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.

Re-hospitalizations – Pneumonia

Angie Szumlinski Uncategorized

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 Szumlinski Uncategorized

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 Szumlinski Uncategorized

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 Szumlinski Uncategorized

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 Szumlinski Uncategorized

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 Szumlinski Uncategorized

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 Szumlinski Uncategorized

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 Szumlinski Uncategorized

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 …

LEIE and You!

Angie Szumlinski Uncategorized

March 5, 2012 The OIG Exclusions Database List of Excluded Individuals and Entities (LEIE) is a comprehensive list of individuals and entities prohibited from participating in the Medicare and Medicaid programs.  The list is updated on a regular basis and is an important resource for all providers.  If your facility doesn’t currently review the LEIE on a regular basis it …

Disaster Preparedness – Are Your Residents Prepared?

Angie Szumlinski Uncategorized

The University of Pennsylvania School of Nursing identified that illness, injury and death are increased in elderly populations during disaster situations.  “Older adults often have visual and hearing deficits, making it more difficult to interpret their environments and precipitating increased stress” said lead author Pamela Cacchione, PhD, APRN, GNP, BC.  “This stress can also exacerbate chronic illnesses, further precipitating delirium”.  …