Boston Globe Letter to the Editor: PCA Oversight Bears Addressing

For the second time in a year, the Boston Globe has reported on fraud and abuse uncovered in the personal care attendant program based on a study by the state auditor’s office.

In a letter to the editor, the Home Care Alliance chose to reiterate a point in the article for readers that personal care attendants (PCA’s) are not subject to background checks and certification requirements as home health aides and visiting nurses. The prior article blurred the line between the two categories of workers, to which the Alliance had also taken action by submitting a letter to the Globe.

Return to www.thinkhomecare.org.

Worcester Telegram-Gazette: Support Home Care Providers

An Opinion-Editorial titled “Support Home Care Providers” focusing on the role of home health care in the nation’s health care reform efforts, as well as the role it should play, was published in today’s (September 30) Worcester Telegram & Gazette. The Op-Ed is printed in a section of the paper called “As I See It” and was submitted by President and CEO of VNA Care Network & Hospice Karen Green.

Below is an excerpt from the article:

These are historic times in our nation and our state. With the attention of Congress and the president focused on health care reform, we as health care providers are poised between impatience and trepidation. We are impatient for action to help the struggling uninsured families we know only too well, but fear that paying for expanding access to insurance out of Medicare “savings” will be a death knell for the most efficient among us.

Return to www.thinkhomecare.org.

Caregiver Homes of MA Wins Pioneer Institute Award

Caregiver Homes of Massachusetts, Inc., a subsidiary of Seniorlink, Inc. and an allied member of the Home Care Alliance has won the Pioneer Institute’s 2009 Better Government Competition meant to showcase innovative ideas and programs to improve the efficiency of government.

Click here to view a press announcement of the award.

The competition’s theme this year was health care, and the nursing home diversion program administered by Caregiver Homes came out on top out of 150 applicants.

Return to www.thinkhomecare.org.

Lynn Item: Home Health Firm Bridges Cultures

The Lynn Item ran a front-page feature story (Sept. 15) on Glenn Bacheller who is the owner of MultiCultural Home Care, Inc. of Lynn.

The article highlights how Bacheller came into the home health industry in Massachusetts after being president of Baskin Robbins and Chief Marketing Officer at Dunkin’ Donuts, among other positions, and living across the country. Click here to read the online version of the Lynn Item article and below is a clip from the story.

With Baby Boomers well into their 60s but showing little sign of slowing down, Bacheller is strategically positioned to meet that generation’s eventual health care needs. “I’ve got a company that helps people by letting them stay in their homes longer, which is where most people want to be if they’re old or sick,” he said. “Assisted-living facilities and nursing homes are options only when when they become absolutely necessary.”

Return to www.thinkhomecare.org.

Hampshire Daily Gazette: Home Health Care Saves Money, Serves People Well

The Daily Hampshire Gazette (Northampton, MA) published a letter to the editor written and submitted by Jeanne Ryan who is the Executive Director of the VNA & Hospice of Cooley Dickenson.

The letter, which was published on July 28, urges advocacy on behalf of home health given the proposed cuts to Medicare reimbursement. The Gazette website requires a subscription so a link is not available, but the letter is posted below.

To the Editor:

Home health has become an increasingly important part of our health care system. The kinds of highly skilled and often technically complex services that our nation’s home health agencies provide have enabled millions of our most frail and vulnerable seniors and disabled citizens to avoid hospitals and nursing homes. By preventing such institutional care, home health services save Medicare millions of dollars each year. More importantly, they enable individuals to stay just where they want to be – in the comfort and security of their own homes.

I am writing to urge our local citizens to oppose further cuts in Medicare home health payments. The Administration’s FY 2010 budget includes a proposal to cut Medicare home health payments by $13.16 billion over five years. This would come on top of additional administrative cuts in payment rates of$7.59 billion promulgated by the Centers for Medicare and Medicaid Services (CMS) over the period from 2008 through 2011.If these new cuts are implemented, nearly two-thirds of America’s home health agencies will have negative results and Medicare patients in large sections of the country will be at risk of losing home health services.

The Medicare home health benefit has already taken a larger hit in spending cuts over the past ten years than any other Medicare benefit. In fact, home health as a share of Medicare spending has dropped from 8.7 percent in 1997 to 3.6 percent today, and is projected to decline to 3 percent of Medicare spending by 2016.

Further deep cuts in home health spending will also place the home care delivery system at significant risk. This is particularly true at a time when the cost of providing highly skilled care in the home is increasing. I urge you to join the VNA & Hospice of Cooley Dickinson in opposing any further cuts to homecare Medicare reimbursement by call or writing Senators John Kerry and Edward Kennedy.

Sincerely,
Jeanne M. Ryan, MA, OTR, CHCE, COS-C
Executive Director
VNA & Hospice of Cooley Dickinson

If you’re interested in sending a message to your federal legislators, please click here, fill out your contact info and hit “send,” which will send off a pre-written email. You can view the email by simply scrolling down on the link above.

You can also join our petition drive by clicking here.

Return to www.thinkhomecare.org.

Boston Herald Op-Ed: The CORI Problem

The Boston Herald published an Op-Ed titled “CORI’s Been Corrupted” written by Dr. Bruce Bender of Home Instead Senior Care, based in Northborough, MA.

The way CORI is administered has changed over the years and Dr. Bender argues that it has put vulnerable people at risk.  See Dr. Bender’s Op-Ed below.

Without these changes to the way Massachusetts applies the CORI law, the state is putting some of its most vulnerable citizens at risk.

Although the CORI law has not changed, the way it is administered has. Over the past decade, the board and various state agencies have imposed changes that put vulnerable people at risk.

Organizations that rely on the Criminal Offender Records Information (CORI) reports they get on volunteers or job candidates are getting something they didn’t expect: A false sense of security.

The CORI law, creating the Criminal History Systems Board (CHSB), passed in 1972 and was intended to improve an unreliable system for obtaining public information and to provide access to those deemed to need it. Schools, youth organizations and specified employers working with vulnerable populations could get timely and accurate information about a volunteer or job candidate.

Although the CORI law has not changed, the way it is administered has. Over the past decade, the board and various state agencies have imposed changes that put vulnerable people at risk. We do not get “all the information available” as required by the law.

Our company provides in-home senior care. We get a CORI, six references, proof of car insurance, etc. In 2006 the police arrested an employee at a client’s home for stealing and using the client’s credit cards. The CORI report stated there was no criminal record for the caregiver. After the arrest, the police told us she had been dismissed from two previous jobs for theft. The record was under a different name, one she had not provided us. This is not unique.

But the CHSB only checks first name, last name and date of birth – not known aliases, maiden names or Social Security number. If an individual got married last month and we submitted her current name, the CORI report would check only under her current name. If there is more than one person with the same name and date of birth, the CHSB checks only one.

The Patrick administration has eviscerated CORI by executive order. Employers are now told they cannot initiate a CORI check until the applicant is considered otherwise acceptable and they cannot use the CORI check as the sole criterion for rejection. Proposed legislation would make it illegal for employers to violate these edicts with penalties of up to one year in jail as well as fines as high as $50,000 if the offense is related to an adult record.

This is all being done in the guise of helping ex-convicts get jobs. There is no evidence that CORI keeps convicts from doing so. The recidivism rate in Massachusetts is no higher than anywhere else. Two-thirds of convicts will be rearrested within three years (with an average of 17 arrests over their careers, according to the Justice Department). Yet employers cannot use this information while hiring employees to take care of seniors?

Every fall, reporting delays of several weeks occur. Today we have a dozen people who need jobs that we cannot fill because we cannot get the legally required report.

To protect Massachusetts’ rapidly expanding population of seniors living in their homes, the state must comply with CORI:

  • We need complete criminal records of caregivers including arrests and dismissals.
  • Reports should be available within two working days. People can’t wait six weeks to get a job.
  • Do not restrict access to publicly available information through other channels.
  • Develop and maintain a current and accurate CORI database.
  • The newly implemented regulations and proposed legislation must be altered to comply with the clear purpose of the CORI law and the obvious necessity for it.

Without these changes to the way Massachusetts applies the CORI law, the state is putting some of its most vulnerable citizens at risk.

One positive piece of news related to CORI was reported in the Alliance’s Update newsletter. Processing delays took a step in the right direction recently when the Criminal History Systems Board (CHSB) reported that, as of September 1, processing times are down to one or two business days. A poll of Alliance members confirms that CORI requests have been returned in that time. Agencies formerly reported delays of up to two or three weeks, but the Alliance learned during a conference call with Health and Human Services that CHSB reallocated staff and authorized overtime in order to deal with the processing backlog. As Dr. Bender points out in his Op-Ed, however, flaws in CORI remain.

The Alliance is continuing to advocate on and monitor the situation, but anyone can check on up-to-date CORI processing times, according to CHSB, by clicking here.

Return to www.thinkhomecare.org.

Home Care And End-of-Life Counseling

The Boston Globe has an excellent article up about in-home hospice and palliative care, and the importance of end-of-life counseling.

The article focuses on Plymouth resident Ed Pratt, who has terminal cancer.  After talking things over with his wife and doctor, he is now:

…immersed in the details of dying. As part of his hospice care, he and his wife met last month with a chaplain to work on Ed’s final wishes, a document that will span everything from bedside prayers to memorial service music. Ed receives regular visits from a registered nurse to oversee pain management, a home health aide who provides personal care, a social worker to address the family’s emotional needs, and volunteers who provide companionship (and a cribbage partner) when Catherine, a department manager at Target, is at work.

“She’s a real sweetheart,’’ Ed said of his home health aide. “She’s the reason I’m nice and clean-shaven. I’m gonna be a star . . .’’ he sang in a wobbly croon.

[Pratt is] dying his way – surrounded by family, unburdened by treatment, writing articles for the church bulletin. He’s even rediscovered his sense of humor.

“The cancer, it’s not a funny thing. But if you can crack a joke every once in a while,’’ he said, “you can go through it in a less stressful way.’’

New Medicare Website Launched to Help Caregivers

A new website called “Ask Medicare” was recently launched as a resource and navigation tool for the millions of caregivers so that answers and information can be readily obtained for those who give much of their time caring for others.

Many features are available on the site, including help with billing, comparing drug plans, locating care, and even a chat room for caregivers to exchange their stories and experiences.

CNN did a report on the new website, which you can see by clicking here. The article focuses on Kim Mickens, a Baltimore woman who spends 40 hours per week caring for her mother Delphine who lives with Alzheimer’s disease.  Below a a brief clip from the CNN story:

Today, Mickens and her mother are a loving twosome. When Mickens is at work, she leaves Delphine with an in-home nurse and relies on her son to help out when he gets home from school. Mickens finally feels content about the quality of care her mother is getting, and she says it would have never happened so quickly had she not found the Ask Medicare Web site.

“I have no problems with it: Once I punch it in, it comes up and takes me out to all the different Web sites,” say Mickens. “It’s very helpful. I am glad they came up with it.”

Click here to visit the newly-launched “Ask Medicare” web tool for caregivers.

Return to www.thinkhomecare.org.

Eagle-Tribune Announces Home Care Manager of the Year

The Eagle-Tribune Online (North Andover, MA and area) announced Kathryn Baker of the VNA of Greater Lowell as the Home Care Alliance’s “Manager of the Year” in their business section.

Click here to the announcement.

Kathryn, known as “Katie” to her co-workers and friends, began her work at VNA of Greater Lowell 20 years ago as a physical therapist, was promoted to Rehabilitation Manager and again promoted to her current position as Director of Rehabilitation. She is now chair of the agency’s Policy and Procedure Committee and a member of the Performance Improvement Committee, Customer Service Committee, and Job Satisfaction Committee. Having earned the respect of her peers and employees, Kathryn’s rehabilitation staff has an excellent retention rate, according to VNA of Greater Lowell Executive Director Nancy Pettenelli, who said most of have been with the agency for more than 10 years.

Return to www.thinkhomecare.org.

Boston.com: Home Care Champion

Boston.com ran a July 13 news blurb on Robert Dwyer, a 15-year Board Treasurer for the Norwell VNA and Hospice, who was given the “Home Care Champion” award by the Home Care Alliance at our annual conference.

Click here to see the article on Mr. Dwyer, who was one of four individuals honored by the Alliance.

Return to www.thinkhomecare.org.