Nurse.org posted an anonymous survey in 2021 that was awarded the Gold Award for the Digital Health Awards, Best Media/Publications Article, Spring 2022! Congratulations to them and to all the nurses who took the time to share their experiences and feelings regarding the state of nursing. Nearly 1500 nurses participated in the survey, and they were asked about real issues …
Holidays, Viruses, and Capacity
Let’s face it, they just don’t mix! There are some dire projections out there including what some are calling the risk of a “tripledemic!” Just what we need, right? Cases of RSV are rising quickly in young children, filling ICU beds, in fact, most hospitalizations today are related to RSV and not COVID. Why? Because we have weakened our immunity, …
Ending the Temporary Nurse Aides
As the world turns, I shake my head, yes, this is going to be an “opinion blog”, sorry! If you recall, back in April 2020, CMS issued a waiver that allowed centers to utilize temporary nurse aides. If you also recall, this was in the throws of COVID-19 when staffing was challenged. Hmmmm…..isn’t staffing challenged today as well? So, in …
Staffing and Rapid Tests
Staffing challenges have become the “norm” in post-acute care, there just aren’t enough caregivers to go around. Is this due to the pandemic? Maybe, maybe not, but whatever the cause, we are all struggling to staff our centers with competent, caring staff. Hopefully, we can avoid the “warm body syndrome” where we hire employees to “fill positions” versus hiring employees …
Reviewing Staffing Agency Contracts from an Insurance Perspective
Staffing shortages continue to dominate the industry rendering it difficult for post-acute care providers to maintain consistent levels of staff and quality care. To ease the staffing burden, providers are requesting assistance from staffing agencies. While this is an efficient solution, providers should try and avoid some common pitfalls when it comes to signing staffing agreements. Reviewing the indemnification and …
Negotiating Agency Contracts
Staffing shortages continue to dominate the industry rendering it difficult for long-term care providers to maintain consistent levels of staff and quality care. Most providers are watching their staff quit the industry entirely or switch over to temporary staffing agencies to make more money. To ease the staffing burden, providers are requesting assistance from staffing agencies. While this is an …
Nursing Home Strike Teams Funding
On March 11, 2021, President Joe Biden signed into law the American Rescue Plan Act of 2021, which included $250 million allocated Medicare and Medicaid funding for the implementation of nursing home strike teams. AMDA – The Society for Post-Acute and Long-Term Care Medicine sent a letter to the Department of Health and Human Services on June 11, 2021, urging …
OIG Exclusion List
In the year of the pandemic, many of us struggled with staffing and continue to be challenged, however, it is important that we not skip important steps in the hiring process such as checking the OIG exclusion list. The Office of the Inspector General (OIG) has the authority to exclude individuals and entities from Federally funded health care programs for …
Physician Collaboration in Nursing Homes
The COVID-19 pandemic exposed the danger in approaching nursing home care as simply long-term housing for the elderly. Research has shown that strong staffing coverage is a key indicator of a facility’s ability to keep COVID-19 outbreaks in check, and geriatricians have called for a larger role in shaping nursing home policy and operations. In the second part of Skilled …
OIG – CMS Use of Staffing Data
The OIG performed an audit review focusing on the Centers for Medicare & Medicaid Services (CMS’s) use of data on nursing home staffing from April 2018 through March 2019; before the COVID-19 pandemic. They also noted recent CMS actions through December 2020. Since November 2016, CMS has required nursing homes to submit payroll-based staffing data, including data on nurses and …
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