McKnight's Podcast

McKnights

Conversations with industry newsmakers in the Homecare, Long Term Care, and Senior Living market.

  1. 4d ago

    Home health, hospice moratorium is not sustainable for long term, NPHI CEO says

    A short-term home health and moratorium was a necessary action because of rampant fraud in the hospice sector, said Tom Koutsoumpas, founder and CEO of the National Partnership for Healthcare and Hospice Innovation (NPHI). Still, the moratorium, which is designed to contain and address egregious activities, is meant to be a short-term solution, said Koutsoumpas, who was involved when the benefit was created in the 1980s. There has been an overreaction during the moratorium, he noted, and acknowledged that some of his members have been subject to unnecessary audits. While the question of the moratorium has divided provider organizations, more imperative is that the community as a whole support and encourage the Centers for Medicare & Medicaid Services in their fraud-fighting efforts, he said. The organization’s support of the moratorium and may be one reason why NPHI has experienced a surge of new members of late. On another subject, he is excited about the attention palliative care has been receiving from CMS in rulemaking. NPHI has proposed a palliative care model that would be adjacent to the hospice benefit. More details are forthcoming, he said.Follow us on social media:X: @McKHomeCareFacebook: McKnight's Home CareLinkedIn: McKnight's Home CareInstagram: mcknights_homecareFollow NPHI on social media:X: @NPHIhealthFacebook: National Partnership for Healthcare and Hospice InnovationLinkedIn: National Partnership for Healthcare and Hospice Innovation (NPHI)Show contributors:McKnight’s Home Care Editor Liza Berger; Tom Koutsoumpas, founder and CEO, National Partnership for Healthcare and Hospice Innovation (NPHI) Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

    Home health, hospice moratorium is not sustainable for long term, NPHI CEO says
  2. Sep 1

    ‘Multi-year marathon’ leads Indiana nursing home to nation’s top quality honor

    Out of thousands of skilled nursing facilities nationwide, only two earned the prestigious Gold - Excellence in Quality Award from the American Health Care Association this year. One of those top honors belongs to Todd-Dickey Nursing and Rehabilitation, a 62-bed facility in southern Indiana that proves size is no barrier to achieving high-level operational excellence. In this episode, Executive Director Wendy Broughton and Janean Kinzie, vice president of parent company American Senior Communities, detail the behind-the-scenes work to maintain a stringent focus on quality for six years — and how some friendly competition helped deliver excellence. The discussion highlighted the key drivers behind the facility’s success, starting with a deeply rooted culture of local commitment and retention. As the only nursing facility in its county, Todd-Dickey relies on a tight-knit staff — some with over 40 years of tenure — who view their work as "family taking care of family," Broughton tells McKnight’s Long-Term Care News Editor Kimberly Marselas. "It’s a multi-year marathon of putting things together and looking at those challenges and taking one thing at a time,” she says. “If you do good quality of care, the awards will come." Maintaining open lines of communication, setting clear expectations during initial job interviews, and keeping floor staff directly involved in quality metrics were crucial strategies for sustaining momentum on the path from Bronze to Gold. Rather than viewing quality initiatives as temporary fixes for isolated issues, ASC focuses on analytical evaluation and regional training seminars across its portfolio. That’s given it more than 80 Quality Award winners in recent years. And good ol’ "Hoosier competitiveness" continues to push facilities across the state to elevate their standard of care year after year, she adds Listen to the full episode to learn more about Todd-Dickey’s journey to Gold, the role of corporate support in quality improvement and how competition can drive higher standards in long-term care. Hosted by Simplecast, an AdsWizz company. See https://pcm.adswizz.com for information about our collection and use of personal data for advertising.

    ‘Multi-year marathon’ leads Indiana nursing home to nation’s top quality honor
  3. Jul 30

    House call firm Ennoble Care finds success serving high-needs Medicare patients

    As a house call firm, Ennoble Care brings the most skilled clinicians to a patient’s house to provide essentially a doctor's office inside, CEO Kush Das explained. That slowly progresses to more longitudinal care with nurses and social workers and care managers supporting patients. The company serves both Medicare and Medicare Advantage patients, depending on the market. About 1 of every 2 Medicare patients it serves is in the ACO REACH model, Das explained. He is proud of the work of the Complex Care Alliance, which has advocated for high-needs Medicare patients in accountable care. He is bullish on the LEAD model, which will take the place of the REACH Model starting in 2027. The latest physician fee schedule proposed rule reflects the work involved in operating a house call company, he said. The company, which doubled in the last 12 months, will continue on a similar growth trajectory, he said. The federal hospice moratorium — which he believes in — will hurt the company's efforts to grow hospice in the short term, he said.    Follow us on social media: X: @McKHomeCare Facebook: McKnight's Home Care LinkedIn: McKnight's Home Care Instagram: mcknights_homecare Follow Ennoble Care on social media: Facebook: Ennoble Care LinkedIn: Ennoble Care Instagram: ennoblecare Show contributors:McKnight’s Home Care Editor Liza Berger; Kush Das, CEO, Ennoble Care Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

    House call firm Ennoble Care finds success serving high-needs Medicare patients
  4. Jul 9

    What US home care nurses can learn and the old ‘black bag': A conversation

    he International Home Care Nurses Organization is a gathering of international nurses — ranging from RNs to clergy, aides and therapists — who come together to share what they know about home healthcare nursing. Susan Hinck, PhD, president of organization, and Marilyn Harris, RN, a board member, recently returned from a three-day global conference in London at which nurses represented 33 countries. It’s helpful to learn what other countries are doing in the area of home healthcare nursing, Hinck said. The Scandinavian countries —with their universal access to healthcare — in particular are an international model of strong home care nursing. Technology has allowed nurses in the home to provide more hands-on care, Hinck said.  And the increased focus on social determinants of health has helped to improve the health of home care patients, Harris noted. Follow us on social media: X: @McKHomeCare Facebook: McKnight's Home Care LinkedIn: McKnight's Home Care Instagram: mcknights_homecare Follow the International Home Care Nurses Organization on social media: X: @IHCNO_Nurse Facebook: International Home Care Nurses Organization LinkedIn: International Home Care Nurses Organization Show contributors:McKnight’s Home Care Editor Liza Berger; Susan Hinck, PhD, president, International Home Care Nurses Organization; and Marilyn Harris, RN, board member, International Home Care Nurses Organization     Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

    What US home care nurses can learn and the old ‘black bag': A conversation
  5. Jun 16

    Chasing a Marshall Plan for skilled nursing

    As the skilled nursing sector continues its march toward recovery, providers need a more comprehensive plan for long-term workforce and payment stability. That’s why Michael Bassett, senior vice president of government relations for the American Health Care Association, wants an all-of-Congress approach that takes into account the ground-level realities nursing homes are facing as Americans get older and sicker. “If Congress doesn't look at this soon, because of a lag in training doctors and nurses and CNAs and LPNs, then this is going to be a real big problem in 10 years,” Bassett tells McKnight’s Long-Term Care News Senior Editor Kimberly Marselas in this episode. “It's bigger than us,” he says. “The whole Congress needs to kind of have a new Marshall plan to get workers into these fields, or else … with 11,000 people each day turning 65 … we’re not going to have enough people to care for them.” Bassett leads AHCA’s work on Capitol Hill and earlier this month had nearly 700 helpers, as members, frontline staff and vendors met with elected officials to help illustrate providers’ pain points. Workforce has recovered to near the sector’s pre-pandemic baseline, allowing other issues to rise to the top of the skilled nursing wishlist. Most important, and maybe most possible this session, is Medicare Advantage reform. Listen to this episode recorded in Washington, DC, to learn three major MA areas Basset believes Congress could address to reduce friction between providers and private insurers, why bipartisan support for change is growing, and what it all means for post-acute and long-term care patients. Come for political insights and a little prognostication and stick around for insights on claims denials, Medicare’s three-day stay requirement and CNA lockout legislation. It’s all in this McKnight’s exclusive interview. Hosted by Simplecast, an AdsWizz company. See https://pcm.adswizz.com for information about our collection and use of personal data for advertising.

    Chasing a Marshall Plan for skilled nursing
  6. Jun 9

    More than a piece of paper: How advanced credentials are transforming skilled nursing therapy

    The medical complexity driving significant change in skilled nursing care approaches doesn’t stop at the door to therapy. With demand for speech-language pathology greater than ever, one North Carolina-based provider organization is looking to expand its therapists’ knowledge and encourage the use of advanced staff training to help patients regain function. Michele Hass, regional therapy consultant for Principle LTC, recently became one of the first SLPs in the nation to earn a dysphagia certification from Accelerated Care Plus. The highly specialized credential focuses on swallowing disorders, aspiration prevention and patient safety — and Haas plans to use what she’s learned to encourage others to use the techniques she picked up and pursue their own advanced credentials. ”These certifications, they're more than just a piece of paper,” Haas tells McKnight’s Long-Term Care News in this episode. “I think they represent a commitment to patient care and staying engaged in the profession.” Principle wants to leverage Haas’ interest in the ACP training — focused on advanced biofeedback technology— to enhance care capabilities across its regional footprint. It’s just one way the operator of 38 facilities is responding to the clinical shift from compensatory care to modern rehabilitation, according to DeLaine Rice-White, Principle’s senior vice president of therapy services. She emphasized that supporting advanced credentials can dramatically boost employee satisfaction and stabilize staffing levels, protecting facilities from the steep costs of turnover. Professional development, she added, is essential measure to protect against clinical stagnation. "If we don't do this, and we always do what we've always done, we'll always get what we always got,” she tells McKnight’s Senior Editor Kimberly Marselas. “Our outcomes will not keep pace with the evolution of science and innovation if we go down that road." Listen to the full episode to learn more about ACP’s approach to dysphagia care and why Principle views certifications and other training opportunities as critical investments for skilled nursing providers. Hosted by Simplecast, an AdsWizz company. See https://pcm.adswizz.com for information about our collection and use of personal data for advertising.

    More than a piece of paper: How advanced credentials are transforming skilled nursing therapy

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3 Ratings

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Conversations with industry newsmakers in the Homecare, Long Term Care, and Senior Living market.

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