Sarah Warren BSN, RN’s Post

Who are the Direct Care Workers Providing Long-Term Services and Supports (LTSS)?: This analysis uses the 2022 American Community Survey to provide an overview of demographic characteristics, wages, and health insurance coverage of direct care workers, which include home health aides, personal care aides, nursing assistants, licensed practical nurses (LPNs), and registered nurses (RNs). his analysis looks both broadly at the direct care workforce as well as examines differences across job classifications and settings of work. #medicaid #mdrp #financial

Who are the Direct Care Workers Providing Long-Term Services and Supports (LTSS)?: This analysis uses the 2022 American Community Survey to provide an overview of demographic characteristics, wages, and health insurance coverage of direct care workers, which include home health aides, personal care aides, nursing assistants, licensed practical nurses (LPNs), and registered nurses (RNs). his analysis looks both broadly at the direct care workforce as well as examines differences across job classifications and settings of work. #medicaid #mdrp #financial

(McKNight's Long Term Care News) - " Nursing Homes Slam Biden Staffing Rule: 'How Can [We] Hire More RNs When They Do Not Exist?'." The Biden administration on Monday finalized a mandate for nursing homes to hire more nurses and aides, and providers balked at the rule, saying it will siphon workers from other long-term care settings and only adds to the worker shortage from the pandemic. Find A More AFFORDABLE Health Insurance Plans At: HI4E.org #NursingHomeStaff #NursingHomeStaffingShortages #NursingShortage #NursesQuitting #NursesBurnOut #DoctorShortages #NursingShortages #UnvaccinatedNursesFired #BidenNursingHomeStaffingRules #MayoClinicFiredUnvaxxedNurses #UnvaccinatedHealthcareWorkersFired #UnvaccinatedDoctorsFired #BidenWantedUnvaccinatedFired #BidenHealthcare #RuralHealthcare #RuralHospitals #RuralAmericaHealthcare #RuralDoctors #HI4E.Org #HealthAndLifeSolutions #NursingHomeStaffingRules #HealthInsuranceForEveryone #McKnightsNews #NursesQuitting #HealthcareWorkersBurnOut #NurinsgHomeStaffBurnOut

"Is Kaiser Permanente's Closure of Skilled Nursing Facilities a Wake-Up Call for Western New York?" The recent news of Kaiser Permanente closing skilled nursing facilities in California is a significant development that should raise eyebrows in Western New York. While the specific circumstances are different, the broader implications are relevant to our region. This pivotal move highlights a broader trend: the shift towards home-based care and community facilities. Kaiser Permanente’s strategy offers valuable lessons for our region. The news also underscores the ongoing challenges in long-term care, particularly the need for: Adaptable Care Models: We need to ensure our skilled nursing facilities are meeting evolving community needs and consider alternative models to address the changing landscape of long-term care. Stronger Partnerships: As larger systems potentially shift their focus, local providers need to strengthen partnerships to fill gaps and ensure continuity of care. Workforce Development: Investing in training and development for our skilled nursing workforce is crucial to address the challenges and ensure quality care. This is a time for reflection, proactive planning, and to discuss how Western New York can learn from Kaiser Permanente's decision and adapt to the changing landscape of long-term care. #Healthcare #SkilledNursing #LongTermCare #WesternNewYork #HealthcareStrategy #WorkforceDevelopment #kaiserpermanente https://lnkd.in/ePYYwHxs

Cost vs quality, what should we choose? Most if not all our healthcare problems (growing numbers of medical errors and deaths, nurse burnout/shortage, hospital and ED overcrowding, shrinking hospital margins, healthcare inequity, etc.) could be subdivided into two groups: quality problems and cost problems. The same is true for the corresponding interventions, to name a few: ·   Let’s increase the number of nurses to guarantee safe patient per nurse staffing ratios (regardless of how much this will cost and whether hospitals can afford it) ·   Let’s build more beds (regardless of affordability) ·   Let’s reduce hospital expenses to avoid closures by cutting “non-lucrative” services like OB/Gyn or Emergency (regardless to the typical quality and safety consequences). What do we want to realistically achieve when we blame “greedy” hospital leaders for not hiring enough nurses? Even if we assume that this is correct (which is not necessarily the case – https://lnkd.in/gfrENV8c), are they going to become more generous tomorrow or would it just be nice to have them “improve”? Both, nursing shortages and ED overcrowding have persisted for dozens of years and are only getting worse. There must be another explanation for this decline besides blaming it on “greed”. Who is supposed to give hospital executives more money: insurance companies, government, more of the taxpayers? Is this going to happen tomorrow? Even if we magically receive these resources, do hospitals know EXACTLY how many additional staffed beds and what kind of beds they need, or are we just supposed to believe “the more, the merrier”? Capital cost alone of a regular hospital bed on the East Coast is about $1.5 million and on the West Coast - $3 million. We’re not only failing to answer these questions, we don’t even ask them. As long as we keep separately discussing healthcare quality and its cost, our destiny is to engage in wishful thinking and creating unachievable goals: https://lnkd.in/e5aw8P-K leaving nurses and doctors burdened and burned out on healthcare, while we keep expressing our sympathies to them, while EDs remain overcrowded and their clinicians stressed, the number of medical errors increasing https://lnkd.in/ejFxgHrm, etc. As all of us know, sometimes, good intentions pave the road to somewhere else. We have to get used to the fact that in most cases (fortunately, not always – https://lnkd.in/es65NtcR) interventions have an associated cost and it is our responsibility to truthfully report this cost when we offer a new ideas or (which is even better) to provide a few examples of the ROI ALREADY ACHIEVED after implementation. Again, some ideas might be worth spending more but we have to be specific in evaluating and reporting what SPECIFICALLY this price is before an idea is considered for implementation. The alternative is to keep dreaming about “how good things would come, if only …” #nhs #hhs #cms #healthcarecosts #patientsafety #quaityofcare #nursebrunout

Sometimes we make it too complicated. Quality and cost are the numerator and denominator of the value equation where V = Q/C. We must do both and as Dr. Litvak points out there are proven solutions that do both.

Around the world, people face health challenges that make daily activities daunting. Thanks to rapid technological advancements, innovative tools are now available to enhance quality of life and promote independence. From web browsers for motor impairments to apps managing chronic conditions like tinnitus, technology is revolutionizing healthcare. Check out one of our latest blog posts written by a nurse for nurses everywhere. #HealthTech #Innovation #Nursing #NurseLife #QualityOfLife https://lnkd.in/eUxY6vwp

"[F]acilities must meet the minimum 3.48 total nurse staffing, 0.55 RN, and 2.45 NA HPRD standards regardless of the individual facility’s resident case-mix, as they are the minimum standard of staffing. If the acuity needs of residents in a facility require a higher level of care, as the acuity needs in many facilities will, a higher total, RN, and NA staffing level will likely be required." This is a monumental shift for Ohio nursing home residents. Did you know that Ohio currently requires only 2.5 hours of direct care per day for nursing home residents? O.A.C. 3701-17-08(C). This calculation can include nurses performing administrative/supervisory duties in an office. There is no division between nurse aide hours and licensed nurse hours. There are many loopholes to avoid implementation of the federal minimum staffing rule. It is impossible to predict how residents in Ohio will truly be impacted by the new rule. But I am hopeful that it will be for the better.

How to Find a Good, Well-Staffed Nursing Home: Here are the telltale signs to look for in nursing homes to avoid, and resources that can point to better places.

it's interesting to see how wide the effects of this will be. There are many nurse practitioners that are contracted by third party agencies on behalf of the patient (e.g. Homeless Health Peel is contracted by the Region of Peel) to provide services that should be covered by OHIP. This bill aims to destroy the entrepreneur class of nurses and continue to subjugate and oppress us into jobs where we can be controlled. all this while entrepreneurship rates dwindle in the province and the only increase in jobs seems to be in the public service, which any economist will tell you, is unsustainable.