A court battle over staffing methods for nursing homes is imminent
The long-awaited law requiring minimum staffing standards and investment in New York nursing homes came into force on April 1, three months behind the original plan due to the worsening staffing challenges during the Omicron surge. it was done.
The reaction to the law quickly flowed.
LeadingAgeNewYork, an industry group representing the state’s nonprofit nursing homes, said the law was “impossible to comply.”
Meanwhile, major trade unions and consumer advocacy groups sighed together as if they were “coming soon.”
In less than two months, LeadingAge was assigned a “voluntary” minimum number of staff to Governor Kathy Hokul, Health Commissioner Mary Bassett, and other state officials and offices on May 23. He filed a proceeding in an attempt to overturn two state laws that impose what he calls. And spending level.
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What does the law require?
Two laws were passed by the state legislature last year and signed by the government at the time. Andrew Cuomo is working to address the shortage of nursing homes.
The staffing law requires that more than 600 nursing homes in the state provide 3.5 hours of care per resident per day. Of these 3.5 hours, 2.2 hours or more of care must be provided by a certified nursing assistant or assistant nursing assistant, and at least 1.1 hours of care must be provided by a registered nurse or associate nurse. ..
The Parallel Spending Act requires nursing homes to spend at least 70% of their income directly on resident care, 40% of which must be spent on “residential staffing”.
In the proceedings, about 80 nursing home members, including Leading Age and several in western New York, argue that staffing is inflexible.
For example, the group argued in a lawsuit, and the law undermines “the discretion of clinical care leadership to deploy nurses, assistants, and other direct care staff in a way that enhances the quality of clinical care.” They state that the time allocation does not take into account the extension of nursing time for clinically complex residents, or the increased activity time and shortening of nursing time for cognitively impaired residents.
The group also claims that an estimated 12,000 additional nurses and aides must be hired to meet the requirements of the law. “There is no army of surplus workers available in these positions due to the national shortage of health care workers and the disproportionate impact on nursing homes,” the lawsuit said.
LeadingAge also targets penalties that may be issued to nursing homes that do not meet the requirements. According to LeadingAge, these facilities will be subject to fines of up to $ 2,000 per day and foreclosures of excess income, further depleting nursing homes of funds to recruit and maintain staff.
The leading union, 1199 SEIUUnited Healthcare Workers East, did not waste time responding to the proceedings.
“Instead of fighting these laws, providers should focus on providing good work and quality care,” the union said. “Then they will meet the new standards.”
The union pointed out that some other states also have minimum staffing standards, arguing that the law actually provides flexibility for nursing homes.
For example, the union said the law did not require more workers to be brought home. In fact, employers can convert part-time workers to full-time, encourage overtime, provide weekend incentives, use agency staff, and delay new enrollment.
At the Association of Health Care Journalists annual meeting in Texas last month, a panel of experts attended a nursing home panel that revealed the need for industry transformation. Covid-19, as one of them, revealed many flaws in the current system.
David Grabowski, a professor of health policy at Harvard Medical School, presented some ideas, including minimum staffing criteria. Increased wages and profits. Higher redemption rates; more financial transparency; opportunities for workers to advance their careers. And a better working environment.
Richard Mollot, executive director of the non-profit, non-partisan Long Term Care Community Coalition, said residents of typical nursing homes need at least 4.1 hours of care per day to meet their basic clinical needs. .. However, the average nursing home offers 3.62 hours per day.
Dr. David Gifford, Chief Medical Officer of the American HealthCare Association and National Center for Assisted Living, agreed that changes are needed, especially to address chronic poor performance nursing homes.
To solve the workforce’s challenges, he points out that underlying funding is needed to support the facility, and that Medicaid usually covers only 70% to 80% of actual care costs. I pointed out.
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Up to date, in context
what: More than 50 nursing home workers held an information picket on Wednesday, May 25, in Elderwood, Rockport. Their union contract expired on December 31, and they are negotiating a new contract with Elderwood for seven months for commercial purposes.
Please tell me the details: The main issues revolve around wages and staffing. Workers say they need competitive wages to help hire and retain employees, and lower wages result in higher turnover rates, resulting in staff shortages and poor resident quality. Point out to do. The union said service workers there earned a minimum hourly wage of $ 13.20.
Important reason: Rockport’s problems with Elderwood are also widespread throughout the nursing home industry, perhaps the most hit health care sector during the pandemic. The trade union, 1199SEIU United Healthcare Workers East, said it represents more than 1,200 workers across 12 nursing homes in western New York, owned by a commercial-owning group whose contract expires or is about to expire. That probably means more demonstrations ahead.
up to date
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Buffalo Next Reporters Jonathan D. Epstein, John Harris, Natalie Brophy, Matt Grin, Janet Gramza and Mike Petro contributed to this summary.
ICYMI
5 Reads from Buffalo Next:
1.1. Jefferson Avenue’s tops market is reopening, but it’s unclear what it will look like: Some community members want a new Tops store elsewhere on the East Side of Buffalo, as Tops officials are planning to reopen the Jefferson Avenue store after a tragic shooting. Therefore, we are considering when and how to restart.
2. Developers Karl Frizlen and Michael Masters Transforming a former Balcaro manufacturing plant into Balcaro Living & CommerceA multi-purpose community in the former District 1 where dozens of tenants will soon call their homes.
3.3. Doctors recognized for providing assistance in conflict-torn areas: Dr. Aaron Epstein has divided his life into a surgical shift in Buffalo and leading a humanitarian aid group founded in 2015. He is currently on one of the top private awards in the United States.
4.4. Rachel’s Mediterranean Grill extends beyond Buffalo’s home: Rachels has made it bigger in western New York, and family-owned businesses are now trying to expand the concept in larger markets such as Thruway in New York and Fort Worth, Texas.
5.5. Mickey Rat has another summer, but Captain Kid gives way to town home: William Paladino, CEO of Ellicott Development Co., said the real estate company is about to reopen the Mickey Rat Beach Club by Memorial Day, which may be the last summer.
The Buffalo Next Team gives an overview of the region’s economic revitalization. Email tips to buffalonext@buffnews.com or contact David Robinson (716-849-4435) in Buffalo Next Editor. Want to talk about healthcare? Contact Jon Harris at jharris@buffnews.com or 716-849-3482.
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