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TIME MAGAZINE: COVID-19 Exposed the Faults in America’s Elder Care System. This Is Our Best Shot to Fix Them

June 15, 2021

June 15, 2021 (Time Magazine) – When COVID-19 hit the United States, nursing homes in Washington State took the first hit, producing deadly outcomes for older adults. Conditions within long-term care facilities enabled a harrowing spread of any pandemic, let alone a novel coronavirus. Compounding on this, leaders within institutional care were slow to respond when it arrived.

The plight of residents in long-term care facilities across the United States is detailed in a report by Abigail Abrams from Time Magazine. It begins with individuals living at Life Care Center in Kirkland, Washington, in late February 2020 where COVID-19 killed dozens in just a few weeks.

The shocking death rate created a sense of panic and by early March the families of those living within Life Care Center held a press conference appealing to the public on behalf of their loved ones.

“Our families are dying. We don’t know what to do. Our calls for help aren’t working,” said Kevin Connolly, whose father-in-law lived in the facility. “We have limited resources to battle this disease, and I think somebody somewhere decided that this population of people wasn’t worth wasting resources on.”

Nursing homes vs infection

Many nursing home residents live in shared rooms and rely on staff who tend to numerous patients and who often work at various other facilities. The industry’s low pay and long hours make for high turnover. These characteristics can create a lack of consistency in controlling the spread of infection.

The nursing home industry is losing occupancy rates, workers, and money. The long-term care industry could lose an estimated $94 billion between 2020-2021 due to the costs involved in both fighting the pandemic and losing occupancy, according to The American Health Care Association and National Center for Assisted Living (AHCA/NCAL).

America is aging rapidly. According to the Census Bureau, around 10,000 Americans turn 65 every day. Most people want to age at home rather than in an institution. Still, people who qualify for Medicaid and Medicare have little to no choice in where they receive long-term care after reaching old age. Governments in many states mandate that they enter long-term care facilities even when home-based care services are available.

In many cases, when a person does not qualify for government-funded care or chooses to avoid mandated care in a nursing home, a family member must often forfeit a job to take on the responsibility of caregiving. And if no one in the older adult’s circle of support can provide that care, paid home based care is challenging to find due to worker shortages. Many workers are leaving the historically low-wage industry, according to the Bureau of Labor Statistics.

Policy helps pave the way to home and community-based care.

Policy momentum is growing toward home and community-based care for the elderly across the nation. One home-based care program available to Medicaid/Medicare recipients has a 45-year proven track record of success and operates in more than 31 states. PACE (Programs of All-Inclusive Care for the Elderly) saves the government money while offering a high-touch, team-based approach to eldercare for people 55 years or older who qualify for nursing home level care. It receives a payment per participant to provide medical care and dental care, day center programs, meals, home health aides, and many other services to keep seniors safe and living in their own homes and communities. PACE aims to keep this elderly population out of hospitals and nursing homes while incentivizing a flexible, creative, team-based approach to care. On average, states pay PACE programs 13% less than the cost of other Medicaid services.

“The nature of payment provides significant flexibility, as well as really strong incentives for PACE organizations to really proactively monitor and get out in front and address existing and emerging health needs,” says Shawn Bloom, president, and CEO of the National PACE Association.

Data collected during the pandemic show that seniors enrolled in PACE contracted COVD-19 at just one-third the rate of those in nursing homes, according to the National PACE Association.

The push for greater government funding for programs like PACE is growing. President Biden’s proposal to spend $400 billion on home care over the next 4 years could pave the way toward boosting access to more Americans. And proposed legislation in California, Assembly BILL (AB) 540, would allow eligible seniors to be automatically informed about PACE right along with other Medicaid and Medicare options.

Click on the logo to go to the full story.

Vision Exam Month

August 4, 2020

August is National Vision Exam Month. Healthy vision is important for people of all ages and is key for seniors to be able to live more independent lives in their homes and communities. Here are some tips from the CDC on how to keep your eyes healthy.

Try 6 Tips for Healthy Eyes—and a Healthy You

Add more movement to your day. Physical activity can lower your risk for health conditions that can affect your vision, like type 2 diabetes and high blood pressure. As a bonus, it can help you feel your best. Pick activities you enjoy and remember, anything that gets your heart beating faster counts!
Get your family talking… about eye health history. Some eye diseases—like glaucoma and age-related macular degeneration—can run in families. Although it may not be the most exciting topic of conversation, talking about your family health history can help everyone stay healthy. Ask your relatives if they know about any eye problems in your family. Be sure to share what you learn with your eye doctor to see if you need to take steps to lower your risk.
Step up your healthy eating game. Eating healthy foods helps prevent health conditions—like type 2 diabetes or high blood pressure—that can put you at risk for eye problems. Eat dark, leafy greens like spinach, kale, and collard greens that are high in antioxidants called lutein and zeaxanthin, which help prevent macular degeneration and cataracts. Also pick up some fish high in omega-3 fatty acids like halibut, salmon, and tuna.
Stay on top of long-term health conditions—like diabetes and high blood pressure. Diabetes and high blood pressure can increase your risk for some eye diseases, like glaucoma. If you have diabetes or high blood pressure, ask your doctor about steps you can take to manage your condition and lower your risk of vision loss.
If you smoke, make a quit plan. Quitting smoking is good for almost every part of your body, including your eyes! That’s right—kicking the habit will help lower your risk for eye diseases like macular degeneration and cataracts. Quitting smoking is hard, but it’s possible—and a quit plan can help. Call 1-800-QUIT-NOW (1-800-784-8669) for free support.
Give your eyes a rest. Looking at a computer for a long time can tire out your eyes. Follow the 20-20-20 rule—rest your eyes by taking a break every 20 minutes to look at something about 20 feet away for 20 seconds.

Regular vision exams are part of the comprehensive services provided by PACE. For more about PACE services, click here.

Free photo 5904867 © Nedim Jukić – Dreamstime.com

Welbe’s Long Beach PACE Center Launches

August 3, 2020

The Long Beach Press Telegram covered the launch of our newest PACE center in Long Beach – LA Coast PACE:

LONG BEACH

By Gary Metzker

The golden years aren’t so golden for many these days, as the coronavirus pandemic shows no signs of abating.

At least 38,000 U.S. residents of nursing homes and other long-term care facilities for older adults have died from the coronavirus, according to the Centers for Disease Control. More than 142,000 people at those facilities have contracted the virus, and at least 90,000 more cases are suspected.

In California, there have been more than 2,400 deaths in long-term care facilities, and according to the Long Beach Health and Human Services Department, 118 deaths have been associated with long-term care facilities in the city.

Many families are not aware that there are other alternatives besides skilled nursing or assisted living facilities, especially during this health crisis.

WelbeHealth is an operator of Medicaid’s Program of All-Inclusive Care for the Elderly (PACE) across California. Its newest facility is in Long Beach at 1220 E. Fourth St., but because of the coronavirus pandemic, no one is visiting the location. Instead, the company has transitioned to a remote, at-home care model to serve seniors while keeping them physically shielded from the spread of the virus.

According to Sophia Guel-Valenzuela, regional vice president and executive director of the Long Beach facility, having seniors in a PACE program is a safer alternative because it can provide necessities, meal deliveries throughout the day, assistance in the home and meaningful social engagement.

“There has never been a stronger imperative to keep seniors living more independently in their homes and communities,” she said. “Our goal is to keep seniors socially engaged through games and special events. It’s important to keep people safe.”

Guel-Valenzuela said each client gets a 4G LTE tablet to use that enables them to talk to a doctor or a social worker as well as interacting with other people.

“The highlight of my week is to see the engagement going on,” she said. “Engagement coordinators host trivia games, bingo, card games. It’s like a big Zoom meeting.”

Guel-Valenzuela believes the combination of staying at home with interactivity is the template of the future for senior care.

“It’s safer to stay at home now,” she said. “I’ve been doing this for 18 years and this model of coordinated care is something I believe in.”

PACE provides comprehensive medical and social services enabling older adults to live in the community instead of a nursing home or other care facility. Its services are available at no cost to most participants as part of their Medicare and MediCal benefits.

“In our HomePACE model of remote care, we help seniors stay healthy and thriving while avoiding nursing facilities, which have tragically become hotbeds for the spread of coronavirus,” said Dr. Si France, founder and CEO of WelbeHealth in a statement. “We’re excited to expand our all-inclusive model of care into greater Long Beach to serve more vulnerable seniors when they need it most.”

WelbeHealth’s Long Beach location is accepting applications. Families can call 1-800-734-8041.

To learn more about PACE and services we provide, click here.

Tips to Stay Safe During Heatwaves

July 10, 2020

We are getting well into the summer months which means, hotter temperatures. We’ve already seen a couple of heat waves come through California summer is officially only a few weeks old! In addition to the heat, power outages can occur during these high-temperature periods.

Please take measures to stay cool and remain hydrated. Getting too hot can make you sick. You can become ill from the heat if your body can’t compensate for it and properly cool you off. As we age our bodies cannot handle the heat like they did when we were young. Extreme heat can affect us in the following ways: The main things affecting your body’s ability to cool itself during extremely hot weather are:

High humidity. When the humidity is high, sweat won’t evaporate as quickly. This keeps your body from releasing heat as fast as it may need to. High humidity can cause you to sweat excessively which can lead to dehydration. When your sweat does not evaporate quickly it can lead to feeling overly tired.
Personal factors. Age, obesity, fever, dehydration, heart disease, mental illness, poor circulation, sunburn, and prescription drug and alcohol use all can play a role in whether a person can cool off enough in very hot weather. Other factors that can play a role in adverse effects of heat would include fever, medical conditions, poor circulation, certain prescription drug and use of alcohol.
Muscle cramping may be an early sign of heat-related illness.

You are potentially at the highest risk for heat-related illness during these heatwaves. When it becomes hot outside, ask yourself these questions:

Are you drinking enough water?
Do you have access to air conditioning?
Do you need help keeping cool?

You can take the following protective actions to prevent illness or death:

Stay in air-conditioned buildings as much as you can. Air-conditioning is the number one way to protect yourself against heat-related illness or complications.
Drink more water than usual and don’t wait until you’re thirsty to drink.
Check on a friend or neighbor and have someone do the same for you.
Try not to use the stove or oven to cook—it will make you and your house hotter.
Try cool showers or baths to help you cool down.

Try to avoid going out in the hot sun, but If you need to go outside during hot weather:

Limit your outdoor activity, especially when the sun is hottest.
Wear and reapply sunscreen as indicated on the package.
Pace your activity, start activities slow and pick up the pace gradually.
Drink more water than usual and don’t wait until you’re thirsty.
Wear loose, lightweight, light-colored clothing.
Be careful in the sun to avoid sunburn. If you can see through your clothing you can get sunburned through them.

For additional tips from the CDC on keeping cool, click here.

To learn more about the services provided by our PACE program, click here.

Spectrum 1 News: PACE Offers Alternative to Assisted Living Facilities

June 30, 2020

Spectrum News 1 aired a news story highlighting how PACE offers an alternative to assisted living facilities and nursing homes for seniors. The story featured our new Long Beach facility – LA Coast PACE and discuss how we have changed the model to deliver many of the health and long-term care services to the participants home via technology. Also included in the story was an interview with one of our participants, Bernadette McCoy, who was drawn to the program because it helped keep her living independently in her home and because it was covered under Medicare and Medicaid. Click here to view the story in its entirety.

To learn more about the services PACE provides, click here.

National Nurse’s Month Profile – Cheryl Coleman

May 28, 2020

Cheryl Coleman works for WelbeHealth corporate as the nurse educator for all our centers, training our nurses with the skills needed to help our seniors live more independent lives in their homes and communities. Her current role aligns with what she wanted to be when she grew up – a teacher. She also wanted to explore life in other countries and her path to becoming a nurse was influenced by this desire. “I sold medical supplies and wanted to live outside of the USA, “she stated. “My nurse customers all told me to become a nurse so that I would be marketable in other countries.” After becoming a nurse, she rose through the ranks to manage a team. “I managed a team of 15 nurses in the West Region who taught patients how to give themselves injections at home.”

Cheryl’s desire to serve and teach is what drives her. “Helping people inside and outside of the medical center is my biggest motivator. I also love to learn new things and share what I learn with others.”

Determination is the key attribute to the advice she would to her younger self. “You can be whatever you want to be, so never let anyone tell you differently. Always strive to do what you love and be your best. Therefore you will always go home feeling fulfilled.”

To learn more about the PACE services that Cheryl and other care team members compassionately provide our participants, click here.

National Nurse’s Month Profile – Ashley Boyden

May 26, 2020

Ashley Boyden was featured recently in our dog rescue video displaying the WelbeHealth values, specifically showcasing her pioneering spirit. Ashley comes to the WelbeHealth family after working in skilled nursing as well as performing case management for workman’s comp. She now works as an LVN – Care Coordinator, in our Stockton PACE center, helping provide comprehensive care to seniors so they can continue to live more independently in their homes and communities.

Ashley always wanted to be a nurse, crediting her inspiration from her grandmother. “My grandmother was a nurse in the same hospital for 45 years,“ she stated. “As a child I used to go with her when she was on call and wait in the nurse’s lounge.” Given her determination to go above and beyond to help serve her senior participants, it’s no surprise that making a difference in her patient’s lives was her motivation for joining the WelbeHealth. “I love being a part of the difference. Knowing that what we at WelbeHealth do each day changes lives is inspiring,” she added. Her determination and desire to make a difference is reinforced in her advice to her younger self: “Stay the course. Don’t get discouraged. You WILL make a difference!”

To learn more about the PACE services that Ashley helps provide to help seniors live more independently in their homes and communities, click here.

National Nurse’s Month Profile – D’juana Hale

May 21, 2020

D’juana Hale always wanted to be a doctor growing up, saying that her pediatrician was her inspiration. Today, she is in the medical field working as an LVN/Nightly Navigator for our Stockton PACE location, helping support our senior participants as they strive to live more independent lives in their homes and communities. She says the secret for delivering compassionate, comprehensive care to the elderly is easy, “I just love what I do, so it makes it easy!”. D’juana has a simple, but inspiring message she would tell her younger self, “Continue striving for greatness!”. That’s a message that we can all get behind.

For more information about the PACE services D’juana helps support, click here.

How to properly wash your hands

May 14, 2020

The CDC has provided guidance on how to properly wash your hands. During the current coronavirus pandemic, knowing the proper technique has never been more important.

Key Times to Wash Hands

You can help yourself and your loved ones stay healthy by washing your hands often, especially during these key times when you are likely to get and spread germs:

Before, during, and after preparing food
Before eating food
Before and after caring for someone at home who is sick with vomiting or diarrhea
Before and after treating a cut or wound
After using the toilet
After changing diapers or cleaning up a child who has used the toilet
After blowing your nose, coughing, or sneezing
After touching an animal, animal feed, or animal waste
After handling pet food or pet treats
After touching garbage

During the COVID-19 pandemic, you should also clean hands:

After you have been in a public place and touched an item or surface that may be frequently touched by other people, such as door handles, tables, gas pumps, shopping carts, or electronic cashier registers/screens, etc.
Before touching your eyes, nose, or mouth because that’s how germs enter our bodies.

Follow Five Steps to Wash Your Hands the Right Way

Washing your hands is easy, and it’s one of the most effective ways to prevent the spread of germs. Clean hands can stop germs from spreading from one person to another and throughout an entire community—from your home and workplace to childcare facilities and hospitals.

Follow these five steps every time.

Wet your hands with clean, running water (warm or cold), turn off the tap, and apply soap.
Lather your hands by rubbing them together with the soap. Lather the backs of your hands, between your fingers, and under your nails.
Scrub your hands for at least 20 seconds. Need a timer? Hum the “Happy Birthday” song from beginning to end twice.
Rinse your hands well under clean, running water.
Dry your hands using a clean towel or air dry them.

Our own Nurse Cheryl demonstrates these techniques in the video below:

To see what PACE services we provide to safely keeping seniors living in their homes and communities, click here.

WelbeHealth Expands PACE into Long Beach and Fresno

May 13, 2020

WelbeHealth, operator of PACE programs across California, announced the enrollment of its first participants at LA Coast PACE in Long Beach and the upcoming launch of its fourth program, Sequoia PACE, in Fresno. The company has rapidly shifted to a remote home care model to serve seniors safely during the Covid-19 pandemic and continues to enroll new participants in its service areas across California.

PACE (Program of All-Inclusive Care for the Elderly) is a longstanding Medicare and Medicaid program that provides comprehensive medical and social services enabling older adults to live in the community instead of a nursing home or other care facility. The program has a long track record of positive outcomes, including longer life expectancy (by more than one year), improved quality of life, reduced rates of depression and dementia, and enhanced personal empowerment for seniors. PACE services are available at no cost to most participants as part of their Medicare and Medi-Cal benefits.

“In our HomePACE model of remote care, we help seniors stay healthy and thriving while avoiding nursing facilities, which have tragically become hotbeds for the spread of coronavirus,” said Si France, MD, Founder and CEO of WelbeHealth. “We’re excited to expand our all-inclusive model of care into the greater Long Beach and Fresno regions to serve more vulnerable seniors when they need it most.”

LA Coast PACE’s first participants will enroll with the program on June 1, receiving comprehensive home-based medical care, dental care, physical and occupational therapy, and personal care such as assistance with bathing and meals. The program serves nursing home-eligible seniors across the South Bay and Westside region, including in Long Beach, Artesia, Cerritos, Carson, Torrance, Redondo Beach, Hermosa Beach, Manhattan Beach, El Segundo, Culver City, and other nearby communities.

Sequoia PACE, WelbeHealth’s fourth PACE program, will open later this year to serve seniors in Fresno, Kings, Madera, and Tulare Counties, including in Fresno, Clovis, Madera, Hanford, Tulare, and surrounding cities.

“There has never been a stronger imperative to keep frail seniors living more independently in their homes and communities,” said Sophia Guel-Valenzuela, Regional Vice President & Executive Director of LA Coast PACE. “We’re eager to help more seniors reach their full potential and live with confidence, purpose, and joy.”

WelbeHealth has rapidly adapted to serve seniors during the Covid-19 pandemic, shifting to a remote home-based model to continue providing care while enabling participants to stay physically distanced to reduce the spread of the virus. The company’s PACE programs provide 4G LTE “WelbeLink” tablets to each senior, enabling regular video communications to manage medical and social needs. When in-person care is required, it’s performed by a single caregiver in the home whenever possible. The programs have even continued many of their usual games and recreational activities remotely, combatting the dangerous social isolation affecting many seniors today.

Older adults and people with underlying medical conditions are at particularly high risk during the coronavirus pandemic, underscoring the benefits of a home-based care model. According to the National PACE Association, the average PACE participant in the U.S. is 77 years old with 8 medical conditions, many of which are chronic conditions such as diabetes, dementia, coronary artery disease, and cerebrovascular disease. PACE serves as an alternative to nursing homes as reports emerge that nearly 40 percent of California’s coronavirus deaths have occurred in the facilities.

In addition to LA Coast PACE and Sequoia PACE, WelbeHealth also operates Stockton PACE in the Stockton-Modesto region and Pacific PACE, which serves Pasadena, Glendale, Burbank, North Hollywood, and surrounding areas. The company continues to hire new team members at each of its programs across clinical and home health roles to meet community health needs.

For more about the seniorcare services that our PACE program provides, click here.