March 2016 Newsletter

Posted: May 13, 2016 4:35 pm

Whats Driving Hospital Readmissions:  
Is It the Care or Is It the Customer?

Shay Jacobson, RN, MA, NMG, LNCC, CLNCP
Martha Kern


The Affordable Care Act aimed much of its focus on reductions in Medicare spending, and we have all heard a great deal about hospital readmission rates over the past several years. Patients discharged from the hospital returned at a rather alarming – and costly – rate, and it was the mission of the ACA to exert considerable effort to limit this phenomenon.

Because hospitals are penalized for having high readmission rates, it would appear that Medicare believes hospitals are responsible or have somehow failed the patient who returns in 30 or fewer days. Many of us involved in the care of disabled individuals intuitively sensed that patients returning to the hospital shortly after discharge do so for myriad and complicated reasons, many of them completely unconnected to the hospital and the care they received. Continue Reading



¬©Lifecare Innovations, Inc 


A Strange Sort of Limbo:
How a Woman Was Lost, Found and Still
Somehow Lost


Shay Jacobson, RN, MA, NMG, LNCC, CNLCP

Martha Kern



Anita was, by all accounts, a very pleasant woman. She participated in all of the facility’s social outings and taught the other residents how to knit.
She could not, however, tell you her name on a consistent basis, nor  did  she always know which room was hers.

She remembered only tiny bits of distant history, some long-ago family associations, a few places she might once have lived.

She could not tell you how she’d come to be in this Assisted Living facility.

Mysteriously, neither could anyone else. Continue Reading   


¬©Lifecare Innovations, Inc 

What is Capacity, and Why Does it Matter?

Mary E. Vanek, Attorney At Law  


Mary Vanek, an attorney at Matlin & Associates, P.C. and a friend of Lifecare Innovations, has given us permission to publish this article on capacity and the legal standards for capacity in various situations. Mary’s practice is focused on estate planning, estate administration, guardianships, contested estates and other contested matters, as well as business law. 

Mom is 78 years old, living alone after the death of Dad.  She was recently diagnosed with the early stages of Alzheimer’s. Mom doesn’t have a will, or powers of attorney for health care or property, and you have heard that these are important. You have also heard that if Mom lacks mental capacity, she can’t sign these crucial estate planning documents. Continue Reading 


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