Welcome to ProviderTV, the video extension of Provider magazine. Here you will find interviews with thought leaders and other events. Our inaugural videos are from Provider’s LED Talks, which are both provocative and inspirational. |
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Patient-centered care for chronic wounds means patients must decide how they want to live for the next six months.
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Patient-centered care for chronic wounds means patients must decide how they want to live for the next six months. Indiana governor's program helps nursing facility, assisted living worker upgrade their skills. When their Five-Star ratings change, providers must be proactive in
telling residents and families what they were docked for and why. While immigration reform is not likely anytime soon, recently Good Sam has looked to Canada for nurses. Intermediate care home staff need training to care for residents with higher levels of disability. To help with retention, Pemberly Place offers staff flexible schedules, paid education, and team leaders on every shift.
Rather than relying on Five-Star, visiting a facility and talking to the people is the best way to weigh quality. PDPM's emphasis on clinical precision allows for individualized care plans, which is a plus for nurses. No one on the care team is truly prepared for healing chronic wounds, but they are expected to be, says Genesis specialist.
How do you keep a CNA on board for 3-4 years? A nurse scholarship program can help. Proposed interoperability regs aim to give patients full access to their electronic health records. Vetter Health Services strives for transparency in the information it posts, preparing customers for what to expect when they arrive. Good Samaritan and Stanford are developing an integrated acute/post-acute care model for all their buildings.
Strong staffing partnerships and board support motivate one Maine executive.
A bill in Congress would curtail CNA training prohibitions once quality standards were met.
Extremely small margins makes one provider wary about any changes to the Medicaid program. With transportation tough in rural settings, some center are trying out telehealth.
Staff need to be trained to maintain cyber security and be on the alert for Ransomeware.
This provider prepared for the
Five-Star shake up months ahead with plans in place to recover stars and even
improve on them. Mission Health offers tuition reimbursement and on-site clinicals, but it’s the family culture that keeps employees loyal.
Paul Babinski weighs in on how Liberty’s venture into Medicare Advantage is working. Elmbrook Management looks to add affordable senior housing to its offerings. At Liberty Healthcare, administrators and DONs come together three times a year for education and mutual appreciation.
Provider-owned Medicare Advantage
plans can open the door to broader ways to care for patients and residents. Though both Lutheran-based, Good Sam and Sanford bring different cultures to the partnership. How the Good Samaritan and Sanford Health partnership is working out. One assisted living community features medical clinics in its buildings to ease patient transitions between hospital and home. Assisted living communities are seeing a growing percentage of amenity spaces in response to resident wishes, Heaney says. For Cascadia Healthcare, facility culture is key to attracting the right staff. Behavioral Health teams can do assessments on call or customize plans for SNFs or ALFs.
A unique pharmacy partnership allows Vivage to send patients home carrying the correct medication for the first 30 days.
Michael Wylie is amazed at what he finds at an assisted living complex in China. Chris Mason says small things like mentors, flexible hours, and day care sevices help keep staff on.
The rise in acuity in assisted living calls for state regulation adjustments. Steve LaForte is on a mission to make CMP funds available to help facilities improve. Genesis has found that patients encourage each other during concurrent or group therapy.
SNF staffing in the future will include such new posts as recreational therapists and dementia specialists, expert predicts. New building will feature built-in technologies to facilitate a calming environment. The assisted living sector has been overdeveloping properties nationwide too early for the Silver Tsunami, Steven Heaney says. Breaks during shifts, child care, in-house education programs are just a few of the perks Vivage Quality offers staff.
In PDPM, behavioral health diagnoses are relevant not only to care but also to reimbursement.
Steve LaForte believes PDPM could be positive for Cascadia due to its specialization niches. Covenant Retirement Communities is bringing therapy and clinical staff together to prepare for the holistic approach of PDPM. Chris Bryson, CEO, Consulate Health Care, sees skilled nursing centers gravitating more and more to post-acute care.
Gerald Hamilton, Bee Hives Homes, is seeing a steady increase in patients with dementia and more with behavioral issues. One assisted living recruiter invites prospective employees in to watch caregivers at work, giving them a feel for the job. As a result of a strict new UTI protocol, Christian Homes has achieved a 66 percent reduction in UTI infections.
Assisted living community invites local youth groups in to spend time with residents from the WWII era. Gerald Hamilton says the greatest challenge his ALF is facing is to educate doctors not to prescribe antipsychotics and staff and families on the drugs' danger. Data points help providers set internal quality goals and also make them better continuum partners.
Integrating different types of technology has been key to working smarter for turnaround company.
Nurses "get to be nurses" again, as they holistically care for the whole patient under PDPM. Bob Van Dyk's decision to start an adult day care center comes from a personal place. Involving staff in a center's quality efforts empowers them, encourages them, and lends to engagement. Inviting local representatives for a visit helps them learn not only
about assisted living and but also Sunrise’s quality outcomes, says Kimberly
Dilig.
Quality
measure data are transparent in today’s world. Brookside Inn invites scrutiny
from staff by posting Performance Improvement Plan progress data in its
breakroom and discusses them in staff meetings.
Data tracking helps assisted living community monitor progress on its Quality Initiative goals.
PDPM requires a new type of data collection and continual staff training. Assisted living has advanced to the point of needing skilled nurses in all three shifts. Kevin Keith Whitehurst, MatrixCare Paradise, Calif., was anything but its name when an intense forest fire brought tragedy to the town on Nov. 8, 2018. In a combination of heat, smoke, and speed, the Camp Fire inferno killed dozens and torched most anything in its path. Jessica Johnson, then administrator of Heritage Paradise, tells the story of how the consequences of the disaster played out in real time for one SNF, and how fast-acting and determined administrators, staff, and volunteers drove residents to safety under extreme risk of peril. This is a story of one company’s courage, persistence, and innovation. It’s the story of how one severely challenged company is taking its fate by the horns and changing course in a bold, new direction. The results, which play out in Five-Star ratings, employee engagement scores, and more, speak for themselves. This is the story of Consulate Health Care. Chris Bryson, CEO, shares the top risks he had to take to turn the company around. Nursing centers today have an extremely high prevalence of depression (50-70 percent). Depression is not and should not be an inevitable consequence of skilled nursing facility (SNF) admission. Is it possible that the post-acute care sector is inadvertently making people depressed? Richard Juman, PsyD, presents a new idea and solutions to disrupt the status quo way of approaching depression. Patient-centered care can be defined as "how you or I want to be cared for," says Linda Kluge of Alliant Quality. Bo Dalton of Comer Health & Rehab emphasizes the importance of making family contact within the first 24 to 48 hours of admission. Sunrise of Gurnee has introduced an employee buddy system to provider further support for its frontline staff. Watch how a unique buddy system pairing staff with residents led to big outcomes for Maine Veterans' Home - Machias. Phil Fogg Jr. reports that Marquis' therapy, pharmacy, physician services, and SNFs have been working together to achieve performance goals. An important role of quality improvement organziations is to teach providers how to report their data, says Linda Kluge of QIO Alliant Quality.
A culture of camaraderie is what makes Sunrise of Gurnee shine to potential employees, says Kimberly Dilg. “Measuring everything” is key to achieving an AHCA/NCAL National Quality Award, says Marcia Jackson of Maine Veterans’ Home – Machias. Westcare Management's Renee Naylor says she comes to Washington, D.C., several times a year to lobby for "Timmy," a young resident who needs Medicaid services to survive. What's the secret to a 30 percent reduction in staff turnover? Hiring a "staff mama," according to Westcare Management. Van Moore of Westcare Management says the VA provider agreements will be a boon to veterans who want to stay in nursing facilities closer to home. To boost hiring and retention, Westcare Management trains CNAs in house and will help reimburse RNs for up to five years of school bills. Van Moore of Westcare Management says the Patient-Driven Payment Model is a positive for residents as it takes the focus off maximizing rates to focus on what is happening to the patient. Westcare Management has hired a retired major as a quality-of-life coordinator, who may help veterans locate missing medals or go on aircraft flights. Reflecting on the workforce crisis, Phil Fogg Jr. says Marquis Cos. have been investing in technology platforms to enhance its recruitment efforts. Providers are resilient and will rise to the occasion in the advent of Patient-Driven Payment Model, says Linda Kluge of Alliant Quality. Comer Health & Rehab actively practices an open door policy to encourage frontline staff to talk with managers, says Bo Dalton. An enduring philosophy of patient care first has helped the quest for a Gold AHCA/NCAL National Quality Award, says Bo Dalton of Comer Health & Rehabilitation. Every achievement needs a solid foundation. Hear from Kimberly Dilg on how parent company Sunrise Senior Living paved the way for her center to achieve the Gold AHCA/NCAL National Quality Award. What does it take to achieve Gold in the AHCA/NCAL National Quality Awards Program? Let Marcia Jackson of Maine Veterans' Home of Machias tell you.
Bartley
Healthcare first hires people that care, tries to instill in them the company’s
mission, and then teaches them how to do the job, Phil Scalo says.
Michael Wylie talks about declining occupancy as a result of managed care companies sending patients home faster. Bob Siebel, CEO, Carriage Healthcare, gives his take on a born CNA. Erik Moscovitch, CIO, Altitude Health Services, talks about leasing properties to young operators with an option to buy. Teri Tift encourages staff to move ahead through training. Mark Maxfield finds that the personal touch with staff is critical to employee satisfaction. Ashley Blankenship, director of assisted living services, talks about StoneBridge’s workforce strategy whereby staff set their own schedules. Amid signs of a strong economy, including a 3.8 percent unemployment rate, Mark Parkinson, president and CEO or AHCA/NCAL, tells why the workforce issue is still a massive challenge and announces new tools coming October, 2018. CEO Bob Siebel reports on how Carriage Healthcare's new telemedicine program is working. Michael Wylie discusses how Genesis HealthCare’s rehab businesses are doing in China.
Mark Parkinson, AHCA/NCAL, president and CEO, talks about the strategies of lobbying. Deborah Meade, CEO, Health Management, speaks about how managed care companies are short-changing patients in their SNF recovery stays. Peter Van Runkle talks about how the prevalence of medicaid can affect a facility's Five-Star rating.
Suresh Vishnubhatla discusses medication management.
Bob Siebel reports on how Carriage Healthcare's new telemedicine program is working.
Mark Maxfield talks about the importance of retaining state oversight for assisted living.
Dianne Sullivan-Slazyk talks about Stonegate's electronic health record. Michael Wylie addresses the workforce crisis and how immigration regs could become an issue. PharMerica CEO Greg Weishar discusses challenges in assisted living as residents move through wellness degrees. Teri Tift discusses the merits of Eskaton's fall prevention program.
Bob Siebel talks about the critical nature of staying abreast of changes.
Mark Parkinson, president and CEO of AHCA/NCAL, reflects on the profession’s accomplishments with Medicare and what the association is doing to protect them this year. See what’s challenging the profession from a unique group of leaders. Get a deeper look at the latest legislative and regulatory updates. In partnership with PharMerica, we’ll bring you new videos every week that will inform and inspire you to go further. Tom Coble talks about his company’s own Medicare insurance business. Leonard Russ, owner/administrator, Bayberry Care Center, talks about educating legislators on how provider quality measures have improved.
Craig Cornett discusses the major legislative issues important at state level. CEO Mark Schinnerer, CARC, Inc., shares with Provider one thing that makes his organization truly unique.
Deborah Meade, CEO, Health Management, talks about protecting the 2.4 percent market basket. Peter Van Runkle discusses how providers have been improving their scores in quality measures. Robin Hillier talks about how her company is preparing for the new payment model.
Holly Jarek, Vice President, Seven Hills Pediatric Center, illustrates a day at her facility. Nico Gomez, president & CEO of Oklahoma Association of Health Care Providers, tells what his members have going on outside of the normal bounds of traditional care. Robert Vande Merwe, Executive Director, Idaho Health Care Association, tells Provider some of his non-legislative priorities for IHCA members. ID/DD lobbyists visit D.C. and Capitol Hill. Holly Jarek tells Provider how her facility engages the community and lawmakers. Craig Cornett, president & CEO of California Association of Health Facilities, gives examples of how his facilities operate outside of the normal bounds of traditional care. CEO Mark Schinnerer, CARC, Inc., tells Provider about the daily activities in his facility. Phil Scalo says residents see technology everywhere, so they'd better see it at your center. Greg Dowdy, chief operating officer for American HealthCare, tells how to keep the passion flowing by managing differently. Dave Baumgartner, vice president of spirituality and Sacred Six at Signature HealthCARE, shares his organization’s practice of providing spiritual services. Michelle Belhumeur, executive director of Gorham House, shares the many benefits of caring for the elderly with preschoolers on site. Barbara Brown, president and chief operating officer of Winslow Campus of Care, shares her experience of caring for Navajo elders. Matthew Lysobey, chief community integration officer at Rockport Healthcare Services, talks about selfless service through the program, A Heart to Serve.
Medline sponsors a Provider Interview Lounge at AHCA/NCAL’s recent Quality Summit. Gomez tells Provider the steps his facilities take to engage the community and lawmakers on important issues, such as Medicaid cuts. ID/DD lobbyists visit D.C. and Capitol Hill in March. Robert Vande Merwe tells of important issues forthcoming this year. ID/DD lobbyists visit D.C. and Capitol Hill. Holly Jarek tells of important issues forthcoming this year. Provider editor tells readers how to get their own free subscription. Phil Scalo laments surveyors who don't know the skilled nursing business. Debbie Meade says her priority for 2018 is gearing up for better outcomes. Joanne Erickson and Kris Mastrangelo, president and CEO, Harmony Healthcare, talk about how Provider is trying to help providers during challenging times. Robin Hillier describes her love-hate relationship with Five-Star. Phil Scalo, owner, Bartley Healthcare Nursing & Rehab, explains how crucial happy staff are to happy residents. Michael Wylie discusses the "Deluge of Dementia" hitting nursing and assisted living centers today.
Teresa
Chase emphasizes the importance of changing with the times.
Shannon
Lager says it’s important to figure out the costs related to each type of
condition.
Jeff
Amann says his beginnings as a CNA motivate him to support Welcov’s staff and
its residents.
Angela
Smith is confident in SNFs’ ability to reinvent themselves.
Phil Scalo, Owner, Bartley Healthcare Nursing & Rehab, talks about the advantages and challenges of independent ownership. Debbie Meade describes how her company is partnering with schools to get students in the building. Robin Hillier, Director of Reimbursement and Quality Metrics, Welcome Nursing Home, talks about the overly prescriptive regulatory environment. Michael Wylie of Genesis discusses the challenges of Medicaid rates from state to state.
Van Moore says Medicaid should return to what it was created for: supporting the elderly and disabled. Dan Holdhusen, director of government relations at Good Sam, recounts his reason for visiting D.C.: to advocate for residents who are on Medicaid and need funding for nursing care. Norm Estes describes how personal relationships with lawmakers can impact their decisions.
Van
Moore says data are supporting providers’ claims of improved quality.
Van
Moore is passionate about a provider agreement to care for veterans.
Phil Fogg says the new personnel at CMS allow for more dialog on regulatory issues. Professor Barbara Gage talks about how the IMPACT Act will facilitate comparability between patients and conditions. Len Russ of Bayberry Care Center says patient transitions to and from all destinations are becoming more and more the responsibility of care centers.
Signature
Health Care’s Arif Nazir talks about the role of the medical director as team
leader.
PharMerica’s Sonja Quale talks about the importance of CMS’ core elements in the new regulations for antibiotics. Provider’s Washington, D.C., Leadership Series, sponsored by
PharMerica this summer, brought together health leaders, lawmakers, and
providers. Congratulations to Joe Warner Patient Advocacy Award Recipient Greg Elliot of Charleston, WV Shauna Kapsner, director of operations at Partners Senior Living Options, talks about bringing humor to her organization. Howie Groff talks about today's climates for skilled nursing and assisted living. Sarah Schumann says stories about residents help lawmakers understand the personal impact of regs.
Norm
Estes describes providers’ role in explaining the challenges they face to
lawmakers.
Neil Pruitt Jr. talks about civil monetary payments and the latest payment model during D.C. trip. Holly Jarek explains why it is important for members to stay in contact with representatives regarding funding. Travis Palmquist, PointClickCare, LED Talks Sponsor
Chris Arapoff, Medtronic, LED Talks Sponsor Andrew Smith shares stories from Brookdale Senior Living’s entrepreneur program, where innovators are invited to move into a community, living alongside residents who will then critique their products. Many of Dr. David Gifford’s elderly patients have expressed a desire to maximize their quality of life, even if it increases the risk of harm or shortens their lives. While families and caregivers may object, he makes the case for when the best answer may be “no” to more medical care. Relationships really matter. The person we are upset with today may resurface tomorrow as a key decision maker who can improve or ruin our outcomes. Citing personal experience, Bob Siebel discusses helpful tools for interfacing with residents, families, government, and others who can impact your life. Mike Tawater, Medline, LED Talks Sponsor Cara Silletto, a millennial herself, shares a new perspective on the millennial mindset, how to keep them happy, and management strategies for reducing avoidable employee turnover.
Renee discusses why she is attending the ID/DD Fly-in, while visiting Washington, D.C.
Anders Jensen, Royal Danish Consulate General of New York, discusses his work with care providers and differences between Denmark and U.S. health care models.
Maureen Carland, administrator at Maine Veterans Home, shares how they obtained the Gold Award. Rod Burkett, CEO, Gardant Mgmt, discusses how to develop assisted living housing for all income levels. Cindy shares how the CMS final rule will affect providers.
Michelle Wincell O'Leary, Touchstone Mental Health, discusses their model for residents living with mental illnesses. Nanci Wilson talks about the changes in allowable levels of therapy the new rules mandate and how Plum Healthcare Group follows patients post-discharge to make sure that they are following a path that will bring them to the best outcome possible.
Gold Award recipient, Lina Dureza from Hughes Health and Rehab shares how her work affects her residents. Judi Kulus, American Association of Nurse Assessment Coordination, shares the top 3 thing providers should keep in mind while implementing the MDS Section GG rules.
Part 3: More from AHCA's Lyn Bentley on Payroll-Based Journal.
Part 2: Lyn Bentley answers questions on Payroll-Based Journal. Part 1: Advice from AHCA on how to get started with CMS’ Payroll-Based Journal requirements, including how to register, where materials can be found, and where to go to for answers to questions.
Cindi Halkola, Activity Director for The Chelsea at Brookfield, had to hit rock bottom job-, health-, and home-wise before she discovered her calling: bringing residents with dementia into the mainstream of life at her assisted living community.
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