Reha bilitation INSIDE: Dr. Jason Miller Oaklawn Health and Rehabilitation Center

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1 Spring/Summer 2011 Volume 14, Issue 1 Reha bilitation INSIDE: One LTC Facility Riding Rehabilitation Wave to Success Measuring the Effectiveness of Rehabilitation Departments Focus on Therapy: Post Acute Care SPOTLIGHT ON Dr. Jason Miller Oaklawn Health and Rehabilitation Center

2 Daily Delivery of Practical and Innovative Solutions At Omnicare, daily delivery encompasses more than medication. Our Long Term Care Group applies customer-based insights to bring together comprehensive solutions that meet your needs. Put our portfolio of services to work for you and get more out of your day, every day OMNI omnicare.com 2011 Omnicare

3 CareLink is published biannually for the Kentucky Association of Health Care Facilities 9403 Mill Brook Road Louisville, KY Phone: (502) Fax: (502) Published by: Naylor, LLC 5950 NW 1st Place Gainesville, FL Phone: (800) Fax: (352) Publisher: Kathleen Gardner Editor: Shani Lyon Project Manager: Rick Jablonski Advertising Director: Scott Pauquette Marketing: Amanda Nicklaus Sales Representatives: Ashley Trudell, Chris Vermeulen, Heather Locke, Jamie Williams, Janet Frank, Jim Longwell, Kathryn Hillgardner, Laura Heffter, Lou Brandow, Michael Williams Layout & Design: Naylor, LLC Advertising Art: Christina O Connor 2011 Naylor, LLC. All rights reserved. The contents of this publication may not be reproduced by any means, in whole or in part, without the prior written consent of the publisher. Departments 6 Chair s Message Expect Positive Changes to Continue By Greg Wells 7 President s Message Long Term Care Facilities Upping Options for Short Term Rehab By Ruby Jo Lubarsky 17 Marketplace 21 Education Calendar 21 New Members 22 Index to Advertisers/Advertisers.com Features Spring/Summer One Long Term Care Facility Riding Rehabilitation Wave to Success Oaklawn Health and Rehabilitation Center By Steve McClain 9 Only Natural that Doctor Specialized in Rehabilitation Field Dr. Jason Miller By Steve McClain 11 Measuring the Effectiveness of Rehabilitation Departments Within Skilled Nursing Facilities: Working to Achieve Safety Outcomes for Patients and Decreasing Readmissions By Randy Bartosh, OT, Research & Development, PBHS; Leigh Ann Frick, PT, VP Clinical Services, Heritage Healthcare; Al Eads, EVP, Heritage Healthcare 15 Focus On Therapy: Post Acute Care By Amanda Green, Healthcare Therapy Services PUBLISHED APRIL 2011/KAH-B0111/5075 3

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6 Chair s Message Expect Positive Changes to Continue By Greg Wells Board Chair One of the best kept secrets in long term care today is our therapy departments and our teams of specialists that are made up of highly trained Physical, Occupational and Speech Therapists. In the past, when the consumer has considered Long Term Care services, we have often been viewed as the last step in the continuum of care. Today that has changed and changed dramatically. There are so many skilled services we as long term care providers do well every day, providing quality therapy services to restore the strength and skills necessary for many of our residents to return home is yet another. Our therapy specialist teams not only focus on how to improve and care for our long term residents, but they also help many of our short-term residents gain strength and motor skills. Their work helps many of these residents return to their homes after surgery or a stroke and the active lifestyle they enjoyed prior to hospitalization. As long term care providers, we need to share the positive rehabilitation experiences and outcomes with our medical communities, referral sources and our consumers. I would like to encourage all our long term care providers to share your rehab to home experiences and to promote your rehabilitation specialists within your local communities. Share your positive outcomes and the successes you have experienced utilizing your residents who have rehabbed to home, many of whom would love to share their success stories. We as providers have to take the initiative and let others know the quality of services we provide to the people in our communities. Rehabilitative services and returning our residents back to their homes is just another example of the valuable service we as providers offer every day. Numerous changes continue to occur in long term care, positive changes in the delivery of our services that include individual choices and a culture change that is not only a focus by our member facilities, but an expectation by those we serve. This is the message we as providers must continue to share and promote within our communities and with our consumers that will enhance the positive image of long term care services. And that is a message well worth sharing. As I am finishing this article, I am finding it hard to believe that my term as your chairman is quickly coming to a close. Serving as the chair has been an honor for me but more than anything it has been a positive learning experience and I am grateful for the opportunity to have been given the time to work with our membership, the Board of Directors, the Executive Committee, the Association staff and specifically with our president, Ruby Jo Lubarsky. The past two years have certainly been interesting. Trying to balance the time between my real job and the duties of the chair has presented a challenge at times, but as members of this great Association already know, we are truly blessed to have such an experienced and dedicated staff to provide the necessary support and direction to guide and assist us in meeting the challenges of this industry. In looking back, I do not feel my term as chair has differed all that much from previous terms. Our goals and challenges remain the same. We as industry leaders continue to focus on educating our public officials, our consumers, as well as our legislators, on the value of and the contribution of the long term care industry in the continuum of care, all the while trying to assure we receive the funding necessary to provide quality services and care in one of the nation s most highly regulated industries. Our commitment and delivery of quality care and customer service can only be continued with appropriate reimbursement to pay for those services. I sincerely appreciate and thank the membership of this Association for allowing me to serve as your chairman. It has been my privilege and honor to represent you in this capacity. I do look forward to my continued involvement with our new chair and the incoming Board of Directors as we continue to move this great industry and the profession we love forward. 6

7 President s Message Long Term Care Facilities Upping Options for Short Term Rehab By Ruby Jo Lubarsky KAHCF President In years past, would you have thought about going to a long term care facility to rehabilitate after having a knee or hip replaced? Today, thanks to the forward thinking of long term care and rehabilitation providers, many people choose long term care to rehab after surgery or recover from a stroke so they can soon return home and resume their lives. Long term care providers are taking a lead role in reshaping the image of long term care in their communities. For example, a resident has her hip replaced, but needs a place to rehabilitate and heal so she can resume her normal activities at home. So she decides to stay at a community long term care facility providing shortterm rehabilitation services. She is wellcared for, rehabs her hip and works on normal, everyday activities such as folding laundry and cooking. Soon, she is cleared to go home and then she goes back into the community her church, her volunteer group, her reading group and tells everyone about her experience at the nursing home. If it is a positive experience, others will be less hesitant about staying at the local long term care facility to recover from surgery or a stroke. These kinds of stories are already occurring. Just go into a facility that offers short term rehabilitation services, and chances are you will find people there for rehabilitation who have said, I would never go into a nursing home. Yet there they are and the whole experience has changed their impression of long term care and that is the message they will take to others. Granted, it does take a different mindset by administrators and providers. People who are in the facility for rehabilitation services likely have little interest in the activities that are geared for those residents who are there for the longer term. Some administrators who have taken on more rehabilitation patients have said those patients want just a few things: their rehab times, meals, Internet service and TV. Otherwise, let them concentrate on healing and returning home. It is a different philosophy and an opportunity for us as providers to build a winning image of long term care. So on behalf of the Association, I would like to recognize and thank our rehabilitation services vendors who serve Kentucky: Aegis Therapies Enduracare Therapy Management Evergreen Rehabilitation Functional Pathways Healthcare Therapy Services, Inc. HealthPRO Rehabilitation Heritage Healthcare, Inc. Paragon Rehabilitation Services Peoplefirst Rehabilitation RehabCare These providers, along with others, and the staffs in our long term care facilities, are taking major strides in reshaping the image of long term care in Kentucky. These are necessary strides in making the public understand how long term care is changing. And it is an image we all embrace. A Special Thank You to the Sponsors of the 2010 KAHCF Annual Meeting and Trade Show American HealthTech Arison Insurance Services BKD National Health Care Group The Care Group Citizens Security Life Insurance Co. Cleaning Service Providers Cull & Hayden, P.S.C. Deming, Malone, Livesay & Ostroff, CPAs Ecolab, Inc. Gordon Food Service Hall, Render, Killian, Heath & Lyman, P.S.C. Hargis and Associates Healthcare Services Group Healthcare Therapy Services Heritage Healthcare, Inc. HPSI Purchasing Services Logan s Healthcare Linen Systems McKesson Medical-Surgical Med Care Pharmacy Medline Industries, Inc. 7 Mountjoy Chilton Medley NAPA HealthCare Connection, LLC Neace Lukens Insurance Omnicare Pharmacies of Kentucky PCA Pharmacy Polarity Human Relationships, LLC Premier Medical Partner Professional Medical, Inc. Quality Provider Services Rural/Metro Ambulance Wells Fargo Insurance Services

8 One Long Term Care Facility Riding Rehabilitation Wave to Success By Steve McClain Six years ago, Oaklawn Health and Rehabilitation Center opened its doors with private rooms and the usual nerves of how to fill the beds. Turns out, the facility located off US 60 between Louisville and Shelbyville hasn t had a problem filling those beds thanks to focusing on rehabilitation services. That emphasis reflects a growing trend across Kentucky and the nation as long term care facilities often serve as sites for short term rehabilitation. We opened with private rooms, and at the same time, the Centers for Medicare and Medicaid Services (CMS) changed the rules on reimbursement for acute care rehab centers. Consequently people started coming into sub-acute centers like Oaklawn for their rehab, said Burke Stephens, Oaklawn s administrator. With our emphasis on customer service, things just kind of grew from there. The decision to hire Dr. Jason Miller, a physiatrist (loosely defined as a bone, muscle and nerve specialist see page 9), to focus on physical medicine and rehabilitation also paid dividends as patients stays shortened. Oaklawn s Dr. Jason Miller 8

9 By having our own rehab doctor we have been able to zone in on the more specific needs of the short-stay, rehab patient, getting them home sooner and stronger. Burke Stephens, Oaklawn Administrator By having our own rehab doctor we have been able to zone in on the more specific needs of the shortstay, rehab patient, getting them home sooner and stronger. While our length of stay has shortened considerably, the demand for our services has only increased. We typically have admissions a month, Stephens said. Setting Up and Thriving Those CMS changes that dictated how a person could qualify for an acute rehab stay forced the profession s hand in changing. For example, someone undergoing a single joint replacement would not qualify for acute rehab unless they had other issues, such as a stroke while on the table, or other complicating factors, Dr. Miller said. Medicare said those patients healing from fractures and hip replacements, either go home or to sub-acute rehab. So they started coming to us whereas five years ago, they would have gone to acute rehabilitation. And that is when long term care started doing more rehab service because there was a new market. Dr. Miller s background was in acute rehab, and when he was approached about joining Oaklawn, he wasn t sure about making the move until he took a serious look at the recent trends. The goal in acute rehab is to get people home as soon and as safely as possible and performing at a highfunctioning level. So my first reaction to coming here was, I m not a nursing home doctor, Miller said. When I first came and looked at the length of stay, I knew that was the first area we were going to change. For example, in acute rehabilitation and before CMS redefined who could go to acute rehabilitation, a total knee replacement required 5-7 days. Miller brought that same idea to the subacute setting. The average length of stay for most orthopedic rehab patients needs to be in that 7-10 day period, if everything goes well and there are no medical complications. Certainly we re not going to jeopardize the medical side 9 of things, he said. I knew we could get them to where they needed to be in that week-to-10-day span and they could go home. Staff had to adapt as well to make Dr. Miller s vision for Oaklawn Rehab work. While speaking of some of the challenges Stephens said, You have to fit the square peg in the round hole, and do sub-acute care in the framework of the long term care regulations. We do a lot of assessment and paperwork on the front end. Subacute has further changed us as we moved to a more clinical focus, with more licensed staff than a typical facility of this size. In addition, we do a great deal of training for all staff. All our staff has to multi-task because of how fast the patients come and go. And fortunately we have great staff. Only Natural that Doctor Specialized in Rehabilitation Field It should not be a surprise to those who know Dr. Jason Miller that his medical specialty would be connected to rehabilitation, and in his case, physiatry. What exactly is a physiatrist? According to the American Academy of Physical Medicine and Rehabilitation, physiatrists, also known as rehabilitation physicians, is a medical doctor who is a nerve, muscle, bone and brain expert who diagnose and treat injuries or illnesses that affect mobility, as well as activities of daily living such as bathing, toileting, and dressing. Born prematurely and with cerebral palsy, Miller says he is very blessed his only real ailment is a characteristic limp. I ve always been able to mentally and physically do what I wanted to, but I did have a number of surgeries as a child, said Miller, who now is the in-house Physical Medicine and Rehabilitation specialist at Oaklawn Health and Rehabilitation Center in Louisville. I had two orthopedic surgeons as my family doctors, so from the time I was five, I wanted to be a doctor like those guys. But as he went through medical school, Miller began to realize something. I liked to talk too much, and see my patients progress over time. I didn t like the idea of seeing them once, operating on them, and having limited contact with them thereafter, Miller said. So in his third year of medical school, he searched out a new specialty. He found a book on medical specialties and discovered physiatry. He went to Frazier Rehab Institute and shadowed the doctors as they worked. The decision to be a physiatrist was a natural choice, because I understood and empathized with the patients, and I knew I could make a difference, Miller said. You may be working with patients who have had strokes, trauma, amputation, or an orthopedic procedure, he said. You can t get bored in this field.

10 The census at Oaklawn typically runs about sub-acute rehab patients. The staff also take care of about long term care residents. The LTC residents are on one side of the facility, and nurses who are more tuned-in to those residents needs are assigned there. But we train all our nurses equally in long term care and rehab because we never know when we have to pull one from one side to the other, Stephens said. And added Miller, Our nurses have had to adapt and grow as we grew. They have become highly skilled in rehabilitation which ultimately benefits all our residents. Our true, short-term rehab patients get therapy seven days Our nurses have had to adapt and grow as we grew. They have become highly skilled in rehabilitation which ultimately benefits all our residents. Let our expertise guide you through all the new Medicare rules and regulations. The new Medicare rules and regulations are complicated. That s why we made a point to familiarize ourselves with each and every one of them. We stay up-to-date and can help your facility maneuver through the changes. Since 1999 we have been independently owned and develop partner relationships that focus on the needs of your facility and residents. To learn more about how our rehab services can help your facility, visit us online at or call Dr. Jason Miller a week because most are very motivated to get better and go home, Miller said. They don t want to sit here on Saturday and Sunday not doing anything. Their mindset is if I don t have anything to do on Saturday and Sunday I might as well go home. I think that is one reason our length of stay has shortened, because we do offer more therapy on a regular basis regardless of holidays or weekends. A Continuing Trend Stephens believes more facilities will continue to find ways to provide short-term rehabilitation services. We have an aging society, she said. Many years ago, if your knee or hip wore out, you were in a wheelchair. Now you get a new one. And word travels fast about a facility s rehab services. I m always finding people saying My neighbor went there, or someone from church was at Oaklawn, Stephens said. Miller also believes rehabilitation in a long term care setting is a trend worth looking at. When we look at our referring physicians and talk with them about the goals they have for their patients, it is very gratifying to know we can meet and exceed those expectations. he said. It is the greatest compliment to know physicians and surgeons trust their patients to our care. 10

11 Measuring the Effectiveness of Rehabilitation Departments Within Skilled Nursing Facilities Working to achieve safety outcomes for patients and decreasing readmissions By Randy Bartosh, OT, Research & Development, PBHS Leigh Ann Frick, PT, VP Clinical Services, Heritage Healthcare Al Eads, EVP, Heritage Healthcare With the challenges facing the healthcare system changes in patient demographics, the increasing number of chronic illnesses, changes in reimbursement structures and limited healthcare resources; a new rehabilitative approach must be established. It is an approach with a clear orientation to achieving meaningful outcomes for the geriatric population and that produces outcomes that patients and the healthcare system can experience, care about and must achieve. The approach must define, organize and measure the clinical outcomes of therapy interventions for the geriatric patients, family members, care providers, reimbursement sources and therapists. A key component of this new approach must be an attainment of safety for the patient. It is assumed therapists working in in-patient care settings assess, predict or affect a patient s ability to live safely in the community upon discharge. Studies, however, have not established the validity of clinic functional assessments to home or community settings or the effectiveness of current treatment programs in helping the patient actually avoid unsafe occurrences upon discharge (Goldstein, McCue, & Nussbaum, 1994). 11

12 Dressman Benzinger LaVelle psc Previous research with 47 facilities and 536 therapists (Bartosh, 2006) has shown that no skilled rehabilitation departments had taught or could identify a standardized approach to legitimately address the necessary set of safety risks as part of their treatment planning. Teaming Up For The Health Of Our Clients Business Since our health care clients often need assistance with general business and other areas of law, attorneys in the Health Care group collaborate with the firm s Business Organizations & Taxation, Civil Litigation, Computer & Information Technology, Employment & Labor, Real Estate, and Estate Planning practice groups to provide comprehensive, cohesive service to the client. Applying the teamwork of DBL attorneys, we are able to assist health care clients with: Business organization Taxation Real Estate Employment Estate planning Civil litigation Administrative law Third-party reimbursement (Medicare and Medicaid, as well as private payors) Hospital financing (including tax-exempt bond financing) Matt Klein Dressman Benzinger LaVelle psc 207 Thomas More Parkway Crestview Hills, Kentucky (859) mklein@dbllaw.com This is an Advertisement Using research conducted by Performance Based Healthcare Solutions (PBHS) in Houston, Heritage Healthcare developed a clinical model measuring how a person s overall safety depends on their ability to avoid unsafe occurrences. The IDEAL Clinical Model (Independence Determined by Environment and Active Living) is tied directly to the number and interaction of safety risks found in the patient, the tasks they perform, and the environment in which they perform the task (PBHS, 2005). As part of this research, it was understood that an important distinction be drawn between measuring specific task abilities (traditional model) and judging a person s overall safety. Safety risks are defined as any of the 140 individual s capacities, skills, behaviors, environmental characteristics and tasks that increase the probability that unintentional injury will occur (PBHS, 2006). Therapists play an important role in identifying and facilitating the adaptations necessary to match a patient s capabilities for optimal safe functioning in his or her home and community environments (Letts &Marshall, 1995). Safety can be viewed from this standpoint as the patient s ability to perform tasks free from unsafe practices that can lead to personal injury. Safety can be viewed as a patient s ability to perform tasks free from the complications or task breakdown that suggests potential inability to meet basic needs related to food, clothing, shelter and personal health (Allen, 1992). Although the patient s 12

13 actions in and of themselves do not constitute a direct safety risk, the absence of problem recognition and solving would suggest that the patient is unable to complete or problem solve successfully tasks necessary to maintain health and safety alone at home. Implicit within this understanding of safety is the notion that an effective treatment plan recognizes actual safety risks and employs strategies for reducing risks in spite of existing motor, sensory, cognitive or perceptual impairments. A facility s effective treatment planning of safety for a patient returning home would then need to look at multiple aspects of a patient s ability and interaction with the tasks and environment they need to perform them. Overall effectiveness would be judged by the ability of the treatment team in reducing these safety risks prior to discharge. The performance components to be addressed would include items such as the patient s ability to notice and respond appropriately to relevant environmental cues, accommodate his or her task performance, adjust the environment when performance problems cannot be resolved and benefit from training feedback to prevent future unsafe occurrences from occurring. Previous research has shown that an individual risk in the category of the patient, the task or the environment is sufficient to cause unsafe occurrences. However, the probability for unsafe occurrence increases significantly when domains overlap with safety risks. Previous research with 47 facilities and 536 therapists (Bartosh, 2006) has shown that no skilled rehabilitation departments had taught or could identify a standardized approach to legitimately address the necessary set of safety risks as part of their treatment planning. The minority of facilities that reportedly addressed safety used only non-standardized assessments and protocols that focused on a few perceived environmental characteristics of a 13

14 REM CORPORATE OFFICE: P.O. BOX 455 VERSAILLES, KY FAX LOUISVILLE REGIONAL OFFICE: LOUISVILLE, KY KNOXVILLE REGIONAL OFFICE: KNOXVILLE, TN NASHVILLE REGIONAL OFFICE: NASHVILLE, TN A LEADING MANUFACTURER OF FINE INSTITUTIONAL LAUNDRY COMPANY, INC. Serving All Your Laundry Equipment Needs For Over 30 Years UniWash 60 Unimac Dryer patient s home related to fall prevention, or they gave generalized scores based on task performance while in therapy. Heritage s Ideal (Independence Determined by Environment and Active Living) Model SAFEST (Safety Assessment for Ensuring Safe Tasks): The tool is a standardized assessment that defines safety in terms of specific safety risks found in the patient, the tasks and the environment. The tool consists of 140 safety risks in three categories and 22 subcategories. The SAFEST tool was developed over a seven year period from researching the risks causing admission of 987 geriatric patients to acute care hospitals. The SAFEST scores were taken upon admission to the facility and again upon discharge to home. The evaluation scores were compared with previous baseline data taken from 27 facilities using the traditional rehabilitation model. Results Results from previous studies found that no facilities measured the safety of their patients upon admit or prior to discharge in any formal or standardized manner. Safety was measured informally only 14 percent of the time. For facilities with a safety assessment of any kind performed prior to discharge, minimal positive relationships for specific task safety ability between facility and home were found, and moderate positive relationships between general assessments were found. When SAFEST scoring data was taken on patients for all studies (781 patients), the average number of safety risks found were 62. Within traditional rehabilitation departments the average number of safety risks resolved prior to discharge was 16 percent. This study also showed that a facility trained under an organized safety model (SAFEST ) was able to resolve nearly six times as many patient safety risks prior to discharge from the facility. This resulted in a subsequent decrease in readmission rate of 38 percent for those patients whose safety risks were significantly reduced prior to discharge. EQUIPMENT FOR OVER 50 YEARS REM info@remlaundry.com website: REM COMPANY INC. LAUNDRY EQUIPMENT SYSTEMS Sales Parts Service 330 FREDERICA STREET OWENSBORO, KENTUCKY PHONE Jeffrey W. Danhauer RPh Pharmacist/Owner Stewart West Court 15th Res. (270) Fax (270)

15 Focus On Therapy: POST ACUTE CARE By Amanda Green Healthcare Therapy Services Short-term Rehabilitation, Rehab to Home, Transitional Care, Short-Stay, Extended Care, Post Acute Care whichever one decides to call it in their organization, it is an important business decision that is reshaping the face of long term care. Brief Overview of Post Acute Care Post Acute is a skilled stay following a qualifying 3-day inpatient hospitalization from post-surgical recovery, injury or illness. The post acute discharge is not only financially strengthening to an organization, but also benefits the building s market position and ultimately the patient experience. Why Should You Focus Your Building Toward Post Acute Care? 1. The technological advancements of orthopaedic procedures have reduced the recovery time for patients. For example, a knee replacement in 1992 equated to 6 inpatient hospital days. In 2011, the inpatient stay is around 2-3 days on average. 2. Hospitals are overcrowded. They depend on LTC s that are focused on post acute care to continue care similar to the ARU (Acute Rehab Units) and IRF (Inpatient Rehab Facilities). One could say that post acute centers are the new and less expensive inpatient rehab facilities for aging adults who are not appropriate for an ARU/IRF setting. 3. Post Acute care has greatly reduced hospital readmissions and bridges the gap of the recovery between the hospital and the home. 4. Commercial insurances recognize the cost effectiveness of post acute care. Within the past 6 years they have started to increase their referrals of younger adults ages 30+ into this setting. 5. Post Acute Care centers have reshaped the face of long term care by showing consumers that there is still a lot of living going on behind the walls of a long term care facility. Different Faces of Post Acute Care Nazareth Home expanded its business model to create a designated short-stay recovery center in Mary Haynes and her staff strategically designed their Recovery to Home program to anticipate and accommodate the unique needs and wants of their current market and future baby boomers. Already committed to person directed care, we found the creation of our short stay program to be surprisingly energizing for all of our programs. Its growth has been a catalyst for change by causing us to examine all of our programs and relationships to find the most userfriendly and consumer-oriented models of relationships and care. We have also grown in our science of assessment and have become engaged in community partnerships because of our commitment to the Recovery to Home program. We strive to have Nazareth Home be a great community to live, work and learn. Our Recovery to Home program has given us a diversity of experience and learning that has made our community stronger. Mary Haynes, CEO/Administrator Patients and families can enjoy cozy private rehab suites, flat screen TV, free Wi-Fi and private and in-room dining options. Nazareth Home expanded to provide a second rehab gym and an additional Recovery to Home therapy team designated for this specific clientele. The second therapy gym is located 15

16 in the Recovery to Home center and has specialized equipment to treat more acute orthopaedic, post-cardiac and neurological conditions. Nazareth Home s clinical staff received specialized training and the entire recovery care team works as a synergistic unit to help each individual achieve their recovery goals. Recovery to Home at Nazareth Home is a whole different mindset. From the beginning, we look at the whole person (physical, emotional & spiritual) and what they have to accomplish in order to get back to life as they knew it. There is a cohesive mission from nursing and therapy to work together to achieve this goal. Cindy Linton, Rehab Manager Hillcrest Nursing & Rehabilitation Center At Hillcrest, the entire building has been a dapted for short-term rehabilitation. The facility is focused on providing care for persons of all rehab levels. What makes Hillcrest unique is its all hands on deck approach. At Hillcrest, care plans are completed within hours of admission so that discharge planning starts from day one and the goals set forth are clearly communicated every step of the way. We work together to proactively approach barriers such as balance deficits that would limit a person s ability to return home. Working together, we are on the same page as far as getting each person home as quickly as possible. Wayne Thompson, Rehab Manager. North Hardin Health & Rehabilitation Center Although North Hardin Health and Rehabilitation Center has not declared an official short-term rehab or rehab to home unit they are expanding their therapy gym to accommodate the increasing demand for short stay return to home patients. Upon admission, patients and/or their families meet with the interdisciplinary team to create a plan that meets their goals and expectations. Interdisciplinary teams meet daily to review patient progress and update the plan of care as changes in psychosocial or clinical needs are identified. Today s short term rehab patient s needs, wants and expectations serve to reiterate the importance of a truly individualized patient centered approach to care. North Hardin Health and Rehab believes that communication and customer service are vital to create the optimum rehab experience and facilitate a smooth transition back home and to the community. Submitted by Kara Meredith, Administrator. 16 Post Acute Care is a Mindset Almost every organization has great rehab success stories. HTS has assisted in opening 26 post-acute care centers of all types for our clients. Whether or not your organization can remodel to all private rooms and flat screens, the patient EXPERIENCE is the most important aspect of post acute care. The clinical and customer service demands for post acute are slightly different. Therefore, it is necessary to provide clinical and customer service training to your marketing and clinical staff to accommodate the post acute patient. How is the experience pre-admission, during transition and their first night in your building? Do you have a care navigator to assist them through this process? Have we put a post acute patient in a room next to someone who is a long term resident? If so, will this negatively affect their attitude toward their own goal achievement? Are you catering towards the adult children? How quickly are you doing care plans and communicating with physicians? Most importantly, how do you add this mindset without taking away from your existing facility-and in turn, enhance your mission to provide post acute care to your community?

17 FACILITY MARKETPLACE helping people live better Colonial Manor Care and Rehabilitation Center Bowling Green (270) Magnolia Village Care and Rehabilitation Center Bowling Green (270) Edmonson Care and Rehabilitation Center Brownsville (270) Hopkins Care and Rehabilitation Center Woodburn (270) can YOU GO HOME AGAIN As you recover from illness or a procedure, we know that you re eager to return home. That s why at SunBridge we focus on helping you get there quickly and safely. Our interdisciplinary team is here to help. You can go home again and we ll help you get there. Affiliated centers of SunBridge Healthcare 17

18 FACILITY MARKETPLACE There s no better place to get better. At Sam Swope Care Center, we ease the transition from hospital to home, providing patients with a comfortable setting to recover from illness, injury or surgery. North Central District Home Health Agency Neighbors Caring for Neighbors Individual rehabilitation plans Postoperative and trauma care Physical, occupational and speech therapies Deluxe accommodations Skilled Nursing Clinical Therapies Physical Occupational Speech Social Work Home Health Aides Michelle P. Waiver Program EPSDT Program Home- & Community-Based Waiver Program Call for more information (502) Main St. Shelbyville or MASONIC HOME OF LOUISVILLE 3701 FRANKFORT AVENUE (502) (866) Masonic Home of Louisville does not discriminate against any applicant based on race, creed, national origin, sex, disability or affiliation. Serving Shelby, Henry, Oldham and Trimble counties We can be reached 24/7/365 We accept Medicare, Medicaid and most insurances Pioneer Trace Nursing & Rehabilitation Center At Pioneer Trace Nursing and Rehabilitation Center we pride ourselves on putting the needs of our patients above all else. Our spectacular nursing and rehabilitation staff, dietary specialists, and activities personnel focus on the needs of the individual. Our top notch maintenance, house keeping and laundry services focus on the day to day needs for our patients. Pioneer Trace Nursing and Rehabilitation Center is truly a place of healing and renewal. 115 Pioneer Trace, Flemingsburg Kentucky, Do you have a medicare replacement policy such as Humana, Anthem, Aetna, or another company? Many will pay 100% for 2-4 weeks with no hospital stay required! DON T WAIT TOO LATE! It has been proven many times that if you will allow us to formulate a plan for you in the early stages of a decline, we WILL get you home stronger and faster! Please call Rebecca Kinslow today for more information at Princeton Health & Rehab Center 1333 West Main Street, Princeton, KY A DEFICIENCY FREE FACILITY 18

19 FACILITY MARKETPLACE YOU can GO HOME AGAIN. Going to a skilled nursing center after a serious illness or procedure can be overwhelming. That s why at SunBridge, our friendly, caring therapists and nurses focus on providing quality healthcare designed to help you get back home as quickly and safely as possible. Let us bring you home. Our Care and Rehabilitation Centers in the Louisville area: Regis Woods (502) Klondike (502) Regency (502) Nestled in the heart of Campbellsville s scenic township, you ll find a place like no other. The Grandview can meet any health care need from quality short-term rehabilitation to a longer-term residence. Experience the therapy suite and landscaped courtyards, private and semi-private accommodations, restaurant style dining, chapel, beauty salon, and library. Experience the professional staff and full-time therapists. Experience The Grandview A Nursing and Rehabilitation Facility. Call today for more information about this exciting new facility. 640 Water Tower Bypass, Campbellsville, Kentucky Af liated centers of SunBridge Healthcare Charleston Health Care Center Independent and Assisted Living Skilled Nursing Jill Sparks Brown, Co-Owner 203 Bruce Ct., Danville, KY (859) Commitment to Family and Caring, Three Generations Strong RNs, LPNs and CNAs needed. In-house Rehab Dept. Inquire about available positions. LAUREL CREEK HEALTH CARE 107 Bed Nursing Facility 1033 N. Hwy. 11 Manchester, KY (606) Fax: (606) Wins National Quality Award 2120 Payne Street, Louisville, KY Offering: Post-acute rehabilitation & skilled nursing care Personal care Long term nursing care Residential care DayBreak adult day program All private rooms Rehab expansion opened in 2010 Call for more information: For the third year in a row Nazareth Home was presented My InnerView s Excellence in Action award based on results of their 2009 satisfaction survey. Out of 5,000 nursing homes participating in the 2009 survey, 519 received Excellence in Action awards Newburg Road Louisville, Kentucky To learn more about the Nazareth Home or to schedule a tour, please contact the Admissions department at or visit our web site at 19

20 PRODUCTS & SERVICES MARKETPLACE The right partner for your therapy needs Large Enough to Serve and Small Enough to Care Call for information. 20

21 Education Calendar May Basic Social Services Training Louisville Basic MDS 3.0 Training Louisville 26 Advanced MDS 3.0 Training Louisville June Staff Development Louisville LTC Leadership Training Louisvillee July Caring for the Young Adult Population Louisville August INTERACT II Lexington Method of Instruction Louisville 25 INTERACT II Bowling Green September Advanced Social Services Training Louisville State Training for Activity Coordinators Louisville October Nurses Symposium Louisville Basic MDS 3.0 Louisville 13 Advanced MDS 3.0 Louisville November Annual Meeting Louisville Please call or Angela Porter at KAHCF for details on any of the above programs. Tentative calendar topics and dates are subject to change. New Members Platinum Members Novo Nordisk Quality Mobile X-Ray Services, Inc. Gold Members Champs Group Purchasing Columbia Medical Equipment, Inc. Health Education Center HealthPro Rehabilitation Rescare Home Care Respiratory Partners, Inc. Silver Members Gwin, Steinmetz & Baird The Care Group Approved by the KAHCF Board from July 2010 through March 2011: Facility Members Johnson Mathers Nursing Home Morning Pointe Ridge Morning Pointe Morning Pointe of Frankfort St. Elizabeth Florence Skilled Nursing Facility St. Elizabeth Ft. Thomas Skilled Nursing Facility The Lantern at Morning Pointe PRODUCTS & SERVICES MARKETPLACE Marie Alagia Cull Marian J. Hayden Holly Turner Curry CULL & HAYDEN, P.S.C. Attorneys at Law Of Counsel David H. Vance Susan Gormley Tipton Experienced Health Care Counsel Members: American Health Lawyers Association 210 Washington Street P.O. Box 1515 Ph.: Frankfort, Kentucky Fax: This is an Advertisement Shannon Sales is a distributor of floor covering with a strong focus on Healthcare. We offer flooring that provides durability and state-of-the-art technology, featuring Teknoflor's NO WAX, NO BUFF, ANTI-BACTERIAL and ANTI-FUNGAL Wood Grain, Granite and Agate sheet vinyl. We also offer FREE test floors! FOR SALES, MARKETING AND BUSINESS DEVELOPMENT CALL Contact Your Representative S. 60th St. - Milwaukee, WI Phone: Fax:

22 Index to Advertisers/Advertisers.com ACCOUNTING & CONSULTING Deming, Malone, Livesay, & Olstroff...inside back cover ASSISTED LIVING FACILITIES Charleston Health Care Center MEDLAB ATTORNEYS Cull & Hayden, P.S.C Deter, Benzinger, & LaVelle Hall Render Killian Stites & Harbison DOCUMENT DESTRUCTION Innovacycle...inside back cover FLOORING SAFETY/NONSLIP Shannon Sales, Inc oorsbyshannonsales.com GROUP PURCHASING SERVICES & PROGRAMS Innovatix LLC HEALTH & REHABILITATION Heritage Healthcare, Inc HOME HEALTH AGENCY North Central District Health Department LABORATORY SERVICES Forcht Group of Kentucky-Forcht Laboratory LAUNDRY EQUIPMENT O Dell Equipment & Supply REM Company, Inc The Largest Health Care Focused Law Firm in the Nation. LONG TERM CARE FACILITIES Extendicare Health Services Laurel Creek Health Care Center...19 Masonic Homes of Kentucky, Inc Nazareth Home Pioneer Trace Nursing Home Sun Health Care...17 Sunrise Manor LONG TERM HEALTH CARE Mercy Health Partners Sacred Heart Village LONG TERM HEALTH CARE FACILITIES Charleston Health Care Center MEDICAL EQUIPMENT & SUPPLIES Bondtech Corporation Danhauer Drug Company...14 NURSING & REHABILITATION Regency Health Care Center...19 The Grandview Nursing & Rehab...19 NURSING CARE FACILITIES MEDLAB Princeton Health Care Manor...18 PHARMACY SERVICES Omnicare Pharmacies of Kentucky... inside front cover PCA Pharmacy...outside back cover Pharmerica...inside back cover PHYSICAL THERAPY Healthcare Therapy Services, Inc REHABILITATION SERVICES Healthcare Therapy Services, Inc Heritage Healthcare, Inc Paragon Rehabilitation, Inc IF IT S HEALTH CARE, WE WILL BE THERE. RETIREMENT COMMUNITIES MEDLAB STAFFING Healthcare Therapy Services, Inc Products & Services Listings ATTORNEYS Stites & Harbison 400 W Market Street, Suite 1800 Louisville, KY Phone: (502) Fax: (502) ccronan@stites.com Web: Stites & Harbison is sought by business and institutional clients nationwide. Our attorneys understand all facets of healthcare and related businesses from the formation of small medical partnerships to sophisticated and complex mergers and acquisitions. Our goal is to serve our clients in order for them to succeed. GROUP PURCHASING SERVICES AND PROGRAMS Innovatix LLC 75 Ninth Avenue, 2nd Floor New York, NY Phone: (888) Fax: (646) mcrouch@innovatix.com Web: Innovatix is a leading group purchasing organization serving senior living providers nationwide. Since 1993, we have been helping members drive down costs and increase operating effi ciencies. We offer a $36 billion purchasing portfolio comprised of 1,600+ contracts through 900+ suppliers. Membership is free, so call today. LONG TERM CARE FACILITIES 614 West Main Street Suite 4000 Louisville, KY THIS IS AN ADVERTISEMENT hallrender.com Sunrise Manor 80 Phillips Lane Hodgenville, KY Phone: (270) Fax: (270) sunrisemanor@kvnet.org Sunrise Manor, established in 1967, offers skilled, rehab and Alzheimer care to local residents. This 122-bed facility offers physical, occupational and speech therapy services, adult day care and other specialty care needs. This award-winning facility, staff and volunteers help to keep life exciting at all ages. 22

23 Performance. PharMerica is an industry leader for winning approval of therapeutic interchanges. PharMerica. The Prescription for Success Reimbursement policy changes. Hefty tax repercussions. A major missed opportunity. Our analytical skills, depth of resources and healthcare expertise keep you in control of your financial situation. Because unless you re a party planner, your business is no place for surprises. It all adds up to confidence. DEMING MALONE LIVESAY&OSTROFF Shelbyville Rd. Louisville, KY Telephone Fax

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