Posts in category "Skilled Nursing Facility"

Adverse Events in Nursing Homes Capture Headlines

As predictable as an episode of “I Love Lucy“, this past week saw many reactions to the just published report issued by the Office of Inspector General at HHS on “Adverse Events in Skilled Nursing Facilities.” By now, the media mill has chewed through the report and spat out the juicy bits (here), while a... Read more »

Lawyers Peer Into Elder Care's Crystal Ball - Part One

Traveling to Las Vegas, in search of a few days respite from this tiresome winter weather, recently brought me to the 2014 AHLA, Long Term Care and the Law Conference. The theme of this year’s conference should have been, “tremendous change is coming and some have a good idea what it will look like, but how... Read more »

Innovative Elder Care Services Provided by CJE SeniorLife

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Elder care providers are creating new programs to address the changing needs of older adults. Here is a great example of what that looks like at CJE SeniorLife
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The Challenge of Reducing Expenditures for Dual Eligible Beneficiaries

The Holy Grail of reducing expenditures associated with providing medical and long term care services (LTC) to this complex population is propelling states to look to managed care organizations (MCOs) for answers. The reasoning is something like: since MCOs are capable of managing the expenditures of younger Medicaid beneficiaries, surely they will be able to... Read more »

Software Solutions in Nursing Homes

With health information technology (HIT) in long-term care (LTC) settings becoming more common, LTC stakeholders (e.g. consumers, employees, regulators, owners, etc.) are only now beginning to understand the impact of HIT on nursing home (SNF) operations and consumer experiences. When I began working in SNFs in the early 1990s, an improvement in HIT meant acquiring... Read more »

Medicare 72-Hour Rule Still Frustrates and Confounds

I first began writing this post in April of 2012, but  quickly abandoned the effort because I became certain that everyone knew about this issue and was planning accordingly. How wrong I was! In retrospect, it should not surprise that topics like this are evergreen. Eldercare is an island with its own customs, rules and... Read more »
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Chronic Conditions No Longer Barrier to Medicare Services

On October 16, the US Department of Health and Human Services and disability rights attorneys entered into a proposed settlement of a class-action lawsuit (Jimmo v. Sebelius), that if approved by the Court will clarify the so-called “improvement standard” used in the past by Medicare providers (i.e. skilled nursing homes (SNFs), home health providers, or other... Read more »

Reducing Unnecessary Hospital Readmissions

Despite my self-imposed pledge to not publish partisan political posts, I am unable to contain my enthusiasm for one of the of  President Obama’s Affordable Care Act: the creation of the Center for Medicare and Medicaid Innovation.  The Center seeks to: help transform Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP) through improvements in... Read more »

Representative Ryan's Medicare and Medicaid Proposals Stun

The selection of Representative of Paul Ryan as the presumptive Republican nominee for the office of Vice President, prompts me to repost this blog (originally posted in March) surveying Ryan’s plans to deconstruct the existing Medicare and Medicaid programs. ” To understand the profound implications of the Ryan proposals to deconstruct Medicare and Medicaid, it  bears... Read more »
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Assisted Living Quality of Life: Green House VIDEO

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Continuing the theme of Sunday’s post,  this video of a Green House community in Rochester, New York is a reminder of  how new philosophies of care can transform the delivery of  long term services and supports.  Often referred to as  “Culture Change” initiatives, the Green House Project is among the best known of these new... Read more »
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    Bruce Lederman

    Bruce Lederman has over 25 years experience in the senior care field as a direct care provider and thought leader. Bruce was CEO and president of his own firm that operated skilled nursing facilities in Illinois. He is a former nursing home administrator and has consulted to numerous elder care providers on planning for strategic growth as well as process improvement. Recently he served as board chair of CJE SeniorLife, a leading non-profit elder care provider in the Chicago area. Bruce is currently employed as chief strategy officer for a multi-facility skilled nursing facility company.

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