Posts tagged "SNF"

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 »

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 »
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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 »

A Life Under Medicaid

As the debate about the Accountable Care Act moves to a new phase, it’s important to remember that even after the full implementation of the ACA, Medicaid will remain as the primary funding source for the long term care service and support (LTSS) needs of older adults. In this video, produced by Kaiser Health News... Read more »

Assisted Living vs. Skilled Nursing: It's a Mothra vs. Godzilla thing

Although they lack the fearful abilities of the monsters of Japanese sci-fi fame, skilled nursing and assisted living providers are similar to those fictional creatures in their mutual distrust and shared desire to enter the other’s turf.  The 2012 ALFA (Assisted Living Federation of America) Conference convened last week in Dallas saw a continuation of... Read more »
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Illinois Ranks 23rd on AARP Scoreboard

As the Illinois budget battles get underway, I am republishing a post covering the current status of long term care services and supports in Illinois, which I first published on October 30, 2011. I’ll return next week with a fresh post. We’ve come a long way….but still have far to go… Last month, AARP’s Public Policy Institute published a... Read more »

Representative Ryan Delivers Medicare Cuts but What About Quality Care?

A plan to transform: It bears repeating that the Medicare and Medicaid programs together pays for three out of every four residents living in a skilled nursing facility (SNF). Any proposal to redesign these programs will profoundly affect the lives of the program participants and reshape the entire long-term care services and supports industry. Among... Read more »

Aging Budgets in Illinois: Receiving Services in Illinois will be Tougher

I’ve worked in the Illinois elder care industry for over 20 years and I can state without equivocation that the Illinois budget process has never been particularly pretty. Like sausage making, one tries to concentrate on the end result rather than on what it takes to get there. For 20 years, there were insufficient appropriations... Read more »
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Measuring Post-Acute Care in LTCHs, IRFs, SNFs and HHAs

Huh? What’s up with all the acronyms? Great question and truthfully besides taking up less space in the blog’s headline, the acronyms listed are settings for post-acute care (i.e. post-hospital care) and (not surprisingly) each has its own quality and outcome measurements as well as reimbursement systems. (Check the blog’s glossary for more information about... Read more »
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    Bruce

    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 company providing skilled nursing services in communities throughout Illinois and Missouri.

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