Federal Assisted Living Regulatory Initiative

Last week via a member news release from Leading Age Minnesota, the specter of federalized Assisted Living regulation popped up. Per this release, legislation enabling federal assisted living regulation of some form is anticipated to be proposed by U.S. Senator Mark Kelly (D-AZ) prior to the year’s end. The primary outcome of what Senator Kelly … Read more

CMS Releases Home Health Final Rule 2025

On November 1 the Centers for Medicare & Medicaid Services (CMS) issued the Calendar Year 2025 Home Health Prospective Payment System (HH PPS) final rule, which updates Medicare payment policies and rates for Home Health Agencies.  Unlike other Medicare provider types that have PPS rule updates corresponding to the federal fiscal year (10/1), home health … Read more

Innovation: Think Inside the Box

Not sure how many times I’ve heard the worn phrases of “think outside the box”, “brainstorm”, “explore new perspectives”, across my career.  Now, I’m not saying that these concepts don’t have merit.  I am however, saying that most often, the best innovation comes from “thinking inside the box”. Systematic inventive thinking: the power of thinking … Read more

Exploring Age-Friendly Healthcare Programs

The Accreditation Commission for Health Care, Inc. (ACHC) has launched two new specialty credentials for organizations providing home care and/or hospice.  These programs are in line with the Age-Friendly Health Systems (Care) programs and initiatives started by The John A. Hartford Foundation and the Institute for Healthcare Improvement (IHI), in partnership with the American Hospital Association (AHA) and … Read more

Geriatrician Shortage = Cause for Concern

As of the latest demographic data from Pew Research, 62 million people in the U.S. are age 65 or older Number of people 100 and older is growing in US and around the world | Pew Research Center  Presently, there are approximately 7,500 licensed geriatricians in the U.S., or 1 per every 8,267 seniors.  Despite … Read more

Defend Your Long-Term Care Facility Against Litigation with Expert Data Analysis

My firm has a unique practice concentration in the area of complex litigation. Our expertise is principally on the defense side of claims. Our team assists long-term care providers in leveraging intricate data to safeguard against legal disputes and adverse public opinion. We help clients discover methods to analyze and utilize data from government, consumers, … Read more

Preventing Falls in Seniors: Key Interventions Revealed by JAMA Study

Earlier this week, JAMA (Journal of American Medical Association) published a summary article on interventions to prevent/reduce falls in community-based (non-institutionalized) seniors.  The core focus of the article is about preventing falls in seniors. The article is available here: jama fall prevention in older adullts As regular readers know, I don’t write a great deal … Read more

Friday Feature: Back to the Future and Care Rounds

TGIF! A frequent reader sent me a note earlier in the week and asked if I would drop in more clinically oriented stuff from time to time. I asked for details, and she said stuff “that is germane to patient care and operational improvements – QA/QI stuff”. So, today’s post is by request, sort of. … Read more

Reducing MDRO Prevalence in Healthcare Facilities: The Impact of Chlorhexidine Bathing and Nasal Decolonization on Hospitalizations

I’m sure the first reaction to this title is, it’s an April Fool’s joke. This is not that. I know, I don’t really write on any deep clinical topics, for various reasons. First, I’m not qualified clinically (I read to stay B.S. proof and to help my wife’s work – clinical compliance). Second, my only … Read more

Friday Feature: You Will be Hated

TGIF! I found this piece on LinkedIn and thought it was quite good and worthy of reposting in its entirety. I know what this is about, personally.  I was an administrator, moreover, a senior living and healthcare CEO for many, many years. I ran large organizations primarily but the parallels within this story, don’t change. … Read more