Uncategorized

A Valuable New Framework For Improving The Care Of Frail Older Adults

Imagine, for a moment, a functioning, well-developed system for improving the lives of frail older adults. Imagine that, instead of our current chaotic, dangerous, and needlessly expensive patchwork of care for seniors, the US had a well-coordinated care model that leverages and supports paid aides, family caregivers, safe and appropriate housing, and new technology. And imagine a system that makes [...]

By |2022-09-07T11:06:12-04:00September 7th, 2022|long term care reform, Uncategorized|0 Comments

How Patients, Their Families, And Medical Staffs Can Improve A Hospital Stay

I’ve recently spent more time as a hospital visitor than at any time since the pandemic began. A lot has changed since Covid-19, but my experiences confirm some good advice for older patients, their families, and the medical staff that cares for them. Here are a few ideas for patients and staff.  While they focus on hospitals, many apply to [...]

By |2022-07-07T12:30:47-04:00July 7th, 2022|Hospitals, Uncategorized|0 Comments

Are Critics of Private Equity Nursing Home Ownership Living In The Past?

It has become popular among many Democrats to call for investigations of nursing home ownership by private equity firms. But industry experts tell me that, increasingly, big investors in senior services are abandoning nursing facilities in favor of the far more lucrative home health business and, in some cases, private-pay senior housing. And the shift isn’t just happening with private [...]

By |2022-04-27T15:01:16-04:00April 27th, 2022|nursing homes, Uncategorized|1 Comment

We Need More Immigrants to Care For Frail Older Adults

The US desperately needs more direct care workers to provide personal assistance to frail older adults and younger people with disabilities. Many native-born Americans were unwilling to do this work even before the Covid-19 pandemic. Now, shortages are far worse. Yet, the US continues to bar entry to those who are willing and able to care for frail older adults [...]

By |2022-04-21T10:00:19-04:00April 21st, 2022|Uncategorized|0 Comments

Aging in Place Is All The Rage, But It Is Not Easy

It has become increasingly popular to promote home as a setting for both sophisticated medical treatment and long-term care, and often for good reason. But supporters of this trend need to recognize and reduce the burden it places on families who must take on ever-challenging clinical and organizational roles to make home care work. Hospital at Home; SNF (Skilled Nursing [...]

By |2022-03-21T13:50:40-04:00March 21st, 2022|family caregivers, Uncategorized|0 Comments

How The Medical System Is Failing People With Down Syndrome And Alzheimer’s Disease

Over just the past few decades, the life expectancy of people with Down Syndrome (DS) has increased from less than 30 years to nearly 60. But for many, that remarkable advancement comes at a high price. As they live longer, up to ninety percent of people with DS will have Alzheimer’s Disease. It is, in fact, the leading cause of death [...]

By |2022-02-10T13:53:33-05:00February 10th, 2022|dementia, Uncategorized|0 Comments

Consumers Are Getting New Information About Nursing Home Staffing But Need More

With nursing homes and other long-term care facilities desperately short of nurses and aides, it is more important than ever for consumers to know about staffing levels, quality, and turnover. But it has been difficult to get some key information. Now, the government has taken a modest step to help. In January, the Centers for Medicare and Medicaid Services (CMS) [...]

By |2022-02-03T13:54:49-05:00February 3rd, 2022|nursing homes, Uncategorized|0 Comments

Washington State Delays Public Long-Term Care Insurance Until April, Explores Changes

Facing a lawsuit and political opposition, Washington State Governor Jay Inslee has delayed until April a payroll tax aimed at funding the state’s first-in-the-nation public long-term care insurance program. Inslee said the delay will give the legislature time to address what he called “areas that need adjustment.” A state long-term care commission advising the legislature and governor will recommend a [...]

By |2021-12-20T10:08:31-05:00December 20th, 2021|long-term care insurance, Uncategorized|0 Comments

Market And Political Pressures Grow On Skilled Nursing Facilities

The covid-19 pandemic drove a collapse in both patient volume and revenue for post-acute care in skilled nursing facilities (SNFs). And while patient numbers have increased modestly since the worst of the pandemic, they remain far below 2019 and probably are financially unsustainable for the SNFs. At the same time, bipartisan federal legislation in the House and Senate would create [...]

By |2021-12-02T11:14:37-05:00December 2nd, 2021|nursing homes, Uncategorized|0 Comments