2017 Bronze National Quality Award
by Jeanine Genauer
Juniper Village Wellspring Memory Care at Brookline, Juniper Village at Lebanon, Juniper Village at Meadville, Juniper Village at Mount Joy, Juniper Village at Williamstown and Juniper Village Wellspring Memory Care at Williamstown have all been recognized as 2017 recipients of the Bronze – Commitment to Quality Award for their dedication to improving the lives of residents through quality care. The distinction is one of three progressive award levels through the National Quality Award Program, presented by the American Health Care Association and National Center for Assisted Living (AHCA/NCAL), the leading association for long term and post-acute care. The program honors association members across the nation that have demonstrated their commitment to improving quality of care for seniors and persons with disabilities.
These six Juniper Communities join Juniper Village Senior Living at Brookline and Juniper Village Rehabilitation and Skilled Care at Brookline 2016 recipients of this prestigious award.
The National Quality Award Program, which AHCA/NCAL established in 1996, is based on the core values and criteria of the Baldrige Performance Excellence Program, which is also the foundation of the metric-based AHCA/NCAL Quality Initiative. The Baldrige program helps organizations in different business sectors improve and achieve performance excellence.
The Award Program has three levels: Bronze, Silver, and Gold. Providers begin the quality improvement process at the Bronze level, where they develop an organizational profile with essential performance elements such as vision, mission statement, and key strengths and challenges. Bronze applicants must also demonstrate their ability to implement a performance improvement system. Trained Examiners review each Bronze application to determine if the center has met the demands of the criteria. As recipients of the Bronze – Commitment to Quality Award, all eight Juniper Communities may now move forward in developing approaches and achieving performance levels that meet the Silver – Achievement in Quality Award criteria.
The awards will be presented during AHCA/NCAL’s 68th Annual Convention and Exposition in Las Vegas, Nevada, October 15-18, 2017.
by Diane Byrne
Achieving whole person wellness is a path; a road; a life-long journey; and yes, sometimes it is met with twists and turns, obstacles and hurdles along the way. We often find in life, however, that difficult roads often lead to beautiful destinations. In a poignant quote by Qwana Reynolds-Frasier we are reminded “determination determines our destination”, and it is with these thoughts in mind we begin the month of May focused upon healthy aging and fitness.
As an integral part of our Connect4Life program, Theralink, with services provided by Genesis Rehab is Juniper’s on-site, comprehensive program of rehabilitative and restorative therapies, fitness classes and related outcomes that provides integrated post-acute care to meet the intentions of health care reform. Over the past years we have been able to achieve significant positive outcomes regarding therapy utilization, increasing the quality of our therapeutic fitness and dementia capable programs, and decreasing falls.
During this spring we will be implementing a new program for the residents: Destination Wellness: Theralink Days with Vitality Checks. This monthly wellness fair, complete with healthy snacks for the residents, will focus on educational presentations regarding wellness topics, resident assessments for balance, lower body strength and endurance, as well as, safety checks for durable medical equipment. The results of the assessments that are completed will enable us to further track and analyze outcome measurements related to increasing residents’ balance, strength and endurance, thus further reducing falls. It is our hope that Destination Wellness will serve to spark determination and motivation within us all on our journey towards health and wellness; enabling us to achieve positive outcomes along the way; celebrating the journey and the destination!
by Diane Byrne
Our Clinical Successful Outcomes Speak for Themselves
We want to be your partner of choice in the new shared savings environment. At Juniper Communities, we have been collecting critical data for nearly 10 years. For example, we closely monitor residents to assure successful returns from either the hospital or rehabilitation setting.
Many re-hospitalizations are the result of falls. While unavoidable, response rate and injury rate contribute dramatically to unnecessary readmissions
The ability to manage pressure ulcers is key to minimizing hospitalizations. Low rates of facility acquired pressure ulcers are the result of a high level of wellness/clinical oversight and an indicator of quality care and service.
Another contributing factor to acute re-admissions is infections, in particular Urinary Tract Infections (UTI). The senior population can be extremely susceptible to infections and proper care and monitoring is paramount. Our wellness response team is skilled in recognizing symptoms of UTI in order to provide proactive interventions that reduce the need for hospitalization.
Another common cause of both initial hospitalizations and rehospitalizations is medication errors. Changes to medication regime whether after a scheduled physician appointment or emergency hospitalization can leave patients confused about what medications are most current. Our wellness team is responsible for medication reconciliation and management, a process which virtually eliminates medication errors.
Communication is key and Juniper Commmunities takes communication to the next level through:
• Use of Electronic Health Records (Point Click Care)
• Optimized care transitions protocols
• Full implementation of INTERACT (Interventions to Reduce Acute Care Transfers)
• Use of a highly recognizable and consistent transfer information packet
• Focus on resident and care giver education and engagement
• Individualized care and service
Visit each of our Juniper Village communities’ blogs for more on their specific successful outcomes.
Redwood Health Partners
by Lynne Katzmann
In December 2013 Juniper piloted our first on site Redwood Health Partners clinic at Juniper Village the Spearly Center in Denver. In April 2014, we opened at Juniper Village at Aurora and Juniper Village at Louisville. Each community has regular clinic hours where residents can see a primary care practitioner for routine visits or urgent needs. The Redwood Health Partners practitioners assess each individual, participate in the care planning process, and use the Juniper Village EHR (Electronic Health Record). In using our EHR they not only enter their notes, but can also see notes from staff and other ancillary providers to provide more consistent, cohesive care.
Here is a great example of the benefit to not only their onsite presence but to their electronic integration:
If a resident has a bad night and falls on their way to the bathroom, the Redwood Health Partners practitioner will see the note describing the incident first thing in the morning when they go online. They can schedule an immediate appointment and can also write a prescription for a therapy evaluation– all within hours. The therapy evaluation can happen that day and if needed, therapy can start the next! When the Redwood Health Partners practitioner sees the individual, they can review their medications to determine any changes that may be needed, and if so, he or she can enter the prescription directly into the System transmitting the order to the pharmacy who makes the change, sends the new medicine and changes the EHR. And it all happens right there and then! Quick and easy. Efficient and cost effective.
Redwood Health Partners clinics will open at most Juniper Villages this year. The providers are great and the personal attention and ease are hard to match! Check it out!