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What Needs to be Done to Improve Nursing Home Care
January 28, 2015 9:30 AM by Brian Garavaglia
Over two decades ago the report from the Institute of Medicine (IoM) led the way for monumental changes to take place within the nursing home industry. The report of the IoM basically stated that nursing homes needed significant reform and that it was Read More...
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More Changes in LTC Populations
February 22, 2011 3:26 PM by Brian Garavaglia
In previous blogs I have spoken about the changing trends in nursing homes. One of the trends I have mentioned is the increasing number of residents in nursing homes who are in the young adult and middle adult ages. This is adding to the complexity of Read More...
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New Health Care Legislation's Impact on Nursing Homes
December 14, 2010 12:48 PM by Brian Garavaglia
The new health care legislation could have significant impact on the growth of the nursing home industry. Moreover, it may have an impact on reimbursement, potentially reducing the amount of financial resources that will be allocated to nursing homes. Read More...
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Nongroups, Groups and Teams
November 8, 2010 8:52 AM by Brian Garavaglia
Here is a brief quiz that I often give to my classes. See if you can tell which one is a group and which is not a group. Do this without looking at the answers below. Four people standing at a bus stop, waiting for a bus. Two individuals on a romantic Read More...
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Examining Competencies of the LTC Workforce
October 25, 2010 8:29 AM by Brian Garavaglia
The United States Department of Health and Human Services has released an interesting report on the competencies of the long-term care workforce. The article is entitled, "Examining Competencies for the Long-Term Care Workforce: A Status Report and Next Read More...
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Misconceptions About Aging Care
May 19, 2010 2:01 PM by Brian Garavaglia
Family, neighbors and friends play an important role in the caregiving environment. Read my latest Gerotalk web column - " Misconceptions About Aging Care " - on www.advanceweb.com/ltc . Read More...
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The Next Culture Change
March 23, 2010 9:05 AM by Brian Garavaglia
Read my latest Gerotalk web column - " The Culture, She is Changing " - on www.advanceweb.com/ltc . How do you think the influz of baby boomers will affect your community and how are you preparing for it? Read More...
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The Microeconomics of Long-Term Care Can Cause Problems
August 6, 2009 9:40 AM by Brian Garavaglia
It is no secret that our country is currently going through some very difficult economic times. With job losses increasing, the subprime problems leading to many issues of foreclosure, and many financial institutions failing or needing to be bailed out, Read More...
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Additional Staff Training Must Accompany the Increasing Complexity of Care
June 22, 2009 9:48 AM by Brian Garavaglia
Click here to read Brian's column " Gerotalk " on the ADVANCE for Long-Term Care Management Web site. According to AHCA, many long-term care organizations are increasing the levels of services they provide: More than 36 companies are adding rehabilitation Read More...
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It's All About Connections
February 11, 2009 2:56 PM by Brian Garavaglia
Nursing home administrators face an important dilemma: They need to lead and at times be firm, yet they need to remain connected to their workers. Many administrators and managers think they cannot be leaders and be connected to their workers. A frequent Read More...
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Escalation of Commitment After Costs are Sunk
December 22, 2008 10:22 AM by Brian Garavaglia
None of use like to loss on something. Having a financial, psychological or emotional investment in something makes it that much more difficult to walk away from. This is a common occurrence in the daily lives of many individuals. In health care the same Read More...
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We Still Have A long Way To Go
November 19, 2008 1:24 PM by Brian Garavaglia
With all the changes that nursing homes have undergone during the last 20 years, we still have a considerable way to go. Even with nursing home reform that started slightly over 20 years ago, especially the movement to make the nursing home environment Read More...
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Matching Residents to Facility Resources
August 29, 2008 10:41 AM by Brian Garavaglia
It is no surprise to anyone who works in health care that census is always a critical issue for long-term care facilities. This especially is an important focus for many skilled nursing care facilities. As more assisted living facilities are now taking Read More...
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Can Apples & Oranges Be Compared?
June 30, 2008 10:20 AM by Brian Garavaglia
The Bush administration advocated the need to rate nursing homes on a similar ranking system to that found in the hotel and restaurant industry. At first blush this seems an intuitively simple and consumer friendly system. Why not have consumers that Read More...
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The Social and Economic Impact of Census and Resident Mix in Long-term Care
January 30, 2008 4:01 PM by Brian Garavaglia
The long-term care landscape has changed and will continue to change. One of the greatest changes that have been found in long-term care is in census, or the residents that are found in long-term care, often referred to as resident mix. As census has Read More...
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About this Blog


    Brian Garavaglia, PhD
    Occupation: Long-term care administrator
    Setting: Sterling Heights, Mich.
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