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Falling into Greater Chasms

In 2000, falls among older adults cost the U.S. health care system over $19 billion dollars or $30 billion in 2012 dollars. With the population aging, both the number of falls and the costs to treat fall injuries are likely to increase. 

According to the American Geriatric Society, falls among nursing home residents occur frequently and repeatedly.  About 1,800 older adults living in nursing homes die each year from fall-related injuries and those who survive falls frequently sustain hip fractures and head injuries that result in permanent disability and reduced quality of life.

 How can we prevent

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Balancing Cost of Care

Greater than 50% of the 1.5 million nursing home residents are incontinent costing us a whopping $5.2 billion a year.  Today, 15% of the nursing home’s budget is used to treat incontinence alone.

Now that The long-term care sector—like the health care industry overall—has begun to recognize the importance of collecting and using data to improve the quality and outcomes of care,  how can we get smarter at reducing these costly episodes?  How do we use technology to help?

Reducing incontinence is critical to resident well-being.  As such, it is one of the

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How Interactive Care Empowers Facilities to Drive Greater Outcomes

Now that the elections are over, let’s  explore and tackle the 10 largest quality issues in Long Term Care and how interactive care empowers facilities to drive greater outcomes.  Over the next few months, I will be doing a blog on one topic at a time.

Let’s start with pressure ulcers.  Why?  Because more than 2.5 Million people in the US develop them each year.  And, not only do they bring pain and risk for serious infection to a resident, they are also a major source of lawsuits and financial loss for a facility.  Everyone losses when

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It’s Time To INTERACT With Your Hospitals

According to Kaiser, the nation’s hospitals are making little headway in reducing the frequency at which patients are readmitted despite a campaign by the government and the threat of financial penalties, according to Medicare data released in July.

Almost one in four hospital patients who are transferred to skilled nursing facilities are readmitted to the hospital within 30 days, according to a Health Affairs study. Many of these costly admissions are unnecessary. One expert panel concluded that 68 percent of 200 hospital admissions from nursing homes could have been avoided.

AccuNurse provides staff with two early detection approaches/alerts

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From Change to Transformation – Using meal consumption patterns to predict weight loss

The problem with poor meal intake in the elderly is that it can lead to weight loss.  Weight loss is one of the key indicators of poor outcomes in a long-term care facility.  Residents who lose 5% of their body weight in 30 days, 7.5% in 90 days or 10% in 180 days are at significant risk for malnutrition.

The majority of residents with weight loss in long-term care either have protein-energy malnutrition or are fluid challenged.  Malnutrition and poor nutrition increase the likelihood of infections, pressure ulcers, anemia, hypotension, decreased wound healing, and hip fractures

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You Just Lost 11%, How Do You Remain Viable?

In final rules setting out Medicare reimbursement rates for skilled nursing facilities (SNFs) for Fiscal Year (FY) 2012 (which starts October 1, 2011), the Centers for Medicare & Medicaid Services (CMS) reduced reimbursement by $3.87 billion, or 11.1%

The financial impact of the regulation has the potential to cause the cancellation of approximately 400 facility expansions and renovations and the layoff direct service staff impacting the services provided to our seniors

Staffing accounts for more than two-thirds of a typical nursing facility’s expenses, so employment cutbacks would be a likely place for expense reductions. Such cutbacks

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VHS And Prime Care Technologies Bring AccuNurse Key Performance Metrics

PR Newswire: Vocollect Healthcare Systems, part of Vocollect, a business unit of Intermec, Inc., announces an alliance to bring key AccuNurse performance metrics to long-term care providers via the primeVIEW digital dashboard and data mining tool, developed by Prime Care Technologies.

As part of this alliance, AccuNurse clients, who are also existing Prime Care customers, will be able to take advantage of the AccuNurse metrics on the same dashboard they currently use to monitor other key performance indicators. All other stand-alone AccuNurse customers will receive a complimentary primeVIEW account that they can use to access their AccuNurse metrics

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Around the Web – 5/31/2012

Flu season came and went with barely a whimper, CDC says
The 2011-2012 flu season was more mild and peaked later than in previous years, the Centers for Disease Control & Prevention reports.

CMS debuts antipsychotic drug reduction program
Federal officials unveiled a medication reduction initiative with an ambitious goal: trimming antipsychotic drug use among residents by 15% this year.

LeadingAge Partners With CMS to Improve Dementia Care
LeadingAge announced that they will represent not-for-profit nursing homes on the Centers for Medicare and Medicaid Services (CMS) new Partnership to Improve Dementia Care, an initiative to ensure appropriate

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Around the Web – 5/30/2012

<a href="Workforce: Recognizing Your Rising Nurse Leader
LeadingAge’s Center for Applied Research is pleased to announce a call for nominations for the 7th Annual Joan Anne McHugh Award for Leadership in Long-Term Care Nursing.

Vitamin D deficiency linked to mobility difficulties, disability in the elderly, study shows
Elderly adults who are deficient in vitamin D are at a higher risk for developing mobility limitations and becoming disabled, new data suggests.

More communication in hospitals leads to better patient safety
A new HealthGrades report on patient safety and satisfaction rates in hospitals across the country finds

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Around the Web – 5/29/2012

Nursing home antipsychotic legislation set aside
The U.S. Senate did not approve legislation that would strengthen regulations for antipsychotic use in nursing homes, despite overwhelmingly passing a bill it was attached to on Thursday.

Lifestyle factors mean Southern providers have greater chance of treating stroke patients, researchers say
Death rates associated with strokes are declining, but lifestyle differences and socioeconomic forces are keeping people in Southern states more susceptible to strokes, researchers emphasize in newly released findings.

6 ways providers can meet patients’ needs with social media
What do patients want from social media

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Around the Web – 5/25/2012

Need A Nurse? You May Have To Wait
Nurses are the backbone of the hospital — just ask pretty much any doctor or patient. But a new poll conducted by NPR, the Robert Wood Johnson Foundation and the Harvard School of Public Health finds 34 percent of patients hospitalized for at least one night in the past year said “nurses weren’t available when needed or didn’t respond quickly to requests for help.”

5 must-dos for U.S. healthcare reform success from LinkedIn health groups
There’s an interesting discussion brewing in several healthcare-focused LinkedIn groups that was

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Around the Web – 5/24/2012

AHA-supported bill to promote healthcare price transparency introduced
Last week, two U.S. Congressmen from Texas – Rep. Michael Burgess (R) and Gene Green (D) – introduced American Hospital Association (AHA)-supported legislation aimed at making healthcare more affordable by promoting healthcare price transparency.

Barking Up the Right Tree: Dogs and Dementia
Man’s best friend can be an invaluable tool for helping dementia patients.

Senate defeats amendment meant to speed up access to generic drugs
The Senate defeated an amendment Thursday that would prevent generic and brand-name drug companies from entering into agreements that stall access to generic drugs

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Around the Web – 5/23/2012

Pharmacists: FDA bill will help sort out drug shortages
A leading pharmacists group praised provisions of the Senate’s FDA bill Tuesday that would probe whether law enforcement practices contribute to drug shortages.

CMS Fails to Use All Tools to Combat Home Healthcare Fraud
Home health care fraud has made national headlines recently with multi-million-dollar fraud busts having taken place in Dallas and the Miami area in the past several months. A hearing held in late April before the Senate Finance Committee addressed the issue and brought a new—albeit old—potential solution to light.

Death rate for

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Around the Web – 5/22/2012

Which companies will benefit most if the medical device tax were repealed?
Analyst David Lewis of Morgan Stanley believes the companies that would enjoy the biggest reprieve are those that share these common characteristics – they have higher percentage of overall revenue derived from sales in the U.S. and lower operating margins.

5 innovative digital wellness companies to watch
Take growing adoption of smartphones and tablets among the general population, add it to anxiety about regulation in healthcare and an empowered patient population, and you get an explosion of consumer-focused digital health ventures.

Nursing home quality scores are on

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