𝐍𝐞𝐰 𝐑𝐍 𝐒𝐭𝐚𝐟𝐟𝐢𝐧𝐠 𝐑𝐚𝐭𝐢𝐨𝐬 𝐢𝐧 𝐔𝐒 𝐂𝐚𝐫𝐞 𝐇𝐨𝐦𝐞𝐬: 𝐀𝐝𝐝𝐫𝐞𝐬𝐬𝐢𝐧𝐠 𝐚 𝐂𝐫𝐢𝐭𝐢𝐜𝐚𝐥 𝐍𝐞𝐞𝐝 𝐓𝐡𝐞 𝐏𝐫𝐨𝐛𝐥𝐞𝐦 The COVID-19 pandemic revealed severe staffing shortages in US nursing homes, contributing to over 200,000 resident deaths. Despite substantial funding through Medicare and Medicaid, many facilities were inadequately staffed, leading to neglect and poor care. The pandemic further exacerbated staffing issues, highlighting the urgent need for regulatory intervention to protect residents. 𝐓𝐡𝐞 𝐒𝐨𝐥𝐮𝐭𝐢𝐨𝐧 The Nursing Home Minimum Staffing Rule, announced by Vice President Kamala Harris on April 22, 2024, mandates new staffing ratios for nursing homes: • Staffing Hours: 3.48 hours of staffing per resident per day, with 0.55 hours from registered nurses (RNs) and 2.45 hours from nurse aides. • Continuous RN Presence: An RN must be on site at all times, including nights and weekends. • Variable Minimums: Higher staffing levels based on resident needs. • Phased Implementation: Gradual rollout with extended timelines for rural areas. • Temporary Exemptions: Allow time for facilities to comply with new requirements. This rule aims to end neglect due to understaffing, ensuring resident safety and high-quality care. 𝐇𝐨𝐰 𝐅𝐨𝐜𝐮𝐬𝐞𝐝 𝐁𝐞𝐡𝐚𝐯𝐢𝐨𝐫𝐚𝐥 𝐒𝐭𝐚𝐟𝐟𝐢𝐧𝐠 𝐆𝐫𝐨𝐮𝐩 𝐂𝐚𝐧 𝐇𝐞𝐥𝐩 Focused Behavioral Staffing Group (FBSG) offers essential support to nursing homes in meeting the new staffing requirements. 𝐄𝐱𝐩𝐞𝐫𝐭𝐢𝐬𝐞 𝐢𝐧 𝐇𝐞𝐚𝐥𝐭𝐡𝐜𝐚𝐫𝐞 𝐒𝐭𝐚𝐟𝐟𝐢𝐧𝐠 FBSG specializes in providing skilled RNs and nurse aides, ensuring facilities can meet federal standards. 𝐂𝐮𝐬𝐭𝐨𝐦𝐢𝐳𝐞𝐝 𝐒𝐨𝐥𝐮𝐭𝐢𝐨𝐧𝐬 We offer tailored staffing solutions to match the specific needs of each nursing home, ensuring compliance and quality care. 𝐓𝐫𝐚𝐧𝐬𝐢𝐭𝐢𝐨𝐧 𝐒𝐮𝐩𝐩𝐨𝐫𝐭 FBSG assists with workforce planning, recruitment, and temporary staffing to help facilities transition smoothly to the new ratios. 𝐓𝐫𝐚𝐢𝐧𝐢𝐧𝐠 𝐚𝐧𝐝 𝐃𝐞𝐯𝐞𝐥𝐨𝐩𝐦𝐞𝐧𝐭 We provide ongoing training programs to enhance staff skills and improve care quality. 𝐅𝐢𝐧𝐚𝐧𝐜𝐢𝐚𝐥 𝐚𝐧𝐝 𝐎𝐩𝐞𝐫𝐚𝐭𝐢𝐨𝐧𝐚𝐥 𝐄𝐟𝐟𝐢𝐜𝐢𝐞𝐧𝐜𝐲 FBSG delivers cost-effective staffing solutions, helping nursing homes maintain financial viability while meeting regulatory demands. 𝐀𝐝𝐯𝐨𝐜𝐚𝐜𝐲 𝐚𝐧𝐝 𝐂𝐨𝐧𝐬𝐮𝐥𝐭𝐚𝐭𝐢𝐨𝐧 We offer consulting services to help facilities navigate new regulations and remain compliant, advocating on behalf of our clients. The Nursing Home Minimum Staffing Rule aims to improve care quality in nursing homes. Focused Behavioral Staffing Group is ready to help facilities comply with these new standards, offering expert staffing solutions and support to ensure the safety and well-being of residents.
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Instead of talking endless data about required arbitrary staffing numbers in nursing homes, let’s really dig deep into workforce availability and the healthcare crisis as a whole. We walk the halls of rehabs/nursing homes. We have watched how patients are treated. Some are okay but lacking, because the workforce is burned out while getting little pay. How does setting staffing requirements help the situation? Where do you find willing nurses and CNAs? Consider other avenues of your loved one’s recovery and last stage. CarePatrol of NE Dallas can help. Call 972-472-4274. #seniorcare #assistedliving #memorycare #inhomecare #independentliving #seniorliving #cms #nursinghomes #skillednursing #elderlyrecovery #endstage
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#healthcarenews #skillednursing The Centers for Medicare & Medicaid Services (CMS) settled on a minimum of 3.48 nursing staff hours per resident per day (HPRD), including 2.45 hours from nurse aides and 0.55 hours from registered nurses (RNs). Nursing homes will also be required to have an RN on site 24 hours per day. Four out of five nursing homes can’t meet the 24/7 RN requirement, AHCA/NCAL found. Breaking down the rule further to account for specific nurse categories, half of facilities can’t meet the 0.55 RN HPRD requirements and 70% can’t meet the 2.45 HPRD requirement. Nursing homes have been facing a historic labor shortage only made worse by the pandemic – while other health care sectors increased their workforce by 5% to 11% compared to February 2020, nursing homes still need to recover more than 7% of its workforce, or nearly 125,000 workers to get to pre-pandemic levels. For more information on how to join our team The Nurse Connection Staffing please visit: https://lnkd.in/ebjw-2HB #nurseconnectionstaffing #cnajobs #lpnjobs #rnjobs
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The nursing home sector is experiencing a significant shortage of healthcare workers and a slower increase in nursing care beds, raising concerns about long-term care access in some states. In Wisconsin, Forward Analytics warns of a looming crisis, predicting a need for 10,000 more workers by 2040 as baby boomers age. This is due to changes in service types and a 50% reduction in licensed nursing home beds over the past 20 years. https://buff.ly/3Ns8PRh #seniorcare #longtermcare #healthcare
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The recently announced minimum staffing rule now requires 3 hrs and 48 minutes of direct patient care per patient, per day. The ruling also indicates 3.0 of those hours must be split between registered nurses at 2.45 hours and 0.55 hours for certified nurse aides. Where will this time come from amidst staffing challenges? 1 place is a reduction in non-direct patient care time. Hucu can deliver this, saving up to 2 hours per caregiver per shift of time wasted chasing information and communication. Visit Hucu.ai to learn how over 100s of other post-acute-care organizations are achieving this and other efficiencies with Hucu. https://lnkd.in/gXUQ3FHz McKnight's Long-Term Care News StartUp Health #postacutecare
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#Staffing mandates - love 'em or hate 'em? The White House finalized the #nursinghome minimum staffing rule. The rule requires a #nursing home to provide at least 3.48 total care hours per resident per day, including 0.55 #RN hours and 2.45 Nurse Aide hours. So, a facility with 100 residents must have 2 - 3 RNs and 10-11 CNAs per shift, along with all other staff members required to provide holistic, comprehensive care. My random thoughts (in no particular order): 1. This seems 100% reasonable when you think about the #acuity of #care in many nursing home facilities. 2. Medicare and Medicaid pay millions to nursing homes each year so they can provide care to beneficiaries. (They pay the facility; the facility pays the staff, right? Or does the organization line its pockets?) 3. Staffing mandates don't magically make RN and CNA candidates appear. Nor do they improve the working environments of nursing facilities. I'm still 100% on the fence about #staffingmandates. I see the positives and negatives. I'm just not convinced they are what our #healthcare system needs the most to advance #caredelivery and outcomes. What do you think? Are staffing mandates the answer? #nursesonlinkedin #healthcareonlinkedin https://lnkd.in/g8XJRP_s
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This Modern Healthcare article sheds light on the ongoing talent war between home health and skilled nursing facilities, emphasizing the crucial issue of nursing staff availability to meet rising demand. Virtual nursing emerges as a promising solution to alleviate staffing pressures in home health organizations. Virtual nursing complements in-person visits and strategically manages patient care by enabling virtual monitoring and case management. This allows healthcare providers to prioritize in-person visits for patients with chronic conditions, enhancing patient outcomes and optimizing resource allocation. Specializing in areas like palliation and wound care, virtual specialty nurses offer expertise that elevates the quality of care provided at home, bridging the gap between patient needs and nursing availability. With demographic shifts and consumer preferences boosting the demand for post-acute care at home, integrating virtual nursing becomes crucial for sustaining growth in home healthcare. This innovative approach ensures high-quality care delivery amidst a tightening labor market. Integrating virtual nursing presents a proactive solution to the current staffing crisis. It enhances care models and aids home health providers in navigating challenges posed by increasing demand. #NursingShortage #HomeHealth #VirtualNursing #Innovation
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Facing ongoing workforce challenges, SSM Health is leveraging ShiftMed's W-2 on-demand model to create a more stable, sustainable staffing solution. In a recent HealthLeaders article, Jennifer Garnica, RN, BSN, MHA, VP of Nursing and CNO at SSM Health St. Mary’s Hospital, shared how this approach has converted over 100 on-demand nurses into full-time staff, significantly improving nurse retention while saving on costly external agency contracts. By focusing on local workforce solutions, SSM Health has not only reduced its reliance on travel nurses but also stabilized its workforce, leading to improvements in healthcare-associated infections (HAIs) and overall patient experience. Additional benefits include enhanced morale, loyalty, longevity, and cost savings in recruiting and onboarding. Discover how this model is driving positive outcomes across health systems nationwide: https://lnkd.in/g9N8__Ys #HealthcareInnovation #NurseRetention #WorkforceSolutions #StaffingChallenges #PatientExperience #CostSavings
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Nursing homes across the U.S., AHCA/NCAL, the American Hospital Association, and other advocacy groups have raised concerns about #CMS’s Final Rule on Nursing Home staffing. The main concern is that the new mandates will exacerbate existing staffing challenges at long term facilities (#LTC). Aside from adding more staff, how will LTCs/Nursing Homes address these challenges? One answer may be partnerships with home health agencies (#HHA) who can care for some of the short-term stay patients at home. Another may be technology solutions that help optimize length of stay for short term patients. Post acute care operators continue to feel pressure from many directions: 👉 Reduced rates from #payors 👉 High operating cost driven by inflation and shortage of nurses 👉 High cost of capital driven by high interest rates Challenging times call for innovative solutions. We can help. Give us a call today. #nursinghomes #skillednursingfacility #SNF #homehealth #LTC #longtermcare #healthpolicy #medicare #medicareadvantage #managedcare #MCO #medicaid #postacutecare #PAC
STRATEGIC HEALTHCARE ADVISOR | VALUE-BASED CARE EVANGELIST | FRACTIONAL C-SUITE | HELPING HEALTHCARE ORGANIZATIONS REACH THEIR POTENTIAL | DRIVING GROWTH THROUGH INNOVATION | MEDICAL ECONOMICS AND DATA NERD
I expected AHCA/NCAL to be up in arms about #CMS’s Final Rule on Nursing Home staffing, but now the American Hospital Association (#AHA) has joined the fight. A little background: In April, the Centers for Medicare & Medicaid Services (#CMS) published the Final Rule for minimum staffing requirements in long-term care facilities (LTCs) —sometimes called #nursinghomes —which aims to improve the quality of care for #LTC patients. The rule introduces the following new staffing requirements: 👉 Minimum of 3.48 hours of care per resident day (HRPD). 👉 Includes 0.55 hours of care from a registered nurse (#RN) and 2.45 hours from a nursing aide (#NA) daily. 👉 RN required on-site 24/7 for direct patient care. In addition to new staffing requirements, CMS proposes to enhance requirements for annual assessments to develop individualized staffing plans and increase emphasis on care planning for residents with specific needs. There are a few exemptions and flexibility: 👉 Hardship exemptions for facilities in areas with nursing workforce shortages. 👉 Additional time for compliance granted to nursing homes in rural areas. The implementation timeline is aggressive: 👉 Phase 1 (August 10, 2024): Facilities to meet facility assessment requirements. 👉 Phase 2 (May 2026): Full compliance with HRPD and 24/7 RN requirement. 👉 Phase 3 (May 2027): Meet RN and HRPD requirements. Main concerns and pushback from Nursing Home Operators and their advocates, such as AHCA/NCAL: 👉 Staffing mandate will add to the existing staffing challenges that Nursing Homes face today. 👉 Hiring more nurses to meet the mandate requirements will shrink their already depleted margins causing smaller Nursing Homes to shut down. Why the AHA is upset: 👉 Higher length of stay at hospitals: The staffing requirements will reduce capacity at Nursing Homes, which will require hospitals to hang on to patients longer. 👉 Lower margins/profits: #Hospitals are paid a static episodic payment called diagnosis-related group (#DRG) reimbursement for most patient stays. Hospitals make a profit by reducing their expenses. The longer the patient stays in the hospital, the more expenses are incurred without any additional revenue. #postacutecare #acutecare #healthcarepolicy #healthpolicy #episodicpayment #alternativepaymentmodels #APM #valuebasedcare #vbc #nurses #phsycians #medicare #medicaid #managedcare #MCO #PAC Post Acute Analytics naviHealth CareCentrix EviCore by Evernorth Carelon
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Florida is facing a critical shortage of nursing staff amid a rapidly aging population, with seniors projected to make up nearly a third of the state's population by 2030. The Biden administration's new mandate requiring nursing homes to provide 3.48 daily care hours per resident exacerbates the urgency for innovative healthcare solutions. Dwyer Workforce Development (DWD) is addressing this issue through a holistic model that includes training, job placement, and support services. DWD has expanded its services across several Florida counties to help alleviate the workforce shortage and improve care for seniors. https://lnkd.in/e-vF7NdX #healthcare #healthcareinnovation #NursingShortage #SeniorHealthcare #AssistedLiving #HCBS #SeniorCare #ltss #ltc #AccessToCare
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Nursing a health staffing shortage. Yet the Biden administration insists nursing homes shouldn’t fear a new staffing rule, pointing to exemptions and more time to comply. “There is just not a registered nurse to be found,” administrator Paul Treffert, CEO of the 85-bed nonprofit home Sheboygan Senior Community in Wisconsin, told Robert. “Mandate whatever you want, pay whatever you choose, they are just not there.” The scale of the nursing shortage could impact whether the rule achieves its goal of improving quality in the nursing home industry. Read more: https://hubs.la/Q02zXWJD0 #NursingShortage #HealthStaffingCrisis #NursingHomes #StaffingMandate #HealthcareWorkers #NurseShortage #HealthcareCrisis #NursingHomeStaffing #BidenAdministration #NurseBurnout #HealthcarePolicy #NursingCare #PatientCare #RegisteredNurses #StaffingExemptions #HealthcareReform #NurseStaffing #HealthPolicy #SeniorCare #NursingChallenges
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