1 A PUBLICATION OF REVERA NURSING & REHAB revera LIVING SUMMER 2015 ENTER
2 Table of Contents From Donna s Desk A letter from Revera U.S. president School s In Revera s educational outreach program Meet Dr. Roper Creating an ACO model that supports a continuum of care The Buzz Collection of Revera goodies Center News Revera centers across the U.S.
3 FROM DONNA S DESK The dog days of summer Summer is already heating up and with the warm weather comes lazy days and hot nights spent outdoors. Yet, the dog days of summer are still filled with excitement and a strong work ethic for Revera Nursing & Rehab as we are all engaged in a variety of projects and appointments; our centers are enjoying robust summer community marketing campaigns and our home office is engaged in strategy planning sessions has been touted as the Year of Clinical Excellence for our Revera centers and our clinical team has been hard at work ensuring that our centers are providing our patients with the best possible care and clinical advances. The Year of Clinical Excellence kicked off in April with our first annual Clinical Excellence Summit, which took place April 14th-16th. All 29 Directors of Nursing came to our headquarters in Meriden, CT for three days of networking, education and a vendor fair. In Q1, our Clinical Team focused on the INTERACT program and reducing rehospitalization a marker we successfully achieved. In Q2, the focus was on wound care and our vendor, 3M, has provided top-of-the-line wound care products and training for all of our centers. As we enter Q3 and Q4, the clinical team will be looking into new metrics and focus areas that our centers will have the opportunity to support. From a satisfaction standpoint, our patients continue to be happy with our clinical services and care. For Q1 2015, our centers recorded a 93% satisfaction with RN care (peer group 92%) and a 91% satisfaction with CNA care (peer group 90%)! Our patients also scored us as a 91% for quality of medical care (89% peer group). Q1 and Q2 have also afforded us the opportunity to shine a spotlight on some very worthy staff members as we had the chance to announce our Executive Director of the Year and Director of Nursing of the Year. Dimitry Ruchaevsky, Executive Director for Bey Lea Village Nursing and Rehabilitation in Toms River, New Jersey, has been named the company s Executive Director of the Year. Dimitry is an experienced and successful operator who is committed to the mission, vision and values of Revera. Under Dimitry s leadership, and with the support and commitment of all the Bey Lea Team, the Center has gone from a one-star rating to a five-star rating, given by the Centers for Medicare and Medicaid Services (CMS). Bolaji Lakanse of Iliff Nursing and Rehab Center in Dunn Loring, VA has been selected as the Director of Nursing of the Year. Specific areas of performance to earn the award were measured against benchmarks that had been previously established by our clinical team, including the center s CMS Star/survey rating of the center, employee engagement, nursing turnover, client satisfaction, and rehospitalizatons, to name a few. Lastly, we announced the winners of our first annual Nursing Assistant of the Year program. Congratulations go to Sam Monfette of St. Johnsbury Health and Rehab in St. Johnsbury, VT; Janet Blandford of Iliff Nursing and Rehab in Dunn Loring, VA; and Timothy Merrit of Whiting Healthcare Center in Whiting, NJ. Specific areas of eligibility to be met by all candidates are full time employment as a nursing assistant at the center for more than 2 years; no disciplinary actions; workplace injury-free; perfect attendance; completion of all mandatory in-services as well as the 12 hours of required education; and compliance and accuracy with PCC documentation requirements. Nominees that stood out among the rest from each region were selected. Each exemplified our Mission, Vision and Values; served as a role model for the team; went above and beyond; and he or she did the right thing, right away. Revera Nursing & Rehab continues on its mission to provide high-quality care and services for all of our patients. We have confidence in the care that we provide day in and day out, and we thank YOU for entrusting us with this great responsibility. Respectfully, Donna Kelsey
4 School s in! Revera s educational outreach series is forging healthier communities. It s a bright morning at an assisted living facility in Burlington, Vermont. A dozen residents have gathered in the community room to see Katie and Susie. They re a pair of invited guests from Burlington Health and Rehab, part of Revera s family of skilled nursing centers, and Premier Therapy Services, Revera s exclusive provider of physical, occupational, and speech therapy across the United States. Today, Susie Brooks, Care Coordinator, has brought informational sheets and breakfast. Katie Jewett, the Revera center s Rehab Director, is holding a walker. Over the next hour, they ll show the audience of seniors how to safely use the walker to navigate common household obstacles, and how to use it to maintain balance while performing common tasks. It s all part of Revera s educational outreach series. A few years ago, says Burlington Health and Rehab s Executive Director Meagan Buckley, we began hearing from a number of local assisted living facilities and senior housing complexes that their residents would benefit from health education from avoiding falls to staying mentally sharp, managing illnesses such as diabetes, and practicing healthy eating habits. We see our mission as improving the quality of life for the entire community, so we jumped at the chance to help. Buckley s team and Premier created an educational series covering an array of topics related to physical and mental wellness. Within a year, Revera and Premier educators were visiting more than half a dozen locations once a month to share information, answer questions, provide hands-on learning opportunities, and personally get to
5 know more of the area s senior population. The program has been a huge success, says Buckley. We re helping people stay healthy and independent in the setting of their choosing, we re building strong relationships with area hospitals and facilities for seniors, and we re also increasing awareness of the great work we do. It s a strong idea done well, so it has quickly spread, explains Cheri Kauset, VP of Marketing and Communications for Revera Health Systems. When we saw the positive impact that our Burlington center was having in their own area, says Kauset, we knew this could benefit people across the country. Revera shared the program with every center as a Best Practice of the Week and soon many were scheduling educational talks in their own communities. We ve created a packet of supporting materials for every participating center, says Kauset, while the individual centers tailor presentations and topics to their own communities needs. In addition to all of our Vermont and New Hampshire centers, the idea has spread as far as Fox Chase Rehabilitation and Nursing Center in Maryland, and Linden Grove in Washington State. These centers are adding to the program as well. For instance, Village Green of Bristol in Connecticut has added a new unit for congestive heart failure, says Kauset. It s all part of responding to the needs of our communities. Meagan Buckley says the visits go both ways. We love to reach out not only to provide useful information, but to catch up with people we ve come to know and care about. We re building lasting relationships and showing them all of the ways that Revera care can improve their lives. We also invite them to our center for events such as barbecues, and to tour our STAR rehabilitation unit. Along the way we find out more about them, and their concerns and needs. It s been a great education for us as well! Pill drill tips for medication management 1 Request that the pharmacy label says why you 5 Talk to your pharmacist and ask questions. They are taking the prescription. The physician can are a wealth of knowledge and can help with put this on their prescription to be transcribed advising you of how a new medication will affect onto the bottle. you, side effects of the medications, proper 2 Create and maintain an up-to-date medication dosage and even proper storage. list. This can reduce the risk of taking multiple 6 Tell your provider about any previous adverse medications for different conditions. On the list, drug reactions or effects. This also is applicable to include generic and brand names, dosages, telling your pharmacist and other emergency dosing frequency and reason for taking the meds. personnel should the situation arise. 3 Bring this list to the doctors for every 7 Minimize the number of providers and appointment and have one handy at home for pharmacists you use. This ensures everyone is Emergency responders in case anything happens on the same page and there will be no confusion at home. This can ensure it is updated every visit as to which medications you are taking. and your provider and everyone has the most 8 Set reminders. Set your phone or alarm. Ask a accurate information. family member or friend to remind you. Leave 4 Ask your provider if the dosage is age-appropriate. notes or prepare a calendar to keep track of refill As we get older, we can be more sensitive to some dates. Get in the habit of taking your meds at the drugs and less sensitive to others. Seniors are also same time everyday to help remember. most likely to experience adverse effects. Also 9 Presort pills into daily reminder boxes or other ask if it s advisable to start with a lower dosage dispensers. There are many different types that and gradually increase. are weekly, monthly, and even ones that separate night and day. 10 Know if you need to take foods or liquids with certain medications. 11 Consider the option of mail order prescriptions or delivery options. 12 Dispose of outdated medication and prescriptions you have been instructed to no longer take. They no longer like you to flush old medications as it can get into the water system. Look into prescription drug drop off locations or most of the time your local police department will take any unused meds. Steer clear simplify simplify! tips for energy conservation 1 Sit to work when possible (e.g., while preparing meals, ironing, folding) 2 Slide objects rather than lifting (e.g., sliding plates across the counter) 3 Plan in advance (i.e., distribute tasks throughout the day and week and plan time for rest and relaxation) 4 Get organized: Plan and make lists: Eliminate non-essential such as unnecessary chores, unused equipment: Avoid duplication (e.g., two trips to the store, climbing stairs, etc.): Use space efficiently: Keep frequently used items and supplies in accessible areas 5 Keep items within easy reach 6 Use carts when possible 7 Pour items into smaller, more manageable containers 8 Use prepared foods when possible (i.e., frozen 300 Pearl Street Burlington, VT reveraburlington.com dinners, microwave foods, etc.) 9 Make cold or lighter meals when possible 10 Cook in large quantities and store leftovers in the freezer for later use 11 Use disposable utensils (i.e., tin pans, paper plates, plastic utensils) tips for safe driving 1 Get your eyes checked. See your optometrist yearly and ask about glare reducing lenses if you wear glasses. 2 Get your hearing checked. See an audiologist for a hearing screen yearly and ask about hearing aids and their benefits if a deficit is noted. 3 Get enough sleep. Take naps when needed and figure out what times of the day you are most alert. It is never safe to drive when you re tired. 4 Ask your doctor about any medications you may be taking that you shouldn t be driving with. Some medications can affect your response time or make you sleepy. 5 Be aware of the road conditions. If it s icy, if it s raining, if it s windy, take that into consideration before you head out. 12 Stabilize bowls by using a damp cloth or dycem 13 Use mechanical assistance when possible 6 Bring your car for regular scheduled maintenance. Just like we need check-ups with the doctor periodically, our cars do too! (e.g., use a jar opener or dycem to open jar lids, electric scissors, etc.) 7 Make sure your headlights, windows and mirrors are all clear of debris. 8 Drive Defensively. Make sure there is adequate space between you and other vehicles. Remember if you double your speed your braking distance increases four times! 2 Blackberry Lane, Bennington, VT reverabennington.com 9 Choose a vehicle with automatic transmission, power steering and power brakes to aid your driving. 10 Know your limitations! If it s uncomfortable, don t do it! 11 Know your alternatives to driving. There are forms of public transportation, ride sharing, senior transit, taxis and even the option of walking if you are able to and it is close enough. 12 Make sure you sit 10 inches away from the steering wheel to give the airbag enough space to inflate. 13 Slide your seat backwards or forwards so that you re properly positioned. 14 Make sure you are able to see at least three inches over the top of the steering wheel. 15 Always wear your safety belt. The bottom strap should lie low on your hips and the shoulder strap should go over the center of your shoulder. Tilting the seat can sometimes make the shoulder strap more comfortable and sit in the right spot. 16 Make sure you are able to reach the pedals without straining your back or legs. 17 There is equipment that can aid you in driving such as key extenders, leveraging devices to get in and out, swivel seats, pedal extenders, convex mirrors and panoramic mirrors. 300 Pearl Street Burlington, VT reveraburlington.com Lesson Plan Here are just some of the topics covered by Revera s Educational Outreach Series: Sight for sore eyes: Tips for low vision situations Sleep tight: Tips for sleeping soundly All ears: Tips for communicating with people who are hard of hearing Back breaker: Tips for maintaining a healthy back Keep on moving: Tips for walker safety Simplify simplify: Tips for energy conservation Rub-a-dub-dub: Tips for bathroom safety Snow business: Tips for winter safety Flex time: Tips for arthritis & joint protection Smooth things over: Tips for diabetes & skin care Maintain mental health: Tips for depression Brain cell workouts: Dementia dilemmas Routine check-up: Cognition ignition Breaking aching: How to prevent, how to treat, and all the different types of headaches Pill drill: Tips for medication management Steer clear: Tips for safe driving Keep the beat: Congestive heart failure overview
6 Meet Dr. Brian Roper, M.D. Creating an ACO model that supports a continuum of care An ACO is a patient-centered organization that works to more efficiently diagnose and treat patients while ideally, lowering Medicare costs for both provider and patient. Our ACO promotes preventative care wellness through diet, exercise, meditation, vitamins and supplements, says Dr. Roper, who has been with the Center for seven years. We re actively involved in promoting good health I ve had patients powerwalk with me on the boardwalk and I ve used my pharmacist background to develop a nutraceutical brand of my own vitamins called Ropercueticals that I offer to patients. Also incorporated into Dr. Roper s ACO model are proactive discussions about advance directives. We find that patients and families are open to these discussions during non-critical wellness visits and that they help make choices such as palliative care and hospice less frightening for them. Thanks to Dr. Roper, residents at Neptune Rehab and Care Center can benefit from an ACO that truly embraces a continuum of care. Dr. Brian Roper, M.D. wears many hats. He s an Internist, Pharmacist and a Vitamintologist who also serves as Medical Director at Neptune Rehab and Care Center (NRCC), a 105-bed skilled care center located in Neptune, NJ. Not only that, but with ongoing changes in health care, he has been instrumental in forming a small scale Accountable Care Organization (ACO) of specialists and sub-specialists. At Neptune Rehab and Care Center, Dr. Roper s ACO model and specific methodology are also designed to help better predict outcomes on the primary care and illness side. All medical staff report concerns and findings to me. That lets us give realistic data to patients so they can make realistic decisions. In addition, all medical members of our ACO, including subspecialists, have privileges at NRCC so they can treat longterm and short-term patients at the Center. Not only does this decrease the transportation cost of traveling to an off-site doctor, more importantly, it reduces the angst of an elderly patient who would otherwise have to make a trip to a strange office.
7 THE BUZZ Bey Lea Achieves 150 Days without a Reportable Injury Bey Lea Village Nursing and Rehab Center, located in Toms River, NJ, has safety top-of-mind and the center recently celebrated 150-days without a reportable injury. The Safety Committee surprised staff with a luncheon to celebrate the results, and to acknowledge the center s teamwork. With the success of Bey Lea s program, it is now being rolled out to each center in New Jersey. According to the Safety Committee, the key is accountability, consistency, and most importantly awareness. This focus helps to keep our staff aware that we want a safe environment for our employees to work in and our residents to live in! Wearing appropriate non-skid shoes, utilizing gait belts and good training on the right equipment are needed to take care of our residents. The fun part is celebrating. At Bey Lea, staff are rewarded with the Bey Lea Buck for recognizing safe acts or reporting areas of concern to management. These can be cashed in for lunch, lotto tickets, etc. In addition to having a safety suggestion box and safety calendar that marks off each day without a reportable injury, the center sets incremental goals which keep them committed to Safety. Ready, Set, Close! Events a Success for Sales & Marketing Team Each year, the sales and marketing team brings together our talented Admissions Directors for a two-day conference at the Meriden office; known as Ready, Set, Close! the event promotes peer-to-peer networking, education from selected guest speakers and an open forum for discussion and inspiration. This year s event was held in two separate sessions from May 12th- 14th. Attendees left feeling motivated and with new information and resources at their disposal. In addition, the sales and marketing team gathered our Care Coordinators together in a similar meeting on June 9th- 10th. These meetings are often anticipated all year by our sales and marketing teams and it provides them with an invaluable opportunity; attendees leave feeling refreshed and refocused for the duration of the year! Dear Linwood Care Center, I want to tell everyone how great Linwood treated me. The nurses were all loving and caring; every time I rang my buzzer, which was constantly during the night, someone came in immediately each time and treated me with kindness. Every person at Linwood treated me with respect. Even housekeeping had a smile on their face! I couldn t have had a better experience. I left with my dignity and they saved my life! - Andrea Marrusso
8 CENTER NEWS BRING ON THE Revera Nursing & Rehab Centers Celebrated National Nursing Home Week National Nursing Home Week, sponsored by the American Health Care Association (AHCA), was celebrated in nursing and rehabilitation centers nationwide, beginning on Mother s Day, May 10th and continued through May 17th. This year s theme was Bring on the Fiesta! National Nursing Home Week spotlights nursing home patients and staff and encourages all to celebrate those that make a positive contribution every day. The week provides the opportunity for the employees of Revera Nursing & Rehab to reflect on the positive contributions that we make (and continue to make) on a daily basis for the seniors in our care. All of our centers participated in National Nursing Home Week festivities and all of our employees were able to recognize and pay tribute to this significant week of recognition. BENNINGTON Rockin poodle skirts (and a cat skirt) Bennington celebrated National Nursing Home Week with a throwback to the 50s. The ladies rocked sock hop regalia and posed in front of classic cars. BERLIN Berlin girls know how to bring it! Everyone at Berlin Health and Rehab brought their A-game and spirits for the NNHW party. BEY LEA Bey Lea s piñata slayer A Bey Lea resident got into the swing of things and took aim at a festive piñata for National Nursing Home Week.
9 BRISTOL Village Green of Bristol Bristol opened its doors to the community with a farmer s market as part of their NNHW events. There was fresh produce from local area farms as well as tropical favorites. BURLINGTON Mustachioed Vermonters The staff at Burlington Health and Rehab embraced the Bring on the Fiesta theme for National Nursing Home Week with mustaches, sombreros, and fiesta decor. CABOT The Queen Bean of Cabot Mary Boudreau (OT CODA Premier Therapy) won Renaissance Manor on Cabot s How many beans are in the jar? guessing game during NNHW. FOX CHASE Southern styles at Fox Chase Staff at Fox Chase added a bit of southern flair to their National Nursing Home Week celebration. GLEN RIDGE Perfect timing Glen Ridge celebrates their 25th anniversary along with the Red Sox open. All the staff members are showing Boston pride! HAMILTON PLAZA You go, Hamilton! Hamilton Plaza celebrates their state survey success with sheet cake and a group photo. Thumbs up, indeed!
10 ILIFF Olé! Iliff Nursing and Rehab pulled out all stops for a Mexicoinspired NNHW: Kelly Pilkerton, Activities Assistant; John Wiggins, Dietary Director; Laura Boutilier, Pediatric Case Manager; and Maria Palmiero, Pediatric Clinical Coordinator. LAURELTON Silly NNHW shenanigans Staff at Laurelton had a ball playing a silly game of balancing cookies on foreheads during National Nursing Home Week. LINDEN GROVE Sumo suit-up! Lindsey and Janna from Premier Therapy prepared to battle in oversized sumo suits. The match was epic, and it was legend wait for it ary. LINWOOD Bowling with doppelgänger pins Linwood Care Center s crew decorated bowling pins to look like staff members for a few rounds to knock em down during NNHW. MEADOW VIEW A smiling señora with fiesta spirit Residents of Meadow View were all smiles with the spirit of National Nursing Home Week and donned fiesta gear. MONTESANO Summer lovin had me a blast Montesano residents took a trip to a beachy-hot locale, got plenty of summer sun and had lots of beach ball fun. Summer days driftin away, to uh-oh those summer nights
11 NEPTUNE Getting wild at Neptune With chips, salsa, guacamole and margaritas on hand, Neptune Health and Rehab s staff are ready to tear it up fiesta style. OAK RIDGE Super Bowl-ing Oak Ridge staff are a super team. They stood together for a group shot after a few games of neon bowling. ORCHARD PARK Blue bloomin flowers at Orchard Thanks for all your hard work, Orchard Park staff! The front entrance is gorgeous with the new flowers planted there. REDSTONE Be fit, be well, and get rewarded Redstone Villa awarded prizes as part of their Be Fit and Be Well campaign. Looks like someone got a bag full of goodies! ROCHESTER MANOR Guest of honor at Rochester Rochester Manor had an exotic avian visitor during NNHW. His green is so vibrant! ROWAN COURT No time for a siesta with Rowan Court s fiesta! Pictured at Rowan Court during NNHW: Heather Filonow, Executive Director; Debi Arleth, Admissions Director; Annette Hart, Case Manager; and Pam Byam, Director of Nursing.
12 SOUTH COUNTY A glass of wine to top it off South County residents had a lovely outing at the Coast Guard House. Huge thanks to Lisa and Karen (Activities) for bringing everything together! SPRINGFIELD Springfield Sports Day Ready for Sports Day at Springfield: Scott Belt, Erin Wells, Heather Presch, Angela Sadlowski, Jessie Baldwin, and Tonya Copley. ST. JOHNSBURY Wish, granted Lorraine Gomes is a beloved member of our St. Johnsbury center, and riding a horse one more time was a long-time wish of hers. Thanks to the efforts of staff and Rhythm of the Rein, we were able to make it happen!! WALLINGFORD Puttin on the party hats At the Village Green of Wallingford, Jeff Smith (Director of Environmental Services) and Alicia Lienholp (Dietician) put on their party hats for NNHW food and festivities. WATERBURY Walk on in to Waterbury s Saloon Waterbury set up a saloon for residents to hang and enjoy during National Nursing Home Week. WESTFIELD Huevos Rancheros, anyone? Tiffany Legacy, Activity Director at Renaissance Manor of Westfield, prepared a Mexican breakfast for staff during NNHW. Delicious way to start a morning!
13 Let s hear it for the boys! WHITING Can t wait for the second one! 3Femi Osho with Grace Kidney, ED and NAME The center at Whiting held its first-annual chili cook-off with Jennifer Johnson (Assistant Activities Director) and Sally Guarneri (Staffing) as judges. Picking a winner was tough! 6Colieh Conteh with Grace Kidney, ED Willow Creek Rehab & Care Center located in Somerset, NJ is thrilled to announce their center has two state-wide winners of HCANJ scholarships. Femi Osho is moving from RN to BSN, and Colieh Conteh from LPN to RN. WILLOW CREEK Welcoming the Willow Creek Family!! HCANJ stands for Health Care Association of New Jersey. It s a nonprofit organization promoting the highest quality care for New Jersey citizens in long-term care centers. Click here for more info about HCANJ The game of Willow Creek Family Feud got a little competitive when the rehab team tried to steal a question from the administration.