January 12, 2011

Tort "Reform" Savings Called Into Question

The new Congress that was sworn into office in Washington D.C. last week will soon begin debating a variety of hot button issues. Many of those matters will be of particular interest to all those concerned with proper healthcare for the elderly or fair treatment for all medical patients. In particular, the specter of medical malpractice “reform” will once again rear its head in many committee debates and policy calls.

In that discussion a claim will often be made about “savings” to be had if tort reform legislation is passed. The basis for that claim is generally linked to a single Congressional Budget Office analysis from a year and a half ago. That analysis has been shown severely flawed, as with so much of the information used to push the takeaway of legal rights for patients. The Center for Justice and Democracy published a detailed examination of the errors in the CBO analysis.

Overall, the claims of money saved are taken almost solely from a handful of studies that actually contradict one another. One of those studies even goes so far as to claim that changes to the current structure would allow may cause more than 50,000 more people to die from medical errors each year—on top of the almost 98,000 who already do.

The CBO analysis uses an extreme form of tort reform legislation that no single state has ever accepted, including a hard $250,000 limit on non-economic damages and a one year statute of limitations on claims. The group’s own evidence also suggests that these reforms may actually increase costs, not save them. In states with the most widely used type of reform—limits on joint and several liability—the costs of healthcare actually increased following the legislation.

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November 17, 2009

Is Nursing Home Staff Retention and Resident Longevity Related?

One nursing home has five residents over the age of 100 who have all lived in the same nursing home for several years. What do they have in common? All of the residents were assisted by employees that worked at the nursing home for 20 years. Turnover and the impact on residents in nursing homes have been greatly researched. One study found that when there is a loss of administrator there are increasing pressure ulcers, resident catheters and the use of psychoactive drugs. There are also more deficiencies and citations. This could occur because when the administrator leaves the normal turnover of staff doubles. The turnover for administrators in assisted living facilities ranges from 43%-70% annually. This results in increasing workloads for the remaining staff. It is evident that turnover weakens nursing homes and affects residents. In order to keep staff longevity staff must value their relationships. This will obviously help decrease nursing home negligence. To see the full results of the study, please click the link.

October 9, 2009

AARP Report Concerning Background Checks on Home Care Workers

American Association of Retired Person’s Public Policy Institute just released a new report on federal and state approaches to background check screening of home care workers to protect vulnerable from harm. Currently states increasingly require criminal background checks for home care workers to protect vulnerable adults from harm. Forty-six states mandate some form of background check for Medicaid-funded workers, however there is no uniform protocol for screening and disqualifying candidates. There also needs to be robust scholarship on the relationship between criminal behavior and the risk of elder mistreatment. The paper offers an up-to-date assessment of practices including: implementing promising state-level practices to increase accuracy, speed, cost-effectiveness and fairness to job applicants. Also, states should use multiple, complementary screening tools, not just criminal background screening. Criminal background checks will greatly reduce nursing home abuse. To read more about background checks, please click the link.

October 7, 2009

Residents Rights Week is celebrated by NCCNHR

The National Consumer Voice for Quality Long-Term Care has designated this week as Resident’s Rights Week. Residents’ Rights Week is celebrated the first full week in October each year to honor residents living in all long-term care facilities. It is a time for celebration and recognition. This is also an opportunity for every nursing home to focus on and celebrate awareness of dignity, respect and the value of each individual resident. Ombudsmen, citizen’s advocacy groups, family and residents councils and long-term care facilities across the country are honoring residents with several events. NCCNHR has put together five ways to participate in resident’s rights week. First visit a resident of a nursing home. While there, encourage a facility to use one of the activity examples from NCCNHR’s Residents’ Rights Week packet. Also you should educate families and the community about Residents’ Rights by writing a letter to the editor of your local newspaper about Residents’ Rights. Finally host a residents’ rights week event. To read more about ways to celebrate residents’ rights week, please click the link.

September 3, 2009

Study shows that Direct Care Workers are Essential to Quality Nursing Home and Home Health Care

The Direct Care Workers (DCWs) are integral to addressing the many elderly family members that live in both nursing homes and need personal care takers. The DCW is also a liaison to the nursing home staff, reporting the care-receiver’s medical and emotional status. The DCW is responsible for the actions of many of the elderly residents. They affect: when and whether the resident gets out of bed; how long the resident has to lie in wet pants; whether the resident’s teeth are brushed; if the nurse is notified of bed sores; whether the resident is malnourished and whether the resident has taken to any morning activities. These are vital activities to both a resident’s day and their stay at a nursing facility. Therefore the DCW is responsible for ensuring that nursing home abuse and negligence does not occur. One way to ensure this is through individualized care plans. Also supervisor training and dementia training can decrease elderly abuse. To read more about the DCW importance, please click the link.

August 12, 2009

As Population Ages Elder Abuse Grows

One of the most under-reported types of abuse is elder abuse. With the economy in shambles, experts expect elder abuse cases will go up. When children move home, or parents move in with their children, elder abuse frequently rises. This is especially true in financial exploitation. One county usually receives 500 calls per month concerning elder abuse. Now that number has risen to 600 a month, partially from the economy and partially from the aging demographics. These experts believe that only one out of every five cases of elder abuse gets reported. Many people are hesitant to report elder abuse and older people are not as visible as children who have the abuse discovered at school. The only thing the experts are quite certain of is that as the population ages, elder abuse will grow. To read more from the elder abuse experts, please click the link.

July 23, 2009

Nursing Home Administrators See Largest Salary Gain in Recent Years

Despite an economic recession and slower compensation gains for nurses, it appears that nursing home administrators’ salaries rose this year to the highest rate in four years. Nursing home administrator salaries have jumped by an average of 4.8%, according to a report by the Hospital & Healthcare Compensation Service. Many nursing home administrators earn over $80,000, with the average salary rising from $85,464 to $89,606. To read more about the nursing home administrator salary increase, please click the link.

July 10, 2009

Results of First Nursing Assistant Survey Published

A 2004-2005 National Nursing Assistant Survey, sponsored by the U.S. Department of Health and Human Services was recently published. The first-ever survey was designed to provide information needed to recruit, retain and expand the direct care workface. Some of the characteristics the survey examined include demographics, career decisions, work experience and training, pay and benefits, work environment, home environment, injuries and vaccinations. Almost half of all CNAs are members of a minority group with their median hourly wage was $10.04. 16 percent had no health insurance and more than half were injured on the job at least once during the previous year. The Gerontologist hopes that the survey “represents a major advance in the data available about CNAs in nursing homes and provides a rich resource for evidence- based policy, practice, and applied research initiatives recruitment and retention efforts.” Hopefully, this report will help Illinois nursing homes decrease elderly abuse and neglect. To read the nursing home study, please click the link.

July 2, 2009

NCCNHR Examines the Role of Nurses in Nursing Home “Culture Change”

The National Citizen’s Coalition for Nursing Home Reform has joined with Geriatric Nursing Centers in order to develop quality care for Nursing Homes. The important and complex role of nursing in culture change is examined in the newly released issue paper entitled Nurses’ Involvement in Nursing Home Culture Change: Overcoming Barriers, Advancing Opportunities. The paper discusses the idea that in nursing homes, the movement away from institutional provider-driven models of care to more humane consumer-driven models of care that embrace flexibility and resident self-determination has come to be known as culture change. The NCCHNR is striving hard to adhere to the Nursing Home Reform Act of 1987 which states that each resident must provide the necessary care and services to attain or maintain the highest practicable physical, mental and psychosocial well-being, in accordance with the comprehensive assessment and plan of care. To read more about the nursing home study, please click the link.

February 13, 2009

Lawyers speak out about Failing Nursing Homes

A trial lawyer who was represented many victims of elderly abuse and neglect has seen enough in America’s 15,000 nursing homes. After a report by the Department of Health and Human Services found that 94% of America’s nursing homes violated federal and health safety standards it is obvious that the elderly are suffering and nothing is being done. Pressure ulcers have become all too common among the elderly in nursing homes. They often occur because nursing homes are so short staffed. Senator Chuck Grassley observed that more than half the nation’s nursing homes don’t meet the minimum for staffing. Corporate greed and a poor economy have contributed to these shortfalls in nursing homes. It is time that America wakes up to the substandard care that we are providing our elderly family members. To read this essay on nursing home negligence, click here.

February 3, 2009

Nursing Home Directors See Pay Raise

Directors of nursing homes saw a slight pay increase in the last year. The national average salary rose about 400 dollars from $60,000 in 2008 from $59,627 in 2007. Residential nurses and certified nursing assistants in nursing homes fared even better and received a 3.34% and 3.17% pay raise, respectively. There was also a smaller turnover rate among residential nursing homes. The turnover fell to 35.5% this year when it was at 42.33$ last year. Additionally the turnover rate for certified nursing assistants held stead at 42%. Hopefully legislation requiring background checks on nursing home employees will help keep competent nursing home staff. This will in turn ensure that elderly neglect and nursing home abuse cases diminish in Chicago, Illinois. This report was published by the Hospital & Healthcare Compensation Service. To read more about the nursing home salary and benefits report, click here.

January 9, 2009

Nursing Home Social Workers need to be Held to a Higher Standard

Low federal standards and inconsistent state laws have created lapses in the qualifications of nursing home social workers. Social workers are integral to nursing home resident’s quality of care, yet a national survey shows that only half of all nursing home social workers actually have a social work degree. Additionally, the study shows that 20 percent do not have a four-year degree of any kind; two-thirds do not belong to any professional organizations and 62 percent are not licensed in social work. The study concluded that for-profit nursing homes are 31 percent less likely to hire a degreed social worker. Social workers in nursing homes are important because they handle very serious emotional issues affecting residents, family members, and other staff members, and they need to be educated on how to handle these issues. Federal law mandates that all nursing homes with over 120 beds must meet federal regulations require one full-time social worker to be employed, but a bachelor degree in any service area is the only required training. Furthermore, the study shows that most social workers can only handle 60 patients in one nursing home, half of the federal mandate. To read the full story, click here.

December 3, 2008

Rite Aid to Host Live, Online Chats for Caregivers December 3 -4

On December 3 and 4, Rite Aid will host two free chats, broadcasted live online, featuring advice from geriatric experts and a Rite Aid Pharmacist. These chats, as part of Rite Aid’s “Giving Care for Parents” program, are aimed at answering caregivers’ questions and helping them find solutions to everyday problems.

On Wednesday, December 3, from 12:00-1:00 p.m. Eastern time (11:00-12:00 p.m. Central time), attorney Vincent J. Russo, Esq., will be answering questions on elder law, special needs, and estate planning, and elder care expert and geriatric care manager, Dr. Marion Somers, PhD, will be discussing a broad range of topics, from home safety to senior-friendly technology.

On Thursday, December 4, from 12:00-1:00 p.m. Eastern time (11:00-12:00 p.m. Central time), Susan Strecker Richard, editor-in-chief of Caring Today, will be offering advice on how to care for loved ones without sacrificing your own well-being and she will answer general questions on caregiving. Rite Aid pharmacist Natalie Teaff, R.Ph, will be available to answer questions on medications, therapies, and medication interactions.

To participate in the live chat, caregivers must register online at: http://giving-care.riteaid.com/giving-care/expert-events. Caregivers who are unable in the live chat will can print a transcript after the event.

November 18, 2008

State implements potential solutions to endemic nursing home abuse

Nursing home neglect has been endemic with understaffing and poor funding, but some states are developing their own solutions. One has begun a “pay-for-performance” plan for funding its nursing homes. Medicaid payments correlate with the residents’ quality of life. Payments go to homes that make changes ranging from reducing bed sores to giving residents peanut-butter sandwiches on demand. However, reforms like these, are often dependent upon the energy and dedication of key staff members and are difficult to replicate in more than 16,000 nursing home nationwides.

For the full article.

April 25, 2008

Centers for Medicare and Medicaid Services Adds New Website to Disclose Bad Nursing Homes

The Centers Medicare and Medicaid Services Nursing Home Compare website has added a new section that allows viewers to see information on nursing homes and identify homes that have drawn increased federal scrutiny for complaints and other forms of nursing home abuse and neglect. The website includes a listing of Special Focus Facilities which are nursing homes that receive increased federal inspection as a result of past poor performance. Notably, five Illinois nursing homes made the list. Embassy Health Care Center in Wilmington, IL and Harrisburg Care Center of Harrisburg, IL are both on the “not improved” list. Facilities that have shown improvement include Alden Park Strathmoor in Rockford, Berkshire Nursing & Rehab in Forest Park, and International Village in Chicago.

See here for the report and view the website here.

November 18, 2007

Useful publications cited in thought provoking blog by Lisa Nerenberg

Lisa Nerenberg, who has been involved in the field of elder abuse prevention since 1983, publishes a blog with posts concerning financial exploitation, identity theft, cognitive impairment and undue influence, care giving issues and cultural and gender issues. A recent post, "Geriatricians, Angry and Otherwise," is a provocative commentary which highlights useful and interesting readings. The readings cover a wide range of topics, including, "the social and economic factors that contribute to elder abuse, including ageism in healthcare, inadequate pensions, and poverty," and a surgeon's description of the field of geriatrics. In addition, Nerenberg includes interesting references to global trends in elder abuse.

Click here to read Lisa Nerenberg's blog

April 28, 2007

Nurses work to reduce the number of bedsore-related deaths

The number of pressure ulcers throughout the U.S. remains unacceptably high. A recent study in the April 2007 American Journal of Nursing examined the incidence and high cost of pressure ulcers and presents the results of an implemented protocol to reduce the occurrence of the widespread problem. Clinical nurse specialists institute a Pressure Ulcer Prevention Protocol Interventions (PUPPI) at the Ohio State University Medical Center. The protocol is a nursing initiative that involves assessing risk and nutritional status, providing skin care, documenting, and giving referrals as needed. Pressure ulcer protocols have shown a decrease in incidence by almost 90% in nursing homes and almost 25% in critically ill patients.

For the full article.

April 10, 2007

Common patient safety incidents very costly

According to a recent Healthgrades study, the most commonly occurring patient safety incidents include failure to rescue, decubitus ulcers, and post-operative respiratory failure. These three incidents accounted for almost 72% of all patient safety incidents from 2003 through 2005. The study further explained that some of these incidents were also the most costly. Decubitus ulcers and post-operative respiratory failures accounted for 50.70% of all excess attributable costs from 2003-2005. Decubitus ulcers (bedsores) are common evidence of nursing home neglect, often attributable to staffing shortages or lack of training.

To read the full study.

January 31, 2007

Norovirus hitting nursing home residents around the nation

Norovirus appears to be spreading nationwide in nursing homes. Norovirus is the bug that causes a nasty stomach ailment. The Center for Disease Control and Prevention has asked state health officials to document outbreaks for a report to be issued soon. Typically, Norovirus hits nursing homes, day care centers, hospitals, and other group settings in the winter. It plagues cruise ships year-round. The virus is extremely contagious and is transmitted through close contact with infected people or digesting contaminated food. Its symptoms include nausea, vomiting, diarrhea, stomach cramps, and low-grade fever. Unfortunately, there is no treatment. Experts recommend handwashing and good sanitation to prevent the virus from spreading.

For the full article.

January 11, 2007

2004 National Nursing Home Survey facility data available

The National Center for Health Statistics recently released the facility data tables from the 2004 National Nursing Home Survey online. The tables include the following information about nursing homes: characteristics, staffing, management, programs, services, and employee vaccinations. With the constant fears of nursing home abuse and neglect, the tables are especially useful for families researching a home for a loved one.

To view the tables.