Referral Guide
Revolving Doors: Hospitals Not Making the Cut Guide to Senior Care Options & Patient Care Assisted / Alzheimer’s – Home Healthcare – Hospice – Home Care Private Duty Nursing - Skilled Nursing & Rehabilitation – Rehabilitation Hospital MOBILE AND DIGITAL AVALIABLE
1
CASEMANAGEMENTSOCIALWORK.COM
Please say, “I found you in
2
CASE MANAGEMENT SOCIAL Work.”
CONTENTS
Tarrant Vol. 4 Issue 4
Levels of Care ALZHEIMER’S 4 Programs and assistance designed with those with memory loss; some communities will provide specially trained security measures to prevent residents from wandering.
Hospitals Not Making the Cut.
ASSISTED LIVING 8 Residents have the freedom and comfort of Independent living, though have the assistance with daily activities, with some level of healthcare services.
15
HOME HEALTHCARE 11 Allowing patients to remain at home eliminating travel for treatment; alternative to hospital stay or a skilled nursing facility. HOME CARE
REHABILITIONAL HOSPITAL 21 Providing various neurological, musculoskeletal, orthopedic and other medical conditions following stabilization of their acute medical issues.
12
Allowing a non-medical home care assistant (caregiver) provide transportation, meals, and daily needs.
SKILLED NURSING & REHAB
HOSPICE 17 In home of facility end of life care for the terminally ill with pain management, comfort, and emotional support being the primary mission for the family.
Patient Care
10
10 Signs to Early Detection of Alzheimer’s.
PRIVATE DUTY NURSING 19 Working one-on-one with individuals involve pediatric to geriatric patients on with private duty nurse / Registered Nurses (RN) or Licensed Vocational Nurses (LVN)
23
Licensed and equipped to provide healthcare which meets the needs of more extensive physical issues, and assist residents to regain mobility.
Sponsored By: Bethesda Senior Living www.bethesdaseniorliving.com
3
CASEMANAGEMENTSOCIALWORK.COM
Memory Care With a Purpose Making the most of each day is an important part of our focus. With over 15 years of memory care experience, we know that being involved and engaged makes for fulfilling days.
Engagement programs designed specifically to enhance quality of life.
Autumn Leaves of Arlington 514 Central Park Drive Arlington, TX 76014 (817) 419-6700 | License #010360
Autumn Leaves of Denton 2505 Brinker Road Denton, TX 76208 (940) 323-1710 | License #104333
Autumn Leaves of Carrollton 1800 King Arthur Boulevard Carrollton, TX 75010 (972) 492-7700 | License #101033
Autumn Leaves of Flower Mound 3201 Karnes Road Flower Mound, TX 75022 (972) 355-5432 | License #103044
Autumn Leaves of Cityview 7100 Dutch Branch Road Fort Worth, TX 76132 (817) 769-3800 | License #104331
Autumn Leaves of Fossil Creek 4501 Silver Sage Drive Haltom City, TX 76137 (817) 849-8000 | License #103208
Autumn Leaves of Rockwall 225 E. Ralph Hall Parkway Rockwall, TX 75032 (469) 402-1883 | License #104957
Please say, “I found you in
CASE MANAGEMENT SOCIAL Work.”
4 AutumnLeaves.com
ALZHEIMER’S
Memory loss...
shouldn’t take away purpose and passion in life Silverado communities enrich the lives of individuals and families affected by memory loss through exceptional care, a highly skilled staff and unmatched service. New location now open in Fort Worth
(817) 292-2662
fort worth
7001 Bryant Irvin Road
Fort Worth, TX 76132 memory care | community
silveradocare.com/casemgmt
5
CASEMANAGEMENTSOCIALWORK.COM
ALZHEIMER’S
Expert Dementia Care.
We are an insightful, respected provider of specialized and life-enhancing Alzheimer’s care. Residential care»Adult day programs»Family support»Caregiver training 1111 Summit Avenue, Fort Worth Texas 76102 817.877.1199 l www.jameslwest.org
Please say, “I found you in
6
CASE MANAGEMENT SOCIAL Work.”
ALZHEIMER’S
7
CASEMANAGEMENTSOCIALWORK.COM
ASSISTED LIVING / ALZHEIMER’S
Please say, “I found you in
8
CASE MANAGEMENT SOCIAL Work.”
ASSISTED LIVING / ALZHEIMER’S
Welcome Home We offer these three beautiful Texas locations: Bethesda Gardens Assisted Living 5417 Altamesa Blvd. Fort Worth, TX 76123 (817) 292-8886 Bethesda Gardens Memory Care Community Dementia & Alzheimer’s Care 5349 Altamesa Blvd. Fort Worth, TX 76123 (817) 292-8886 Bethesda Gardens Assisted Living 1103 W. Arkansas Ln. Arlington, TX 76013 (817) 861-4644
Join us for a tour and stay for a free lunch!
Embark on an active lifestyle at Bethesda Senior Living Communities! With social and recreational activities, it’s an adventure every day. No Long-Term Contracts Elegant Living Atmosphere Compassionate Care Staff Available 24/7
Find us on Facebook!
Enriching Activities and Outings Spacious Floor Plans Transportation Available Call to schedule a tour today!
www.BethesdaSeniorLiving.com
9
CASEMANAGEMENTSOCIALWORK.COM
BROUGHT TO YOU BY
Please say, “I found you in
alz.org
10
CASE MANAGEMENT SOCIAL Work.” WWW.BETHESDASENIORLIVING.COM
HOME HEALTHCARE
11
CASEMANAGEMENTSOCIALWORK.COM
HOME CARE
Prevent hospital readmissions ResCare HomeCare is your solution - Our Signature Programs Life Management Safe Discharge/Transportation Medication Management/Reminders We help keep your patients safe, healthy and at home — where we all want to be.
817.263.8840 ResCareHomeCare.com
Please say, “I found you in
12
CASE MANAGEMENT SOCIAL Work.”
HOME CARE
NEED HELP? HERE’S WHAT WE DO…
WE WILL:
DON’T FEEL GUILTY IF YOU CAN’T DO IT ALL! Professional Caretakers Dallas 8214 Westchester, Suite 645 Dallas, TX 75225
Professional Caretakers Fort Worth 6050 Harris Parkway Fort Worth, TX 76132
(214) 691-4411
(817) 921-9500
WWW.PROFESSIONALCARETAKERS.COM
13 CASEMANAGEMENTSOCIALWORK.COM Serving Texas since 1988 Licensed – Bonded Non-Medicare
Please say, “I found you in
14
CASE MANAGEMENT SOCIAL Work.”
364 Hospitals Have High Rates Of Overall Readmissions, New Medicare Data Show
Medicare’s new comprehensive measure of hospital readmissions shows that at least 20 percent of the hospitals in Illinois, Maryland, Massachusetts, New Jersey, New York and Rhode Island have higher rates of patients returning than the national average. Colorado, Hawaii, Idaho, North Carolina, Oregon, South Carolina, Utah and Washington led the states with the highest proportion of hospitals with low readmission rates. In those states, between 13 and 16 percent of hospitals came in below the national average, which was 16 percent of Medicare patients, the data show. Since 2008, Medicare has been tracking hospital readmission rates and publishing those for three common ailments. In December, the government expanded its disclosure by publishing hospital rates of Medicare patients of all diagnoses who returned within a month for unplanned reasons from July 2011 through June 2012. At 364 hospitals, or 8 percent, patients returned more frequently than did patients at the average hospitals. Some of these facilities are among the most revered in the country, such as the Cleveland Clinic and Duke University Hospital in Durham, N.C. Patients at 315 hospitals, or 7 percent of those rated across the country, were readmitted at a lower rate than the national average. They included Baylor University Medical Center in Dallas, California Pacific Medical Center in San Francisco and Intermountain Medical Center in Murray, Utah. The rest of the nation’s hospitals were rated as average. The KHN chart at the bottom of this story lists all hospitals that did either better or
15
CASEMANAGEMENTSOCIALWORK.COM
worse than average on this measure, known as hospital-wide all cause unplanned readmissions.
The all-cause readmission rates are particularly significant because the Medicare Payment Advisory Commission (MedPAC), which advises Congress, has encouraged lawmakers to use this measure when determining financial penalties for hospitals in the Hospital Readmission Reduction Program. Medicare is currently fining 2,225 hospitals for excess readmissions for heart failure, heart attack and pneumonia patients. (The full penalty list is in this KHN interactive chart, and Medicare publishes the underlying data here.) The number of cases of each of these three conditions for many hospitals is quite small, making it hard for the government to make accurate assessments of their readmission rates. Half of hospitals have 70 heart attack patients or fewer over a three year period. Nine out of 10 hospitals would have at least 1,100 cases of any kind over three years, making calculations more accurate, MedPAC said. The hospital industry and some independent researchers have expressed reservations about all the readmissions measures. They say they do not reflect that some hospitals end up saving lives by being more aggressive in readmitting patients at early signs of trouble. They also complain that hospitals with large proportions of low-income patients often have higher readmission rates because those patients often don’t have the money for follow-up care and are more likely to lack their own primary care physician. Finally, while Medicare does take the degree of patient sickness into account when judging hospitals, academic medical centers say that the government analysis isn’t refined enough to fully notice which patients are sicker than others with the same ailment. Some cities had particularly large numbers of high readmission hospitals, the data show: Chicago: 19 hospitals including Northwestern Memorial Hospital, Rush University Medical Center and the University of Chicago Medical Center. Brooklyn: 11 hospitals including Brookdale Hospital and Medical Center, Kingsbrook Jewish Medical Center and New York Methodist Hospital. Philadelphia: 10 hospitals including Einstein Medical Center, the Hospital of the University of Pennsylvania and Thomas Jefferson University Hospital. Baltimore: Seven hospitals including The Johns Hopkins Hospital and Johns Hopkins Bayview Medical Center, MedStar Good Samaritan Hospital and the University of Maryland’s Medical Center and Midtown Medical Center. Manhattan: Seven hospitals including Beth Israel Medical Center in Manhattan, Lenox Hill Hospital, New York-Presbyterian Hospital and NYU Langone Medical Center. Boston: Five hospitals: Beth Israel Deaconess Medical Center, Boston Medical Center, Brigham and Women’s Hospital and the Brigham’s Faulkner Hospital, and Tufts Medical Center. Los Angeles: Four hospitals: California Hospital Medical Center, Hollywood Presbyterian Medical Center, Olympia Medical Center and Ronald Reagan UCLA Medical Center. Miami: Four hospitals: Jackson Memorial Hospital, Kendall Regional Medical Center, University of Miami Hospital and Westchester General Hospital. Out of all cities, Oklahoma City had the most hospitals with lower than average readmissions rates, with four scoring better than average. Please say, “I found you in
16
CASE MANAGEMENT SOCIAL Work.”
HOSPICE
17
CASEMANAGEMENTSOCIALWORK.COM
HOSPICE
Please say, “I found you in
18
CASE MANAGEMENT SOCIAL Work.”
PRIVATE DUTY NURSING
19
CASEMANAGEMENTSOCIALWORK.COM
PRIVATE DUTY NURSING
Epic Quality, Epic SErvicE ... Epic carE At Epic Health Services, we provide exceptional home health care services delivered with compassion and extraordinary client service.
t Full-Service Pediatric and Adult Private Duty Nursing t Pediatric Therapy: Physical, Occupational and Speech-Language
Our customized services for children and adults not only meet their individual care needs, but also improve their quality of life.
t Available 24/7, 365 Days a Year t Licensed, Certified, Experienced Nurses and Therapists
Our dedicated team works together to develop a comprehensive, coordinated plan of care designed to achieve each client’s goals and optimal outcomes.
t Short- and Long-Term Care Available t 24/7 Live On-Call Client Service Coordinators
Plus, we support our clients and their families by bringing together medical professionals, case managers, payers and others to create an integrated support system.
For more information, visit us online.
EpicHealthServices.com
Contact Your Local Office to Learn How We Can Provide Epic Care to Your Patients ADDISON
DALLAS
FORT WORTH
17480 N. Dallas Pkwy. Suite 221 Dallas, TX 75287 phone: 214-623-5900 fax: 214-623-5901 toll-free: 866-540-8513
1349 Empire Central Suite 516 Dallas, TX 75247 phone: 469-364-8600 fax: 469-364-8595 toll-free: 866-374-2633
1200 Summit Ave. Suite 740 Fort Worth, TX 76102 phone: 817-698-9500 fax: 817-698-9506 toll-free: 888-374-3742
Please say, “I found you in
20
CASE MANAGEMENT SOCIAL Work.”
REHABILITATION HOSPITAL
REAL PATIENTS. REAL STORIES.
Baylor “helped me pickup the pieces.
”
Patti Foster was on her way to a Bible study, when a semi-truck driver rear-ended the vehicle she was riding in at full speed. “The impact ejected me out of the side of the SUV,” she says. “And from there, life changed.” Patti sustained multiple traumatic injuries, including a traumatic brain injury. She spent five weeks in a coma in ICU and then moved to Baylor. “Baylor taught me how to live again. I was like a 34-year-old infant. I had to relearn everything.” Today, Patti is an inspirational speaker and does voiceovers for radio and TV. She also volunteers at Baylor. “I want to tell other patients not to give up. Because I’m a walking miracle.” Baylor Institute for Rehabilitation is one of only 16 facilities throughout the nation to be designated as a model system of care for patients with traumatic brain injury by the National Institute on Disability and Rehabilitation Research. To make a referral, or for more information, call 1.877.7BAYLOR or visit us online at BaylorHealth.com/BIR. DALLAS t NORTHWEST DALLAS t FORT WORTH t FRISCO t GARLAND t IRVING Baylor Institute for Rehabilitation is part of a comprehensive inpatient and outpatient rehabilitation network formed through a partnership between Baylor Institute for Rehabilitation and Select Medical. Physicians are members of the medical staff at Baylor Institute for Rehabilitation and are neither employees nor agents of Baylor Institute for Rehabilitation, Baylor Health Care System, Select Medical or any of their subsidiaries or affiliates. ©2013 Baylor Health Care System BIR_271 CE 02.13
21
CASEMANAGEMENTSOCIALWORK.COM
REHABILITATION HOSPITAL
Please say, “I found you in
22
CASE MANAGEMENT SOCIAL Work.”
SKILLED NURSING & REHAB
Bridging the Gap From Hospital to Home
Whether you are on a FAST TRACK to recovery or need a place you can call home, we have a place for you. Featuring Physical Therapy • Occupational Therapy • Speech Therapy • IV Therapy Orthopedic Rehabilitation-Hip/Knee Fractures and Replacements Stroke Rehabilitation • Wound Management Pain Management • Comprehensive Discharge Planning
Arlington • 817-274-5571
Ennis • 972-875-9051
Hurst • 817-282-6777 Lancaster • 972-227-6066 Desoto • 972-223-3944
Cleburne • 817-558-8999 Keller • 817-577-9999
Fort Worth • 817-626-5454
Grapevine • 817-488-8585
Richland Hills • 817-589-1734
23
CASEMANAGEMENTSOCIALWORK.COM
SKILLED NURSING & REHAB
A name you can trust for rehabilitation and health care.
Post-Surgical, Short-Term Rehab Heartland - Austin Heartland - Bedford ManorCare - Dallas Heartland - Fort Worth Heartland - North Richland Hills Heartland - San Antonio Heartland - San Antonio North ManorCare - Sharpview ManorCare - Webster ManorCare - West Houston ManorCare - Willowbrook
800.736.4427 www.hcr-manorcare.com
Please say, “I found you in
24
CASE MANAGEMENT SOCIAL Work.”
SKILLED NURSING & REHAB
25
CASEMANAGEMENTSOCIALWORK.COM
Please say, “I found you in
26
CASE MANAGEMENT SOCIAL Work.”
!
!
DFW CMSA Invites Case Managers and Social Workers to attend the Fall Conference Sheraton Arlington Hotel September 26-27th, 2014 For More Information www.dfwcmsa.org !
27
CASEMANAGEMENTSOCIALWORK.COM
Bridging the Gap From Hospital to Home
Whether you are on a FAST TRACK to recovery or need a place you can call home, we have a place for you. Featuring Physical Therapy • Occupational Therapy • Speech Therapy • IV Therapy Orthopedic Rehabilitation-Hip/Knee Fractures and Replacements Stroke Rehabilitation • Wound Management Pain Management • Comprehensive Discharge Planning
Arlington • 817-274-5571
Ennis • 972-875-9051
Hurst • 817-282-6777 Lancaster • 972-227-6066 Desoto • 972-223-3944
Cleburne • 817-558-8999 Keller • 817-577-9999
Please say, “I found you in Fort Worth • 817-626-5454
28
Grapevine • 817-488-8585
CASE MANAGEMENT SOCIAL Work.”
Richland Hills • 817-589-1734