Provider Magazine – covers nursing homes – assisted living - memory care – rehab - policy



VOTE NOW! AHCA/NCAL's Mark Parkinson a Finalist for Modern Healthcare's Most Influential People <p><em>​Modern Healthcare</em> recently published the&#160;<a data-linkto="http&#58;//" href="https&#58;//" title="finalists" target="_blank">finalists</a>&#160;for its annual listing of the&#160;100 Most Influential People in Healthcare.</p><p>Among this year's list of finalists includes AHCA/NCAL's Mark Parkinson.&#160;He has received this recognition in previous years which continues to elevate the voice of AHCA/NCAL.</p><p>Voting&#160;is open to the public and members are encouraged to vote&#160;before the deadline on&#160;<strong>S</strong><strong>eptember 27, 2022. &#160; </strong><br></p>2022-09-20T04:00:00Z<img alt="" src="/PublishingImages/Headshots/MarkParkinson.jpg" style="BORDER&#58;0px solid;" />QualityHe has received this recognition in previous years which continues to elevate the voice of AHCA/NCAL.
NCAL Report States Continue Strengthening Assisted Living Regulations<p></p><p>Assisted living regulations, statutes, and policies in 33 states were updated between 2020-2022, according to the National Center for Assisted Living's (NCAL) 2022 edition of the “<a href="https&#58;//" target="_blank">Assisted Living State Regulatory Review</a>&quot; released today.&#160;&#160;</p><p>“States continue to demonstrate their ability to respond to the evolving assisted living environment, foster quality improvement, support transparency for consumers, and maintain resident safeguards,&quot; said LaShuan Bethea, NCAL Executive Director. “NCAL supports ongoing collaborative efforts between assisted living providers, state regulators, and all stakeholders to properly balance oversight while continuing to honor residents' needs and desires.&quot;&#160;&#160;</p><p>The report also found the following&#58;&#160;<br><ul><li>Forty-six states and the District of Columbia (92%) require a consumer disclosure, agreement, and/or bill of rights for residents.&#160;</li><li>All 50 states and the District of Columbia require a form of resident assessment and, at minimum, provide activities of daily living for residents.</li><li>Forty-nine states and the District of Columbia (98%) have provisions around, and allow, providing medication management to residents.&#160;&#160;&#160;</li><li>Forty-five states and the District of Columbia (90%) have minimum educational and/or training requirements for assisted living administrators/directors.&#160;</li></ul></p><p>“It is clear from the trends we have seen over the years that state regulations continue to increase in assisted living,&quot; said Jill Schewe, NCAL's director of policy and regulatory affairs and the report's author. “States are making changes as they determine how to best serve their specific resident populations in the years ahead, and we anticipate this trend will continue.&quot;&#160;</p><p>The “Assisted Living State Regulatory Review&quot; summarizes key selected state requirements for assisted living licensure or certification. It provides information for every state and the District of Columbia on topics such as which state agency licenses assisted living, recent legislative and regulatory updates affecting assisted living, and requirements for resident agreements, admission and discharge, units serving people with Alzheimer's or other dementias, staffing, and training.&#160;&#160;</p><p>The report also includes requirements for communities that offer seniors and people with disabilities housing, supportive services, person-centered assistance with activities of daily living, and some level of health care but may use a different term than assisted living (such as residential care and personal care homes).&#160;&#160;</p><p>The full report along with summaries for each state are available on the <a href="https&#58;//" target="_blank">NCAL website</a>.&#160;&#160;<br></p><p><br></p><p style="text-align&#58;center;"><img src="/SiteCollectionImages/logos/ncal_large_color.jpg" alt="" style="margin&#58;5px;width&#58;200px;height&#58;133px;" />​</p>2022-09-15T04:00:00Z<img alt="" height="740" src="/Breaking-News/PublishingImages/150x150/NCAL_reg.png" width="740" style="BORDER&#58;0px solid;" />Assisted LivingAL regulations, statutes, and policies were updated, according to a new NCAL report summarizing key selected requirements for AL licensure or certification in every state and the DC.
America’s Assisted Living Communities Celebrate “Joyful Moments” <p>Beginning today and continuing through Saturday, Sept. 17, America’s assisted living communities are participating in National Assisted Living Week<sup>®</sup> (NALW). The national observance—which begins each year on National Grandparents’ Day and is supported this year by official sponsor First Quality—honors the individuals who reside, work, and volunteer in assisted living and residential care communities with special activities and events.&#160;</p><p>Created by the National Center for Assisted Living (NCAL) in 1995, this year’s NALW theme – “Joyful Moments” – reflects the strong connection between residents and staff and encourages them to join with their families and local communities to celebrate and create happy memories. This week also provides the opportunity to educate communities across the country about this sector of long term care and the dedicated, hardworking caregivers.&#160;&#160;</p><p>“Assisted living staff have continued to provide high-quality care to residents in senior living and should be celebrated for the incredible work they do every day,” said NCAL Executive Director LaShuan Bethea. “This year’s theme is special because it recognizes the extraordinary bonds built in assisted living communities. It recognizes the fact that residents, staff, and families are truly one big extended family finding joy in caring for each other throughout every moment in life – no matter how big or small.”&#160;</p><p>The annual observance encourages assisted living communities around the country to offer a variety of events and activities to bring together residents, staff, and volunteers, while adhering to infection control requirements and precautions in place for COVID-19. Participants are asked to share their celebrations throughout the week on social media with the hashtag #NALW.&#160;&#160;</p><p>For more information on National Assisted Living Week, please visit <a href="https&#58;//" target="_blank"></a>.&#160;</p><p style="text-align&#58;center;"><img src="/SiteCollectionImages/logos/ncal_large_color.jpg" alt="" style="margin&#58;5px;width&#58;193px;height&#58;135px;" /><br></p>2022-09-12T04:00:00Z<img alt="" src="/Breaking-News/PublishingImages/740%20x%20740/NALW.jpg" style="BORDER&#58;0px solid;" />Assisted Living“Joyful Moments” – reflects the strong connection between residents and staff and encourages them to join with their families and local communities to celebrate and create happy memories.
AHCA Documentary Wins Capital Emmy Award<p style="text-align&#58;center;"><img src="/Breaking-News/PublishingImages/2022/emmy2.jpg" class="ms-rtePosition-4" alt="" style="margin&#58;5px;width&#58;500px;height&#58;240px;" /><br></p><p><br></p><p>The American Health Care Association (AHCA) documentary, <a href="https&#58;//" target="_blank">“Closed Doors, Open Hearts&#58; Nursing Homes and COVID-19,”</a> received a National Capital Chesapeake Bay Chapter (Capital) Emmy Award Saturday evening in the <a href="https&#58;//" target="_blank">Documentary – Cultural/Topical</a> category.&#160;&#160;</p><p>The documentary, which was up against three other nominees, features two nursing homes on opposite sides of the country and their struggles and perseverance at the height of the COVID-19 pandemic. It highlights the heroic caregivers who continued to serve through the most challenging times. It also provides a glimpse into what has really happened inside nursing homes since early 2020 and why it is so important to continue supporting these vital providers’ ongoing efforts to keep residents safe and healthy.&#160;</p><p>The <a href="https&#58;//" target="_blank">Capital Emmy Chapter</a> is one of 19 regional chapters that make up The National Academy of Television Arts &amp; Sciences. It is a non-profit, professional organization serving the Maryland, Virginia, and Washington, DC television and media community. The organization’s foundation is The Emmy® Award, the TV industry’s gold-standard for the recognition of television excellence.&#160;</p><p>“It is an honor merely to be nominated, but to win is truly special,” said AHCA President &amp; CEO Mark Parkinson. “Nursing homes have been at the epicenter of the COVID-19 pandemic since the very beginning, and these providers have gone above and beyond to protect this highly vulnerable population. Thank you for allowing us to share their important story and for recognizing the hard work and passion that went into making this film. It is dedicated to everyone in long term care – staff, residents, families, and those who support them.”&#160;</p><p>The Capital Emmy is the next in a number of awards AHCA’s 26-minute film has received this year. It recently received Telly Awards in three categories&#58; <a href="https&#58;//" target="_blank">Gold recognition</a> in Social Video/General Documentary, Silver <a href="https&#58;//" target="_blank">recognition</a> in the People’s Telly Award/General-Social Video, and Silver <a href="https&#58;//" target="_blank">recognition</a> in General Documentary – Individual. The Telly Awards are premier awards honoring video and television across all screens. The documentary was also recognized with a Silver <a href="https&#58;//" target="_blank" title="https&#58;//">Digital Health Award</a> earlier this month.&#160;&#160;</p>2022-06-27T04:00:00Z<img alt="" src="/Breaking-News/PublishingImages/740%20x%20740/emmy.jpg" style="BORDER&#58;0px solid;" />Caregiving;QualityAHCA StaffAccolades continue for the Association’s short film focused on nursing homes during the COVID-19 pandemic.

  • It can be difficult to design a benefits package that is robust enough to retain employees without being burdensome for the employer.
  • Continue Care integrated aspects of BrightSpring’s home-based primary care services into Avamere’s trial through the Primary Care Hub.
  • Members of the AHCA/NCAL Population Health Management Council explain why PHM is important and how more providers can transition to provider-owned institutional special needs plans.



A Simple Fall Prevention Strategy Comes to Light Simple Fall Prevention Strategy Comes to Light<p>​<img src="/Topics/Guest-Columns/PublishingImages/2022/BrianLiebel.jpg" alt="Brian Liebel" class="ms-rtePosition-2" style="margin:5px;width:200px;height:200px;" />Reducing the number of falls in long term care facilities is a goal for everyone. Current strategies to reduce falls typically include complex, multicomponent interventions requiring significant resources, staff time, and resident education. To be sure, these measures help mitigate the risk and reduce the number of falls at nursing homes and senior care facilities; but there is one novel approach that has been theorized over the last decade that has been recently validated through research and come to light.<br></p><h3>126,000+ Patient-Days of Data Tell the Tale</h3><p>A recent <a href="" target="_blank">study</a> designed by Midwest Lighting Institute (MLI), funded by the Wisconsin Department of Health Services, and conducted by Brigham & Women’s Hospital Division of Sleep and Circadian Disorders—a division of Harvard University—has been published in <em>The Journal of American Medical Directors Association,</em> focused on how the positive effects of lighting on alertness, cognitive function, and sleep might affect falls. The study demonstrated that dynamic, tunable lighting systems reduced falls by 43 percent as compared to facilities that retained traditional lighting. The promising results of this study provide a method for reducing falls that is noninvasive, safe, passive, and relatively inexpensive. </p><p>The study compared two pairs of facilities, one control pair with typical fluorescent lighting and one intervention pair with tunable LED circadian lighting protocol (lights designed to change color based on time of day). Data was collected from all four facilities for one year prior to the intervention, where it was determined that there was no difference in the fall rates between the control facilities and the intervention facilities. After the new lighting was installed in the intervention facilities, a full year’s worth of data was collected to compare the number of falls in the control facilities to those of the intervention facilities, making this the largest study of its kind with over 126,000+ patient-days of data. </p><p>The results were illuminating, and the ramifications show a bright future ahead. </p><p>First, the reduction of falls is a significant improvement for the life and well-being of residents given that injuries and hospitalizations from falls can lead to higher morbidity and long-term complications. Second, when residents experience improved alertness and cognitive function during the day and better sleep at night, it not only improves their well-being, but also improves the working conditions for staff. Third and importantly, compared to many fall intervention methods, these tunable lighting systems don’t require additional labor costs and reduce the costs of staffing that would otherwise be attending to these falls. </p><h3>The Sound Science of Light</h3><p>How does lighting reduce falls in long term care facilities? First, we must explore lighting beyond our visual needs. Since the discovery of a novel photoreceptor in the eye more than 20 years ago, the intrinsically photoreceptive Retinal Ganglion Cell (ipRGC), researchers have made significant discoveries about the non-visual effects of lighting. These photoreceptors have been shown to affect alertness, cognitive function, and sleep, all of which are well-known factors associated with the risk of falls in older individuals. But for lighting to affect these positive outcomes, it must mirror our human evolution by mimicking the higher light level blue sky during the day; lower-level, warmer colored fire light in the evening; and extremely low light levels at night. For people who seldom get outside to experience daylight, this natural 24-hour cycle is missing, yet it is critical to their overall wellbeing.</p><p>How does this work? This natural diurnal cycle of light is received by the ipRGC photoreceptors that trigger melatonin suppression during the day when we are awake and alert, and darkness deactivates this response that then allows melatonin production to help us sleep. It’s important to realize that both phases—the awakened period and the sleep period—are critical components for improved sleep quality.</p><p>Digging a little deeper, it's important to analyze the three main variables in an automatic tunable lighting system that promote this diurnal cycle: light level, light spectrum, and time of day scheduling. Most importantly, the lighting system used in the MLI study provides a variation of lighting throughout the day that mimics the natural world to set and reset our circadian clocks to fit the naturally occurring 24-hour cycle. Typical electric lighting systems in long term health care facilities do not have any variation in light level or spectral composition and are kept at the same light-level day and night, resulting in too little light during the day and/or too much light at night. The key to successful lighting is to vary the lighting intensity and spectrum to keep people alert and awake during the day so they have a full daytime experience, in combination with lowered light in the evening that then allows them to sleep better at night. In other words, tuning the resident’s lighting to meet the needs of their natural circadian rhythms.</p><h3>Minimal Investment for Maximum Results</h3><p>In my nearly three decades designing lighting systems and studying the effects of lighting, I can say that this research conducted by Brigham & Women’s University may be one of the most impactful on the positive effects light can have on human health. But the study also brings the promise of other significant benefits from a health care provider perspective. Operationally, LED tunable lighting reduces energy and maintenance costs—in this study, an independent verification through the US Department of Energy GATEWAY project determined that this facility had a 60 percent overall reduction in lighting energy consumption! From a staffing perspective, reducing falls and improving the lighting creates a better environment and safer working conditions, and any reduction in falls will most certainly lower the liability for health care providers.</p><p>As our aging population begins entering skilled nursing or long term care facilities, it is important to consider not only the reputation of the clinical and medical staff, but the facility’s integrity and its use of today’s latest technologies. Minimal investments in tunable circadian lighting protocols can offer long term benefits for patients and staff while adhering to new environmental and societal initiatives. The benefits of these LED lighting systems in long term care facilities are compelling and have now been proven through sound, peer-reviewed science that is reliable and relatable. </p><p>Brian Liebel is the director of research at the Midwest Lighting Institute. Previously, Liebel was the director of standards and research at the Illuminating Engineering Society and has been involved with research investigating the effects of lighting spectrum on vision for more than 25 years. He can be reached at <a href="" target="_blank"></a>.</p>Reducing the number of falls in long term care facilities is a goal for everyone. 2022-09-27T04:00:00Z<img alt="" src="/Topics/Guest-Columns/PublishingImages/2022/BrianLiebel.jpg" style="BORDER:0px solid;" />Falls;CaregivingBrian Liebel

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