’t judge), embraces social justice and try to live Micah 6:8.

Do you have a news tip or a suggestion for an upcoming Los Angeles Daily? Contact me at losangeles@patch.com

Sabra Health Care REIT, Inc. (NASDAQ: SBRA) Receives Consensus “Hold” Recommendation from Analysts


Sabra Health Care REIT, Inc. (NASDAQ: SBRAGet an assessment) received a consensus recommendation of “Hold” by the eleven rating agencies that currently cover the stock, Market assessments reports. Six investment analysts rated the stock with a hold recommendation and five gave the company a buy recommendation. The 12-month average target price among brokers who have issued ratings on the stock over the past year is $16.06.

Several equity analysts have commented on SBRA shares. Credit Suisse Group raised its price target on shares of Sabra Health Care REIT from $14.00 to $15.00 and gave the company a “neutral” rating in a Monday, April 4 report. Capital One Financial began covering shares of Sabra Health Care REIT in a Friday, June 3 report. They issued an “equal weight” rating and a price target of $15.50 on the stock. StockNews.com began covering shares of Sabra Health Care REIT in a Thursday, March 31 report. They issued a “holding” rating on the stock. Mizuho moved shares of Sabra Health Care REIT from a “neutral” rating to a “buy” rating and lowered its price target for the company from $16.00 to $15.00 in a Wednesday 25 report. may. Finally, Barclays downgraded shares of Sabra Health Care REIT from an “overweight” rating to an “equal weight” rating and lowered its price target for the company from $16.00 to $14.00 in a report from the Monday April 18.

NASDAQ SBRA opened at $14.54 on Tuesday. The company has a current ratio of 3.60, a quick ratio of 3.60 and a debt ratio of 0.70. The company’s fifty-day moving average price is $13.27 and its two-hundred-day moving average price is $13.49. Sabra Health Care REIT has a 1-year minimum of $11.44 and a 1-year maximum of $19.01. The company has a market capitalization of $3.36 billion, a P/E ratio of -29.67 and a beta of 1.42.

Sabra Health Care REIT (NASDAQ: SBRAGet an assessment) last released its quarterly results on Wednesday, May 4. The real estate investment trust reported earnings per share (EPS) of $0.18 for the quarter, beating the consensus estimate of $0.17 by $0.01. Sabra Health Care REIT posted a negative net margin of 18.28% and a negative return on equity of 3.15%. In the same quarter last year, the company achieved EPS of $0.39. On average, research analysts expect Sabra Health Care REIT to post EPS of 1.48 for the current fiscal year.

The company also recently disclosed a quarterly dividend, which was paid on Tuesday, May 31. Shareholders of record on Monday, May 16 received a dividend of $0.30 per share. The ex-dividend date was Friday, May 13. This represents a dividend of $1.20 on an annualized basis and a yield of 8.25%. Sabra Health Care REIT’s payout ratio is -244.89%.

A number of institutional investors have recently changed their positions in the company. The Alaska State Department of Revenue increased its stake in Sabra Health Care REIT by 0.6% during the fourth quarter. The Alaska State Department of Revenue now owns 149,160 shares of the real estate investment trust worth $2,019,000 after buying 897 additional shares last quarter. Cetera Investment Advisers increased its stake in Sabra Health Care REIT by 1.2% during the first quarter. Cetera Investment Advisers now owns 80,608 shares of the real estate investment trust worth $1,200,000 after purchasing an additional 919 shares last quarter. Xponance Inc. increased its stake in Sabra Health Care REIT by 2.9% during the fourth quarter. Xponance Inc. now owns 34,248 shares of the real estate investment trust worth $464,000 after purchasing an additional 957 shares in the last quarter. The Oregon Public Employees Retirement Fund increased its stake in Sabra Health Care REIT by 1.5% during the fourth quarter. The Oregon Public Employees Retirement Fund now owns 74,991 shares of the REIT worth $1,015,000 after buying 1,092 more shares last quarter. Finally, TownSquare Capital LLC increased its holdings of Sabra Health Care REIT shares by 4.8% in the first quarter. TownSquare Capital LLC now owns 23,975 shares of the real estate investment trust worth $357,000 after acquiring an additional 1,093 shares in the last quarter. Hedge funds and other institutional investors hold 91.61% of the company’s shares.

Sabra Health Care REIT Company Profile (Get an assessment)

As of March 31, 2022, Sabra’s investment portfolio included 416 properties held for investment. These include (i) 279 skilled nursing/transitional care facilities, (ii) 59 senior housing communities (senior residences – leased), (iii) 50 senior housing communities operated by third-party property managers pursuant to property management agreements (retirement homes – managed), (iv) 13 behavioral health facilities and (v) 15 specialty hospitals and other facilities), an asset held for sale, an investment in a lease-purchase, 16 investments in loans receivable (including (i) two mortgage loans, (ii) a construction loan and (iii) 13 other loans), seven investments in preferred shares and an investment in a unconsolidated joint venture.

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Analyst Recommendations for Sabra Health Care REIT (NASDAQ: SBRA)



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Nordea Investment Management AB buys 16,663 shares of Sabra Health Care REIT, Inc. (NASDAQ: SBRA)


Nordea Investment Management AB increased its position in shares of Sabra Health Care REIT, Inc. (NASDAQ: SBRAGet a rating) by 3.1% in the 1st quarter, Participation channel reports. The company held 550,620 shares of the real estate investment trust after acquiring an additional 16,663 shares during the period. Nordea Investment Management AB’s holdings in Sabra Health Care REIT were worth $8,254,000 at the end of the last reporting period.

Other hedge funds have also recently changed their positions in the business. Bank of America Corp DE increased its stake in Sabra Health Care REIT by 40.6% during the fourth quarter. Bank of America Corp DE now owns 335,561 shares of the real estate investment trust valued at $4,543,000 after acquiring 96,846 additional shares last quarter. State of New Jersey Common Pension Fund D increased its stake in Sabra Health Care REIT by 10.3% during the fourth quarter. New Jersey State Joint Pension Fund D now owns 298,512 shares of the real estate investment trust worth $4,042,000 after acquiring 27,980 additional shares last quarter. Wolverine Asset Management LLC increased its stake in Sabra Health Care REIT by 673.7% during the fourth quarter. Wolverine Asset Management LLC now owns 140,418 shares of the real estate investment trust worth $1,901,000 after acquiring an additional 122,270 shares last quarter. The New York State Teachers Retirement System increased its stake in Sabra Health Care REIT by 2.3% during the fourth quarter. The New York State Teachers’ Retirement System now owns 316,583 shares of the real estate investment trust valued at $4,287,000 after acquiring an additional 7,227 shares in the last quarter. Finally, Janney Montgomery Scott LLC increased its stake in Sabra Health Care REIT by 9.5% during the fourth quarter. Janney Montgomery Scott LLC now owns 95,632 shares of the real estate investment trust valued at $1,295,000 after acquiring 8,314 additional shares in the last quarter. Hedge funds and other institutional investors own 91.61% of the company’s shares.

SBRA action opened at $14.67 on Friday. Sabra Health Care REIT, Inc. has a 12-month low of $11.44 and a 12-month high of $19.01. The company has a current ratio of 3.60, a quick ratio of 3.60 and a debt ratio of 0.70. The company has a 50-day moving average price of $13.23 and a 200-day moving average price of $13.48. The stock has a market capitalization of $3.39 billion, a PE ratio of -29.94 and a beta of 1.42.

Sabra Healthcare REIT (NASDAQ: SBRAGet a rating) last released its quarterly results on Wednesday, May 4. The real estate investment trust reported EPS of $0.18 for the quarter, beating analyst consensus estimates of $0.17 by $0.01. Sabra Health Care REIT posted a negative net margin of 18.28% and a negative return on equity of 3.15%. In the same quarter a year earlier, the company posted earnings per share of $0.39. Sell-side analysts expect Sabra Health Care REIT, Inc. to post EPS of 1.48 for the current year.

The company also recently declared a quarterly dividend, which was paid on Tuesday, May 31. Investors of record on Monday, May 16 received a dividend of $0.30 per share. The ex-dividend date was Friday, May 13. This represents a dividend of $1.20 on an annualized basis and a dividend yield of 8.18%. Sabra Health Care REIT’s dividend payout ratio is currently -244.89%.

SBRA has been the subject of several research analyst reports. Barclays cut shares of Sabra Health Care REIT from an “overweight” rating to a “weighted” rating and reduced its target price for the company from $16.00 to $14.00 in a Monday 18 research note. april. Credit Suisse Group raised its price target on shares of Sabra Health Care REIT from $14.00 to $15.00 and gave the stock a “neutral” rating in a Monday, April 4 research note. Capital One Financial began covering shares of Sabra Health Care REIT in a research note on Friday, June 3. They issued an “equal weight” rating and a price target of $15.50 for the company. StockNews.com began covering shares of Sabra Health Care REIT in a research note on Thursday, March 31. They issued a “holding” rating for the company. Finally, Mizuho moved shares of Sabra Health Care REIT from a “neutral” rating to a “buy” rating and lowered its price target for the stock from $16.00 to $15.00 in a note. research on Wednesday, May 25. Six equity research analysts gave the stock a hold rating and five gave the company a buy rating. According to MarketBeat.com, the company currently has a consensus rating of “Hold” and a consensus target price of $16.06.

Profile of Sabra Healthcare REIT (Get a rating)

As of March 31, 2022, Sabra’s investment portfolio included 416 properties held for investment. These include (i) 279 skilled nursing/transitional care facilities, (ii) 59 senior housing communities (senior residences – leased), (iii) 50 senior housing communities operated by third-party property managers pursuant to property management agreements (retirement homes – managed), (iv) 13 behavioral health facilities and (v) 15 specialty hospitals and other facilities), an asset held for sale, an investment in a lease-purchase, 16 investments in loans receivable (including (i) two mortgage loans, (ii) a construction loan and (iii) 13 other loans), seven investments in preferred shares and an investment in a unconsolidated joint venture.

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Institutional ownership by quarter for Sabra Health Care REIT (NASDAQ:SBRA)



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Bethlehem gets involved in the nursing home union fight for better working conditions

BETHLEHEM — After years of turmoil and complaints about poor working conditions at a Delmar nursing home and assisted living facility, city council will send a letter next week to owners of the private company urging them to meet union members about their concerns.

Employees of the Delmar Center for Rehabilitation & Nursing and the Albany Center Adult Home, located on Rockefeller Road, and representatives of 1199SEIU United Health Care Workers East spoke at a recent city council meeting about the dire conditions they say that workers faced even after new owners took over in 2020.

“In all my (25) years as a certified practical nurse, I have never seen a situation as serious as today,” said a care home employee during the meeting. “We just don’t have the staff, and when there aren’t enough staff, we can’t provide the care we’re supposed to provide.”

Employees who spoke at the meeting said that due to limited staff, some residents were unable to get showers, nail services or other treatments as they are supposed to receive. Workers said they had to take on responsibilities outside of their job descriptions and certifications to make sure residents get as much care as possible.

Employees also said they were paid well below market rate for their work. For example, the starting salary for CNAs at the center is $14.50 to $14.80 per hour, compared to starting salaries of $16.50 to $19 per hour at other facilities. similar from the region, according to the union.

“When we met with managers asking them to raise our wages to fair market wages, they laughed at us,” the certified practical nurse said at the meeting. “They said they might consider it if we give up our health benefits.”

Workers at the facilities faced years of turbulent conditions, especially until the properties’ former owners filed for Chapter 11 bankruptcy relief in 2020. In 2019, workers lost their unemployment benefits. health because the previous owners did not make the contractually required payments for the health insurance fund.

But conditions did not improve after new owners took over the care home and assisted living facility in 2020, workers said.

Centers Health Care, a New York City for-profit chain, was named a receiver of the facilities by the state health department in 2020 as it sought ownership. But soon after, staff said he was being denied vacation and struggling to cope with the workload.

“The feeling is that nothing is better,” Tanya Grant, administrative organizer for 1199SEIU United Healthcare Workers East, told The Times Union at the time. “They didn’t come and presented a better situation for the workers.”

Two years later, union representatives who spoke to city council last month echoed the same sentiments.

Representatives pushed back against the owner’s claims that there was a labor shortage, saying facilities would be able to hire and retain more staff if workers were paid fair wages and treated with respect . The average turnover rate at the center is 96%, according to union members.

To make up for the lack of staff, the owners hired agencies to bring in workers from out of state. However, union representatives said these hires were paid better than local staff, despite not being qualified for the job – and union members often end up doing their jobs for them, they said. .


“The staff is so spread out that we don’t have enough time with the residents, and they get anxious,” said Mindy Berman, regional communications manager for 1199SEIU Healthcare Workers East, on behalf of another staff member. “You can imagine what it’s like for someone who’s elderly and in a nursing home. Our residents are human beings.

There are currently 120 residents in the facilities, and about 35 to 40 union members working there.

City Supervisor David VanLuven confirmed that the city’s senior services manager echoed the same concerns union members shared about working conditions at the retirement home. The city council voted unanimously to send a letter to the owners urging them to meet with union representatives to reach a fair contract.

“We thought it was appropriate because when we spoke to our senior services department, they highlighted all the issues that union members shared with us,” he said. “If there is a way to help meet these challenges and in doing so help the residents and improve the conditions for the workers there, we have to do it.”

The Delmar Center for Rehabilitation & Nursing could not be reached for comment. A message left with the administrator of the establishment, Rafi Lehmann, was not immediately returned.

Tips for Navigating the Health Care System

Veteran doctor and administrator offers advice on how to handle America’s bewildering medical-insurance complex

The US healthcare system is complicated, difficult to navigate, and can kill you if you’re not prepared, proactive, and knowledgeable. From finding good doctors to being able to afford medication, the hurdles can seem insurmountable.

So said David Wilcoxwho has spent nearly 30 years in a variety of hospital roles and recently authored a guide for patients, “How to Avoid Being a Victim of America’s Healthcare System.”

A recent survey of nurse staffing companies indicated that more than a third of nurses plan to leave their current jobs by the end of the year. | Credit: Getty

Wilcox, who holds a doctorate in nursing practice, has served as a staff nurse, critical care nurse, nurse administrator, hospital administrator, and has worked in healthcare technology. He believes his experience and inside knowledge can shed light on how patients can work for better outcomes when dealing with hospitals, insurance companies, drug manufacturers and medical staff.

I have interviewed Wilcox several times and edit these interviews to highlight information that may not be widely known and to help readers learn how to use this information to improve care and health outcomes.

Barbara Sadick: Recent studies have indicated that medical errors are the third leading cause of death in the United States, after heart problems and cancer. How can patients prepare before a medical procedure to reduce their risk?

David Wilcox: I have seen so many bad situations that could have been avoided if people had prepared for them by doing research. Always ask questions. Know exactly what a procedure entails, why it needs to be done, how quickly it needs to be done, and what recovery will entail. Remember that patients and doctors should be equal partners and that patients have the right to ask as many questions as they want or to refuse treatment.

“Patients have the right to ask as many questions as they want or to refuse treatment.”

Be sure to ask about doctors and hospital ratings. Good evidence-based sources are available to do this research (healthgrades.com for physician assessments and CMS.gov for hospital ratings). Don’t just “google” for information. There is a lot of misinformation on the internet. If you are lucky enough to know a nurse working at the hospital where you will be treated, ask which doctors are most popular. They’ve been watching and can tell you who consistently performs well and who should stay away.

A recent survey of nurse staffing companies indicated that more than a third of nurses plan to leave their current jobs by the end of the year. Additionally, the American Association of Critical Care Nurses says that about sixty-six percent of acute and critical care nurses plan to leave the profession altogether. In this overworked and understaffed profession where nurses are in short supply, patients may receive less careful hands-on care. The nurses have too many patients to treat at the same time. How can patients and families cope?

Patients who are able to do this need to ask a lot of questions. If they can’t, and even if they can, it’s wise to have a family member or friend who knows the patient’s situation to advocate. Patients and advocates should question anything and everything, including anything that looks or looks suspicious. Ask until you understand.

Medication errors occur in nearly five percent of patients. Before taking any medication, understand what it is and what it is for. This can be confusing because drugs have generic names and brand names. If the drug name begins with a capital letter, it is a brand name drug. If it starts with a lowercase letter, it’s generic.

Some of the medicines you are given in the hospital are the same as those you take at home. To reduce costs and if you have not been admitted to the emergency room, you have the right to bring your own medicines to the hospital, give them to the healthcare team and not have to pay fifteen dollars for a medicine against headaches.

Because nurses are overworked, you and your advocates should be friendly and polite, as this will get you better care. But if there is a problem, talk about it and ask questions. If you don’t get satisfactory answers, continue to insist or ask to speak to the nurse supervisor. If your nurse seems rushed and you can wait, ask her to come back when things have calmed down. It is a way to prevent medical errors. It’s not hard for an overworked nurse with too many patients to confuse one with another.

Every day, about one in 31 hospitalized patients has at least one infection acquired in a hospital or other healthcare facility, according to the Centers for Disease Control. What can patients and providers do to reduce this risk?

First, make sure everyone who enters the room washes their hands. This includes visitors, family members, doctors, nurses and other hospital staff. To prevent pressure sores, a patient should be turned or turned every two hours. Pillows should be placed between the legs to reduce pressure. The sooner a patient is safely discharged from the hospital, the less likely they are to be discharged with an infection.

You say Americans spent about $535 billion on prescription drugs in 2018. That’s twenty-five percent more than in 2010. Pharmaceutical companies have hiked the prices of their most prescribed drugs from forty to seventy-one percent between 2011 and 2015. here?

“A typical consumer in the United States spends more on prescriptions than consumers in any other country.”

Pharmaceutical companies say they need to keep raising drug prices to raise money for research and development of new drugs. But the government, not the drugmakers, funds a lot of research, either directly through research grants or indirectly through tax breaks. State-funded research is your tax money at work, but you’re still being billed over and over again. Since 1930, the National Institute of Health has invested nine hundred billion dollars in research. Despite this, a typical consumer in the United States spends more on prescriptions than consumers in any other country.

Being the largest health insurer and payer in the United States, Medicare, if able, could buy in bulk and reduce the cost of drugs. However, it is against the law to negotiate drug prices. If allowed, it would drastically reduce the profits of drug company lobbyists who pay politicians. In the 2016 election, pharmaceutical companies spent sixty-two million dollars funding and influencing candidates.

Another little known fact is that drug prices vary from pharmacy to pharmacy. This is because insurance companies are unregulated and pharmacy benefit managers set the prices you pay using discounts and coupons that benefit both pharmaceutical and insurance companies. To find the best prices, you can use the resource guide, Dr. David helpsand compare the price of your medications to Good reception to ensure you pay the lowest cost.

Congress enacted the Health Insurance Portability and Accountability Act in 1996 to prevent access to sensitive patient health information without the patient’s knowledge or consent. Since then, healthcare technology has grown tremendously, and it’s not hard for your information to fall into the wrong hands. What should patients know to prevent this from happening?

When your health information becomes publicly available, there can be serious consequences. It can be used by insurance companies to deny you coverage. Be aware that genetic testing kits like 23 and Me and Ancestry.com can test for genes that influence your risk of developing certain conditions.

These companies anonymize your data and sell or give it to researchers who can then identify you again. Insurers often seek information that allows them to deny coverage. If, for example, your genetic information shows a predisposition to a serious chronic disease, it could cause a health or life insurance company to refuse to insure you.

Before you decide to inquire about your genetic profile or request genetic testing, think seriously about why you want the information and what you are going to do with it when you get it.

The Consumer Financial Protection Bureau reports that in 2021, American consumers owed more than eighty-eight billion dollars in medical debt. The figure is probably higher because not all debts are reported to consumer agencies. What should people do when they find themselves owing out-of-pocket expenses for health care?

Many Americans are living in crisis from a health emergency. If you find yourself in a position where you pay out of pocket for medical care, speak with a hospital finance office. You may be eligible for complete forgiveness of your debt or you may come to an arrangement to pay it off over time.

If you make a good faith agreement with the hospital and pay anything, regardless of the amount, on a regular schedule, your creditor cannot turn your bills over to a debt collector. But don’t miss a single payment. If a debt collector obtains this information, it will affect your credit rating.

Never take out a loan or use a credit card to pay off your debt, as this will cause you to take on more debt in interest charges. Negotiation is the key.

Recent analysis by the Commonwealth Fund shows that the United States ranks only seventeenth in the world in terms of efficiency, results and equity of health care, despite spending significantly more than others rich countries. Do you see that changing?

In our current fee-for-service system, the health care provider only makes money when a patient shows up sick, so there’s no incentive to keep you healthy. In a value-based model of care administered by an Accountable Care Organization (ACO), physicians receive a set amount each year for your care. If you become ill and end up in hospital, your doctor will have to pay additional costs. It’s an incentive for doctors to keep you healthy, and while some doctors are part of these ACOs, hopefully we’ll see healthcare continue to move in that direction.

Barbara Sadist is a freelance health writer whose articles have appeared in the Wall Street Journal, Washington Post, Chicago Tribune, Kaiser Health News, AARP, Cure and others. Read more

Tester and colleagues urge Biden administration to support skilled nursing facilities in rural areas

Tester and 21 of his colleagues sent a letter to the Center for Medicare and Medicaid Services regarding concerns about the proposed rule change

Senator Tester led 21 of his Senate colleagues to urge the Centers for Medicare and Medicaid Services (CMS) to reconsider the agency’s proposed rule to update Medicare payment policies and rates for care facilities qualified nurses. Tester and his colleagues pointed out that this action would result in an overall decrease of $320 million in payments to long-term care facilities and expressed concern that the proposed reduction in payments could worsen current challenges and lead to the closure. rural settlements.

“Rural long-term care facilities are facing a historic workforce crisis, losing more than 400,000 caregivers since the start of the pandemic… In the worst-case scenario, rural facilities are forced to permanently close their doors. When a small community loses a health care provider, there is no guarantee that they will ever return,” Tester and his colleagues wrote. “With these challenges in mind, we believe now is not the time to cut CMS payments to facilities vital to health care and quality of life in rural America.”

The senators concluded: “We stand ready to partner with CMS to ensure that the most vulnerable in our county are not put at additional risk as our country continues to deal with the consequences of the pandemic.”

Tester has worked tirelessly to ensure Montanans and health care providers in Montana have the resources they need to deal with the COVID-19 pandemic.

In March 2020Tester voted to provide critical and urgent relief to workers, families, small businesses and hospitals in Montana through the Coronavirus Aid, Relief, and Economic Security (CARES) Act. This funding included $200 million for CMS to help nursing homes control infections.

This Aprilit secured $111.5 million for Montana Hospitals and $9.1 million for Montana Community Health Centers to respond to the pandemic, and secured an additional $3 million for workforce expansion. public health from the Rocky Mountain Tribal Leaders Council in Indian Country.

last decemberTester secured $25,647,522 in Health and Human Services (HHS) funding for 286 Montana health care providers through the US Rescue Plan Act (ARPA). This HHS funding was disbursed through relief fund payments to healthcare providers who had suffered lost income and expenses related to the COVID-19 pandemic and could be used to recruit and retain staff. , purchase personal protective equipment and upgrade health care facilities.

You can read the full letter from the senators HERE.

The Citadel nursing home in Salisbury, site of the state’s worst COVID-19 outbreak, has closed

SALISBURY, NC (WBTV) – The Citadel of Salisbury has now closed.

The Julian Road facility in Salisbury was the site of the state’s worst COVID-19 outbreak and recently lost its agreement for Medicare to pay for services.

According to Medicare and Medicaid Service Centers (CMS), the nursing home failed to meet basic health and safety requirements for Medicare.

In a statement to WBTV on June 14, a CMS spokesperson said:

Access to safe, high-quality health care is a top priority and responsibility for the Centers for Medicare & Medicaid Services (CMS). Federal law requires facilities to meet certain health and safety standards to be certified by CMS as a Medicare and Medicaid provider.

As of August 24, 2020, the Citadel of Salisbury has been registered with CMS’s Special Focus Facility (SFF) program since investigators identified instances of substandard quality of care and actual harm to residents. The SFF is a program for nursing homes that have a history of serious compliance and quality issues to drive improvements in the quality of care at the facility. Salisbury Citadel was previously on the SFF program from June 18, 2014 to February 4, 2015.

Salisbury Citadel remained largely non-compliant after multiple on-site health and safety investigations (February 19, 2021; September 2, 2021; and March 4, 2022) documented non-compliance with several federal requirements.

Despite multiple opportunities to remedy its non-compliance, The Citadel Salisbury has failed to demonstrate that it can ensure the health, safety and well-being of its residents. The facility experienced a cyclical pattern of immediate danger, substandard quality of care and real harm to residents.

CMS issued the Citadel Salisbury an involuntary termination letter on May 4, 2022, stating that the Medicare and Medicaid provider agreement would end on May 19, 2022, based on an investigation conducted on March 4, 2022, which found revealed substandard quality of care and real harm to residents.

CMS is committed to and prioritizes resident safety and quality of care. Involuntary termination is usually the last resort after all other attempts to remedy the breach have been exhausted. CMS will work with the facility to ensure residents are properly relocated for 30 days after termination, when payments will continue for residents admitted before April 5, 2022.

The institution has the right to appeal CMS’s decision. Additionally, The Citadel Salisbury may choose to reapply for Medicare/Medicaid certification, which will require correcting ongoing underlying quality issues and demonstrating continued compliance with federal participation requirements.

Although the facility will no longer receive payment for Medicare and Medicaid residents after the 30-day period ends, the facility may continue to serve patients who are privately paid or covered by other insurers. However, the State of North Carolina will determine whether the Provider remains licensed by the State to operate as a dual jurisdiction nursing facility in the State of North Carolina.

CMS has had discussions with the North Carolina Department of Health and Human Services and local authorities about the availability of beds and services for residents affected by this situation to ensure that health care needs of the community can be satisfied.

Concerns have been raised about the quality of care at the care home for at least the past two years.

[Family members: Conditions have not improved at The Citadel]

Allegations of mistreatment and failure to provide medication on time were reported by WBTV in 2020.

Officials from the Centers for Disease Control and Prevention visited The Citadel Salisbury months later. The location was one of four in North Carolina where CDC “strike teams” have arrived following large outbreaks of COVID-19.

As of September 9, 2020, 168 cases and 21 deaths from the virus have been reported.

The following year, a class action lawsuit was filed. The lawsuit was filed by Wallace and Graham, PA on behalf of two of the retirement home’s residents and family members, citing “severe systematic understaffing at the Citadel retirement home.”

[Class action lawsuit filed against The Citadel in Salisbury, site of NC’s largest COVID-19 outbreak]

After learning that the nursing home‘s participation in Medicare had ended, Mona Lisa Wallace and Olivia B. Smith, attorneys at Wallace and Graham, released the following statement:

“Since the start of 2020, Wallace and Graham have had significant concerns about the quality of patient care at the Citadel Salisbury care home. As noted in documents filed in public court, our concerns regarding quality of care extend not only to this facility, but also to the 36 other North Carolina facilities under common ownership, affiliated with the Portopiccolo Group and operated by Accordius Health. . Our law firm previously filed a lawsuit seeking to enforce the North Carolina Nursing Home Residents Bill of Rights, including the right to adequate care and patient safety. Since the change in ownership of the Citadel Salisbury in February 2020, concerns from residents and families about patient care have only intensified. In 2021, our firm filed a class action lawsuit alleging that the company’s cost-cutting business model has resulted in chronic understaffing and diminished quality of care. After exhausting all other attempts to address the facility’s shortcomings, as a last resort, Medicare ultimately terminated the facility’s provider agreement. Our firm continues to represent the residents and families affected by this matter.

A state inspection in April 2022 was filed days before the termination was announced, but didn’t paint the nursing home in a better light.

According to the report, staff would not help a resident after being offered sex acts by another.

[Disturbing report on The Citadel raises questions about options for families]

The report also noted that an employee worked 22 hours straight. The reason? Weak staff – an issue previously mentioned in the 2021 trial.

A resident’s dressings lasted for weeks before being changed and medication errors were numerous, according to the report.

“Just imagine if it was your mum or your dad or someone close to you, in that situation you want them to get the best care possible, I find that pretty bad,” Salisbury’s Robert Lattimore told WBTV. in April.

To learn more about the termination process, click here.

Copyright 2022 WBTV. All rights reserved.

The owner of a nursing home whose residents suffered in Ida arrested

NEW ORLEANS — The owner of seven Louisiana nursing homes who sent more than 800 of his elderly residents to an overcrowded and ill-equipped warehouse to ride out Hurricane Ida last year was arrested Wednesday on charges of fraud and cruelty stemming from the squalid conditions.

Bob Glynn Dean Jr., 68, had previously lost state licenses and federal funds for cramming his residents into a facility in the town of Independence, about 110 miles northwest of New Orleans. There, authorities said they found sick and elderly people lying on mattresses on the wet floor, some screaming for help, others lying in their own waste. Some had arrived without their medication, according to a doctor. Civil suits against Dean’s company said the ceiling was leaking, the toilets were overflowing in the stuffy warehouse, and there was too little food and water.

Dean was in custody in Tangipahoa Parish on Wednesday, facing charges of Medicaid fraud, cruelty to the infirm and obstruction of justice.

Dean’s attorney, John McClindon, said Dean was told earlier this week of the warrant for his arrest. A resident of Georgia, Dean flew to Louisiana and visited on Wednesday. McClindon said Dean should be released on $350,000 bond.

Attorney General Jeff Landry said the criminal charges stem from allegations that Dean billed Medicaid for dates his residents failed to receive proper care at the warehouse “and engaged in conduct intended to intimidate or hinder public health officials and law enforcement.”

McClindon said he couldn’t comment on all of the charges because he hadn’t read the full warrant yet. But he said in a brief interview: “I don’t think Bob Dean did anything that reached the level of a criminal.”

In the days following the August 29 Ida coup, the state reported the deaths of seven people who had been evacuated to the warehouse in the town of Independence. Five have been classified as storm-related fatalities.

Dean then lost the state licenses for his seven facilities. In May, the US Department of Health and Human Services announced that it was barring Dean from receiving federal funding, including Medicare and Medicaid. At the time, McLindon, told The Times-Picayune/The New Orleans Advocate that Dean was appealing state license revocations and would be reinstated for federal programs if the appeals were successful.

Ida blasted ashore last August as one of the most powerful storms to ever hit the United States, knocking out power throughout New Orleans, blowing roofs off buildings and reversing the flow of the Mississippi River as it rushed from the coast into a major industrial corridor. . Ida’s landfall with winds of 150 mph (240 km/h) also marked the first time in recorded history that a state had consecutive years of winds of 150 mph or more.

At the warehouse where Dean residents were taken, state officials said conditions deteriorated rapidly during the storm. The generators used to provide electricity sometimes broke down. Residents were close at a time when the state was calling for social distancing due to the coronavirus pandemic. Some went without food for hours.

Dean’s nursing homes were River Palms Nursing and Rehab and Maison Orleans Healthcare Center in New Orleans; South Lafourche Nursing and Rehab in Lafourche Parish; Park Place Healthcare Nursing Home, West Jefferson Health Care Center, and Maison DeVille Nursing home of Harvey, in Jefferson Parish; and the Maison DeVille retirement home in the parish of Terrebonne.

Global Home Healthcare Market Expected to Grow 8.4% to Nearly $300 Billion in 4 Years

The rapid increase in the elderly population and the increase in chronic diseases are driving global growth.

The global home healthcare market is expected to reach $298.2 billion by 2026, from $198.9 billion in 2021, according to a new market research report by MarketsandMarkets™, which provides quantified B2B research.

This represents an increase of 8.4% over the forecast period.

Major factors driving the global growth of this market include rapid growth in the elderly population, increasing incidence of chronic diseases, increasing need for cost-effective healthcare benefits due to rising costs of healthcare and technological advances in home healthcare devices, the report says. .

In 2020, North America, consisting of the United States and Canada, dominated the global market, followed by Europe.

According to the report, North America’s large share in the global home healthcare market is attributed to the growing prevalence of chronic diseases, high healthcare expenditures, high disposable income, poor healthcare infrastructure superior health and the growing geriatric population.

In 2019, there were 703 million people aged 65 and over in the world and this number is expected to reach 1.5 billion by 2050. In addition, the number of people aged 80 and over is expected to triple from from 143 million in 2019 to 426 million by 2050. , according to the United Nations Department of Economic and Social Affairs.

“The growth of this segment of the population will drive demand for healthcare and significantly increase the burden on governments and healthcare systems, as the aging population is more prone to chronic diseases,” the report states.

“This will prove favorable to the home healthcare market. Home health care reduces unnecessary hospital admissions and readmissions as well as travel time and costs to meet with health care professionals,” the report states.

Based on the products, the home healthcare market is segmented into three areas:

  1. Therapeutic products
  2. Testing, screening and monitoring products
  3. Mobility care products.

In 2020, the therapeutic segment accounted for the largest share of the home care products market.

According to the report, the increased prevalence of chronic diseases, such as kidney failure, respiratory diseases, diabetes and cancer, has increased the demand for therapeutic home healthcare equipment.

On the basis of service, the home healthcare market is classified into seven areas:

  1. Skilled nursing services
  2. Rehabilitation therapy services
  3. Hospice and palliative care services
  4. Unskilled care services
  5. Respiratory therapy services
  6. Infusion therapy services
  7. Pregnancy care services

Skilled nursing services, which provide a comforting alternative to stays in a hospital, nursing home or assisted living facility, accounted for the largest market share in 2020, the report said.

Favorable insurance coverage for skilled nursing services is expected to support the growth of this market over the forecast period, according to the report.

Carol Davis is the Nursing Editor at HealthLeaders, an HCPro brand.

Meaning. Rubio, Warner Praise Senate Advancement of Loan Consolidation Measure

The senses. Americans Marco Rubio (R-FL) and Mark Warner (D-VA) recently applauded the Senate’s passage of their Joint Consolidation Loan Separation Act of 2021.

© Shutterstock

The bill would provide relief to people who previously consolidated their student loan debt with their spouse. While Congress eliminated the joint consolidation loan program in 2006, it did not provide a method for borrowers to terminate existing loans in the event of domestic violence, economic abuse, or lack of government response. a former partner, Rubio and Warner said.

“Survivors of domestic violence should never have to pay their abuser’s debts,” Rubio said. “This bill would provide financial independence to survivors who previously consolidated their student loan debt with their partner. I am grateful that the Senate passed this important legislation, and I urge the House to do the same so that we can provide much-needed help to these people.

Warner said the Senate’s advancement of the legislation is a big step forward for survivors of domestic violence and financial abuse who have spent decades fighting for their financial freedom.

“By finally allowing individuals to break their joint consolidation loans, this bill will provide much-needed respite to vulnerable individuals who are unfairly held responsible for a former partner’s debt,” Warner said. “I urge my colleagues in the House to act urgently and send this bill to the President’s office as soon as possible.”

Shawn Whatley: When it comes to fixing health care, governance matters more than politics

Few voters had direct experience with hallway medicine or Canada’s world-famous wait times before the pandemic. Lockdowns have changed everything. The health policy failure went from fear-filled headlines to a tangible crisis that everyone could feel.

A failure calls for a better policy or a new policy to fill the gaps. Planners and policy writers are racing to come up with solutions: surgical centers, reallocation of funds, redesigned models of care, and more.

A new policy, however, cannot fix the old policy, unless we know why the old one failed in the first place. Most policies fail in implementation, and not because of bad design. Moreover, we can only close policy gaps if we understand why they exist. Gaps form around constraints and incentives, not a lack of creativity. The political environment dictates viable policy options.

How a system works has more to do with how it is governed than with the political ideas at play. Failure to implement, constraints and incentives all fall within the larger framework of governance. Governance and policy overlap, but they are different.

To fix health care, we must start with governance: how do we make decisions? Who can make them? If we don’t, a new policy will produce the same results.

Politics to the rescue

Take the example of surgical centers. Surgeons and specialists unite to build a non-hospital and ambulatory surgical facility. Each center offers a specific basket of specialized care, for example ophthalmological, orthopedic or endoscopy services. Surgical centers can provide comfort, convenience, quality and efficiency that hospitals struggle to match.

Surgical centers exist all over the world. They are not new. In Canada, we have been trying for decades to take care out of hospitals. We want to save money and shorten waiting lists. Why aren’t Canadian cities littered with surgical centers?

Current incentives and constraints make surgical centers impractical and expensive. Currently, hospitals provide nursing care, equipment and use of the facility. Doctors use it all but don’t pay for it, making non-hospital facilities a hard sell. On top of that, billing rules, regulation of independent healthcare facilities, licensing of necessary laboratory and imaging services, and a host of other restrictions all weave together into an environment. policy intolerant of independent institutions (funded by the state).

We don’t need a surgical center policy. We need research on why surgical centers don’t exist in the first place and what to do about it.

Thomas Sowell, American economist and author, once said, “The most important decision about every decision is who makes the decision.

Sowell developed this in his book, Knowledge and Decisions: “The most fundamental question is not what decision to make but who should make it – by what processes and under what incentives and constraints, and with what feedback mechanisms to correct the decision if it turns out to be wrong.”

Before making a change, every hospital administrator should ask themselves, “Who should be in the room?” Dramatic new politics will fail even more dramatically if you ignore governance. Informal governance may matter even more. The decision makers are often not the ones on the organizational chart: colleagues influence by personality without title or function.

Governance eats politics for breakfast

Peter Drucker, the legendary management consultant, once said, “Culture eats strategy for breakfast. We can say the same thing about health policy: governance eats politics for breakfast.

Dr. Dave Williams, former astronaut and NASA executive, served as CEO of Southlake Regional in Newmarket. He said, “We don’t know who runs the hospital.” He was making an observation, not a complaint. “Compared to what I’m used to, it’s difficult to get things done.”

Without clarity and fidelity to best practices, governance will drift. Sowell, again, summarizes this:

Even within democratic nations, the center of decision-making has moved away from the individual, the family and voluntary associations of all kinds, towards government. And in government, it has moved away from elected officials subject to voter feedback, and towards more isolated institutions of government, such as bureaucracies and the appointed judiciary.

Is this a problem in Canada? Brian Lee Crowley, CEO of the Macdonald-Laurier Institute, thinks so. Governance drift leads to a central design – a temptation for all political parties.

In his book, Gardeners and Designers: Understanding the Great Fault Line in Canadian Politics, Crowley expands on how gardeners approach governance. A gardener prepares the ground, removes waste, provides support and tends to progress. Gardeners celebrate the surprise inherent in what grows and blooms. They are not managing growth for a specific policy outcome that they have designed in advance.

Designers dream of improving healthcare. Gardeners ask the most important question: how can we grow good ideas? A gardener approach to governance leaves a lot of essential work (gardening) to government. It empowers the people closest to the problem and leaves the design, experimentation and implementation to them.

We cannot try to “fix” health care with a new policy. Without good governance, the new policy will struggle to be implemented like all old policies. We must first do the first things. Governance eats politics for breakfast.

Volunteers beautify gazebos to help nursing home residents

ONEIDA – OneGroup employees showed up with brushes in hand this week at the Oneida Health Extended Care and Rehabilitation Center (ECF), ready to get to work breathing new life into two gazebos.

The volunteer effort was originally planned for earlier this month as part of OneGroup’s Day of Caring project, but it was scrapped. With the sun on their side, more than 15 OneGroup employees traveled to ECF on Tuesday to apply a fresh coat of stain to two gazebos that looked a little less good for dishwashing.

The COVID-19 pandemic has accentuated how important it is to connect with loved ones face-to-face in a comfortable setting. Within walking distance of the ECF, the gazebos serve as outdoor visiting and social space for nursing home residents and patients.

Pandemic limitations prevented gazebos from being used for more than two years, officials said. At the same time, the maintenance of the works was abandoned.

Now, after a little refreshment, gazebos can finally be used as some restrictions have been lifted and warmer weather is coming.

Kate Trombley, Director of the Oneida Health Foundation, said, “Exciting projects like this have a long-lasting positive effect on ECF residents and rehabilitation patients.

“With stricter visiting policies and isolation due to their age and frailty, opportunities to spend time with others have been limited to nothing. Yet they are extremely important in meeting the psychosocial needs of people in rehabilitation or long-term care,” Trombley said.

“The realization of this project will offer residents an outdoor option to spend time with their loved ones,” added the director of the foundation.

Prior to the easing of restrictions, residents of the ECF used iPads for video or had “window visits” with an intercom to ensure that the elderly, frail and those at high risk of morbidity were less at risk. risk of contracting the virus, according to Oneida Health officials.

“[Oneida Health] is a wonderful organization, and anything we can do to provide help and support, we’re happy to do,” said Robin Lovitz, Vice President of OneGroup.

“Everyone is very excited to be here” to volunteer, she added.

Westmoreland health care providers and employees battle pandemic staffing shortages

The local healthcare industry had its challenges before a pandemic swept the world two years ago.

As the summer of 2022 approaches, HR directors and department heads are finding it even harder to find the people who can deliver basic services.

This is especially difficult for small facilities such as the Sisters of Charity of Seton Hill, where it is increasingly difficult to entice enough people to work and to cover staff vacations. The Greensburg-based congregation offers a variety of education, health care, and social service programs.

“How do you explain to your residents that you are only going to shower once a week instead of twice?” said Kathy Carulli, director of health care services for the Sisters of Charity nursing department. “We’re not like McDonald’s or Burger King.”

The organization tried to emphasize retention by boosting staff morale, positive reinforcement and “little bonuses,” said Carulli of North Huntingdon.

“Recruitment has been difficult since covid. There was a shortage of nurses before that, but when covid hit people were leaving the nursing profession in general, and we just don’t know where everyone went.

According to Becky Bostick, assistant director of dietetics for the Sisters of Charity, employees are entitled to a week’s vacation.

“We don’t have staff to cover vacations,” Bostick said of Greensburg. “It gets a bit hectic on some days, but we managed it.”

Excela Health, Westmoreland County’s largest employer, is facing similar issues as jobs have outnumbered people, so those looking now have more choice than ever, according to Heidi Henckel, head of talent acquisition at Excela.

“You can go up and down (Route) 30, and everybody’s hiring,” Henckel said. “The competition has definitely widened for us because it seems like a lot of organizations are hiring young people.”

According to Laurie English, senior vice president and chief human resources officer, Excela is currently hiring about 90 to 100 people per month, but staffing has remained “very fluid.”

“Obviously, we’re no different from other employers…when it comes to coping with labor market pressures,” said English. “We may hire 50 people but have 40 furloughs in the same amount of time due to retirement, furloughs, outside job opportunities and other catalysts.”

No shows

Sister Mary McCauley, housekeeping and laundry manager at Sisters of Charity, said sometimes people say they will come and not show up for work.

Carulli said she believes the “vast” number of opportunities and types of jobs available to people affect their engagement, especially young people.

“Unfortunately that means for us…a lack of work ethic because they think, ‘Well, if I don’t like my job here, I can just quit here and go tomorrow,’” said Caruli.

In the past, Carulli said, parents pushed their kids more to stick to commitments, especially jobs.

“The work ethic just isn’t what it used to be,” Carulli said. “The world is their oyster right now – they can find jobs anywhere.”

A 2021 study by Mercer examining the evolution of healthcare labor markets over the next five to 10 years found that the rate of retirement of primary care physicians will increase over the next five years. .

“Currently, about 12 percent of family, pediatric, obstetrics, and gynecology physicians are 65 years of age or older and are considered ‘retirement eligible,’” the study says. “By 2026, this number will increase to 21%, and more than 32,000 doctors will reach retirement age. »

Other job gaps are created when registered nurses leave for agency work and internal employees move to vacant positions within Excel, English said.

“Every sector of the economy is feeling the negative effects of the current labor market dynamics,” said English. “As far as our pay scales are concerned, we strive to be competitive in the market.”

According to the Mercer study, by 2026, it is estimated that nearly 23,000 primary care physicians will leave the profession permanently, leaving a “vacuum of demand for primary care providers.”

The demand for nurses will also increase by at least 5% over the next five years, according to the study, and during this period “more than 900,000 nurses will leave the profession permanently”.

“In addition to retirements, employers will need to hire more than 1.1 million nurses by 2026,” the study said. “If current trends continue, 29 states will not be able to meet the demand for nursing talent.”

Pennsylvania is expected to experience the largest nursing shortages in the United States during this period, according to the study.

Katelyn Printz, Excela’s human resources director, said she believes all companies experience staff shortages and can cause competition in the hiring process.

“I would say that historically I think what drove the market was people’s pure interest (in) what they wanted to do from an employment perspective…and I think now the market has changed a bit as the price of jobs is driving the interest in certain markets now,” Printz said.

The change has encouraged companies to heed recent calls to increase starting salaries and provide more benefits to stay in the market for new hires, Printz said.

“Unfortunately, I think all of the local businesses in Westmoreland County, we kind of compete with each other price-wise,” Printz said. “It’s a struggle for everyone, and I think it’s going to continue to be a struggle.”

Megan Swift is editor of Tribune-Review. You can contact Megan at 724-850-2810, mswift@triblive.com or via Twitter .

Student Loan Consolidation vs Refinancing

When discussing student loan consolidation versus refinancing, either might be a good option for you, as long as you understand their differences.

  • Consolidation is best as a strategic move. It consolidates several federal loans into a new federal loan to allow you to make a single payment or benefit from government programs.

  • Student loan refinancing is best for saving money. It replaces one or more existing federal or private loans with a new private student loan, ideally with a lower interest rate.

There are many reasons why you should or should not consolidate or refinance your student loans. Here’s what to know about each option and how to decide if it’s right for you.

Consolidation and refinancing are different

You may have heard the words “consolidation” and “refinance” used interchangeably, but they are actually two separate repayment options.

Here is a breakdown of some key differences between consolidation and refinancing:

Student loan consolidation

Combines multiple federal loans into one federal loan.

Combines private and/or federal loans into one private loan.

What loans can I combine?

Private and/or federal loans.

No. Consolidation may lower your payments by extending the term of the loan, but your interest amount will increase.

Can I access federal loan protections, repayment options and rebate programs?

Will I pay one monthly bill?

find the latest

Federal Consolidation vs Private Consolidation

Federal loan consolidation is a government process. Private Consolidation, or student loan refinancegoes through private lenders.

To obtain a federal student loan consolidation, apply on the Federal Student Aid website. Only federal student loans are eligible for this option, and you qualify for this option if you qualify.

Private loan consolidation requires approval from a lender. Potential lenders will assess your eligibility and offer you a new loan with terms based on factors such as your credit history and debt-to-equity ratio.

Estimate how much refinancing could save you

When to consolidate instead of refinance

Consolidation has its advantages and disadvantages. The biggest advantage of consolidation over refinancing is retaining the benefits of federal loans. But consolidation may also be the best option in these cases:

  • You’re juggling multiple federal loans. If you took federal loans for more than a year in school, you may have to deal with multiple payments, interest rates, terms, and loan managers. Federal consolidation would give you a monthly bill to manage.

  • You are not eligible for a federal program. Most income-based repayment plans and loan forgiveness programs are for direct federal loans. If you have a loan from the Federal Family Education Loans Program, you can upgrade to a direct consolidation loan to access these options.

  • You want a new federal loan officer. The government will assign a company to service your federal student loans. If you don’t like the customer service he provides, you can change student loan officer by consolidating your federal loans.

When to refinance instead of consolidate

You already have private student loans. Most private lenders refinance federal and private loans. Federal loan refinancing requires caution, as you will lose benefits such as income-tested plans and loan forgiveness programs. Private loans do not have these options, which makes private credit consolidation a no-brainer if you can get a lower rate.

You are looking to save money. Federal loan consolidation will not reduce your interest rate. You will receive the weighted average the rates of the loans you combine. Private lenders will offer you an interest rate based on your financial profile. This could decrease your monthly payments and the amount you repay overall.

You want to change the owner of the loan. There is no way to change who is responsible for paying a federal loan. For example, you cannot consolidate your undergraduate loans with PLUS loans that your parents took out for you. Refinancing would allow you to take back these loans. It could also remove a co-signer from existing private loans.

Nursing home COVID cases quadruple as recall rates slow


The need for boosters

U.S. long-term care facilities, including nursing homes, assisted living facilities and other senior care facilities, have been ravaged by the pandemic, claiming more than 200,000 COVID-19 deaths among residents and staff. Institutions account for about one-fifth of all COVID-19 deaths in the United States, with more than 170,000 of those deaths attributed specifically to nursing homes.

The CDC began recommending boosters for residents of nursing homes last September because studies have shown that vaccination becomes less effective over time, especially for people 65 and older.

A recent CDC study of vaccination data from the nation’s 15,000 nursing homes found that an extra or booster dose of a COVID vaccine provided 47% greater protection against infection when the omicron was the dominant strain. Given that residents are at high risk of illness and death from COVID-19, efforts to maximize booster coverage among them “are essential,” the study concluded.

The CDC recommended recalls for nursing home workers in December of last year, amid the omicron wave. Studies have shown that boosters provide significantly better protection against omicron than simple vaccinations in the initial series.

Second booster shots have since been authorized for all people over 50 and many immunocompromised people, after data from Israel showed increased protection from a fourth dose against COVID infection and serious illnesses. CDC Director Rochelle Walensky, MD, said second boosters are “especially important” for people over 65 and those over 50 with chronic health conditions – both of which are strongly represented in the population. retirement homes.

Federal data on second booster shots in nursing homes is currently unavailable.

Vaccine hesitancy, confusion over booster eligibility and effectiveness, and pandemic fatigue are likely contributing to slow booster adoption, experts say. Additionally, while there was a federal program to quickly administer the first round of vaccinations to the nursing home population when they became available, the administration of boosters was left to individual facilities or health services. local or state health in some states.

Deerfield Valley event raises $9,000 for southwestern Vermont health care

Vermont Business Magazine Richard Caplan of Deerfield Valley Real Estate met with Southwestern Vermont Health Care (SVHC) President and CEO Thomas A. Dee, FACHE, to showcase proceeds from a fundraising event held on Saturday, March 5, 2022 at the Hermitage Club in Wilmington, VERMONT. The event was sponsored by Caplan and his wife Laurie of Deerfield Valley Real Estate and by Richard Messina, Founder, President and CEO of The Benchmark Company, a New York-based investment bank, and his wife and Pam Brocius.

“Hermitage and Messina club members and my guests have been so generous with their support during this event,” Caplan said. “We are proud of fundraising. It was a huge success.”

The event raised over $18,000, which was split between the Deerfield Valley Rescue Team and the health system. Funds donated to the health system will be used to support the renovation and expansion of the emergency department at Southwestern Vermont Medical Center.

“We are so grateful to community-minded business owners like the Caplans and Messinas for bringing their friends and neighbors together to support local health services,” Dee said. “Giving and the genuine enthusiasm that drives it furthers our mission of exceptional care and comfort for the people we serve.”

About SVHCs:
Southwestern Vermont Health Care (SVHC) is a preeminent, comprehensive health care system that provides exceptional, convenient, and affordable care to communities in Bennington and Windham counties in Vermont, east of Rensselaer and Washington counties in New York and north of Berkshire County in Massachusetts. The SVHC includes the Southwestern Vermont Medical Center (SVMC), the Southwestern Vermont Regional Cancer Center, the Centers for Living and Rehabilitation, and the SVHC Foundation. SVMC includes 25 primary and specialty care practices.

Southwest Vermont Health Care is one of the most popular small rural health systems in the country. He is the recipient of the American Hospital Association’s 2020 Rural Hospital Leadership Award. Additionally, SVMC was ranked fourth nationally for the value of care it provides by the Lown Institute Hospital Index in 2020 and has received five-time Magnet® recognition from the American Nurses Credentialing Center for l excellence in nursing. The healthcare system is fortunate to have the support of platinum-level corporate sponsor Mack, a leading provider of contract manufacturing services and plastic injection molded parts based in Arlington, VT.

BENNINGTON, VT—June 15, 2022—Southwestern Vermont Medical Center

Philadelphia nursing home to close by end of 2022

After nearly a century of operation, the city of Philadelphia plans to close its only retirement home by the end of this year, citing fewer residents, continued losses and the cost of millions of upgrades needed to installation of the Fairmount section of the city, officials said Tuesday.

“While I am sad to see the Philadelphia nursing home close, the financial realities of long-term care and the impact of the pandemic mean it is simply not possible to continue operating such a large facility. with so many empty beds,” said Cheryl Bettigole, health commissioner for the Philadelphia Department of Public Health.

READ MORE: Pennsylvania nursing home buyers would face more scrutiny under state health proposal

The city’s decision will add to a list of 14 Pennsylvania nursing homes that have closed since the coronavirus pandemic devastated the industry killing scores of residents, leading to greater pressure to keep people away from facilities and increase costs for operators.

It also means that sick and vulnerable residents will have to find new accommodation. Openings at many nursing homes will make it easier to place residents in other facilities than in the past, officials said.

Some of the approximately 260 residents are expected to be sent home, with the help of home and community services. The city said no residents will be moved without a safe discharge or transfer plan. The city’s goal is to free all residents by October 28.

READ MORE: From 2014: Critics renew push to shut down Philadelphia nursing home

At the end of May, only 65% ​​of the Philadelphia Nursing Home’s 402 beds were occupied, compared to more than 90% in 2018. This projected loss at the nursing home for the year ending June 30 is $5.7 million, have said city officials. The nursing home employs 277 people, according to a spokesperson for a non-profit company, Fairmount Long Term Care, which has run the facility since 1994.

Medicaid, which pays relatively low rates, covers nearly all residents of the nursing home.

Among the investments needed for the nursing home are a $2.6 million boiler for heating and $4 million for a campus-wide generator, the city said. The state of Pennsylvania owns the facility, which was built in 1930, according to city records, and leases it from the city for $1 a year. The city has paid Fairmount to run it since 1994.

The city has budgeted $520,000 for Fairmount’s running costs in fiscal year 2022, said James Garrow, spokesman for the city’s health department, which oversees the retirement home. The city also provides a $3.2 million annual grant to the nursing home as part of its contract with Fairmount, he said.

It’s hard to get a clear view of the facility’s overall finances from the Medicaid cost reports that Fairmount files with the state, because the city keeps some of the revenue that the state provides to the house. retirement, according to a Fairmount spokesperson.

“We are saddened by the news of the Philadelphia retirement home closing, although we understand that given the declining census, the city’s decision was likely inevitable,” Fairmount said. “Our priority remains our residents to ensure they continue to receive the high quality care they receive from us and to ensure they are transferred to other facilities or community services.”

» READ MORE: After COVID-19, nursing homes need long-term care

The city said it hopes employees can easily find jobs at other health care facilities, given widespread labor shortages,

The Pennsylvania Department of Health received the city’s shutdown notice last week and is reviewing the plan.

The closure will add to a growing number of Pennsylvania nursing homes that have closed since the start of the coronavirus pandemic, which has killed thousands of Pennsylvania nursing home residents and made more and more harder for nursing home operators to make ends meet due to rising labor costs and other expenses.

Fourteen Pennsylvania nursing homes have closed since April 2020, including Fox Subacute in Warrington last month according to the Pennsylvania Department of Health. Other closed Philadelphia-area facilities are PowerBack Rehabilitation in Phoenixville and Wellington Court Nursing & Rehab in West Chester, the department said.

Accushield’s love meter tackles isolation in seniors’ residences and skilled nursing facilities


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ATLANTA, June 14, 2022 (GLOBE NEWSWIRE) — For the past nine years, Accushield has been an innovative leader in digital connection. Additionally, they have developed a healthcare visitor management system designed by executive directors to help senior living communities, nursing homes and hospitals detect who is in their building. For example, a case study done at Celebration Village in Acworth, Georgia, an AgeWell living community, used the Accushield Love Meter to measure each resident’s visitation data as it correlated with isolation and loneliness.

Isolation is one of the most pressing issues facing seniors today. According to AARP, more than a third of Americans over 45 report feeling lonely or isolated on a regular basis (Anderson & Thayer, 2018). What is even more surprising is that this number increases in the older population, with the most common predictors of loneliness being their social network, physical isolation, age, depression, urbanity, anxiety and overall health (Anderson & Thayer, 2018). Accushield aims to identify and address the need for preventative health care in seniors’ communities. With more and more seniors suffering from chronic loneliness, this new technology provides community managers with the tools to identify the problem at the source.

For Celebration Village in Acworth, Georgia, the Love Meter plays a vital role in the community’s Masterpiece Living program.

“The Accushield Love Meter is a powerful tool that combats isolation in Celebration Village, Acworth. It promotes social, intellectual and spiritual growth within our community, as part of the Masterpiece Living philosophy. The Love Meter feature prevents the isolation and loneliness of residents by having easy access to reports that illustrate who is receiving visitors and who is not.” — Keith Magnan, Vice President of Operations, AgeWell Living.

Accushield created Love Meter technology to help providers track social isolation using data and analytics. Designed to raise awareness of isolation levels at the facility level, the Love Meter provides facility managers with real-time insight into how members of their community are connected and where they might need more support. Tracking this data makes it easy to determine the quality of interactions between caregivers and residents of senior living facilities and to prioritize the reduction of loneliness as a key preventative health issue for seniors.

The Love Meter is a data point pulled from the community’s visitor history that allows you to see the least visited residents of the building.

“Isolation and depression go hand in hand,” says Charles Mann, co-founder and CSO of Accushield. “Thus, understanding who the less-visited residents are can improve the overall health of the community and prevent disgruntled residents from leaving.”

Benefits of using Accushield’s Love Meter technology include:

  • Identify less visited residents
  • Prevent isolation and loneliness
  • Automate Visitor History Reporting

To learn more, visit https://www.accushield.com/.

###

About Accushield

Since 2013, Accushield has been the innovative leader in connecting and medical screening solutions for staff, visitors, residents and third-party caregivers. The Accushield solution was designed by executive directors to help senior living communities, nursing homes and hospitals know who is in their buildings, enabling the creation of a safer and healthier environment. Accushield’s tablet-based kiosk replaces manual paper logbooks with a streamlined login and medical screening process for all visitors, staff, third-party caregivers and residents entering and exiting the building. To learn more, visit: https://www.accushield.com

Anderson, G. Oscar and Colette E. Thayer. Loneliness and social ties: a national survey of adults aged 45 and over. Washington, DC: AARP Research, September 2018. https://doi.org/10.26419/res.00246.001

Media ContactSavannah Muir [email protected]

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Women in healthcare are struggling

This post was co-authored by Jena Doom, Ph.D., and Greta Hoffman, BA

The COVID-19 pandemic has increased rates of anxiety and depression around the world. In the first nine months of the pandemic, rates of depression and anxiety among Americans were six times higher than they were in 2019 (Coley & Baum, 2021). From the start, healthcare workers (eg, doctors, nurses, community health workers) have been on the front lines of this pandemic, bearing physical and psychological burdens. Many studies have reported that healthcare workers are at higher risk for burnout, mental exhaustion, insomnia, anxiety, depression, and PTSD symptoms (e.g., Talevi et al., 2020 ).

Healthcare workers who work directly with COVID-19 patients not only have a greater risk of exposure to the virus, but are also more likely to experience psychological distress due to witnessing repeated deaths and patients with serious illnesses. They must comfort patients when their families are not allowed to visit them. Additionally, some healthcare workers have chosen to leave their homes to protect their families, removing them from their own support system. These negative experiences often impact men and women differently.

Female healthcare worker in distress

Source: Cedric Fauntleroy/Pexels

Women make up nearly 70% of the health care sector, and research shows that health care workers who are women are at greater risk of mental health issues during the COVID-19 pandemic than men (Wenham et al. al., 2021; López-Atanes et al., 2021). A study looking at the mental health of Italian healthcare workers during the COVID-19 pandemic found that women had greater symptoms of depression and PTSD than men (Di Tella et al., 2020). A similar study in Spain found that female healthcare workers were at higher risk of psychological distress than their male counterparts (López-Atanes et al., 2021). In Wuhan, China, researchers found that female healthcare workers were more anxious than their male counterparts (Liu et al., 2021).

Specific challenges for female health workers

Many factors may contribute to the higher rates of mental health problems among female health care workers. Female healthcare workers have more difficulty accessing personal protective equipment (PPE), and the PPE available is tailored to the male body. This ill-fitting equipment may also increase the risk of exposure to COVID-19 among female healthcare workers (Hoernke et al., 2021).

Additionally, pregnant or breastfeeding healthcare workers are, in many cases, not receiving the additional PPE and resources they need in a hospital during a pandemic. For example, some pregnant healthcare workers have had to continue to see patients directly despite the increased risk of complications from COVID-19, and many nursing rooms have not been cleaned regularly or properly during the pandemic ( Wenham et al., 2021).

Psychiatric history is a risk factor for experiencing greater psychological distress due to the pandemic, which is concerning for women given high rates of basic mental health conditions. One of the reasons that a history of mental illness may be a risk factor is that healthcare workers may not receive adequate mental health support, even after experiencing mental health issues in the past. .

A study in Brazil highlighted how racial inequality contributed to greater psychological distress among female healthcare workers. In this study, black women reported having less access to PPE and training, as well as experiencing more workplace harassment compared to white women (Wenham et al., 2021). Additionally, racist and xenophobic violence against Asian Americans has increased during the pandemic, creating a greater threat to the safety of Asian American women who were healthcare workers (Gover, 2020). Women are also more likely to experience the economic impacts of COVID-19 (Wenham et al., 2020).

At the start of the pandemic, during stay-at-home orders, gender-based violence escalated (Dlamini, 2021). Calls to domestic violence hotlines increased by 27% in Brazil in 2020 (Bastos et al., 2020). These poor home environments can contribute to mental health issues among female health care workers.

The gender pay gap in health care can also threaten mental health. When women are paid less than their male counterparts, they are much more likely to suffer from depression or anxiety (Platt et al., 2016). Female healthcare workers are also more likely to experience negative side effects due to more irregular work schedules compared to their male counterparts, which can lead to higher levels of burnout and more mental stress. physical and professional.

Women are also underrepresented in leadership positions in national and global healthcare organizations, despite making up the majority of the healthcare industry. This lack of representation may lead leaders to ignore how the pandemic affects men and women differently in public health policy decision-making (Leung et al., 2020).

Potential policy and public health solutions

Policy makers and public health officials would benefit from viewing the COVID-19 pandemic through a gender lens to understand how the disease affects individuals differently. This gender lens could help reveal greater gender inequalities in order to identify the most effective policy and public health responses. With women making up the majority of the health care sector, it is important to focus research on their experiences in order to reduce the growing mental health problems among female health care workers. By first recognizing that women are more likely to experience psychological distress from the COVID-19 pandemic than men, additional mental health resources and other targeted interventions can be provided to these healthcare workers. .

There is no simple solution to address gender inequalities in health care. However, we can take some steps to improve the experience and mental health of female healthcare workers during the pandemic:

  1. Have regular training on gender sensitivity and biases focused on the health care environment.
  2. Provide sufficient mental health resources accessible to all health care workers, with specific resources for women.
  3. Provide resources for victims and survivors of domestic violence.
  4. Provide female-friendly PPE and provide additional support for pregnant and breastfeeding healthcare workers.
  5. Reduce the gender pay gap in health care by increasing pay transparency and implementing equitable scheduling practices.
  6. Increase women’s leadership in the healthcare and public health communities.

Selkirk College Acquires Trail Campus, Prep Nursing Course – Boundary Creek Times

After renting the Kootenay Boundary Regional District’s Trail Campus for more than 25 years, Selkirk College acquired the downtown landmark for $1.

The deal to make the Helena Street building a permanent Selkirk College campus was released on Friday, with the province announcing a $1 million investment to upgrade technology and classrooms to increase the access to a growing range of course offerings.

“This donation, and the community spirit behind it, will ensure that Selkirk College remains a permanent local fixture as the new owners and trustees of the Greater Trail Community Center,” said Linda Worley, regional council chair, in Friday’s press release. “Together, we can attract more investment and build a stronger, well-educated workforce equipped for the future, while positively affecting the lives of students and visitors for many years to come.

“This is exactly what Trail and the region needs and wants.”

Buying the building also means the college will be able to make better use of the space between the Trail and Castlegar campuses, relieving pressure on the growing locality of Castlegar.

“The Town of Trail and the many other surrounding communities in Lower Columbia place great importance on local and accessible post-secondary education,” said Maggie Matear, incoming president of Selkirk College. “The number of students and the delivery of programs and services on the Trail campus are increasing,” she added. “We are thrilled to have the opportunity to continue to build on the success of the Trail campus and to work with the other long-time tenants to develop courses and programs that will enhance the educational landscape in the heart of this wonderful city. »

Matear was referring to the college adding other training opportunities to the Trail campus, such as the licensed practical nurse (LPN) program. New courses will complement existing programming that includes academic upgrading and development, continuing education and workforce development, digital manufacturing and design, healthcare assistance and others.

Additionally, the campus will also support student collaboration on advanced manufacturing and applied materials research at the Selkirk College Technology Access Center, located on Highway Drive in Glenmerry.

This new owner will have no impact on the day-to-day operations of the building’s tenants such as the VISAC Gallery. The college notes that tenants are very important to the community and very important to Selkirk College.

On behalf of the city, Trail Mayor Lisa Pasin congratulated Selkirk College on acquiring the Trail campus.

“We are thrilled to have a revitalized Learning Center at the Trail Center, including enhanced educational programming,” Pasin said. “Selkirk’s educational presence in the area will be strengthened and the city’s downtown will continue to be revitalized with more students and families coming to Trail. We thank Selkirk for their commitment to Trail’s future of post-secondary education and economic growth.

Greater Trail Community Arts Center.

History of the building

The building was constructed in 1923 as Trail Technical School and significantly remodeled and expanded in 1939 to become Trail Junior High School which closed in 1983. The structure sat vacant for three years because it did not meet not up to fire or other building code standards of the time and needed major renovations to be safe for public use.

The Regional District began a study in 1985 to determine the feasibility of renovating the facility, and the following year began a $3 million renovation project that resulted in the Greater Trail Community Center opening in 1988.

Since then, the Regional District has operated the center to serve the communities of Fruitvale, Montrose, Zone A, Trail, Warfield, Rossland and Zone B-Lower Columbia Old Glory. The building currently houses Selkirk College’s Trail Campus, VISAC Gallery, Trail Gymnastics Club, Regional Emergency Operations Center, Arts Council, and Bailey Theater.


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City of TrailCollegeKootenay Boundary Regional DistrictPost-Secondary Education

Selkirk College Acquires Trail Campus, Prep Nursing Course

After renting the Kootenay Boundary Regional District’s Trail Campus for more than 25 years, Selkirk College acquired the downtown landmark for $1.

The agreement to make the Helena Street building a permanent Selkirk College campus was released Friday, with the province announcing a $1 million investment to upgrade technology and classrooms to increase the access to a growing range of course offerings.

“This donation, and the community spirit behind it, will ensure that Selkirk College remains a permanent local fixture as the new owners and trustees of the Greater Trail Community Center,” Linda Worley, regional council chair, said in Friday’s press release. “Together, we can attract more investment and build a stronger, well-educated workforce equipped for the future, while positively affecting the lives of students and visitors for many years to come.

“This is exactly what Trail and the region needs and wants.”

Selkirk College acquired the Greater Trail Community and Arts Center for $1 from the Regional District of Kootenay Boundary, making the Trail campus a permanent location. Photo: Times file

Buying the building also means the college will be able to make better use of the space between the Trail and Castlegar campuses, relieving pressure on the growing locality of Castlegar.

“The Town of Trail and the many other surrounding communities in Lower Columbia place great importance on local and accessible post-secondary education,” said Maggie Matear, incoming president of Selkirk College. “The number of students and the delivery of programs and services at Trail Campus are growing,” she added. “We are thrilled to have the opportunity to continue to build on the success of the Trail Campus, working with the other long-term tenants to develop courses and programs that will enhance the educational landscape in the heart of this wonderful city.”

Matear was referring to the college adding other training opportunities to the Trail campus, such as the licensed practical nurse (LPN) program. New courses will complement existing programming that includes academic upgrading and development, continuing education and workforce development, digital manufacturing and design, healthcare assistance and others.

Additionally, the campus will also support student collaboration on advanced manufacturing and applied materials research at the Selkirk College Technology Access Center, located on Highway Drive in Glenmerry.

This new owner will have no impact on the day-to-day operations of the building’s tenants such as the VISAC Gallery. The college notes that tenants are very important to the community and very important to Selkirk College.

On behalf of the city, Trail Mayor Lisa Pasin congratulated Selkirk College on acquiring the Trail campus.

“We are thrilled to have a revitalized Learning Center at the Trail Center, including enhanced educational programming,” Pasin said. “Selkirk’s educational presence in the area will be strengthened and the city’s downtown will continue to be revitalized with more students and families coming to Trail. We thank Selkirk for their commitment to Trail’s future of post-secondary education and economic growth.

The building houses Selkirk College's Trail Campus, the VISAC Gallery, the Bailey Theater (formerly known as the Charles Bailey Theatre) which includes the Muriel Griffiths Hall, the Trail Gymnastics Club, the Trail and District Arts Council and the Regional Center emergency operations.  Photo: Times file

The building houses Selkirk College’s Trail Campus, the VISAC Gallery, the Bailey Theater (formerly known as the Charles Bailey Theatre) which includes the Muriel Griffiths Hall, the Trail Gymnastics Club, the Trail and District Arts Council and the Regional Center emergency operations. Photo: Times file

History of the building

The building was constructed in 1923 as Trail Technical School and significantly remodeled and expanded in 1939 to become Trail Junior High School which closed in 1983.

The building sat vacant for three years because it did not meet fire or other building code standards at the time and needed major renovations to be safe for public use.

The Regional District began a study in 1985 to determine the feasibility of renovating the facility, and the following year began a $3 million renovation project that resulted in the Greater Trail Community Center opening in 1988.

Since then, the Regional District has operated the center to serve the communities of Fruitvale, Montrose, Zone A, Trail, Warfield, Rossland and Zone B-Lower Columbia Old Glory. The building currently houses Selkirk College’s Trail Campus, VISAC Gallery, Trail Gymnastics Club, Regional Emergency Operations Center, Arts Council, and Bailey Theater.


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City of TrailCollegeKootenay Boundary Regional DistrictPost-Secondary Education

Selkirk College Acquires Campus Trail, Prep Nursing Course

After renting the Kootenay Boundary Regional District’s Trail Campus for more than 25 years, Selkirk College acquired the downtown landmark for $1.

The deal to make the Helena Street building a permanent Selkirk College campus was released on Friday, with the province announcing a $1 million investment to upgrade technology and classrooms to increase the access to a growing range of course offerings.

“This donation, and the community spirit behind it, will ensure that Selkirk College remains a permanent local fixture as the new owners and trustees of the Greater Trail Community Center,” said Linda Worley, regional council chair, in Friday’s press release. “Together, we can attract more investment and build a stronger, well-educated workforce equipped for the future, while positively affecting the lives of students and visitors for many years to come.

“This is exactly what Trail and the region needs and wants.”

Buying the building also means the college will be able to make better use of the space between the Trail and Castlegar campuses, relieving pressure on the growing locality of Castlegar.

“The Town of Trail and the many other surrounding communities in Lower Columbia place great importance on local and accessible post-secondary education,” said Maggie Matear, incoming president of Selkirk College. “The number of students and the delivery of programs and services on the Trail campus are increasing,” she added. “We are thrilled to have the opportunity to continue to build on the success of the Trail campus and to work with the other long-time tenants to develop courses and programs that will enhance the educational landscape in the heart of this wonderful city. »

Matear was referring to the college adding other training opportunities to the Trail campus, such as the licensed practical nurse (LPN) program. New courses will complement existing programming that includes academic upgrading and development, continuing education and workforce development, digital manufacturing and design, healthcare assistance and others.

Additionally, the campus will also support student collaboration on advanced manufacturing and applied materials research at the Selkirk College Technology Access Center, located on Highway Drive in Glenmerry.

This new owner will have no impact on the day-to-day operations of the building’s tenants such as the VISAC Gallery. The college notes that tenants are very important to the community and very important to Selkirk College.

On behalf of the city, Trail Mayor Lisa Pasin congratulated Selkirk College on acquiring the Trail campus.

“We are thrilled to have a revitalized Learning Center at the Trail Center, including enhanced educational programming,” Pasin said. “Selkirk’s educational presence in the area will be strengthened and the city’s downtown will continue to be revitalized with more students and families coming to Trail. We thank Selkirk for their commitment to Trail’s future of post-secondary education and economic growth.

Greater Trail Community Arts Center.

History of the building

The building was constructed in 1923 as Trail Technical School and significantly remodeled and expanded in 1939 to become Trail Junior High School which closed in 1983. The structure sat vacant for three years because it did not meet not up to fire or other building code standards of the time and needed major renovations to be safe for public use.

The Regional District began a study in 1985 to determine the feasibility of renovating the facility, and the following year began a $3 million renovation project that resulted in the Greater Trail Community Center opening in 1988.

Since then, the Regional District has operated the center to serve the communities of Fruitvale, Montrose, Zone A, Trail, Warfield, Rossland and Zone B-Lower Columbia Old Glory. The building currently houses Selkirk College’s Trail Campus, VISAC Gallery, Trail Gymnastics Club, Regional Emergency Operations Center, Arts Council, and Bailey Theater.


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City of TrailCollegeKootenay Boundary Regional DistrictPost-Secondary Education

Selkirk College Acquires Ongoing Nursing Course Trail Campus – Kimberley Daily Bulletin

After renting the Kootenay Boundary Regional District’s Trail campus for more than 25 years, Selkirk College acquired the downtown landmark for $1.

The agreement to make the Helena Street building a permanent Selkirk College campus was released Friday, with the province announcing a $1 million investment to upgrade technology and classrooms to increase the access to a growing range of course offerings.

“This donation, and the community spirit behind it, will ensure that Selkirk College remains a permanent local fixture as the new owners and trustees of the Greater Trail Community Center,” said Linda Worley, regional council chair, in Friday’s press release. “Together, we can attract more investment and build a stronger, well-educated workforce equipped for the future, while positively affecting the lives of students and visitors for many years to come.

“This is exactly what Trail and the region needs and wants.”

Selkirk College acquired the Greater Trail Community and Arts Center for $1 from the Regional District of Kootenay Boundary, making the Trail campus a permanent location. Photo: Times file

Buying the building also means the college will be able to make better use of the space between the Trail and Castlegar campuses, relieving pressure on the growing locality of Castlegar.

“The Town of Trail and the many other surrounding communities in Lower Columbia place great importance on local and accessible post-secondary education,” said Maggie Matear, incoming president of Selkirk College. “The number of students and the delivery of programs and services at Trail Campus are growing,” she added. “We are thrilled to have the opportunity to continue to build on the success of the Trail Campus, working with the other long-term tenants to develop courses and programs that will enhance the educational landscape in the heart of this wonderful city.”

Matear was referring to the college adding other training opportunities to the Trail campus, such as the licensed practical nurse (LPN) program. New courses will complement existing programming that includes academic upgrading and development, continuing education and workforce development, digital manufacturing and design, healthcare assistance and others.

Additionally, the campus will also support student collaboration on advanced manufacturing and applied materials research at the Selkirk College Technology Access Center, located on Highway Drive in Glenmerry.

This new owner will have no impact on the day-to-day operations of the building’s tenants such as the VISAC Gallery. The college notes that tenants are very important to the community and very important to Selkirk College.

On behalf of the city, Trail Mayor Lisa Pasin congratulated Selkirk College on acquiring the Trail campus.

“We are thrilled to have a revitalized Learning Center at the Trail Center, including enhanced educational programming,” Pasin said. “Selkirk’s educational presence in the area will be strengthened and the city’s downtown will continue to be revitalized with more students and families coming to Trail. We thank Selkirk for her commitment to Trail’s future of post-secondary education and economic growth.

The building houses Selkirk College's Trail Campus, the VISAC Gallery, the Bailey Theater (formerly known as the Charles Bailey Theatre) which includes the Muriel Griffiths Hall, the Trail Gymnastics Club, the Trail and District Arts Council and the Regional Center emergency operations.  Photo: Times file

The building houses Selkirk College’s Trail Campus, the VISAC Gallery, the Bailey Theater (formerly known as the Charles Bailey Theatre) which includes the Muriel Griffiths Hall, the Trail Gymnastics Club, the Trail and District Arts Council and the Regional Center emergency operations. Photo: Times file

History of the building

The building was constructed in 1923 as Trail Technical School and significantly remodeled and expanded in 1939 to become Trail Junior High School which closed in 1983.

The building sat vacant for three years because it did not meet fire or other building code standards at the time and needed major renovations to be safe for public use.

The Regional District began a study in 1985 to determine the feasibility of renovating the facility, and the following year began a $3 million renovation project that resulted in the Greater Trail Community Center opening in 1988.

Since then, the Regional District has operated the center to serve the communities of Fruitvale, Montrose, Zone A, Trail, Warfield, Rossland and Zone B-Lower Columbia Old Glory. The building currently houses Selkirk College’s Trail Campus, VISAC Gallery, Trail Gymnastics Club, Regional Emergency Operations Center, Arts Council, and Bailey Theater.


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City of TrailCollegeKootenay Boundary Regional DistrictPost-Secondary Education

Selkirk College Acquires Trail Campus, Prep Nursing Course – Castlegar News

After renting the Kootenay Boundary Regional District’s Trail Campus for more than 25 years, Selkirk College acquired the downtown landmark for $1.

The deal to make the Helena Street building a permanent Selkirk College campus was released on Friday, with the province announcing a $1 million investment to upgrade technology and classrooms to increase the access to a growing range of course offerings.

“This donation, and the community spirit behind it, will ensure that Selkirk College remains a permanent local fixture as the new owners and trustees of the Greater Trail Community Center,” said Linda Worley, regional council chair, in Friday’s press release. “Together, we can attract more investment and build a stronger, well-educated workforce equipped for the future, while positively affecting the lives of students and visitors for many years to come.

“This is exactly what Trail and the region needs and wants.”

Buying the building also means the college will be able to make better use of the space between the Trail and Castlegar campuses, relieving pressure on the growing locality of Castlegar.

“The Town of Trail and the many other surrounding communities in Lower Columbia place great importance on local and accessible post-secondary education,” said Maggie Matear, incoming president of Selkirk College. “The number of students and the delivery of programs and services on the Trail campus are increasing,” she added. “We are thrilled to have the opportunity to continue to build on the success of the Trail campus and to work with the other long-time tenants to develop courses and programs that will enhance the educational landscape in the heart of this wonderful city. »

Matear was referring to the college adding other training opportunities to the Trail campus, such as the licensed practical nurse (LPN) program. New courses will complement existing programming that includes academic upgrading and development, continuing education and workforce development, digital manufacturing and design, healthcare assistance and others.

Additionally, the campus will also support student collaboration on advanced manufacturing and applied materials research at the Selkirk College Technology Access Center, located on Highway Drive in Glenmerry.

This new owner will have no impact on the day-to-day operations of the building’s tenants such as the VISAC Gallery. The college notes that tenants are very important to the community and very important to Selkirk College.

On behalf of the city, Trail Mayor Lisa Pasin congratulated Selkirk College on acquiring the Trail campus.

“We are thrilled to have a revitalized Learning Center at the Trail Center, including enhanced educational programming,” Pasin said. “Selkirk’s educational presence in the area will be strengthened and the city’s downtown will continue to be revitalized with more students and families coming to Trail. We thank Selkirk for her commitment to Trail’s future of post-secondary education and economic growth.

Greater Trail Community Arts Center.

History of the building

The building was constructed in 1923 as Trail Technical School and significantly remodeled and expanded in 1939 to become Trail Junior High School which closed in 1983. The structure sat vacant for three years because it did not meet not up to fire or other building code standards of the time and needed major renovations to be safe for public use.

The Regional District began a study in 1985 to determine the feasibility of renovating the facility, and the following year began a $3 million renovation project that resulted in the Greater Trail Community Center opening in 1988.

Since then, the Regional District has operated the center to serve the communities of Fruitvale, Montrose, Zone A, Trail, Warfield, Rossland and Zone B-Lower Columbia Old Glory. The building currently houses Selkirk College’s Trail Campus, VISAC Gallery, Trail Gymnastics Club, Regional Emergency Operations Center, Arts Council, and Bailey Theater.


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City of TrailCollegeKootenay Boundary Regional DistrictPost-Secondary Education

Medicaid weighs tying strings to nursing home payments to improve patient care

The Biden administration plans to require the nation’s 15,500 nursing homes to spend most of their Medicaid payments on direct resident care and limit the amount used for operations, maintenance and capital improvements or diverted to profits.

If passed, it would be the first time the federal government has insisted that nursing homes spend the majority of Medicaid dollars on resident care.

The strategy, which has yet to be formally proposed, is among several measures officials are considering after the covid-19 pandemic hit vulnerable nursing home residents particularly hard. In the first 12 months of the pandemic, at least 34% of those killed by the virus lived in nursing homes and other long-term care facilities, although residents of these facilities make up less than 1% of the American population.

Medicaid, the federal state health insurance program for low-income people, pays the bills for 62% of long-term care residents in nursing homes. In 2019, that totaled $50.8 billion. Medicare, which covers short-term nursing home visits for the elderly or disabled, spent $38.2 billion that year. (Officials did not include Medicare payments in their discussions of a direct care spending mandate.)

“The absolutely essential ingredient” for good care is enough staff, Dan Tsai, deputy administrator of the Centers for Medicare & Medicaid Services and director of Medicaid, told KHN.

CMS has sought public comment on a possible direct care spending mandate in its proposed policy update and care home payment rates for next year. Tsai also spoke about it during a meeting with Illinois state officials, nursing home workers, residents and loved ones in Chicago in April.

Studies have found a strong link between staffing levels and care. CMS does not require a specific number of nurses and other staff, although some states do.

“We want to make sure the dollars get to the direct care staff to ensure high-quality care,” Tsai told KHN.

To receive a government paycheck, nursing homes must meet dozens of requirements aimed at ensuring high-quality care. They can be penalized in the event of an infraction. But federal investigations have found that inspectors can miss serious issues and that inspections don’t consistently meet CMS standards. One of the most common breaches was infection control.

In its request for public comment, CMS posed several questions, including: “Is there evidence that resources that could be spent on staffing are instead being used for expenditures that are not necessary for the quality patient care?

The federal interest follows laws enacted in three states – Massachusetts, New Jersey and New York – to tax care expenditures. Massachusetts requires nursing homes to spend at least 75% of their income on resident care. New Jersey nursing homes must spend at least 90% of Medicaid payments on resident care, and no more than 5% can go to profits. New York requires that at least 70% of nursing home revenues — including Medicaid, Medicare and private insurance payments — be used to care for residents and that at least 40% of money for care direct pay for staff “in contact with residents” . Profits are capped at 5%. The three states promise increased Medicaid payments to facilities that comply with the laws.

In April, the National Academies of Sciences, Engineering and Medicine endorsed the out-of-pocket spending strategy in a report on improving nursing care in homes.

“When you take public funds, those dollars should be put back into direct care,” said David Grabowski, a professor of health care policy at Harvard Medical School and a member of the committee that wrote the report. “We expect the nursing home to make the best judgment about the right kind of labour, material and capital expenditure to really produce the highest level of quality, but that just doesn’t matter. not been the case. This recommendation is therefore really an opportunity to put safeguards in place.

National nursing home industry groups oppose the demands, which come at a difficult time as many facilities face staffing shortages. In New York, two trade associations and about half of the state’s homes have filed two lawsuits to block the state spending directive.

Staffing is already “the No. 1 expense” for nursing homes, said Stephen Hanse, president and CEO of the New York State Health Facilities Association, which represents 350 nursing homes and has led one of the suits. “We are a hands-on industry.”

The 239 nursing homes that joined the association’s lawsuit say that if New York’s law had been in effect in 2019, facilities would have been forced to provide residents with an additional $824 million in direct care or return this amount to the State.

Hanse objects to the state telling nursing home administrators how to do their job. “You can have an amazing diet program, for example, and this law would require you to lay off diet workers and hire front-line workers to meet staffing needs,” he said.

The groups filing the lawsuits argue that forcing landlords to spend more money on direct care leaves less money for maintaining their facilities and the quality of care will suffer. They also claim that Medicaid does not cover resident care costs. Resident advocates say facilities can hide their profits by overpaying related businesses they own, such as laundry or catering businesses.

Although a spending mandate is new for nursing homes in the three states, it has become routine for health insurers nationwide. Under the “medical loss rate” provision of the Affordable Care Act, health insurance companies must spend at least 80% of premiums on the medical care of beneficiaries. A maximum of 20% can be spent on administrative costs, executive salaries, advertising and profits. Companies that exceed the cap must reimburse the difference to the beneficiaries.

In addition to a direct care spending mandate, Tsai said CMS is interested in a slightly different approach underway in Illinois, which made changes to nursing home regulations this year. His Nursing Home Tariff Reform Act increases Medicaid funding and then requires each home to hire at least 70% of the staff that state analysis shows residents need. The state then uses payroll and other data to verify that the establishment has complied. Otherwise, the difference will be deducted from his next payment.

“There are states across the country that are trying a range of approaches to ensure that system dollars from nursing facility reimbursement rates are actually – in one way or another – affected. sufficient and high-quality staff,” Tsai said. “That’s our primary goal.”

KHN (Kaiser Health News) is a national newsroom that produces in-depth journalism on health issues. Along with policy analysis and polls, KHN is one of the three main operating programs of the KFF (Kaiser Family Foundation). KFF is an endowed non-profit organization providing information on health issues to the nation.

Subscribe to KHN’s free morning briefing.

COVID cases rise again at LA County Skilled Nursing Facilities –

Photo by Ömer Yıldız on Unsplash

With high transmission rates in Los Angeles County, positive cases and outbreaks are increasing in skilled nursing facilities, the public health department reported Friday, June 10.

For the week ending May 29, skilled nursing facilities reported 114 new cases among residents and 205 new cases among staff.

This represents a 443% and 439% increase in new cases, respectively, from a month ago, when there were 21 new cases among residents and 38 new cases among staff for the week ending on April 23.

Additionally, the number of outbreaks per week in skilled nursing facilities has risen sharply over the past week to 40 new outbreaks in the seven days ending June 7, bringing the early warning signal back to a high level.

Public Health works closely with skilled nursing facilities to respond to and mitigate outbreaks. As a reminder, an outbreak is declared in a nursing facility when there is a resident case. Skilled nursing facilities continue to maintain enhanced protective measures, including indoor masking and testing requirements for residents, staff and visitors; appropriately isolate and quarantine residents; and limiting communal meals and group activities that cannot take place outdoors.

High levels of vaccination and booster coverage among NFS help provide lifesaving protection. As of May 29, 91% of nursing home residents were fully vaccinated and 79% fully vaccinated and boosted with the first booster dose. Among eligible personnel, vaccination rates are also very high with 98% fully vaccinated and 89% fully vaccinated and boosted.

However, although the data is incomplete, it appears that far fewer SNF residents and staff received a second booster; data to date indicates that second booster doses have been given to only 22% of eligible residents and 7% of staff.

In order to ensure that eligible nursing home residents and staff quickly receive second booster doses, Public Health continues to verify that qualified LA County nursing facilities are able to offer second doses. through their relationship with a long-term care pharmacy or through Public Health mobile teams. Skilled nursing facilities that require a mobile vaccination team can inquire by completing the COVID-19 Vaccination Special Requests for Healthcare Facilities request form. Skilled nursing facilities with active outbreaks will be scheduled for a mobile team clinic.

“I send my deepest condolences and wishes for peace and comfort to the many families who have lost loved ones to COVID-19,” said Barbara Ferrer, PhD, MPH, MEd, Director of Public Health. “This sharp increase in cases and outbreaks in NFS reflects the increase in transmission in the wider community. When we strongly recommend universal COVID precautions, one reason is that we all have a collective opportunity to protect the most vulnerable in our community, including nursing home residents. Although hard-working staff can and do take additional steps to prevent transmission in these facilities, if transmission rates are high in the surrounding community, it increases the likelihood of residents and staff being exposed to infected people. . When we mask and take other protective measures during times of increased COVID cases, we reduce the spread and thereby take steps to protect all of our residents, including the most vulnerable in our nursing homes.

On Friday, Public Health reported eight additional deaths and 6,202 new positive cases. Of the eight new deaths reported today, one person was between the ages of 18 and 29, one person was between the ages of 50 and 64, two people were between the ages of 65 and 79 and four people were aged 80 or over. . Of the eight newly reported deaths, six had underlying health conditions. To date, the total number of deaths in LA County is 32,201.

Public Health has reported a total of 3,025,694 positive cases of COVID-19 across all regions of LA County. The current positivity rate is 5.0%.

There are 616 people with COVID-19 currently hospitalized. Test results are available for more than 12,072,695 people, including 22% of those who tested positive. (AJPress)

[Weekender] Metaverse technologies bring healthcare to the door

Virtual reality, artificial intelligence enable better access to diagnostics and medical education

People play immersive games with virtual reality sensory headsets inside Lucy Bus. (Looxid Laboratories)

South Korea’s healthcare sector is breaking down physical barriers with the rise of the metaverse and its core technologies – virtual reality and artificial intelligence.

As the COVID-19 pandemic has limited most offline interactions over the past two years, metaverse technologies that ultimately envision a shared virtual space where people can interact with each other and perform realistic activities and tasks have been put forward.

Unlike the traditional healthcare industry that requires physical contact or human-to-human exchange, healthcare startups inspired by cutting-edge technologies are expanding diagnostic fields.

Local startup Looxid Labs has developed Lucy, a medical assessment and training system that uses AI and virtual reality technologies to detect early signs of cognitive disorders, such as dementia and Alzheimer’s disease.

Since October, the company has operated a mobile diagnostic center called Lucy Bus that can visit elderly people to test their cognitive abilities. By using a sensory VR headset to play immersive cognitive games, the headset can measure their working memory, attention level, and spatial perception by examining their behavioral and neurophysiological responses such as brain waves.

The VR sensory headset also offers a training mode that can help prevent cognitive impairment in the elderly.

Lucy Bus (Looxid Laboratories)

“Lucy is mainly used for people aged 50 or over. Lucy Bus provides tour services for senior citizens who reside in the countryside and have little access to public transportation,” said an official from Looxid Labs.

According to the official, Lucy headsets are in use at 46 locations in Seoul and Busan, most of which are local dementia centers and senior welfare centers. In January, Lucy received the Health and Wellness Innovation Award at the Consumer Electronics Show in Las Vegas.

Metaverse technologies are also used for the training of medical personnel.

Newbase, a company specializing in the development of medical metaverse simulation platforms, has devised programs to provide more real-world training opportunities for those wishing to work in the medical field.

Using a VR sensory headset and a mobile app, the company offers simulations such as checking patients’ Glasgow Coma Scale – a clinical scale used to measure a patient’s level of consciousness. person – and learning about case triage, the process of determining which patients receive treatment and care services based on their clinical condition.

Screenshot of Newbase NurseBase virtual medical training platform (Newbase)

Newbase’s other programs give budding medical personnel the opportunity to practice giving injections, managing hygiene and learning how to put on and take off protective equipment correctly.

According to the company, simulation offers more real training opportunities as it provides instant feedback based on decisions made by players. Users don’t have to worry about real patient safety or privacy issues during the trials and the simulations also reduce the amount of single-use medical resources, he added.

The medical simulation platforms have been used at 405 institutions across the country, including Seoul Women’s College of Nursing and National Sunchon University, the company said. Newbase announced last week that it had secured 4 billion won ($3.18 million) in a Series A investment.

In addition to medical training, metaverse technologies can also be used to teach the general public about common, but crucial, medical procedures such as cardiopulmonary resuscitation or CPR.

Tetra Signum offers CPR training using artificial intelligence and virtual reality technologies with its device called Meta CPR 1.0, a digital kiosk connected to a CPR manikin and a head-mounted display that the user wears. According to the company, the program can increase the effectiveness of CPR lessons because it gives accurate assessment and data analysis of how CPR is performed.

A Tetra Signum official told the Korea Herald that the company was looking to break into overseas markets because it had conducted clinical trials with medical institutes in the UK and the US. The company is also developing a CPR platform for young children as well as a mass CPR training solution, according to the official.

Student firefighters practice CPR with mannequins using virtual reality technology at the National Fire Service Academy. (Tetra Signum)

“The current Meta CPR 1.0 is intended to perform CPR on adults. But other countries have shown interest in teaching young couples how to properly perform CPR for children. South Korean police and fire authorities asked for ways to train more trainees with our solution, as the current headset only allows one-to-one training,” he said.

The manager added that the company aims to provide a CPR solution that does not require a kiosk or head-mounted display so it can deliver the training wherever and whenever.

The metaverse technologies used to expand the possibilities of the healthcare sector are not limited to diagnostics and medical education, however, according to Choi Jae-yong, president of the Korea Metaverse Institute.

Home training can be done through the metaverse. You could run on a treadmill at home and train with friends in a shared virtual space using VR devices. It would produce better exercise effects. The metaverse and healthcare industries can only benefit from each other,” Choi said.

The government announced in January that it would invest a total of 45 billion won to support 300 startups in the remote industry, including the metaverse sector. In particular, the Ministry of Health and Welfare said it would focus on companies with medical training and metaverse clinical platforms, while the Ministry of Food and Drug Safety said that would support developers of non-contact medical devices and in vitro diagnostics. Medical equipement.

By Kan Hyeong-woo (hwkan@heraldcorp.com)

Bill to Reform ‘Adversarial and Punitive’ Nursing Facility and Staff Investigations Considered by Michigan Senate Committee – State of Reform

Nursing home officials and lawmakers are advancing legislation to limit “adversarial and punitive” regulatory surveyor citations to limit the ongoing challenges faced by staff from these many regulatory measures, said Richie Farran, vice president of government services at the Health Care Association of Michigan.

The Senate Committee on Health and Human Services Policy understood testimony for House Bill 5609 On Thursday, which would require Michigan’s Department of Licensing and Regulatory Affairs to administer a certification process for nursing homes under federal law and implement a quality assurance review process for all investigations into care homes, including a review of citations.

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Farran said states must enforce federal regulatory rules outlined by CMS to ensure nursing facilities are safe and efficient. Areas covered by these regulations include patient rights, infection control protocols, and staff training requirements. Farran said this bill does not seek less oversight or a change to those rules, but rather changes the way state surveyors conduct their surveys.

Karli Zubek, legislative director representing Rep. Bronna Kahle (R-Adrian) — sponsor of the bill — said Michigan is “an outlier in the frequency, scope and severity of citations” among other states. However, Farran said the CMS shows the state’s quality of care for nursing facilities is equal to or better than what’s typical in other states.

She said that in 2020, Michigan had double the average citation count compared to the national average. These “unfair and inconsistent” regulatory practices lead to lower quality care and lower staff morale, already exacerbated by the COVID-19 pandemic.

Investigators are expected to conduct unannounced investigations annually or when a complaint has been filed about a facility. However, Farran and Zubek said the problem lies in the inconsistency of how investigators interpret, view and act on federal regulations.

“Vendors experience uncoordinated and untimely visits for annual inquiries and complaints, leading to increased enforcement action,” Farran said. “Inconsistencies in determining scope and severity exist between investigative teams, making compliance dependent on each individual investigator’s interpretation.”

Zubek said the bill would improve the investigator process and ensure nursing facilities are assessed in a “more fair, accurate and timely” manner, without reducing the overall quality of patient care.

“Michigan’s regulatory process should be reviewed with consideration for adherence to state law guidelines and fairness with other states and our nation at a level of professionalism and collaboration to provide the absolute best care to our elderly,” Zubek said.

Sen. Ruth Johnson (R-Groveland Township) expressed concern about how seniors were treated in Michigan nursing homes and supported accountability for investigators and nursing homes.

“Health conditions are something you wouldn’t let a stray dog ​​live in,” Johnson said. “I am very concerned about the State of Michigan’s lack of professionalism and decency towards such vulnerable seniors…The cases I have seen and the lack of state regulation are the most deplorable thing and the horrifying thing I’ve seen. in a very, very long time. »

Farran said he hopes this new process will be more effective at getting rid of “bad apples” to reduce some of the poor health outcomes described by Johnson.

“To prevent or reduce these occurrences, you just need good staff,” Farran said. “Unfortunately the profession has been battered and bruised… When there is so much negative rhetoric around facilities and when it is all about negative outcomes, how do you attract the right people into the profession? Beyond regulatory issues, the number one issue is labor.

LARA is neutral on the bill, while LeadingAge Michigan and the Michigan County Medical Care Facility Council support the bill. The bill awaits a vote at the Senate Health and Human Services Policy Committee.

Medicaid weighs in on nursing home payment terms to improve patient care

The Biden administration plans to require the nation’s 15,500 nursing homes to spend most of their Medicaid payments on direct resident care and limit the amount used for operations, maintenance and capital improvements or diverted to profits.

If passed, it would be the first time the federal government has insisted that nursing homes spend the majority of Medicaid dollars on resident care.

The strategy, which has yet to be officially proposed, is among several measures authorities are considering after the covid-19 pandemic hit vulnerable nursing home residents particularly hard. In the first 12 months of the pandemic, at least 34% of those killed by the virus lived in nursing homes and other long-term care facilities, although residents of these facilities make up less than 1% of the American population.

Medicaid, the federal state health insurance program for low-income people, pays the bills for 62% of long-term care residents in nursing homes. In 2019, that totaled $50.8 billion. Medicare, which covers short-term nursing home visits for the elderly or disabled, spent $38.2 billion that year. (Officials did not include Medicare payments in their discussions of a direct care spending mandate.)

“The absolutely essential ingredient” for good care is enough staff, Dan Tsai, deputy administrator of the Centers for Medicare & Medicaid Services and director of Medicaid, told KHN.

CMS has sought public comment on a possible direct care spending mandate in its proposed policy update and care home payment rates for next year. Tsai also spoke about it during a meeting with Illinois state officials, nursing home workers, residents and loved ones in Chicago in April.

Studies have found a strong link between staffing levels and care. CMS does not require a specific number of nurses and other staff, although some states do.

“We want to make sure the dollars get to the direct care staff to ensure high-quality care,” Tsai told KHN.

To receive a government paycheck, nursing homes must meet dozens of requirements aimed at ensuring high-quality care. They can be penalized in the event of an infraction. But federal investigations have found that inspectors can miss serious issues and that inspections don’t consistently meet CMS standards. One of the most common breaches was infection control.

In its request for public comment, CMS posed several questions, including: “Is there evidence that resources that could be spent on staffing are instead being used for expenditures that are not necessary for the quality patient care?

The federal interest follows laws enacted in three states – Massachusetts, New Jersey and New York – to tax care expenditures. Massachusetts requires nursing homes to spend at least 75% of their income on resident care. New Jersey nursing homes must spend at least 90% of Medicaid payments on resident care, and no more than 5% can go to profits. New York requires that at least 70% of nursing home revenue – including Medicaid, Medicare and private insurance payments – be used to care for residents and that at least 40% of money for care direct pay for staff “in contact with residents” . Profits are capped at 5%. All three states promise increased Medicaid payments to facilities that comply with the laws.

In April, the National Academies of Sciences, Engineering and Medicine endorsed the out-of-pocket spending strategy in a report on improving nursing care in homes.

“When you take public funds, those dollars should be put back into direct care,” said David Grabowski, a professor of health care policy at Harvard Medical School and a member of the committee that authored the report. “We expect the nursing home to make the best judgment about the right kind of labour, material and capital expenditure to really produce the highest level of quality, but that just doesn’t matter. not been the case. This recommendation is therefore really an opportunity to put safeguards in place.

National nursing home industry groups oppose the demands, which come at a difficult time as many facilities face staffing shortages. In New York, two trade associations and about half of the state’s homes have filed two lawsuits to block the state spending directive.

Staffing is already “the No. 1 expense” for nursing homes, said Stephen Hanse, president and CEO of the New York State Health Facilities Association, which represents 350 nursing homes and has led one of the suits. “We are a hands-on industry.”

The 239 nursing homes that joined the association’s lawsuit say that if New York’s law had been in effect in 2019, facilities would have been forced to provide residents with an additional $824 million in direct care or return this amount to the State.

Hanse objects to the state telling nursing home administrators how to do their job. “You can have an amazing diet program, for example, and this law would require you to lay off diet workers and hire front-line workers to meet staffing needs,” he said.

The groups filing the lawsuits argue that forcing landlords to spend more money on direct care leaves less money for maintaining their facilities and the quality of care will suffer. They also claim that Medicaid does not cover resident care costs. Resident advocates say facilities can hide their profits by overpaying related businesses they own, such as laundry or catering businesses.

Although a spending mandate is new for nursing homes in the three states, it has become routine for health insurers nationwide. Under the Affordable Care Act’s “medical loss rate” provision, health insurance companies must spend at least 80% of premiums on the medical care of beneficiaries. A maximum of 20% can be spent on administrative costs, executive salaries, advertising and profits. Companies that exceed the cap must reimburse the difference to the beneficiaries.

In addition to a direct care spending mandate, Tsai said CMS is interested in a slightly different approach underway in Illinois, which made changes to nursing home regulations this year. His Nursing Home Tariff Reform Act increases Medicaid funding and then requires each home to hire at least 70% of the staff that state analysis shows residents need. The state then uses payroll and other data to verify that the establishment has complied. Otherwise, the difference will be deducted from his next payment.

“There are states across the country that are trying a range of approaches to ensure that system dollars from nursing facility reimbursement rates are actually – in one way or another – affected. sufficient and high-quality staff,” Tsai said. “That’s our primary goal.”

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The state disciplines health care providers

For immediate release: June 9, 2022 (22-080)

Contact: Sharon Moysiuk, Communications 360-549-6471
Public Inquiries: Health Systems Customer Service 360-236-4700

OLYMPIA — The Washington State Department of Health has taken disciplinary action or withdrawn charges against the following health care providers in our state.

The Department’s Health Systems Quality Assurance Division works with boards, commissions, and advisory committees to establish accreditation standards for more than 80 health professions (eg, dentists, nurses, counsellors). Information on disciplinary action taken against doctors and medical assistants can be found on the Washington Medical Commission (WMC) website. Questions regarding WMC disciplinary action can be sent to media@wmc.wa.gov.

Information about health care providers can be found on the agency’s website. Click on “Find a healthcare provider licensein the “How do I?” section of the Department of Health website (doh.wa.gov). The site includes information about a health care provider‘s license status, title expiration and renewal date, disciplinary actions, and copies of legal documents issued after July 1998. This information is also available by calling 360-236-4700. Consumers who believe a health care provider has acted unprofessionally are encouraged to call and report their complaint.

Chelan County

In May 2022, the Board of Nursing charged a registered nurse Daphne Lelora Tobin Jacobsen (RN60560549) with unprofessional conduct for allegedly working as a nurse while impaired by alcohol.

Cowlitz County

In March 2022, the Health Secretary rejected an application for a licensed health care aide from Justine Mia Johnson (NA61235320) because she did not submit the substance use assessment report required for her application.

Island County

In May 2022, the Caregiver Program billed the Certified Caregiver Jack Parker Stewart III (NC60509469) with unprofessional conduct. Stewart allegedly violated a patient’s plan of care for transferring the patient from a wheelchair to a bed, which resulted in injury to the patient.

King’s County

In April 2022, the Board of Nursing charged a registered nurse Corina Saldivar (RN60474579) with unprofessional conduct. Saldivar reportedly withdrew hydromorphone for several patients, but did not document drug administration or wastage.

In April 2022, the Board of Nursing restored with conditions the registered nurse license of Nancy Alice O’Leary (RN00110987). O’Leary, who agreed to the terms, will participate in a substance use monitoring program.

In April 2022, the Secretary of Health ended the requirements for the Acting Physician Assistant, Certified Physician Assistant and Certified Nurse Assistant credentials of Jules Yvette Smith (IC60420324, CM60420323, NC10042799).

Kitsap County

In March 2022, the Health Secretary conditionally granted the home health aide license to Paul-John Santos Flores (HM60535647). Flores agreed to the terms, which include an assessment process and participation in a substance abuse program.

Pierce County

In March 2022, the Health Secretary refused a massage therapist license to Darian Elizabeth Nemec (MA61220241). In 2019, Nemec was convicted of driving under the influence of intoxicants and driving with a suspended or revoked license in Oregon.

In March 2022, the Board of Nursing rejected the Licensed Practical Nurse application of Shavon Renee McGuinness (LP60662086). McGuinness used the wrong form and submitted a transcript with errors and inconsistencies. The educational institution McGuiness named as having trained her has been implicated in fraudulent transcript schemes and is not authorized to award nursing degrees.

In April 2022, the Caregiver Program billed the licensed Caregiver Alexandra Smith-Rosas (NA61172518) with unprofessional conduct for allegedly taking controlled substances while on the job.

Spokane County

In May 2022, the Caregiver Program billed the Licensed Caregiver Beverly Ann Moore (NA00200586) with unprofessional conduct for allegedly taking medication from a patient for her own use.

Whatcom County

In April 2022, the Board of Nursing restored with conditions the registered nurse license of Matthew J. Danz (RN00148293). Danz agreed to the terms, which include probation until he completes a refresher course and participation in a substance use monitoring program.

out of state

Oregon: In May 2022, the Caregiver Program billed the Certified Caregiver Julia J. Black (NC60393654) with unprofessional conduct. The charges state that Black had a romantic and sexual relationship with a client and accepted money from that client to pay for part of his car.

Texas: In April 2022, the Board of Nursing charged Yangmotso Bhutia Antso (LP60196601) with unprofessional conduct. Antso, whose LPN credential has expired, allegedly attempted to obtain a registered nurse degree without acquiring the necessary training. Antso also allegedly misrepresented the facts during an investigation by the Board of Nursing.

Note to editors: Health care providers accused of unprofessional conduct have 20 days to respond in writing to the Department of Health. The case then enters the settlement process. If no disciplinary agreement can be reached, the matter will proceed to a hearing.

The DOH website is your source for lots of information. Find us on Facebook and Follow us on twitter. Subscribe to the DOH Blog, Link to public health.

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Student Loan Consolidation vs Refinancing – 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.

For student borrowers, student loan consolidation and refinancing are two ways to manage payments if you have multiple loans. Although these strategies are similar, they have important differences and caveats.

If you’re thinking about consolidation versus refinancing, make sure you know the distinctions before submitting an application.

Consolidation vs Refinancing

Even though consolidation and refinancing have many similarities, they differ in some key points.

How does student loan refinancing work?

Student loan refinancing involves taking out a new private student loan to pay off your current student loans. Your refinanced loans will have a new interest rate and new repayment terms. Once your old loans are closed, you will start making monthly payments on the new loan.

Benefits of Student Loan Refinancing

  • Possibly lower interest rate. If you have good or excellent credit, you may qualify for a refinanced loan with a lower interest rate than you are currently paying. The lower your interest, the less you will pay over the total term of your loan.
  • Combine your loans into one easy payment. If you have multiple student loans, keeping track of your various interest rates and maturity dates can become overwhelming. Refinancing means you can combine multiple student loans into one easy payment each month.
  • Change loan servicer. If you are unhappy with your current loan officer, the only way to transfer your debt to another company is to refinance your student loans. With good or excellent credit, you can compare many different lenders and compare which ones offer the best interest rate, repayment terms, and lowest fees.

Disadvantages of Student Loan Refinancing

  • Lower interest is not guaranteed. Even if you qualify for a refinance, you might not qualify for a better interest rate than the one you are currently paying.
  • Lose federal protections. If you refinance your federal loans, you will lose access to all federal protections and benefits, including income-based repayment plans, more flexible forbearance, and public service loan forgiveness (PSLF).
  • A credit check is required. Refinancing requires a rigorous credit check. If you don’t have a strong credit history, you may not qualify without the help of a co-signer. And if you do, you might not get the full amount you asked for or the lowest interest rate available.

How to Apply for Student Loan Refinance

Refinancing can only be done through private lenders like banks, credit unions, and online lenders. If you are looking to refinance, consider the following:

1. Clean up your credit

Before looking at lenders, check your credit score so you know where you stand before submitting a loan application. If your score is lower than you would like, take steps to improve your credit before you begin the refinancing process.

2. Compare lenders

Once your credit is in order, you can compare refinance lenders and look for the best rates. Student loan refinancing requirements are not universal; make sure you are eligible with each lender based on your creditworthiness, the amount you wish to borrow, and your graduation status (some lenders do not offer student loan refinance to those who do not have no degree).

You should also review what each lender offers in terms of interest rates, repayment terms, and fees. If possible, complete a prequalification to see which lenders you might be compatible with.

3. Complete an application

Once you’ve selected a few top lenders, prequalify with them if you can. This process allows you to view estimated rates and terms for which you may qualify. If everything looks good, complete an application with each lender and wait for approval. Many lenders approve you in minutes while others may require more paperwork to complete your application.

Once you are approved, you will receive the final loan terms and conditions. Review the documents and submit the final signed forms to your lender.

4. Pay your new lender

Your new lender usually repays your old loans directly. It is important to continue paying your current loans until your new lender notifies you that they have been paid. Falling behind could make your loans delinquent before the refinance is completed, so be sure not to delay the process by missing payments.

How does student loan consolidation work?

Student loan consolidation involves taking out a consolidation loan directly from the US Department of Education and consolidating all of your federal student loans into one. Your new interest rate will be the average rate of your current loans, rounded to the nearest eight percent.

Benefits of Student Loan Consolidation

  • Combine multiple student loans into one. Consolidating your debt combines several student loans into one. This means that you will only have one payment to worry about each month.
  • Access to certain federal benefits. Depending on the type of student loans you have, consolidating them can help you access additional federal benefits. For example, borrowers with parent PLUS loans must consolidate their debt to access income-contingent repayment or forgiveness of government loans.
  • No credit check required. Like most other federal student loans, a credit check is not required to consolidate your debt. This means you can qualify even with bad credit.
  • Longest repayment terms offered. Direct consolidation loans have repayment terms of up to 30 years, which is longer than most private lenders. A longer repayment window will lower your monthly payment, but increase the total amount of interest you pay on the loan.

Disadvantages of Consolidating Student Loans

  • Only federal loans are eligible. You cannot consolidate student loans that you have obtained from private lenders.
  • It makes up exceptional interest. When you consolidate student debt, any unpaid interest becomes part of the principal balance. This means that you may be charged additional interest on your new higher balance.
  • Potential loss of certain federal benefits. Consolidation may negatively affect some of your existing federal benefits. For example, people enrolled in an income-driven repayment plan will lose credit for any payments you made before consolidation, which will delay your eligibility for loan forgiveness. Other borrowers may lose certain interest rate reductions or benefits in the event of loan cancellation.

How to Apply for Student Loan Consolidation

To apply for student loan consolidation, you will need to ensure that you are registered on the Federal Student Aid website. You will need:

  • A valid federal student aid ID card
  • Personal data such as your address, telephone number and email
  • Financial information, including details of your current loans and repayment plans

Before completing the application, review the loans you want to consolidate. Many people choose to consolidate all of their federal loans together, but depending on the types of debt you have, you may choose to consolidate only a portion of your loans.

The online application process should take around 30 minutes and no co-signer is required.

Refinancing vs. Consolidation: How to Decide Which is Better

Not everyone can or should refinance their student loans, and not all borrowers are eligible for consolidation.

You may consider refinancing your student loans if:

  • You have excellent credit. If you have good credit, you’re well on your way to not only qualifying for a refinance, but also accessing some of the lowest interest rates available. If you can’t lower your interest rate or receive other tangible benefits with your new loan, it’s probably not worth refinancing.
  • You have private student loans. Since federal student loans come with additional benefits and protections, refinancing these debts carries more risk. But if you have private student loans, you don’t have much to lose if you refinance, especially if you can save interest in the process.
  • You are not in a federal reimbursement program. Refinancing means you will lose federal protections, like more flexible forbearance, income-driven repayment plans, or federal forgiveness programs. If you’re not using these benefits (and won’t be needing them in the future), refinancing might be worth it.

You could consolidate your student loans if:

  • You only have federal student loans. Direct consolidation loans are only eligible for federal student loan borrowers.
  • You want to simplify payments. Since consolidation combines multiple federal loans into one, it can simplify the monthly payments you need to keep up with.
  • You want to reduce your monthly payments. Since direct consolidation loans have long repayment terms, up to 30 years, you can lower your monthly payment by consolidating. However, note that reducing your monthly payments usually results in an increase in interest paid over the life of the loan.

Norwood care home workers to join national day of action

NORWOOD – Nursing home workers represented by Service Employees International Union New Jersey Local 1199 were scheduled to picket the Buckingham Care and Rehabilitation Center in Norwood as part of a day of nationwide action on Wednesday, the union said.

The action will take place in more than a dozen states at 3 p.m. Wednesday, according to a union press release.

Workers at the rehabilitation center will demand action to “properly enforce” the state’s Safe Staffing for Nursing Homes Act, which sets certified caregiver-to-patient ratios, the union said. A recent survey by NJ Advance Media found that six out of 10 nursing homes in the state do not meet the requirements of the law.

As such, workers are calling on the state health department to increase the number of inspectors, hold landlords accountable when they break the law, and freeze admissions to noncompliant facilities, said the syndicate.

“We all fought for the staffing law in New Jersey,” Pierre St. Honoré, a certified practical nurse at the rehabilitation center, said in the statement. “And we need the Department of Health to hold nursing home administrators accountable under the law.”

Patch has contacted Buckingham Care and Rehabilitation Center for comment.

Why Sabra Health Care REIT shares jumped 20% in May

What happened

Shares of Sabra Healthcare REIT (NASDAQ: SBRA) jumped 20.2% in May, according to data provided by S&P Global Market Intelligence. The health-focused real estate investment trust (REITs) reported its first quarter results and completed a large-scale acquisition last month.

So what

Sabra Health Care REIT reported strong first quarter results in May. The Healthcare REITs continued to collect rent despite the lingering effects of the pandemic. In total, it has collected 99.5% of its projected rents since the start of the pandemic. The company also reported that occupancy trends at its skilled nursing properties remain healthy despite some initial headwinds related to the omicron variant of the coronavirus.

Image source: Getty Images.

The REIT also reported improvements in its managed senior housing portfolio. Revenue per occupied room (RevPOR) improved by nearly 6% over the past year for serviced residences. Meanwhile, RevPOR at independent residences was up more than 1% year over year.

Sabra has also taken steps to expand its portfolio. It purchased a managed senior housing community from its development pipeline for $26 million in the first quarter. In May, the company completed the purchase of a portfolio of high-quality seniors housing in Canada with a joint venture partner Housing for the elderly in Siena. The partners have paid a total of $236.5 million for 11 senior housing communities that Sienna will operate.

In other news last month, Sabra Health Care REIT received an upgrade from Mizuho analyst Vikram Malhotra. He raised his rating from neutral to buy while setting a price target of $15. Malhotra believes that the occupancy rate should continue to improve. He also performed a sensitivity analysis which shows that Sabra can continue to cover its 8.6% dividend.

However, not all analysts are so optimistic. Capital one analyst Daniel Bernstein reinstated coverage on the stock in early June. He set his quote at equal weight while lowering his price target from $18 per share to $15.50. Bernstein lowered his view as he remains cautious about the pace of recovery in the skilled nursing sector.

Now what

While Sabra Health Care REIT continues to face pandemic-related headwinds, conditions in the senior housing sector are improving. For this reason, the REIT should be able to maintain its large dividend. That makes it an attractive option for investors willing to take on a bit more risk for the higher yield and upside potential of the senior housing sector’s recovery from the headwinds it has faced during the pandemic.

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Loans for bad credit from trusted lenders

How long does it take to raise a bad credit rating?

Depending on how you go about it, raising your credit score can take as little as a few months or as long as a few years. Quick warning here, though: credit repair companies that promise to erase your credit history overnight are a scam. They can’t legally do something you can’t do yourself. It is not possible to erase your history, although it is possible to make improvements to it. Here’s what you can do for yourself:

Order your credit report

You are entitled to one free credit report per year from each of the “big three” credit reporting agencies – TransUnion, Equifax and Experian. It’s easy to request a copy of all three at once from a site like annualcreditreport.com.

Once you have received your three credit reports, review each with a fine-toothed comb to check for errors. Errors can be simple, like a misspelled name or wrong address. It can be serious, like listing a debt you don’t own or a balance you paid off years ago.

If you find any errors (no matter how small), report them to the credit bureau in question. Once you dispute an error, credit reporting agencies have 30 to 45 days to prove that the credit report is correct or to remove the error from your report. Even the smallest mistakes can lower your credit score, which means this simple gesture can give it a boost.

Build a credit history

A bad credit score isn’t always the result of not paying bills on time. Sometimes it’s a matter of not having a credit history. If you’re fresh out of school or recently immigrated to the United States, your credit history may be too thin for FICO® to guarantee you’re good at paying your bills.

Building a credit history can keep people from taking advantage of you and can be as simple as opening a store credit card and making all payments on time. You could also:

  • Pull out a secure credit card to pay for everyday items, like groceries and gas.
  • Ask someone with a high credit rating to co-sign a debt for you.
  • Sign up for Experian Boost to have utility, telecom, and select streaming service payments reported to credit reporting agencies.

Pay off the debt

Remember that creditors want you to have access to credit without using much of it. Focus on any outstanding debts that you are late paying or have stopped paying and getting them paid off. While that might mean taking a part-time job, hosting a garage sale, or selling something of value, the long-term benefits of getting those debts off your credit report are worth it.

Paying off your debt does two things: it reduces the amount you owe (30% of your credit score) and it shows you’re serious about managing your financial obligations.

Consider a secured loan

There are two types of personal loans: secured loans and unsecured loans. Here’s the difference: With a secured loan, you’re putting something of value as collateral. With an unsecured loan, your signature is all that is needed. The advantage of a secured personal loan is that you may qualify for a bad credit loan that would otherwise be out of reach. Moreover, the interest rate of a secured loan is lower than the rate of an unsecured personal loan. The downside is that missed payments give the personal lender the legal right to take possession of the collateral.

Consolidate debt

If you find yourself with high interest debt, consolidating it into one low interest personal loan may be the solution. Say you have five credit cards, each with a spending limit of $5,000. Let’s also imagine that each card is maxed out, which means you owe a total of $25,000. You make the minimum payment on each, but because of the interest rate, the balances don’t seem to go down.

Getting the best personal loan at a lower interest rate will not only save money in interest payments, but will also provide a date when the debt will be paid off. As long as you put those credit cards away and don’t use them while you pay off the consolidation loan, you’ll end up making money.

If qualifying for a bad credit personal loan helps you consolidate credit card debt, cover an emergency expense, or make your life easier, these lenders are definitely worth exploring.

Tryko Partners adds 2 skilled nursing facilities, in Berlin and Mount Holly

Tryko Partners announced on Friday that it has expanded its skilled nursing portfolio in New Jersey with the completed purchase of two facilities from Virtua Health. The Berlin and Mount Holly facilities will be renamed Berlin Rehabilitation & Healthcare Center and Mount Holly Rehabilitation & Healthcare Center respectively.

Virtua Health, South Jersey’s largest healthcare system, selected The Brick-based Tryko as its buyer after extensive research to find the best solution for Virtua, facility staff and current and future residents. Tryko’s facilities are backed by Marquis Health Consulting Services, a highly skilled, vision-driven nursing home consultancy.

Virtua CEO and President Dennis Pullin cites compatible cultures among the reasons he pursued the deal with Tryko Partners.

“At Virtua, we are continually evaluating our care portfolio and rebalancing our offerings in order to adapt, succeed and be of greatest benefit to the region,” said Pullin. “By divesting ourselves of the skilled nursing field, we are better equipped to reinvest in areas where we can really make an impact.

“With Tryko Partners – and Marquis Health Consulting Services – we have found a partner that will support an optimal continuum for patients,” added Piullin. “Going forward, we will be working with Marquis Health Consulting Services to support these excellent skilled nursing centers with our specialist physicians and providers, as well as ancillary and home care services.”

The stand-alone Mount Holly facility has 180 licensed beds. The 128-bed Berlin facility is part of a larger Virtua campus. Virtua’s community services at the Berlin site – including radiology, laboratory and a satellite emergency service – are unaffected by this sale.

“Our company carefully targets opportunities involving facilities that are market leaders in providing quality care and services,” said Uri Kahanow, Chief Acquisition Officer of Tryko Partners. “The Berlin and Mount Holly centers have an excellent reputation, dedicated staff and a culture of going the extra mile for residents and patients.”

Winthrop nursing home placed on ‘special’ federal list

A Winthrop nursing home with a history of federal fines has been placed on a national list of facilities with ‘serious quality issues’ after two residents wandered off in separate incidents last year. The second time, the resident was hit and killed by a car.

Heritage Rehabilitation and Living Center, a 28-bed nursing home, was listed as a “specialty facility” earlier this year by the US Centers for Medicare and Medicaid Services (CMS). This means Heritage will be subject to twice as many inspections and could face penalties if it fails to improve.

“Our nursing homes are caring for a very vulnerable population of people (so) protecting quality of care and quality of life is so important,” said Brenda Gallant, Maine’s long-term care ombudsman. . “The regulations are there to protect residents. Thus, when there are deficiencies of a serious nature, they must be corrected, and then improvements must be made to protect residents.

Heritage is owned by North Country Associates, Maine’s largest long-term care provider. Neither Heritage’s administrator nor North Country Associates responded to requests for comment.

Reasons for Special Focus Designation

On a rainy November night, police found a Heritage resident without shoes wandering along the road about a mile from the facility, according to a Report from the Department of Health and Social Services.

When police brought the resident back to the facility, staff “had no idea the resident was missing or how long the resident had been gone,” the inspection report said. Heritage was fined $109,600.

Less than a month later, on December 6, another Heritage resident wandered off and was hit and killed by a pickup truck half a mile away on Highway 202.

Donna Driscoll, 56, was recovering from a broken leg and was about to be transferred to a memory care center in Falmouth before she died, her family said. WGME at the time. She had a history of wandering and wore an ankle monitor that was supposed to prevent doors from opening if she tried to leave.

The ankle monitor was how police learned she was a Heritage resident, according to a DHHS report. When police attended the facility, staff first assured the officer that all of their residents were there. But when the police asked them to check, they noticed that a resident was missing.

The wandering guard should have prompted the doors to lock if she got too close. A company then checked the system and found that it was working properly.

There were 24 residents and four staff present at the time, including the director of nursing.

Heritage was also cited for failing to have a written transfer agreement with a local hospital and for failing to ensure staff members had undergone training on abuse, neglect, exploitation and misappropriation. resident property and dementia care.

The incidents contributed to regulators’ decision to list Heritage as a special facility, DHHS spokeswoman Jackie Farwell confirmed. The decision was based on a “persistent low-quality pattern of a facility’s last three standard inquiries and complaints”, rather than a single event.

Nursing homes must meet national standards

Nursing homes are required to follow federal regulations on all aspects of care, including staff, medications, activities and food, said Gallant, the long-term care ombudsman. Managers send a report to the establishment on how it can improve, and the establishment must respond by explaining how it will correct these problems.

Citations for “failures” of various severity levels during an annual inspection are common. The national average number of impairments for a nursing home is six or seven, according to CMS.

Nursing homes that have more problems, more serious problems, or a pattern of problems over a long period of time are placed in the Special Focus Facility program. These facilities are then inspected more frequently — every six months.

CMS is using increasingly stringent enforcement measures to bring the facility into compliance, an agency spokesperson told the Maine Monitor. If the facility has not corrected its noncompliance after three months, CMS is required by law to withhold Medicare payments for new resident admissions. If he still does not comply after six months, CMS is required to terminate his participation in Medicare and Medicaid.

But a nursing home doesn’t have to be a specialty facility to face penalties for deficiencies, Gallant said.

Most nursing homes improve the quality of their care within two years, but about 10% end up being terminated by Medicare and Medicaid.

“The Centers for Medicare & Medicaid Services is committed to improving the quality of care and quality of life for all nursing home residents,” the spokesperson said. “Patient health and safety, access to reliable, high-quality care, and the treatment of all nursing home residents with dignity and respect are the top priorities in all of our efforts.”

Heritage was placed on the federal list in February. It is Maine’s only retirement home currently listed as a specialty facility.

The Marshwood Center in Lewiston was an institution specializing in December 2019 but made enough improvements to be removed from the program.

To “graduate” from the program, a facility must complete two consecutive inspections with evidence of improved quality of care, with no citation indicating harm or potential for serious harm to residents, Farwell said.

Gallant said families often have to make quick decisions during a crisis about where to send their loved ones. They may be unaware of resident protections and publicly available facility information.

Inspection reports and ratings for all Maine facilities are available at the CMS website. It includes scores for health inspections, staffing and quality metrics, as well as information on COVID-19 vaccination rates, fire safety inspections and penalties.

Gallant also encouraged families to ask nursing home administrators about the shortcomings cited and what steps they are taking to address them. And they can tour the facility to observe staff interactions with residents.

Residents and family members are often hesitant to complain for fear of retaliation from the facility, Gallant said, but she has never seen any kind of retaliation. They are able to solve problems in a “respectful” way.

“It’s a good thing that the focus is on care and quality improvement. And for residents, it’s important that we do all we can to ensure that the elderly and disabled who are served in nursing homes receive the highest quality of care – quality of life – possible. This is what we would want for our loved ones or for ourselves.

Rose Lundy is the health care reporter for The Maine Monitor. She can be reached by email at rose@themainemonitor.org.

British Columbia’s health care crisis continues to worsen

When we last left John Horgan and his province’s health issues, the premier of British Columbia was throwing an f-bomb at the Legislative Assembly out of frustration.

It was a few weeks ago. Things haven’t improved much since then.

It’s a story to watch in Canada, as BC’s primary care system finds itself “reeling” – Mr. Horgan’s word, not mine – on the brink of calamity. If that sounds like too strong a word, consider some of the things that have happened recently.

There has been a wave of resignations among health care workers in northern British Columbia, including half of the doctors in intensive care units at the region’s largest hospitals. These doctors presented their resignation in sign of frustration at the overwork and understaffing in hospitals in the region.

There is already a well-documented shortage of doctors, not only in the North, but almost everywhere in the province. More than a million British Columbians do not have a family doctor, and tens of thousands of new people are pouring into the province each year, compounding the problem.

It put Health Minister Adrian Dix in the spotlight and led to tense exchanges this week in the legislature, the same legislature where his boss Mr Horgan swore in response to the heckling from the benches of the opposition. The Prime Minister blamed the whole mess on a lack of resources and pressured Prime Minister Justin Trudeau to give more money to the provinces for health care funding.

The provincial government has set aside $6 million to hire more health care workers in the northern region of the province alone. Dix also said the government was funding 600 new nursing posts at provincial universities, with a particular focus on meeting urgent needs in the north and interior. But the reality is that there is a shortage of nurses across British Columbia

Last week, 16,000 health care workers were on sick leave, the highest percentage in the north and interior of the province. Many of them refused to go to work for fear of catching COVID-19. However, many are simply exhausted after two years of the pandemic.

Nursing is already a tough enough job. Add to that a pandemic and the abuse that many medical professionals have faced over the past two years and many wonder if this is really the job for them. Many doctors ask themselves the same question.

It’s a mess.

And this represents a huge political problem for the Horgan government – a real crisis for which there is no easy solution.

Dix says the province has added 30,000 health care workers to the system over the past five years. Liberal Leader Kevin Falcon disputes that figure, saying Statistics Canada figures show there were 10,084 fewer healthcare workers in provincial hospitals in February this year, compared to the summer of 2017.

Mr. Dix’s office says Mr. Falcon’s numbers don’t reflect changing job classifications, yada, yada.

The quarrel over the numbers does not change the realities on the ground. The province has seen emergency departments forced to close due to a lack of staff. BC has the longest average wait times in the country for walk-in clinics, which are increasingly relied upon by people without a family doctor. Currently, that average wait time in British Columbia is 58 minutes. In Victoria, it’s 161 minutes. The average in Canada is 25 minutes.

The government has had difficulty recruiting health care workers due to the high cost of living, especially in Metro Vancouver. Yes, the weather may be good, but you’ll probably never own a house and the rents are incredibly high. Not exactly something you want to put on a recruiting poster.

It’s hard not to feel some sympathy for the government, as this issue has been in the making for years. Dix’s ministry has established 27 urgent and primary care centers across the province since taking office in 2017. It’s likely the biggest investment ever in this area of ​​the health care system. And yet, things still seem to be at a crisis level.

And it’s not something that can be fixed quickly.

It takes years to educate and train a nurse. It takes even longer to educate and train a doctor. It doesn’t help that a lot of people who go into medicine choose not to become a family doctor because, frankly, they can make a lot more money in other areas of health care.

As the pandemic slowly recedes, the BC government faces a dilemma that is just as – if not more – vexing than a virus that only replicates once every hundred years.

And the health care crisis in the province will likely last much, much longer.

We have a weekly Western Canada newsletter written by our British Columbia and Alberta bureau chiefs, providing a comprehensive package of news you need to know about the region and its place in the issues facing Canada confronted. register today.

New York State Lawmakers Take Steps to Strengthen Nursing Home Oversight, Complaint Care, and More

Advocates for nursing home residents today praised state lawmakers for passing legislation to strengthen New York’s nursing home oversight program.

The State Assembly today voted unanimously final passage of a bill (A10045A-Clark) requiring the Long-Term Care Mediation Program (LTCOP) to publish in its annual reports the types and patterns of complaints received by its regional offices; and the number of visits by the ombudsman to each long-term care facility.

The state Senate passed the companion bill (S8617A-May) on May 24 with a strong, bipartisan vote.

The move follows a $2.5 million increase in state funding in this year’s state budget for the federally required program, more than double its previous federally-funded budget. the state.



LTCOP has fallen behind programs in other states while more than 15,000 people have died in New York City nursing homes since the COVID-19 pandemic began.

“This bill would give policy makers the information they need to ensure the long-term care ombudsman program is as effective as possible in advocating for and speaking on behalf of the most vulnerable population in our society: nursing home residents,” said Beth, director of AARP in New York State. Finkel. “After more than 15,000 deaths in New York nursing homes and since the start of the pandemic, we need a strong advocate. AARP New York thanks Senator Rachel May and Assemblywoman Sarah Clark for leading this bill in their respective chambers, and we urge Governor Kathy Hochul to sign it.

“Mediators are on the front line to protect vulnerable residents of retirement homes and assisted living facilities. We thank Senator May and Assemblyman Clark for their leadership on this bill, which would help ensure that the important work of the Ombudsman Program on behalf of residents and families has the greatest impact possible,” said Richard Mollot, executive director of the long-term care community. Coalition.

Related: Tips for When Life Gets Busy: How to Feel Less Overwhelmed

“The ombudsmen are the eyes and ears of long-term care. They become the trusted person that residents can count on to defend them. I applaud and thank Senator May and Assemblyman Clark for sponsoring this bill so that we can strengthen the long-term care ombudsman program, generate the data we need to make change and ensure that our most vulnerable residents receive the help and support they need. and deserve,” said Ann Marie Cook, president and CEO of Lifespan of Greater Rochester.

The legislation is also supported by the Center for Elder Law & Justice.

Although the LTCOP cannot penalize long-term care facilities, it is the only agency authorized to regularly visit facilities to observe conditions, monitor care, and help residents and families resolve issues.

In addition to assisting individual residents and families, the LTCOP is required by federal rules to act as an independent spokesperson for residents regarding laws and policies that impact their care.

AARP

AARP is the nation’s largest nonprofit, nonpartisan organization dedicated to empowering people 50 and older to choose their lifestyle as they age.

With a national presence and nearly 38 million members, AARP strengthens communities and champions what matters most to families: health security, financial stability and personal fulfillment.

AARP also produces the most popular publications in the country: AARP The Magazine and AARP Bulletin.

To learn more, visit www.aarp.org or follow us on Twitter: @AARPNY and Facebook: AARP New York


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Tryko supports 2 Virtua Health Skilled Nursing Facilities

Two Virtua Health Skilled Nursing Facilities have been added to Marquis Health’s roster of consulting services with Tryko Partners’ purchase of the Virtua Health locations.

Tryko announced the conclusion of the agreement on June 3. Financial terms were not disclosed.

According to Tryko, one of the reasons Virtua chose the company as a buyer was because of its culture compatibility, ensuring a good fit for the seller, as well as facility staff and current or future residents.

Virtua Health and Marquis Health Consulting Services teams celebrated the next chapter of Berlin Rehabilitation & Healthcare Center and Mount Holly Rehabilitation & Healthcare Center in June 2022. Pictured in Berlin, L-R: Virtua’s Dr. John Matsinger , executive vice president and chief operating officer, and Rhonda Jordan, executive vice president and chief human resources officer; Michael Smith of Marquis, Division President, Norman Rokeach, President of Marquis Ltd., and Jennifer Hertzog, Vice President of Marketing and Business Development, Mid-Atlantic; and Dennis Pullin, President and CEO of Virtua. – TRYKO PARTNERS

“At Virtua, we are continually evaluating our care portfolio and rebalancing our offerings in order to adapt, succeed and be of greatest benefit to the region,” said Dennis Pullin, President and CEO of Virtua, in a statement. “By divesting ourselves of the skilled nursing field, we are better equipped to reinvest in areas where we can really make an impact.

“With Tryko Partners – and Marquis Health Consulting Services – we have found a partner that will support an optimal continuum for patients,” he continued, adding that Virtua would continue to work with the new operator by providing support through “our physicians and specialist providers, and attendant and home care services.

The Camden and Burlington county locations will be renamed Berlin Rehabilitation & Healthcare Center and Mount Holly Rehabilitation & Healthcare Center, respectively.

In Mount Holly, the free-standing facility has 180 licensed beds. In Berlin, the location is part of a larger Virtua campus and has 128 beds. Community services include radiology, a laboratory and a satellite emergency service, all of which are unchanged by the sale, according to Tryko.

“Our business carefully targets opportunities involving facilities that are market leaders in providing quality care and services,” said Uri Kahanow, Chief Acquisition Officer of Tryko Partners. “The Berlin and Mount Holly centers have an excellent reputation, dedicated staff and a culture of going the extra mile for residents and patients.”

Earlier this year, Tryko expanded its portfolio along the Jersey Shore with a pair of formerly family-owned skilled nursing facilities.

Concerns are raised over doctor shortages and lack of health care in Keremeos, BC – Okanagan

“Long waits, limited services and restricted hours,” is how Keremeos resident Shaun Adams described the current state of the health system in the village.

The South Similkameen Health Center in the Okanagan Village is open Monday through Saturday from 8 a.m. to 6 p.m., but is closed nights and Sundays.

“There are no doctors available, we can’t get doctor’s appointments in this town. And so, this place doesn’t meet the needs of the community at all,” Adams said.

“And a month-long wait just to get into a lab for a blood test already – that’s inefficiency, not the fault of the already hard-working staff.”

Read more:

ER doctor raises alarm over overcapacity and understaffing at Kelowna General Hospital

The story continues under the ad

According to Interior Health, outside of the health center‘s current hours, residents should call 911 or go to one of three nearby emergency departments – Penticton, Princeton or Oliver – which are each approximately 40 minutes.

“If you have a heart attack or stroke after hours or on a Sunday, you have no hope of being served at this establishment. You have to call 9-1-1 and hope for the best,” Adams said.

Interior Health said it’s important to note that critical patients are often redirected to higher level care centers in the region.

Read more:

British Columbia introduces vaccination mandate for all remaining healthcare workers

The South Similkameen Health Center is facing a staffing crisis that has impacted wait times.

The number of doctors at the center dropped dramatically after the province introduced a mandatory COVID vaccination policy for healthcare workers last year.


Click to play the video:







Residents of Keremeos worried about restricted emergency hours


Residents of Keremeos concerned about restricted ER hours – Nov 2, 2021

Mayor of Keremeos, Manfred Bauer, said the staffing shortage goes beyond just doctors.

The story continues under the ad

“Like so many other municipalities in British Columbia, we’re going through the same staffing shortage issues — (the) pandemic has certainly contributed to that,” Bauer said.

“It’s a bigger problem. It’s not just the shortage of doctors, (it’s) nursing… lab techs, addiction mental health counselors.

Read more:

Health care workers call for plan in federal budget to handle health care crisis

The mayor said that while the staffing shortage is a concern, the village is actively working to find solutions.

“Maybe easier access to school, maybe financial incentives so that people entering this field (not) are stuck with big debts when they get out,” Bauer said.

“(We) are already trying to do incentives in terms of how can we provide supportive housing for these kind of (medical staff). We are looking at the big picture, but of course, as a small community, we rely on the province to do the major work.


Click to play the video: The population of







The population of Keremeos is the oldest in the Similkameen-Okanagan


Keremeos population oldest in Similkameen-Okanagan – May 4, 2022

© 2022 Global News, a division of Corus Entertainment Inc.

Abandoned nursing home to become affordable housing community

RICHMOND, Va. (WWBT) – The former Seven Hills Health Care Center in east Richmond and Henrico will soon become an affordable housing community.

Funding of $23 million will transform the derelict building into a Cool Lane Commons affordable housing community. This is Virginia Supportive Housing’s first affordable housing project in Henrico County.

Henrico, Richmond and local religious leaders inaugurated the site on Wednesday.

It will offer 86 one-bedroom, one-bathroom units with kitchens for homeless or low-income people. A fitness area, computer lab and laundry room will also be included for residents. The renovation comes at a time when rising rents are forcing people out of their homes.

“In Richmond we live – we have 19-20% of people living below the poverty line. A number of our children live in poverty,” Richmond Mayor Levar Stoney said.

It’s a growing problem, he says, that takes an entire village to overcome.

“We always try to divide and say ‘church and state and church and government can’t work together,’ but we see it can be done,” Gould-Champ said.

Gould-Champ has pastored Faith Community Baptist Church, located across from Cool Lane Commons, for nearly 30 years. She has had her eyes on the building since it closed in 2008.

“I knew we couldn’t afford that building across the street, but I knew what we didn’t want it to be. We didn’t want to be another store or another this or that,” Gould-Champ said.

The City of Richmond promised years ago that companies must include the church in all future plans for the building.

“Everyone was turned down until finally they sent Allison to me with Virginia Supportive Housing [and] their vision for affordable housing, and I immediately reached out to her,” Gould-Champ said.

Its community empowerment mission will continue by providing on-site services to residents trying to get back on their feet.

“It will help with that because there is a group that comes from shelters who will be living across the street, but there are also apartments for those who cannot find affordable housing, and that is the greatest need,” she said.

Cool Lane Commons is scheduled to open in 2023.

Copyright 2022 WWBT. All rights reserved.

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Nine nursing facilities affiliated with Genesis HealthCare

KENNETT SQUARE, Pa., June 01, 2022 (GLOBE NEWSWIRE) — Genesis Healthcare, one of the nation’s largest post-acute care providers, today announced that nine of its affiliated nursing facilities have been recognized as 2022 recipients of the Bronze – Commitment to Quality Award by the American Health Care Association and the National Center for Assisted Living (AHCA/NCAL) for their commitment to improving the lives of residents through quality care. The honor is the first of three progressive award tiers under the AHCA/NCAL National Quality Awards program. The program, presented by the leading long-term and post-acute care association, honors providers across the country who have demonstrated their commitment to improving the quality of care for our nation’s seniors and people with disabilities.

The nine facilities receiving the bronze honor are:

Bristol Green Village – Bristol, CT
Pine Point Center – Scarborough, Maine
Crestwood Center – Milford, NH
Langdon Place Dover – Dover, NH
Ridgewood Center – Bedford, NH
Wolfeboro Bay Center – Wolfeboro, NH
The Belvedere – Chester, Pennsylvania
Chapel Manor – Philadelphia, Pennsylvania
Willows Center – Parkersburg, West Virginia

“We are so proud that these nine centers have been honored for their commitment to quality improvement,” said Melissa Powell, COO of Genesis HealthCare. “Quality of care is the foundation of everything we do. These center teams have demonstrated their commitment to providing ever-increasing value to patients, residents and other customers. We couldn’t be more proud of their achievement.

Created by AHCA/NCAL in 1996, the National Quality Award Program is a rigorous three-tier process that is reviewed and judged by trained experts against a set of nationally recognized standards for organizational excellence. The standards of Baldrige Performance Excellence Program help organizations achieve superior performance to improve the quality of life and care of residents and staff in long-term care facilities.

Suppliers begin the quality improvement process at the Bronze level, where they develop an organizational profile with critical performance elements such as vision, mission statement, and key strengths and challenges. Bronze applicants must also demonstrate their ability to implement a sustainable performance improvement system. Trained reviewers review each application to determine if the center has met the criteria requirements. As a recipient of Bronze – Quality commitment price, these locations can now move forward in developing approaches and achieve advanced levels of performance that meet the Silver – Achievement in Quality award criteria.

“Quality of care is always a priority for providers, and this achievement celebrates the commitment and courage of these nine facilities to find ways to improve the lives of their patients and residents,” said Tammy, Board Chair. AHCA/NCAL National Quality Award Supervisors National Award. Kelly. “I hope this will serve as a model for other centers to begin a formal process of continuous reflection and improvement in the delivery of quality care to staff, older people and people with disabilities.”

The awards will be celebrated at the 73rd Annual AHCA/NCALrd Convention & Expo in Nashville, Tennessee, October 9-12, 2022.

ABOUT GENESIS HEALTHCARE
Genesis HealthCare is a holding company with subsidiaries that, on a combined basis, constitutes one of the nation’s largest post-acute care companies, providing services to more than 250 skilled nursing facilities and senior living communities/ assisted in 22 states across the country. Genesis subsidiaries also provide rehabilitation therapies to approximately 1,100 healthcare providers in 43 states and the District of Columbia. References in this release to “Genesis”, “the company”, “we”, “us” and “our” refer to Genesis Healthcare, Inc. and each of its wholly owned companies. Visit our website at www.genesishcc.com.

ABOUT AHCA/NCAL
The American Health Care Association and the National Center for Assisted Living (AHCA/NCAL) represent more than 14,000 nonprofit and owner skilled nursing facilities, assisted living communities, subacute care centers and homes for people with intellectual and developmental disabilities. By providing solutions for quality care, AHCA/NCAL aims to improve the lives of millions of frail, elderly and disabled people who receive long-term or post-acute care every day in our member facilities. For more information, visit www.ahcancal.org.

Media Contact:
Lori Mayer
610-283-4995

Nine Genesis HealthCare Affiliated Nursing Facilities Win 2022 AHCA/NCAL Bronze National Quality Award

Genesis LLC Administrative Services

The national award signifies a formal commitment to continuous improvement in the quality of care

KENNETT SQUARE, Pa., June 01, 2022 (GLOBE NEWSWIRE) — Genesis Healthcare, one of the nation’s largest post-acute care providers, today announced that nine of its affiliated nursing facilities have been recognized as 2022 recipients of the Bronze – Commitment to Quality Award by the American Health Care Association and the National Center for Assisted Living (AHCA/NCAL) for their commitment to improving the lives of residents through quality care. The honor is the first of three progressive award tiers under the AHCA/NCAL National Quality Awards program. The program, presented by the leading long-term and post-acute care association, honors providers across the country who have demonstrated their commitment to improving the quality of care for our nation’s seniors and people with disabilities.

The nine facilities receiving the bronze honor are:

Bristol Green Village – Bristol, CT
Pine Point Center – Scarborough, Maine
Crestwood Center – Milford, NH
Langdon Place Dover – Dover, NH
Ridgewood Center – Bedford, NH
Wolfeboro Bay Center – Wolfeboro, NH
The Belvedere – Chester, Pennsylvania
Chapel Manor – Philadelphia, Pennsylvania
Willows Center – Parkersburg, West Virginia

“We are so proud that these nine centers have been honored for their commitment to quality improvement,” said Melissa Powell, COO of Genesis HealthCare. “Quality of care is the foundation of everything we do. These center teams have demonstrated their commitment to providing ever-increasing value to patients, residents and other customers. We couldn’t be more proud of their achievement.

Created by AHCA/NCAL in 1996, the National Quality Award Program is a rigorous three-tier process that is reviewed and judged by trained experts against a set of nationally recognized standards for organizational excellence. The standards of Baldrige Performance Excellence Program help organizations achieve superior performance to improve the quality of life and care of residents and staff in long-term care facilities.

Providers begin the quality improvement process at the Bronze level, where they develop an organizational profile with critical performance elements such as vision, mission statement, and key strengths and challenges. Bronze applicants must also demonstrate their ability to implement a sustainable performance improvement system. Trained reviewers review each application to determine if the center has met the criteria requirements. As a recipient of Bronze – Quality commitment price, these locations can now move forward in developing approaches and achieve advanced levels of performance that meet the Silver – Achievement in Quality award criteria.

“Quality of care is always a priority for providers, and this achievement celebrates the commitment and courage of these nine facilities to find ways to improve the lives of their patients and residents,” said Tammy, Board Chair. AHCA/NCAL National Quality Award Supervisors National Award. Kelly. “I hope this will serve as a model for other centers to begin a formal process of continuous reflection and improvement in the delivery of quality care to staff, older people and people with disabilities.”

The awards will be celebrated at the 73rd Annual AHCA/NCALrd Convention & Expo in Nashville, Tennessee, October 9-12, 2022.

ABOUT GENESIS HEALTHCARE
Genesis HealthCare is a holding company with subsidiaries that, on a combined basis, constitutes one of the nation’s largest post-acute care companies, providing services to more than 250 skilled nursing facilities and senior living communities/ assisted in 22 states across the country. Genesis subsidiaries also provide rehabilitation therapies to approximately 1,100 healthcare providers in 43 states and the District of Columbia. References in this release to “Genesis”, “the company”, “we”, “us” and “our” refer to Genesis Healthcare, Inc. and each of its wholly owned companies. Visit our website at www.genesishcc.com.

ABOUT AHCA/NCAL
The American Health Care Association and the National Center for Assisted Living (AHCA/NCAL) represent more than 14,000 nonprofit and owner skilled nursing facilities, assisted living communities, subacute care centers and homes for people with intellectual and developmental disabilities. By providing solutions for quality care, AHCA/NCAL aims to improve the lives of millions of frail, elderly and disabled people who receive long-term or post-acute care every day in our member facilities. For more information, visit www.ahcancal.org.

Media Contact:
Lori Mayer
610-283-4995

Judge rules in favor of motion to deny anonymity to healthcare workers suing state

A federal judge hearing a lawsuit against the state’s COVID-19 vaccine mandate for healthcare workers has ruled in favor of a motion filed by two media companies challenging the plaintiffs’ anonymity.

U.S. District Court Chief Judge Jon D. Levy on Tuesday issued a 13-page ruling that requires previously anonymous plaintiffs to file an amended complaint — containing their names — by June 7. Governor Janet Mills and the State of Maine are named as defendants in the case.

“After carefully weighing the relevant factors, I conclude that the plaintiffs have failed in their heavy burden of demonstrating the need to overcome the strong presumption favoring public access to civil proceedings, as required for them to continue under a pseudonym,” Levy wrote in her decision.

The motion to uncover the identity of the plaintiffs was filed by the two companies that own the Portland Press Herald, the Kennebec Journal, the Morning Sentinel and the Lewiston Sun Journal.

The newspapers, mentioned in the court documents as intervenors, argued that the plaintiffs should not continue to be allowed to proceed under a pseudonym because “the plaintiff’s alleged fear of harm no longer outweighs the public interest in open judicial proceedings”.

The plaintiffs are Maine healthcare workers who, in August 2021, challenged a change in state law that requires employees of Maine’s designated healthcare facilities to be vaccinated against COVID-19. The plaintiffs’ reason for refusing the vaccine “is rooted in their religious objection to abortion and their assertion that fetal stem cells were used in the development of COVID-19 vaccines,” the court documents state.

Levy explained that at the start of the trial, he allowed the healthcare workers to proceed anonymously after arguing that their reasonable apprehension of harm outweighed the public interest in open litigation. Levy said he reserved the power to reconsider.

In Tuesday’s ruling, Levy said “the plaintiffs’ religious beliefs and their resulting medical decisions not to be vaccinated against COVID-19, whether considered separately or together, are not material in matters of privacy so important that they warrant pseudonymous proceedings”.

“In the final analysis, however, there is a near total absence of evidence that their expressed fears are objectively reasonable,” Levy wrote. “In this case, it has not been demonstrated that the privacy interests of the plaintiffs outweigh the public interest associated with the presumption of openness that applies to civil proceedings.”

Liberty Counsel, the conservative group representing the plaintiffs, argued that Maine must offer a religious exemption for vaccines because it offers a medical exemption. The rule treats people who seek religious exemption less favorably, supports the freedom advocate, and therefore violates their right to freely practice their religion.

It was unclear Tuesday night whether the plaintiffs planned to appeal Levy’s decision.

Federal judges at every level — the United States District Court, the 1st United States Circuit Court of Appeals in Boston, and then the United States Supreme Court — refused to block the entry into force. warrant while the courts considered the merits of the case. Liberty Counsel, a conservative group that represents plaintiffs, then filed a motion for writ of certiorari, seeking a full briefing and oral argument before the Supreme Court. The motion was denied in February.

The mandate took effect in October and major health care providers reported at the time that most workers had decided to get vaccinated and keep their jobs. The case is different from the legal battle over the federal vaccination mandate for private company employees.

Maine has not allowed hospital and nursing home workers to opt out of injections for religious reasons and all nine plaintiffs, according to Levy, must now identify themselves demanded that option.


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Updated Reports on Nursing Home Chairs Market Size, Growth, Revenue and Regional Analysis – 2028

The Global”nursing home chair market“The report provides insight into the global industry, including valuable facts and figures. This research study explores the global market in detail such as industry chain structures, raw material suppliers, and manufacturing. The nursing home chair sales market examines the major segments of the market scale. This smart study provides historical data as well as a forecast from 2022 to 2028.

The entire value chain and the critical downstream and upstream elements are examined in this report. This market report covers the technical data, manufacturing facility analysis, and raw material supply analysis for the Home Furniture industry and also explains which product has the highest penetration, its profit margins and market share.

Main Drivers and Obstacles:

High-impacting factors and rendering drivers have been studied in the Nursing Home Chair market report to help readers understand the overall development. Additionally, the report contains restrictions and challenges that may hinder players. This will help users pay attention and make informed trading decisions. The specialists also looked at the next business prospects.

In its latest report, ReportsGlobe offers a comprehensive overview of Nursing Home Chair Market with emphasis on keyword dynamics including driving forces, restraints, opportunities, trends and in-depth information about the structure of the nursing home chair market. The sales of Nursing Home Chair in the global market will increase as business and advanced technology increase. With the covid-19 epidemic, companies have become very dependent on digital platforms to survive.

Retirement Home Chair Market Segmentation:

Nursing Home Chairs Market, By Application (2016-2027)

  • old man using
  • patient using
  • Other

Nursing Home Chairs Market, By Product (2016-2027)

  • Manual nursing home chair
  • Electric nursing home chair

Key Players Operating in the Retirement Home Chair Market:

  • Dupont Medical
  • Medical and Rehabilitation Axis
  • hidemar
  • LINE
  • Lojer
  • Malvestio-Furniture for healthcare facilities
  • Meden-Inmed
  • Merivaara
  • PRACTICE
  • Primus Medical
  • RCN MEDIZIN
  • Reasonable size

Nursing Home Chairs Market Segment Analysis

The market research explores new data in the Retirement Home Chair market report. It examines the market size in terms of the value of each segment, as well as how market dynamics are likely to change over time. The report then divides this information into types and proposed applications, with a geographical breakdown (North America, Asia, Europe, and Rest of the World). In addition, the report examines the structure of the industry, offers estimates of growth, forecast period, revenue value, and volume in industrial applications, and sheds light on industry competition.

Scope of the Nursing Home Chairs Market Report

ATTRIBUTES

The description

ESTIMATED YEAR

2022

YEAR OF REFERENCE

2021

FORECAST YEAR

2022 to 2028

HISTORICAL YEAR

2020

SECTORS COVERED

Types, applications, end users, and more.

REPORT COVER

Revenue Forecast, Business Ranking, Competitive Landscape, Growth Factors and Trends

BY REGION

North America, Europe, Asia-Pacific, Latin America, Middle East and Africa

Regional Analysis For Nursing Home Chair Market:

The Nursing Home Chair market research report details current market trends, development outline, and several research methodologies. It illustrates the key factors that directly manipulate the market, for example, production strategies, development platforms, and product portfolio. According to our researchers, even minor changes in product profiles could lead to huge disruptions in the factors mentioned above.

  • North America includes the United States, Canada and Mexico
  • Europe includes Germany, France, UK, Italy, Spain
  • South America includes Colombia, Argentina, Nigeria and Chile
  • Asia Pacific includes Japan, China, Korea, India, Saudi Arabia and Southeast Asia

Goals and Objectives of Nursing Home Chairs Market Research

  • Understanding the Nursing Home Chair opportunities and advancements determines the market strengths, along with the key regions and countries involved in the market growth.
  • Study the various segments of the Retirement Home Chair market and the dynamics of the Retirement Home Chair in the market.
  • Categorize nursing home chair segments with increasing growth potential and assess the futuristic segment market.
  • To analyze the most important trends related to the different segments that help decrypt and convince the Retirement Home Chair market.
  • Check region-specific growth and development in the Nursing Home Chair Market.
  • Understand the key stakeholders in the Nursing Home Chair market and the competitive image value of the Nursing Home Chair market leaders.
  • To study the key plans, initiatives, and strategies for the development of the Nursing Home Chair Market.

The study thoroughly examines the profiles of major market players and their key financial aspects. This comprehensive business analysis report is useful for all new and existing participants when designing their business strategies. This report covers KEYWORD production, revenue, market share and growth rate for each key company and covers the breakdown data (production, consumption, revenue and market share) by regions, type and applications. Historical nursing home chair distribution data from 2016-2021 and forecast for 2022-2028.

Global Nursing Home Chairs Market Research Report 2022-2028

Chapter 1 Nursing Home Chairs Market Overview

Chapter 2 Global Economic Impact on Industry

Chapter 3 Global Market Competition by Manufacturers

Chapter 4 Global Production, Revenue (Value) by Region

Chapter 5 Global Supply (Production), Consumption, Export, Import by Regions

Chapter 6 Global Production, Revenue (Value), Price Trend by Type

Chapter 7 Global Market Analysis by Application

Chapter 8 Manufacturing Cost Analysis

Chapter 9 Industrial Chain, Sourcing Strategy and Downstream Buyers

Chapter 10 Marketing Strategy Analysis, Distributors/Traders

Chapter 11 Market Effect Factors Analysis

Chapter 12 Global Nursing Home Chairs Market Forecast

How Reports Globe is different from other market research providers:

The creation of Reports Globe has been underpinned by providing clients with a holistic view of market conditions and future possibilities/opportunities to derive maximum benefit from their business and assist in decision making. Our team of in-house analysts and consultants work tirelessly to understand your needs and provide the best possible solutions to meet your research needs.

Our team at Reports Globe follows a rigorous data validation process, which allows us to publish publisher reports with minimal or no deviation. Reports Globe collects, separates and publishes over 500 reports each year covering products and services in many areas.

Contact us:

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Account Manager

WE: +1-970-672-0390

E-mail: [email protected]be.com

Website: Reportsglobe.com

Rising health care costs and impact on future retirees

In recent months, Americans’ anxiety about inflation has grown steadily. A Gallup poll coordinated in March noted that 17% of Americans believe the high cost of living and inflation are a significant issue, up from just 8% in January. For people approaching retirement, there are planning considerations to make as prices continue to rise – most notable, given the significant cost to retirees, is that of health care.

Although inflation can drive up the prices of prescriptions and medical supplies in the short term, health care costs get ahead long-term inflation, regardless of market conditions. This means that future retirees should plan ahead and include health care costs in their overall financial plan.

Estimated costs

According to a model Vanguard developed with Mercer Health, even with Medicare, average health care costs can reach over $5,000 per year. In my work with clients, I typically focus on health care planning when an individual or couple is five to 10 years away from planned retirement. This advanced planning can allow someone to develop a thoughtful approach to preparing for – and ultimately paying for – future health care costs.

A few years before retirement, start thinking about the logistics of the retirement timeline. For example, if a person plans to retire at age 62 but will not be eligible for Medicare until age 65, they will need to determine how they will cover their health care expenses for three years. For some, they might consider joining their partner’s health insurance plan (if the partner is not retiring at the same time), going with COBRA, or finding a short-term insurance plan to cover the ‘difference. Alternatively, it could mean tapping into liquid assets or an HSA to pay for healthcare expenses before Medicare coverage kicks in.

Then, map planned expenses from the start and develop a corresponding savings plan to meet future goals. Medicare.gov provides useful information on eligibility and premium estimates. Vanguard also provides personal advisor services to customers, such as a healthcare cost estimator that forecasts healthcare and long-term care expenses.

Assess family history

Health considerations, such as family medical history, longevity expectations, and current health status, are equally important for timing logistics, as these factors can influence your choice of Medicare coverage. Of course, the concept of planning for a potential health scenario can be emotional. However, a forward-looking approach, guided by a financial advisor, can limit the need to make abrupt and difficult decisions in the midst of a health crisis.

A possible additional expense – not covered by Medicare – is the need for long-term care. The peak conditions that often drive the need for long-term care include dementia, stroke, Parkinson’s disease and osteoarthritis. Evaluate family history long before retirement and determine if long-term care might be an expense worth considering.

The need for long-term care can be a financial “wild card” since some clients may not need it during their lifetime. I work with clients to brainstorm hypothetical situations as this can determine appropriate health care goals linked to a financial plan:

  • “Are you planning to move in retirement?” Some locations (like the West Coast and the Northeast) may have higher health care costs.
  • “Will someone take care of you as you get older?” If the answer is yes, it will offset the costs. However, without the support of a spouse or child, it likely means the need for outside resources, which can be costly.
  • Where will I feel most comfortable as I get older? » It could be the difference between home nursing care, a shared room in a nursing home, or private resources in a more expensive facility.

Don’t forget the financial “compromises”

In addition to assessing family history and calculating potential future health care costs, it is important to understand the financial trade-offs that will come into play over the various decades. For example, many retirees in their 60s see part of their retirement income fund travel or new hobbies. As retirees age and this activity declines, there is a natural trade-off in spending – money that once funded a golf habit can now be directed towards prescription costs. It is important to keep these financial concessions in mind, as retirement income will naturally fluctuate during the different seasons of life.

Health care is only one piece of the retirement planning puzzle. And, as prices continue to rise in this space, making plans years before retirement is key to ensuring long-term financial security.

Senior Financial Advisor, Vanguard

Julie Virta, CFP®, CFA, CTFA is a Senior Financial Advisor with Vanguard Personal Advisor Services. She specializes in creating personalized investment and financial planning solutions for her clients and is particularly familiar with comprehensive wealth management and estate planning for multi-generational families. A graduate of Boston College, Virta has over 25 years of industry experience and is a member of the CFA Society of Philadelphia and the Boston College Alumni Association.

LDH and the New Orleans Department of Health discuss efforts to protect residents of nursing homes and assisted living facilities this hurricane season

Residents of a nursing home(KAIT)

NEW ORLEANS (WVUE) — Even before the worst of the hurricanes lands, electricity is usually one of the first victims of the winds and puts the elderly at risk.

Power outages caused by Hurricane Ida claimed the lives of some seniors. And the Louisiana Department of Health and the City of New Orleans have taken action in hopes of protecting as many residents as possible this hurricane season.

In Ida’s wake, more than 800 nursing home residents were evacuated to a warehouse in Tangipahoa Parish and some people had no idea that their loved ones had been taken there by their respective nursing homes.

“I didn’t know if my mother was dead or alive,” Renetta Derosia said.

The Louisiana Department of Health investigated complaints of inhuman conditions at the warehouse and evacuated residents of the nursing home.

Now the nursing home owner and the seven nursing homes are excluded from participating in federal health care programs.

Kenneth Kraft is with the Office of Inspector General of the US Department of Health and Human Services.

“HHS stands guard. We will do what it takes to protect our programs and our beneficiaries,” Kraft said.

The Louisiana Nursing Home Association says there are about 22,000 people in nursing homes in the state.

Stephen Russo is legal counsel for LDH and also director of legal compliance, audit and regulation for the agency. LDH licenses retirement homes and revoked the licenses of the seven retirement homes that were evacuated to the warehouse.

“Any time you have human suffering and death on the scale that you had at the Waterbury site in Independence, of course what you want to do as a state agency that licenses these entities, c is that you want to learn from it,” Russo said.

He said the LDH had asked for outside help.

“What we did immediately after the Waterbury incident was we hired a consultancy company that looked at our processes and found out where we could make improvements,” Russo said. “We then immediately reconstituted the Care Home Emergency Preparedness Review Committee and brought some of the consultancy firm’s ideas to that committee.”

And the legislation pushes the state legislature to give the LDH the power to approve emergency preparedness plans for nursing homes.

“The thrust of this legislation gives LDH the ability to approve nursing home emergency preparedness plans. What it will also do is that instead of being limited to the 22 parishes in the lower part of the state, it will require nursing homes across the state to file their emergency preparedness plans with from the Department of Health for approval,” Russo said.

State Representative Joe Stagni is the author of HB 933.

“And we wanted redundancy of approval not only from LDH but also from the local emergency preparedness office as well as the state fire marshal,” Stagni said.

Legislation also requires disposal sites to be inspected in advance.

“In order to try to guard against the tragedy that occurred at the Waterbury warehouse for any nursing home that has an evacuation site, either a primary site or a non-provider type secondary site approved, the department will come out at least twice and inspect that site,” Russo said.

That aside, Russo said the state health department has already begun inspections of unlicensed evacuation sites provided to LDH by nursing homes in the 22 lower parishes.

“They have longstanding relationships with maybe schools, maybe churches, maybe other places like that, that aren’t approved by the department, but that doesn’t necessarily mean either that they are not safe places for individuals to evacuate to for a short period of time,” Russo said.

And he said they would also review shelter-in-place plans.

“If they have proper power and supply,” Russo said.

Ida has also had an impact on assisted living facilities and senior housing complexes.

Dr. Jennifer Avegno is director of the New Orleans Department of Health.

“They don’t have the same kind of responsibilities to their residents, however, these are residents that we found, when you’re without power for a few days, these are the ones who are very, very vulnerable to the effects of heat and so unfortunately we, although we identified a lot of inhabitants and were able to help them, some died because they did not leave, they did not have the resources and their buildings really became uninhabitable quickly” , said Avegno.

Avegno says the city took action ahead of this hurricane season.

“So there’s now an order on the books from the fall that says, if you’re in an apartment building, living independently again but that building has a significant number of elderly residents, they receive federal funds to support low-income people. seniors or permanent housing support who, that management must have a plan. They need to know who’s in the building, they need to know who needs special equipment, so in the event of a power outage, who might be at high risk because they can’t run their oxygen machine or their electric wheelchair. They must also provide the name and contact details of a person who will be staying at the premises. It was a big deal,” she said.

Avegno says its department with facilities.

“We worked, the Department of Health, the Department of Homeland Security worked with all of these facilities to help them. It’s not designed to be punitive,” Avegno said.

FOX 8 asked Russo if assisted living facilities are state-licensed.

“Yes ma’am they are and they also have emergency preparedness plans, assisted living although the residents are not as frail as nursing home residents so a lot of these people have their own transportation to evacuate or what we find is a lot of times they will evacuate with immediate family members,” he said.

He and Avegno are urging everyone to prepare now for hurricane season.

“Be an advocate for your loved ones. Nursing homes are required by rule and regulation to let you know where they plan to evacuate, so you should inquire about this. You need to make sure your contact details are up to date with these nursing homes,” Russo said.

“Certainly our message is always to have a plan and to include the most vulnerable members of the family in that plan,” Avegno said. “Make sure your loved ones have at least 30 days of medication.”

FOX asked Russo if the LDH is ready to evacuate nursing home residents this hurricane season.

“Yes absolutely. As part of the site visit to unlicensed sites, one of the officers and team members here at the department is already looking at potential staging areas, potential triage areas,” Russo said.

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Proposed federal law would give older Ohios more health care choices: Joseph Russell

COLUMBUS, Ohio — The trauma of the past two years during the pandemic has reminded us to be cautious. This is especially true for older people and their families.

As the COVID-19 situation in Ohio appears to have finally come to a head, older adults still remain at higher risk for chronic diseases, illnesses, and injuries. This is especially true for older people who have been hospitalized. As we return to more normality, it will be essential to respect the wishes of older people and give them more health options.

Home health care is a safe, effective, and preferred care setting available to Medicare patients after discharge from hospital for chronic or acute illnesses and injuries. In cases where an older adult requires ongoing care after being hospitalized, research has found that they are more comfortable, independent, and safe in their home environment. Survey data also shows that 94% of Medicare beneficiaries prefer to recover safely at home if you are given the option.

While home care is an option for some Ohio seniors, that’s not true for all, especially seniors who have limited support at home. This underscores the need to improve home care services for this unique patient population.

To fill this gap, help modernize America’s post-acute care system and create more options for seniors, a bipartisan group of lawmakers in Congress introduced a bill to expand home health care for the elderly as an alternative to skilled nursing facilities, if clinically appropriate for the patient. If enacted, the Choose the Home Care Act (S. 2562/HR 5514), will provide more Medicare patients with the ability to receive expanded home health services after hospitalization. Choose Home will also allow eligible Medicare beneficiaries to receive extended patient care services such as skilled nursing care, personal practical care, physical therapy, medical social services and medical supplies.

This program also enjoys strong support, as it is well recognized that home-based health care can improve the quality of life and overall well-being of recipients and their families. Many stakeholders — from patient advocates to clinicians to providers — have expressed support for this bill and are urging Congress to move quickly to pass it.

Not only will Choose Home help patients and caregivers, it will also help taxpayers. According to the Ohio Association of Area Agencies on Aging, the average monthly cost of home health care services is approximately five times lower than the average cost of nursing home care. An independent research firm estimated that the Choose Home program could generate annual Medicare savings of $121 million to $222 million, which would translate to up to $4.8 billion in savings over 10 years at the national level, assuming an increased participation rate of 50% by the fifth year. Savings like this will help extend the solvency and sustainability of the Medicare program.

Joseph Russell is executive director of the Ohio Council for Home Care & Hospice in Columbus.

It is time to prioritize and diversify the delivery of care within our health care system. As the number of older people continues to grow, from 2.6 million to 3.37 million projected in Ohio by 2030it is essential to modernize the Medicare program to meet the needs of patients, while allowing them to choose their preferred setting for receiving health care.

Fortunately, congressional lawmakers have recognized this urgent need. I salute the Washington lawmakers who supported expanding access to home health care and approved the Choose Home Care Act, including U.S. Representative Troy Balderson, a Republican from Zanesville.

It’s important to Ohio voters ask their legislators to co-sponsor this bill so that elderly patients and their families have more options for the care that best suits their personal needs. Please join me in urging our entire Ccongressional delegation to co-sponsor this bipartisan, pro-senior Medicare legislation.

Joseph Russell is the executive director of the Ohio Board for Home Care and Palliative Care.

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* Email general questions about our Editorial Board or comments or corrections to this opinion column to Elizabeth Sullivan, Chief Opinion Officer, at esullivan@cleveland.com.

Restrictions Imposed in Nursing Facilities

LOS ANGELES (CNS) – As the number of COVID-19 cases continues to rise, hospitals in Los Angeles County may soon be overwhelmed with patients, the county’s chief health officer said Thursday, noting that the increase in epidemics in skilled nursing institutions has already caused a stricter infection. – control measures.


What do you want to know

  • The tightening of the rules comes as the county continues to see increases in cases
  • Another 6,245 COVID infections were reported in LA County on Thursday, one of the highest single-day numbers in weeks
  • The county’s seven-day cumulative rate of new cases is now 280 per 100,000 people, up from 246 a week ago
  • State figures Thursday showed 429 COVID-positive patients were being treated at county hospitals, up from 410 on Wednesday.

With 21 COVID outbreaks in skilled nursing facilities recently recorded across the county, staff at these facilities are now required to wear N95-level masks at all times and undergo testing twice a week, while residents must undergo weekly tests. All communal meals have also been halted, county public health director Barbara Ferrer said.

All non-essential indoor group activities are also suspended, she said.

The tightening of the rules comes as the county continues to see increases in cases. As of Thursday, another 6,245 COVID infections were reported in the county. Over the past seven days, the county has averaged more than 4,200 new infections per day, and the rate of people testing positive for the virus daily has risen to 4.1% from 3.8% the previous day.

The county’s seven-day cumulative new case rate is now 280 per 100,000 people, up from 246 a week ago. The rate keeps the county firmly in the U.S. Centers for Disease Control and Prevention’s “medium” virus activity category.

At this time, the county’s COVID-related hospital statistics are still low enough to prevent the county from moving to the CDC’s “high” activity category. Being moved to “high” would mean a return to the compulsory wearing of the mask indoors.

According to CDC guidelines, counties in the “medium” category will move to “high” if the rate of new virus-related hospital admissions reaches 10 per 100,000 people, or if 10% of hospital beds are staffed with County staff are busy with COVID-positive patients.

Ferrer said the current rate of virus-related hospital admissions in the county is now 4.5 per 100,000 — double the rate from a month ago — and the rate of staffed beds in staff occupied by COVID patients is currently 2.3%.

Although these numbers are well below the “high” category level, Ferrer noted that “if we continue on the current trajectory, we could find cases and hospitalizations that would end up stressing our hospital system in just a few weeks. “.

State figures Thursday showed 429 COVID-positive patients were being treated at county hospitals, down from 410 on Wednesday. The number of those patients treated in intensive care was 55, up slightly from 52 a day earlier.

Although health officials noted that many COVID-positive patients had been admitted to hospitals for reasons other than the virus, Ferrer said they still needed advanced levels of care that put medical centers at risk. tough test.

“They require a lot of different resources that are of a higher intensity, so that inherently puts more pressure on the system,” she said.

She added: “Unless we interrupt this increase in transmission, it will have an impact on the health system. The more cases you have… the greater the strain on the healthcare system.

Ferrer also noted that more infectious strains of the virus continue to proliferate. In the last round of specialized testing to identify variants, 36.4% of the cases tested were the result of a subvariant known as BA.2.12.1. This subvariant is considered exponentially more transmissible than its parent variant, BA.2, and significantly more transmissible than the omicron variant that triggered a winter spike in cases.

Another variant, BA.2.3, is also slowly emerging in the county, accounting for 7.6% of cases tested in the most recent sampling.

Ferrer said current vaccines still prove effective against all variants — not necessarily preventing infections but generally leading to less severe disease in those who are infected.

Ferrer reported nine more COVID-related deaths on Thursday. She said the county now has a seven-day average of about seven deaths per day. The new deaths gave the county an overall death toll from the virus of 32,109.

The 6,245 new infections brought the county’s cumulative total from throughout the pandemic to 2,955,954.

Even after the murder, Homestead puts nursing home residents at risk

Even after a resident was raped and murdered earlier this year, inadequate staff and poor care continued to put residents at risk at Homestead Healthcare Center, according to a recently released health inspection report.

Failures in the weeks following the murder sent at least two of the nursing home residents to the emergency room with life-threatening conditions. Others languished in urine-soaked beds and soiled bandages. A resident lost more than 40 pounds after the facility failed to provide nutritional supplements as recommended, inspectors found.

In total, the Indiana Department of Health cited Homestead for 20 violations of federal and state regulations during a mid-March inspection. The quotes show that even amid scrutiny following the murder, deeply concerning issues persist at the troubled Indianapolis facility.

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Many of the issues found by inspectors are similar to those identified in an IndyStar investigation into the nursing home’s troubled history. Reporters found that understaffing, rampant drug abuse, mishandling of medications and substandard care had plagued the facility long before the death of 80-year-old resident Patricia Newnum on February 2.

Police say a nursing assistant found another resident, Dwayne Freeman, 60, above Newnum with a pillow over his face and a bottle of liquor nearby. Freeman faces charges of rape and murder.

Freeman threatened at least two other female residents with sexual assault or violence shortly before the murder, but Homestead failed to take action to protect its vulnerable residents, according to a state health inspection conducted in the days that followed. immediately followed the homicide.

Court case: Conditions in care homes made rape and murder of woman ‘inevitable’

The new 76-page inspection report shows that problems continue to abound in Homestead.

Dangerous conditions persist

Facility failures sent at least two residents to the emergency room with life-threatening conditions, according to the report.

In one case, Homestead failed to take care of a resident’s urinary catheter, resulting in a urinary tract infection. The resident had a fever, became confused and agitated and asked to go to the hospital.

A nurse practitioner wrote an order to send the resident to the emergency room, but Homestead did not follow the order.

Two days later, the resident was found unconscious and taken to hospital with sepsis and respiratory failure. A discharge summary from the hospital indicated “comfort measures only” and that “resident’s breathing has ceased”.

In another case, a hypoglycemic resident began having seizures, but could not be treated because Homestead did not ensure that drugs to reverse the hypoglycemia were available, the report said.

Instead, the facility had to call 911. By the time an ambulance arrived, the resident’s blood sugar had dropped to 36 – an extremely low and dangerous level.

Inspectors found another Homestead resident had lost more than 40 pounds in 6 weeks when the facility failed to give the resident nutritional supplements recommended by a dietitian.

Another resident fell and fractured his neck. Inspectors cited Homestead for failing to report the incident to state health officials.

Homestead has pledged to correct deficiencies identified in the inspection report, but it is asking state regulators to reduce the scope and severity of the most serious citations in the report, which found the facility was putting the health and safety of residents in “immediate peril”. or caused “actual harm”.

A spokesperson for Cincinnati-based CommuniCare, the company that operates Homestead, did not respond to questions from IndyStar about the report. The head of Adams County Memorial Hospital, which owns Homestead, also declined to answer questions.

Basic needs are not met

Inspectors also found that Homestead had failed to meet residents’ basic needs.

Residents with soiled bandages told inspectors they sometimes went days without being changed. A resident has not received wound treatment prescribed by a doctor for more than three weeks.

In one case, inspectors noticed a “strong smell of urine” coming from a resident’s bedroom. They found “a large wet brownish colored area” that covered a third of the bed and had “soaked through the blanket, fitted sheet and mattress”. The bed remained dirty for four hours.

Two days later, inspectors found the same resident again lying in his own urine for at least two hours. The resident’s pillow “was resting on the brownish-yellow tinted bottom sheet,” the report said.

Repeat violations

The problems at Homestead are not new. Some of the infractions found by inspectors are similar to those identified during previous inspections.

For example, inspectors cited Homestead for failing to properly care for an IV in a resident’s arm. It’s especially alarming because the facility was cited and fined more than $87,000 last year after a resident’s IV went unattended for eight days, leaving him led to septic shock and death.

The new inspection report also shows that Homestead continues to improperly store and manage drugs. Loose pills were found strewn about in medicine carts. Some drugs and supplies were outdated. Opioids were checked, but never marked as administered.

Inspectors found similar issues in August when they cited Homestead for leaving a medicine cart “unlocked with no personnel in sight”.

Repeated medication failures are concerning as drug addiction is rampant in Homestead. Police have conducted several narcotics investigations at the facility since the beginning of last year. The problem got so bad that overdose medication was issued to residents. Two nurses have been arrested for stealing opioids from residents.

More than two years into the COVID-19 pandemic, inspectors also cited Homestead for failing to implement infection control measures. They were cited for the same last year in May.

Insufficient staff identified

Inspectors linked many of the facility’s problems to low staffing levels.

The finding comes after an IndyStar analysis of federal data showed Homestead has some of the lowest total nursing staff hours in America.

IndyStar also found that state health inspectors have not cited Homestead in the past, even though the facility has repeatedly violated a requirement that nursing homes employ at least one registered nurse for eight years. hours per day. In fact, the state allowed Homestead to expand capacity in January.

This time, however, inspectors cited the establishment for violating this requirement on 9 of the 28 days examined.

Homestead also failed to meet its own staffing recommendations.

An assessment of the facility’s facilities in 2021 identified a need for 3 or 4 nurses for day and evening shifts, and 2 nurses for night shifts, the report said. Inspectors reviewed two weeks of nursing schedules and found that the facility had never met this standard. For seven days, there was only one nurse per shift.

Lack of sufficient nursing staff resulted in surgical dressing changes not being made, care not being provided for a feeding tube, intravenous dressings not being changed, that medication was left in a resident’s room, that a resident was given unnecessary medication, that there was no urinary catheter care and nutritional supplements are not being provided, the report says .

What else can we do?

On Tuesday, IndyStar asked the Indiana Department of Health and the US Department of Health and Human Services what actions they plan to take in response to the new inspection report.

Federal officials did not provide a response Wednesday afternoon, and state officials did not discuss specifics.

“The Indiana Department of Health is working within its authority to address issues in long-term care facilities, but cannot comment further while enforcement actions are pending,” said Jeni O’Malley, Deputy Chief of Staff at IDOH.

Regulators have the power to fine nursing homes and withhold payments for new admissions, but these tools have so far failed to deter trouble. Federal data shows Homestead has been fined nearly $300,000 since the start of 2021 and federal payments have been suspended twice.

More severe enforcement measures are available.

State health officials can place a nursing home’s license on probation or revoke it altogether. The state has placed at least nine nursing homes on probation since 2010, but closed only one during that time.

Federal officials can impose a temporary manager or terminate a facility’s agreement to provide Medicare and Medicaid services. The latter would have the effect of closing the installation.

So far, state and federal authorities have resisted calls for these more drastic enforcement actions.

O’Malley said the state generally follows a “phased” action plan to “hold vendors accountable and provide an opportunity to return to compliance and remain in compliance.”

Closing a nursing home is usually an option of last resort due to the risks associated with transferring vulnerable residents to a new facility. Homestead had 75 residents at the time of its last inspection.

At some point, the question becomes who poses the greater danger: closing a facility or letting its residents stay?

Contact IndyStar reporter Tony Cook at 317-444-6081 or tony.cook@indystar.com. Follow him on Twitter: @IndyStarTony.

Effects of Developing Scenario-Based Learning in a Basic Nursing Course: A Pilot Study | BMC medical training

study design

This pilot study used a one-group pre-test-post-test design to investigate the effects of DSL on team effectiveness, systems thinking, and proactivity in problem solving among nursing students. second year.

Speakers

Fifty-three second-year nursing students signed an informed consent form to participate in the study. The sample size was determined using the G*power 3.1.2 program. For the difference from the constant (one sample case) with an effect size of 0.5, a significance level of 0.05, and a power of 0.90, the minimum sample size a was calculated to be 44. The sample size was determined to be 53, considering a 20% dropout rate. Students who completed the 15-week Foundational Nursing Course from March 4 to June 17, 2021 completed the study questionnaire. There are no incomplete questionnaires; all data from 53 students were included in the final analysis.

Study procedure

Development of the DSL-based nursing education program

To develop the basic nursing education program based on the DSL, the course syllabus and lesson flow chart were prepared. Thus, the five phases of the DSL model were applied, underpinned by the theoretical basis of basic clinical nursing skills and the objectives of the foundational nursing course (Table 1). The DSL model consists of five phases: phase 1 — presentation of the overall learning experience – sharing of pre-learning; phase 2 – component preparation – fishbone – problem identification, in which students reflect on the scenario through discussion; phase 3 – development of a screenplay – lines of writing, during which the pupils develop a draft screenplay; phase 4 – finalizing the script – applying the context, investigating the theoretical evidence and finalizing the storyboard, during which the students came to a consensus on the final script; and, phase 5 – re-finalization of the scenario – reformulation based on the discussion, during which the students examined and reflected on the interpretations of the initial scenario [9]. The program has been designed as a 15-week, 2-credit (2-hour) course in accordance with the School of Studies curriculum. The program was developed by a panel consisting of three faculty with over 10 years of clinical nursing experience and 3 years of teaching experience in the foundational nursing course and three staff assistants with over 5 years of experience. clinical nursing experience.

Table 1 Procedure and content of developing a basic nursing education program based on scenario learning

At the stage of content development, four basic nursing skills (intermittent feeding by gastric tube, intradermal injection, subcutaneous injection and intramuscular injection) were selected from 20 basic nursing skills presented by KABONE, taking into account the student needs rate. The corresponding basic nursing skills assessment protocol was used. In addition, online video lectures were recorded and templates were prepared for the analysis of therapeutic communication and the development report of skills-based scenarios for the program.

Implementation of the DSL-based nursing education program

Of the total 15 weeks of foundational nursing courses, 3 weeks of orientation were conducted. After 4 weeks of courses by domains, learning activities were carried out to develop scenarios through phases 1 to 4 for 4 weeks. The participants were divided into five teams, and each team consisted of seven to eight people. During the 13th week, a video was made during a role play with the final scenario. In week 14, the instructor provided feedback using the Learning Objectives and Scenarios Assessment Tool through a presentation, and Phase 4 Learning Activities and 5 have been completed. The topic of the DSL-based nursing education program developed by each team is shown in Table 2. An example of the finalized scenario developed is shown in Table 3.

Table 2 Theme of the learning-based nursing education program development scenario developed by each team
Table 3 Example of scenario content developed by developing scenario learning

In this study, phase 1 of the DSL involved the sharing of initial learning experiences within the teams. The students viewed the video lectures, pre-read the studies related to basic nursing skills, and shared their understanding and interpretation of the learning material with their team during the course. In Phase 2, students developed a draft of their script through discussion. They have chosen a core nursing competency and defined their skill-based learning goals and events that may occur while administering the competency accordingly. They used a fishbone diagram to provide diversity and clarity of nursing issues that may arise when performing the skill. Phase 3 consisted of students developing the script project. They experimented with developing various scenarios by writing several possible cases of conversation scripts and analyses, integrating each event with the identified nursing problems, discussing them continuously with the team and looking for theoretical evidence. During phase 4, the students came to a consensus on the development of the scenario. They developed a scenario storyboard using the script chosen by the team members and reflecting the contextual characteristics of the patients involved. In phase 5, the students reviewed the interpretations of the initial scenario. They assigned themselves roles based on their team’s storyboard and acted out the role play. They filmed their role play for presentation and discussion during class. Additionally, they wrote a reflective journal to share and reflect on their experiences while developing scenarios.

Instruments

Team efficiency

The authors used the eight items of the team effectiveness subscale used in the Marshall and Lori study [23] and modified and validated by Kwon [24]; these were rated on a five-point Likert scale. The total score ranges from 8 to 40, and a higher score indicates greater team efficiency. The reliability of the tool was Cronbach’s α = 0.96 in Kwon’s study [24] and 0.88 and 0.95 before and after the intervention, respectively, in this study.

Systems thinking

The tool developed by Lee et al. [25] has been used. This 20-item tool includes five domains, with four items each for systems thinking, personal competence, mental model, shared vision, and team learning. Each item is rated on a five-point Likert scale. The total score ranges from 20 to 100, and a higher score indicates greater systems thinking. The reliability of the tool was Cronbach’s α = 0.83 at the time of tool development and 0.81 and 0.86 before and after the intervention, respectively, in this study.

Proactivity in problem solving

From the five-factor scale for team skills developed by Marshall and Lori [23]the authors used the eight adaptive factor items adapted by Kwon [24]. Each item is rated on a five-point Likert scale. The total score ranges from 8 to 40, and a higher score indicates greater proactivity in problem solving. The reliability of the tool was Cronbach’s α = 0.77 in Kwon’s study [24] and 0.77 and 0.92 before and after the intervention, respectively, in this study.

Data analysis

Data collected was analyzed using IBM SPSS Statistics version 22.0 (SPSS New York, USA). The demographic characteristics of the participants were analyzed with the actual number and the percentage of mean and standard deviation. Additionally, changes in team effectiveness, systems thinking, and proactivity in problem solving after implementation of the DSL nursing education program were analyzed with paired t-tests. To investigate effect sizes (Cohen’s d), the authors calculated the mean difference in outcomes between pre- and post-intervention.