NORC Gazette
September 21, 2001
National Long Term Care Ombudsman Resource Center
National Citizens' Coalition for Nursing Home Reform


Table of Contents
  September 11, 2001 news Related to Long Term Care
  Calendar of events: Note NCCNHR Annual Meeting Cancelled
  Olmstead/Care Options

1. National conference call on new Medicaid waiver
2. Long waiting lists in Texas
   State Nursing Home news
3. Veterans Administration oversight of nursing home lacking
4. CA passes nursing home bill; advocates withdraw support
  Staffing
5. More workers seek training to work in FL nursing homes
6.  Ohio has new staffing standards
7. Study: 750,000+ more nursing aides will be needed by 2008
  Abuse/Neglect
8.  Diversified pays $1.2 million for criminal neglect
  Assisted Living
9.  Granny Cam records gross indignity
10. State regulators meet with AL owners
  Research
11. PA University develops nursebot.
  DC Doins'
12. Fewer inspections rejected "out of hand"
13. New CMS regional administrators named


   September 11, 2001 News and Responses
The National Ombudsman Resource Center joins the world in mourning for all victims of the attacks on NY, PA, and DC.  Our thoughts and prayers are with the families, friends, communities, and the rescue and supportive services in NY, PA, DC and all across the globe. See the ombudsman website for updated information and to share information with colleagues:
http://www.ltcombudsman.org.

Long term care related news from the situations follow:

The Department of Health and Human Services announced that help is available for senior citizens living in Lower Manhattan who are having trouble getting their medication. The department established a toll free 24-hour hotline to help seniors receive personal services, therapies, and transportation to health facilities. Translators are available.  The hotline number is 800/331-7767.

HHS Secretary Tommy Thompson today announced the immediate release of grants to New York to help provide residents with child care, elderly assistance and other community services to assist the community's recovery effort following Tuesday's attacks. Thompson made the announcement during a tour of New York health and emergency facilities. One grant will provide immediate services to New Yorkers, including temporary shelter, food and clothing, and childcare services. Another grant will help senior centers provide services, such as transportation to health care, meals and counseling. Another funds supportive mental health services and planning for long-term support for the victims, their families, and professional and volunteer workers.

HHS waived the three-day hospital stay requirement for Medicare to cover skilled nursing facility care. The SNF program requires a stay of three consecutive days before Medicare will cover SNF services. HHS officials waived the requirements because hospitals in the New York and Washington disaster areas may need to discharge less critically ill beneficiaries to a SNF sooner than usual due to overcrowding. Medicare contractors have been informed that HHS has waived the three-day stay requirement for only the disaster area and only for the duration of the disaster.

The American Association for Marriage and Family Therapy has posted consumer-oriented material on its Web site to help individuals with terrorism recovery, including coping with loss and bereavement and post-traumatic stress. The site, www.therapistlocator.net, also provides a database to help locate therapists throughout the country.

The American Bar Association opened a toll-free hotline and website to help survivors and victims' families address critical legal questions. The toll free hotline number is 866-606-0626. More than 1000 lawyers have volunteered in this effort. The website which is designed for victims, military personnel and lawyers is http://www.abanet.org/legalservices/disater.html

  Calendar of events        

September 28: Center Training of New State Ombudsmen cancelled. The information that would have been covered will be mailed and a conference call will be set up in early October.

September 29 - October 3: NCCNHR Annual Meeting cancelled. Be sure to cancel room reservations at the hotel. NCCNHR will send out further information as soon as the necessary decisions have been made.

            
October 7- 13: National Residents Rights Week.  Theme: visitation rights. This theme is even more important as residents cope with the current national tragedy. (The Resident Rights packet was sent to all state ombudsmen for distribution in their state in early August. Copies may be ordered from NCCNHR, 202-332-2275.) This is a good resource for facility staff as well as for advocates.

October 18, 3:00 pm EST: Center Conference Call on Training issues.


March 14, 2001:
Hotel reservation due for State Ombudsman spring conference.  Holiday Inn at (614) 885-3334 and indicate your reservation in connection with the "National Ombudsman Training Conference."  Contact Mark Miller at mmiller@nasua.org


April 13 - 16, 2002: State Ombudsman spring conference, Columbus, Ohio. Contact Mark Miller at mmiller@nasua.org


Olmstead/Care Options

  1. National conference call on new Medicaid waiver
    Families USA and the Children's Defense Fund conducted a conference call on September 21 on the changes to the Section 1115 Medicaid waiver, called the Health Insurance Flexibility and Accountability Initiative, announced by CMS in August. These changes impact seniors as well as children.  For those who did not make the call on September 21st, a replay will be available for seven days after 6:00 PM the day of the call at 1-888-836-6074, PIN number 5544818. Speakers include Tim Westmoreland, Counsel for Representative Henry Waxman (D-CA) and former Director of Medicaid and State Operations at HCFA and a state health advocate. Dennis Smith, Director of Medicaid and State Operations from CMS - formerly HCFA - had been invited to participate, but had not been confirmed.


    On August 4, 2001, President Bush and HHS Secretary Tommy Thompson announced a new policy regarding Section 1115 waivers for Medicaid and the State Children's Health Insurance Program (SCHIP). Although the Health Insurance Flexibility and Accountability Initiative (HIFA) is being touted as a way for states to increase the number of people covered by Medicaid and SCHIP, the new initiative does not provide any extra funds to states to expand coverage, and it is likely to result in significant benefit cuts, increased cost-sharing, and possibly the widespread use of caps on enrollment in Medicaid. In fact, it is unclear that states must even expand coverage to use this waiver. However, should a state apply for a waiver to expand coverage, the severe restrictions on federal funds available to states for expansions imposed by this new policy would require that states drastically reduce benefits for current Medicaid beneficiaries in order to garner enough cost-savings to pay for the expansion.

    The proposal also gives states the option to increase cost-sharing for many people who are currently eligible for Medicaid, potentially creating a barrier to enrollment and making health care unaffordable for those most in need. Many advocates free that the aged and disabled will see reductions in services with the new waiver authority.  The guidance is available online at
    http://www.hcfa.gov/medicaid/hifademo.htm.



2. Long waiting lists in Texas
As Texas struggles with Medicaid funds, many low-income assisted living residents are waiting for promised services. More than 36,000 people in the state are on waiting lists for Texas' largest home health care program, according to the Fort Worth Star-Telegram. The Medicaid program, called Community-Based Alternatives, is designed to help keep people out of nursing homes. It would help some assisted living residents with rent and services that they may not be able to get any other way. The state is under extra pressure to correct the problem since the recent Olmstead ruling, which mandates that states provide care in nonrestrictive settings, according to the paper. Though Texas agreed to fund 2,400 new slots in the program over the next two years, advocates told the paper that's hardly enough. There is a waiting list every year after funds run out, experts told the paper. One state representative blamed state priorities. An advocacy group may file a lawsuit to see whether there "is a legal way to get the state to better implement Olmstead," a representative from the group told the paper. Officials from one ALF in Texas told the paper that if some residents are not accepted into the Medicaid program, they "may have to charge families more or put two patients in one apartment."  FROM: BAL_Weekly

State Nursing Home news
3. Veterans Administration oversight of nursing home lacking

The Department of Veteran Affairs (VA) is coming under increasing government scrutiny for its oversight of nursing homes that house United States veterans. In July, the General Accounting Office (GAO) answered a call from Congress to review the VA's current system of nursing home oversight, which includes annual inspections of the nursing homes it uses. The VA had been considering scaling back its nursing home inspections and relying on state inspection information instead. The GAO report, GAO-01-768, concluded that this was acceptable only if the VA could develop "a structured, comprehensive, and uniformly applied policy for overseeing all community nursing homes under contract to VA." Authors of the report also expressed their skepticism about the quality and consistency of some state inspection data. Heightening Congress' concern was the news of two deaths of residents in the VA nursing home program, which may have resulted from poor care, according to U.S. Newswire. Both residents died from infections they had allegedly developed while living in VA-associated nursing homes. VA officials assured Congress that they were working on implementing the recommendations in the GAO report. To read the full report, go to:
http://www.gao.gov/new.items/d01768.pdf

http://www.gao.gov/cgi-bin/getrpt?gao-01-768

4. CA passes nursing home bill; advocates withdraw support
A nursing home bill (AB 1075) that would "radically change the way California pays for long-term care through Medi-Cal," the state's Medicaid program, and that passed the state Legislature last week, has received criticism from various senior groups and nursing home advocates, the Contra Costa Times reports. The original bill, sponsored by state Assembly Majority Leader Kevin Shelley (D), would have changed the way the state requires nursing homes to account for staff hours and called for a five-to-one patient-to-staff member ratio during the day. But late last week, legislators approved amendments that would require California by Aug. 1, 2004, to "revamp its reimbursement system" by determining an individual rate for each of the state's 1,200 nursing homes. Currently, Medi-Cal reimburses nursing homes an average of $125 per patient per day. The amendments also would put a yet-to-be-determined staff-patient ratio in place by Aug. 1, 2003. Lisa Hubbard, a spokesperson for the Service Employees International Union, the leading proponent of the revised bill, said, "even an unspecific ratio represents an improvement." She added, "We wanted ratios and we got them." But Eric Carlson, a National Senior Citizen Law Center staff attorney, said, "This is not the kind of thing you do with two days left in the Legislature." Pat McGinnes, executive director of California Advocates for Nursing Home Reform, added, "This isn't the bill that we supported. I am concerned very much about the lack of specifics" in the reimbursement provisions. Both McGinnes' group and the law center have withdrawn their support of the bill in letters to Gov. Gray Davis (D). The revised measure now awaits action from Davis, who "has no position on the bill" and has until Oct. 14 to act on it (Peele, Contra Costa Times, 9/18).

Staffing
5. More workers seek training to work in FL nursing homes

Training programs for Certified Nursing Assistants are picking up the pace to answer the state-mandated call for more CNAs in Florida's nursing homes. The need for more CNAs accelerated in May when the Florida Legislature passed a law requiring increased nursing staffing at long-term care facilities. Nursing home administrators say they are unable to meet the new requirements because of a lack of qualified nurses. "We have been absolutely overwhelmed with people calling to get in our classes," said Judy Thom, who heads the Health Industry Services department at Learey Technical Center.

Thom, who said her program is the largest in the state, attributed much of the surge to the new legislation and media reports on the urgent need for CNAs. In response, Learey hired an additional full-time instructor and added an evening class to its schedule. "We're doing all we can here to fill the need," Thom said. To read the full story, go to http://tampabay.bcentral.com/tampabay/stories/2001/09/17/focus2.html

6.  Ohio has new staffing standards
Ohio Gov. Bob Taft (R) on Sept. 5 urged state lawmakers to approve new rules that would boost staffing and care in state nursing homes, the Columbus Dispatch reports. In a letter to state Rep. Jamie Callender (R), chair of the state Joint Committee on Agency Rule Review, Taft asked the panel to pass a proposal that would revise state nursing home rules for the first time in 27 years. Under the proposed rules, nursing homes would have to provide an average of 2.75 hours of "direct care" to patients daily, up from an average of 1.6 hours. State Health Director J. Nick Baird, who has met with eight of the 10 members of the committee to discuss the proposal, said, "his presentation was well-received." However, he said that the nursing home industry has lobbied against the proposal. In his letter, Taft pointed out that nursing homes will receive about $250 million in additional funding through the state budget that took effect July 1, which "will more than cover any costs generated by the proposed changes." About 100,000 Ohio residents reside in 1,030 nursing homes statewide, and about 100 nursing homes in Ohio do not provide 2.75 hours of daily direct care to patients, Baird said (Craig, Columbus Dispatch, 9/6).

The state Joint Committee on Agency Rule Review let stand a state Department of Health rule that would increase daily direct care requirements for nursing homes from 1.6 hours per patient to 2.75 hours per patient (Leonard, Columbus Dispatch, 9/11).

7. Study: 750,000+ more nursing aides will be needed by 2008
The U.S. will need more than 750,000 additional nursing aides and direct care workers by 2008, particularly to provide long-term care, according to a panel of experts that met 9/10/01 at Wake Forest University's School of Medicine. The group concluded that a lack of funding, training and professional respect hinder job growth in a service that only will grow as the Baby Boom generation reaches retirement age. One report noted that in North Carolina, fewer than 300 people are enrolled in the state's community colleges to become certified nurse assistants, but by 2008 the state will need about 31,000 additional nursing aides and direct care workers. The group called for new resources and money to attract, train and retain workers.  FROM: AHA news now.

Abuse/Neglect
8.  Diversified pays $1.2 million for criminal neglect

In a settlement marking the first time a corporation was held responsible for resident abuse, Diversified Health Services agreed to pay $1.2 million to answer criminal charges that it seriously neglected 24 residents. The charges stemmed from complaints at Diversified's Pavilion Health Care Center, a skilled nursing facility in Louisville, KY, reported the Louisville Courier-Journal. The state shut down the facility in 1998 after investigators found evidence of malnutrition, dehydration, severe bedsores, and injuries resulting from a resident's escape from the nursing home. Diversified Health Services also pleaded guilty on one count of Medicaid fraud for billing the agency for services not provided. The case is unusual because the corporation, which has changed hands since the neglect incidents occurred, is being held accountable for poor patient care, instead of its employees. Because investigators found Pavilion to be seriously understaffed, part of the settlement money will go to a state nursing scholarship fund, in hopes of recruiting new nurses into the profession.  FROM:  SNF connection

Assisted Living
9.  Granny Cam records gross indignity

An elderly man who can't talk or get around on his own was restrained on a portable toilet of the Anchorage Pioneers' Home this summer for long enough to violate basic care standards, according to a state complaint.

The man, with advanced Alzheimer's disease, did not report the matter.  Instead, it was captured on a video camera that his family installed in his room. The Pioneers' Home gave permission for the camera, and it's visible to workers. It's the only one state officials know of at any Alaska nursing or assisted-living home. Cameras have been used in the past, including hidden ones installed briefly at the Anchorage Pioneers' Home several years ago by the network news magazine Dateline NBC.

The Anchorage Daily News reports this incident marks the first time that state inspectors used a video to make a case against a home for the elderly in Alaska. It brings Alaska into a growing national movement in which families use cameras to monitor what happens in rooms of residents who are too incapacitated by age or disease to call for help if a worker hurts or neglects them.

10. State regulators meet with AL owners
State regulators are preparing to meet with ALFs to discuss good regulatory approaches to assisted living within their states, Francine Moore, a spokesperson from the Assisted Living Federation of America (ALFA) told BAL Weekly yesterday. ALFA encouraged this action after assisted living regulators from 37 states and ALFs met last week in Chicago to discuss assisted living regulation at the federation's State Policy Summit on Assisted Living. Regulators and providers from across the nation plan to reconvene in March, to put together what they feel are "best regulatory approaches" for assisted living, Moore said. These approaches will be compiled in a report and presented to the Senate Special Committee on Aging at a forum scheduled for next April. Major topics addressed at last week's summit include the following, said Moore:

- Negotiated risk
- Medication management
- Staffing issues
- Move-in and move-out criteria

Attendees also talked about the possibility of "portable funding" in Medicaid, in which funds are attached to an individual. They also discussed the need to cross-train individual employees as the market flattens out. Go to http://www.fpeca.usf.edu to read the presentation on the regulatory climate in assisted living from the summit's keynote speaker, Larry Polivka, PhD, from the Florida Policy Exchange Center on Aging at the University of South Florida. Results of the summit will also be discussed at ALFA's fall conference in Washington, DC in October.  FROM: BAL_Weekly.

Research
11. PA University develops nursebot.

Two years ago, nurse Wendy Fello allowed some robotics experts to follow her through her daily routine in the suburban Pittsburgh nursing home where she works. She visited with patients, filled medicine containers and escorted people to physical therapy appointments. Recently, the experts paid several return trips, bringing with them a 4-foot-tall robot named Pearl.

Pearl, who has silver grab bars in lieu of arms, greeted people and dispensed candy. She entered residents' rooms and told them they should follow her to physical therapy. When they agreed, Pearl's screen and voice said, ''Lets go! Chop chop!'' The ''nursebot'' is a marvel of robotics, and her creators hope she represents the future of nursing.

When fully developed, Pearl and her progeny will be able to assist elderly people in their homes, allowing them to live independently longer before they need the round-the-clock care of a nursing home. Pearl can perform such routine tasks as opening a jar, reminding people to take their medication or calling for help if they fall. Trouble with basic tasks is the main reason elderly people give up independent living. To read the whole story, go to www.boston.com/dailyglobe2/254/science/Introducing_Nursebot_+.shtml

DC Doins'
12. Fewer inspections rejected "out of hand"

As reported by the Associated Press on 9/10, White House officials said yesterday that they had rejected proposals at the Department of Health and Human Services to soften government regulation of certain nursing homes. The idea was to lessen the frequency of inspections of nursing homes that have consistently followed the law while increasing inspections at homes with a history of problems. Inspecting all homes once a year, no matter what their quality, was "nutty," a top HHS official said earlier this year.

Yesterday, White House spokesman Ari Fleischer said the idea had been considered and rejected "out of hand." Fleischer said President Bush planned to outline a nursing-home initiative this fall.   For more information, check out NCCNHR's action alert on its website and the story in the Washington Post http://www.washingtonpost.com/wp-dyn/articles/A58983-2001Sep7.html

13. New CMS regional administrators named
HHS Secretary Tommy Thompson today announced the appointment of Josh Valdez as representative to HHS Region XI, based in San Francisco, effective today. The area includes California, Arizona, Hawaii, Nevada, and the Trust Territory of the Pacific Islands, Guam and American Samoa. Valdez is now the vice president for operations at AltaMed Health Services Corp. and served as a health services administrator for the U.S. Air Force.

HHS Secretary Tommy Thompson on Sept. 6 announced the appointment of Massachusetts GOP Party Chair and state Rep. Brian Cresta (R) as the "secretary's direct representative" for Region 1, which covers Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island and Vermont. Cresta, who will assume responsibility for "guidance and coordination of HHS policies in the region" on Sept. 17, has served in the Massachusetts Legislature since 1994 and is a past ranking member of the Human Services and Elderly Affairs Committee.
___________________________________________________________
This publication of the National Ombudsman Resource Center (NORC), at the National Citizens' Coalition for Nursing Home Reform, updates State and Local LTC Ombudsmen on the latest information, resources, ideas, and practices in the full range of long-term health care.

The Gazette is organized for your easy reading.  Information is grouped by topics (Program Development, Staffing, Olmstead/Care Options, Demographics, Clinical Advancements etc) and numbered.  You can quickly see if any articles are of interest and immediately go to those articles.  

In order to get this info to you ASAP, little to no additional verification work or search of resources.

The information comes from a number of sources including the Washington Post, the New York Times, and two daily listservices. (one from the Kaiser Family Foundation and the American Hospital Association) and other sources happened upon by NORC staff and consultants.  To start a subscription to AHA News Now, send a message from your subscribing e-mail address to listserv@ahals.aha.org and write in the message area: subscribe ahanewsnow.
Please submit suggestions for improvement or information to Hollis Turnham, NORC consultant, at hturnham@aol.com
    

The National Long Term Care Ombudsman Resource Center provides technical assistance and support to state and local long term care ombudsman programs.  This summary was supported, in part, by a grant, No. 90AM2139, from the Administration on Aging, Department of Health and Human Services.  Grantees undertaking projects under government sponsorship are encouraged to express freely their findings and conclusions.  Points of view or opinions do not, therefore, necessarily represent official Administration on Aging policy.
    

For more information contact the National Long Term Care Ombudsman Resource Center, at (202) 332-2275 or ombudcenter@nccnhr.org