Communication

12 steps to starting a new job with serenity

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Here’s my latest article on McKnight’s Long-Term Care News: 12 steps to starting a new job with serenity In my last column, “How to quit like a shrink,” I outlined ways to exit a nursing home that solidify the connections made there and offer the opportunity for healing. Assuming you’re not independently wealthy, what follows … Read more

How to quit like a shrink

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Here’s my latest article on McKnight’s Long-Term Care News: How to quit like a shrink Employees leave their positions for many reasons — organizational restructuring, family needs, a better offer — and they exit their jobs in a variety of different ways. Some sneak out quietly so that their coworkers find out only after they’re … Read more

A gift from LTC families

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Here’s my latest article on McKnight’s Long-Term Care News: A gift from LTC families A study of interactions between families and healthcare providers published in the BMJ this month sparked my interest. It showed that improving communication between the two groups reduced harmful medical errors by 39%. As if that vast reduction in medical errors weren’t enough, … Read more

Healthcare changes that burn me out — and burn me up

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Here’s my latest article on McKnight’s Long-Term Care News: Healthcare changes that burn me out — and burn me up I was recently required to take an online training module on burnout for physicians and allied professionals. It was the first time in 20-plus years that I’d received a formal message about self-care from any long-term … Read more

The sounds of LTC

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Here’s my latest article on McKnight’s Long-Term Care News: The sounds of LTC Observing the customary cacophony at the nursing station, I’d estimate that so-called “alarm fatigue” contributes to more than a few tragedies in long-term care. Here’s one example that resulted in a lawsuit filing after a resident died when nursing staff ignored the … Read more

Dr. El’s ‘Quality of Life’ star ratings are the way to go

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Here’s my latest article on McKnight’s Long-Term Care News: Dr. El’s ‘Quality of Life’ star ratings are the way to go The Nursing Home Compare star rating system assesses quality of care based on health inspections, staffing and quality of resident care measures. It examines important factors such as emergency preparedness, resident/staff ratios, re-hospitalization rates, … Read more

Enhancing organizational communication improves outcomes, reduces adverse incidents

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Here’s my latest article on McKnight’s Long-Term Care News: Enhancing organizational communication improves outcomes, reduces adverse incidents McKnight’s Long-Term Care News frequently notes stories about rogue employees engaging in illegal and disturbing behavior and then trying to cover it up after the fact. There are regular reports about intra-organizational systems that fail, leading to wrongful … Read more

To reduce burnout and turnover, improve family-staff relationships

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Here’s my latest article on McKnight’s Long-Term Care News: To reduce burnout and turnover, improve family-staff relationships Earlier this month, I took some much-needed time off to go on a cruise. I came home to a LinkedIn notification about “The big cost of not taking vacation,” reflecting on a CNN article regarding the vast number … Read more

The importance of leadership in creating good deaths in LTC

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Here’s my latest article on McKnight’s Long-Term Care News: The importance of leadership in creating good deaths in LTC In one of the more disturbing encounters I’ve had in long-term care — in a 5-Star deficiency-free nursing home — I offered my condolences to an aide on the loss of a resident she’d cared for … Read more

Using technology to improve care, reduce costs

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Here’s my latest article on McKnight’s Long-Term Care News: Using technology to improve care, reduce costs At Maimonides Medical Center, 24 frail older adults were taught to use laptops so that they could manage their health information from home. The technology facilitated communication between patients and providers and improved the quality of life of participants. … Read more