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Establishing a Bariatric Unit in a Post-Acute Setting<p>​Establishing a bariatric unit in a post-acute care setting is challenging in many ways. Obesity is an ever-increasing concern in health care. In 2022 it was estimated that adults with a body mass index (BMI) of above 30 (indicating obesity) is now one in every eight persons. Each facility will face unique challenges when establishing a bariatric unit. </p><p>Bariatric individuals are of varying sizes and needs. Two individuals who weigh above 500 pounds may have very different requirements. In order to appropriately assess the needs of each individual, the gold standard approach is a face-to-face assessment. If your facility is unable to visit the individual personally, an online interview with assistance from the transferring facility might be useful.</p><p>This article will seek to identify equipment needs both individually and facilitywide. </p><h3>Individual Considerations</h3><p>How tall is the individual being considered for admission? A 5-foot, 400-pound individual needs very different equipment from a 6-foot, 400-pound individual. Ideally you will be able to work with a physical therapist and/or an occupational therapist to identify the type and size of equipment needed to assist this individual.&#160;</p><p>Just as height and weight are considerations, measurements are another concern. If the individual carries more weight in one section of their body, will your gowns fit? What about the non-skid socks; will those work for the larger resident? The width of the wheelchair the resident will need should also be considered. The width/length of the bed mattress will also need to be assessed and don’t forget sheets for the bed and mattress pads as well.&#160;</p><p>As you can see each individual need will require review. Here is a table with some suggestions to review prior to accepting a person for admission.&#160;</p><p>Individual equipment considerations&#58;</p><table cellspacing="0" width="100%" class="ms-rteTable-default"><tbody><tr class="ms-rteTableEvenRow-default"><td class="ms-rteTableEvenCol-default" style="width&#58;337px;"><table cellspacing="0" width="100%" class="ms-rteTable-6 "><tbody><tr class="ms-rteTableHeaderRow-6"><th class="ms-rteTableHeaderEvenCol-6" rowspan="1" colspan="1" style="width&#58;269px;">​Need</th><th class="ms-rteTableHeaderOddCol-6" rowspan="1" colspan="1" style="width&#58;269px;">​Assessment</th><th class="ms-rteTableHeaderEvenCol-6" rowspan="1" colspan="1" style="width&#58;269px;">​Comments</th></tr><tr class="ms-rteTableOddRow-6"><td class="ms-rteTableEvenCol-6" rowspan="1" style="width&#58;269px;">​Wheelchair</td><td class="ms-rteTableOddCol-6" rowspan="1" style="width&#58;269px;">​Seat width.<br>Chair height.<br>Weight limit.<br></td><td class="ms-rteTableEvenCol-6" rowspan="1" style="width&#58;269px;">​</td></tr><tr class="ms-rteTableEvenRow-6"><td class="ms-rteTableEvenCol-6">​Lift </td><td class="ms-rteTableOddCol-6">​Weight limit.<br>Sling size.<br>Ability to bear any weight.<br>Ability to sit upright.<br>Moving the lift with the resident in the lift. <br>Number of staff needed to assist with transfer.</td><td class="ms-rteTableEvenCol-6">​Prior to admission, identify how the resident currently transfers from one surface to another. Remember that the resident may experience an unexpected decline and transfer ability will decrease. </td></tr><tr class="ms-rteTableOddRow-6"><td class="ms-rteTableEvenCol-6">​Bed</td><td class="ms-rteTableOddCol-6">​Width.<br>Weight limits.<br>Side rails for turning (Are they sturdy? Can they withstand weight?).<br>Bed linens (size and sturdiness).<br>Length of bed.<br>Gap measurement.</td><td class="ms-rteTableEvenCol-6">​Residents with excess body mass can impact the way the mattress fits the bed creating challenges in gap management. </td></tr><tr class="ms-rteTableEvenRow-6"><td class="ms-rteTableEvenCol-6">​Bedside Commode</td><td class="ms-rteTableOddCol-6">​Weight restrictions. <br>Size.</td><td class="ms-rteTableEvenCol-6">​Many bedside commodes will not support over 350 pounds.</td></tr><tr class="ms-rteTableOddRow-6"><td class="ms-rteTableEvenCol-6">​Incontinence Products</td><td class="ms-rteTableOddCol-6">​Size.<br>Width.<br></td><td class="ms-rteTableEvenCol-6">​Briefs that do not fit well may increase pressure wounds or other skin breakdown. </td></tr><tr class="ms-rteTableEvenRow-6"><td class="ms-rteTableEvenCol-6">​Chairs (dining room and in room)</td><td class="ms-rteTableOddCol-6">​Width.<br>If resident will sit in wheelchair during meals, is the table adjustable for height?<br></td><td class="ms-rteTableEvenCol-6">​Consider resident social needs and dignity when examining seating options. </td></tr><tr class="ms-rteTableOddRow-6"><td class="ms-rteTableEvenCol-6">​Therapy Equipment <br>(walkers,<br>parallel bars,<br>exercise equipment)<br></td><td class="ms-rteTableOddCol-6">​Weight restrictions.<br>Width.<br>Sturdiness.<br>Height.<br>Ability to individualize fit.</td><td class="ms-rteTableEvenCol-6">​</td></tr><tr class="ms-rteTableEvenRow-6"><td class="ms-rteTableEvenCol-6">​Bathroom/ <br>Toilet<br></td><td class="ms-rteTableOddCol-6">​Size of toilet.<br>Height of toilet. <br>Weight restriction of toilet/shower bench.<br>Room to navigate wheelchair in bathroom.<br></td><td class="ms-rteTableEvenCol-6">​A wheelchair-dependent resident will need a larger bathroom in order to move about. <br></td></tr></tbody></table></td></tr></tbody></table><span><span><h3>Bariatric Unit Considerations</h3><p>Staffing may be your number one priority. Do you have enough staff? Bariatric residents require more staff even for simple tasks such as putting on and taking off clothes. It is estimated that staff needs increase by more than 30 percent for each bariatric resident. The resident may also require additional staff to accompany them to appointments or activities. Staff education will be needed to address topics such as turning, using lifts, and safe transfer of residents.</p><p>Each facility will need to complete individual assessments of the area projected to house bariatric residents.</p><p>Facility assessment considerations&#58;</p></span><div><table cellspacing="0" width="100%" class="ms-rteTable-6 "><tbody><tr class="ms-rteTableHeaderRow-6"><th class="ms-rteTableHeaderEvenCol-6" rowspan="1" colspan="1" style="width&#58;33.3333%;">​Concern</th><th class="ms-rteTableHeaderOddCol-6" rowspan="1" colspan="1" style="width&#58;33.3333%;">​Assessment</th><th class="ms-rteTableHeaderEvenCol-6" rowspan="1" colspan="1" style="width&#58;33.3333%;">​Comment</th></tr><tr class="ms-rteTableOddRow-6"><td class="ms-rteTableEvenCol-6">​Entrance and Exit Areas</td><td class="ms-rteTableOddCol-6">​Width of opening. <br>Consistency of flooring grade (Are that dips or gaps that could be hazardous?). <br></td><td class="ms-rteTableEvenCol-6">​Can a large stretcher or wheelchair fit through?<br>Is the grade too steep to push a heavy resident up?<br>Is the path to the area wide enough?<br></td></tr><tr class="ms-rteTableEvenRow-6"><td class="ms-rteTableEvenCol-6">​Common Areas</td><td class="ms-rteTableOddCol-6">​Room to move wheelchair about.<br>Are the entry doors wide enough?<br>Are chairs and benches wide enough?<br>Is there a weight restriction for chairs and benches?<br></td><td class="ms-rteTableEvenCol-6">​Will the unit have its own common areas, or will these be shared with other units?<br>Will larger wheelchairs and other equipment cause the common areas to be overcrowded?<br></td></tr><tr class="ms-rteTableOddRow-6"><td class="ms-rteTableEvenCol-6">​Dining Rooms</td><td class="ms-rteTableOddCol-6">​Can tables accommodate a larger chair?<br>Chairs that can support larger weight restrictions.<br>Table height can be adjusted if the resident remains in wheelchair. <br></td><td class="ms-rteTableEvenCol-6">​</td></tr><tr class="ms-rteTableEvenRow-6"><td class="ms-rteTableEvenCol-6">​Shower Rooms/Bathing Facilities</td><td class="ms-rteTableOddCol-6">​Equipment to support weight restrictions is available.<br>Room to move larger wheelchair/lift is available.<br>Larger linens and gowns are available. <br></td><td class="ms-rteTableEvenCol-6">​</td></tr><tr class="ms-rteTableOddRow-6"><td class="ms-rteTableEvenCol-6">​Resident Room</td><td class="ms-rteTableOddCol-6">​Space for equipment is available. </td><td class="ms-rteTableEvenCol-6">​Many residents will require private rooms related to the size/number of pieces of equipment required.</td></tr><tr class="ms-rteTableEvenRow-6"><td class="ms-rteTableEvenCol-6">​Outdoor Spaces</td><td class="ms-rteTableOddCol-6">​Is the sidewalk wide enough?<br>Can walking paths support the weight of larger chairs?<br>Seating is available. <br></td><td class="ms-rteTableEvenCol-6">​You may need to color code or otherwise indicate seating and equipment that is safe for use by bariatric residents. </td></tr><tr class="ms-rteTableOddRow-6"><td class="ms-rteTableEvenCol-6">​Emergency Actions<br>(evacuation and/or<br>sheltering in place)<br></td><td class="ms-rteTableOddCol-6">​Can residents be moved quickly.<br>Emergency personnel response plan. <br></td><td class="ms-rteTableEvenCol-6">​If residents are not on the ground floor, how will they be moved to a place of safety?<br>Involve your emergency response team in the planning. <br></td></tr><tr class="ms-rteTableEvenRow-6"><td class="ms-rteTableEvenCol-6">​Specialized Needs</td><td class="ms-rteTableOddCol-6">​Dietary support.<br>Physical/occupational therapy. <br>Psychiatric visits.<br>Wound care.<br>Outpatient virtual visits.<br>Activities.<br>Respiratory therapy.<br></td><td class="ms-rteTableEvenCol-6">​Many bariatric residents are younger than the general population and have different needs. </td></tr></tbody></table></div></span><p><br></p><p>As you can see, establishing a unit devoted to bariatric care can be a daunting task. Each area must be carefully and thoroughly evaluated. Staff who will regularly work on this unit should be involved in the assessment process as they may note other concerns. The need for such units is great. However, the challenge of establishing and maintaining such units is equally challenging. <br></p><h4>References<br>•&#160;&#160; &#160;Dockrell S, Hurley G. Moving and handling care of bariatric patients&#58; a survey of clinical nurse managers. J Res Nurs. 2021 Jun;26(3)&#58;194-204. doi&#58; 10.1177/1744987120970623. Epub 2020 Dec 14. PMID&#58; 35251242; PMCID&#58; PMC8895002.<br>•&#160;&#160; &#160;Elrazek AE, Elbanna AE, Bilasy SE. Medical management of patients after bariatric surgery&#58; Principles and guidelines. World J Gastrointest Surg. 2014 Nov 27;6(11)&#58;220-8. doi&#58; 10.4240/wjgs.v6.i11.220. PMID&#58; 25429323; PMCID&#58; PMC4241489.<br>•&#160;&#160; &#160;Harris JA, Castle NG. Obesity and Nursing Home Care in the United States&#58; A Systematic Review. Gerontologist. 2019 May 17;59(3)&#58;e196-e206. doi&#58; 10.1093/geront/gnx128. PMID&#58; 29253135; PMCID&#58; PMC6524472.<br>•&#160;&#160; &#160;<a href="https&#58;//www.cdc.gov/obesity/data/prevalence-maps.html" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">Adult Obesity Prevalence Maps | Overweight &amp; Obesity | CDC</a><br>•&#160;&#160; &#160;<a href="https&#58;//www.who.int/news/item/01-03-2024-one-in-eight-people-are-now-living-with-obesity" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">One in eight people are now living with obesity (who.int)</a><br>•&#160;&#160; &#160;Harris JA, Castle NG. Obesity and Nursing Home Care in the United States&#58; A Systematic Review. Gerontologist. 2019 May 17;59(3)&#58;e196-e206. doi&#58; 10.1093/geront/gnx128. PMID&#58; 29253135; PMCID&#58; PMC6524472.</h4><p><br></p><p><em><img src="/Articles/PublishingImages/2024/Sylvia-Bennett-Josephson.jpg" class="ms-rtePosition-1" alt="" style="margin&#58;5px;" />Sylvia Bennett-Josephson, RN, BSN, CDONA, CDP, CDDACT, IP-BC, FACDONA, CO-Q, has been a registered nurse for over 38 years and a director of nursing in long term care for over 30 years. Bennett-Josephson is a fellow of the National Association of Directors of Nursing Administration and is certified as a dementia practitioner and a certified Alzheimer’s disease and dementia care trainer by the National Council of Dementia Practitioners. She is certified as an infection preventionist and as a compliance officer. She also serves as a health care specialist with Med Net Consults and maintains an educational website, SJJ Education.</em><br><em></em></p><p></p>2024-05-28T04:00:00Z<img alt="" src="/Articles/PublishingImages/740%20x%20740/bariatric.jpg" style="BORDER&#58;0px solid;" />Caregiving;ManagementSylvia Bennett-Josephson, RNIn order to appropriately assess the needs of each individual, the gold standard approach is a face-to-face assessment. If your facility is unable to visit the individual personally, an online interview with assistance from the transferring facility might be useful.
Enhancing Patient Outcomes Through Medication Reconciliation<p><img src="/Articles/PublishingImages/740%20x%20740/0220_News4.jpg" class="ms-rtePosition-2" alt="" style="margin&#58;5px;width&#58;200px;height&#58;200px;" />With the addition of social determinants of health data collection to the MDS v1.18.11, the Centers for Medicare &amp; Medicaid Services (CMS) has highlighted the importance of these critical factors in nursing home residents.&#160;</p><p>In the complex health care landscape, transitions between care settings can be fraught with risks, particularly for vulnerable populations such as individuals residing in skilled nursing facilities. Medication management is a critical aspect that demands meticulous attention among the myriad challenges faced during transitions. Medication reconciliation, primarily upon discharge from nursing homes, emerges as a potent tool in averting rehospitalization and promoting optimal patient outcomes.</p><h3>The Conundrum of Medication Management</h3><p>For individuals transitioning from nursing homes to home or other care facilities, ensuring seamless continuity of medication regimens is pivotal. However, this process is often marred by discrepancies, errors, and misunderstandings, leading to adverse drug events (ADEs) and subsequent hospital readmissions. The multifaceted nature of medication management, compounded by factors such as polypharmacy, cognitive impairments, and communication gaps, exacerbates the risk landscape.</p><h3>The Role of Medication Reconciliation</h3><p>Medication reconciliation, the comprehensive review and validation of a patient's medication regimen, represents a linchpin in mitigating the pitfalls associated with care transitions. Upon discharge from nursing homes, diligent reconciliation efforts serve several crucial purposes&#58;<br></p><ul><li>Identification of Discrepancies&#58; Reconciliation endeavors unearth disparities between the medications prescribed during the nursing home stay and those intended for post-discharge use. Discrepancies may arise due to various reasons, including changes in prescribing physicians, differing formularies between care settings, and inadequate communication channels.</li><li>Resolution of Medication Discrepancies&#58; Once identified, discrepancies are meticulously addressed through collaboration among health care providers, pharmacists, and patients or their caregivers. Resolving these discrepancies involves verifying the accuracy of medication lists, rectifying dosage discrepancies, and addressing potential drug interactions or duplications.</li><li>Patient Education and Empowerment&#58; Medication reconciliation serves as an opportune moment for patient education and empowerment. Clear communication regarding medication regimens, including dosage instructions, potential side effects, and the importance of adherence, equips patients and caregivers with the knowledge and confidence to manage medications effectively post-discharge.</li></ul><h3>Preventing Rehospitalization Through Medication Reconciliation</h3><p>The impact of robust medication reconciliation practices on reducing rehospitalization rates among nursing home residents cannot be overstated. By addressing medication discrepancies and enhancing medication management processes, reconciliation initiatives contribute to&#58;<br></p><ul><li>Reduced Adverse Drug Events (ADEs)&#58; A primary driver of hospital readmissions, ADEs precipitate considerable morbidity and health care utilization among nursing home residents. Timely identification and rectification of discrepancies through medication reconciliation serve as a potent deterrent against ADEs, safeguarding patients from harm.</li><li>Enhanced Medication Adherence&#58; Clear, accurate medication lists and patient education foster adherence to prescribed regimens, thereby diminishing the likelihood of medication errors and complications post-discharge. Improved adherence translates into better health outcomes and a reduced propensity for rehospitalization.</li><li>Optimized Care Coordination&#58; Medication reconciliation fosters interdisciplinary collaboration and seamless care coordination, ensuring that patients' medication needs are addressed comprehensively across care settings. This interdisciplinary approach facilitates smoother transitions and diminishes the likelihood of medication-related issues slipping through the cracks.</li></ul><p><img src="/Articles/PublishingImages/2024/VeronicaCeaser.jpg" alt="Veronica Ceaser" class="ms-rtePosition-2" style="margin&#58;5px;" />To enhance patient outcomes and mitigate the burden of rehospitalization among nursing home residents, prioritizing medication reconciliation is imperative. By serving as a linchpin in the continuum of care, robust reconciliation efforts empower patients, optimize medication management, and foster interdisciplinary collaboration. As health care stakeholders rally around the imperative of seamless transitions, embracing medication reconciliation emerges as a non-negotiable imperative in safeguarding the well-being of vulnerable populations.<br><br><em>Veronica Ceaser is a dedicated nurse with over 20 years in the long-term care industry, including roles such as director of nursing Services, MDS, licensed nursing home administrator, and consultant. She is a past president of the Ohio Association of Nurse Assessment Coordinators. Ceaser is board certified in geriatrics and case management and is a board-certified nurse executive. She currently serves as the Principal Consultant for Gem Healthcare Consulting LLC and can be reached by email at </em><a href="mailto&#58;veronica@gemhealthcareconsult.com" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank"><em>veronica@gemhealthcareconsult.com</em></a><em>.​</em></p>2024-05-23T04:00:00Z<img alt="" src="/Articles/PublishingImages/740%20x%20740/0220_News4.jpg" style="BORDER&#58;0px solid;" />CaregivingVeronica Ceaser, RNMedication reconciliation, primarily upon discharge from nursing homes, emerges as a potent tool in averting rehospitalization and promoting optimal patient outcomes.
Cybersecurity Safety is Patient Safety<p>​<img src="/Articles/PublishingImages/740%20x%20740/computer_security.jpg" class="ms-rtePosition-2" alt="" style="margin&#58;5px;width&#58;250px;height&#58;250px;" />Post-acute care facilities play a unique and critical role in the health care ecosystem, providing comprehensive support and services to individuals requiring extended medical assistance beyond traditional hospital stays. Unlike acute care settings, post-acute care facilities cater to residents with diverse needs, offering a continuum of care ranging from skilled nursing and rehabilitative therapies to assisted living, memory care, and behavioral health services.</p><p>However, with this specialized focus comes distinct challenges in the realm of cybersecurity. Additionally, the recent staffing mandates announced by the Centers for Medicare &amp; Medicaid Services (CMS) as of April 22, 2024, pose further hurdles, potentially straining resources and complicating cybersecurity efforts.</p><p>In an era where data breaches and cyber threats loom large, the importance of cybersecurity in post-acute care facilities cannot be overstated. Beyond the imperative to safeguard sensitive patient information, post-acute care providers must also address the growing complexity of regulatory compliance and the increasing interconnectedness of health care systems.</p><p>Recent breaches, such as those experienced by Change Healthcare, underscore the urgent need for robust cybersecurity measures in post-acute care settings. These incidents not only compromise patient data but also jeopardize the trust and reputation of health care organizations.</p><p>Health care data breaches have incurred the highest average cost among all industries, reaching $10.93 million, with a significant 53.3 percent increase over the past three years. Personal data, particularly customer and employee personally identifiable information, remains a prime target. Breaches often involve data stored across multiple environments, resulting in prolonged detection and containment times, averaging 291 days. Phishing has become the leading initial attack vector, surpassing compromised credentials and cloud misconfiguration.</p><h3>The HICP Framework</h3><p>Recognizing the criticality of cybersecurity in post-acute care, the Department of Health and Human Services (HHS) introduced the Health Industry Cybersecurity Practices (HICP) framework. Developed in collaboration with cybersecurity experts and health care stakeholders, the HICP framework offers comprehensive guidance and best practices tailored specifically to the health care sector. At its core, the HICP framework aims to enhance cybersecurity resilience and mitigate cyber risks across the health care continuum.</p><p>The HICP framework comprises 10 key practice areas, each addressing critical aspects of cybersecurity management and risk mitigation. These practice areas serve as a blueprint for post-acute care providers to assess and enhance their cybersecurity posture effectively. From email protection systems and endpoint security to vulnerability management and cybersecurity governance, the HICP framework provides a comprehensive roadmap for strengthening cybersecurity defenses in post-acute care settings.<br><br></p><ol><li><strong>Email Protection Systems&#58;</strong> Implementing robust email security measures, including encryption protocols and phishing detection mechanisms, to mitigate the risk of email-based threats and data breaches.</li><li><strong>Endpoint Protection Systems&#58;</strong> Deploying advanced endpoint security solutions to safeguard devices and endpoints from malware, ransomware, and other malicious intrusions.</li><li><strong>Access Management&#58;</strong> Establishing stringent access controls and authentication mechanisms to regulate user access to sensitive health care data and systems, thereby reducing the risk of unauthorized access and insider threats.</li><li><strong>Data Protection and Loss Prevention&#58;</strong> Implementing data encryption, backup, and recovery strategies to protect sensitive patient information and mitigate the impact of data breaches or loss incidents.</li><li><strong>Asset Management&#58;</strong> Maintaining an accurate inventory of IT assets and medical devices to ensure visibility and control over the health care IT infrastructure, thereby reducing the risk of unauthorized access or device compromise.</li><li><strong>Network Management&#58;</strong> Implementing robust network security measures, including firewalls, intrusion detection systems, and network segmentation, to protect against external threats and internal network vulnerabilities.</li><li><strong>Vulnerability Management&#58;</strong> Conducting regular vulnerability assessments and patch management activities to identify and remediate security vulnerabilities in software applications, operating systems, and IT infrastructure components.</li><li><strong>Security Operation Centers and Incident Response&#58;</strong> Establishing dedicated security operation centers (SOCs) and incident response teams to monitor, detect, and respond to cybersecurity incidents promptly, thereby minimizing the impact of security breaches and ensuring timely remediation.</li><li><strong>Network Connected Medical Devices&#58;</strong> Implementing security controls and risk management protocols to secure network-connected medical devices and Internet of Medical Things (IoMT) devices, thereby safeguarding patient safety and preventing potential cyber threats.</li><li><strong>Cybersecurity Oversight and Governance&#58;</strong> Establishing robust cybersecurity governance frameworks and regulatory compliance programs to ensure accountability, transparency, and continuous improvement in cybersecurity practices and risk management strategies.</li></ol><p>In conclusion, post-acute care facilities face unique challenges in implementing cybersecurity measures. Unlike acute care settings, they may lack the financial resources to handle large fines or defend against litigation from data breaches. Additionally, end users in these settings may lack technology sophistication, making them susceptible to phishing scams and other social engineering attacks.</p><p>Therefore, adherence to the HICP framework is crucial for post-acute care providers to safeguard patient data and ensure cybersecurity resilience. By adopting best practices and leveraging advanced security technologies, they can effectively mitigate cyber risks and uphold their commitment to patient safety and care quality. Prioritizing cybersecurity in these settings is essential for uninterrupted care delivery and maintaining patient trust. Partnering with cybersecurity experts can further strengthen defenses and ensure ongoing compliance with regulatory mandates, ultimately preserving patient safety and privacy.</p><p>To begin your cybersecurity journey&#58;<br></p><ol><li>Assess your organization's alignment with the HICP top 10 practices.</li><li>Initiate a discussion with trusted advisors to identify and address potential security gaps.</li></ol><p><span><img src="/Articles/PublishingImages/2024/PhilWong.jpg" alt="Phil WOng" class="ms-rtePosition-2" style="margin&#58;5px;" /></span>Here are some key statistics regarding cyber threats in long-term care facilities for the year 2023&#58;<br></p><ul><li><a href="https&#58;//www.hipaajournal.com/security-breaches-in-healthcare/" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">An unwanted record was set in 2023 with 725 large security breaches in health care reported to the Department of Health and Human Services (HHS) </a></li><li>An analysis by the cybersecurity firm Emsisoft revealed that 46 hospital systems suffered ransomware attacks in 2023, which is an increase from 25 in 2022 and 27 in 2021. <a href="https&#58;//www.hipaajournal.com/2023-healthcare-ransomware-attacks/" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">These attacks directly affected at least 141 hospitals and caused significant disruptions.</a></li><li><a href="https&#58;//www.healthitsecurity.com/features/biggest-healthcare-data-breaches-reported-this-year-so-far" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">The health care sector experienced about 295 breaches in the first half of 2023 alone, impacting over 39 million individuals.</a></li><li><a href="https&#58;//www.usatoday.com/story/news/health/2024/02/18/health-data-breaches-hit-new-record-2023/72507651007/" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">It was reported that approximately 1 in 3 Americans were affected by health-related data breaches in 2023, indicating a surge in the number of attacks.</a></li></ul><p><img src="/Articles/PublishingImages/2024/KristenBerglas.jpg" alt="Kristen Berglas" class="ms-rtePosition-2" style="margin&#58;5px;" />These statistics underscore the escalating threat landscape and the importance of implementing robust cybersecurity measures to protect sensitive patient information and health care infrastructure in post-acute care facilities.</p><p><em>Phil Wong is cybersecurity practice director at Redapt, Inc.&#160; Kristen Berglas is client director at Redapt, Inc. She can be reached by email at k<a href="mailto&#58;berglas@redapt.com" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">berglas@redapt.com</a>, by phone at (425) 523-6080, or on LinkedIn.</em><br><br>References&#58; <br></p><ul><li><a href="https&#58;//www.ahcancal.org/News-and-Communications/Blog/Pages/Change-Healthcares-Cybersecurity-Incident-and-its-Potential-Impact-on-SNF-Billing-and-Claims-Activities.aspx" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">AHCA and Change Health care's impact to PAC</a> </li><li><a href="https&#58;//securityintelligence.com/articles/cost-of-a-data-breach-2023-healthcare-industry-impacts/" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">2023 Cost of a Health care Data Beach</a></li><li><a href="https&#58;//405d.hhs.gov/Documents/HICP-Main-508.pdf" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">405 (d) HHS.gov HICP 2023</a></li></ul><p><br></p>2024-05-21T04:00:00Z<img alt="" src="/Articles/PublishingImages/740%20x%20740/computer_security.jpg" style="BORDER&#58;0px solid;" />Cyber SecurityPhil Wong, Kristen BerglasIn an era where data breaches and cyber threats loom large, the importance of cybersecurity in post-acute care facilities cannot be overstated.
Is Your Turnover Increasing?<p><img src="/Articles/PublishingImages/740%20x%20740/wound.jpg" class="ms-rtePosition-2" alt="" style="margin&#58;5px;width&#58;200px;height&#58;200px;" /><strong class="ms-rteForeColor-2">ADVERTORIAL</strong></p><p>​If your facility is facing increased staffing turnover, you’re not alone. Training consistency can be difficult and costly to maintain—there’s a solution to help you get it RITE, no matter what state your staffing is in.</p><p>Even though we are all living in a post-pandemic environment, where staffing is no longer in a state of crisis, it’s no secret that the health care industry is still struggling. Nursing homes continue to see upward trends in staff turnover, often impacting the ability to provide consistent quality care.</p><p>Dive deeper into the realms of skin and wound care, and you’ll find there aren’t always enough staff members with clinical expertise in this area to effectively manage risk, prevent skin breakdown, and treat existing wounds.</p><p>Clinical teams facing these challenges need the <em>RITE</em> tools and support, now, more than ever. Providing clinicians and caregivers with access to consistent products, training materials, and ongoing support can improve care quality and help to reduce bedside burnout.</p><p>DermaRite’s team of well-versed clinical experts have successfully trained thousands of clinicians across the country. The clinical team can help organizations navigate the complexities of skin and wound care with consistent, easily accessible, and setting-specific clinical training. While DermaRite products are acquired through most major distributors, the company still caters their level of support and attention to end users with boutique-style quality—all at an affordable value to your organization.</p><p>DermaRite builds customized tools that equip your most seasoned, veteran employees, as well as your brand-new hires, with the tools and information they need to provide high-quality care using reliable products. Working with DermaRite also unlocks access to over 100 online CE-eligible courses, powered by Relias Learning.</p><p>No matter what your turnover landscape looks like, DermaRite is ready to step in with the products and services you need to care for your patients and your staff confidently and appropriately.</p><p><img src="/Articles/PublishingImages/2024/Kaitlyn-Rios.jpg" class="ms-rtePosition-1" alt="" style="margin&#58;5px;width&#58;124px;" />Reach out today for products and support that can help you get the <em>RITE</em> care for your patients and the <em>RITE</em> support for your staff.<br><br><em>Kaitlyn Rios, PT, DPT, CWS, is a doctor of physical therapy, a Board-certified wound specialist, and currently serves as the vice president of clinical business development for DermaRite Industries. She has worked in the health care industry for the last decade as a bedside clinician and an effective, innovative operational leader. She can be reached at <a href="mailto&#58;KRios@DermaRite.com" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">KRios@DermaRite.com</a>. For more information on DermaRite, email <a href="mailto&#58;info@DermaRite.com" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">info@DermaRite.com</a> or call 800-337-6296.<br></em></p><p><em><br></em></p><p style="text-align&#58;center;"><em><a href="http&#58;//www.dermarite.com/" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank"><img src="/Articles/PublishingImages/2024/Dermarite.png" alt="" style="margin&#58;5px;width&#58;200px;height&#58;42px;" /></a><br></em></p>2024-05-07T04:00:00Z<img alt="" src="/Articles/PublishingImages/740%20x%20740/wound.jpg" style="BORDER&#58;0px solid;" />Nurse Shortage;TurnoverKaitlyn RiosNursing homes continue to see upward trends in staff turnover, often impacting the ability to provide consistent quality care.

 

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