Determining Which Long Term Care Facility Works

Let’s face it; we’re all getting older. Although some people try an assortment of ways to delay the process, we are all headed in one direction. As we get older, so do our parents, or even grandparents, if they are still around. If circumstances get to the point where it is necessary to place our elderly loved ones in a long term care facility, how do we decide which one?

Just like anything else, it is very important to gather as much information as you possibly can. This way you are educated. Talk to people who have placed their loved ones into senior living or a nursing home. Choosing the right LTC facility is an important decision.

First, look into the facility’s track record. You can get access to the state’s report on that particular facility, which will include any complaints against the facility, or any actions the state had to take to enforce compliance.

Second, visit the facility. Look around, talk to some of the current residents. Ask about the facilities stand on staffing levels and nursing hours per patient day (HPPD). These things normally lend to the quality of care. Identify the particular needs of your loved one. Every situation is different, so it is important to match the needs with the services of the facility.

Finally, there are some options as far as what type of LTC facility. Some facilities provide 24 hour care with a nursing staff. Others are for more independent residents and provide “assisted care” and may or may not have nurses on the premises at all times. And still others are more of a residential type with some or limited assistance.

 

Nursing Homes Feel the Heat

Article written by Mark Woodka, CEO – OnShift

Originally posted on www.onshift.com

Nursing homes in Ohio are facing a bleak reality. The two-year budget that Governor Kasich just signed reduces Medicaid rates to nursing homes by nearly 6%.

While total Medicaid spending in Ohio will creep up a bit, the climb will benefit home and community care, which tends to be more cost-effective and popular with seniors.

But what’ s interesting in Ohio’s approach is that the budget calls for incentives for nursing homes that meet quality benchmarks. These measures are expected to include things like staffing levels and patient satisfaction. The bottom line on all of this is that if you run a high quality, operationally efficient nursing home delivering great care, you will be rewarded.

The focus on staffing levels is critical for two reasons. First – if you truly gain control over your staff scheduling, ensuring the right people are where and when you need them, then your organization, and your residents, win. Secondly, providing proper staffing levels not only helps to ensure care, but it also controls labor costs. Keep a close eye on your nurse staffing levels, at all times, and you uncover opportunities to reduce overtime and over-staffing.

Long-term care providers in Ohio are wading through the details today, figuring out what this means to them and what the next steps are. With drastic cuts sweeping the industry across the nation, this is a wake-up call to providers to optimize their businesses and provide great care. Strategic staffing practices can help get you there, and deliver immediate benefits. Take a look at The Executive’s Guide to Staffing Best Practices for specific tips that make a big difference in today’s environment.

Software to Rescue LTC Facility Woes

As we age, we eventually become unable to do all of the things we used to. Because of this fact of life, many turn to long term care (LTC) facilities like senior living or nursing homes. Within an LTC facility, a elderly person can feel at ease that they will get the one on one care they need and deserve. Or can they?

Medical Staff Pushing Patient in Gurney photo

Picture from www.inmagine.com

Long term care facilities have come under heavy fire of late for their seemingly unresponsive and, quite frankly “uncaring” attitude. When “care” is in the name, you would think one could expect more. Complaints have gotten the attention of both state and federal officials all over the United States. Some states have enacted specific laws for LTC staffing. Others have set into place regulations that govern LTC facilities HPPD (hours per patient day). Companies have been shut down and even hit with heavy fines for not complying.  It seems the issue has grown to an unavoidable, and unsafe condition for our elderly loved ones.

Older couple with caretaker in park photo

Picture from www.inmagine.com

On the LTC side, there is pressure to lower the costs of labor, in an environment with constant requests for time off, open shifts, and turnover. It seems like fighting an uphill battle. The long term care industry needs something to help them resolve these issues. Many LTC facilities are having problems in the present economy managing staffing levels and still providing the care that their residents need from them.

Add to the fact that the “baby boom” generation is getting to the age where they are needing care, and the strain only worsens. Additional medicare cuts do not seem to be helping either.

There is a software product available that controls labor costs by preventing overtime, increases efficiencies through automated scheduling and open shift management, delivers proactive staffing management, and improves quality of care. These are the key components to this software:

Nurse Examining Elderly Patient photo

Picture from www.inmagine.com

So now, LTC facilities can resolve all of their problems with one staff scheduling and shift management software solution. And, more importantly, LTC residents can get the safe care that they need.

OnShift Offers LTC Providers Increased Mobility and Efficiency with iPad Platform

Article written by Alyssa Gerace

Originally posted on www.seniorhousingnews.com

OnShift, Inc., a software program allowing long-term care and senior living providers to schedule staff and manage shifts, has expanded its service platform to include the iPad.

The innovation is expected to help directors of nursing, administrators, schedulers, and others in long-term care and senior living to save time and improve efficiency by giving them the ability to access, view, create, update, and manage schedules and staffing information from any device.

The iPad platform allows for mobility in sending open shift messages to qualified and available staff via text, email and automated phone call.

“Our on-call nurses can have scheduling at their fingertips with OnShift on the iPad. A few taps will eliminate hours of phone calls trying to find replacements when someone calls off. Open shifts can happen anytime, anywhere, and we are really looking forward to the convenience of OnShift on the iPad,” stated Michele Brown, administrator, The Neighborhoods at Quail Creek.

In addition to open shift management, all OnShift capabilities are available on the iPad, including scheduling, overtime prevention, and reporting; the program predicts overtime and understaffing and helps senior care operators to stay on top of staffing needs.

Sunshine and Staffing

Article written by Mark Woodka, CEO – OnShift

I just wrapped up a couple of days in sunny California, enjoying the annual QCHF Institute and CAHF Summer Conference. I was honored to be one of the event’s speakers, addressing an issue that I believe is one of the most critical issues facing long-term care facilities in the state of California: managing staffing levels to meet the state’s 3.2 NHPPD (nursing hours per patient day) requirement.

California is leading the nation in its enforcement of staffing level standards. State auditors have conducted over 200 staffing audits this year, and the plan is to audit every single skilled nursing facility in the state. On top of this, staffing level litigation is sweeping the state, with high profile cases resulting in massive penalties, followed by a slew of copycat lawsuits.

The audience in my session, “3.2 in the Spotlight: Managing Staffing Levels to Protect Your Organization from Litigation,” expressed a lot of concern and interest in what’s happening with staffing requirements in long-term care. And while there’s a lot of interest in this topic, there is also quite a bit of confusion. Some attendees shared their personal experiences with staffing audits, while others asked questions about what to expect and how to prepare. Stories about discrepancies among staffing auditors and state surveyors, questions on what counts for direct care hours, and opinions on litigation outcomes and processes were all exchanged in the room.

The big takeaway here is that facilities need to tighten their buckles and get prepared. Managing staffing levels is one of the most relevant and most challenging issues in the industry today. Providers are thirsty for proven best practices to help them avoid shortages, prove compliance and ensure care. Things like proper planning and nurse scheduling, documentation, and developing an emergency staffing plan are absolutely critical in this environment.

Working with hundreds of facilities in long-term care gave me the opportunity to share what works and what hasn’t. As I developed my presentation materials, I was also fortunate to be able to spend time with managers from the California Department of Public Health, health law attorneys, providers who’ve undergone audits, and those who have succeeded in complying with the regulations.

There are a lot of opinions, insights, personal experiences, and anecdotes that surround this topic. And while things in California continue to evolve and trickle across the nation, it’s important to remain focused on why staffing levels matter in the first place: to ensure quality resident care. Keep this in mind when diving into the details, figuring out the processes, and implementing change to optimize your staffing levels. Delivering quality care is the foundation for our industry and providing appropriate staff is one avenue to get you on the path to positive outcomes.

Article originally from www.onshift.com

Understaffing Under Scrutiny

Article written by Marti Bowman, VP Marketing – OnShift

The issue of adequate staffing in long-term care is once again in the spotlight. This time, HCR Manor Care was slapped with a $91.5 million negligence verdict in a case involving the death of a resident. Lawyers claimed the nursing home was understaffed, and that administrators knew about the staffing situation at the time. The company is currently appealing the verdict.

More and more litigation is focusing on the issue of staffing levels in long-term care. And states have stepped up their enforcement of minimum staffing requirements. The only way to maintain compliance with staffing regulations, mitigate risk and ensure care is through effective management of your staff. Pinpointing the exact number of staff and hours you need based on changing census requirements, at all times, will help keep your staffing plan aligned with the needs of your residents. What’s more, a balanced staffing plan will also help control costs by eliminating unnecessary extra shifts, minimizing overstaffing and reducing overtime.

Start by taking a hard look at how you are scheduling nurses and other staff, aligning with your census, and predicting upcoming needs. Take a proactive approach to staff scheduling to head-off shortages and overstaffing before they occur. Consistently meeting your labor budget and staffing requirements can boost your efficiencies, control costs and deliver the quality care your residents deserve.

You’ll find some helpful tips in this whitepaper on managing staffing levels. Don’t risk the care of your residents or your organization’s future. Get started today.

Article originally from www.onshift.com

An Avalanche of Reimbursement Cuts

Article written by Mark Woodka, CEO – OnShift

$79 billion. Wow! That’s how much skilled nursing facilities stand to lose over the next 10 years due to the 11.1% reduction in Medicare payments, according to research from Avalere Health. Long-term care has never seen such massive cost cutting measures. Not ever. What are providers to do? What are your next steps?

Certainly controlling costs is high on your priority list. Providers have got to find a way to cut costs and operate efficiently, without sacrificing resident care. This is not something to consider or ponder. Controlling costs is a matter of survival. It’s a new age in long-term care, and those providers who take action today have the opportunity to not only survive, but thrive.

One area that we see providers addressing first and foremost is staffing. It makes sense. Labor is your number one expense. Look within your staffing strategy and practices, and chances are you’ll immediately find areas for improvement and opportunities for cost control. I’m not talking about reducing headcount, but I am talking about increasing efficiencies and getting more done with your existing staff.

More accurate staff scheduling, overtime reduction, filling open shifts more efficiently, eliminating the use of agency, and managing staffing levels more precisely can all be considered the low-hanging fruit when it comes to controlling your labor costs. These areas can provide fast improvements that will not only impact your bottom line, but will also help maintain quality care. Automating nurse scheduling and other processes will help get you there, but it takes a solid staffing strategy and daily management practices to succeed.

I understand that this is a challenging time for the industry. But providers unfortunately do not have the time to wait and figure things out. Medicare cuts take effect October 1st. What are you doing to prepare?

Article originally from www.onshift.com

No Room for a Defeatist Attitude in Staffing

Article written by Mike Pumphrey, Marketing Specialist – OnShift
Have you ever seen an ironman competition in person? Amazing. Wake up at 5am and make your way down to watch thousands of athletes tread water for what seems to be an eternity. Then – Bang! Each athlete is off to endure hours and hours of mental hurdles and physical pain. The race consists of a 2.4 mile swim, followed by a 112 mile bike ride, followed by a marathon! Yes – that’s a grand total of 140.6 miles! If that wasn’t amazing enough, you should see the people who do it. This isn’t just for the young extremely fit people of the world. People of all shapes and sizes put their body and mind through this torture.

For what?

So I asked two of my friends who dedicate a significant portion of their lives to this, “Why?”

“To push myself, to achieve something nobody thought I could do,” they answered. “Why don’t you do it?”

“Me … I could never do that. It’s too tough.”

Both friends look at me and said, “Well that’s a defeatist attitude. You don’t do this in one day … it takes dedication, proper planning, a good training program, and constant work. You could do it.”

As I watched them collapse across the finish line in complete joy, those words stuck with me. I thought about work and approaches used to succeed in labor management.

Staffing success is definitely not as hard as completing an ironman, but to achieve significant results you must be dedicated, plan properly, implement strategy and work at it daily. And there are staff scheduling and shift management tools that can help.

Strategic staffing practices can help get you there, and deliver benefits quickly. Take a look at The Executive’s Guide to Staffing Best Practices for specific tips that make a big difference in today’s environment.

These strategies have helped our customers save millions and improve care. Read this case study, which details how Lexington Health Network saved nearly $2.3 million in overtime costs and improved resident care.

Work at it daily and you’ll reach your objectives. See you at the finish line!

Article originally from www.onshift.com.

Keeping Shower Glass Clean

Shower enclosures add style and beauty to any home. They also represent class and a form of luxury. Glass showers are the most popular and look the nicest. The glass can have all types of fancy designs for aesthetic value, or can be simply frosted for more privacy.

Then there are cleaning materials like soaps and detergents that use this technology that offer high performance quotient as well as are less harmful to the environment.

The only downfall of having a glass shower is the care and maintenance that they require to keep them clean. It seems like the more you try to keep them clean, the cloudier they get. Abrasive cleaners can stain or even scratch the glass. The more you clean the glass with these cleaners the more chance the glass weakens or even breaks. Improper handling can also result in stains that may stick permanently on the glass surface.

Nanotechnology has been used extensively in various cleaning products. The technology deals with manipulating matter on the surface. Cleaning products with this technology are able to remove grease, oil, dirt from the surface of glass. One of the products is called WEITEC. The cleaner removes even the finest particles of dirt from pores.

Manufacturers have come up this technology and put it into some 14 different products to help clean various surfaces including glass shower enclosures. There are certain types of soaps and detergents that use this technology that offer great results with still keep with the “go green” motto.

Sync by 50 Headphones

Everybody has been talking recently about the new headphones from artist 50 Cent, Sync by 50 Headphones. The company TechCrunch just put out specs for the new headphones and they are impressive. Other artists who have branded headphones include Snoop Dogg, Lady GaGa, Metallic, and of course, Dr. Dre. What better person to help develop the headphones than the artist you are listening too.

Superior sound is what consumers want. You buy the best speakers for your stereo, the best surround system for your TV; why not the best headphones for your listening pleasure.

It’s pretty much understood that 50 Cent’s headphones will be at least as good as all the rest. No news on a release date, but look for them as the holidays approach. Artists are entrepreneurs and will use big sale days to capitalize on the added revenue.

The headphones are equipped with a 40mm driver that is surrounded by soft memory foam. These headphones will be a big seller, especially during the holidays when shoppers will usually spend more. The headphones are also wireless and you can use them up to 50 feet away from the source. They can also receive from four electronic devices all at the same time.

The Sync by 50 headphones also has a 16-bit lossless digital sound and digital EQ. In other words, these headphones should be powerful. If you like high quality loud music, these headphones are for you.

As previously mentioned, no date yet for the release of the headphone for now. Look for them on store shelves before Christmas. Expect to pay a high dollar for the Synch by 50 headphones. Pricing has not been released, but rumor is they will not be cheap.