It's time to say goodbye to 2012 and move along. What will the New Year hold? If you’re like us, we like to “re-rack” and see what we might want to tune up and change. We’ll ask ourselves questions like “what has gone well and what do we absolutely never want to do again?”
What are the most memorable events of 2012 for you? We all have different thoughts about what might top the list, but for most, it was something that hit the mainstream news or something you saw on TV. The mainstream media has an interesting effect on how we see things. It also impacts how we see ourselves fitting into it all. I saw something recently that made me stop and think about 2013 and what I need to do better. I wanted to take minute and share it with you.
As part of this year’s Rochester Business Journal Senior Living & Long-Term Care Services Directory (October 19, page 10; click to download a copy of the article in PDF format), The Maplewood was featured in a special article entitled “Family needs become priority in long-term care”. The article gets into recent enhancements we’ve made to our Rochester NY nursing home facility, and underscores our unyielding advocacy for service, quality and choice.
Accountable Care will next week begin to have a significant impact on hospitals. Starting October 1, 2012, the Hospital Readmissions Reduction Program, under the Affordable Care Act, requires that the Centers for Medicare and Medicaid Services reduce reimbursements to the Inpatient Prospective Payment System.
What this means is that if a hospital readmits a patient within 30 days of discharge, the hospital may face penalties of up to 1% of payment. Penalties will increase to 2% in 2013 and 3% in 2014. What this will mean for nursing homes in the Rochester area and beyond is that there will be a high level of vigilance on the part of the hospitals for patients moving to and from the hospital to the nursing home.
I ran across an interesting piece on SeniorHousingNews.com, written by Alyssa Gerace. The article provides insight into the makeup of senior living decision makers, including their similarities and differences. The article tracks with much of what we see in our own experiences, and also offers some new things to consider.
Big changes are ahead for New York residents who need long-term care services and rely on the Medicaid system to pay for those services.
Governor Cuomo has endorsed a plan that has been put together by his long-term care Medicaid task force. Under the new plan there will be a heavy reliance on what are referred to as Managed Long-Term Care Plans (MLTC).
If you hang around Amy’s desk in the business office for awhile you’ll likely hear her answer the phone and start giving directions. The number one remark we receive here at The Maplewood for all the years we’ve been a part of Webster is “We never knew you were here.”
For some businesses, being tucked away on a little side street is an advantage but for The Maplewood it’s been a hardship and a challenge. Time and time again we miss being able to help people because they don’t know about us. Sometimes being the best-kept secret in Webster is not a good thing. We’re hoping that our new entrance onto West Main Street in the Village will help with that problem.
A good portion of the job of a nursing home administrator these days is to keep up with all the changes going on that have an effect on their facility. The time of change for nursing homes is in full swing right now. Good Administrators have become more like fortune tellers who search the tea leaves of new technology and regulation to stay one step ahead of what might be necessary to have a facility that is relevant to whatever is considered mainstream. It is in that spirit that I share a situation that struck me over last weekend.
Anyone walking through our second floor is seeing a transformation at work. Last week we began a three-month project that will flip the location of our second floor lounge with our existing nursing station. The new modern lounge will feature plenty of natural light and a new modern look. We are excited about the new plans and even more excited that changes are underway. Like any project, there is the dust and mess that comes along the way and we trust that our Residents and families will bear with us as we make our way to the finish line.
It’s the time of year for me that every nursing home Administrator loves. Christmas? Spring break or our birthday? No it’s The Maplewood's turn for the annual New York State inspection.
Being a participant in Medicare and Medicaid requires that the facility be inspected by the NYS Department of Health at least one time every 15 months. It’s a surprise inspection where 6 people from the Department of Health walk into your facility unannounced and camp out for four or five days. The facility and its practices are inspected from stem to stern. All this has been created to assure a certain minimum level of quality still exists in the facility since the last inspection. In the last 27 years of doing this job I can tell many stories about these inspections. I suppose every Administrator has a favorite story about one of these inspections and I am no exception. It happened 10 years ago or so and I want to share it with you.
Several years ago there was a top hit TV show called Seinfeld. One of the main characters went by the name of George Costanza. George was the guy that somehow always made the wrong call and as a result things never seemed to work out right in any given situation. In one episode, George comes to the realization that he should try to do the opposite of everything he thought he should and in so doing, his luck changes and everything begins to go his way including getting a girlfriend, a job with the Yankees and moving out of his parents' house. In my view, the new age of healthcare is beginning to come into focus and it’s looking a lot like that Seinfeld Episode. In some ways George holds the key to solving our healthcare crisis.