Senior Care Sitemap - Page 2 2015-03-27

New Nursing Home Administrator Code of Ethics Introduced
New Nursing Home Administrator Code of Ethics-Personal Conduct Addressed

Unforeseen Competitors Slipping into LTSS
Unforeseen Competitors Slipping into LTSS-Verizon Enters Telehealth

Communicating Effectively With Residents
Communicating effectively with residents, patients and families is key to providing quality health care. The manner in which you communicate information can be equally as important as the information.

National Consumer Voice Calls for Better Staffing Levels
National Consumer Voice Calls for Better Staffing Levels-How to Get Involved

Hiring and Staffing
Your staff defines the experience for customers. Therefore your very reputation and business viability hangs on your ability to hire and retain the best staff. Hiring, staffing, recruitment, and retention of staff are at the core of topics covered.

Medicaid Spend Down - Part One
Medicaid Spend Down - Part One - How Do You Qualify for Medicaid

Medicaid Spend Down - Part Two
Medicaid Spend Down - Part Two - Reducing Countable Assets

RAND Study Looks at LTSS
RAND Study Looks at LTSS - 25 Options 5 Objectives Outlined

Maya Angelou on the Rainbow in the Clouds
Maya Angelou asked the audience to be the rainbow in the clouds of others.

Geriatric Care Manager - Profession Description
As caregivers and families cope with the overwhelming stress of caring for a loved one, a new profession, that of the Geriatric Care Manager is cropping up. A Geriatric Care Manager can help families who are caring for older relatives.

Using Aromatherapy with Alzheimer's / Dementia Patients
Pleasing scents help relax people with Alzheimer’s and dementia. In this article we explore how to use aromatherapy with these patients.

2014 CMS Financial Update
Skilled nursing facility reimbursements to increase by $750 million in 2015

Readmission Nuances
Readmissions seems to be the buzzword in long-term care. Not a day goes by that some new studies come out suggesting new ways to reduce readmissions.

The National Agenda Subject of Health Affairs Alzheimer’s Briefing
The National Agenda Subject of Health Affairs Alzheimer’s Briefing. Ever hear of the Club Sandwich Generation?

Primary Care Docs On Frontline of Alzheimer’s / Dementia Detection
Primary Care Docs On Frontline of Alzheimer’s / Dementia Detection

Financial Professionals on Alzheimer’s Frontlines
Financial Professionals Should Be on the Frontlines of Alzheimer’s Identification

Tai Chi for Seniors: Chair Chi
Chair Chi is an exercise program based on the principals of Tai Chi Chuan, but designed for the elderly, in nursing homes, adult day centers, etc..

Short Stay Rehab Patient Activities
A majority of older Americans will spend at least a short term stay recovering and rehabbing from medical miracles such as hip, knee and other joint replacements as well as serious medical conditions, ranging from a broken bone to a stroke. That is a challenge for activity directors.

Assisted Living Sales and Marketing Tips
Is your assisted living marketing and sales approach stale? Do you need to recharge your marketing to increase referrals and closes? Getting to a full occupancy and being profitable in today’s business environment requires a totally different marketing approach. By continuing to pursue the same old, ineffective methods, you will get the same old results. Here are six suggestions to get you thinking.

What Is a Continuing Care Retirement Community
If you are new to aging services and are considering a career that involves caring for elders in a home-like environment, you need to know the differences between a Continuing Care Retirement Community (CCRC), an Assisted Living Facility (AL), and a Skilled Nursing Facility or Nursing Home (SNF.

hospice - palliative care - end of life issues - hospice overview - hospice reimbursement
The arena of hospice care reimbursement is often misunderstood by the public and in fact a perception that it is not a covered service often makes caregivers shy away from seeking hospice services. This is what your potential clients should understand. Hospice is paid for through the Medicare Hospice Benefit, Medicaid Hospice Benefit, and most private insurers. If a person does not have coverage through Medicare, Medicaid or a private insurance company, hospice will work with the person and their family to ensure needed services can be provided.

Adult Day Care Services Rules and Regulations By State
With the growing trend for payers to want to keep people out of assisted living and skilled nursing facilities, other aging services become increasingly important. One of those is adult day care or adult day services (ADS). And with increased importance comes increased scrutiny. This article provides an overview of adult day care rules and regulations. They will continue to evolve.

Extending Your Brand by Expanding Your Product and Service Offerings
Brand extension is a marketing strategy used to leverage an organization's good name through related and complementary product and service offerings.

Continuing Care Retirement Community – Assisted Living – Nursing Home – Housing for the Elderly
If you are new to aging services and are considering a career that involves caring for elders in a home-like environment, you need to know the differences between a Continuing Care Retirement Community (CCRC), an Assisted Living Facility (AL), and a Skilled Nursing Facility or Nursing Home (SNF). Page 2.

Adult Day Care - Description of Typical Program
Elder day care offers both respite for caregivers as well a much needed socialization for seniors. Here are the characteristics of a typical center.

Introduction to the Home Care Business
With an increased desire to “age in place”, more and more services are being delivered straight to the home. One of the fastest growing businesses is non-medical home care.

Where to Start - Options for Entry
There are four ways to enter the non-medical home care arena.

Incorporating Your Home Care Business
How you incorporate your business is important because that initial decision will affect all aspects of business operations later. So choose carefully and consult with an attorney.

Setting Up Your Home Care Business
Once incorporated it is time to set up the business systems for your home care enterprise.

Establish Policies and Procedures for Your Home Care Business
An efficient home care business operates with policies and procedures in place for all aspects of the operation. You may be able to purchase these and in many cases they will be part of a franchise that you might buy.

Hire Home Care Staff
Hire the best caregivers available as your reputation depends on it. Spend time interviewing prospects and conduct background and reference checks even if not “technically” required.

Marketing a Non-Medical Home Care Business
With your operations ready to go, it's time to acquire clients. Let's get started.

Home Care is a Rewarding Business
In conclusion, home care can be a fulfilling calling. But make no mistake it is a business so operate it as one. Use your heart when it comes to the care of those elders whose families have entrusted their care to you.

Career Ladders in Long-Term Care
One of the workforce issues in long-term care is that for many it is simply a job and not a career. With low retention and high turnover, low wages and minimal benefits, workers cannot see clearly that there is a career progression. In this article hub we look at the concept of career ladders in long-term care, especially important for certified nursing assistants (CNA) and home health aides (HHA).

Gene Sequencing Will Help Identify Alzheimer’s Sooner
Gene Sequencing Will Help Identify Alzheimer's Sooner

Nursing Homes and Assisted Living Activities for April
April activities for nursing homes and assisted living cover the fountain of youth, baseball to hitting the road. Diverse and eclectic and a must read.

Activity Programming for May - Article Hub
From Memorial Day to Mother's Day to Cinco de Mayo to the Kentucky Derby, May is a non-stop whirl of activities. Here are five articles to get you started programming your ideas for residents. Have fun.

Reducing Readmissions and ED Visits
How to Build Better Relationships with Hospital Counterparts to Reduce Readmissions.

The Dementia Action Alliance
The Dementia Action Alliance - Know About It and Get Involved With It

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HELP US TO MAKE THE VOICES OF PEOPLE LIVING WITH DEMENTIA HEARD IN WASHINGTON DC!
HELP US TO MAKE THE VOICES OF PEOPLE LIVING WITH DEMENTIA HEARD IN WASHINGTON DC!

Choosing a Nursing Home or Assisted Living Facility Hub
From choosing a geriatric care manager to doing your internet homework to touring a facility, there is a lot that goes into making an informed decision about care for a loved one.

cultural sensitivity in long term care
As the number of ethnic and minority populations age and as the lesbian, gay, bisexual, transgender (LGBT) community ages as well, being culturally aware will become more important in aging services. And serving these populations with respect and dignity will be a driving force behind true culture change. Let's take a look at cultural sensitivity in long term care.

Music Programs for Activity Professionals
The power of music and what it does to bring back memories is undeniable. In addition to enhancing quality of life, there are health benefits to an effective music program. It has been documented that seniors participating in music use fewer medications, fell less depressed, are less lonely, have higher morale and are more socially active.

Art Programs for Activity Professionals
Art projects for seniors can enhance their quality of life while helping them learn a new skill. Art appreciation also helps foster lifelong learning and mind stimulation.

Assisted Living Survey Hub
Here are several articles related to state surveys of assisted living facilities. Combined they start to paint a picture of what you can expect.

MDS 3.0 What You Need to Know - Nursing Home Quality - What is MDS 3.0 - RUGS IV
The Centers for Medicare and Medicaid Services' (CMS) tool for facilitating care management in nursing homes is called the Minimum Data Set (MDS), a core set of screening and assessment elements that is part of a Resident Assessment Instrument (RAI). The RAI provides a comprehensive and standardized assessment of each long-term care facility resident's functional capabilities and helps staff to identify health problems. In this series, we examine seven areas of care.

MDS 3.0 What You Need to Know - Nursing Home Quality - What is MDS 3.0 - RUGS IV
The Centers for Medicare and Medicaid Services' (CMS) tool for facilitating care management in nursing homes is called the Minimum Data Set (MDS), a core set of screening and assessment elements that is part of a Resident Assessment Instrument (RAI). The RAI provides a comprehensive and standardized assessment of each long-term care facility resident's functional capabilities and helps staff to identify health problems. In this series, we examine seven areas of care.

What You Need to Know About Adult Day Care
With the continued push towards aging in place, adult day services or adult day centers play a vital role in the quality of life for our seniors. In this hub we look at statistics for the industry, state rules and regulations, certification, record keeping, service requirements, design environment and safety, as well as staffing.

hospice - palliative care - end of life issues - hospice overview - hospice reimbursement - hospice information hub
Each of us has the right to die pain-free and with dignity, and that our loved ones will receive the necessary support to allow us to do so. That is the belief of the National Hospice and Palliative Care Organization and is reflected in the work that hospice providers do around the country. Yet hospice is very misunderstood. Let’s start clearing this up.

Innovative Models of Care in Aging Services
This hub of articles is an evolving and growing list of innovative care models in senior care sprouting up around the world.

Engaging Residents / Patients Before, During and After the Care Experience Impacts Satisfaction
Engaging Residents / Patients Before, During and After the Care Experience Impacts Satisfaction

HHS Data Shows Patient Safety Improving; Readmissions Falling
HHS Data Shows Patient Safety Improving; Readmissions Falling

Nursing Home Activities - Evoking Memories - Products for Activity Directors
Enter the dining room of most long term care, personal care and assisted living dining rooms and you will notice an absence. Not of food. Not of people. But of conversation! A new product could help.

Blogs Nominated for the "Best" at Senior Homes Competition - Five Years Running - Last CHANCE TO VOTE
Blogs Nominated for the Best at Senior Homes Competition - Five Years Running

Nursing Home Quality – Assisted Living Quality – Person Centered Care – Culture Change in Healthcare – Nursing Home Culture Change
There are many quality initiatives being pursued in the aging services sector. Many overlap. Often you will see many of the same quality organizations in long-term care and aging services cooperating on these initiatives. Sometimes there are separate initiatives being pursued. Being versed in the healthcare players can jump start your education around quality and aging services.

Nursing Home Quality – Assisted Living Quality – Person Centered Care – Culture Change in Healthcare – Nursing Home Culture Change
There are many quality initiatives being pursued in the aging services sector. Many overlap. Often you will see many of the same quality organizations in long-term care and aging services cooperating on these initiatives. Sometimes there are separate initiatives being pursued. Being versed in the healthcare players can jump start your education around quality and aging services. Page 2.

May Activities for Nursing Homes and Assisted Living
May activities for nursing homes and assisted living explore commemorate Mother's Day.

May Activities for Nursing Homes and Assisted Living
May activities for nursing homes and assisted living explores Cinco de Mayo.

May Activities for Nursing Homes and Assisted Living
May activities for nursing homes and assisted living explores Memorial Day.

The Activity Professional - The Right Career for You?
Do you enjoy working with the elderly? Do you like a job that requires flexibility, ongoing learning, organization, communication skills and openness to new experiences? Then a career as an activity professional may be for you!

Becoming a DON for a Skilled Nursing Facility
The Director of Nursing Services (DON) works in concert with the Administrator and directs the Nursing Department to maintain quality standards of care in accordance with Federal, State and facility standards, guidelines and regulations.

April Activities for Nursing Homes and Assisted Living - April Fools
April activities for assisted living explores April Fools Day.

April Activities for Nursing Homes and Assisted Living
April activities for assisted living explore our youth-obsessed culture and why we have April Showers.

Home Instead Continues to Innovate Joining The Global CEO Initiative (CEOi) on Alzheimer's Disease
Home Instead Continues to Innovate Joining The Global CEO Initiative (CEOi) on Alzheimer's Disease

Caring for Christian Residents - Religion and the Nursing Home - Religion and Assisted Living
How can the activity director help residents continue the spiritual side of their life? Let's find out in this article.

Using Puzzles to Engage Dementia Patients
How do you awaken a dementia patient into participation? By working one-on-one and building up their skills. In this case an activity director used puzzles to make the pieces fit.

Actions Steps for Pain Management in Older Adults
Improved management of chronic pain can significantly reduce disability in older adults. Pain in aging adults has historically been poorly reported, recognized and managed. Let's take some actions steps.

testimonial - word of mouth marketing - social media - sales - marketing
The economy is driven on word of mouth. People seek out referrals all the time from friends, families, neighbors. The referral is a story and if it is a good story, that is one that results in business, well than it is a testimonial waiting to happen. Testimonials are the life-blood of the healthcare business. Often emotional, they attract attention and can be used to obtain more business.

net promoter score - will you recommend - long term care sales and marketing - NPS - assisted living sales
A Net Promoter Score (NPS) is based on the perspective that every company's customers can be divided into three categories: Promoters, Passives, and Detractors. By asking one simple question — How likely is it that you would recommend [Company X] to a friend or colleague? — you can track these groups and get a clear measure of your company's performance through its customers' eyes.

June Activities for Nursing Homes and Assisted Living, Part 3
Here are ideas for June activity programming. In this third article we explore summertime.

Starting an Adult Medical Day Center
Adult medical day services may be a good health care solution for your community. In this article, we look at how to start an adult medical day care center.

Nursing Home Environmental Services
Environmental services in long-term care across all settings is more than just keeping a clean and safe environment. It is also about providing a home to residents. The greatest challenge a long-term care environmental services team faces is embracing the psychological and emotional toll residential care puts on the residents and their families.

Cultural Sensitivity in Nursing Homes - Major Issues
Alleged incidents of abuse, neglect and mistreatment among different races, classes and religious groups in long-term care facilities has been reported. Being aware of cultural differences and knowing that they can impact care delivery is important. And the development of culturally sensitive programs can help bridge differences, positively impact care and lead to increased resident, family and employee satisfaction.

Palliative Care
Palliative Care is a misunderstood service most often associated with death and dying. In reality, palliative can give people a longer quality of life during any stage of life. It is specialized medical care for those with serious illnesses that focuses on providing patients with relief from the symptoms, pain, and stress of that illness. The goal is to improve quality of life for both the patient and the family.

Tips for Children Visiting Nursing Homes
Do your residents have young grandchildren or great grandchildren who want to visit them? Here are six tips for helping your child get through their first visit.

Health Care Lobbying
Politics is always a hot topic and no more so than in the health care arena. Being versed in health care advocacy and the basics of advocacy and lobbying are good skills to acquire and can be good for your business.

MDS 3.0 Cognitive Patterns in Nursing Home Residents
The level of cognitive ability among nursing home residents helps determine a proper care plan and therefore contributes to their quality of care and quality of life. In the past understanding cognitive patterns was done by simply observing residents and making notes of what was observed. Much has changed under MDS 3.0.

MDS 3.0 Pain Management
Pain can cause suffering for nursing home residents and can result in inactivity, social withdrawal, depression, and functional decline. That is why effective pain management is so important in improving the quality of life for residents. MDS 3.0 regulations around pain management seek to assess the presence of pain, pain frequency, effect on function, intensity, management and control.

Adult Day Care Center Design
Adult day services design, environment and safety issues are paramount to quality of life for residents. We look at these issues in our continuing series of certification requirements for adult day services.

Conduct a Marketing Audit
Whether you are an organization of 5,000 or 5, marketing will be the key to success. Yet many organizations do not know where to begin. And even organizations with highly-skilled marketing departments may not have their priorities in place. A marketing audit could be the most valuable investment you make in your company.

MDS 3.0 What You Need to Know
The Centers for Medicare and Medicaid Services’ (CMS) tool for care management in nursing homes is called the Minimum Data Set (MDS), a core set of screening and assessment elements that is part of a Resident Assessment Instrument (RAI). The RAI provides a comprehensive and standardized assessment of each long-term care facility resident's functional capabilities and helps staff to identify health problems. MDS 3.0 was introduced in the fall of 2010. This article provides an overview.

Assisted Living Sales - Selling Assisted Living - Choosing Assisted Living - Assisted Living Marketing
Lori Juneau-Alford is... Assisted Living.

The Cost of Incivility
Noted authors Pearson and Porath in their book

Activities Around Current Events - Current Event Activities - Nursing Home Activities
Knowing what is happening in the world is more important than ever for you as an activity director and for your residents. NewsCurrents Sr., a computer based news service was created by Judith Laitman. Check it out.

Alzheimer's Resources - Coping with Alzheimer's
Alzheimer’s Speaks is an advocacy group that provides education and support for those dealing with Alzheimer’s disease and dementia. Alzheimer’s Speaks Radio is the first radio show dedicated to dementia.

Traveling Arts Program for People with Dementia
PotentiALZ is a traveling creative arts program for residents with dementia.

Seniors and Technology
Staying connected is an increasingly important factor in aging well and aging safely.

custom canes - custom walkers - custom wheelchairs
It happened again this week. Mrs. Jones took Mrs. Smith’s walker, by mistake of course, but it still lead to unkind words. Shrinkins has a better solution for residents’ identifying instantly their walker and/or cane even in a crowded dining room or social gathering.

Hiring Home Care Staff, Retaining Home Care Staff
Long-Term care providers need to hire and retain the best and share what has worked with others. If not the industry will continue the cycle of turnover and replacement of workers.

Validation Techniques
Communication is one of the first casualties of dementia. Because dementia affects memory, people with dementia have difficulty following the thread of a conversation. “Reawakening” a person to the “real world” used to be the norm for caregivers. But newer studies have shown that these small corrections shatter that person's reality. This realization gave birth to a new form of communicating and dealing with people with dementia.

Bundled Payments, Bundled Payments for Care Improvement
As nursing homes and others look to become valued partners of hospitals through accountable care organizations, a new payment method will be evolving as well. A bundled payment has been introduced from the Centers for Medicare & Medicaid Services (CMS).

Earning Online CEUs for Activity Directors
Recreation Activity Resources offers educational services for Therapeutic Recreation Specialists, and Activity Directors including an online and home study version of NCCAP-Modular Education Program for Activity Professionals 2nd Edition Courses (MEPAP I and II) and CTRAC version. Earning CEUs online is a great way for busy professionals to stay current in their education.

Reducing Noise in Nursing Homes
Excessive noise in healthcare facilities has often been cited as a patient experience priority. In nursing homes, noise can exacerbate dementia. It is important to control the noise pollution in your facility.

Guest author Gloria Hoffner
Gloria Hoffner is the owner of Guitar with Gloria and Science for Seniors providing activity programs at over 200 retirement communities.

Choosing a Geriatric Care Manager
When choosing care for mom or dad and eventually yourself, it is often hard to know where to start and how to evaluate your care choices. You might want to start with a Care Management Service.

The Dementia Initiative
The Dementia Initiative is a national effort that includes a wide array of dementia care experts from across the U.S. representing the practice, policy and research sectors. Their seminal white paper, “Dementia Care: The Quality Chasm,” frames consensus values, practices and recommendations for person-centered dementia care.

hospital readmissions - preventing hospital admissions - preventing hospitalization
At a World Health Congress, a new look at the readmission issue was provided by Gregg Allen, MD, Chief Medical Officer, and Norman Scarborough, MD, Vice President and Senior Medical Director, MedSolutions. Intervention before hospitalization can be key. Care coaches are critical.

How Boy and Girl Scout Troops Can Enhance Your Activities
Scouts can be a vital component in your activities programming. They are always looking for community projects and can be a help with clean-ups, gardening, building bird houses and so much more. Scouts can read to residents, demonstrate crafts and teach songs.

physical therapist - becoming a physical therapist - nursing home jobs - jobs in elder care
Physical therapists careers are expected to grow much faster than average and job opportunities are good. More and more nursing homes are employing physical therapists as the industry embraces the rehabilitation business. In terms of hiring and staffing, this is a profession in demand.

occupational therapist - becoming an occupational therapist - nursing home jobs - jobs in elder care
Occupational therapists help patients improve their ability to perform tasks in living and working environments. They work with individuals who suffer from a mentally, physically, developmentally, or emotionally disabling condition. The outlook is bright. Employment is expected to grow much faster than average, and job opportunities should be good.

Enhancing the Dining Experience in Long Term Care - Serving Food in a Care Home
Home Instead Senior Care conducted a survey regarding the mealtime and nutritional habits of elders living alone. The findings have implications for long-term care facilities.

Using Volunteer Bands in Nursing Home and Assisted Living Activities
Volunteer bands are growing in the country and activity directors can should incorporate them into their programs.

Technology Classes for Seniors
Project Looking Glass II, an effort that placed a researcher in a retirement community for one month, uncovered some interesting findings on technology’s importance and intimidation factors for seniors.

Nursing Home Administrator Exam, Leadership and Management
The National Association of Long Term Care Administrator Boards (NAB) is composed of state boards or agencies responsible for licensing long term care administrators. The basic objective of the Association is to assist these boards and agencies in carrying out their responsibilities in the licensure and re-licensure of long term care administrators. One of NAB'S functions is the development of the national nursing home administrator examination. This article looks at the fifth area of testing - Leadership and Management.

Paying for Long Term Care
The financing of long-term care can be confusing, expensive, and onerous. There are five ways to pay for care.

Policies Around Sex in Nursing Homes
The Hebrew Home for the Aged in Riverdale, New York is a benchmark organization when it comes to honoring resident preference among a sensitive topic - sex.

Increasing Staff Engagement in Assisted Living
The importance of having all employees focused on the big picture helps those employees work better as a team and bring meaning to the work they do. In this article we’ll look at a few programs that practically show how to connect employees to the bigger picture.

Evaluating Long Term Care Staff - Performance Reviews in Long Term Care
Employee evaluations are deadly. Deadly because they often ask the wrong questions. Were you absent? How often were you tardy? How often was your documentation late or missing? When was the last time you saw an evaluation form that said: I saw you take a resident outside on a sunny day ____ many times this year. I saw you bring a smile to a resident's face ____ many times this year. Perhaps evaluating from the heart and not the head is in order. See how one administrator did it in his facility.

Nursing Home Administrator Exam, Human Resources
The National Association of Long Term Care Administrator Boards (NAB) is composed of state boards or agencies responsible for licensing long term care administrators. The basic objective of the Association is to assist these boards and agencies in carrying out their responsibilities in the licensure and re-licensure of long term care administrators. One of NAB'S functions is the development of the national nursing home administrator examination. This article looks at the first area of testing - Human Resources.

Technology for Seniors, Aging in Place Technology, Consumer Electronics Show
Step out of your comfort zone and consider attending the Consumer Electronics Show, where a few hundreds dollars and some imagination can give you a glimpse into how technology will be helping to create better lives for elders.

The Life History Project
Everyone has a story, but often we learn their story too late. That’s the reality that motivated Sheila Brune to create The Living History Program (copyrighted), a program that records and creates a the personal story of the patients at CGH Medical Center in Sterling, Illinois.

Avoiding the Caregiver Trap - Knowing When to Care and When Not to Over Extend
The caregiver trap is a term that describes that place in a human relationship where we feel trapped into doing something for a client when know we should not. Activities directors can get sucked into that trap.

Unique Dementia Product - Busy Bee Lap Pad
One of the most difficult challenges of caring for someone with Alzheimer’s disease or dementia is the person’s withdraw from favorite activities. Christy Schmid faced this problem with long time family friend Bernice. She realized Bernice didn’t need just any ‘childish busy work’ but rather something that gave her the internal feeling of completing a task. To meet Bernice’s needs, through research, and lots of trial and error, Schmid created The Busy Bee Lap Pad.

hospice statistics - palliative care - end of life issues - hospice overview
Hospice Facts and Stats tell a compelling story of a growing business and a diversified patient mix.

dementia - world health organization - aging trends - alzheimer's
The World Health Organization (WHO) has identified dementia as a public health crisis in need of policy. The statistics they present are compelling and will call for more paid interventions of care as the very caregivers of today become the dementia sufferer of tomorrow.

culture change in nursing homes
There is no way to separate leadership and collaboration from culture change. Without leadership and collaboration, there is no culture change. Relationships, organizational practices, and physical environments cannot change without support and conviction form nursing home leadership. Culture change in nursing homes is the key to long-term success.

Designing Health Care Spaces - Designing Healthcare Spaces
Kathy Bradway is an interior designer for health care for brings a residential perspective to her design. Full of rich colors, her designs are colorful, cheerful, and fun. You don't have to understand gerontological design theories and color theory to make an effective senior living space.

Medicaid Claim Processing Best Practices
Let's face it. Claims processing is a pain! But if you are diligent in submission and tracking, you stand a better chance of getting paid on time. Let's look at some best practices in filing.

Design Strategies for Memory Care
There are many old stereotypes when it comes to memory care design. While respecting the research that deals with colors, patterns, sights and sounds, you can use bold design to enrich the lives of residents.

Gerontological Nurse Certification
Registered nurses are absolutely essential to quality health care. Board certification is the gold standard of excellence for many professions. For nurses employed in long term care, being certified as a Gerontological Nurse is the mark of distinction.

Online Board Certification in Gerontological Nursing
Gero Nurse Prep (see GeroNursePrep.org for complete information) is a web based, nationally accredited, continuing education course created expressly for RNs employed in long term care (LTC).

Nursing Home Administrator Jobs
Nursing home administrator jobs are highly-skilled and highly-paid. And with the industry in high flux, positions open and close frequently. Here are some top level sources to start your search.

Home Health Care - Home Health - Aging in Place - Home Health Services - Home Health Nursing - Home Health Jobs - Home Health Certification - Home Health Satisfaction - Home Health CAHPS - Processing Home Health CAHPS Data
The Consumer Assessment of Healthcare Providers and Systems (CAHPS) Home Health Care Survey is designed to help providers measure client/patient satisfaction. This article looks at the requirements and guidelines for creating and assigning a unique sample identification (SID) number, decision rules related to processing returned mail survey questionnaires, assignment of survey disposition codes, and quality control measures.

icd-10 - hipaa - filing a medical claim - diagnostic codes - icd-10-pcs
ICD-10 implementation while postponed, was set to begin in October of 2013. Still organizations should prepare.

medicare competitive bidding - durable medical equipment - home health - centers for medicare and medicaid services
The DMEPOS Competitive Bidding Program was mandated by Congress through the Medicare Prescription Drug, Improvement, and Modernization Act(MMA). The statute requires that Medicare replace the fee schedule payment methodology for selected Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) items with a competitive bid process. It has proved controversial and is also a sought out topic on this site.

Franchise Report on Non-Medical Home Care Business
A Franchise Business Review (FBR) 2012 Special Report on Senior Care Businesses paints a rosy portrait for the home care industry.

Continuing Care Community Without Walls
While there are providers who offer aging in place services, they remain by and large, siloed approaches. Porter Hills in West Michigan has a new spin. Call it CCRC at home or as the Wall Street Journal dubbed it, continuing-care retirement communities “without walls.”

SNFist New Position in Nursing Homes Helps Reduce Readmissions,Ease Transitions of Care
In October 2012, penalties for certain readmissions started for hospitals. With that came a new reliance by hospitals on their long-term care partners. A new breed of primary care providers called SNFists or SNFologists are full-time physicians in skilled nursing facilities, who are more readily available to patients at risk for readmission.

long-term care accreditation - ANCC - MDS 3.0 - ACO - Accountable Care Organization
The American Nurses Credentialing Center’s (ANCC) new Pathway to Excellence in Long Term CareTM (PTE-LTC) Program is the first recognition of its kind for long-term-care facilities. PTE-LTC acknowledges long-term-care facilities that foster work environments where nurses and nursing staff can thrive, substantiates the professional satisfaction of nurses, and identifies the best places to work. Find out how to be credentialed.

MDS 3.0 Skin Conditions
Skin conditions, such as pressure ulcers, are a big concern in both nursing and assisted living facilities. MDS 3.0 Skin Conditions updates protocols for pressure ulcers, wounds, or lesions so that facilities can recognize and evaluate each resident’s risk factors and identify and evaluate all areas at risk of constant pressure.

MDS 3.0 restraint Management
The Centers for Medicare and Medicaid Services (CMS) is committed to reducing unnecessary physical restraint in nursing homes and ensuring that residents are free of physical restraints unless deemed necessary and appropriate as permitted by regulation. Proper interpretation of the physical restraint definition is necessary to understand if nursing homes are accurately assessing devices as physical restraints and meeting the federal requirement for restraint use.

MDS 3.0 Falls
Falls are a leading cause of injury, morbidity, and mortality in older adults. MDS 3.0 falls guidelines look to help providers minimize fall risk while treating fall injuries with the goal of achieving the best quality of life for residents.

MDS 3.0 Mood Assessment
Mood distress is a serious condition that is under-diagnosed and undertreated in nursing homes and can lead to death. MDS 3.0 mood assessment seeks to reduce the morbidity caused by mood disorders.

The Economic Impact Long-Term Care
A report by the American Health Care Association (AHCA) shows that the nation’s nearly 16,000 nursing homes provide $153.8 billion of direct economic impact to state economic activity (1.1%) and $371.9 billion of total impact (2.7%) to state economic activity. Clearly the economic impact of long-term care is large.

hospital readmissions - hospital admissions - mds 3.0 - preventing hospital admissions - preventing hospitalization
Aging Services Providers will increasingly be tasked to figure out ways to reduce hospital admissions from long-term care settings. And there will be financial implications. The Long-Term Quality Alliance offers some advice on reducing hospital admissions.

Customer Relationship Management in Long Term Care
CRM, or Customer Relationship Management, is a business strategy designed to reduce costs and increase profitability by solidifying customer loyalty. This allows customer facing employees in such areas as sales, customer support, and marketing to make quick yet informed decisions on everything from cross-selling and upselling opportunities to target marketing strategies to competitive positioning tactics. In long-term care it can also go a long way in enhancing the resident/patient experience.

MDS 3.0 - Nursing Home Quality - What is MDS 3.0 - RUGS IV - Falls - Preventing Falls
Falls are a leading cause of injury, morbidity, and mortality in older adults. While MDS 3.0 guidelines looks to help providers minimize fall risks, there are apparent fall reduction mechanisms, like alarms, that actually contribute to falls as opposed to preventing them. In this article, we look at how to reduce alarms and therefore falls in facilities.

Interpreting MDS 3.0 Nutritional Status
The intent of Section K of the MDS assessment, Swallowing/Nutritional Status, is to identify conditions that could impact a resident’s ability to maintain adequate nutrition and hydration.

A quiet and efficient nurse call system, getting away from overhead paging, loud radios and one way pagers.
The quiet issue is big in hospitals, nursing homes and assisted living environments. Noise contributes to poor sleep and other health issues. Silverado Senior Living's quest to provide the highest quality of life and to maintain a home like environment for their residents, lead to a search to find a quiet and efficient nurse call system, getting away from overhead paging, loud radios and one way pagers.

Developing a Continuity of Care Document
The Medicare and Medicaid EHR Incentive Programs provide financial incentives for the “meaningful use” of certified Electronic Health Record (EHR) technology to improve patient care. To receive an EHR incentive payment, providers have to show that they are “meaningfully using” their EHRs by meeting certain thresholds. The continuity of care document – CCD - —is considered an important step for the next phase of meaningful use.

Health Care Food Services – Nursing Home Food – Hospital Food – Healthcare Food Services Careers – Person-Centered Care - Resident Dietary Preferences
Honoring residents’ choices in dining actually positions staff to get better clinical outcomes. Choices provide a road map for how to implement care interventions to meet care goals.

zone program integrity contractor - RAC - recovery audit contractor - medicare fraud
With increasing transparency in healthcare, exposing fraud and abuse is a big issue. One of the “watchdog” entities is the Zone Program Integrity Contractor (ZPIC) program. Their scope goes beyond RAC audits to include an umbrella list of potential fraud and abuse in healthcare.

Hospice End of Life Signs - When Do I Need Hospice
The medical establishment does not deal well with death so do not expect them to tell you when it is time for extraordinary measures to stop and hospice care to begin. Know the signs at the end of life when it's time to call hospice.

The Nursing Home of the Future
While the desire for most people is to age in place, you don’t need to dig far to find the crippling health statistics that suggest people will need nursing homes and assisted living homes. Designing the home of the future with a focus on person-centered care will be crucial. Future residents will demand a different model.

Art Therapy for Assisted Living and Nursing Home Residentds
Art projects for seniors can enhance their quality of life while helping them learn a new skill. One innovative program brings a professional artist and all the needed supplies to help residents of all skill levels, beginners to professionals, and all cognitive levels, independent through dementia, express their talents.

Music Programs in Nursing Homes and Assisted Living
The power of music and what it does to bring back memories is undeniable. In addition to enhancing quality of life, there are health benefits to an effective music program. It has been documented that seniors participating in music use fewer medications, fell less depressed, are less lonely, have higher morale and are more socially active. Let’s look at some of the science and the implication for activity directors. Let's find out how incorporate music into your activities.

cultural sensitivity in nursing homes
A comprehensive culture sensitivity program in nursing homes should discuss overall organizational cultural competence as well as focus on the specific population groups and/or health issues that are relevant to the community. A well-rounded program also should help clinicians with diagnostic issues, such as identifying health conditions specific to certain ethnic patient populations or conducting skin assessments for patients with skin of color.

Nursing Home Activities – Activity Director – Activities for Seniors – Assisted Living Activities - Memory Care
Site, smell, sounds, touch all invoke memories and an effective activities program that incorporates memory care can really add to the quality of life of elders and others who we encounter in aging services across the continuum of care. Here's how to do it.

Nursing Home Disaster Planning - DHSS Disaster Planning Recommendations - Life Safety in Nursing Homes, Resident Safety
Nursing Home Disaster Preparedness is essential to the safety of residents and staff. The Department of Health and Human Services (DHSS) Office of Inspector General has identified gaps in preparedness. This article outlines the findings from their report “Gaps Continue to Exist in Nursing Home Emergency Preparedness and Response During Disaster.

How to Centralize Purchasing
Centralizing the purchasing process can be accomplished by any senior living organization. Hiring the right team and using the proper tools can transform the procurement process from being an underutilized service to becoming an integrated part of the company’s strategic planning and growth.

Assisted Living Definitions
Here are some useful assisted living definitions that could come in handy.

Assisted Living Survey Process Plan of Correction
State regulations differ in regards to assisted living facilities. In our first article we provided an overview of the survey process. In this article we look at plans of correction.

Assisted Living Survey Process
While state regulations differ in regards to assisted living facilities, expect that a survey process of some sort is in place in every state. Here is an overview of what the process might look like.

Adopting Sustainable Practices in Your Assisted Living Facility
Small steps towards sustainability can make an impact--both in the amount of resources your facility uses, to the overall well being and goodwill from the residents.

Assisted Living Satisfaction
The first national survey measuring the assisted living satisfaction of residents, family and staff of assisted living facilities concludes that when it comes to assisted living satisfaction, residents seem very happy while workers are less so. The latter impacts the former. But overall things are looking good for the industry.

assisted living activities - culture change - linked senior - technology and aging - status solutions
CATIE is an interactive multimedia application for two-way communication and self-service to help residents of senior living communities stay connected to family, friends and the world around them. It was named a Program to Watch by the Assisted Living Federation of America in 2012.

CNA Career Ladder
For CNAs to succeed they need to build a career ladder for success. The Extended Care Career Ladder Initiative (ECCLI) is part of the Massachusetts Nursing Home Quality Initiative. It offers a grant program available to Massachusetts nursing homes and home health agencies to support development of career ladders and other training initiatives for frontline workers. Other states could learn a lesson from this program.

Healthcare Workers – Healthcare Jobs – Healthcare Recruitment – Healthcare Careers
One of the fastest growing segments of the economy is healthcare and within that aging services. One of the problems facing the industry is that many people look at positions in the industry as jobs not careers. The industry is seeking to change that mentality. Here we will link you to important information about career positions and related training and certification. And we will help organizations with timely articles about recruitment, training, workforce satisfaction, rewards and recognitions and more.

nursing home activities - carnivals - culture change
Everyone has a memory of going to a carnival. Yet many of our elders are no longer capable of getting out to one. Solution - bring the carnival to them. Here's how to stage a carnival in your facility. No clowning around!

nursing home activities - culture change - linked senior - technology and aging
Electronics have revolutionized the world of activity programming for independent, assisted living and long term care facilities. Digital ideas must be part of every activity department! Linked Senior is a way to use technology to create activities customized to individual needs and to empower activity and programming staff.

mds 3.0 - resident interview - life stories - meaningful activities
LifeStories a program that uses resident information, reminiscing, validation therapy and research on the web to help residents share and discuss their history.

food and activities - nursing home activities - atria senior living
Nothing says home like the smell, sight and taste of a familiar recipe. One senior living organization is using a cookbook to evoke memories for seniors under their care.

art appreciation - senior art projects - activities for seniors - activity director
Love & Art is a charity that brings the experience of viewing art museum collections to your residents.

Attracting People to Your Arts Program
Art activities are essential components of an activity program. One of the challenges that program coordinators face is the lack of attendance.

books for activity professionals - activities for elders - nursing home activities
The best tool for any activity director is education! There is valuable information in the activity director certification as well as the college courses required for certified therapeutic recreation specialists. There is also another source of information - the printed word. The newest research into brain chemistry, the aging process, dementia and other issues confronting seniors is addressed in numerous books with scientifically proven ideas. Let's take a look.

Nursing Home Activities – Activity Director – End of Life – Music Therapy
Activity professionals in care facilities are often faced with assisting a resident, and with them their friends and families, through a final journey. Hearing is the last sense we lose as our bodies shut down. So therapeutic music is a very important program to offer residents.

telling your life story - life stories - nursing home activities
Writing workshops with small groups of residents as well as in one-on-one sessions can produce personalized articles, booklets, books and/or DVDs as mini-biographies to share with family and friends.

Schlegel Villages - Innovative Models of Care
Schlegel Villages in Kitchener, Ontario operates eleven Schlegel Villages housing approximately 2500 seniors. Each Village has a Long Term Care component, with Full Service Retirement Living, Assisted Care, Memory Care and Independent Living options being added in stages.

Adult Day Care Certification
As the push for aging in place grows, Adult Day Centers will become increasingly important. And the rules governing them will grow as well. The certification of these centers is important. In this article we look at one state’s requirements – Oregon – as a template for other states and for providers contemplating entry into this market.

Record Keeping in Adult Day Services
Adult Day Services, more commonly known as Adult Medical Day Care Centers or Adult Day Care Centers are becoming increasingly popular. And therefore they are also becoming more scrutinized. One part of the certification process covered in this article is record keeping and service requirements.

Adult Day Care Center Staffing
In our continuing series on Adult Day Services, we devote this article to staffing. Here are some considerations. All employees and volunteers must have a background check. Each staff person and volunteer must be competent and qualified for the position held. Staff must hold personal information about participants and their families in confidence, treating all participants with respect and dignity. Let’s look at the requirements.

Medicare Recovery Audit Contractor Program
The Medicare Recovery Audit contractor program has successfully recovered over $1 billion in over-payments to providers. And this process is now extended to Medicaid. Find out what you need to know about protecting yourself against and audit and preventing one from taking place at all.

Disclosing Medical Errors – Medical Mistakes
Medical and non-medical errors happen in aging services every day. How you disclose them is critical to your organization's reputation. You do disclose them don't you?!

Filing a Claim with Medicaid
This article covers how to become a Medicaid provider and file a claim with Medicaid.

Disaster Planning in Long Term Care
There is no shortage of disasters sweeping the world. And in some cases, no amount of preparation can spare you from bad consequences. But having a disaster plan in place for your facility can minimize those consequences. Start with a plan and then practice, practice, practice.

Consistent Assignment in Nursing Homes and Assisted Living
Consistent assignment, the idea that residents/clients see the same caregiver(s) all the time, results in more satisfied residents/clients and staff, less turnover and better quality of care. With better quality and better experiences, people talk. And word of mouth is your most potent marketing tool. Consistent staffing is the perfect formula for sustaining and growing your long-term care business.

Legislative Process in Long-Term Care
Anyone may draft a bill; however, only members of Congress can introduce legislation. The official legislative process begins when a bill or resolution is numbered, referred to a committee and printed by the Government Printing Office. Here is the process.

Holding a Town Hall Meeting
As part of your public advocacy issues, a town hall meeting can be an important part of your arsenal. Scheduled around timely issues and hot media issues, a town hall meeting can help elevate a cause and cause it to go viral. Let's look at how to hold a town hall meeting.

PACE
The Program of All-Inclusive Care for the Elderly (PACE) is a comprehensive care delivery system that allows what traditionally would be thought of as nursing home residents to continue living at home while receiving services.

The Future of Aging in Place
What is the future of aging in place? People sure want it. The problem is that the system of support services to facilitate aging in place treats symptoms not causes. In this article we will define a vision for aging in place and look at some of the trends and opportunities for service providers.

Aging in Place – Successful Aging – Design for Aging – Technology for Aging
People want to age in place. The problem is that the system of support services to facilitate aging in place treats symptoms not causes. In this article we will define a vision for aging in place and look at some of the trends and opportunities for service providers. Page 2.

Home Remodeling for Aging in Place
Aging in place is the ability to live in one's own home for as long as confidently and comfortably possible. One of the keys to successful aging in place is to remodel the home to accommodate that. That has spawned a lucrative aging in place home remodeling and design industry.

Design for Aging
Design for an aging population reaches far beyond the borders of a home. And that means great opportunity for architects, interior designers and contractors who want to embrace this space. In this article we look at trends, opportunities and great resources available to those special individuals who want to pursue an architectural, interior design or contractor career that makes a difference in people's lives.

Nursing Home Satisfaction - Measuring Nursing Home Satisfaction
With so much emphasis on quality and satisfaction in healthcare, nursing homes have begun to measure their performance. My InnerView is a company that provides senior care leaders evidence-based management tools. While this article is not an endorsement, it remains that My InnerView has a handle on industry effectiveness more so than any other entity. In this article we will look at their latest report on the industry, the National Survey of Consumer and Workforce Satisfaction in Nursing Homes.

Hand Hygiene in Nursing Homes – Infection Control
Hand hygiene and good infection control practices in nursing homes and other care settings can go a long way in helping contain germs and disease.

Healthcare Quality Improvement and Culture Change
Healthcare quality improvement starts with people and a culture dedicated to empowering them to serve patients and residents. Empowered people led by inspiring leaders are the key to quality improvement in aging services. In short healthcare quality improvement and culture change are tied at the hip.

Healthcare Quality Improvement – Healthcare Quality – Quality Heathcare – Patient Experience
Healthcare quality starts with people. And empowered people led by inspiring leaders are the key to quality improvement in aging services. Page 2.

Assistive Technology – Adaptive Technology – Assistive Technology Products – Aging in Place
Assistive and Adaptive Technologies help elders maintain their independence and are keys to aging in place. This overview of assistive and adaptive technologies should inspire you to explore this much needed area of aging services care. There are needs that require solutions. Can you fill those gaps? Start envisioning how.

Assistive Technology – Adaptive Technology – Assistive Technology Products – Aging in Place
Assistive and Adaptive Technologies help elders maintain their independence and are keys to aging in place. This overview of assistive and adaptive technologies should inspire you to explore this much needed area of aging services care. There are needs that require solutions. Can you fill those gaps? Start envisioning how. Page 2.

National Center for Health Statistics releases a Long-Term Care Services in the United States: 2013 Overview.
National Center for Health Statistics releases a Long-Term Care Services in the United States: 2013 Overview.

Filing a Claim with Medicaid
In order to file a claim with Medicaid, you must become a Medicaid provider.

Know Your Type of Business in Order to Know How to File
In order to be reimbursed correctly you must file under the correct provider type so it is important that you know your type of business in order to know how to file. Page 2.

Filing a Claim - Know the Acronyms and Definitions
You must understand Medicaid acronyms and Medicaid definitions before filing. Page 3.

Step by Step Medicaid Filing Instructions
These are the step by step instructions for filing a Medicaid claim. Page 4.

Filing a Medicaid Claim - Line 15 of the Universal Claim
Completing Line 15 of the Universal Medicaid Claim. Page 5.

Filing a Medicaid Claim - Line 17 of the Universal Claim
Completing Line 17 of the Universal Medicaid Claim. Page 6.

Filing a Medicaid Claim - Line 21 of the Universal Claim
Completing Line 21 of the Universal Medicaid Claim. Page 7.

Line 24 of the Universal Medicaid Claim
Completing Line 24 of the Universal Medicaid Claim. Page 8.

Submit Your Claim
Now that you have filled out the form, know how to submit it properly. Page 9.

Healthcare Opportunities in Long Term Care Services and Supports
Health care opportunities in long term services and supports are growing. A quick review of the Bureau of Labor Statistics (BLS) shows that the healthcare field is bursting with opportunities. This article explores the possibilities and potential of this industry. For many this will help crystallize decisions about entering this field. How do I start a business or get a job in long term care services and supports. Find out.

Healthcare Opportunities – Healthcare Businesses – Healthcare Industry – Home Care Opportunities
There are many healthcare segments from which to choose when looking to establish a business or seek employment. Page 2.

Healthcare Opportunities – Healthcare Businesses – Healthcare Industry – Home Care Opportunities
Schedules and work conditions of healthcare employees. Page 3.

Healthcare Opportunities – Healthcare Businesses – Healthcare Industry – Home Care Opportunities
Of the 14.3 million jobs for wage and salary workers in healthcare, 40 percent were in hospitals; another 21 percent were in nursing and residential care facilities; and 16 percent were in offices of physicians. Page 4.

Healthcare Opportunities – Healthcare Businesses – Healthcare Industry – Home Care Opportunities
The healthcare industry employs some highly educated occupations that often require many years of training beyond graduate school. However, most of the occupations in the healthcare industry require less than four years of college. Page 5.

Healthcare Industry Outlook
Healthcare will generate 3.2 million new wage and salary jobs between 2008 and 2018. Ten of the twenty fastest growing occupations are related to healthcare. Wage and salary employment in the healthcare industry is projected to increase 22 percent through 2018. Page 6.

Glossary of Medicaid Terms A-L
A Glossary of Medicaid Terms from A-L

Medicaid Terms
Here is a continuation of a glossary of medicaid terms usual for businesses interacting with state programs. Become familiar with them.

Activities for Seniors
An individualized, well though out activities program is at the heart of a quality life for residents in aging services no matter what the setting. Activities is not just about bingo and watching television. In fact, activity programs can be quite creative and stimulating for the mind. And the health and well-being benefits of a good program are becoming more and more documented.

gloria hoffner - activity professionals - activities for seniors - activities in nursing homes
Gloria Hoffner is the owner of Guitar with Gloria and Science for Seniors providing activity programs at over 200 retirement communities.

Aging in Place – Universal Design – National Home Builders Association – Ageing in Place
Aging in place is the ability to live in one's own home for as long as confidently and comfortably possible. One of the keys to successful aging in place is to remodel the home to accommodate that. That has spawned a lucrative aging in place home remodeling and design industry.