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  • The ElderBoard: Everything Old is New Again for Managing Care for Frail Elders – MediCaring.org
    hospitals Bice 1990 Some of the failure in health planning has been attributed to the lack of assurance of resources to meet communities needs In addition consumers and providers came to the process with different levels of knowledge and understanding and their unwillingness to compromise In the end the HSAs failed to control the expansion of the system Nonetheless although Congress repealed the federal Health Planning law in 1986 many states continue to operate CON programs National Conference of State Legislators We continue to face the vexing challenges lawmakers sought to address in the early 70s and perhaps thanks to new technologies for monitoring assessing and evaluating programs we have new management tools to support contemporary efforts We believe that MediCaring communities which would rely on local authority and monitoring to address needs of a community s elders and align resources accordingly are a new way to meet old challenges It still seems unlikely that individuals and institutions now thriving economically in the chaos of a top heavy over medicalized system will simply sign up to try something new especially something that shifts profits and funding mechanisms to balance medical treatment and services with social services and supports The public and frail elders and their families must constantly insist on better use of public funds The system will not correct itself Our current Wild West focuses on developing and deploying services to match business opportunities We need to re arrange that system so that there are incentives for having just about the right service supply for all services and an efficient mechanism to coordinate them New administrative structures would be necessary to make such a system work but the room to build such a system exists we now need the will The reality is that we have substantial evidence of unmet need and a system in which overtreatment remains the order of the day This combination leads to substantial suffering and unnecessary economic burdens for individuals and for society We must develop a more thoughtful and deliberate effort that regularizes processes establishes more efficient standard practices and shifts services toward effective and essential care Such an approach might lead to improved performance better management and better care a riff on the Triple Aim The structure of such a management structure is open to dialogue and testing Some communities may find that it can begin to change simply by compiling existing data on its frail elders particularly their service utilization and unmet needs comparing that data with past performance or with performance levels in other regions and deliberately opting to shift the balance of overuse and undersupply Other communities may need a different approach Some for example might launch stakeholder coalitions with sufficient staff to manage data required to stand up a new system Others may find that substantial funding and authority are essential In many instances pilot programs start up funds for designing new models of services delivery altered financial incentives and penalties and other controls may be necessary But

    Original URL path: http://medicaring.org/2014/05/07/the-elderboard-everything-old-is-new-again-for-managing-care-for-frail-elders/ (2016-04-30)
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  • Elderboards – MediCaring.org
    in the health sector argued that where health planning was effective it actually raised costs by protecting the franchises of unneeded and inefficient hospitals Bice 1990 Some of the failure in health planning has been attributed to the lack of assurance of resources to meet communities needs In addition consumers and providers came to the process with different levels of knowledge and understanding and their unwillingness to compromise In the end the HSAs failed to control the expansion of the system Nonetheless although Congress repealed the federal Health Planning law in 1986 many states continue to operate CON programs National Conference of State Legislators We continue to face the vexing challenges lawmakers sought to address in the early 70s and perhaps thanks to new technologies for monitoring assessing and evaluating programs we have new management tools to support contemporary efforts We believe that MediCaring communities which would rely on local authority and monitoring to address needs of a community s elders and align resources accordingly are a new way to meet old challenges It still seems unlikely that individuals and institutions now thriving economically in the chaos of a top heavy over medicalized system will simply sign up to try something new especially something that shifts profits and funding mechanisms to balance medical treatment and services with social services and supports The public and frail elders and their families must constantly insist on better use of public funds The system will not correct itself Our current Wild West focuses on developing and deploying services to match business opportunities We need to re arrange that system so that there are incentives for having just about the right service supply for all services and an efficient mechanism to coordinate them New administrative structures would be necessary to make such a system work but the room to build such a system exists we now need the will The reality is that we have substantial evidence of unmet need and a system in which overtreatment remains the order of the day This combination leads to substantial suffering and unnecessary economic burdens for individuals and for society We must develop a more thoughtful and deliberate effort that regularizes processes establishes more efficient standard practices and shifts services toward effective and essential care Such an approach might lead to improved performance better management and better care a riff on the Triple Aim The structure of such a management structure is open to dialogue and testing Some communities may find that it can begin to change simply by compiling existing data on its frail elders particularly their service utilization and unmet needs comparing that data with past performance or with performance levels in other regions and deliberately opting to shift the balance of overuse and undersupply Other communities may need a different approach Some for example might launch stakeholder coalitions with sufficient staff to manage data required to stand up a new system Others may find that substantial funding and authority are essential In many instances pilot

    Original URL path: http://medicaring.org/tag/elderboards/ (2016-04-30)
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  • Judy Peres – MediCaring.org
    to address needs of a community s elders and align resources accordingly are a new way to meet old challenges It still seems unlikely that individuals and institutions now thriving economically in the chaos of a top heavy over medicalized system will simply sign up to try something new especially something that shifts profits and funding mechanisms to balance medical treatment and services with social services and supports The public and frail elders and their families must constantly insist on better use of public funds The system will not correct itself Our current Wild West focuses on developing and deploying services to match business opportunities We need to re arrange that system so that there are incentives for having just about the right service supply for all services and an efficient mechanism to coordinate them New administrative structures would be necessary to make such a system work but the room to build such a system exists we now need the will The reality is that we have substantial evidence of unmet need and a system in which overtreatment remains the order of the day This combination leads to substantial suffering and unnecessary economic burdens for individuals and for society We must develop a more thoughtful and deliberate effort that regularizes processes establishes more efficient standard practices and shifts services toward effective and essential care Such an approach might lead to improved performance better management and better care a riff on the Triple Aim The structure of such a management structure is open to dialogue and testing Some communities may find that it can begin to change simply by compiling existing data on its frail elders particularly their service utilization and unmet needs comparing that data with past performance or with performance levels in other regions and deliberately opting to shift the balance of overuse and undersupply Other communities may need a different approach Some for example might launch stakeholder coalitions with sufficient staff to manage data required to stand up a new system Others may find that substantial funding and authority are essential In many instances pilot programs start up funds for designing new models of services delivery altered financial incentives and penalties and other controls may be necessary But a first step for most might be the rebirth of the HSA only this time with a clear focus on and commitment to eldercare We ve tried many names for such a body from ElderBoard to local monitoring authority Whatever the name the task will be the same A revolution in how we design deliver manage and fund services for frail elders References Bice T Health Planning and Regulation Effects on Hospital Costs Annual Review of Public Health 1980 no 1 pp 137 61 6 Melhado EM Health Planning in the United States the Decline of Public interest Policymaking Milbank Q Jun 2006 84 2 359 440 href http www ncbi nlm nih gov pmc articles PMC2690168 http www ncbi nlm nih gov pmc articles PMC2690168 National Conference of State

    Original URL path: http://medicaring.org/tag/judy-peres/ (2016-04-30)
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  • Burnt out? Fatigued? Join us for caregiver chat, 10-11, 3 ET – MediCaring.org
    to promote good care for loved ones The live chat will start at 3 ET and is free online with time for a Q A Last spring Lynch Schuster wrote for The Washington Post about strategies used to prevent compassion fatigue among nurses She and Denise will talk about ways family caregivers can use similar strategies and resources that can help Join them if you can a good way to wrap up a busy week key words Janice Lynch Schuster compassion fatigue caregiver burnout stress management family caregivers Tweet Pin It Leave a Reply Cancel reply Your Comment You may use these HTML tags and attributes a href title abbr title acronym title b blockquote cite cite code del datetime em i q cite s strike strong Name required E mail required URI MediCaring4LIFE Making Local Improvement for Frail Elders Headed South Upcoming Caregiver Summit at Rosalynn Carter Institute MediCaring is a service of the Center for Elder Care and Advanced Illness at Altarum Institute Follow Us To receive our email newsletter send a request to email protected Tweets by medicaring Care Transitions News Ringling Bros circus elephants set for final act Sunday USA TODAY April 29 2016 PMH announces Annette Schnabel as president CEO Bureau County Republican April 29 2016 College baseball Weekend Preview April 29 May 1 NCAA com April 29 2016 AbbVie Doubles Down on M A Bloomberg April 29 2016 Aspen Valley Hospital reaps awards for patient experience Aspen Times April 29 2016 Optimizing care transitions the role of the community pharmacist Dove Medical Press April 26 2016 3 lessons to improve patient care transitions FierceHealthcare April 21 2016 Dave Alfano Launches Caring Transitions of Central Connecticut PR Web press release April 19 2016 Older adults with dementia face increased mortality risk due to care transitions

    Original URL path: http://medicaring.org/2013/10/10/burnt-out-fatigued-join-us-for-caregiver-chat-10-11-3-et/ (2016-04-30)
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  • burnout – MediCaring.org
    Lynch Schuster wrote for The Washington Post about strategies used to prevent compassion fatigue among nurses She and Denise will talk about ways family caregivers can use similar strategies and resources that can help Join them if you can a good way to wrap up a busy week key words Janice Lynch Schuster compassion fatigue caregiver burnout stress management family caregivers MediCaring is a service of the Center for Elder Care and Advanced Illness at Altarum Institute Follow Us To receive our email newsletter send a request to email protected Tweets by medicaring Care Transitions News Ringling Bros circus elephants set for final act Sunday USA TODAY April 29 2016 PMH announces Annette Schnabel as president CEO Bureau County Republican April 29 2016 College baseball Weekend Preview April 29 May 1 NCAA com April 29 2016 AbbVie Doubles Down on M A Bloomberg April 29 2016 Aspen Valley Hospital reaps awards for patient experience Aspen Times April 29 2016 Optimizing care transitions the role of the community pharmacist Dove Medical Press April 26 2016 3 lessons to improve patient care transitions FierceHealthcare April 21 2016 Dave Alfano Launches Caring Transitions of Central Connecticut PR Web press release April 19 2016

    Original URL path: http://medicaring.org/tag/burnout/ (2016-04-30)
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  • Medicaring Imperative: A Week of Sharing Our Ideas for Reshaping Care – MediCaring.org
    1 industrial arts home ec beet On a more serious note she anchored The Sunday Dialogue feature of the New York Times which published her letter to the editor which discussed legal aid in dying in the context of what life looks like for frail elders and how we can improve care and quality The article ran in print on Wednesday and triggered a tremendous response our editor reported receiving more than 200 letters that day A handful of letters and Janice s reply to them can be found here http www nytimes com 2013 03 31 opinion sunday sunday dialogue choosing how we die html pagewanted all Finally a flash of inspiration and an image of her aged grandmother who lives far away in Alaska prompted Janice to launch a petition on the We the People site of the White House That petition aims to get 100K signatures by April 5 as of Easter Sunday morning it has a little over 1400 Response mounted thanks to an excellent by Paula Span of the New Old age which you can read here http newoldage blogs nytimes com 2013 03 28 a volunteer army of caregivers To see what Janice herself says of the idea you can choose from a number of blogs including the excellent Minimally Disruptive Medicine blog Disruptive Women another favorite posted a story as did The Health Care Blog THCB A quick google search will take you to the links We d love to hear your comments and ideas Both are important to us as we shape our agenda and pursue our goals Tweet Pin It Leave a Reply Cancel reply Your Comment You may use these HTML tags and attributes a href title abbr title acronym title b blockquote cite cite code del datetime em i

    Original URL path: http://medicaring.org/2013/03/31/medicaring-imperative-a-week-of-sharing-our-ideas-for-reshaping-care/ (2016-04-30)
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  • disruptive women in health care – MediCaring.org
    faces in the kitchen If you need a chuckle here s the link http articles washingtonpost com 2013 03 22 opinions 37933738 1 industrial arts home ec beet On a more serious note she anchored The Sunday Dialogue feature of the New York Times which published her letter to the editor which discussed legal aid in dying in the context of what life looks like for frail elders and how we can improve care and quality The article ran in print on Wednesday and triggered a tremendous response our editor reported receiving more than 200 letters that day A handful of letters and Janice s reply to them can be found here http www nytimes com 2013 03 31 opinion sunday sunday dialogue choosing how we die html pagewanted all Finally a flash of inspiration and an image of her aged grandmother who lives far away in Alaska prompted Janice to launch a petition on the We the People site of the White House That petition aims to get 100K signatures by April 5 as of Easter Sunday morning it has a little over 1400 Response mounted thanks to an excellent by Paula Span of the New Old age which you can read here http newoldage blogs nytimes com 2013 03 28 a volunteer army of caregivers To see what Janice herself says of the idea you can choose from a number of blogs including the excellent Minimally Disruptive Medicine blog Disruptive Women another favorite posted a story as did The Health Care Blog THCB A quick google search will take you to the links We d love to hear your comments and ideas Both are important to us as we shape our agenda and pursue our goals MediCaring is a service of the Center for Elder Care and Advanced

    Original URL path: http://medicaring.org/tag/disruptive-women-in-health-care/ (2016-04-30)
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  • So Much to Learn At American Society on Aging – MediCaring.org
    to redesigning how we care for frail elders You can read about this in more detail in a post Joanne Lynn wrote for the Altarum Institute Health Policy forum a few months ago http www altarum org forum post call action boomers we grow old Janice and Joanne delivered a talk aimed at motivating participants to speak up and speak out to recognize when things are going poorly in care and services and to respond in ways that improve the situation The talk focused on a fascinating theory of community organizing developed by Marshall Ganz of Harvard public narrative and telling the story of I Us Now to galvanize change We would enjoy hearing from others who were at the conference who would like to share details of their presentations with Medicaring readers Just send an email to email protected and we will respond to you Tweet Pin It Leave a Reply Cancel reply Your Comment You may use these HTML tags and attributes a href title abbr title acronym title b blockquote cite cite code del datetime em i q cite s strike strong Name required E mail required URI Meet Medicaring Staff in Chicago American Society on Aging annual conference this week An Eye to 2020 Where Will Health Care Reform Lead MediCaring is a service of the Center for Elder Care and Advanced Illness at Altarum Institute Follow Us To receive our email newsletter send a request to email protected Tweets by medicaring Care Transitions News Ringling Bros circus elephants set for final act Sunday USA TODAY April 29 2016 PMH announces Annette Schnabel as president CEO Bureau County Republican April 29 2016 College baseball Weekend Preview April 29 May 1 NCAA com April 29 2016 AbbVie Doubles Down on M A Bloomberg April 29 2016 Aspen

    Original URL path: http://medicaring.org/2013/03/19/so-much-to-learn-at-american-society-on-aging/ (2016-04-30)
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