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.
Several months ago Governor Cuomo got wind of some of the compensation packages out there for organizations receiving Medicaid funds. He recently responded with Executive order #38. We will see what this does and if there will be any unintended consequences of this mandate.
It has been a wild roller coaster ride in New York State government since Andrew Cuomo took the reigns. Governor Cuomo was saddled with a very tough financial situation and has made some good headway in beginning to get our State back on it's feet again. One thing that everyone agrees upon is that there is still a long way to go. As we search for solutions, one basic concept seems pretty clear. State government is either going to need to do more with less or completely discontinue programs and services that have been offered in the past. The last few months has revealed what some of these changes are to be in the area of Medicaid reimbursement for Long Term Care. Providers are beginning to see what the future will look like.
Every time New Years Day comes around it kind of feels like waking up in the morning. We roll over and look at the clock and see it's time to get up and get going. We pull the curtain back and see what's going on outside. What will the year be like? It’s a fresh start. We've made the turn and we're playing the back nine. When I was a kid, it seemed like everyone worked for Kodak. If you didn’t work for them, it seemed you should be. It was the symbol of well-being and security. This week the news is flooded with stories about the possibility of Kodak filing for bankruptcy. How could this happen and what’s the world coming to? It certainly seems like we have arrived at a time when all the old rules that we grew up with don't apply anymore. Investment houses go down and the federal government buys General Motors. College grads enter the workforce and can't find a job. They’re discouraged because the story said they were supposed to graduate and have ten offers waiting for them.