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Gerotalk

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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Hot Button Topic: Is the Type of Nursing Home Ownership Important?
January 22, 2008 10:27 AM by Brian Garavaglia
A recent September 2007 New York Times article entitled, At Many Homes, More Profit and Less Nursing , discussed the issue of profit and ownership, especially by private equity firms. This article especially was quite critical of many companies that reduce Read More...
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Root Cause Analysis as a Process, Part 3
December 20, 2007 2:58 PM by Brian Garavaglia
In the first two parts of this series, I expounded upon the need to develop a sound problem statement and to understand and not be misled by terms such as facts, validity and truth often used superficially in examining issues. In the third part of this Read More...
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Root Cause Analysis—Facts, Validity, Truth, and Consequences, Part 2
December 20, 2007 2:54 PM by Brian Garavaglia
In part one, the emphasis was on attempting to make sure that a problem was adequately and soundly delineated before root-cause analysis is implemented. In part two, examining the illusory concepts of facts, validity and truth will be examined. Here again, Read More...
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Root Cause Analysis—Starting Out With A Problem, Part I
December 11, 2007 4:26 PM by Brian Garavaglia
Nursing care facilities are faced with a myriad of problems daily. In addition, solving problems in nursing care facilities is often far from simple solutions. However, those that work in long-term care administration have often heard of the phrase-looking Read More...
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