Nation's Front Line Caregivers Mobilizing To Help Defeat Obama Implementation Of Damaging Medicare Regulation
Main Category: Medicare / Medicaid / SCHIPArticle Date: 05 May 2009 - 1:00 PDT
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The Coalition to Protect Senior Care (CPSC) said it is mobilizing to defeat a Medicare regulation put forward for implementation Friday by the Centers for Medicare and Medicaid Services (CMS). The proposed Medicare rule, a Coalition spokeswoman said, would cut Medicare funding by $1.05 billion in FY 2010 and $5.6 billion over five years, eliminate the key front line care jobs that make a positive difference in patient outcomes, and significantly undercut ongoing improvements in clinical infrastructure already underway now benefitting patients.
"With so many good health care reform ideas coming from the new Obama Administration, it is curious and distressing to see a previously-discredited Medicare regulation appear on the policy radar screen," said Lisa Cantrell, a co-founder of the National Association of Health Care Assistants, and a national spokesperson for the Coalition to Protect Senior Care. "The new CMS directive is enormously frustrating to America's front line caregivers because its net impact will be to reverse existing federal policy that is currently benefitting elderly patients."
Cantrell, pointing out that a bipartisan coalition of forty Democratic and Republican U.S. Senators worked last year to derail the same Bush Administration proposal, said that as the nature of America's skilled nursing facility (SNF) patient population continues to evolve due to demographic and policy changes, the federal government's role should be to help facilities' direct care staff treat the high-acuity individuals increasingly seen in facilities nationwide. Moreover, Cantrell warned, the direct care staff that help make the key difference in quality outcomes will also be significantly harmed by the CMS action.
"The Medicare funding cuts illogically put forward will further put at risk a facility's ability to sustain caregiver wage and benefit packages that are already on the margin of being uncompetitive with other service-oriented professions," Cantrell warned. "This regulation and its resulting sharp Medicare funding cut is bad news across the board, and it is in need of swift correction based on simple common sense and what is best for patients and caregivers. We urge CMS to reconsider and reverse this new policy, and we will be encouraging Congress to voice its strong, legitimate dissent."
The Coalition to Protect Senior Care consists of the American Association for Long Term Care Nursing (AALTCN); the American College of Health Care Administrators (ACHCA); the American Association of Nurse Assessment Coordinators (AANAC); the National Rural Health Association (NRHA); The American Association of Nurse Assessment Coordinators (AANAC); the American College of Health Care Administrators (ACHCA); the American Physical Therapy Association (APTA); the American Society of Health Care Administration Executives (ASHCAE); ASHCAE state affiliate members representing Arizona, Arkansas, Colorado, Idaho, Iowa, Kansas, Maine, New Hampshire, New Mexico, New York, North Dakota, Oregon, Texas and Utah; the American Health Care Association (AHCA); the American Health Quality Association (AHQA); the National Association for the Support of Long Term Care (NASL); the National Association of Health Care Assistants (NAHCA); the Alliance for Quality Nursing Home Care; and the Senior Clinician Group.
Source: Coalition to Protect Senior Care
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Visitor Opinions In Chronological Order (3)
What About HOME Caregivers?
posted by Carol Wright on 3 Jul 2009 at 9:43 amAs a sole unpaid caregiver for my mother, now age 89 with mid-advanced Alzheimer's, for 7.5 years. Three deadbeat siblings are not helping one iota. TWO REFUSE to help, and another comes for an evening every 6 months. This DEADBEAT family issue is not uncommon in caregiver world, leavint the caregiving burden to only one. AGGGGHHH.
I was searching for some ray of hope in the Obama health care reform package to assist family caregivers, many like myself who have sacrificed everything and find nothing but holes out there for support. Now there is the promise of more work, time for the family to step up to fill the holes.
My mom does attend a senior day program for 4 hours, and that is a lifesaver. She pays for it, but many in the program are MediCal-assisted. And if that support collapses, Mom's entire facility could close down...along with all the other senior daycare programs in the same financial boat. There will be NO where else to take her. Here in California, payments will cease for home health aids, so many seniors will now have to fend for themselves. OR that magic family caregiver will have to materialize.
Nursing home eldercare assistants do some of the crappiest jobs in the nation. They are not sub-humans who don't mind this kind of work. Dealing with dirty diapers and soiled linens...while the patient may be overwrought with stress and dementia. That is hard and uncomfortable work. Good thing THEY are dealing with it, so the family can have a nice visit. If they BOTHER to. When you don't pay these people a fair wage, some may look to take their sense of injustice out on patients physically, or by theft. They'll feel Entitled, especially if they sense the patient has been dumped there by the family.
Well, this is a scream in the wilderness. There are millions of us home caregivers who do this without any support at all Mom's public guardian had the gall to say "Well, you are creating good karma." As much as I admire Obama, he wasn't THERE much with his beloved grandma during her last months of her life. Anyone who is writing legislation to lessen support for the lowest level of nursing home caregiver...I fully expect them to don latex gloves and pitch in to close the gap.
What About Home Caregiving?
posted by Gregory D. Pawelski on 5 Jul 2009 at 7:41 amAfter the Carlyle Group buyout of ManorCare Health Services, continued dispicable nursing home care, an uncaring oversight agency (Pennsylvania Department of Health), an unsolicited phone call from CMS in Baltimore, strongly encouraging me to remove her from ManorCare for her health and safety, the Sping Township Police Chief gladly assisted me in securing my mother's safe removal from the home in March of this year.
Now I'm the sole unpaid caregiver for my mother (again), now age 94. And I too was searching for some ray of hope in the Obama health care reform package to assist family caregivers, and found deep holes in support. The regulatory enforcement system for nursing homes has a lot of problems, putting residents at risk. I know the state's health department IS the problem, but CMS may be part of the problem too!
In the past few years, a wave of new owners and investors have purchsed nursing home chains. These private-equity firms are unregulated and new to the nursing home market. The top priority for these new owners are profits, rather than providing the staffing and resources necessary to ensure top quality care for our loved ones.
The nursing home sector accounts for roughly 6 percent, or $124.9 billion of the more than $2 trillion that we invest annually in healthcare. The question is "are we getting any value for our money?"
Nursing home care falling short
http://talk.baltimoresun.com/showthread.php?t=147677
Other Ways For Help
posted by Toni on 6 Jul 2009 at 11:40 amI am also one of those home caregivers with sibling that don't pitch in! I am also one of those nurses in a nursing home! Just like having kids, my husband and I share the care of my mother. He works during the day and I at night so my mom has somebody here 24/7. Working in a nursing home, you might want to look for a facility that is a Skilled Nursing Facility! They are a little more alert of what is going on.
There should be signs on the wall of the nursing home with a posted phone number to call in reports of bad care. The more it's called the more the facility will up their care. Some insurance offer caregivers break! You can put you loved one in a home or hospital for I think a week for vacation or break and they cover it.
There also a senior care program that will give you free home care so many hours a month call a local visiting nursing company and they can give you info. You may want to post local for other home caregivers of the elderly who would share babysitting time.
Our parents are now our kids! I thank my husband every day! Good Luck! They Love You For All Your Hard Work!
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