The Home Health Care Planning Improvement Act of 2015

Tara Cortes, PhD, RN, FAAN, Executive Director of the Hartford Institute for Geriatric Nursing, NYU College of Nursing

Tara Cortes, PhD, RN, FAAN, Executive Director of the Hartford Institute for Geriatric Nursing, NYU College of Nursing

The Home Health Care Planning Improvement Act of 2015 (S. 578, H.R. 1342) would amend Title XVIII of the Social Security Act to have more timely access to home health services for Medicare beneficiaries under the Medicare program. Legislation is needed to allow  APRNs to sign home health plans of care and  certify Medicare patients for the home health benefit. This bill would address these problems by specifically allowing nurse practitioners, clinical nurse specialists, certified nurse midwives and physician assistants to certify home health services. With more and more of our older population needing to be kept safely at home and avoid rehospitalization and ED use, it is increasingly important that APRNs have the ability to write orders for home health care and to change/adjust/write orders when they see a patient in the home setting.  Allowing APRNs to practice to the full scope of their license will assure more consistent , coordinated quality care across the continuum. They are a vital link in our healthcare system. Websites are showing that this bill has a very small chance of passing. This must be because our Congressional leaders do not have it on their radar.  Raise your voices and educate our legislators. This bill is essential to keep their loved ones, or themselves,  safe at home with quality care and out of hospitals and nursing homes.

Learn more about this Act on the Eldercare Workforce Alliance website

Support the act on the American Nurses Association Website.

Categories: Uncategorized

NY Times Article- Bracing for the Falls of an Aging Nation

5593876_xlDid you know:

  • One out of three older adults (those aged 65 or older) falls each year1 but less than half talk to their healthcare providers about it. 2
  • Among older adults, falls are the leading cause of both fatal and nonfatal injuries. 3
  • In 2012, 2.4 million nonfatal falls among older adults were treated in emergency departments and more than 722,000 of these patients were hospitalized. 3
  • In 2012, the direct medical costs of falls, adjusted for inflation, were $30 billion. 4

2.Stevens JA, Ballesteros MF, Mack KA, Rudd RA, DeCaro E, Adler G. Gender differences in seeking care for falls in the aged Medicare Population. American Journal of Preventive Medicine 2012;43:59–62.

3.Centers for Disease Control and Prevention, National Center for Injury Prevention and Control. Web–based Injury Statistics Query and Reporting System (WISQARS) [online]. Accessed August 15, 2013.

4. Stevens JA, Corso PS, Finkelstein EA, Miller TR. The costs of fatal and nonfatal falls among older adults. Injury Prevention 2006a;12:290–5.

-from the Centers for Disease Control and Prevention;

Katie Hafner from the New York Times writes an interesting and eye opening article in yesterday’s New York Time entitled “Bracing for the Falls of an Aging Nation”.

“As the population ages and people live longer in bad shape, the number of older Americans who fall and suffer serious, even fatal, injuries is soaring. So the retirement communities, assisted living facilities and nursing homes where millions of Americans live are trying to balance safety and their residents’ desire to live as they choose.”  Read more…

Categories: Uncategorized

Caregiving From Another Continent


Verna Pinto, left, and her daughter, Erica Dhar, in September 1979, on the night Ms. Dhar came to the United States.Credit Courtesy of Erica Dhar

Sometimes, caregiving for family members becomes even more difficult when members are living in different countries or even different continents. Read this New York Times Article on a problem more and more people are facing with the increase of globalization. Read Here.

Aging HIV/AIDS patients pose challenges for providers

Slater Bio Pic

Webinar Presenter: Larry Z. Slater, PhD, RN-BC, CCRN Clinical Assistant Professor, NYU College of Nursing Scholar, Nurse Faculty Leadership Academy, Sigma Theta Tau International

“Older patients with HIV face higher rates of cardiovascular disease, diabetes, hypertension, impaired cognitive function, cancer, frailty and behavioral health disorders than those of the same age without HIV—and thus higher costs.”

Read more on this modern healthcare blog on financial problems and other issues those who are aging past 50 with HIV/AIDS are facing.

To get EVEN MORE information sign up for HIGN’s webinar tomorrow on HIV AND AGING!

HIV: An Evolving and Aging Epidemic
Tomorrow August 6th 1:00-2:00 pm EST
Presenter: Larry Z. Slater, PhD, RN-BC, CCRN Clinical Assistant Professor, NYU College of Nursing Scholar, Nurse Faculty Leadership Academy, Sigma Theta Tau International
Special rate $49.50 with discount code: AIDSAWARE14
Awards 1 Contact Hour  Register Now!
Register HERE!

NPR Blog on Caregivers and Families


Andrew Nixon/Capital Public Radio

NPR gives a nice spotlight on the experiences of a husband caregiver to his wife who has dementia. This blog gives an interesting story about spouse caregivers and the effects it has on everyone.

Read More.

Hartford Institute hosting Webinar about Health Literacy


Hartford will be hosting a webinar about  Health Literacy and Older Adults. Here is a good resource about the importance of health literacy from Centers for Disease Control and Prevention. Read Here.

More Information about the webinar

Webinar: Health Literacy and Older Adults

Date: July 24, 2014; 1:00pm- 2:00pm EST
Cost: $99.00 – Awards 1 Nursing Contact Hour
(Discounts are available for NGNA/NICHE members, NYU Faculty and Students- contact us at

Jacqueline Close, PhD, RN, GCNS-BC, FNGNA
Clinical Nurse Specialist, Gerontology
Medical/Surgical/Telemetry Units
Pomerado Hospital

This webinar will discuss health literacy and older adults, the impact of low health literacy on the older adult patient outcomes and how to utilize evidence-based strategies in communication with the older adult.

Parallel caregiver crises, military and civilian


Interesting blog from Congress on the shared risks between veteran and dementia caregivers. There is recent legislation that aims at reducing these risks for military caregivers that also helps dementia caregivers. Read more.



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