Let’s REACT to INTERACT!

Angie SzumlinskiUncategorized

The State of Michigan began a pilot project last year aimed at reducing hospital readmissions.  This month the project is expanding to all of Michigan’s 144 hospitals according to the Michigan Health and Hospital Association. The goal of the project which is being coordinated by Keystone Center for Patient Safety & Quality and The Michigan Peer Review Organization (MPRO) is …

‘Tis the Season – The Perfect Storm

Angie SzumlinskiUncategorized

It is no coincidence that the rate of respiratory infections increases during the winter holiday season.   More families are visiting, residents go “home” for dinner, visitors traveling from other areas of the country bring “foreign” microorganisms along and thus we have the perfect storm.   Understanding that these are things we can’t change, let’s talk about the things we CAN change …

Re-hospitalizations – Pneumonia

Angie SzumlinskiUncategorized

Pneumonia is the leading cause of mortality, morbidity and transfers to acute care facilities among residents of nursing homes.  A study performed at Brown University suggests that there is growing evidence that the transfer of residents with Nursing Home Acquired Pneumonia (NHAP) results in little to no improvement in overall mortality or morbidity when compared with residents treated in the …

Alarm Reduction – Fall Prevention

Angie SzumlinskiUncategorized

C0-blogger: Erica Holman, LNHA, LMSW, Risk Manage Long-term care is “buzzing” with the process of alarm elimination and fall reduction programs.  The good news is that HealthCap members actively implementing alarm reduction programs are reporting their fall rate has not increased and has actually decreased in many cases.  Sounds great, doesn’t it?  However, is the elimination of alarms the cause …

Quality Measures and Five Star Rating

Angie SzumlinskiUncategorized

Changes made to the Five Star and Quality Measure ratings in July have resulted in changes in ratings for many facilities.  The American Health Care Association (AHCA) compared data from the Nursing Home Compare website and identified Some facilities did have a decrease of two or more stars however an equal number of facilities enjoyed an increase of two or …

OIG Record Reviews

Angie SzumlinskiUncategorized

The OIG via the Office of Evaluation and Inspection (OEI) is requesting medical records from long-term care facilities for residents re-hospitalized within 35 days of admission.  All of us have heard about the CMS directives and everyone is working very hard at identifying the root cause of the readmission phenomenon.  We as providers are still in a precarious position as …

Understanding the State Protection and Advocacy Agency

Angie SzumlinskiUncategorized

The Recent Rise in Requests from State Protection & Advocacy Agencies What is a State Protection & Advocacy Agency and How Should the Insured Respond Guest bloggers: John P. Hessburg, Andrea S. DeLand and Kally Goodwin-Ratzloff  We have recently noted a dramatic increase in the number of requests for information received by facilities from State Protection & Advocacy Agencies (“SPAA”).  …

The Heat is on!

Angie SzumlinskiUncategorized

Co-blogger: Tamala Jones, BSW, LNHA, Risk Manager Summer is officially here and the country is baking in a sweltering heat wave. It is very important that we keep our residents and employees safe during these extreme conditions. The information below will assist your team in preventing heat related conditions by being alert to symptoms and reacting timely.  Prevention is the …

Arbitration Agreements – Overcoming the challenges

Angie SzumlinskiUncategorized

Guest blogger: Joanna Castro, LNHA, RN, Risk Manager How many of you have heard of AAA? No, I don’t mean the American Automobile Association. I mean the American Arbitration Association www.adr.org. Our industry tried in the past to implement Arbitration Agreements but was confronted with multiple challenges which lead many organizations to abandon the effort. Now the effort is being …

Baby Boomers – Trends in ALF

Angie SzumlinskiUncategorized

As the population of baby boomers enters the senior housing market it is important to remember, resident rights, free choice and the dangers associated with both.  A recent article published by the Hartford Institute for Geriatric Nursing suggests that we can and should be doing more to prevent negative outcomes associated with alcohol use. It is difficult and troubling to …