Tuesday, November 1, 2011

Adult Day Centers Provide Important Services

Adult day services centers serve as an emerging provider of transitional care and short-term rehabilitation following hospital discharge. As a preferred platform for chronic disease management, adult day centers are an interactive, safe and secure environment for participants requiring supervised daily care. While nearly half of all participants nationally have some level of dementia, other common chronic diseases among participants include chronic hypertension, physical disability, cardiovascular disease, diabetes, mental illness and developmental disability. Adult day services provide a reliable source of support, restore balance in times of crisis, and enhance overall quality of life for caregivers.

Monday, October 10, 2011

Bundled Payment Program

For those coming out of the hospital to recover in an assisted living or adult day care center a new bundling program announced by the Department of Health and Human services (HHS) will seek to improve patient care at the hospital and post-release, marking the latest attempt by the Centers for Medicare & Medicaid Services to coordinate care and payment through the post-acute care phase of the care continuum.

HHS said doctors, hospitals and other health care providers can apply to participate in the bundled Payments for Care Improvement Initiative. "It will align payments for services delivered across an episode of care, such as heart bipass or hip replacement, rather than paying for services separately. Bundled payments will give doctors and hospitals new incentives to coordinate care, improve the quality of care, and save money for Medicare," HHS said in a statement.

The Bundled Payments initiative is being launched by the new Center for Medicare & Medicaid Innovation, created by the Affordable Care Act to find better ways to provide and pay for health care to Medicare and Medicaid beneficiaries.

Tuesday, October 4, 2011

What is Adult Day Care

Adult day service centers provide a coordinated program of professional and compassionate services for adults in a community-based group setting. Services are designed to provide social and some health services to adults who need supervised care in a safe place outside the home during the day. They also afford caregivers respite from the demanding responsibilities of caregiving. Adult day centers generally operate during normal business hours five days a week. Some programs offer services in the evenings and on weekends. Although each facility may differ in terms of features, these general services are offered by most adult day centers:
Social activities

interaction with other participants in planned activities appropriate for their conditions
Transportation

door-to-door service
Meals and snacks

participants are provided with meals and snacks, those with special dietary needs are offered special meals
Personal care

help with toileting, grooming, eating and other personal activities of daily living
Therapeutic activities

exercise and mental interaction for all participants.

In general, there are three types of adult day centers: social (which provides meals, recreation and some health-related services), medical/health (which provides social activities as well as more intensive health and therapeutic services) and specialized (which provide services only to specific care recipients, such as those with diagnosed dementias or developmental disabilities. Caregivers typically select the type of center a care recipient attends based on the care needed.

Tuesday, September 27, 2011

Senior Care Merger to own More ADC Centers

SENIOR CARE CENTERS OF AMERICA ANNOUNCES MERGER WITH ACTIVE DAY TO BECOME THE LARGEST OPERATOR OF ADULT DAY SERVICES IN THE U.S.

Senior Care Centers of America, the second largest operator of adult day services, announced on Monday, September 26, 2011, that Active Day, the largest operator of adult day services, has agreed to merge with Senior Care. The combined organization will have 76 centers in 11 states and will substantially surpass the size of its nearest competitor. After the merger, Active Day will be a subsidiary of Senior Care, and the ownership of Senior Care will remain essentially unchanged. Jim Donnelly, CEO of Senior Care, will lead the combined organization. Selected members of the Active Day management team will continue to work in the combined entity. The merger is expected to close in November 2011.

Tuesday, September 6, 2011

The Aging States of America

As the baby boomers grow older, America is getting older too, According to the 2010 census, the nation's median age has increased to 37.2 up from 35.3 in 2000. The aging trend held up in every state -only the District of Columbia has a younger median age now than adecade ago. For states have major implications for policy and politics. Older states, such as Maine, Vermont, West Virginia and New Hampshire, may have less time than others to prepare for challenges such as providing long-term care for a growing elderly population.At the same time, younger states such as Utah and Texas must wrestle with educating relatively large school- age populations.

Adult day care and assisted living facilities are a viable solutions to our country's aging population in terms of caring for the elders in our communities. Let's continue to assist our communities with these services.

Tuesday, August 30, 2011

Aging

As the Wall Street Journal reports, for as long as human being have searched for the fountain of youth, they have also feared the consequences of extended life. Today we are on the cusp of a revolution that may finally resolve that tension: advances in medicine and biotechnology will radically increase not just our life spans but also, crucially, our health spans.

The number of people living to advanced old age is already on the rise. There are some 5.7 million Americans 85 and older, amounting to about 1.8% of the population, according to the Census Bureau. That is projected to rise to 19 million, or 4.34% of the population, by 2050, based on current trends. The percentage of Americans 100 and older is projected to rise from 0.03% today to 0.14% of the population in 2050. Thats a total of 601,000 centenarians.

But many scientists think that this is just the beginning; they are working furiously to make it possible for human beings to achieve very long life spans. They are studying the aging process itself and experimenting with ways to slow it down by way of diet, drugs and genetic therapy. They are also working on new ways to replace worn-out organs-and even to help the body to rebuild itself.

Adult day care will be in greater need as the elderly will still be able to live longer and have lives that need medical attention and socializing.

Friday, August 19, 2011

Wanderes Policy & Procedures in Adult Day Care

This is a sample policy and procedure for wanderers in an adult day care center:

POLICY

The safety and well being of Adult Day Service participants will be a primary concern of the staff. Additional supervision and security measures will be incorporated into the program to safeguard participants who are "wanderers".

PROCEDURE:

Identify participants with a history of wandering (as noted by family members or through Adult Day Service experience) to staff, students, and volunteers. Supervise participants who wander. These participants must never be "unattended". A staff member, student, or volunteer should always maintain visual contact with the wanderer. Ensure that a photograph of each participant is on file. Contact the local police department to familiarize them with the type of service we offer in their jurisdiction. This "non-crisis" contact will facilitate action when an emergency occurs. Maintain a list of phone numbers including police, local Emergency Management Agencies (EMA), local volunteer groups etc. to be called if a prolonged search is required.

ACTION TO BE TAKEN IF A PARTICIPANT IS MISSING Assign one person to coordinate the search effort. Search the building and immediate vicinity thoroughly. Conduct a brief search of the neighborhood if the participant is not found during the initial search of the building/vicinity. (Adult Day Service programming and other participants' safety should not be jeopardized when staff goes out to look for the wanderer). Coordinate the neighborhood canvas. Assign directions to travel and time away from the center. Staff will check in frequently to keep informed of the situation. Call the local police department to help in the search if a participant is not found within the immediate vicinity. Contact the participant's family after the local police have been notified. Notify the Illinois Department on Aging, the Veteran's Administration, or the Illinois Department of Rehabilitation of any incident involving a participant enrolled in ADC through that program. Notify Director, by pager, of the situation if the Director is not on site during the incident. Follow any further directions about who else to contact. Record a description of the incident and outcome in the progress notes of the participant file. Ensure that staff is available by the phone until the person is found. Forward Adult Day Service phone to home if necessary. Arrange for professionals (i.e., ministers, social workers, etc.) to be available, should a person be missing for a prolonged period. They will be able to help staff, family, friends and other participants deal with their feelings. Notify personnel outside of Adult Day Service with resolution of situation if they were involved in the search.

NOTE: MANY OF THESE STEPS WILL BE DONE SIMULTANEOUSLY OR WITHIN A VERY SHORT PERIOD OF TIME.

Tuesday, August 16, 2011

Facts about adult day care

Adult day service centers provide a coordinated program of professional and compassionate services for adults in a community-based group setting. Services are designed to provide social and some health services to adults who need supervised care in a safe place outside the home during the day. They also afford caregivers respite from the demanding responsibilities of caregiving. Adult day centers generally operate during normal business hours five days a week. Some programs offer services in the evenings and on weekends. Although each facility may differ in terms of features, these general services are offered by most adult day centers:
Social activities

interaction with other participants in planned activities appropriate for their conditions
Transportation

door-to-door service
Meals and snacks

participants are provided with meals and snacks, those with special dietary needs are offered special meals
Personal care

help with toileting, grooming, eating and other personal activities of daily living
Therapeutic activities

exercise and mental interaction for all participants.

In general, there are three types of adult day centers: social (which provides meals, recreation and some health-related services), medical/health (which provides social activities as well as more intensive health and therapeutic services) and specialized (which provide services only to specific care recipients, such as those with diagnosed dementias or developmental disabilities. Caregivers typically select the type of center a care recipient attends based on the care needed.

Friday, August 12, 2011

Why Adult Day Care Services are Important

Adult Day Care can be an important part of a persons life in that it helps to preserve their life and provides the fundamental every day Life's tasks to be watched and presented to a person who may not be able to take care of themselves like they used to.
Adult Day Care is essential to aging in place because it allows for an elderly person to
1. Live at home with family and loved ones
2.Provides social opportunities with peers under caring supervision
3.Provides Nursing care as needed during the day
4. Creates an environment that is flexible to receive care only on the days when needed
5.Allows for participation in therapeutic activities for the body
6.Medications are monitored and supervised daily
7.A dietitian oversees meal plans and eating is monitored
8.It's specifically designed for Senior Citizens
9.Its also designed for adult of any age with intellectual or developmental disabilities.

Wednesday, August 10, 2011

Request for Adult Day Care Centers

The Centers for Disease Control has requested input from adult day services providers about influenza baccinations of health care personnel in long term care settings. Please submit your thoughts on problems, barriers and solutions on how we can improve vaccination rates among personnel to Susan Nirschel, RN, by September 1, 2011, via email at snirschel@westernpa.easterseals.com.

Monday, August 8, 2011

A Look at Adult Day Care Centers Today

Adult Day Services Are a Growing Source of Long-Term Care

• There are more than 4,600 adult day services centers across the U.S. — a 35% increase since 2002.

• More than 260,000 participants and family caregivers are serviced — an increase of over 100,000, or 63%, since 2002.

Adult Day Services Provide Comprehensive Skilled Health Care

• A full range of interdisciplinary professionals meet the physical, emotional, and social needs of participants and family caregivers.

• Nearly 80% of adult day services centers have a nursing professional on staff, nearly 50% have a social work professional on staff, and approximately 60% offer case management services.

• Approximately 50% provide physical, occupational, or speech therapy.

• There is one direct care worker for every six participants, facilitating individualized, person-centered care and enabling staff to care for increasingly complex needs.

• Adult day services centers serve as an emerging provider of transitional care and short-term rehabilitation following hospital discharge.

Adult Day Services Are a Preferred Platform for Chronic Disease Management

• There is an increase in disease-specific programs offered in centers to address chronic conditions.

• More than ever, adult day services participants have higher levels of chronic conditions and disease, such as hypertension (46%), physical disability (42%), cardiovascular disease (34%), diabetes (31%), mental illness (25%), and developmental disability (20%).

• There is a heightened focus on prevention and health maintenance — nearly 80% of centers offer physical activity programs to address cardiovascular disease and diabetes.

Adult Day Services Are Leaders in Community-Based Care for Individuals with Alzheimer’s Disease and Other Dementias

• Adult day services centers provide an interactive, safe, and secure environment.

• Nearly half of all participants have some level of dementia.

• Approximately 90% of centers offer cognitive stimulation programs, almost 80% provide memory training programs, and more than 75% offer educational programs.

• The care provided may allow these individuals to delay nursing home placement.

Adult Day Services Are an Essential Source of Support for Family Caregivers

• Adult day services provide a reliable source of support, restore balance in times of crisis, and enhance overall quality of life for caregivers.

• Adult day services provide respite to family caregivers.

• Over 80% of participants attend full days and 46% attend five days per week, enabling family caregivers to remain in the workforce.

• Most centers provide caregiver support programs, including educational programs (70%), caregiver support groups (58%), and individual counseling (40%).

Tuesday, August 2, 2011

New Wanderer's Bracelet

We have posted a new product for people in your adult day care or assisted living facilities that assists people with dementia or Alzheimers. This bracelet is the latest in technology. It has a GPS Tracking system that the facility or an individual can monitor in real time. It also has a two way communication device so that you may speak with the person who is wearing the bracelet. Plus it has a SOS button if the person is in need of help they can just push the SOS button and the monitoring station, the assisted living facility or adult day care center will get notified and get help to the person right away.

This bracelet also comes as a clip so it can be clipped on a wheelchair or belt. The GPS system is monitored by a station in Reading, PA , one of only two centers in the country. The gps system is so strong that if the person goes to another state it will track them there as well.

This bracelet will allow for people to travel out of state and still be monitored, it will assist if an assisted living facility or adult day care center is taking people on a trip so they wont wander from the group or if they do they can be found very quickly.

It also detects falls so people can feel safe while wearing it in the home or their cottage in Independent living.

Tuesday, July 5, 2011

Marketing Your Adult Day Care Center

Here are some steps to take for marketing your adult day care center.
Step One. The First Call: Converting the call to a first visit

Step Two. Following-Up the First Call: Focusing efforts on caregivers who did not commit to a visit

Step Three. The First Visit: Selling benefits, overcoming objections, helping caregivers make the choice

Step Four. Converting the First Participant Visit into a Long-Term Enrollment: Guidelines for the first visit through the first two weeks

Step Five. Customer Satisfaction: Turning the first day into many, many, many more.

Monday, June 27, 2011

The Furture of Adult Day Care

The future programs of adult day care seems to be in the hands of the 50 states in America. As I write applications for our clients to start adult day care, it has come to my attention that the states are regulating what clients are being taken for adult day care centers in order to maintain home based care instead of institutionalization.

One such example, is adult day care centers in Boston, MA. There are three levels of care and three levels of reimbursement for those levels of care. The lowest level of care includes clients who could be at a senior center and need some help with ADL's. The second level of care provides medication management reminders, help getting in and out of chairs, socialization, care plans and help with ADL's and IADL's. The third level would be a client who may have just come from the hospital with a stroke or other debilitating illness where they need more attention and physical care and rehabilitation.

When adult day care began in this country, one just needed help with ADL's and be on medicaid to be a client. It was easier on the center and the center's main goal was to socialize the client and watch for any signs of progressive illness.

Adult day care has come a long way and is a vital part of communities every where as a continuum of care for living at home as long as possible.

Tuesday, June 21, 2011

Personal Experience

A funny thing happened to our family. After 17 years of starting and promoting adult day care we finally needed to have a relative utilize the services of an adult day care.

Our elderly aunt had a mild stroke, she lived alone and was ok'd for out patient therapy by the hospital and rehabilitation staff there. She could still dress herself, walk with some weakness in her legs and her hand was weak but all her faculties were still there. We searched for the closest adult day care to her home and found two. She went to each one and found one that she felt she could fit into and already knew some of the clients. She began the adult day care but the physical therapy wasn't enough so we paid extra for them to take her to another physical therapy facility. She had an aide at night for the first week for our peace of mind and so she could get stronger walking at night to the bathroom.

She thought of this as a temporary solution and we told her it was. But she's made friends there and the socialization is wonderful. She has found other people who have had strokes there and they have something to start a conversation with. We don't worry about her being alone in the home and falling or needing care. She a very independent woman. When her physical therapy is over I hope she continues to stay at the center if not every day but on some days. Adult day care has worked out as a perfect solution.

Monday, June 13, 2011

Adult Day Care Vs. Long-Term Care solutions

Adult day services act as an alternative or supplement to home care and an alternative to moving to assisted living or a nursing home to receive care. The centers enable continued community-based living for individuals with physical and cognitive limitations and provide respite for their caregivers.

In recent years, adult day services centers have played and increasing role in providing long-term care services, as evidenced by the rapid growth in programs from 2,000 in 1989 to over 4,600 in 2009.

While this increase is partially due to the aging of our society, much of this growth can beattributed to the benefits offered through adult day services. First, adult day services centers allow individuals toremain in their home settings rather than an institutional setting, which is what the majority of caregivers and care recipients desire.

Adult day services are also far less expensive than nursing home care. The national average daily rate for ADS was estimated at $67 compared to $198 for a semi-private room in a nursing home. (Note: the average daily rate for adult day services among respondents in this study was under $62). Finally, new evidence from case-controlled study suggests ADS can improve health-related quality of life for participants. In addition, ADSare effective in improving caregiver well-being and reducing burden, role overload, worry, anger, and depression.