Showing posts with label long term care. Show all posts
Showing posts with label long term care. Show all posts

Tuesday, February 12, 2013

Dear Obama, About That LTC Commission....

Left to right is Sue Jamieson, Elaine Wilson, and Lois Curtis

Somebody (won't mention any names, fwit-dee-doody-dooood) just published this over at the Ellijay, Georgia, Topix.com forum. Don't believe the author will mind a little plagiarism so we're going to publish in whole right here. That Topix advocacy continues:

Dear Obama, About That LTC Commission....

There is no DOUBT in your mind you know who-who-who this is. No, I don't expect that you're here reading this in the first of a person.. What I expect.....

Is them Georgia Dems to carry this message straight to your front doorstep sooner rather than later is what I expect.

ABOUT THAT LTCC, LONG TERM CARE COMMISSION....

How 'bout that.. HOW ABOUT THAT?! Filled 12 positions, you allegedly did, and allegedly not one dadgum one of 'em......

Represents the entire of the Disability Community at large.

HOW. ABOUT. THAT.

It is further being highlighted that on the dadburn flip side, all entities with a CORPORATE MONETARY INTEREST in this venture HAVE been obliged THEIR VOICES at same said table. Well, isn't THAT con-veen-yent?!

So..... TO THAT END, here's a little sumpin-sumpin-sumpin for your considerations: MID-TERM ELECTIONS 2014. Catch my drift?*hint-hint* Need I say more?

Last three positions >>>> NCIL. ADAPT.org, disABILITY LINK (Decatur). And don't try scratching your head in refute as to why the third. You are well acquainted with ALL in the first of a person as I have SO enjoyed the photo op pic you published of *Lois* recently. Who else but Olmstead's First Lady AND her extended Atlanta family should be playing at least one of the high profile roles in this particular *LONG TERM* quest, know what I mean?

Thanking you in advance to them Georgia Dems for their assistance in communicating this matter to the powers that be. You all have a good day, now, ya hear.*wink*

*NOTHING ABOUT US WITHOUT US! MID-TERM ELECTIONS 2014!!!*

*wandering off now singing* Give me what you promised to me, give it up, c'mon, GIVE IT HERE!! :))

Wednesday, May 14, 2008

Blogging Against Disabilism :: Still Waiting.. ITMT, Edwards and Obama Schmooze..

Before And After :: About These Images..

Immediately below are two printscreen snippets recently grabbed from the BarackObama.com website while disability self-advocates were asking for inclusion of disabilities under the website's "People" listing.. The lefthand snippet reflects where there was no general disability category under "People".. The righthand snippet was taken last Friday after Seth D. Harris, a member of the BarackObama.com website, shared with us that Disabilities now will indeed receive a demographic representation under the "People" listing.. Yay..!

Printscreen of BarackObama.com People List Showing No Disability Category Printscreen of BarackObama.com People List Showing Americans With Disabilities Added May 9, 2008

Before I get started back up on my soapbox and so as not to seem woefully ungrateful, I would very much like to once again sincerely, publicly thank the Barack Obama campaign people for addressing the concerns of those of us who wrote repeatedly to them and about them having persons with disabilities (PWDs) listed for a long, long time only as "Issues", translation: "Problems", and not as "People".. It was the Number One first thing I know I noticed when initially patronizing their website:

Success was broadcast this past Friday, May 9, 2008, in the form of emailed correspondence from a gentleman named Seth D. Harris and addressed to multiple BarackObama.com disability topicked groups stating that we were indeed now seen also as People First via the new addition of an "Americans With Disabilities" category within the "People" listings on the Obama presidential campaign's official website..

'Tis good the addition of AWDs for, until this very week, "Labor", "Environmentalists", and "Kids" were among all the other demographics and special interests of people visually holding value to the Obama campaign.. Value by association, or the lack thereof, is subliminally perceptual, through the action of addition and/or omissions to such a list.. Highlighting that "minor" detail had been a must-gots-to-do-soon on this kid's upcoming blog agenda as a matter of fact.. :wink, grin:

Now, about all those huge news stories breaking today about Senator John Edwards publicly announcing his political endorsement of Obama as the candidate to beat during the 2008 presidential elections:

All this flagrant media hyped grandstanding conspicuously reaching out to grab the attention of America's perceived "middle class" voters begs me to most respectfully inquire:

Whose hand is slated to be embraced to garner the confidence of the some 50+ million persons with disabilities across these, our United States..?

Embraced so passionately as to garner the confidence of PWDs such that they will never again feel the stigmatic pain of yet again being left out and behind, endlessly segregant even as others rally and celebrate.. in Unity.. just beyond the Disability Community's societal ordained reach..

With untold numbers of persons with disabilities in long term care (LTC) facilities (i.e. nursing homes, rehabilitation centers, hospitals, et al[l]) to date silently left out in the cold with respect to the recent, albeit admirable, Vote For Change nationwide voter registration campaign, some, for lack of a better word this sec, "schmoozing" in their direction is seriously in order..

Too.......

To date, disability self-advocates have had to champion just to be recognized as People First and not purely issues or problems within certain political circles.. Fodder for another day is us having to then face abusive verbal retribution purportedly from fellow PWDs within that same camp for us even daring to negatively engage in such an action..

And now we see this.. Importance reaped once again on the almighty dollar as one representative of the Democratic political party, the party that notoriously appeals to those with threadbare pocketbooks, seeks to ostentatiously rope in the middle class vote.. Doing so presents the appearance of Choice, one of more monies over less, middle class over lower class, since some sizable number of the Disability voter base is living hand to mouth in the true sense of the old adage, if not literally living on the streets because of their Life-induced circumstances..

Yeah, not hard to tell these Fingertips are still a little bent about the Disability Vote not hitting the radar of the Vote For Change nationwide voter registration drive, well, not in my state, anyway.. I was told firsthand that, well, maybe next time, basically.. "Maybe next time" wearies on these Fingertips as still more people jailed away, incarcerated against their Wills in long term care centers across the country have died while we all wait to be included.......

Maybe next time.

The following quote was a huge part of what kills me about the Vote For Change campaign.. The Barack Obama presidential campaign's OWN correspondence regarding building steam for the voter registration drive last weekend boasted:

The goal of this campaign has always been to reach out to people of all races, ages, and backgrounds and bring them back into the political process.

Right now, there are thousands of qualified voters in every state who are not registered to vote -- and they need someone to help make their voices heard.

Yup. Some other time, kid.. Just not now when they're trying to stir up the most interest via their well-publicized Vote for Change voter registration drive kickoff event..

Voter rights for persons with disabilities in long term care centers..? Still not to be even when the push is on so hard to help enable that Right for EVERY single other one else.. The message remains loud and clear that the Disability Voice continues to be viewed as counting naught for squat..

Here's to bumping up each, our own voter registration efforts just to show them the genuine passion behind one of my favorite mantras:

Feel The Power of The Disability Vote..

Cyber hugs from Talking Rock.. :wink:


Acronyms used in this piece.....

  • PWD :: person with a disability
  • AWDs :: Americans With Disabilities
  • AJC :: Atlanta Journal-Constitution
  • LTC :: long term care
  • ITMT :: in the mean time

Thursday, April 24, 2008

HHS/CMS :: Critical New Information On Nursing Home Quality Available..

This press release from the United States Department of Health and Human Services (HHS) just now hit my inbox.. Okay, so actually, the way my Mind works these days, by the time "Publish Post" is toggled, this latest from these fingertips will have been probably two hours in the making..... :grin:

The referenced websites, all from the Centers for Medicare and Medicaid Services (CMS), include:

EXTREMELY IMPORTANT to note is that they reference there are currently 134 long term care facilities that are continuously making it to the CMS' naughty list.. One hundred and thirty-four facilities.. ONE is one too many because each of those 134 facilities represents the very real possibility of reprehensible, wholly preventable Human Life loss..

Should you wish to reach CMS, their contact information is as follows:

  • Department of Health & Human Services
    Centers for Medicare & Medicaid Services
    Room 352-G
    200 Independence Avenue, SW
    Washington, DC 20201
    Telephone: (202) 690-6145

Cyber hugs from Talking Rock..

Critical New Information Added to Nursing Home Compare Web site :: Multi-year Plan for Improved Nursing Home Quality Also Released

Medicaid beneficiaries and families searching for top quality long-term care services can find critical new information added today to the Centers for Medicare & Medicaid Services' (CMS) Web site Nursing Home Compare.

For the first time, information about nursing homes on the Compare Web site will list whether a home is or has been on CMS' special focus facility (SFF) list. The agency's SFF initiative gives heightened scrutiny to nursing homes that have a history of poor performance or repeated violations of state and federal health and safety rules.

"Today's expansion of information on Nursing Home Compare will give beneficiaries a more complete picture of a nursing home's history of providing quality care," CMS Acting Administrator Kerry Weems said.

The SFF initiative was created because a number of facilities were consistently providing poor quality of care, yet were periodically instituting enough improvement that they would pass one survey only to fail the next (for many of the same problems as before). Such facilities with a "yo-yo" compliance history rarely addressed underlying systemic problems that were giving rise to repeated cycles of serious deficiencies.

In November 2007, the agency began publishing a list of Medicare and Medicaid participating nursing homes that have a history of serious quality of care problems and had failed to show significant improvement. In February 2008, CMS took the next step and published an updated, expanded list of nursing homes in the SFF initiative and included the category they fell within such as new additions, not improved, improving, recently graduated or no longer in the Medicare and Medicaid programs.

As of April 2008, there are 134 SFFs, out of about 16,000 active nursing homes. CMS works closely with states to select participants and as homes improve their quality of care and "graduate" from the program, or fail to improve and are terminated from Medicare and Medicaid, new homes are added to the list. This movement of homes off the list allows more facilities with problems to be added as the program continues.

Once a facility is selected as an SFF, the state survey agency conducts twice the number of standard surveys and will apply progressive enforcement until the nursing home either

  • significantly improves and graduates from the SFF initiative
  • is granted additional time due to promising developments
  • is terminated from Medicare and/or Medicaid

CMS and the state can more quickly terminate a facility that is placing residents in immediate jeopardy.

Nursing homes that have the SFF designation, including information about that designation, will now be noted on Nursing Home Compare, which can be accessed at www.medicare.gov. The site helps families find nursing homes in their area. Information about the homes includes performance scores on quality measures, staffing information and a three-year history of the home's health, safety and fire inspection reports. The Web site will be updated with new information quarterly.

"Today's action is the next step in our commitment to bring transparency and accountability to the process families must go through to find the care that is best for them and their family member," Weems said.

Further Actions Planned

The publication of the SFF list was the first major step in CMS' latest efforts to improve nursing home care. A comprehensive, multi-year look at future actions the agency will take was also released today.

The "2008 Action Plan for Further Improvement of Nursing Home Quality" consists of several inter-related and coordinated approaches:

  • Consumer Awareness and Assistance: to include an increasing array of information about long-term care that will be written in an easy-to-understand format and available to the public at www.medicare.gov. Already posted there is the "Guide to Nursing Homes" and the "Compare" data. These tools can be used by Medicare beneficiaries and their family members to better understand the quality and value of Medicare's nursing home benefit.
  • Survey, Standards and Enforcement Improvement: several initiatives are being developed to improve the effectiveness of the annual nursing home surveys as well as those prompted by consumer complaints. The agency also plans to work in partnership with states to improve current enforcement efforts.
  • Quality Improvement: The agency is focusing on several key areas to improve health care quality in nursing homes including a special focus from the quality improvement organization (QIO) program on prevention of bed sores, reduction in the use of physical restraints and greater emphasis on developing individualized care plans to improve a resident's quality of life.
  • Quality Through Partnerships: Through its QIOs, CMS has coordinated an unprecedented, collaborative campaign, "Advancing Excellence in America's Nursing Homes" designed to improve both the delivery and measurement of quality care. Through its work with QIOs, state survey agencies, and the nursing home industry and consumers, CMS is well on track to achieve these goals.

A copy of the full 2008 nursing home action plan can be found at:

Friday, February 8, 2008

I Just Don't Get It :: All The Service Funding Cuts Going On..

Rumors (translation: no associated link of confirmation to share) came my way recently (waves to disABILITY LINK NW) that, here in Georgia, funding is in danger of being stripped away from supporting full community inclusion for PWDs and instead will be poured back in to nursing homes and other similar long term care facilities, i.e. jail and segregation.. With all the forward-thinking universal inclusion strides made through individuals' undaunted advocacy and self-advocacy efforts over the years, can we say, "Bass ackwards or what..??!!"

Another desperate "help stop this funding cut" action alert that just hit my inbox (waves to Glynda and Jeannie over at MHDDAD) comes from Mental Health America.. The Mental health slammed in Bush Budget, help fight back! alert states:

The President's $3.1 trillion proposed budget for FY 2009 abandons the millions of children and adults with mental health needs and others at risk of mental health problems. It slashes Medicaid funding by $18 billion over 5 years, and drastically cuts funding of a wide range of other federal programs critical to people with or at risk of mental health problems.

On behalf of the most vulnerable, we CANNOT let this happen. Raise your voice with others and call on Congress to reject the Administration's budget and adopt a budget that makes children and adults living with, or at risk of, mental health conditions one of the nation's most urgent priorities.

What's getting these fingertips more than just a little bit bent of late are the seemingly gabillions of Marines.com U.S. Marine Corps ads running right now...........

Proudly announcing sponsorship of...........

Totally Life-altering...........

Totally Life-affecting...........

Basketball games.

Am I completely mistaken, or is not the military also funded by federal dollars..??

Perhaps near even wholly supported by the same..??

And, if so, could not those dollars being wantonly spent on frivolous ballgames not be redirected to rescue Life-saving, Life-sustaining, non-segregation-supporting community services constantly in danger of being cut..?

:scratches head and furrows brow:

Guessing that those who hold our Nation's purse strings do so have their priorities, doesn't they.. :wink:

Warm cyber hugs from the Hills of Northwest Georgia..

Tuesday, December 4, 2007

Boston Globe :: AAAAHHH.. *WHAT* (nursing home) list..?

Absolute hit-n-run post this evening.. Caught my eye at the top of my Gmail screen just now.. A news lead that was feeding off of goodness only knows what in my inbox......

From the Boston Globe....

Pressure is on 2 cited nursing homes: US lists facilities for deficient care..
By Alice Dembner, Globe Staff
November 30, 2007

Ok, maybe it's just cognitively I'm definitely not "receiving" information this evening, but I can't for the Life of me see a name for the nursing homes list being referenced.. Even a search of the Centers for Medicare and Medicaid Services' website as they resourced at the bottom of the article isn't right away getting these fingertips anywhere..

Off to give it another shot, then.. I know..! Time for another visit over to Steve Gold's Treasured Nuggets of Information website, SteveGoldADA.com.. :wink:

Cyber hugs..

Thursday, October 25, 2007

Pickens County :: Anyone out there interested in Long Term Care issues..?

Just throwing out a quick feeler here while still reeling from a recent, very energetic conversation about long term care (LTC) in this area..

Long story short, if anyone in this immediate area (such as we all know the concept of "immediate area" applies to counties in Georgia) is interested in becoming involved in long term care, community home-based care services (HBCS), and other similar topics, drop me a quick email with a subject line that can be simply "LTC" if you wish.. As soon as any meetings regarding the same occur, you would then be among the first to know..

With this being a brand new inspiration born from a conversation of two, no idea yet on the what and when a first gathering might entail.. Hearts and minds will always be open to hear all that might not fall into any particular meeting agenda of the moment.. :wink:

Cyber hugs..

PS Whoopsie, almost forgot.. The email address is:

ButterflyBytes@gmail.com..

Sunday, July 8, 2007

Rome, Georgia :: Owner of 2 Nursing Homes suing DHR and CMS over funding loss..

Just found the following story in my ever burgeoning inbox.. In circumstances such as this story involves, resources that immediately come to mind to contact include:

In addition to the above, don't forget about your local disability self-advocacy organizations, too.. Coming immediately to mind are:

Checking out the ADAPT website and/or contacting them directly should provide leads to local ADAPT chapters.. Calling your local CIL or trying some creative keyword combination searches will point you in the direction of your area's nearest People First chapter..

Article :: Owner of two nursing homes filed a federal lawsuit..
By Mike Gellatly, Rome News-Tribune Staff Writer, 2007-07-07
Rome News-Tribune..

Synopsis :: George Houser of Forum Healthcare, owner of two Rome, Georgia, nursing home facilities (Mount Berry and Moran Lake) filed a federal lawsuit against Georgia Department of Human Resources (DHR), Centers for Medicare and Medicaid Services (CMS), and others.. Federal funding supporting skilled nursing services stands to be pulled from these two long term care centers on July 15, 2007.. Based on the article, ceasure of funding appears to be related to (previous) quality of care.. Funding currently being provided is earmarked for the discharge and transfer of affected residents..

Friday, February 9, 2007

SteveGoldADA: MFP Rebalancing Benchmarks & 50-50 or Bust..

Hopefully speaking for themselves.. Once again, Steve's is one of the lists that, if you only wish to receive a few advocacy-based emails, this would be a nice addition..

Money Follows the Person "Rebalancing Benchmarks" - Information Bulletin #193.

Two weeks ago, CMS sent out "Money Follows the Person Rebalancing Demonstration Request for Additional Information" letters to 21 states. These are the 21 States that were not awarded "first round" MFP grants of more than $800 million, but are eligible for a "second round" grant. These 21 states have only until February 20 to respond to the CMS questions and concerns.

Whether your State will receive a MFP grant in the "second round" ($700 million remains) depends on how your State responds to CMS' questions and concerns. Based on the CMS letters we have seen, CMS appears serious about requiring "Rebalancing Benchmarks," i.e., how will your State decrease the ratio of institutional to community expenditures? What will your State, in order to receive the enhanced federal match, do to demonstrate its seriousness on the home and community based side of the scale?

CMS suggests one "measurable benchmark" which we think is critical and will demonstrate if your State is really serious about "rebalancing" its Medicaid long term care expenditures. Namely, CMS suggests "A percentage increase in Home and Community Based services versus institutional long-term care expenditures under Medicaid for each year of the demonstration program." CMS is right on the mark!

For the past several springs we have provided by State a comparison of the Medicaid expenditures for institutional versus community-based services. Nationally in FY 2005, for persons who receive "A/D" services, i.e., older Americans and disabled persons, nearly 73% of the funds went to the institutions and 27% went to community-based services.

A true rebalancing benchmark would reduce those ratios so that each year, as one example, the percentages for institutional care would be reduced by 5% and the community-based services expenditures would be increased by 5%. By the end of the five year grant, we would see a true "rebalancing." The same principle applies for MR/DD services.

Congress understood that the primary purpose of MFP was to "rebalance" Medicaid's expenditures from the institution to the community.

Why would a State not want to rebalance and to establish such benchmarks in return for an increase in federal money? How could CMS ever approve an State's proposal that did not establish such benchmarks?

Disability Advocates:

  1. Do you know if your State was one of the 21 that received a request for additional information?
  2. If it was, has your State Medicaid agency shown you the CMS letter?
  3. Are you meeting with your State to discuss these benchmarks and the rebalancing?

50 - 50 or Bust! Money Follows the Person - Information Bulletin # 193A.

A number of folks responded to the "Money Follows the Person "Rebalancing Benchmarks'" Information Bulletin that was issued a few days ago. I suggested that "A true rebalancing benchmark would reduce those ratios [of Medicaid expenditures for the Aged/Disabled] so that each year, as one example, the percentages for institutional care would be reduced by 5% and the community-based services expenditures would be increased by 5%. By the end of the five year grant, we would see a true 'rebalancing.' The same principle applies for MR/DD services."

People were quite upset with only a 5 % rebalancing per year. I was reminded that at least five states (Oregon, Alaska, New Mexico, Washington, and California) were already at the 50% -50% institutional versus community Medicaid expenditures for "Aged/Disabled" long-term care services.

So we were challenged. Why not 50% -50% in "Aged/Disabled" MA expenditures by 2010 for every state?

Outrageous? The Human Services Transition Team for Massachusetts new Governor has proposed a 50/50 balance by 2010. In FY 2005 (the last year for which we have data), Massachusetts spent 77% on institutional Aged/Disabled and 23% for community-based services. Massachusetts' 2010 goal reflects a meaningful rebalancing.

Here are the States, starting with the most Unbalanced (again FY 2005). We provide the % going to institutional for Aged/Disabled. (This data is from the CMS 64, Office of State Agency Financial Management, as collected and published by Medstat on July 7, 2006.)

These States have a VERY LONG WAY TO GO! It's not too late.

Institutional for Aged/Disabled; % of total long term care expenditures:

  • Tennessee 98.9%, the most unbalanced.
  • Mississippi 96.7%
  • North Dakota 95.0%
  • Indiana 92.3%
  • Pennsylvania 90.5%
  • Utah 90.3%
  • South Dakota 89.7%
  • New Hamp. 89.5%
  • Rhode Is. 89.1%
  • Alabama 88.4%
  • Delaware 87.9%
  • Florida 87.9%
  • Georgia 87.6%
  • Louisiana 84.7%
  • Michigan 84.7%
  • Hawaii 82.7%
  • Maryland 82.6%
  • Kentucky 82.2%
  • S. Carolina 81.9%
  • Wash., DC 81.9%
  • Ohio 81.6%
  • Nebraska 80.6%
  • Wyoming 80.0%
  • Illinois 79.1%
  • Virginia 78.9%
  • New Jersey 78.8%
  • Iowa 78.7%
  • Conn. 78.5%
  • Mass 77.0%
  • Maine 76.9%
  • W. Virginia 76.7%
  • Oklahoma 76.2%
  • Colorado 75.0%
  • Arkansas 74.0%
  • Nevada 72.5%
  • Wisconsin 72.0%
  • Missouri 71.7%
  • Montana 71.3%

What are the Aged/Disabled advocates doing in these States to achieve a 50/50 balance?

Resource: www.SteveGoldADA.com. To subscribe to Steve's list, address a brand new email to majordomo@stevegoldada.com. In the body ONLY place the following:

subscribe stevegoldada