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    Author: Matthew Tang

    Finding Meaning in Your Chosen Profession Reduces Burnout and Improves Job Satisfaction

    In the wake of the COVID-19 pandemic, lots of people worldwide have found themselves staying home from work in an effort to slow the spread…

    Matthew Tang January 13, 2021

    Final Judgment Issued on the Epple Bill

    Skilled nursing facilities must take the following steps to comply. Nursing homes now must provide verbal and written notice to residents, including new admissions, when…

    Matthew Tang January 31, 2020

    Trauma-Informed Care Requirement is Here!

     While we don’t know exactly how the surveyors will assess compliance with the Trauma-Informed Care requirements, being prepared demonstrates an intent to comply and may…

    Matthew Tang January 2, 2020

    Surveyor Guidance on Phase 3 Requirements of Participation to be Released Next Year

    Phase 3 Regulations went live on 11/28/2019. However, it will be several months before CMS releases any guidance on the new requirements. In a memo…

    Matthew Tang November 29, 2019

    PDPM is here! Do You Know how it Impacts on Social Services?

    PDPM assures that the Resident Care Plan is patient-centered with a focus on early intervention, patient involvement and an eye toward discharge. It shifts the focus of MediCare reimbursement…

    Matthew Tang October 15, 2019

    The Purpose of Screening and Assessing for Trauma in Nursing Home Residents

    The Mega Rule 3 requirement for trauma-informed care goes into effect November 28, 2019. This regulation reflects the importance of compassion and empathy when we…

    Matthew Tang September 29, 2019

    Are You Prepared for Your Next Survey? These Are Not Your Usual Surveys!

    Our Consultants in California have provided the following information regarding recent facility surveys Surveyors: 6 surveyors, including one trainee and one Pharmacist, x4 days. Surveyors…

    Matthew Tang September 16, 2019

    Older People and Trauma Informed Care

    Over the course of lives, many older people have experienced one or more potentially traumatic events. The impact of trauma can continue to affect people…

    Matthew Tang September 3, 2019

    Are You Prepared to Provide Culturally Competent Psychosocial Care?

    Do you know what is cultural competency is? The Mega Rule 3 requirement for Trauma-informed care requires that trauma survivors receive culturally competent trauma-informed care.…

    Matthew Tang August 26, 2019

    Court of Appeals Upholds Epple Bill

    SACRAMENTO, Calif. – The California Court of Appeal, First Appellate District has upheld the constitutionality of the so-called “Epple Bill” which allows skilled nursing facilities…

    Matthew Tang August 20, 2019
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    Forum Description

    SACRAMENTO, Calif. - The California Court of Appeal, First Appellate District has upheld the constitutionality of the so-called “Epple Bill” which allows skilled nursing facilities to continue to serve individuals who lack the capacity to make medical decisions and have no one willing or able to make such decisions on their behalf.

    In its decision, CANHR v. Smith (formerly Chapman) the court overturned a 2015 decision by the Alameda County Superior Court that declared the statute unconstitutional. Skilled nursing facilities have used Health and Safety Code 1418.8 to make medical decisions for residents who lack mental capacity or do not have family or other decision makers available since 1992.

    “This ruling means an interdisciplinary team of caregivers will continue to be able to formulate and implement care plans for up to 12,000 individuals covered by the law,” said Craig Cornett, CAHF CEO/President. “We are gratified that the court has brought clarity to this important issue so our members can continue to insure the well-being of these residents.”
    An interdisciplinary team is comprised of a physician, a registered nurse with responsibility for the resident and other appropriate staff in disciplines based on resident need. The new ruling includes the additional requirement of oral and written notice to the affected residents, as well as the presence of independent resident representatives when family members or friends are not available.

    CAHF is committed to work with the California Department of Public Health, member facilities and others stakeholders to meet the new conditions established by the court.

    Source: California Association of Health Facilities