Monday, April 14, 2008
NY Nursing Homes Fill Gaps Left by Hospitals
This role is actually the need we try to fulfill on a long term basis at an Adult Foster Care facility such as Kelso House AFC.
By E.B. SOLOMONT
Staff Reporter of the Sun
As New York hospitals wrestle with cutbacks and budget constraints, nursing homes are finding a new role in treating patients who are well enough to be sent home but need additional care.
In a departure from their traditional role, nursing homes statewide in recent years have seen an influx of patients seeking short-term, rehabilitative care, as cash-strapped hospitals treat and discharge patients as quickly as possible. With increasing turnover rates at nursing homes, a number of facilities citywide are responding to the demand, taking on costly renovation projects that shrink the number of long-term beds but add space devoted to short-term care. Last week, the Margaret Tietz Nursing and Rehabilitation Center in Queens broke ground on a $3 million expansion of its rehabilitation space, part of a $14 million top-to-bottom renovation of the facility.
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District Councillors Shoot Down Nursing Home
This story about a proposed nursing home in Nyewood, UK, shows that the same obstacles and issues surrounding elder care are present throughout the civilized world. What I found remarkable about this article was the fact that there was so much community support for the project, and yet the city planners found the project to be counter to their designs and went so far as to comment on the aesthetic devaluation of the neighborhood a nursing home would engender.
What lot of Sods!
Nyewood nursing home turned down despite strong village backing
NYEWOOD villagers have lost their fight for a 32-bedroom nursing home which was planned on the former station yard site.
Last week Chichester district councillors (CDC) threw out the plans at a special application referral meeting.
It was called because their colleagues on the north area development control committee in February defied their officers' recommendation and said they wanted to see the plan go ahead.
As this decision went against the council's planning policy it was taken to the special referral committee for a final ruling.
More than 40 villagers turned out when Harting Parish councillors held a special public meeting to hear their views earlier this year.
And members of the north area development control committee were told there was 'universal approval' for the scheme among villagers.
Applicant Bill Richardson said it would use a brownfield site, get rid of an unsightly builder's yard and enhance the whole area.
Harting and Elsted district councillor Andrew Shaxson also spoke out strongly in favour of the development.
But at the referral committee last week officers reported that 'given the remoteness of the site, the very limited nature of public transport in the area and the lack of local services and facilities, the proposal would be contrary to the aims and objectives of a range of planning policies governing sustainable development'.
They said it would also have a serious and detrimental impact on the appearance of the Area of Outstanding Natural Beauty (AONB) and would impact in an 'overbearing' and 'unneighbourly' way on nearby homes.
The committee voted to reject the plans on the grounds they would be an unsustainable form of development and would be harmful to the AONB and residential amenities.
Wednesday, April 9, 2008
Shortage in Senior Housing
A crisis is looming in housing for the rising population of senior citizens, with a shortage of beds available for those who are no longer able to live alone but don't require nursing-home care.
Adult foster care homes can be a perfect solution for people who need temporary or long-term non-medical residential care, but there aren't enough of them to meet the growing demand, Susan Aikens, Delaware County deputy commissioner, said Tuesday.
"We are actively recruiting for adult foster care homes," Aikens said. "Right now, we have five homes with 26 beds in Delaware County and we get 4 to 5 requests a month."
Recent closures of adult homes in Delaware County, both voluntary and involuntary, left about 100 people without a home. Of those, only 16 were able to remain in the county because there were no other spaces available.
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Tuesday, April 8, 2008
Michigan BCBS Proposals Under Scrutiny
Christina Rogers / The Detroit News
A legislative battle in the state's Capitol over new regulations for insurers selling individual policies will resume in mid-April, when members of the Senate Health Policy Committee hold another round of hearings and move to a final committee vote at the month's end.
On the table are several alternatives to a package of bills passed by the House of Representatives last fall. The proposed legislation would among other measures make it possible for the Blue Cross Blue Shield of Michigan, the state's insurer of last resort, to divvy up the financial load of paying for its sickest -- and most costly -- customers by requiring commercial insurers to pay into a high-risk pool.
Last month, the Senate committee's chairman, Sen. Tom George, R-Kalamazoo, pitched a series of substitutes to the Blues-backed legislation.
New Plan for Michigan Health Insurance Reform
State Sen. Tom George offers a well-thought-out plan for health insurance reform
April 6, 2008
On matters of public health, the State of Michigan's overarching goals must be improving it and increasing access to care.
With those guideposts, state Sen. Tom George, a physician, has a better plan for health insurance reform than one put forward by Blue Cross Blue Shield of Michigan and shot through the House last fall with disgracefully little review for an issue of such importance. George, a Republican from Kalamazoo, has, after a series of hearings he chaired in the Senate Health Policy Committee, produced his own set of proposals for the individual insurance market -- and they make sense.
Blue Cross, a not-for-profit agency set up through state law, has been lobbying for changes that the Blues say will enable them to be more competitive in the growing individual insurance market. At the same time, the Blues want less regulation and more freedom to invest in for-profit subsidiaries.
Read The Rest of New Plan for Michigan. . .Sunday, April 6, 2008
Family Vistors Come to Kelso House

Ailie recently had visitors - family members Jim & Nancy came all the way from Waterford, Michigan to see her. Ailie was so surprised to see them and had a wonderful time. After they left, she just kept remarking, "what nice people."
We welcome and encourage visits from family and friends as often as possible, and we thank everyone who comes to devote their time.
Universal Coverage Law Creates Doctor Shortage
AMHERST, Mass. — Once they discover that she is Dr. Kate, the supplicants line up to approach at dinner parties and ballet recitals. Surely, they suggest to Dr. Katherine J. Atkinson, a family physician here, she might find a way to move them up her lengthy waiting list for new patients.
Those fortunate enough to make it soon learn they face another long wait: Dr. Atkinson’s next opening for a physical is not until early May — of 2009.
In pockets of the United States, rural and urban, a confluence of market and medical forces has been widening the gap between the supply of primary care physicians and the demand for their services. Modest pay, medical school debt, an aging population and the prevalence of chronic disease have each played a role.
Now in Massachusetts, in an unintended consequence of universal coverage, the imbalance is being exacerbated by the state’s new law requiring residents to have health insurance.
Since last year, when the landmark law took effect, about 340,000 of Massachusetts’ estimated 600,000 uninsured have gained coverage. Many are now searching for doctors and scheduling appointments for long-deferred care.
Go to Entire Article at the New York Times