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Hirschel Presentation Hirschel Presentation
Conference Call Presentation by Alison Hirschel
"Predicting and Preventing Nursing Home 'Performance Closures' in
Michigan:
Why Regulators May Not Have All the Tools They Need" by Alison Hirschel,
J.D.
Between March, 1998 and September, 20000, the Michigan Department of Consumer
and Industry Services (MDCIS) ordered the closure of seven very troubled nursing
homes, thus necessitating the immediate relocation of hundreds of
residents. During the same period, MDCIS required ten other Michigan
nursing homes that were at risk of closure to hire temporary managers to address
serious deficiencies. The latter homes were eventually able to come back
into compliance with state and federal requirements and therefore remain open.
This study analyzes why some of these similarly substandard facilities survived
while others did not, what information would have been most useful to regulators
in identifying earlier the facilities at greatest risk of closure, and what
barriers existed to ensuring regulators have the best information and procedures
to protect residents of seriously deficient homes and to prevent
unnecessary closures.
Presenter Bio
Alison Hirschel received her B.A.
from the University of Michigan in 1981 and her J.D. from Yale Law
School in 1984. Alison has worked in both Pennsylvania and Michigan as a legal
services attorney focusing on elder law and as an advocate for nursing
home residents. Her practice includes individual and impact litigation,
legislative and administrative advocacy, and training of lay and professional
groups on issues of concern to the elderly. Currently, Alison is the Elder Law
Attorney at the Michigan Poverty Law Program, the statewide back-up center for
legal services programs. In addition, Alison teaches Elder Law at the
University of Michigan Law School. Alison is also the statewide
coordinator for the Michigan Campaign for Quality Care, a grassroots
consumer group seeking better quality nursing homes and better choices for
Michigan's nursing home residents, and a Board Member of the National Citizens'
Coalition for Nursing Home Reform.
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