Angie's Blog

HealthCap® USA

Angie Szumlinski, NHA, RN-BC, RAC-CT and BS

Director of Risk Management

Angie SzumlinskiMs. Szumlinski is a nationally-recognized leader in long-term care with experience as an Owner/Provider, Administrator, Director of Nursing, Corporate Quality Assurance Coordinator and independent consultant. Ms. Szumlinski conducts risk management visits at facilities across the country, touching every acuity level within the post-acute care spectrum. Ms. Szumlinski served as an Associated Board Member for NCAL, is a member of the AHCA/NCAL Quality Committee, NCAL Risk Management Committee, HCAM Legal/Clinical Committee and is a Senior Examiner/Team Leader for the AHCA/NCAL Quality Award Program. Ms. Szumlinski is a Nurse Planner for the HealthCap® ANCC accredited education program.

Developing a Personal Electronic Device Policy

Angie Szumlinski Legal

ECRI has unveiled their guidance on the subject of Personal Electric Device (PED) policy. The report covers both basic topics, like what to include in such a policy and the procedures therein, and more in-depth concepts such as tracking and, if necessary, wiping phones if they are stolen or missing. Developing a policy is a relatively simple process if facilities …

Settling a Liability Case Early Impacts the Expense of a Claim

Al Hamlin Case Study

CASE STUDY Settling a case of liability early can greatly impact the indemnity and expense dollars of a claim. Settling a case of liability early, while leveraging causation arguments, all without incurring the expense of defense counsel and formal experts, is a true success story. Mary was a 91 year old widow when admitted for rehabilitation to a Five Star …

Nurse Placing armband on patient

30-Day All Cause Hospital Readmission Study

Angie Szumlinski News, Studies

Several national initiatives, including the Centers for Medicare and Medicaid Services Hospital Readmissions Program (HHRP) and the Partnership for Patients (PfP), are dedicated to reducing the number of preventable readmissions in US hospitals. HRRP accomplishes this by incentivizing Hospitals to decrease readmission using a system that links funding with readmission metrics. Meanwhile, PfP has constructed an interconnected set of collaborative …

Restorative Nursing

Restorative Nursing: A Win-Win

Angie Szumlinski Health, Training

A strong restorative services program can boost resident outcomes and independence. By Angie Szumlinski, LNHA, RN-BC, RAC-CT, BS and Erica Holman, BA, LMSW, LNHA, CDP At a local skilled nursing center, the administrator asks staff for assistance to enhance their restorative program. Fortunately, the center had both a therapy director and restorative nurse who expressed a desire to work together …

Frailty and falls in the elderly

Frailty and Falls in the Elderly

Angie Szumlinski Health, Studies

Angie SzumlinskiDirector, HealthCap Risk Management Services Resident falls continue to challenge our communities, it is the highest cause of rehospitalizations, negative outcomes, immobility and claims in long-term/post-acute care. There are many products on the market that appear to have some promise in early identification of fall risk including the use of assessment tools to measure the level of frailty. The …

Oral Care

SNF Patients Dependent on Staff for Oral Care Have Lower Oral Hygiene Scores

Angie Szumlinski Health, Studies

The Hospital Readmissions Reduction Program targets pneumonia as a critical disease because it has the highest mortality and morbidity rates of all hospital-acquired infections and a major threat to patients in long term care facilities. Many of the risk factors for pneumonia involve oral hygiene and oral care, including pathogens in the oral cavity and trouble swallowing properly. Aspiration pneumonia, …

Culture, Confidence, and Past Experiences Factors in Failure to Detect Deterioration

Angie Szumlinski Health, News

A review of one of the most tragic issues in modern nursing homes, failure to detect patient deterioration, used a five-step process to extract and examine data on study aims, key findings, afferent/efferent consequences, and team implementation and practice of rapid response procedure. Ultimately, 23 of 120 potential articles were used in the review, with 15 of those focusing upon …

National Incidence of Adverse Events Among Medicare Beneficiaries in Long-Term-Care Hospitals

Angie Szumlinski Health, News, Studies

The Inspector General performed an in-depth review of adverse events on a subset of people receiving care. A summary of their findings and recommendations is as follows: The Office of Inspector General (OIG) found that 21 percent of Medicare patients in Long-Term-Care Hospitals (LTCH) experienced adverse events, which are particularly serious instances of patient harm resulting from medical care.  The …

Social Knowledge Networking and Meaningful Use of EHR Medication Reconciliation

Angie Szumlinski Health

Many health systems across the USA face a scenario of low physician engagement in, and limited use of, Electronic Health Record Medication Reconciliation (EHR Med Rec) leading to high rates of medication discrepancies and low accuracy of the patient’s active medication list, during transitions of care. A Social Knowledge Networking system was implemented to create an increase in meaningful use …

Depression in Dementia with Lewy Body

Dementia with Lewy Bodies is associated with higher scores on the Geriatric Depression Scale than Alzheimer’s disease

Angie Szumlinski Health

Several reports have suggested a higher morbidity of depression in patients with dementia with Lewy bodies than those with Alzheimer’s disease. Unfortunately, those results have not been consistently duplicated. The psychiatric symptoms of dementia, such as depression, are important for its diagnosis and management. As a result, this study aimed to clarify the qualities of the depressive symptoms in DLB …