+ All Categories
Home > Health & Medicine > Brain Fitness2.Pdf Mck Coverage 2009

Brain Fitness2.Pdf Mck Coverage 2009

Date post: 05-Dec-2014
Category:
Upload: dakim-brainfitness
View: 1,354 times
Download: 6 times
Share this document with a friend
Description:
 
17
Brain fitness mentions NEWS | Technology ITUpdate 12 www.mcknights.com February 2009 » Real-world ways to use technology for improving care and reducing costs will be presented at the upcoming McKnight’s Online Expo. This webcast can be seen live at 11 a.m. Eastern on Wednesday, March 25. Free registration is available at www. mcknights.com/expo. » University of Illinois researchers found that older people who learned to play a strategy-heavy video game improved their scores on a number of tests of cogni- tive function. The findings indicate that video games that keep players “on their toes” might help older adults keep their sented in Chicago at the annual meeting of the Radiological Society of North America. “We have shown that the brain has the ability to regain function through rehabili- tative exercises following a stroke,” said A. Aria Tzika, Ph.D., director of the NMR Surgical Laboratory at Massachusetts General Hospital. » Physicians are adopting mobile technology faster than the general public, according to Manhattan Research. Some 54% of U.S. physicians own a PDA or smartphone. Meanwhile, Diffusion Group predicts that 70% of physicians will own a smartphone or PDA by 2011. Obama makes IT a key part of economic recovery plan By John O’Connor Just prior to taking office, President Barack Obama out- lined plans for an economic recovery package that’s loaded with plans for healthcare IT improvements. Obama’s American Recov- ery and Reinvestment Plan would require up to $800 bil- lion in new funding to rebuild Americans’ trust in the econo- my, help provide new jobs and make all U.S. medical records electronic in less than a half decade. “To improve the quality of our healthcare while lower- ing its cost, we will make the immediate investments neces- sary to ensure that, within five years, all of America’s medi- cal records are computerized. This will cut waste, eliminate red tape and reduce the need to repeat expensive medical tests,” Obama said. “But it just won’t save billions of dollars and thou- sands of jobs; it will save lives by reducing the deadly but preventable medical errors that pervade our healthcare system,” he added. Without swift federal action, Obama said Americans could face a crisis this year “unlike any we’ve seen in our lifetime.” He asked for bipartisan sup- port and long work hours from Congress to get an economic recovery plan passed. Obama’s speech followed a Congressional Budget Office report that predicts an unprec- edented $1.2 trillion federal deficit in fiscal year 2009. The healthcare industry stands to gain more than $100 billion from the economic stimulus plan that the presi- dent and congressional Demo- crats are putting together. Most of the healthcare- related funds (about $80 bil- lion) will target ailing Medicaid programs. The balance (about $20 billion) likely would go to beginning to update health- care delivery with health IT. That money probably will be distributed as pay-for-perfor- mance rewards, with some of it being doled out as grants for healthcare providers that need help building their information technology infrastructure. n “I couldn’t live without …” Keeping patient referrals organized between three separate senior communi- ties can be tricky, especially when each building uses a different technology. That was the case at The A.G. Rhodes Home in Atlanta. “Our fax machine would go down all the time, which means we weren’t getting any referrals,” says Kellee Chass- ner, director of public relations for the facility. Patient Place- ment Systems helped get the process back on track. “If we don’t have an open bed at one of our communi- ties, we can, at a click of a button, send everything over along with our own notes to one of our sister facilities,” she says. Patient Placement Systems’ interface also makes organizing the census a breeze, according to Chassner. “It’s good for me because I do the marketing and I need to know who I need to focus on,” she says. “It saves a ton of time for our admissions directors, too,” she adds. Fast admissions Patient Placement Systems helps streamline the admissions process, easing communication between facilities. For more info: (888) 657-9480 or www.patientplacement.com Is there something you couldn’t live without? Tell Editor James M. Berklan at [email protected] The president is pushing for an economic recovery package that would include about $20 billion for healthcare IT efforts. Photo: Kevin Diettsch/CNP/Newscom » University of Illinois researchers found that older people who learned to play a strategy-heavy video game improved their scores on a number of tests of cogni- tive function. The findings indicate that video games that keep players “on their toes” might help older adults keep their brains sharp, the researchers report in the journal Psychology and Aging. Profile Some people wonder how Majd (“modged”) Alwan, a pedigreed engineer, ended up in the field of eldercare technologies. He’s used to the curiosity. “Yes, I’m an engineer and some people believe I’m a convert, a social scientist…. Sometimes people think that I have a nurs- ing background,” he says with amusement. “But my first degree is engineering.” While it’s not the most tradi- tional career path, it is apparent that Alwan feels at home in his position as director of the Center for Aging Services Technologies at the American Association of Homes and Services for the Aging. He sees his field’s potential to make an enormous impact— both in helping to prevent falls, and monitoring seniors to keep them at home longer. He also is a proponent of what he calls “therapeutainment” (you saw it here first!), which combines mind-enhancing exercises with physical stimulation. The Nin- tendo Wii is one example. Alwan’s vast knowledge of senior-care technology is a boon for CAST, says Zachary Sikes, senior vice president for business relations and corporate develop- ment at AAHSA. But Alwan’s bigger contribution is his ability to translate the science behind the technology into terms of business, academia and long-term care. “He takes his responsibilities and the opportunity of what this can do for our providers and our aging population very, very seri- ously,” Sikes says. Alwan, who is originally from Damascus, Syria, got his first glimpse into his field of biomedical engineering while working toward his master’s and doctorate degrees in the United Kingdom. For his dissertation, he designed a wheel- chair that, theoretically, could respond to voice commands. His accumulated work and education experiences helped land him a position at The Medi- cal Automation Research Center in the Department of Pathology at the University of Virginia. He worked there on applying technol- ogy to the geriatric population. He currently has six patents that are related to technology for seniors. His dream goal, he says, is to see the societal benefits from the technologies developed at the University of Virginia “on a much larger scale and taken advantage of to deliver care to a broader population.” His professional drive is, in part, personal: His mother, who lives in Damascus under the care of one of Alwan’s sisters, is com- pletely bedridden and can no longer speak. “It hurts more that I’m working in this area of technologies and I feel so helpless,” says Alwan, the youngest of 10 children. Today, living near Washing- ton, D.C., Alwan still maintains a strong connection to his country’s culture. He and his family (wife, Rana, who is from Jordan; and daughters, Maryam, 6, and Heba, 2) speak Arabic at home. Moslem by faith, Alwan attends a nearby mosque on Fridays, celebrates Ramadan, and gives back to his community. Like his vast understanding of technology and its universal impli- cations, Alwan sees the world from a global perspective. “At the end of the day, I feel we’re all human,” he says, “and we all share a lot more sets of beliefs than what is on the surface.” —Liza Berger 58 www.mcknights.com January 2009 Resume 1988 Earns bachelor’s degree in electrical and electronic engi- neering, University of Damascus, Syria 1992 Receives M.S. in control engineer- ing, University of Bradford, United Kingdom 1997 Earns doctorate in electrical and electronic engineer- ing, University of London, U.K. 1998 Lecturer and researcher at the Automation Department, Higher Institute of Applied Sciences and Tech- nology, Damascus 2002 Director of Robotics and Eldercare Tech- nologies Program, The Medical Auto- mation Research Center, University of Virginia 2007 Co-founds Home Guardian LLC, Charlottesville, VA 2007 Takes position in May as director of AAHSA’s Center for Aging Services Technologies in Washington, D.C. Majd Alwan Director, Center for Aging Services Technologies IT with a human touch January 2009 Profile Majd Alwan By Liza Berger February 2009 News | Technology ITUpdate
Transcript
Page 1: Brain Fitness2.Pdf Mck Coverage 2009

Brain fitness mentions

NEWS | Technology

ITUpdate

12 www.mcknights.com • February 2009

» Real-world ways to use technology for improving care and reducing costs will be presented at the upcoming McKnight’s Online Expo. This webcast can be seen live at 11 a.m. Eastern on Wednesday, March 25. Free registration is available at www.mcknights.com/expo.

» University of Illinois researchers found that older people who learned to play a strategy-heavy video game improved their scores on a number of tests of cogni-tive function. The findings indicate that video games that keep players “on their toes” might help older adults keep their brains sharp, the researchers report in the journal Psychology and Aging.

» UCLA scientists have used brain-scan technology and patient-specific infor-mation on Alzheimer’s disease risk to help diagnose brain aging, often before symp-toms appear. This new approach holds promise for finding more accurate ways to track brain aging, they said. Full findings appear in the January issue of Archives of General Psychiatry.

» State lawmakers have introduced nearly 400 bills relating to health informa-tion technology in the past 18 months, according to a report from the National Conference of State Legislatures. More than 130 eventually became laws, the report noted. Overall, states are making progress in electronically connecting their healthcare networks, the study notes.

» Investigators using a hand-operated robotic device and functional MRI have found that chronic stroke patients can be rehabilitated, according to a study pre-sented in Chicago at the annual meeting of the Radiological Society of North America. “We have shown that the brain has the ability to regain function through rehabili-tative exercises following a stroke,” said A. Aria Tzika, Ph.D., director of the NMR Surgical Laboratory at Massachusetts General Hospital.

» Physicians are adopting mobile technology faster than the general public, according to Manhattan Research. Some 54% of U.S. physicians own a PDA or smartphone. Meanwhile, Diffusion Group predicts that 70% of physicians will own a smartphone or PDA by 2011.

Obama makes IT a key part of economic recovery planBy John O’Connor

Just prior to taking office, President Barack Obama out-lined plans for an economic recovery package that’s loaded with plans for healthcare IT improvements.

Obama’s American Recov-ery and Reinvestment Plan would require up to $800 bil-lion in new funding to rebuild Americans’ trust in the econo-my, help provide new jobs and make all U.S. medical records electronic in less than a half decade.

“To improve the quality of our healthcare while lower-ing its cost, we will make the immediate investments neces-sary to ensure that, within five years, all of America’s medi-cal records are computerized. This will cut waste, eliminate red tape and reduce the need to repeat expensive medical tests,” Obama said.

“But it just won’t save billions of dollars and thou-sands of jobs; it will save lives by reducing the deadly but preventable medical errors that pervade our healthcare system,” he added.

Without swift federal action, Obama said Americans could face a crisis this year “unlike any we’ve seen in our lifetime.” He asked for bipartisan sup-port and long work hours from Congress to get an economic

recovery plan passed.Obama’s speech followed a

Congressional Budget Office report that predicts an unprec-edented $1.2 trillion federal deficit in fiscal year 2009.

The healthcare industry stands to gain more than $100 billion from the economic stimulus plan that the presi-dent and congressional Demo-crats are putting together.

Most of the healthcare-related funds (about $80 bil-lion) will target ailing Medicaid programs.

The balance (about $20 billion) likely would go to beginning to update health-care delivery with health IT. That money probably will be distributed as pay-for-perfor-mance rewards, with some of it being doled out as grants for healthcare providers that need help building their information technology infrastructure. n

“I couldn’t live without …”Keeping patient referrals organized between three separate senior communi-ties can be tricky, especially when each building uses a different technology. That was the case at The A.G. Rhodes Home in Atlanta.

“Our fax machine would

go down all the time, which means we weren’t getting any referrals,” says Kellee Chass-ner, director of public relations for the facility. Patient Place-ment Systems helped get the process back on track.

“If we don’t have an open bed at one of our communi-ties, we can, at a click of a button, send everything over along with our own notes to one of our sister facilities,” she says.

Patient Placement Systems’ interface also makes organizing the census a breeze, according to Chassner.

“It’s good for me because I do the marketing and I need to know who I need to focus on,” she says. “It saves a ton of time for our admissions directors, too,” she adds.

Fast admissionsPatient Placement Systems helps streamline the admissions process, easing communication between facilities. For more info: (888) 657-9480 or www.patientplacement.com

Is there something you couldn’t live without? Tell Editor James M. Berklan at [email protected]

The president is pushing for an economic recovery package that would include about $20 billion for healthcare IT efforts.

Phot

o: K

evin

Die

ttsc

h/C

NP/

New

scom

NEWS | Technology

ITUpdate

12 www.mcknights.com • February 2009

» Real-world ways to use technology for improving care and reducing costs will be presented at the upcoming McKnight’s Online Expo. This webcast can be seen live at 11 a.m. Eastern on Wednesday, March 25. Free registration is available at www.mcknights.com/expo.

» University of Illinois researchers found that older people who learned to play a strategy-heavy video game improved their scores on a number of tests of cogni-tive function. The findings indicate that video games that keep players “on their toes” might help older adults keep their brains sharp, the researchers report in the journal Psychology and Aging.

» UCLA scientists have used brain-scan technology and patient-specific infor-mation on Alzheimer’s disease risk to help diagnose brain aging, often before symp-toms appear. This new approach holds promise for finding more accurate ways to track brain aging, they said. Full findings appear in the January issue of Archives of General Psychiatry.

» State lawmakers have introduced nearly 400 bills relating to health informa-tion technology in the past 18 months, according to a report from the National Conference of State Legislatures. More than 130 eventually became laws, the report noted. Overall, states are making progress in electronically connecting their healthcare networks, the study notes.

» Investigators using a hand-operated robotic device and functional MRI have found that chronic stroke patients can be rehabilitated, according to a study pre-sented in Chicago at the annual meeting of the Radiological Society of North America. “We have shown that the brain has the ability to regain function through rehabili-tative exercises following a stroke,” said A. Aria Tzika, Ph.D., director of the NMR Surgical Laboratory at Massachusetts General Hospital.

» Physicians are adopting mobile technology faster than the general public, according to Manhattan Research. Some 54% of U.S. physicians own a PDA or smartphone. Meanwhile, Diffusion Group predicts that 70% of physicians will own a smartphone or PDA by 2011.

Obama makes IT a key part of economic recovery planBy John O’Connor

Just prior to taking office, President Barack Obama out-lined plans for an economic recovery package that’s loaded with plans for healthcare IT improvements.

Obama’s American Recov-ery and Reinvestment Plan would require up to $800 bil-lion in new funding to rebuild Americans’ trust in the econo-my, help provide new jobs and make all U.S. medical records electronic in less than a half decade.

“To improve the quality of our healthcare while lower-ing its cost, we will make the immediate investments neces-sary to ensure that, within five years, all of America’s medi-cal records are computerized. This will cut waste, eliminate red tape and reduce the need to repeat expensive medical tests,” Obama said.

“But it just won’t save billions of dollars and thou-sands of jobs; it will save lives by reducing the deadly but preventable medical errors that pervade our healthcare system,” he added.

Without swift federal action, Obama said Americans could face a crisis this year “unlike any we’ve seen in our lifetime.” He asked for bipartisan sup-port and long work hours from Congress to get an economic

recovery plan passed.Obama’s speech followed a

Congressional Budget Office report that predicts an unprec-edented $1.2 trillion federal deficit in fiscal year 2009.

The healthcare industry stands to gain more than $100 billion from the economic stimulus plan that the presi-dent and congressional Demo-crats are putting together.

Most of the healthcare-related funds (about $80 bil-lion) will target ailing Medicaid programs.

The balance (about $20 billion) likely would go to beginning to update health-care delivery with health IT. That money probably will be distributed as pay-for-perfor-mance rewards, with some of it being doled out as grants for healthcare providers that need help building their information technology infrastructure. n

“I couldn’t live without …”Keeping patient referrals organized between three separate senior communi-ties can be tricky, especially when each building uses a different technology. That was the case at The A.G. Rhodes Home in Atlanta.

“Our fax machine would

go down all the time, which means we weren’t getting any referrals,” says Kellee Chass-ner, director of public relations for the facility. Patient Place-ment Systems helped get the process back on track.

“If we don’t have an open bed at one of our communi-ties, we can, at a click of a button, send everything over along with our own notes to one of our sister facilities,” she says.

Patient Placement Systems’ interface also makes organizing the census a breeze, according to Chassner.

“It’s good for me because I do the marketing and I need to know who I need to focus on,” she says. “It saves a ton of time for our admissions directors, too,” she adds.

Fast admissionsPatient Placement Systems helps streamline the admissions process, easing communication between facilities. For more info: (888) 657-9480 or www.patientplacement.com

Is there something you couldn’t live without? Tell Editor James M. Berklan at [email protected]

The president is pushing for an economic recovery package that would include about $20 billion for healthcare IT efforts.

Phot

o: K

evin

Die

ttsc

h/C

NP/

New

scom

Profi le

Some people wonder how Majd (“modged”) Alwan, a pedigreed engineer, ended up in the fi eld of eldercare technologies. He’s used to the curiosity.

“Yes, I’m an engineer and some people believe I’m a convert, a social scientist…. Sometimes people think that I have a nurs-ing background,” he says with amusement. “But my fi rst degree is engineering.”

While it’s not the most tradi-tional career path, it is apparent that Alwan feels at home in his position as director of the Center for Aging Services Technologies at the American Association of Homes and Services for the Aging. He sees his field’s potential to make an enormous impact—both in helping to prevent falls, and monitoring seniors to keep them at home longer.

He also is a proponent of what he calls “therapeutainment” (you saw it here fi rst!), which combines mind-enhancing exercises with physical stimulation. The Nin-tendo Wii is one example.

Alwan’s vast knowledge of senior-care technology is a boon for CAST, says Zachary Sikes, senior vice president for business relations and corporate develop-ment at AAHSA. But Alwan’s bigger contribution is his ability to translate the science behind the technology into terms of business, academia and long-term care.

“He takes his responsibilities and the opportunity of what this can do for our providers and our aging population very, very seri-ously,” Sikes says.

Alwan, who is originally from Damascus, Syria, got his first glimpse into his fi eld of biomedical

engineering while working toward his master’s and doctorate degrees in the United Kingdom. For his dissertation, he designed a wheel-chair that, theoretically, could respond to voice commands.

His accumulated work and education experiences helped land him a position at The Medi-cal Automation Research Center in the Department of Pathology at the University of Virginia. He worked there on applying technol-ogy to the geriatric population. He currently has six patents that are related to technology for seniors.

His dream goal, he says, is to see the societal benefi ts from the technologies developed at the University of Virginia “on a much larger scale and taken advantage of to deliver care to a broader population.”

His professional drive is, in part, personal: His mother, who lives in Damascus under the care of one of Alwan’s sisters, is com-pletely bedridden and can no longer speak.

“It hurts more that I’m working in this area of technologies and I feel so helpless,” says Alwan, the youngest of 10 children.

Today, living near Washing-ton, D.C., Alwan still maintains a strong connection to his country’s culture. He and his family (wife, Rana, who is from Jordan; and daughters, Maryam, 6, and Heba, 2) speak Arabic at home. Moslem by faith, Alwan attends a nearby mosque on Fridays, celebrates Ramadan, and gives back to his community.

Like his vast understanding of technology and its universal impli-cations, Alwan sees the world from a global perspective.

“At the end of the day, I feel we’re all human,” he says, “and we all share a lot more sets of beliefs than what is on the surface.”—Liza Berger

58 www.mcknights.com • January 2009

Resume

1988Earns bachelor’s degree in electrical and electronic engi-neering, University of Damascus, Syria

1992Receives M.S. in control engineer-ing, University of Bradford, United Kingdom

1997Earns doctorate in electrical and electronic engineer-ing, University of London, U.K.

1998Lecturer and researcher at the Automation Department, Higher Institute of Applied Sciences and Tech-nology, Damascus

2002Director of Robotics and Eldercare Tech-nologies Program, The Medical Auto-mation Research Center, University of Virginia

2007Co-founds Home Guardian LLC, Charlottesville, VA

2007Takes position in May as director of AAHSA’s Center for Aging Services Technologies in Washington, D.C.

Majd AlwanDirector,Center for Aging Services Technologies

IT with a human touch

292157_LTC_Profile_p58.indd 58 12/19/08 6:24:21 PM

January 2009 Profile

Majd Alwan

By Liza Berger

February 2009 News | Technology

ITUpdate

Page 2: Brain Fitness2.Pdf Mck Coverage 2009

Brain fitness mentions

NEWS | Technology

ITUpdate

18 www.mcknights.com • March 2009

» Providers who haven’t yet made accommodations for the soon-to-arrive all digital television service received a reprieve at press time. Congress voted to delay the nation’s transition to digital TV by four months to June 12. The change applies only to those communities that receive over-the-air TV signals. Operators with satellite and cable TV will not be affected.

» Economic stimulus legislation passed by Congress now includes informa-tion technology funding for long-term care facilities and nursing homes. Sen. Herb Kohl (D-WI) successfully amended the pending measure. Original language in the Senate version of the stimulus package did not include nursing facilities, long-term care facilities, skilled nursing facilities or home health entities in its definition of “health care provider.”

» Quinnipiac University researchers will attempt to determine whether seniors monitored by wireless sensors can remain independent longer. The study will be con-ducted at the Masonicare healthcare and retirement community in Wallingford, CT.

» The Department of Health and Human Services released the long-awaited ICD-10 code set and set a new compliance date of Oct. 1, 2013. The later date gives providers two additional years to prepare for the regulation, which is used to report diagnoses and procedures in electronic healthcare transactions.

» IBM is teaming with Google on new software for moving data from remote per-sonal medical devices into Google Health and other personal health records. Patients will be able to exchange health information with their physicians and other health pro-fessionals more easily and in real time by using the software, according to IBM.

» The Center for Democracy and Technology claims gaining patient consent is not always necessary or even helpful in the flow of health IT data, while Microsoft complains that too many in the health IT industry use data lock-in as a tactic to keep their customers captive.

» President Obama cited electronic records as a way to improve healthcare while lowering costs at his first press conference.

CAST adds new interactionto major technology studyBy John O’Connor

The Center for Aging Services Technologies (CAST) has released an interactive version of the “State of Technology in Aging Services Report” it show-cased during the recent Inter-national Consumer Electronics Show in Las Vegas.

The report can be found online at www.agingtech.org. This latest document examines existing technology categories for seniors, as well as new tools now being developed.

The study also highlights steps various firms are taking to serve seniors. For example, the updated report includes links to the numerous corporations, universities, and aging-services providers that are involved in seniors-related tools.

The types of technology examined include:

• Sensors that can detect and notify a caregiver if a per-

son is potentially unsafe (e.g. has fallen, did not get out of his or her chair or didn’t turn off the stove).

• Health technologies that monitor blood pressure, respi-ration and other conditions in real-time while the person is at home. This reduces the need for doctor's visits and notifies caregivers immediately of sig-nificant changes.

• Medication dispensers that provide medicines at the appropriate time and remind a person to take them.

• Computer games that pro­vide social networking, promote brain stimulation, and even use diagnostic games to monitor a

person's cognitive abilities.In addition, the report

offers interviews with various researchers.

Their collective view is that factors ranging from intercon-nectivity between different sys-tems to usability, affordability and the availability of technical support and training will deter-mine how fast these technolo-gies will grow.

CAST is an affiliate of the American Association of Homes and Services for the Aging. The organization participated for the first time this year in the Interna-tional CES. It is considered the world’s largest trade show for consumer electronics. n

“I couldn’t live without …”With turnover rates at facili-ties presenting a near con-stant problem, administrators are always looking for a way to retain staff members. At Niagara Lutheran Health System in Buffalo, NY, cer-

tified nursing assistants posed an especially difficult problem. In past years, turnover rates for CNAs topped 100%, says Car-ole Francis, director of human resources at Niagara Lutheran. In 2006, her facility began using the Predictive Index from PI Worldwide.

“Prior to that, our turnover rate for the whole facility was 65%,” says Francis. “It’s gone down every year since then, and 2008 turnover is down to 38%.” Turnover rates for CNAs dropped to 51%, she says.

The Predictive Index works like a professional-oriented personality test. Applicants fill out the questionnaire, and administrators can use a Web-based program to interpret the results to find the right person for the job.

Setting the barThe Predictive Index’s Benchmark feature allows administrators to find applicants who will work well at the facility and with co-workers. For more info: (781) 235-8872www.piwordlwide.com

Is there something you couldn’t live without? Tell Editor James M. Berklan at [email protected]

A CAST document examines existing technology categories for seniors.

Carole Francis, Niagara Lutheran Health System

LTC Technology.indd 18 2/20/09 10:25:00 AM

NEWS

By Liza BergerThe American Recovery and Reinvestment Act of 2009, which the president signed into law last month, provides desired funding for long-term care providers.

The most obvious fi nancial take-away is a 6.2% increase in the Federal Medical Assis-tance Percentage (FMAP), which translates into $87 bil-lion in additional funding to Medicaid programs.

“Whi le we are disap-pointed a provision to pre-vent FMAP funds from being diverted is not in the bill, the package now before the Congress is excellent news

By Brett BakshisTraining people to avoid falls in a laboratory environment offers hope for fall prevention among older adults.

In a recent study, eight par-ticipants trained on a move-able platform for a total 37 times. The platform released 24 of those times, purpose-fully causing the people to slip forward or backward.

Those participants were compared with a control

group of seven who had not used the platform. Both groups were later directed to walk on a vinyl surface that had one slippery spot they could not see.

Among the researchers’ fi ndings: None of the trained participants fell on the slip-pery floor and seven of the eight never lost balance. The control group's performance on the slippery fl oor, on the other hand, was akin to the

trained group's fi rst training slip on the platform.

Researchers believe that using such training on older adults may help to prevent falls and, thus, reduce on hip fractures. The study revealed that with just one session of such training, the brain pre-programs a response to slip-ping that can be drawn upon to stop a slip or a fall. The study appeared in the Journal of Neurophysiology. ■

for America’s seniors,” said Alan Rosenbloom, president and CEO of the Alliance for Quality Nursing Home Care, in a statement prior to Con-gress’s vote.

Other components of the package include an allotment of $19 billion to ensure wide-spread adoption and use of interoperable health informa-tion technology among health-care providers. This includes $2 billion in discretionary funds and $17 billion for investments and incentives through Medi-care and Medicaid.

Another part of the package is a new program to upgrade HUD-sponsored low-income housing to increase energy effi -ciency, including new insula-tion, windows and frames.

The law also includes an investment of $8.5 billion in biomedical research. ■

Q: What was unexpected from your report for the SCAN Foundation?

A: We were surprised to see the extent to which elderly with severe disabilities consume a much higher amount of medical care resources—4.5 times more—when compared to people with-out disabilities. This is the fi rst time data has explicitly shown the connection between having diffi culty performing daily activities and high medical costs.

Q: Any vivid examples of funding disconnects?

A: Research shows that hospice lengths of stay from 2000 to 2005 took double-digit leaps for those suffering from Alzheimer’s disease and senile dementia, suggesting that the Medicare hospice benefi t may be addressing a shortfall in long-term care services.

Q: Why do you say healthcare fund-ing reform must include “integrated solutions”?

A: Unless efforts to reform entitlement programs or reform the healthcare system address the long-term care fi nancing gap, the inadequacies of our long-term care system will continue to create ineffi ciencies in healthcare-related programs—you might be push-ing down the trash can lid in one area, and it will continue to pop up in others. Paying for long-term care cannot be categorized simply as a “Medicaid” or individual family problem.

4 www.mcknights.com • March 2009

Economic stimulus package offers funds for IT, housing

Sen. Olympia Snowe was one of just three Republicans to vote in favor of the stimulus bill, narrowly allowing passage.

Phot

o: O

ffi ce

of t

he S

enat

or

Regulatory Update Bill Watch

■ States will be able to increase Medicaid cost-sharing and premium charges as of March 27, according to the Centers for Medicare & Medicaid Services. It moved the effective date from Jan. 26.

■ CMS asked state Medicaid offi cials to strengthen the integrity of their pro-grams. Providers should screen their own employees and contractors for excluded persons, CMS advised in a letter.

■ President Obama signed into law the Lilly Ledbetter Fair Pay Act. It relaxes the statute of limitations on lawsuits for pay discrimination.

■ Sens. Charles Grassley (R-IA) and Herb Kohl (D-WI) sponsored a bill (S. 301) that would require pharmaceutical and medi-cal device companies to publicly disclose any gifts and payments to physicians valued at $100 or more per calendar year.

Movable platform may help prevent falls

60SECONDS WITH…

Anne TumlinsonAnalyst, Avalere HealthMedicare cost survey

McKnight’s Long-Term Care News (ISSN 1048-3314) is published monthly by Haymarket Media, 114 West 26th Street, 4th Floor, New York, NY 10001. Tel (646) 638-6000. Periodicals postage paid at New York, NY and additional mailing offi ces. YEARLY SUBSCRIPTION RATE: United States and possessions: $60.00; single issue: $15.00. www.mcknights.com. POSTMASTER: Send address changes to: McKnight’s Long-Term Care News, P.O. Box 316 Congers, NY 10920-0103 or telephone (800) 558-1703. Printed in the U.S.A. © 2009 Haymarket Media. No part of this publication may be reproduced, stored in a retrieval system or transmitted in any form or by any means (electronic, mechanical, photocopying, recording or otherwise) without the prior written permission of the publisher. McKnight’s Long-Term

Care News is a registered trademark used herein under license.

LTC Page 4.indd 4 2/23/09 2:11:19 PM

NEWS

By Liza BergerThe American Recovery and Reinvestment Act of 2009, which the president signed into law last month, provides desired funding for long-term care providers.

The most obvious fi nancial take-away is a 6.2% increase in the Federal Medical Assis-tance Percentage (FMAP), which translates into $87 bil-lion in additional funding to Medicaid programs.

“Whi le we are disap-pointed a provision to pre-vent FMAP funds from being diverted is not in the bill, the package now before the Congress is excellent news

By Brett BakshisTraining people to avoid falls in a laboratory environment offers hope for fall prevention among older adults.

In a recent study, eight par-ticipants trained on a move-able platform for a total 37 times. The platform released 24 of those times, purpose-fully causing the people to slip forward or backward.

Those participants were compared with a control

group of seven who had not used the platform. Both groups were later directed to walk on a vinyl surface that had one slippery spot they could not see.

Among the researchers’ fi ndings: None of the trained participants fell on the slip-pery floor and seven of the eight never lost balance. The control group's performance on the slippery fl oor, on the other hand, was akin to the

trained group's fi rst training slip on the platform.

Researchers believe that using such training on older adults may help to prevent falls and, thus, reduce on hip fractures. The study revealed that with just one session of such training, the brain pre-programs a response to slip-ping that can be drawn upon to stop a slip or a fall. The study appeared in the Journal of Neurophysiology. ■

for America’s seniors,” said Alan Rosenbloom, president and CEO of the Alliance for Quality Nursing Home Care, in a statement prior to Con-gress’s vote.

Other components of the package include an allotment of $19 billion to ensure wide-spread adoption and use of interoperable health informa-tion technology among health-care providers. This includes $2 billion in discretionary funds and $17 billion for investments and incentives through Medi-care and Medicaid.

Another part of the package is a new program to upgrade HUD-sponsored low-income housing to increase energy effi -ciency, including new insula-tion, windows and frames.

The law also includes an investment of $8.5 billion in biomedical research. ■

Q: What was unexpected from your report for the SCAN Foundation?

A: We were surprised to see the extent to which elderly with severe disabilities consume a much higher amount of medical care resources—4.5 times more—when compared to people with-out disabilities. This is the fi rst time data has explicitly shown the connection between having diffi culty performing daily activities and high medical costs.

Q: Any vivid examples of funding disconnects?

A: Research shows that hospice lengths of stay from 2000 to 2005 took double-digit leaps for those suffering from Alzheimer’s disease and senile dementia, suggesting that the Medicare hospice benefi t may be addressing a shortfall in long-term care services.

Q: Why do you say healthcare fund-ing reform must include “integrated solutions”?

A: Unless efforts to reform entitlement programs or reform the healthcare system address the long-term care fi nancing gap, the inadequacies of our long-term care system will continue to create ineffi ciencies in healthcare-related programs—you might be push-ing down the trash can lid in one area, and it will continue to pop up in others. Paying for long-term care cannot be categorized simply as a “Medicaid” or individual family problem.

4 www.mcknights.com • March 2009

Economic stimulus package offers funds for IT, housing

Sen. Olympia Snowe was one of just three Republicans to vote in favor of the stimulus bill, narrowly allowing passage.

Phot

o: O

ffi ce

of t

he S

enat

or

Regulatory Update Bill Watch

■ States will be able to increase Medicaid cost-sharing and premium charges as of March 27, according to the Centers for Medicare & Medicaid Services. It moved the effective date from Jan. 26.

■ CMS asked state Medicaid offi cials to strengthen the integrity of their pro-grams. Providers should screen their own employees and contractors for excluded persons, CMS advised in a letter.

■ President Obama signed into law the Lilly Ledbetter Fair Pay Act. It relaxes the statute of limitations on lawsuits for pay discrimination.

■ Sens. Charles Grassley (R-IA) and Herb Kohl (D-WI) sponsored a bill (S. 301) that would require pharmaceutical and medi-cal device companies to publicly disclose any gifts and payments to physicians valued at $100 or more per calendar year.

Movable platform may help prevent falls

60SECONDS WITH…

Anne TumlinsonAnalyst, Avalere HealthMedicare cost survey

McKnight’s Long-Term Care News (ISSN 1048-3314) is published monthly by Haymarket Media, 114 West 26th Street, 4th Floor, New York, NY 10001. Tel (646) 638-6000. Periodicals postage paid at New York, NY and additional mailing offi ces. YEARLY SUBSCRIPTION RATE: United States and possessions: $60.00; single issue: $15.00. www.mcknights.com. POSTMASTER: Send address changes to: McKnight’s Long-Term Care News, P.O. Box 316 Congers, NY 10920-0103 or telephone (800) 558-1703. Printed in the U.S.A. © 2009 Haymarket Media. No part of this publication may be reproduced, stored in a retrieval system or transmitted in any form or by any means (electronic, mechanical, photocopying, recording or otherwise) without the prior written permission of the publisher. McKnight’s Long-Term

Care News is a registered trademark used herein under license.

LTC Page 4.indd 4 2/23/09 2:11:19 PM

March 2009 News

Moveable platform may help prevent falls

By Brett Bakshis

March 2009 News | Technology

CAST adds new interaction to major technology study

By John O’Connor

Page 3: Brain Fitness2.Pdf Mck Coverage 2009

Brain fitness mentions

Rehabilitation

such as yoga also hold an impor-tant place on the therapeutic menu, Keane adds.

“Yoga is a key piece of physical, spiritual and emotional wellness,” she says. “What we have to look at is providing very individualized goals. Therapists have to make sure that everyone who partici-pates in yoga has goals that can be met.”

Linda Karacoloff, vice presi-dent of clinical services for Sun-

Dance, believes providers need to strive for a balance between conventional and alternate types of therapies.

“The focus of care continues to be providing skilled, medically-necessary services as is required under Medicare,” she says. “How-ever, all other approaches and practices can be woven in, as long as they meet the goals under the established skilled therapy plan of care.” ■

44 www.mcknights.com • April 2009

many of our customers have started using our systems as a therapy tool,” says Lori Snow, the company’s director of marketing. “Therapists are fi nding that clients are doing their exercises longer due to the engaging nature of the software and that folks who had previously refused to participate are now getting involved.”

Designed to promote physical

and cognitive wellness, the It’s Never 2 Late applications include a variety of virtual activities, includ-ing simulated fl ying, driving and bicycling; touch screen puzzles and painting, as well as speech therapy and memory applications, cognitive recognition tools and dementia engagement.

Company representatives say their systems offer new education-al options for therapists, providing activities for outpatient therapy, adult day care and dementia programs. The systems also help facilities meet the CMS F-tag guidelines for activities, quality of life, dignity, self-determination and participation, Snow says.

“Each of these regulations pro-motes the development of person-centered activities and experiences that identify an individual’s inter-ests and needs and involve the individual in an ongoing program that maintains the highest level of physical, cognitive, and psychoso-cial well-being,” she says.

Wii and moreAlternative therapies “defi nitely have a place,” Keane observes, “especially at the assisted living level, where the patients are more ambulatory.”

Integrating simulated pro-grams, which also include the Nintendo Wii system, have proven

to be popular with therapists and patients alike, she says.

“The Wii system has been in place in our facilities for about a year and a half and it has been very exciting,” according to Keane. “Residents love it. One resident who was a golfer but could no longer hit the course could play this. As a result of the physical motion involved, he can now feed himself.”

Alternative physical activities

Wascomat makesinfection control easyand affordable.When laundry infection control is critical,Wascomat is your only choice for safetyand risk management. We can show youstep-by-step how to ensure optimum pro-tection against the spread of MRSA infec-tion while streamlining the laundry process.With Wascomat laundry equipment you willhave the ability to monitor, report, and vali-date every processed batch of laundry.Easily create real-time, accurate calcula-tions and reports on water temperature,chemical dosing, number of re-washes,operating costs, and more. Leasing andlow-cost financing available.

Ask about our new compact (30 &40 lb. capacities!) barrier washers.Wascomat makes it affordable andeasy to meet the most demanding

hygiene standards.

Put yourself in the hands ofthe experts! Call Wascomatto learn more.

www.wascomat.com • [email protected]

800-923-2626

[ ]“Practices can be woven in.”

Linda Karacoloff,SunDance

Continued from page 42

LTC Feature 2 rehab.indd 44 3/27/09 11:20:30 AM

Rehabilitation

offering more comprehensive services to meet the complex needs of skilled nursing facil-ity residents—more involvement with wound care, incontinence, pain, as well as providing better care to increasingly more complex patient presentations.

“There is an opportunity to improve the bottom line by increasing therapy effi ciencies via the use of medical technologies,

such as electrical stimulators and implementation of electronic doc-umentation and billing systems. The appropriate use of technology is particularly important consider-ing the shortage of therapists.”

Martha Schram, president of Aegis Therapies, agrees: “Technol-ogy holds a promise for improv-ing the lives of all of us–we must include it in the treatment of the geriatric population.”

42 www.mcknights.com • April 2009

‘Engagement tools’Though not a service along the lines of physical or occupational therapy, computer “engagement tools” can work in tandem with those exercises, say representa-tives from Centennial, CO-based It’s Never 2 Late.

“Although we’ve been around for 10 years, over the past year

Rehab trends: The rehabilitation fi eld is fi lled with promise for long-term care facility operators as new technologies and concepts offer a chance to engage patients, increase referral volume and maximize revenues. Bob Latz and Alla Onitskansky, executives for Las Vegas-based EnduraCare Therapy Management, identify here some of the key trends that are currently happening, as well as projections for the future.

CURRENT TRENDSPrograms■ Nintendo Wii■ Pilates■ Weight lifting for seniors

Technologies■ Electronic documentation■ Web-based software for case

management■ Electric wheelchair usage for

patient assessment

Policies/Clinical philosophy■ ‘Zero-lift’ rules for staff■ Therapy effectiveness

measured by outcomes■ Prevention of decline (espe-

cially important for CCRCs)■ Revenue optimization through

outpatient clinics and home health

FUTURE TRENDSPrograms■ Tai chi – Improves endurance,

balance and posture to make the body more effi cient. Utilizes low impact, smooth exercises. Tai chi can be billed under “Neuromuscular Re-education” (97112) or “Gait Training” (97116).

■ Yoga – Improves balance, sleep, arthritis, diabetes, hypertension, anxiety, chronic pain and breathing diffi culties. Helps to prevent falls.

Technology■ Robotic devices for patient

transfers■ Virtual reality to simulate

home environments■ Computer-based cognitive

training programs in recre-ational therapy, which appears to have a positive effect on outcomes in early studies.

Continued on page 44

LTC Feature 2 rehab.indd 42 3/27/09 11:19:45 AM

April 2009 Feature Story

All the right moves

By John Andrews

the highest level of therapy in an effi cient and outcomes-focused model of care,” she says. “Under PPS, rehabilitation profession-als learned to adapt the model of care for Medicare Part A patients based upon a possibility of 44, and later on, 53 possible patient level of care and payment categories. For Medicare Part B services, we have had to cope with a therapy fi nancial limitation not based on

level of care or need but only on a dollar amount. Physical therapy and speech therapy services have a combined capitation of the same dollar amount as the occupational therapy limit.”

On the whole, rehab profes-sionals have done a commendable job working under the regulatory limitations, adds James Hummer, senior vice president of operations for Alexandria, VA-based Sun-Dance Rehabilitation.

“Providers are increasingly adept in managing PPS require-ments, as well as working with other payer requirements under managed care, Medicaid and pri-vate pay,” he says. “Providers are increasingly able to furnish a range of interventions from one-to-one treatment to group therapy.”

Besides policy and reimburse-ment, demographics are another key infl uence on post-acute rehab, Keane says, calling the boomers “the bubble” generation.

“This new group of seniors is postponing retirement and they’re looking to stay in their homes instead of moving to Sun City,” she says. “These are people who don’t need long-term rehab—it’s more knee and hip replacements with co-morbidities. Nursing homes need to change their image in order to attract this population. Facilities can formulate an inte-

grated approach for PT, OT and speech therapy and provide a plan of care in conjunction with nurs-ing to meet all their needs. Rehab 25 years ago was more for SNF residents – now it’s for preparing patients to go home.”

Assessing therapy needsClinical demands on therapists are also sharpening, says Acceler-ated Care Plus’ Richards.

“Therapists are becoming more sensitive to, and in tune with, the need to provide therapy services supported by research. CMS and private insurers also have increased their expectations regarding evidence-based therapy interventions.”

In order to assess whether they are maximizing revenues from rehab patients, facility operators need to take stock of their ser-

vice levels and whether they are meeting the needs of patients and payers, Richards says.

“The question really is, are providers adequately meeting the therapy needs of those they serve?” he says. “If the focus is on thoroughly treating patients in accordance with the regula-tions, the therapy revenues will follow. In that regard, the therapy profession is making progress by

April 2009• www.mcknights.com 41

[ ]“Nursing homes need

to change their image.”

Marta Keane, Encore Healthcare

LTC Feature 2 rehab.indd 41 3/27/09 3:25:49 PM

Rehabilitation

By John AndrewsThe rehabilitation component of skilled nursing has grown and developed into an established service area for long-term care facility operators over the past two decades. Yet despite its matu-rity, it must continue to evolve if rehab providers are to capture the burgeoning patient volume and revenue potential that exists, industry observers say.

Created by a surge in demand for post-acute rehabilitative care, skilled nursing facilities have become the standard refer-ral center for victims of stroke, neurological trauma and other debilitating conditions. Typical therapeutic services include physi-cal therapy, occupational therapy and speech pathology. Patient stays usually run from 30 days to indefi nitely.

While rehab has become a reli-able revenue generator for LTC facilities, industry dynamics aren’t standing still. Medicare and Med-icaid policies are continually in fl ux, health plan coverage criteria undulates and patient demograph-ics are shifting toward the baby boom generation.

Expansion plansThese realities, authorities say, present both challenges and opportunities for providers in redefi ning and expanding their rehab service offerings.

As a parochial matter, long-term care facility operators and rehabilitation professionals have various options to expand their service offerings, improve clini-cal efficacies for therapies and capture a broader population of

patients, says Mark Richards, vice president of clinical education for Reno, NV-based Accelerated Care Plus.

“There are a variety of provid-ers in the long-term care indus-try who are focused on quality care and are continually seeking new ways to improve outcomes,” he said. “What we have seen is that there is a strong correlation between a provider’s quality of care and a company’s overall business performance. The more innovative providers recognize that connection and are shaping their organizations around that philosophy.”

Marta Keane, vice president of rehabilitation for Columbia, MD-based Encore Healthcare, has seen

signifi cant changes in the industry over the past decade and predicts more will occur going forward. Encore is a management compa-ny with a portfolio of 26 skilled nursing facilities and fi ve long-term acute care hospitals in 10 states. Besides being a vice president of rehab, Keane is a certifi ed speech pathologist and audiologist.

“The most important change I’ve seen is the move to the pro-spective payment system in 1999,” she says. “At that point [CMS] made some changes to the number of groupings they had and there are plans to change them again, perhaps this year. I am also seeing

governments getting squeezed by the shifting economy and Medicaid reimbursement is being impacted. That will have a defi nite effect on long-term care patients.”

Mary Pidich, vice president of quality assurance for Las Vegas-based EnduraCare Therapy Management, says rehab provid-ers have done an admirable job, considering the coverage and regulatory limitations.

“Over the past decade, the rehabilitation profession has demonstrated the ability to not only survive wide-sweeping regu-latory and payment restructur-ing but to successfully deliver

All the right movesTherapy involves a range of new approaches—from the practice of tai chi to the use of medical technologies. Smart providers fi nd the tools that work for them

40 www.mcknights.com • April 2009

Therapy more often includes alternative types of programs, such as tai chi, a martial art, as shown above. These services continue to evolve, experts say.

Phot

o: iS

tock

phot

o

LTC Feature 2 rehab.indd 40 3/27/09 11:18:19 AM

Page 4: Brain Fitness2.Pdf Mck Coverage 2009

Brain fitness mentions

NEWS | Vendors

CompanyBriefs

May 2009• www.mcknights.com 25

» Posit Science has released a report showing media outlets are covering brain fi tness with greater frequency. While there were just 27 news articles in 2004 on brain fi tness, last year there were 1,301–a compounded annual growth rate of about 150%. Sales growth in the sector rose from $100 million in 2005 to more than $225 million in 2007, according to SharpBrains.

» Keane recently announced the launch of its Optimum Product Suite. The software suite helps operators improve accounts receivable cycles, reduce medical errors and simplify third-party billing.

» Patient Placement Systems recently announced the launch of CaringForward.com, a Web site that allows con-tinuing care professionals to discuss and learn about challenges, advancements and technologies in long term care.

» KCI has announced the launch of its new V.A.C. GranuFoam Bridge Dressing Kit. The product is designed to protect intact skin around chronic wounds.

» Resource Systems announced that it has purchased PM MxManage from Plante Moran. MxManage is a decision-support software tool for long-term care providers that optimizes reimbursement and state survey outcomes by using “real time” analytics.

» The Food & Drug Administration has approved the drug Reclast for a new purpose: the treatment and prevention of osteoporosis. Specifi cally, patients expect-ed to be on glucocorticoids, or steroids, for at least 12 months can now use it.

» Namenda’s patent term was recently extended through April 10, 2015, accord-ing to Forest Laboratories. The medication is used to help treat people with Alzheim-er’s disease. The patent had earlier been set to expire Sept. 13, 2013.

» Medline Industries will provide wound care products for Catholic Health-care West under a newly signed $1.8 million deal. Products such as SilvaSorb antimicrobial silver dressings, Maxorb Calcium Alginates, Exuderm Odorshield and Optifoam dressings are included in the agreement.

By John O’Connor

The U.S. Departments of Defense and Veterans Affairs have recognized seven medical manufacturers for contributing to the success of the agencies’ joint internal data synchroniza-tion program.

Through this program, which includes manufac-turer contributions of clean, synchronized data, the DoD and VA have been able to save more than $32 million to date through product price reduc-tions, including $11 million in 2008.

The manufacturers will receive the 2008 DoD/VA Award for Healthcare Prod-uct Data Quality in two cat-egories:

• Champion – for manu-

facturers that meet the most stringent criteria. The 2008 Champions are BD and Sage Products Inc.

• Leader – for manufac-turers that meet data quality requirements at the item level, including coverage, complete-ness of packaging and fre-quency of updates. The 2008 Leaders are: Cardinal Health, Medegen, Propper Manufac-turing Company, Retractable Technologies Inc., and 3M.

“The DoD/VA awards honor our manufacturer part-ners who recognize the impor-tance of consistent data and who are leading efforts in the industry to defi ne the role of suppliers in data synchroniza-tion efforts,” said Fred Downs, chief procurement and logis-

tics officer for the Veterans Health Administration.

“These supplier partners know the value of quality, not only in the manufacturing of their products, but in describ-ing them as well,” he added. “They are committed to serving their customers, and to doing their part to improve the federal healthcare supply chain.”

Added Col. Marsha Lang-lois, director of the Medical Directorate at the Defense Supply Center Philadelphia: “Our healthcare product data quality winners are important partners; together we pur-sue our vision of improving patient safety, reducing waste-ful spending and increasing the effectiveness of supply chain transactions.” ■

Agencies laud key healthcare suppliers

By John O’Connor

General Electric and Intel announced they will jointly invest $250 million over the next half-decade to develop healthcare products aimed at easing seniors’ burdens.

The fi rms envision technol-ogy that will trim healthcare costs and help aging baby boomers and people with chronic illnesses stay out of hospitals by allowing doctors to monitor patients remotely.

Intel Corp. CEO Paul Otellini and GE CEO Jeffrey Immelt said their cooperation will help them jump quickly into a market they estimate will grow to $7.7 billion by 2012, from $3 billion this year.

They credited an aging nation as a primary driver of the increase. The growth in the number of patients with chronic conditions and an

aging population will result in a push for fewer hospitaliza-tions, they believe.

While both fi rms see home care as a primary benefi ciary, it appears that other long-term care settings will be able to take advantage of the new prod-ucts. They are likely to target challenges such as falls, sleep

apnea, sticking to medication schedules, cardiovascular dis-eases, diabetes and monitoring personal health.

The Federal Interagency Forum on Aging-Related Statis-tics predicts that by 2030 there will be about 72 million Ameri-cans over the age of 65, nearly 20% of the nation’s population. This is nearly double the 37 mil-lion from 2006.

The companies said in a press release that the alliance has the potential to lower national healthcare costs by keeping millions of Americans out of hospitals while still giv-ing providers the information they need to monitor health and deliver care.

GE and Intel are not new to the healthcare market: Both companies have some strong brands, like GE Quiet Care and the Intel Health Guide. ■

GE and Intel partner up toincrease use of IT products

Jeffrey Immelt, left, CEO of GE, and Paul Otellini, CEO of Intel, recently announced a joint venture to develop products aimed at allowing doctors to monitor patients remotely.

Phot

o: G

ener

al E

lect

ric

LTC Vendors.indd 25 4/21/09 11:57:06 AM

NEWS | Vendors

CompanyBriefs

May 2009• www.mcknights.com 25

» Posit Science has released a report showing media outlets are covering brain fi tness with greater frequency. While there were just 27 news articles in 2004 on brain fi tness, last year there were 1,301–a compounded annual growth rate of about 150%. Sales growth in the sector rose from $100 million in 2005 to more than $225 million in 2007, according to SharpBrains.

» Keane recently announced the launch of its Optimum Product Suite. The software suite helps operators improve accounts receivable cycles, reduce medical errors and simplify third-party billing.

» Patient Placement Systems recently announced the launch of CaringForward.com, a Web site that allows con-tinuing care professionals to discuss and learn about challenges, advancements and technologies in long term care.

» KCI has announced the launch of its new V.A.C. GranuFoam Bridge Dressing Kit. The product is designed to protect intact skin around chronic wounds.

» Resource Systems announced that it has purchased PM MxManage from Plante Moran. MxManage is a decision-support software tool for long-term care providers that optimizes reimbursement and state survey outcomes by using “real time” analytics.

» The Food & Drug Administration has approved the drug Reclast for a new purpose: the treatment and prevention of osteoporosis. Specifi cally, patients expect-ed to be on glucocorticoids, or steroids, for at least 12 months can now use it.

» Namenda’s patent term was recently extended through April 10, 2015, accord-ing to Forest Laboratories. The medication is used to help treat people with Alzheim-er’s disease. The patent had earlier been set to expire Sept. 13, 2013.

» Medline Industries will provide wound care products for Catholic Health-care West under a newly signed $1.8 million deal. Products such as SilvaSorb antimicrobial silver dressings, Maxorb Calcium Alginates, Exuderm Odorshield and Optifoam dressings are included in the agreement.

By John O’Connor

The U.S. Departments of Defense and Veterans Affairs have recognized seven medical manufacturers for contributing to the success of the agencies’ joint internal data synchroniza-tion program.

Through this program, which includes manufac-turer contributions of clean, synchronized data, the DoD and VA have been able to save more than $32 million to date through product price reduc-tions, including $11 million in 2008.

The manufacturers will receive the 2008 DoD/VA Award for Healthcare Prod-uct Data Quality in two cat-egories:

• Champion – for manu-

facturers that meet the most stringent criteria. The 2008 Champions are BD and Sage Products Inc.

• Leader – for manufac-turers that meet data quality requirements at the item level, including coverage, complete-ness of packaging and fre-quency of updates. The 2008 Leaders are: Cardinal Health, Medegen, Propper Manufac-turing Company, Retractable Technologies Inc., and 3M.

“The DoD/VA awards honor our manufacturer part-ners who recognize the impor-tance of consistent data and who are leading efforts in the industry to defi ne the role of suppliers in data synchroniza-tion efforts,” said Fred Downs, chief procurement and logis-

tics officer for the Veterans Health Administration.

“These supplier partners know the value of quality, not only in the manufacturing of their products, but in describ-ing them as well,” he added. “They are committed to serving their customers, and to doing their part to improve the federal healthcare supply chain.”

Added Col. Marsha Lang-lois, director of the Medical Directorate at the Defense Supply Center Philadelphia: “Our healthcare product data quality winners are important partners; together we pur-sue our vision of improving patient safety, reducing waste-ful spending and increasing the effectiveness of supply chain transactions.” ■

Agencies laud key healthcare suppliers

By John O’Connor

General Electric and Intel announced they will jointly invest $250 million over the next half-decade to develop healthcare products aimed at easing seniors’ burdens.

The fi rms envision technol-ogy that will trim healthcare costs and help aging baby boomers and people with chronic illnesses stay out of hospitals by allowing doctors to monitor patients remotely.

Intel Corp. CEO Paul Otellini and GE CEO Jeffrey Immelt said their cooperation will help them jump quickly into a market they estimate will grow to $7.7 billion by 2012, from $3 billion this year.

They credited an aging nation as a primary driver of the increase. The growth in the number of patients with chronic conditions and an

aging population will result in a push for fewer hospitaliza-tions, they believe.

While both fi rms see home care as a primary benefi ciary, it appears that other long-term care settings will be able to take advantage of the new prod-ucts. They are likely to target challenges such as falls, sleep

apnea, sticking to medication schedules, cardiovascular dis-eases, diabetes and monitoring personal health.

The Federal Interagency Forum on Aging-Related Statis-tics predicts that by 2030 there will be about 72 million Ameri-cans over the age of 65, nearly 20% of the nation’s population. This is nearly double the 37 mil-lion from 2006.

The companies said in a press release that the alliance has the potential to lower national healthcare costs by keeping millions of Americans out of hospitals while still giv-ing providers the information they need to monitor health and deliver care.

GE and Intel are not new to the healthcare market: Both companies have some strong brands, like GE Quiet Care and the Intel Health Guide. ■

GE and Intel partner up toincrease use of IT products

Jeffrey Immelt, left, CEO of GE, and Paul Otellini, CEO of Intel, recently announced a joint venture to develop products aimed at allowing doctors to monitor patients remotely.

Phot

o: G

ener

al E

lect

ric

LTC Vendors.indd 25 4/21/09 11:57:06 AM

NEWS | Technology

ITUpdate

18 www.mcknights.com • May 2009

» Former Federal Reserve Board Chairman Alan Greenspan recently said that there is little reason for a massive increase in healthcare IT spending unless the investment helps runaway costs. “We have to find a way to curtail the federal funding,” Greenspan said in Chicago at the Healthcare Information and Management Systems Society conference.

» Technology that tracks caregivers’ hand hygiene practices is proving effective at reducing costs and increasing compli-ance, according to the results of a recent pilot study. Epidemiologists at the Uni-versity of Iowa used new, energy-efficient “Zigbee” wireless technology to create the device. These new devices can help reduce the monetary and labor costs of manually recording data, while at the same time increasing compliance rates, according to investigators. Increasing compliance could reduce the occurrence of facility-acquired infections, they add.

» A computerized system that keeps good track of seniors and their health prob-lems can cut their death rate by as much as one-third, according to a new study from Oregon Health & Science University. The study broke the 2,288 patients into two groups: One group received standard healthcare. The second group received what the study called Care Management Plus. This involved nurse managers using com-puterized records to carefully track patient conditions as well as needed tests and thera-pies such as medication changes. The nurses and their computerized tracking appear to have extended the lives of patients in the second group. Elderly people with chronic health conditions become complicated patients, and their care is harder to coordi-nate, investigators note.

» As many as three out of four doctors could be using e-prescribing technology within five years, according to a recently released report. Roughly $19 billion of economic stimulus funding is set aside for the adoption of e-prescribing and other healthcare technologies. The increased access to funding is likely to vault physician participation in e-prescribing practices up to 75% by 2014—a dramatic increase over the current estimated 13%, according to a new Pharmaceutical Care Management Association’s report.

Brain-fitness training mightenhance auditory processingBy John O’Connor

Brain fitness training makes resi-dents better listeners, according to Michael Merzenich, Ph.D.

His study found that par-ticipants who trained on brain-fitness software more than doubled their auditory processing speed, with an average increase of 131%.

“This is the beginning of a revolution in brain health,” Merzenich said at the American Auditory Society annual meet-ing in Scottsdale, AZ.

The study tested 487 healthy adults over the age of 65. Half were in a group that trained for 40 hours over the course of eight weeks on cognitive train-ing software. The brain fitness program consisted of six exer-cises done on a computer and is based on the science of brain plasticity—the ability of the brain to change in response to cognitive stimulation.

The other participants spent an equal amount of time learn-ing from educational lectures delivered via computer and followed by quizzes.

When speech comes in more rapidly than the brain can process it reliably, or when it is processed with degraded accuracy, it results in people saying they missed what was said. They may attribute it to a bad phone connection, to a

noisy room or to someone not speaking clearly.

These problems in hear-ing are not really problems with reception by the ear but instead are problems in brain processing. Such challenges commonly lead to difficulty in hearing, in being attentive and in remembering what was said, Merzenich noted.

By addressing the speed and accuracy of auditory process-ing, the software improves the ability to hear in common real life situations where people may speak quickly or in noisy environments. The recent study also showed that bet-ter auditory signal processing actually improves memory and attention—leading to fuller function in everyday life.

Full findings appear in the April 9 issue of The Journal of the American Geriatrics Society. n

“I couldn’t live without …”Strict laws governing the disposal of medical waste were becoming a problem in Jim Argir’s part of the country. He is the general manager of hospitality and building services at Beth-any Health Care Center in

Framingham, MA, and one of his jobs is to dispose of the facility’s medical waste and sharps containers.

“Before, we would have to take the sharps containers, put them in a red bag and box ’em up,” Argir says.

Getting the boxes hauled away would cost the facility between $400 and $600 a month, he says. But by using the Medical Waste Machine system from Medical Innova-tions Inc., Argir now spends $800 a year on medical waste disposal.

The MWM system works by actually melting sharps into a safe, hockey-puck sized disk that can be disposed with regular trash.

“It reduced my overall med-ical waste by ninety percent,” Argir says. “I’m telling you, [using it is] a no-brainer.”

Regulation-sized safetyThe Medical Waste Machine system melts hazardous medical waste into a hockey-puck sized disk for safe, easy, cheap disposalFor more info: (508) 358-8099 www.medicalinnovationsinc.com

Is there something you couldn’t live without? Tell Editor James M. Berklan at [email protected].

By addressing the speed and accuracy of auditory processing, brain-fitness training can improve a person’s hearing ability, a new study suggests.

Jim ArgirBethany Health Care Center

Phot

o: iS

tock

phot

o

LTC Technology.indd 18 4/21/09 11:41:12 AM

May 2009 News | Technology

Brain-Fitness training might enhance auditory processing

By John O’Connor

May 2009 News | Technology

CompanyBriefs

Page 5: Brain Fitness2.Pdf Mck Coverage 2009

Brain fitness mentions

May 2009 Feature Story

Still in the game / Cognitively impaired seniors can benefit greatly from mind exercises

By Julie Williamson

As more studies validate the importance of brain fitness programs for keeping seniors’ minds sharp, and as more long-term care operators incorporate them into resident activities, it appears there are still some major obstacles to overcome—namely, the lack of solutions aimed at cognitively impaired seniors ….

Page 6: Brain Fitness2.Pdf Mck Coverage 2009

Brain fitness mentions

Buyer’s Guide

June2009•www.mcknights.com 41

Brain FitnessThesefirmsaimtoimprovecognitiveabilities

Settings served

Skillednursingfacilities • • • • •Assistedliving • • • • •CCRCs • • • • •Independentliving • • • •Outpatientrehabilitation • • • • •Other • • •

Benefits

Measurableresults • • • •Scientificallybased • • •Structuredlearning • • •Challengesresidents • • • • •Integrateswiththerapy • • • • •Morethanoneuser • • • • •OKfordementiaresidents • • • • •Entertainmentaspect • • • • •Multiplelearningoptions • • • •

Mem

ory M

agic™

Pro

gram

Dakim

Bra

inFit

ness

It’s N

ever

2 La

teTh

ough

t Tec

hnol

ogy

Touc

h2Play

Ente

rtain

men

t

Memory Magic™ Program(330) 258-9000www.memorymagic.com

Dakim BrainFitness(800) 853-7137www.dakim.com

It’s Never 2 Late(303) 806-0797www.iN2L.com

Thought Technology(800) 361-3651www.thoughttechnology.com

Touch2Play Entertainment(888) 521-2278www.touch2play.net

LTC Buyers Guide.indd 41 5/21/09 3:25:10 PM

June 2009 Buyers Guide

Brain-Fitness: These firms aim to improve cognitive abilities

NEWS | Technology

House committee approvesbill expanding healthcare ITBY JOHN O’CONNOR

The U.S. House of Represen-tatives sent to committee a meas-ure that would further encour-age the use of health informationtechnology in all provider set-tings, including nursing homes.

The bill, H.R. 6357, reflects anumber of changes made by apanel of legislators after hearingson the matter were held in June.Among some of the other provi-sions, it would provide grants toproviders to help cover costs ofimplementing IT infrastruc-tures. The grants would be givenout through three competitivegrants programs.

While the new legislation takesinto account many of the changessuggested at the hearings, somepatient privacy advocates, includ-ing Deborah C. Peel of the groupPatient Privacy Rights, testifiedthat the bill doesn’t go far enoughtoward protecting patient priva-cy. The advocates call for a spe-

and the committee’s seniorRepublican, Joe L. Barton ofTexas would create new oppor-tunities for lawsuits againsthealthcare providers. Withoutchanges that would limit theirlegal liability, providers might bereluctant to adopt new technol-ogy, he said.

“If we don’t have a health ITsystem that providers will use,then we have done nothing,”Rogers said.

Congress has been debatingways to promote greater use ofhealth information technologyduring the past four years.

Supporters note that the useof electronic medical recordscan improve efficiency, reducemedical errors. But concernsabout privacy, cost and over-reg-ulation have delayed the legisla-tion. A similar bill in the Senate(S. 1693) has been stalled forseveral months because of priva-cy concerns. ■

“I couldn’t live without…”

UNLIMITED POTENTIAL:Easy-to-use hardware makesIN2L accessible to all residents.FOR MORE INFO:

(303) 806-0797

WWW.IN2L.COM

»

ITUpdate» Providers cited numerous concerns withthe government’s proposed five-star ratingsystem, during a recent “Open Door Forum”conference call. Callers were most concernedabout the validity of using government surveydata, which is based on minimal compliancelevels, to depict quality ratings. The Centersfor Medicare & Medicaid Services plans tounveil the new system on its Nursing HomeCompare Web site in December.

» More than three-quarters (76%) of hos-pitals larger than 300 beds have invested inradio frequency identification technology fortracking assets, patients or staff, according toa study from Spyglass Consulting Group,Menlo Park, CA. Fully 42% of the facilities areusing the technology to track assets, 38% totrack patients, and 18% to track staff, investi-gators found.

» Rep. Charles Boustany (R-LA) intro-duced legislation designed to give patientsmore control of their health records. HisPatient-Controlled Health IT Act would offerresidents the right to receive their personalmedical information in electronic form fromproviders who maintain electronic records. Itwould also create financial incentives forhealth information organizations to provideelectronic clinical data to patients’ personalhealth records.

» Kaiser Permanente and MicrosoftCorp. announced they will jointly pilot healthdata transfers between Kaiser Permanente’sMy Health Manager and the MicrosoftHealthVault consumer health platform. Theprogram is expected to unveil new strategiesfor expanding consumer access to onlinehealth information and management tools.

» Sen. Max Baucus (D-MT), chair of theSenate Finance Committee, has introducedMedicare reform legislation that would man-date e-prescribing. The measure would cre-ate incentives for providers to use e-prescrib-ing systems from 2009 through 2013. It alsowould require electronic prescriptions forMedicare beneficiaries starting in 2011.

» A Congressional Budget Office reportquestions previous studies that predict sub-stantial cost savings from widespread use ofhealth information technology, particularlyelectronic health records.

Rep. John D. Dingell (D-MI)

cific definition of the term “pri-vacy” and more provisionsrequiring patient consent.

While the Energy and Com-merce Health Subcommitteebriefly debated three amend-ments, none were voted on.

Two of them came from Rep.Mike Rogers (R-MI), who isamong a handful of Republicansconcerned that the legislation,sponsored by Committee Chair-man John D. Dingell (D-MI),

Many seniors say technology just isn’tfor them. Nursing homes that havetried to integrate computer systemsinto residents’ lives have encounteredresistance and frustration from resi-dents. Learning to use computersunderstandably can be difficult.

“Many of our settings had a comput-er with Internet access that would bedesignated for resident use, but thatwas for people who already knew howto use the computer,” says DeborahPerry of Volunteers of America.

The “It’s Never 2 Late” system provides a different kind of computertechnology to nursing homes across the country, proponents say.“IN2Lis fun and useful for all levels of functioning residents,”Perry says.Adaptive computer hardware, such as large touch screens, eliminatesthe need for confusing keyboards. Specially designed computer pro-grams from memory games for Alzheimer’s patients to karaoke and“Deal Or No Deal,” provide a wide variety of activities for residents.

Deborah PerryVolunteers of America

Is there something you couldn’t livewithout? Tell Editor James M. Berklanat [email protected]

18 www.mcknights.com • August 2008

Phot

o: O

ffice

of R

ep.J

ohn

Din

gell

284291_LTC_Technology_p18 7/18/08 1:45 PM Page 18

August 2008 News | Technology

“I couldn’t live without …” (It’s Never 2 Late system)

Page 7: Brain Fitness2.Pdf Mck Coverage 2009

Brain fitness mentions

NEWS | Analysis

pendence, as well as fewer injuries. Italso can make facilities less vulnera-ble to lawsuits related to dementia-related behaviors, such as falls,attacks or resident-transfer injuries.

Looking for linksThe available research seems to indi-cate that cognitive stimulation canhelp prevent dementia, and mayreduce its risk substantially. Consider:

• A 2002 study appearing in theJournal of the American MedicalAssociation found that those whoreported frequent involvement incognitive activities at baseline were47% less likely to developAlzheimer’s than those with infre-quent cognitive activity.

• A 2003 study appearing in theAnnals of Internal Medicine (the so-called “Nun study”) revealed that aconsiderable proportion of subjectswith mild to moderate stages ofAlzheimer’s disease pathologyshowed no symptoms of memoryimpairment.

• A 2006 study in the British Journalof Psychiatry found a link betweencognitive-stimulation therapy andmore cost-effective treatments.

• Also in 2006, the Journal of theAmerican Medical Association pub-lished results from a clinical trial ofnearly 3,000 people age 65 and older.In this investigation, known asACTIVE (for Advanced CognitiveTraining for Independent and VitalElderly), participants were randomlyplaced in training groups for memo-ry, reasoning strategies or speed-of-

in age. Participants were randomlyassigned to two groups. One grouptook tests and watched educationalDVDs, while the other used thefirm’s Brain Fitness program.Following 10 weeks of training, thosein the Brain Fitness group improvedtheir speed of processing and somemeasures of memory faster thanthose in the control group.

In a related development, theNational Institute on Aging and theMcKnight Brain Research Founda-tion (no relation to McKnight’s Long-Term Care News) last year held a cog-nitive aging summit that attractedsome of the nation’s leadingresearchers on aging. The result was aforward-looking agenda for age-relat-ed cognition research. Separately, theNIA has backed efforts designed tolearn more about the effects of exer-cise, diet, social engagement andmental stimulation on long-termbrain health.

While firms such as Dakim and It’sNever 2 Late are at the fore in theeldercare market, it’s a safe bet thatother new launches are waiting in thewings–or soon will be. Moreover, italso can safely be assumed that exist-ing vendors will increasingly harnesstechnology to improve their prod-ucts/services. In addition, recentbreakthroughs (such as expandedWeb-based options) are allowingtechnology-based vendors to deliverfar more than was previously possi-ble—often at a relatively low cost tooperators.

Choosing what worksFrom a scientific standpoint, multiplefactors apparently contribute to asluggish senior mind, said Dr. RonaldPetersen, director of the Mayo ClinicAlzheimer’s Disease Research Center.

“There is often a genetic compo-nent, but the environment plays arole, as well. The cumulative impactsof medical issues such as vascularchanges like hardening of the arteriesalso contribute to dementia,” he says.

He adds that there are no specificrules about what kinds of cognitiveactivities are best for warding off theeffects of aging.

“Whether it’s a computer game,crossword or Sudoku puzzles, sen-iors should like what they’re doing,”Petersen says. “If the senior does notenjoy the activity, then it is not aslikely to be beneficial.” ■

processing tasks. Compared to a con-trol group, members of all threegroups showed measurable improve-ments in areas where they hadreceived training.

• A 2007 study in PsychologicalMedicine found that individuals withhigh brain reserve—which looks atthe roles of education, occupationalcomplexity, and mentally stimulatingpursuits in preventing cognitivedecline—have a 46% decreased riskof dementia when compared to thosewith low brain reserve.

• In this year’s “Evercare 100 @100 Survey,” sponsored by the com-pany Evercare, 1 in 7 respondentswho had lived to age 100 indicatedthey had played video games.

Yet doubters remain, and theirconcerns are legitimate. One unre-solved issue is whether training orplaying games improves cognition,or simply makes people more profi-cient at a certain kind of skill.

It’s still too early to issue a verdicton the new wave of products andservices aimed at improving cogni-

tion, says Andrew J. Carle, whodirects the Assisted Living/SeniorHousing Administration program atGeorge Mason University.

Carle said that it’s essential thatpeople at any age make new mentalnetworks. That involves tackling newskills and activities, rather than tryingto become more proficient at things aperson already can do.

“People should exercise theirbrains,” he notes.

Scientific approachBrain Age urges customers to get“the most out of your prefrontal cor-tex.” Dakim’s [m]Power bills itself as“a powerful new weapon in the fightagainst Alzheimer’s disease.”

To augment their calls to action,vendors are turning to science to val-idate a cognitive-training benefit.

Dakim plans to put [m]Power tothe test in a clinical trial. PositScience has already done so. During2006 and 2007, the company con-ducted a study that included 468participants who averaged 75 years

Phot

o: B

ob R

iha

Jr.,

Nin

tend

o

At a press conference in July, Nintendo President Satoru Iwata said that the companyplans to focus more on serving seniors’ cognitive needs and interests going forward.

[ ]“Whether it’s a computer game, crossword or Sudoku puzzles, seniors should

like what they’re doing.”Dr. Ronald Petersen, Mayo Clinic Alzheimer’s Disease Research Center

Continued from page 28

Coming toterms withbrain fitness

Brain fitness — a person’s capacity tomeet life’s various cognitive demands.

Neurogenesis — the process by whichnew neurons are created.

Mental stimulation — occurs when themind is engaged in a way that resultsin the production and interconnectivi-ty of neurons and nerve growth factor.

Experts note that effective mentalstimulation should provide novelty,variety, challenge and practice.

30 www.mcknights.com • September 2008

285794_LTC_BrainFitness_p28,30 8/18/08 5:16 PM Page 30

NEWS | Analysis

An idea whose time has (finally) comeBrain fitness toolsa challenge to oldcognitive care views

BY JOHN O’CONNOR

Like many revolutions, long-termcare’s recent embrace of technology-based brain fitness tools beganquietly. Then it exploded.

Most analysts trace the wave’s rootsto 2006, when Nintendo introduced agame called Brain Age to America.Selling an eye-opening 600,000 gamesduring its first four months, the gameproved to be wildly popular.

Shortly thereafter, company ana-lysts made an unexpected discoveryabout its success. As predicted, manybuyers were baby boomers andyoungsters. The real surprise washow many older people—and senior-living operators—were also pullingBrain Age off the shelves.

Nintendo President Satoru Iwataadmits it was an eye-opening experi-ence. In fact, he told reporters in Julythat the company will focus more onserving seniors’ cognitive needs goingforward. And he is hardly alone.

Firms such as Dakim, PositSciences, Congnifit and MyBrain-Trainer.com are leading the chargeinto an area that has been largelyoverlooked in the past: the develop-ment of technology-driven tools thatcan help preserve and enhance sen-iors’ cognitive abilities. The marketfor “neurosoftware” topped $225million last year and is expected toreach an eye-popping $2 billion by2015, according to Alvaro Fernandezof market researcher Smart Brains.

Brain fitness refers to a person’sability to meet life’s various cognitivedemands. In other words, it is the sci-ence of maintaining and training cog-nitive abilities. Its core principles arebased on concepts derived from phe-nomena contributing to neuroplastic-ity and neurogenesis. Cognitive abili-ties such as attention, memory, visu-al/spatial processing, auditoryprocesses and language, motor coor-dination, and executive functionssuch as planning and problem solving

business for employees who are care-givers of people with Alzheimer’sand other dementias.

Multiple benefitsFrom a long-term care operator’sperspective, helping a resident mini-mize or stave off Alzheimer’s offersmultiple benefits. Most important, itallows residents to enjoy a higherquality of life. It also can help stafffeel they are truly delivering a valu-able service.

For an assisted-living operator, aresident can represent a $40,000-to-$50,000 revenue stream. Not havingto lose that customer to a skilled-nursing facility or a dementia-carecenter is one less hole in the fiscalleaky bucket, experts note.

For skilled-care operators, too,keeping residents from losing mentalagility can reap numerous rewards.These include greater resident inde-

tend to diminish over time unless theyare used regularly. A prevalent theoryis that improving cognitive abilitiesthrough brain exercise leads to brainfitness, much as physical exercisetends to enhance physical fitness.

Advocates note that brain fitnesscan be improved by disciplined exer-cises that present a variety of chal-lenges in a constructive environment.

Fear factorAs people get older, dealing withaging-related infirmities tends tobecome a major cause of stress. AMayo Clinic study found that seniorsfear Alzheimer’s more than death.Unfortunately, Alzheimer’s—or age-related dementia—is no idle threat.Every 71 seconds, another senior isdiagnosed with Alzheimer’s (thenational total now exceeds 5 million),according to the Alzheimer’sAssociation. By age 65, 1 in 8Americans are afflicted. By age 85,it’s half. Alzheimer’s and dementia

rob victims of their essential human-ity, and greatly diminish the qualityof life that older people can enjoy.

The Alzheimer’s Association esti-mates that the direct costs toMedicare and Medicaid for care forpeople with Alzheimer’s and otherdementias, and the indirect costs tobusiness for employees who are care-givers of persons with Alzheimer’sand other dementias amount to morethan $148 billion annually. Thatincludes:

• $91 billion in Medicare costs forcare of beneficiaries with Alzheimer’sand other dementias in 2005 (this fig-ure is projected to increase to $160billion by 2010 and $189 billion by2015).

• $21 billion in state and federalMedicaid costs for nursing homecare for people with Alzheimer’s andother dementias in 2005 (this figureis projected to increase to $24 billionin 2010 and $27 billion in 2015).

• $36.5 billion in indirect costs to

Phot

o: D

iane

Bon

dare

ff,N

inte

ndo

Ethel Bockman, 95, right, and Stella Zielecki, 89, play Brain Age 2. Increasingly, seniors are using brain fitness tools to preserve andimprove their cognitive abilities. Eldercare communities are also beginning to realize the benefits these tools can offer.

Continued on page 30

28 www.mcknights.com • September 2008

285794_LTC_BrainFitness_p28,30 8/18/08 5:15 PM Page 28

September 2008 News | Analysis

An idea whose time has (finally) come

By John O’Connor

Like many revolutions, long-term care’s recent embrace of technology-based brain fitness tools began quietly. Then it exploded.Most analysts trace the wave’s roots to 2006, when Nintendo introduced a game called Brain Age to America. Selling an eye-opening 600,000 games during its first four months, the game proved to be wildly popular.

Shortly thereafter, company analysts made an unexpected discovery about its success. As predicted, many buyers were baby boomers and youngsters. The real surprise was how many older people–and senior-living operators–were also pulling Brain Age off the shelves ….

Page 8: Brain Fitness2.Pdf Mck Coverage 2009

Brain fitness mentions

46 www.mcknights.com • September 2008

Opinion

I have to admit that my first visit to anursing home was less than inspiring.The building was decrepit, the staffseemed exhausted and the persistentsmell of urine was unforgettable.

Worse still, residents were literallywasting away. Most appeared to bebedridden or barely ambulatory.

For its part, the facility’s activitycenter consisted of a room with a tel-evision set. It hardly mattered thatthe picture was fuzzy, as most of theresidents wheeled in front of thescreen weren’t watching, anyway.

This place truly was a warehousefor the elderly. Sad to say, it was notconspicuously bad by the prevailinglocal standards of the time. For-tunately, much has since changed.

A federal law passed in 1987 ush-ered in new standards for residenttreatment. These have greatlyimproved the way our oldest, frailestcitizens are cared for. In recent years,consumers, the government andproviders have increasingly em-braced quality as an essential compo-nent of eldercare in America.

But perhaps one of the most pow-erful developments has been a grow-

ing push to use technology-basedbrain fitness tools that help residentsretain and (to the extent possible)improve their cognitive abilities.

In continuing care retirement com-munities, assisted living facilities andnursing homes across the nation,

these new products and services areenriching the lives of residents inways that once would have beenunimaginable.

Initial studies show that the worstthat can happen is that people whoengage in these activities gain addi-tional proficiencies. The possibleupside is almost unlimited.

A story that begins on page 28addresses how this revolution is tak-ing place. This push toward brain fit-

ness is helping residents gain newindependence. And even those withAlzheimer’s disease or relateddementias are making cognitive con-nections that have been nothingshort of astonishing.

Operators also stand to gain fromthis movement. One payoff is thattheir residents are likely to be happi-er and healthier. Another is loweredcaregiving costs. Yet another isretaining existing residents. Facilitiesalso stand to see reduced liabilityexposure related to dementia-causedproblems, such as falls, injuries orattacks on others.

We at McKnight’s are thrilled tosee this movement taking hold.That’s why we are actively endorsingthe continued push toward brain fit-ness in long-term care. In the comingmonths, we will be presenting moreinformation on this issue, and we willbe constructing a multidisciplinarypanel to pursue new opportunities.

We hope that you’ll embrace thebrain fitness revolution, as well, ifyou have not already done so. To us,supporting this movement is, well, ano-brainer. ■

THEBIGPICTUREJohn O’ConnorVice PresidentMcKnight’s Long-Term Care [email protected]

Teaching old dogs new tricks

[ ]“Supporting thismovement is, well,

a no-brainer.”

EditorialVice President, Associate Publisher/Editorial Director,John O’Connor (847) 784-8706, ext. [email protected]

Editor, James M. Berklan (847) 784-8706, ext. [email protected]

Associate Editor, Liza Berger (847) 784-8706, ext. [email protected]

Writer, Brett Bakshis(847) 784-8706, ext. [email protected]

Art Group Design Director,Sandra DiPasqua

Graphic Designer,Terry Rinella

CirculationCirculation Director,John Crewe, (646) 638-6060

Circulation Manager,Sherry Oommen, (646) 638-6003

Advertising SalesVice President, Sales,Karmen Maurer(616) [email protected]

Midwest/West Coast Account Manager,Ginger Kost(630) [email protected]

East Coast Account Manager,(847) 784-8706, ext. 10

Sales Executive,Phil Fager (847) 784-8706, ext. 11

Sales Executive,Kevin Lowe(847) 784-8706, ext. 17

Classified Sales Manager,Denise De Vito(847) 784-8706, ext. 19

Customer ServiceLauren Jones (847) 784-8706, ext. 10

ProductionProduction Manager,Michelle Chizmadia(646) [email protected]

CorporateChairman and CEO,Haymarket Media Inc.,William Pecover

Chief Executive Officer,Haymarket Medical,Lee Maniscalco

Chief Financial Officer,Haymarket Medical,Mike Kriak

VP of Production and Manufacturing,Louise Morrin Boyle,(646) 638-6064

Office Information:Phone: (847) 784-8706 Fax: (847) 784-9346E-mail: [email protected] site: www.mcknights.comBusiness hours: 9:00 a.m. - 5:00 p.m. CSTAddress: One Northfield Plaza, Suite 521Northfield, IL 60093-1216

Subscriptions: Certain individuals qualify for free subscriptions.U.S.: $44.95 for 1 year (prepaid orders only)Canada: $54.95, Foreign: $59.95,Single copies: $5.00

Special issues and back issues:$10 per copy (U.S.), $16 (foreign),prepaid. Please call CustomerService toll-free at (800) 558-1703.

List rental information:Edith Roman, (845) [email protected]

Postmaster:Send address changes to:McKnight’s Long-Term Care NewsP.O. Box 5181Brentwood, TN 37024- 5181.

Reprints: Articles can be formatted to an 8 ⁄ " x 11" size and reprinted inquantities of 100 or more.For more information, prices andsamples, contact Curt Ciesinski at PARS International Corp.,phone: (212) 221-9595, ext. 117,fax: (212) 221-9195.E-mail: [email protected].

Change of Address Subscribers: For change of address, mail your oldand new addresses to McKnight’sLong-Term Care News, P.O. Box 5181,Brentwood, TN 37024-5181. Allow 4-6 weeks for correction. All otherinquiries call Customer Service tollfree at (800) 558-1703.

Advertising Subscribers: For change of address,fax your old and new address to(646) 638-6114. All other inquiriescall (646) 638-6000.

“Since you’re running for re-election, Senator,there is one change I’d like to see you make.”

285794_LTC_JO'Copinion_p46 8/18/08 5:42 PM Page 46

September 2008 Column

The BIG picture Teaching old dogs new tricks

26 McKnight’s Assisted Living/February 2009

By John o’ConnorActivity directors often are chal-lenged to get residents to try some-thing different. But that hasn’t been the case lately at one community where residents are often seen engaging in a unique brain fitness program into the wee hours.

Residents at Summerville at Irving, an Emeritus Senior Liv-ing community in Texas, recently began using a beta version of the MindSpark gaming system. The program covers six disciplines related to the maintenance and development of physical and men-tal faculties. Residents can use the touch screen technology and large, easy to read fonts as they enjoy more than 100 activities.

According to community and company officials, the option has provided both expected and unex-pected payoffs. Mental health has improved. But so, too, have aspects of socialization.

“This has really helped new resi-dents get acclimated to the new community and open up,” said Kellie McKinzie, the community’s marketing director.

According to Mick White, a spokesman for Merit Entertainment, residents have flocked to the system. He said it’s not unusual for residents to be engaged in games or related activities after midnight. He attri-butes the system’s attractiveness to being perceived as something that’s fun to do, rather than a chore.

“It’s a toy for residents, but also a tool,” he notes.

Recently published studies from UCLA and the University of Illinois show that residents can make and retain significant cog-nitive advances by engaging in a regimen of brain-fitness activities. More information about the Mind-Spark system is available at www.megatouchmindspark.com.

n Webcasts headline ExpoFive industry-related Webcasts can be viewed at the upcoming McKnight’s Online Expo, to be

held March 25 and 26. Registra-tion is available at www.mcknights.com/expo.

A technology session will exam-ine emerging tools that can help operators improve resident care while lowering costs. A capital ses-sion will examine current trends in community development and capital availability. Additional sessions will examine wound care, the MDS 3.0 and what’s ahead for the Medicare and Medicaid programs. Registration for this two-day event is free.

n IT tied to recovery planJust prior to taking office, President Barack Obama outlined plans for an economic recovery package that’s loaded with plans for healthcare IT improvements.

Obama’s American Recovery and Reinvestment Plan would require around $800 billion in new funding to rebuild Americans’ trust in the economy, help provide new jobs and make all American medi-cal records electronic in less than a half decade.

“To improve the quality of our healthcare while lowering its cost, we will make the immediate invest-ments necessary to ensure that, within five years, all of America’s medical records are computerized. This will cut waste, eliminate red tape and reduce the need to repeat expensive medical tests,” he said.

“But it just won’t save billions of dollars and thousands of jobs; it will save lives by reducing the deadly but preventable medical errors that pervade our healthcare system,” he added.

n Scan may aid researchersUCLA scientists have used brain-scan technology and patient-specific information on Alzheimer’s disease risk to help diagnose brain aging, often before symptoms appear. This new approach holds promise for finding more accurate ways to track brain aging, they said. study may offer a more accurate method for tracking brain aging. Full find-ings appear in the January issue of Archives of General Psychiatry.

n IT bills flourish in statesState lawmakers have introduced nearly 400 bills relating to health information technology in the past 18 months, according to a report from the National Conference of State Legislatures. More than 130 eventually became laws, the report noted. Overall, states are making dramatic progress in electronically connecting their healthcare net-works, the study notes.

n hope for stroke victims?Investigators using a hand-operated robotic device and functional MRI have found that chronic stroke patients can be rehabilitated, according to a study recently pre-sented in Chicago at the annual meeting of the Radiological Society of North America.

“We have shown that the brain has the ability to regain function through rehabilitative exercises following a stroke,” said A. Aria Tzika, Ph.D., director of the NMR Surgical Laboratory at Massachu-setts General Hospital.

TechTalk

Brain fitness program offers a spark

“I couldn’t live without…”If your residents’ “please” and “thank you” sounds more like “por favor” and “gracias,” it may be time to incorpo-rate the Interprecare System into your facility. Interprecare is a quick and easy way to start communicating with non-English-speaking residents.

The full system, available in Span-ish, Russian or Japanese, contains easy-to-use, easy-to-understand carry-cards, and room signs with phonetic spellings of common phrases in a

given language. At Montefiore Care Center in Beachwood, OH, about 15% of the residents speak Russian.

“Where there’s a Russian-speaking resident, there’s [an Interprecare sign] in their room,” says Joan Sahley, director of social services. Before the Interprecare System, nurses had a hard time finding ways to communicate with residents. “I think it puts the nurses at ease. Now people can, with the few words that we know, actually ask questions,” Sahley says.

Joan SahleyDirector of Social Services Montefiore Care Center

Is there something you couldn’t live without? Tell Editor James M. Berklan at [email protected]

Something to talk aboutThe Interprecare System’s cards and room signs help nurses communicate with residents in various languages. For MorE InFo:(877) 281-6336www.creativeactionllc.com

»

AL pg 26 TechTalk.indd 1 1/30/09 3:58:14 PM

February 2009 TechTalk

Brain fitness program offers a spark

By John O’Connor

By John O’Connor

I have to admit that my first visit to a nursing home was less than inspiring. The building was decrepit, the staff seemed exhausted and the persistent smell of urine was unforgettable.

Worse still, residents were literally wasting away. Most appeared to be bedridden or barely ambulatory ….

Page 9: Brain Fitness2.Pdf Mck Coverage 2009

Brain fitness mentions

that involve different colors and music-based methods that incor-porate hand drumming techniques. “I can see the excitement in them when they know their brains are clicking. It really starts to set the ball in motion.”

That’s not to say dementia resi-dents’ quality of life can’t benefi t from technology, however. Facili-ties that shift from a narrowly-focused definition of success to one that takes into consideration a resident’s overall enjoyment of the experience will likely see some noteworthy benefi ts, one vendor expert reasoned.

“When programs are purely improvement-driven, I think there are some missed opportu-nities. Using programs that can improve quality of life in [residents] with dementia by engaging them and creating unique, personalized experiences that they can enjoy and share with family members and loved ones is also benefi cial,” noted Jack York, co-founder and president of It’s Never 2 Late, a Centennial, CO-based provider of customized computer systems that can be tailored to seniors of any age and cognitive ability.

Many senior living operators have begun using the Dakim Brain Fitness system, which helps seniors use rigorous cognitive exercise.

Dakim’s brain games are simple, easy and intuitive. Seniors can play them even if they’ve never used a computer before, according to Dan Michel, the fi rm’s founder and chief executive offi cer.

“We created the Dakim Brain

Fitness system to help seniors and caregivers in their fight to slow or prevent the development of dementia,” he says.

Regardless of the limitations, Hipskind encourages senior hous-ing operators to get creative with

their brain fi tness efforts and carry them into as many different aspects of care and daily living as possible. If residents are in the kitchen pre-paring food, for example, she sug-gests asking residents to name foods of a specific color or those that contain a certain letter – or any other question that would trigger the brain to seek a response.

PUSH NEW ACTIVITIESStaff also should encourage residents to keep learning and trying new activities – even if it’s challenging them to brush their teeth or eat with their non-dominant hand, or shop at a different grocery store.

“Many of us are creatures of habit, but keeping everything the same lets our brains off the hook for creating new neural pathways. The brain loves new and different things, so encourage staff and residents’ family members to [facilitate that] in as many different ways as they can,” Hipskinds recommends.

She reasoned that creating an overall culture within a commu-nity that ingrains brain fi tness and mental stimulation into all aspects – from program development to facil-ity design – is the ideal approach. “Not only will residents benefi t; I’m confi dent that facilities will fi nd that their staff will benefi t, too. Cognitive impairment doesn’t happen over-night, so it’s never too early to start exercising the brain.” ■

FEATURESTORY

18 McKnight’s Assisted Living/April 2009

Continued from page 16Science seen as brain fi tness driverScience is a key reason behind the astronomical growth of the nation’s brain fi tness movement, according to a new report from Posit Science.

Awareness of brain fi tness has grown exponentially, the study fi nds. The review draws on database searches of news articles in major periodicals during each of the last fi ve years. While there were just 27 news articles in 2004 on brain fi tness, last year there were 1,301—a compounded annual growth rate of about 150% per year.

That awareness has translated into an impressive 50% growth rate in revenue per year for the brain fi tness industry, according to industry analyst SharpBrains, which reported growth from $100 million in sales in 2005 to over $225 million in 2007.

We believe the key driver of the brain fi tness industry is science,” said Jeff Zimman, co-founder and Chairman of Posit Science. Zimman spoke at the annual joint meeting of the American Society on Aging and Nation-al Council On Aging being held last month in Las Vegas.

“People want to stay sharp and on top of their game and if they’re going to invest the time and money in brain fi tness, they want to make sure what they’re doing works.”

The most recently published study of the Posit Science Brain Fitness Program was led by researchers at the Mayo Clinic and the University of Southern California. The study of 487 healthy adults showed that partici-pants in a brain fi tness program more than doubled their brain process-ing speed, had improvements in memory and attention equal to about 10 years and noticed signifi cant improvements in every day activities. These changes were clinically signifi cant and were signifi cantly greater than the changes in the control activity group, which were not clinically signifi cant. The full study appears in the April 9th edition of The Journal of the American Geriatrics Society.

AL pg 14,16,18.indd 18 3/24/09 10:00:26 AM

April 2009 Feature

Lost in thoughtAs brain fitness efforts find a welcome niche among active seniors, questions are arising about how those with dementia may be better served by this new option

By Julie Williamson

Mounting studies validate the important of brain fitness programs ….

my own eyes, so I can say with certainty that it is indeed possible to unlock parts of the brain by exercising it,” said Martha Grove Hipskind, a renowned eldercare consultant who has spent 10 years in private practice dealing primar-ily in the realm of brain fi tness. She now serves as director of senior living for The Cardinal at North Hills, a continuing care retirement

community currently under con-struction in Raleigh, NC, that she says will create a culture of mental stimulation through innovative design and programming.

“What I say to everyone who will listen is that while we may not be able to reverse or stop cognitive impairment and some of those ‘senior moments’ that so many people experience, if you can slow the progression and wake up the brain enough to improve a

residents’ day-to-day quality of life, then it’s defi nitely worth it.”

NEW PATHWAYS KEYSo which brain fi tness strategies are best suited to dementia residents? While there are no hard and fast rules (again, there are currently only limited studies on the subject), experts say rehabilitation and train-ing techniques that trigger the brain and force it to create new neural pathways show some promise.

“From the research point of view, what is clear is the value of engaging in cognitively stimulating activities, which requires a degree of novelty and challenge appropri-ate for each person, complement-ing other behavioral interventions, such as physical exercise and stress management,” Fernandez noted.

For obvious reasons, sitting cognitively impaired residents in front of a computer and expecting them to work their way through

a series of mental exercises and games – even with the assistance of a staff member – may prove futile and frustrating. Even worse, it can increase a resident’s stress levels, which may further impair memory recall and exacerbate symptoms of cognitive impairment.

Instead, Hipskind relies heavily on group activities with “rapid-fi re” questioning to get the mental gears turning. She is careful to create a safe setting that doesn’t put individual residents on the spot and makes it clear to residents that the goal is less about fi nding the correct answer and more about exercising the brain and pushing it to seek a response.

“I may, for example, ask them to throw out a three-letter word that begins with a certain letter and then progress to a four-, fi ve-, six-, or seven-letter word of the same let-ter. Everyone calls out answers and one person’s response will trigger another’s,” she says, “I’m constantly changing the categories to keep it fun and keep the brain stimu-lated,” said Hipskind. “I have seen 85-year-olds spitting out words that people even half their age would be challenged to do.” She’s also seen good outcomes with multi-sensory techniques, such as those

FEATURESTORY

16 McKnight’s Assisted Living/April 2009

Continued from page 14

Continued on page 18

1-800-224-6339Int’l 631-924-9000

www.biodex.comBIODEX

Balance & MobilityWhile no one can totally preventfalls, the Biodex Balance SystemSD can minimize the risk offall-related injuries andconsequently decreasefinancial costs and liabilityexposure to your organization.Reducing both the number andseverity of falls are importantcomponents of your overall riskmanagement program.

The Biodex Balance SystemSD provides assessment and

documentation of your resident’s riskof falling in just a few minutes,then provides exercise trainingto improve proper postural andbalance control.

To learn more about how theBiodex Balance System SD canprotect your patients and yourbottom line or how facilities likeyours are already implementingthe benefits of our Fall RiskScreening program, call us at800-224-6339 ext. 2232.

“The Clinical Advantage”™

FN: 08-292 12/08

Call today to learn about the full line of Biodex mobility productsBalance System SD • Gait Trainer 2 • BioStep™Semi-Recumbent Elliptical • Unweighing System

“It is too early to have more specifi c

evidence-based guidelines.”Alvaro Fernandez,

CEO and co-founder,SharpBrains

AL pg 14,16,18.indd 16 3/24/09 9:59:54 AM

FEATURESTORY

14 McKnight’s Assisted Living/April 2009

Lost in thought

BY JULIE E. WILLIAMSON

Mounting studies validate the importance of brain fi tness programs for keeping seniors’

minds sharp, and more assisted liv-ing operators incorporate them into resident activities. But what about cognitively impaired seniors? Here, the ability of brain-fi tness programs to help is, at best, unresolved.

It’s a challenge that seems both logical and perplexing. It’s under-standable that brain fi tness solu-tions would be geared toward those who are still mentally sharp, with the goal of preventing dementia or, at least, delaying its onset. How-ever, one might reasonably argue

that residents already experiencing cognitive decline also could benefi t from brain fi tness strategies – even if they can’t fully reverse the exist-ing damage.

Although experts generally agree that every senior, regardless of where they fall on the cognitive impair-ment spectrum, would benefi t from brain fi tness solutions, a number of obstacles have inhibited the devel-opment of tools that specifi cally tar-get those with dementia.

“Trials and testing with cogni-tively compromised populations is harder in terms of obtaining Insti-tutional Review Board approvals for studies and trials, obtaining informed

consent from participants, training the individuals to use the brain fi t-ness, and getting them to comply with the fi tness program,” explained Majd Alwan, Ph.D., director of the Center for Aging Services Technolo-gies in Washington.

The belief that Alzheimer’s and dementia are irreversible condi-tions presents another barrier to the development of mental exercises for the cognitively impaired. As Alwan pointed out, efforts to prove that an intervention is effective in slowing down the progression of dementia (let alone reversing it ) require years of follow-up and active control. Beyond that, there are challenges in designing brain fi tness technolo-gies for the dementia/Alzheimer’s resident that are fun, familiar (such as those that mimic appliances and

other recognizable devices), easy to use, and engaging.

“It is too early to have more specific evidence-based guide-lines on what program to use,” added Alvaro Fernandez, CEO and co-founder of SharpBrains, a provider of senior-focused online brain teasers and interactive games. In the absence of such data, Sharp-Brains encourages communities to conduct their own pilot studies to measure pre- and post-cognitive function to determine which prac-tices may be most appropriate in their environments.

Those that do could very well fi nd their efforts well rewarded. In fact, there’s strong evidence that through creative program devel-opment and a community-wide commitment to brain fi tness, virtu-ally every resident can experience improved cognitive function and quality of life.

“Communities usually start offering programs to their high-functioning [residents] fi rst. These individuals tend to have the abil-ity and motivation to complete the often demanding programs and are not intimidated by com-puters,” Rodriquez noted. “This may be a good place to start, but it is essential to offer appropriate cogni-tive stimulation, technology-based or not, at each stage of cognitive impairment.”

BREAKING DOWN BARRIERS One respected brain fi tness expert has witnessed fi rsthand how resi-dents of all ages and stages of cog-nitive function can benefi t from regular “mental aerobics.”

“I have seen the impact with

Opinions vary on how well brain fi tness programs can serve seniors who have been diagnosed with Alzheimer’s disease or another dementia illness.

Phot

o: iS

tock

phot

o

As brain fi tness efforts fi nd a welcome niche among active seniors, questions are arising about how those with dementia may be better served by this new option

Continued on page 16

AL pg 14,16,18.indd 14 3/24/09 10:00:47 AM

Page 10: Brain Fitness2.Pdf Mck Coverage 2009

Brain fitness mentions

s Credit crisis continuesTransaction volumes fell and capitalization rates rose in seniors housing and care in the fourth quarter of last year, according to a new report from the National Investment Center for the Seniors Housing & Care Industry. They are signs of an ongoing credit crisis, the organization said. Roughly $1 billion in loan volume was pumped into the seniors housing and care industry during the fourth quarter last year. That compares with average quarterly loan volume of $1.54 billion over the last three years, the NIC report found. Capitalization rates climbed from 9.2% to 9.3%, in the assisted living sector during the same period, according to NIC.

s Five ‘heroes’ citedFive people received Hero Awards last month at the Assisted Living Federation of America’s annual conven-tion. They are:• Staff Member Hero: Kasey Gobin, Emeritus at South Windsor, South Windsor, CT• Executive Director Hero: Joan Carney, Hoffman SummerWood Community, West Hartford CT• Caregiver Hero: Amparo Machuca, Sunrise of Cinco Ranch, Katy, TX• Nurse Hero: Curtis Bond, LPN, Brooksdale Senior Living, Midlothian, VA• Volunteer Hero: Ricky Fox, Five Star Senior Living, Sumter, SC“The 2009 Hero Awardees have demonstrated out-standing leadership in their senior living communities by promoting the dignity of seniors and nurturing an environment of respect and compassion,” said ALFA President and CEO Rick Grimes.

Living4Life for the new Bellevue development, which is slated to open in 2010. “They are the com-ponents of longevity.”

Bellevue will go beyond offer-ing new and different activities, Clark said – it will embody an active lifestyle for residents. Aegis plans state-of-the-art exercise and entertainment complexes that fea-ture the latest workout and audio/visual technology. But Living4Life focuses more on the individual, offering wellness through Eastern practices such as yoga and tai chi; nutritious organic diets; and mind-sharpening intellectual pursuits, such as art appreciation.

“We want to do everything pos-sible to help residents with their ailments, like memory loss,” Clark explained.

Pivoting oFF WiiIt is well established that the Nin-tendo Wii video game system is a big hit in seniors housing centers across the country. Virtual bowling, golf and tennis have energized elderly enthusiasts whose bodies no longer can keep up with the demands of those sports. As a result, many facili-ties have installed the Wii systems for their residents.

The gaming industry has also taken notice and is producing an abundance of products that health-care strategist Douglas Goldstein calls Health e-Games.

The Alexandria, VA-based “e-futurist” told attendees of the recent Health Information Man-

agement and Systems Society con-ference that the number of virtual fitness games has grown from 33 in 2005 to more than 600 today.

Fitness gaming is not only designed to tune up the body, but the mind as well, Goldstein said. Game designers are now creating specialty games that no one would have con-sidered a few years ago. The genre has grown to a point where there are now four categories of Health e-Games, including Exergaming, Condition Management, Healthy Eating and Brain Fitness. Games are also being designed for various health levels, such as Wellness, At-Risk, Acute, Chronic and Catastrophic. Brain Fitness, aimed particularly at seniors, contains games to test vari-ous aspects of cognitive function, including memory, language, atten-tion span and visual perception.

Some companies, like Centen-nial, CO-based It’s Never 2 Late specialize in games that get seniors comfortable with computers. Lori Snow, director of marketing, says the 10-year-old company is com-mitted to its original mission: “A belief that every person should have the ability to experience and enjoy the world utilizing today’s technol-ogy regardless of age or physical or cognitive limitations.”

Snow confirms that today’s senior activities are largely being pro-grammed by their baby boomer chil-dren. “Families always ask ‘How will you keep mom engaged? ’ Technol-ogy is a large part of the answer.”

Helping seniors overcome “tech-

nophobia” issues shows them just how useful and entertaining comput-ers can be, for as enabling them to stay in contact with family through e-mail, Web cams and audio e-mail; stimulating their cognitive function through mentally challenging puz-zles; keeping physically active with driving, flying and bicycling simula-tors; and offering spiritual enrich-ment through videos and Web sites that connect them with faith.

SimPle PleaSureSThe move toward Zen medita-tions and high-tech games may bring seniors into the 21st century, but some timeless pursuits are still going strong. For some, the tranquil relaxation of gardening helps relieve stress and evokes pleasant memo-ries, but they can no longer handle physical demands of the activity. The North Hampton, NH-based manufacturer of Standup Gardens understands this limitation .

Situated in a decorative hard-wood cart that can be accessed by standing or sitting in a wheelchair, the portable shelves and trellises support pots and planters for a wide array of flowers and vegetables. By eliminating the need for stooping, bending and heavy lifting, seniors once again can enjoy the aesthetics of horticulture, said Peter Whiting, the company’s managing director.

“Although many facilities are using video games and electronic vir-tual activities, our feedback indicates that none of these activities comes close to gardening,” he said. n

McKnight’s Assisted Living/June 2009 3

CoverStory [ ACTiViTiES ] continued from front coverindustry news

“Spiritual health, nutrition and wellness optimizes every part of your being.”Dwayne ClarkCEO, Aegis

new recreational options help put residents in the driver’s seat.

Phot

o: iS

tock

phot

o

AL pg 1,3.indd 3 5/18/09 10:52:48 AM

June 2009 Vol 7, no 6 $5.00

In THIS ISSueAlzheimer’s outreach: Memory 4

Finance Talk: Aging buildings 6

Taking the lead: Looking ahead 6

Resident Safety: IT partners 8

Feature: Cheap and cheerful 10

Feature: Good working order 14

Design Decisions: Upping the ante 16

Tech Talk: Hearing better 20

My Turn: Coping with tragedy 21

editor’s note: Positive feedback 22

continued on page 3

ASSISTeD lIVInGeXeCuTIVeS ARestill bullish on the sector, despite challenges in the overall economy. During a state-of-the-industry session at last month’s Assisted Living Federation of America Conference, they said this sector is weathering an ongo-ing recession better than many other busi-nesses. They credited growing demand and quality services as main reasons.

HouSInG FoRReSIDenTS ISmore affordable in the Midwest than in the Northeast or West. Meanwhile, long-term care in Alaska remains the most expensive in the country, according to the results of the 2009 Cost of Care Survey from Gen-worth Financial.

breaking

news Stepping up your gameToday’s activities are physically, mentally, emotionally and spiritually therapeutic for residents

By JoHn AnDRewS

Recreation in seniors housing has come a long way since

the days of card games, checkers and group sing-alongs. These activities still have a place in the pantheon of facility events, of course, but tomorrow’s geriatrics have a much broader spectrum of interests and they are already shaping the environment for their arrival.

As the children of current residents, baby boomers have asserted that the simple pas-times of yesterday just aren’t enough anymore. They want activities that transcend enter-tainment, extending into physical wellness, transcen-dental meditation, sharpening of mental acuity and nurturing of spirituality.

By insisting that seniors housing operators take heed and respond to their demands, the boomers are gradually transforming recreational options at properties across the coun-try. A prime example of this is the

new under-construction Aegis at Bel-levue (WA) property.

“Spiritual health, nutrition and wellness optimizes every part of your

being,” says Dwayne Clark, CEO of Seattle-based Aegis, who has devel-oped a new cultural movement called

A day at the park now has a whole new meaning for many communities.

AL pg 1,3.indd 1 5/18/09 10:51:23 AM

June 2009 Feature

Stepping up your game

By John Andrews

Today’s activities are physically, mentally, emotionally and spiritually therapeutic for residents

Page 11: Brain Fitness2.Pdf Mck Coverage 2009

Brain fitness mentions

and plug-and-play, meaning minimalor no supervision is required for resi-dents to use it, even if they never useda computer before,” explained DanMichel, Dakim’s founder and CEO.The (m) Power system offers 157 dif-ferent types of games – all of whichwere derived from standardized neu-rological exercises. To keep the(m)Power fresh and challenging, newexercises are downloaded onto the sys-tem almost every night. The systemalso provides positive reinforcementby giving supportive feedback withboth correct and incorrect responses.

COGNITIVE AEROBICSMichel, who began creating mentalstimulation systems when his fatherwas diagnosed with Alzheimer’s dis-ease, has witnessed the powerfulimpact of cognitive exercise technol-ogy. He described one non-speakingresident who resumed speaking afterjust a couple weeks using the(m)Power system. Another residentwho was depressed, withdrawn andexperiencing cognitive decline wassaid to have made a marked improve-ment in focus, memory and vocabu-lary after regular use of the system.

“It was also reported that she wasback out there interacting more,”said Michel, adding that while thesystem can be used by residents inde-pendently, it can also be a powerfultherapy tool. Each system costsapproximately $6,000, but comeswith 20 licenses, allowing many resi-dents to benefit. “Over the course of

three years, which the system is war-ranted for, the cost per user per day isjust 44 cents.”

Flexibility also is at the heart ofsome cognitive fitness solutions,providing a complete, yet open plat-form system that meets the varyingneeds of senior housing operatorsand their residents. It’s Never 2 Lateadaptive computer systems offer funeducational options that can pulldouble-duty in physical, occupa-tional and speech therapy environ-ments. The customizable systemsinclude hardware, software, therapyand engagement tools, and selectservices and support – includinginstallation and training to help staffmake the most of the technology.Flat-panel touch screen monitorswith extendable, adjustable arms,wheelchair-adjustable workstations,an adaptive keyboard with multipleoverlays, a trackball mouse (forthose who prefer a mouse over thetouch screen), and noise-cancella-tion headphones for audio-impairedresidents are just some of the hard-ware features.

“We also offer a multi-media-driv-en, dementia-specific version,” saidJack York, co-founder and presidentof Centennial, CO-based It’s Never 2Late, explaining that a resident cantouch an image of Frank Sinatra oranother popular artist to launchmusic, or even play a multimedia clipof that person’s (or a spouse or otherloved one’s) life.

“Dementia is not going away. Tools

that can consistently deliver a goodworkout for the mind are becoming[essential] – for older adults and eventhose with [neurological disorders] orhead injuries,” York said. “Familiesare wanting to make sure that com-munities are doing more than justmedicating their mom and dad.”

TOURNAMENT TIMESometimes some of the best cogni-tive development tools come in somesurprising packages. In recentmonths, Erickson Retirement Com-munities and Sunrise Senior Livinghave made headlines with theiradoption of the Nintendo Wii gam-ing system.

Although the interactive system,which uses a motion-sensing hand-held remote, is overwhelmingly pop-ular with younger people, Wii is alsocatching on with seniors because ofits ease of use and ability to transformcomputer activities into a more tra-ditional gaming experience. Sinceimplementing the roughly $300 sys-tem, Erickson and Sunrise commu-nities have witnessed an enthusiasticresponse from residents who areorganizing Wii bowling tournamentsand actively engaging in some of themany other interactive sports-games, such as golf and tennis.

“We not only use it in our buildings,we also take it on the road with us tolocal senior centers,” said Kathi Greco,director of community relations forBrighton Gardens at Westlake, aSunrise community in Westlake, OH.“When we first hooked it up to our bigscreen in the living room of our com-munity, we instantly had a big crowd.Residents in wheelchairs can partici-pate and you do get some [safe] exercisewhile playing.”

Carle pointed out that many of themotions created while playing theWii resemble those used in Tai Chi –movements that can improve bal-ance and coordination and reducestress, while also exercising the brainand body. Another benefit of thegaming system is that male participa-tion tends to increase. “Usually, facil-ities struggle to get the men involvedand many activity directors give up.This system is making the activitytruly co-ed.”

And because the gaming system issuch a hit with children and youngadults, it has widespread appeal.

“Activity directors love it and it’sa fun way to bring residents and theirgrandchildren – or other familymembers – together,” said Carle,adding that Nintendo is developing abigger portfolio specifically gearedtoward older adults.

“There are so many good, easy touse and cost-effective technologiesout there that can really benefit resi-dents,” he continued. “There’s just noexcuse not to be getting on board.” ■

Assisted Living/December 2007 15

Looking aheadAs boomers age, senior hous-

ing and care and technologyexpert Andrew Carle says thefuture of “Nana” technology isright out of science fiction.“We’re looking at a medicinecabinet that will talk to you,shoe inserts that will give a 70-year old the balance of 20-yearold, eyeglasses that will changeautomatically from reading todistance vision and roboticassistants to carry groceries –all within the next five to tenyears,” Carle said. And that’snot all. He states that the mostexciting technologies might bein “smart clothes” that will moni-tor heart rate, blood pressure,oxygen levels – even administerCPR. “The opportunities arereally endless.”

Tech tools can help improve themind, body and spirit, advocatesclaim.

PHO

TO:

IT’S

NEV

ER T

OO

LAT

E

Seniors are debunking the idea that computers are only for youngerusers. In fact, they are a fast growing user group.

PHO

TO:

IT’S

NEV

ER T

OO

LAT

E

272125_MAL_Feature3_p14&15 11/15/07 11:10 AM Page 15

BY JULIE E. WILLIAMSON

A ssisted living operators underthe assumption that technolo-gy-based games, gadgets and

computers are reserved solely for theyounger set are apparently notplugged into the benefits such solu-tions can offer their residents.

That’s because much of the sametechnology that’s occupying teen-agers’ time (and making manyparents cringe at the countless hoursbeing spent in front of a video, tele-vision or computer screen) is givingseniors an innovative way to connectwith their once-loved activities,interact with fellow residents andfamily members, and in some cases,build both their physical and mentalendurance.

“Today’s seniors are definitelymore tech-savvy, and if they aren’t,their children certainly are,” saidAndrew Carle, assistant professorand director of George MasonUniversity’s Program in AssistedLiving/Senior Housing in Fairfax,VA. Because of that increased focuson technology, offering high-techsolutions can be a marketing boon forproviders, he pointed out.

Making that connection canprove challenging for some pro-viders, however. Not only must theyface the daunting challenge of navi-gating through a sea of technologicalinnovation to determine which solu-tions will have the most positiveimpact on their residents, they alsohave ever-present budget constraintsto consider.

The good news is some of the mosttried and true technologies that arefinding their way into assisted livingcommunities are also those that arereadily available, easy to use and, in

many cases, budget-friendly. Not surprisingly, traditional com-

puter systems are making their wayinto more facilities, allowing resi-dents another outlet for stayingabreast of news and community-specific information and events,while also helping them use e-mail tostay connected with their familymembers and friends.

TECH TRENDSBasic computer training and hands-on assistance helps computer new-comers get accustomed to thetechnology – a task that can be tack-led with volunteers (including highschool students or residents’ family

members), as well as willing, com-puter-savvy residents.

Even reluctant residents who mayotherwise resist using traditionalcomputers can still use technology tostay connected, however. Carledescribed two systems, the Celeryand the Presto, which allow thosewithout Internet access to receiveemails through a fax machine-typeunit that runs off simple power and abasic phone line. The Celery system,which costs $219 and includes a one-year subscription to Celery’s blackand white service (color printingcosts an additional $40 annually),also allows users to feed a handwrit-ten note into the machine, with the

recipient receiving it as an attach-ment in their inbox. Operating in asimilar fashion is the Presto system,which allows uses to receive emailsand photos from loved ones. It com-bines a special printer with a webservice that sends data to the printerover a phone line. Presto’s printercosts $150, plus a $10 per monthservice fee.

Wellness-centered gaming devicesalso are gaining momentum in theassisted living segment, and for goodreason. As Paul David Nussbaum,Ph.D., of the University of PittsburghSchool of Medicine, noted, “thesecret to successful aging is ongoingmental stimulation,” and many of thelatest cognitive-focused tech solu-tions deliver. While many devices aremodeled after those designed for theyounger crowd, vendors are taking amore targeted, senior-based ap-proach with their systems.

Masquerading as a form of fun-filled entertainment, many of today’ssenior-focused gaming systems offersimplified, more intuitive controls,such as touch screen displays, andcontent-rich material aimed atimproving cognitive function.

Dakim Inc.’s (m)Power CognitiveFitness System, for example, is asolution that combines a touchscreen and large interface with orig-inal content complete with memo-ry-invoking images, movies, music,and sounds of the past. The systemautomatically adjusts challengelevels in real time, creating a cus-tomized cognitive exercise for eachresident. By simply inputting theirfirst and last initial, residents aregreeted by name at the start of eachcustomized session.

“It was engineered to be turnkey

Why should teenagers get to have all the fun? Seniors are increasingly turning to technological toys as a way to add more enjoyment — and options — to their lifestyles.

Much of the same technology that occupies teenagers’ time — and makemany parents cringe at the countless hours being spent in front of avideo, television or computer screen — is giving seniors an innovative way to connect with their once-loved activities.

PHO

TO:

IT’S

NEV

ER T

OO

LAT

E

FEATURESTORY14 Assisted Living/December 2007

Getting logged-in

272125_MAL_Feature3_p14&15 11/15/07 11:10 AM Page 14

December 2007 Feature

Getting logged-in

By Julie Williamson

Why should teenagers get to have all the fun? Seniors are increasingly turning to technological toys as a way to add more enjoyment – and options – to their lifestyles

Page 12: Brain Fitness2.Pdf Mck Coverage 2009

Brain fitness mentions

January 28, 2008 Daily Update

Senators to discuss technology for aging adults

New monitoring, personal health record and brain fitness technologies for seniors will be the focus of a special briefing and demonstration for U.S. senators on Tuesday in Washington.

November 10, 2008 Daily Update

McKnight’s to host webinar on brain fitness today

McKnight’s will offer a free Web seminar this afternoon on brain fitness. Registration for the event is still available at www.mcknights.com.

Page 13: Brain Fitness2.Pdf Mck Coverage 2009

Brain fitness mentions

October 21, 2008 Guest columns

Navigating the brain fitness landscape: do’s and don’ts

Alvaro Fernandez

The excellent recent article “An idea whose time has (finally) come” (McKnight’s September issue, page 28, http://www.mcknights.com/An-idea-whose-time-has-finally-come/article/116677/) explains the multiple benefits that long-term care operators can expect from helping residents slow down or stave off cognitive decline and Alzheimer’s symptoms, and the growing role that technology-based products are playing.

According to our recent market report, “The State of the Brain Fitness Software Market 2008,” more than 400 senior housing communities nationwide are offering ….

Page 14: Brain Fitness2.Pdf Mck Coverage 2009

Brain fitness mentions

May 8, 2009 Product Buzz

Study: Explosive growth for brain fitness software market

March 18, 2009 Product Buzz

Dakim campaign has a message for providersMcKnight's Product Buzz - 5/6/2009 - McKnight's Long Term Care News 5/6/09 10:00 AM

mhtmlmain: Page 1 of 1

Wednesday, May 6, 2009Here are the latest product-related developments in the eldercare marketplace, from McKnight's

• •THE LATEST BUZZ NEW IN THE MARKET NEWSMAKERS

Benefit from greater operational efficiency with Yardi Voyager Senior Housing software. Voyager is browser-based and integrates accounting, care assessment and management, resident billing and census, and effective marketing in a single system. Visit or call 800-866-1144.

PRIMARY SPONSOR

www.yardi.com

• THE LATEST BUZZ

Taking the pulse of assisted living

May 04, 2009

It has been a tough year for the assisted living sector. The sector's largest operator—Sunrise Senior Living—continues to seek breaks from creditors in order to avert bankruptcy. Other leading firms also have encountered rough sledding lately. Real estate, capital and competitive shifts have collectively challenged assisted living communities. So where is the assisted living sector today? Is it on the brink, retrenching, or simply riding out the storm? Some answers are likely to emerge this week in Philadelphia, where the Assisted Living Federation of America is holding its annual convention and exposition.

SPONSOR

• NEW IN THE MARKET

It's Never 2 Late releases new computer

May 04, 2009

It's Never 2 Late has just released a new computer designed specifically for use in assisted living communities and nursing homes. The product lets users touch their way to their own interests and games, connecting to their families, the outside world.

Simponi approved for rheumatoid arthritis

May 04, 2009

The Food and Drug Administration has approved rheumatoid arthritis drug golimumab. The product is marketed by Pennsylvania-based Centocor Ortho Biotech Inc. and will be sold under the name Simponi. The medication works by blocking tumor necrosis factor, an inflammation often found in rheumatoid arthritis patients.

Hybrid-solar flashlight offers Earth-friendly alternative

May 04, 2009

The Earth-friendly Hybrid Solar Lite provides 10 hours of bright light and recharges under the sun or indoor light. A recyclable lithium battery provides backup power. This flashlight is fit for everyday or emergency use.

• NEWSMAKERS

Study: Explosive growth for brain fitness software market

May 04, 2009

The U.S. brain fitness software market grew by 18% last year, to $265 million, according to The State of the Brain Fitness Software Market 2009. The market has grown at an annual rate of 38% since 2005, investigators found. Two marketshealthcare and insurance providershelped fuel the increase. "There are more tools available than ever to assess and train a variety of cognitive skills," the report from SharpBrains notes.

Vigilan survey asks nurses about their jobs

May 04, 2009

In honor of National Nurse Week, Vigilan is making a survey available for nurses who work in assisted living, independent living and dementia care settings. Questions largely target training, staffing and resources. The survey will be open through May 30. Participants will be entered into a drawing for a weekend getaway to a Marriott resort (gift card valued at $500) or one of 20 gift cards valued at $50 each at Proflowers.com.

Imaging tool may lead to quicker Alzheimer's treatment decisions

May 04, 2009

Perceptive Informatics has rolled out a new imaging tool for the study of Alzheimer's disease. The device works by measuring a brain's ventricular size, which can help monitor atrophy. The tool may lead to quicker treatment decisions, according to the firm.

Advertising rates and specifications, please contact

To subscribe to , or to any of our other e-mail newsletters, please

To unsubscribe from McKnight's Product Buzz .

You are subscribed as:

To contact Haymarket Media for general questions or unsubscribe problems, please e-mail

All McKnight's newsletters are sent from the domain " ". When configuring e-mail or spamfilter rules, please use this domain name.

Haymarket Media Inc.114 West 26th St., Fourth FloorNew York, NY 10001

© 2009 Haymarket Media Inc.

AdvertiseKarmen Maurer

SubscribeMcKnight's Product Buzz click here

Unsubscribeclick here

[email protected]

[email protected]

haymarket.puresendmail.com

mcknights.com

McKnight's Product Buzz - 5/6/2009 - McKnight's Long Term Care News 5/6/09 10:00 AM

mhtmlmain: Page 1 of 1

Wednesday, May 6, 2009Here are the latest product-related developments in the eldercare marketplace, from McKnight's

• •THE LATEST BUZZ NEW IN THE MARKET NEWSMAKERS

Benefit from greater operational efficiency with Yardi Voyager Senior Housing software. Voyager is browser-based and integrates accounting, care assessment and management, resident billing and census, and effective marketing in a single system. Visit or call 800-866-1144.

PRIMARY SPONSOR

www.yardi.com

• THE LATEST BUZZ

Taking the pulse of assisted living

May 04, 2009

It has been a tough year for the assisted living sector. The sector's largest operator—Sunrise Senior Living—continues to seek breaks from creditors in order to avert bankruptcy. Other leading firms also have encountered rough sledding lately. Real estate, capital and competitive shifts have collectively challenged assisted living communities. So where is the assisted living sector today? Is it on the brink, retrenching, or simply riding out the storm? Some answers are likely to emerge this week in Philadelphia, where the Assisted Living Federation of America is holding its annual convention and exposition.

SPONSOR

• NEW IN THE MARKET

It's Never 2 Late releases new computer

May 04, 2009

It's Never 2 Late has just released a new computer designed specifically for use in assisted living communities and nursing homes. The product lets users touch their way to their own interests and games, connecting to their families, the outside world.

Simponi approved for rheumatoid arthritis

May 04, 2009

The Food and Drug Administration has approved rheumatoid arthritis drug golimumab. The product is marketed by Pennsylvania-based Centocor Ortho Biotech Inc. and will be sold under the name Simponi. The medication works by blocking tumor necrosis factor, an inflammation often found in rheumatoid arthritis patients.

Hybrid-solar flashlight offers Earth-friendly alternative

May 04, 2009

The Earth-friendly Hybrid Solar Lite provides 10 hours of bright light and recharges under the sun or indoor light. A recyclable lithium battery provides backup power. This flashlight is fit for everyday or emergency use.

• NEWSMAKERS

Study: Explosive growth for brain fitness software market

May 04, 2009

The U.S. brain fitness software market grew by 18% last year, to $265 million, according to The State of the Brain Fitness Software Market 2009. The market has grown at an annual rate of 38% since 2005, investigators found. Two marketshealthcare and insurance providershelped fuel the increase. "There are more tools available than ever to assess and train a variety of cognitive skills," the report from SharpBrains notes.

Vigilan survey asks nurses about their jobs

May 04, 2009

In honor of National Nurse Week, Vigilan is making a survey available for nurses who work in assisted living, independent living and dementia care settings. Questions largely target training, staffing and resources. The survey will be open through May 30. Participants will be entered into a drawing for a weekend getaway to a Marriott resort (gift card valued at $500) or one of 20 gift cards valued at $50 each at Proflowers.com.

Imaging tool may lead to quicker Alzheimer's treatment decisions

May 04, 2009

Perceptive Informatics has rolled out a new imaging tool for the study of Alzheimer's disease. The device works by measuring a brain's ventricular size, which can help monitor atrophy. The tool may lead to quicker treatment decisions, according to the firm.

Advertising rates and specifications, please contact

To subscribe to , or to any of our other e-mail newsletters, please

To unsubscribe from McKnight's Product Buzz .

You are subscribed as:

To contact Haymarket Media for general questions or unsubscribe problems, please e-mail

All McKnight's newsletters are sent from the domain " ". When configuring e-mail or spamfilter rules, please use this domain name.

Haymarket Media Inc.114 West 26th St., Fourth FloorNew York, NY 10001

© 2009 Haymarket Media Inc.

AdvertiseKarmen Maurer

SubscribeMcKnight's Product Buzz click here

Unsubscribeclick here

[email protected]

[email protected]

haymarket.puresendmail.com

mcknights.com

McKnight's Product Buzz - 3/18/2009 - McKnight's Long Term Care News 3/18/09 10:13 AM

mhtmlmain: Page 1 of 2

Wednesday, March 18, 2009Here are the latest product-related developments in the eldercare marketplace, from McKnight's

• •THE LATEST BUZZ NEW IN THE MARKET NEWSMAKERS

Voyager is browser-based and integrates accounting, care assessment and management, resident billing and census, and effective marketing in a single system. Visit or call 800-866-1144.

PRIMARY SPONSOR

Benefit from greater operational efficiency with Yardi Voyager Senior Housing software.

www.yardi.com

• THE LATEST BUZZ

Even for the world's richest, it was a losing year

March 17, 2009

If you've agonized while your 401k plan turned into a 101k, take heart. Even the planet's wealthiest people had a rough year, according to Forbes magazine's latest ranking of the world's billionaires. Consider Warren Buffet: The Oracle of Omaha saw his fortune decline $25 billion as shares of Berkshire Hathaway fell nearly 50% in 12 months. While Bill Gates regained his title of the World's Richest Man, he still lost $18 billion along the way. This year the world's billionaires have an average net worth of $3 billion, down 23% in 12 months, Forbes found. Moreover, the world now has 793 billionaires, compared to 1,125 a year ago. Looks like it's getting lonelier at the top Nor does it pay as well as it used to.

Long-term care is facing unprecedented budget cuts just as the nation focuses on increased quality of care. Want to know how over 1500 facilities increase nursing efficiency, while maintaining quality of care and accurate record keeping without budget impact? Visit the Nurse Rosie site to see how LCCA, Magnolia Management and others are putting on staff at no extra cost per month. to learn more!

SPONSOR

How Do Facilities Improve Patient Care & Record Keeping with No Budget Increase?

Rosie II Vital Signs Monitoring Systems Visit Nurse Rosie

• NEW IN THE MARKET

Record registrations for McKnight's Online Expo

March 17, 2009

The McKnight's Online Expo has shattered its registration record, and there is still a week left to sign up. The two-day event kicks off next Wednesday, March 25. The Online Expo offers two cost-free days of educational sessions and exhibits. This year, more than 1,000 attendees also can earn up to five continuing education credits toward nursing home administrator requirements.

New AmLactin foot cream immerses feet in moisture

March 17, 2009

Upsher-Smith Laboratories has released AmLactinFoot Cream Therapy. The product packs a high concentration of lactic acid, which delivers relief to severely dry and chapped feet

Dakim campaign has a message for providers

March 17, 2009

Dakim Brain Fitness has launched a campaign reminding operators that residents have not stopped using their brains. In the ads, residents hold up signs with messages like: "My mind is in your hands" or "My brain is not retired." Dakim Brain Fitness helps seniors use rigorous cognitive exercise to prevent or slow the development of dementia.

• NEWSMAKERS

Alzheimer's drug Namenda receives patent extension

March 17, 2009

The patent term for Namenda has been extended through April 10, 2015, according to Forest Laboratories. The medication is used to help treat people with Alzheimer's disease. The patent had earlier been set to expire on Sept. 13, 2013. Namenda sales hit $240.9 million in the third quarter, according to the firm

Resource Systems buys MxManage

March 17, 2009

Resource Systems announced that it has purchased MxManage from Plante Moran. MxManage is a decision-support software tool for long-term care providers that optimizes reimbursement and state survey outcomes by using "real time" analytics.

Susan DeVore named president and CEO for Premier

March 17, 2009

Group purchasing organization Premier has named Susan DeVore its next president and CEO. Devore has been the firm's COO for the past five years. Premier maintains a comprehensive repository of clinical, financial and outcomes information and operates a leading healthcare purchasing network.

Advertising rates and specifications, please contact

To subscribe to , or to any of our other e-mail newsletters, please

To unsubscribe from McKnight's Product Buzz .

You are subscribed as:

To contact Haymarket Media for general questions or unsubscribe problems, please e-mail

All McKnight's newsletters are sent from the domain " ". When configuring e-mail or spamfilter rules, please use this domain name.

Haymarket Media Inc.114 West 26th St., Fourth FloorNew York, NY 10001

AdvertiseKarmen Maurer

SubscribeMcKnight's Product Buzz click here

Unsubscribeclick here

[email protected]

[email protected]

haymarket.puresendmail.com

mcknights.com

McKnight's Product Buzz - 3/18/2009 - McKnight's Long Term Care News 3/18/09 10:13 AM

mhtmlmain: Page 1 of 2

Wednesday, March 18, 2009Here are the latest product-related developments in the eldercare marketplace, from McKnight's

• •THE LATEST BUZZ NEW IN THE MARKET NEWSMAKERS

Voyager is browser-based and integrates accounting, care assessment and management, resident billing and census, and effective marketing in a single system. Visit or call 800-866-1144.

PRIMARY SPONSOR

Benefit from greater operational efficiency with Yardi Voyager Senior Housing software.

www.yardi.com

• THE LATEST BUZZ

Even for the world's richest, it was a losing year

March 17, 2009

If you've agonized while your 401k plan turned into a 101k, take heart. Even the planet's wealthiest people had a rough year, according to Forbes magazine's latest ranking of the world's billionaires. Consider Warren Buffet: The Oracle of Omaha saw his fortune decline $25 billion as shares of Berkshire Hathaway fell nearly 50% in 12 months. While Bill Gates regained his title of the World's Richest Man, he still lost $18 billion along the way. This year the world's billionaires have an average net worth of $3 billion, down 23% in 12 months, Forbes found. Moreover, the world now has 793 billionaires, compared to 1,125 a year ago. Looks like it's getting lonelier at the top Nor does it pay as well as it used to.

Long-term care is facing unprecedented budget cuts just as the nation focuses on increased quality of care. Want to know how over 1500 facilities increase nursing efficiency, while maintaining quality of care and accurate record keeping without budget impact? Visit the Nurse Rosie site to see how LCCA, Magnolia Management and others are putting on staff at no extra cost per month. to learn more!

SPONSOR

How Do Facilities Improve Patient Care & Record Keeping with No Budget Increase?

Rosie II Vital Signs Monitoring Systems Visit Nurse Rosie

• NEW IN THE MARKET

Record registrations for McKnight's Online Expo

March 17, 2009

The McKnight's Online Expo has shattered its registration record, and there is still a week left to sign up. The two-day event kicks off next Wednesday, March 25. The Online Expo offers two cost-free days of educational sessions and exhibits. This year, more than 1,000 attendees also can earn up to five continuing education credits toward nursing home administrator requirements.

New AmLactin foot cream immerses feet in moisture

March 17, 2009

Upsher-Smith Laboratories has released AmLactinFoot Cream Therapy. The product packs a high concentration of lactic acid, which delivers relief to severely dry and chapped feet

Dakim campaign has a message for providers

March 17, 2009

Dakim Brain Fitness has launched a campaign reminding operators that residents have not stopped using their brains. In the ads, residents hold up signs with messages like: "My mind is in your hands" or "My brain is not retired." Dakim Brain Fitness helps seniors use rigorous cognitive exercise to prevent or slow the development of dementia.

• NEWSMAKERS

Alzheimer's drug Namenda receives patent extension

March 17, 2009

The patent term for Namenda has been extended through April 10, 2015, according to Forest Laboratories. The medication is used to help treat people with Alzheimer's disease. The patent had earlier been set to expire on Sept. 13, 2013. Namenda sales hit $240.9 million in the third quarter, according to the firm

Resource Systems buys MxManage

March 17, 2009

Resource Systems announced that it has purchased MxManage from Plante Moran. MxManage is a decision-support software tool for long-term care providers that optimizes reimbursement and state survey outcomes by using "real time" analytics.

Susan DeVore named president and CEO for Premier

March 17, 2009

Group purchasing organization Premier has named Susan DeVore its next president and CEO. Devore has been the firm's COO for the past five years. Premier maintains a comprehensive repository of clinical, financial and outcomes information and operates a leading healthcare purchasing network.

Advertising rates and specifications, please contact

To subscribe to , or to any of our other e-mail newsletters, please

To unsubscribe from McKnight's Product Buzz .

You are subscribed as:

To contact Haymarket Media for general questions or unsubscribe problems, please e-mail

All McKnight's newsletters are sent from the domain " ". When configuring e-mail or spamfilter rules, please use this domain name.

Haymarket Media Inc.114 West 26th St., Fourth FloorNew York, NY 10001

AdvertiseKarmen Maurer

SubscribeMcKnight's Product Buzz click here

Unsubscribeclick here

[email protected]

[email protected]

haymarket.puresendmail.com

mcknights.com

Page 15: Brain Fitness2.Pdf Mck Coverage 2009

Brain fitness mentionsNovember 5, 2008 Product Buzz

Brain scanMcKnight's Product Buzz - 11/5/2008 - McKnight's Long Term Care News 11/5/08 2:10 PM

mhtmlmain: Page 1 of 1

Wednesday, November 5, 2008Here are the latest product-related developments in the eldercare marketplace, from McKnight's

THE LATEST BUZZ NEW IN THE MARKET NEWSMAKERS

introduces the Van-Go, a lightweight, high strength aluminum full body lift, designed to meet most common lifting needs. Optional attachments include gate-training ambulation side arms, 2-point sling attachment, clip-style and the Vancare floating 4-point sling attachment.

PRIMARY SPONSOR

Vancare

www.vancare.com

• THE LATEST BUZZ

Getting our money's worth?

November 04, 2008

As you read this, the nation's next president may or may not have just been determined. But there's one thing that can be said with full certainty: We have just concluded the most expensive campaign cycle ever. All told, this election will cost more than $5.3 billion, according to the Center for Responsive Politics. We may be getting the best lawmakers money can buy. But it remains to be seen how pleased we'll be with this latest investment.

is changing the face of bathing. Create the ultimate bathing experience and home-like atmosphere. Choose colors, options, and styles with The Cascade Series of spas from Penner Manufacturing . All spas carry a five year warranty.

SPONSOR

Penner Manufacturing

www.pennerpatientcare.com

• NEW IN THE MARKET

Brain scan

November 04, 2008

More communities are realizing the benefits of brain fitness services. These programs can help residents delay or even avoid cognitive decline. McKnight's is teaming up with Dakim to offer a free Webinar on this issue. "Preventing Dementia-The New Frontier of Resident Wellness," will be presented at 2 p.m. Eastern next Monday, Nov. 10. UCLA's Dr. Gary Small will examine this growing issue, review recent developments and offer suggestions for operators looking into these programs.

Special delivery

November 04, 2008

Rubbermaid's Mobile Medication Station is designed for medical administration, cart fill medication delivery systems, floor inventory systems and envelope delivery. The product includes eight auto-locking medication drawers for secure medication storage. Multiple access codes and wireless audit tracking further enhance the security of this station, according to the firm.

Timely reminder

November 04, 2008

The MeDos multi-alarm watch can be set to provide reminders up to six times per day. The watch alarm can be set for vibration or an audible alarm, according to the manufacturer.

• NEWSMAKERS

Nurses tuning in

November 04, 2008

A radio program designed specifically for long-term care nurses can now be found on the Internet. "Nurses View" is presented by nurses, for nurses and about nurses. Check local listings for times and stations. If a local affiliate is unavailable, the program also can be heard via the Internet.

eClinic software scores well

November 04, 2008

eClinic Nursing Home Edition software meets or surpasses the industry's needs for healthcare-records management performance, according to a recent benchmark study. "We are delighted with the results of this analysis," said Raj Ramdya, chief technical officer for eClinic. The firm provides clinical-management software for the long-term care market.

Healthcare Finance Group names president, marketing manager

November 04, 2008

Dan Chapa was recently named president of Healthcare Finance Group. He will be responsible for origination, underwriting, portfolio management, syndications and IT, the company announced. In addition, Claudia Gourdon has been named the firm's marketing manager. The company primarily serves providers seeking $5 million to $100 million in capital.

Promotions at ConvaTec

November 04, 2008

ConvaTec has announced that Michael E. Steadman will be president of the firm's Wound Therapeutics Business Unit. In addition, Nino Pionati has been appointed as president of the company's Ostomy Care Business Unit

Advertising rates and specifications, please contact

To subscribe to , or to any of our other e-mail newsletters, visit

To unsubscribe from McKnight's Product Buzz .

You are subscribed as:

To contact Haymarket Media for general questions or unsubscribe problems, please e-mail

All McKnight's newsletters are sent from the domain " ". When configuring e-mail or spamfilter rules, please use this domain name.

Haymarket Media Inc.114 West 26th St., Fourth FloorNew York, NY 10001

© 2008 Haymarket Media Inc.

AdvertiseKarmen Maurer

SubscribeMcKnight's Product Buzz www.mcknights.com

Unsubscribeclick here

[email protected]

[email protected]

haymarket.puresendmail.com

mcknights.com

October 29, 2009 Product Buzz

Mentally toughMcKnight's Product Buzz - 10/29/2008 - McKnight's Long Term Care News 10/29/08 10:11 AM

mhtmlmain: Page 1 of 1

Wednesday, October 29, 2008Here are the latest product-related developments in the eldercare marketplace, from McKnight's

THE LATEST BUZZ NEW IN THE MARKET NEWSMAKERS

PRIMARY SPONSOR

• THE LATEST BUZZ

Mentally tough

October 28, 2008

More communities are realizing the benefits of brain fitness services. These programs can help residents delay or even avoid cognitive decline. McKnight's is teaming up with Dakim to offer a free Webinar on this issue. "Preventing Dementia-The New Frontier of Resident Wellness," will be presented at 2 p.m. Eastern on Monday, Nov. 10. UCLA's Dr. Gary Small will examine this growing issue, review recent developments and offer suggestions for operators looking into these programs. For more information, visit www.mcknights.com.

Since 1969, HCS has streamlined operations for providers nationwide with INTERACTANT, our fully integrated clinical and financial software solution. INTERACTANT provides comprehensive functionality for all levels of care, with registration, census, MDS, care planning, clinical documentation, billing and financial applications.

FOR MORE INFO: .

SPONSOR

HEALTH CARE SOFTWARE INC.

www.hcsinteractant.com

• NEW IN THE MARKET

Moving experience

October 28, 2008

Homecare by Moen introduces the New Premium Transfer Bench. The bench safely lets residents transfer into and out of the bathtub with ease. The bench features a wide-post leg design, an ergonomically designed back and supports up to 400 pounds, according to the firm.

Storing memories

October 28, 2008

The Alzheimer's Store provides products and information for those caring for people with Alzheimer's disease. Each product has been selected to make living with Alzheimer's disease as easy as possible.

Wiping out a problem

October 28, 2008

"Urine Off" Wipes are designed with quick cleanups and convenience in mind. They are ideal for wiping down non-porous surfaces such as vinyl seats, hard surface floors and wheelchairs.

• NEWSMAKERS

Don't let the bed bugs bite

October 28, 2008

Massey Services and Chromalox recently unveiled a program aimed at eliminating bed bugs from nursing homes. The ThermEx program includes a custom heating unit, manufactured by Chromalox, plus technical training provided by Massey Services.

Red provides $6.5 million

October 28, 2008

Red Mortgage Capital recently provided $6.5 million in Federal Housing Authority-backed refinancings for four eldercare borrowers. Two of the communities offer assisted living care, while the others deliver skilled nursing care.

Allscripts-Misys deal closes

October 28, 2008

Misys has completed its merger with Allscripts to create Allscripts-Misys. The company will retain the Allscripts brand name. The merger creates one of the nation's largest electronic health record firms. The deal was recently approved by Allscripts' shareholders.

Advertising rates and specifications, please contact

To subscribe to , or to any of our other e-mail newsletters, visit

To unsubscribe from McKnight's Product Buzz .

You are subscribed as:

To contact Haymarket Media for general questions or unsubscribe problems, please e-mail

All McKnight's newsletters are sent from the domain " ". When configuring e-mail or spamfilter rules, please use this domain name.

Haymarket Media Inc.114 West 26th St., Fourth FloorNew York, NY 10001

© 2008 Haymarket Media Inc.

AdvertiseKarmen Maurer

SubscribeMcKnight's Product Buzz www.mcknights.com

Unsubscribeclick here

[email protected]

[email protected]

haymarket.puresendmail.com

mcknights.com

McKnight's Product Buzz - 11/5/2008 - McKnight's Long Term Care News 11/5/08 2:10 PM

mhtmlmain: Page 1 of 1

Wednesday, November 5, 2008Here are the latest product-related developments in the eldercare marketplace, from McKnight's

THE LATEST BUZZ NEW IN THE MARKET NEWSMAKERS

introduces the Van-Go, a lightweight, high strength aluminum full body lift, designed to meet most common lifting needs. Optional attachments include gate-training ambulation side arms, 2-point sling attachment, clip-style and the Vancare floating 4-point sling attachment.

PRIMARY SPONSOR

Vancare

www.vancare.com

• THE LATEST BUZZ

Getting our money's worth?

November 04, 2008

As you read this, the nation's next president may or may not have just been determined. But there's one thing that can be said with full certainty: We have just concluded the most expensive campaign cycle ever. All told, this election will cost more than $5.3 billion, according to the Center for Responsive Politics. We may be getting the best lawmakers money can buy. But it remains to be seen how pleased we'll be with this latest investment.

is changing the face of bathing. Create the ultimate bathing experience and home-like atmosphere. Choose colors, options, and styles with The Cascade Series of spas from Penner Manufacturing . All spas carry a five year warranty.

SPONSOR

Penner Manufacturing

www.pennerpatientcare.com

• NEW IN THE MARKET

Brain scan

November 04, 2008

More communities are realizing the benefits of brain fitness services. These programs can help residents delay or even avoid cognitive decline. McKnight's is teaming up with Dakim to offer a free Webinar on this issue. "Preventing Dementia-The New Frontier of Resident Wellness," will be presented at 2 p.m. Eastern next Monday, Nov. 10. UCLA's Dr. Gary Small will examine this growing issue, review recent developments and offer suggestions for operators looking into these programs.

Special delivery

November 04, 2008

Rubbermaid's Mobile Medication Station is designed for medical administration, cart fill medication delivery systems, floor inventory systems and envelope delivery. The product includes eight auto-locking medication drawers for secure medication storage. Multiple access codes and wireless audit tracking further enhance the security of this station, according to the firm.

Timely reminder

November 04, 2008

The MeDos multi-alarm watch can be set to provide reminders up to six times per day. The watch alarm can be set for vibration or an audible alarm, according to the manufacturer.

• NEWSMAKERS

Nurses tuning in

November 04, 2008

A radio program designed specifically for long-term care nurses can now be found on the Internet. "Nurses View" is presented by nurses, for nurses and about nurses. Check local listings for times and stations. If a local affiliate is unavailable, the program also can be heard via the Internet.

eClinic software scores well

November 04, 2008

eClinic Nursing Home Edition software meets or surpasses the industry's needs for healthcare-records management performance, according to a recent benchmark study. "We are delighted with the results of this analysis," said Raj Ramdya, chief technical officer for eClinic. The firm provides clinical-management software for the long-term care market.

Healthcare Finance Group names president, marketing manager

November 04, 2008

Dan Chapa was recently named president of Healthcare Finance Group. He will be responsible for origination, underwriting, portfolio management, syndications and IT, the company announced. In addition, Claudia Gourdon has been named the firm's marketing manager. The company primarily serves providers seeking $5 million to $100 million in capital.

Promotions at ConvaTec

November 04, 2008

ConvaTec has announced that Michael E. Steadman will be president of the firm's Wound Therapeutics Business Unit. In addition, Nino Pionati has been appointed as president of the company's Ostomy Care Business Unit

Advertising rates and specifications, please contact

To subscribe to , or to any of our other e-mail newsletters, visit

To unsubscribe from McKnight's Product Buzz .

You are subscribed as:

To contact Haymarket Media for general questions or unsubscribe problems, please e-mail

All McKnight's newsletters are sent from the domain " ". When configuring e-mail or spamfilter rules, please use this domain name.

Haymarket Media Inc.114 West 26th St., Fourth FloorNew York, NY 10001

© 2008 Haymarket Media Inc.

AdvertiseKarmen Maurer

SubscribeMcKnight's Product Buzz www.mcknights.com

Unsubscribeclick here

[email protected]

[email protected]

haymarket.puresendmail.com

mcknights.com

McKnight's Product Buzz - 10/29/2008 - McKnight's Long Term Care News 10/29/08 10:11 AM

mhtmlmain: Page 1 of 1

Wednesday, October 29, 2008Here are the latest product-related developments in the eldercare marketplace, from McKnight's

THE LATEST BUZZ NEW IN THE MARKET NEWSMAKERS

PRIMARY SPONSOR

• THE LATEST BUZZ

Mentally tough

October 28, 2008

More communities are realizing the benefits of brain fitness services. These programs can help residents delay or even avoid cognitive decline. McKnight's is teaming up with Dakim to offer a free Webinar on this issue. "Preventing Dementia-The New Frontier of Resident Wellness," will be presented at 2 p.m. Eastern on Monday, Nov. 10. UCLA's Dr. Gary Small will examine this growing issue, review recent developments and offer suggestions for operators looking into these programs. For more information, visit www.mcknights.com.

Since 1969, HCS has streamlined operations for providers nationwide with INTERACTANT, our fully integrated clinical and financial software solution. INTERACTANT provides comprehensive functionality for all levels of care, with registration, census, MDS, care planning, clinical documentation, billing and financial applications.

FOR MORE INFO: .

SPONSOR

HEALTH CARE SOFTWARE INC.

www.hcsinteractant.com

• NEW IN THE MARKET

Moving experience

October 28, 2008

Homecare by Moen introduces the New Premium Transfer Bench. The bench safely lets residents transfer into and out of the bathtub with ease. The bench features a wide-post leg design, an ergonomically designed back and supports up to 400 pounds, according to the firm.

Storing memories

October 28, 2008

The Alzheimer's Store provides products and information for those caring for people with Alzheimer's disease. Each product has been selected to make living with Alzheimer's disease as easy as possible.

Wiping out a problem

October 28, 2008

"Urine Off" Wipes are designed with quick cleanups and convenience in mind. They are ideal for wiping down non-porous surfaces such as vinyl seats, hard surface floors and wheelchairs.

• NEWSMAKERS

Don't let the bed bugs bite

October 28, 2008

Massey Services and Chromalox recently unveiled a program aimed at eliminating bed bugs from nursing homes. The ThermEx program includes a custom heating unit, manufactured by Chromalox, plus technical training provided by Massey Services.

Red provides $6.5 million

October 28, 2008

Red Mortgage Capital recently provided $6.5 million in Federal Housing Authority-backed refinancings for four eldercare borrowers. Two of the communities offer assisted living care, while the others deliver skilled nursing care.

Allscripts-Misys deal closes

October 28, 2008

Misys has completed its merger with Allscripts to create Allscripts-Misys. The company will retain the Allscripts brand name. The merger creates one of the nation's largest electronic health record firms. The deal was recently approved by Allscripts' shareholders.

Advertising rates and specifications, please contact

To subscribe to , or to any of our other e-mail newsletters, visit

To unsubscribe from McKnight's Product Buzz .

You are subscribed as:

To contact Haymarket Media for general questions or unsubscribe problems, please e-mail

All McKnight's newsletters are sent from the domain " ". When configuring e-mail or spamfilter rules, please use this domain name.

Haymarket Media Inc.114 West 26th St., Fourth FloorNew York, NY 10001

© 2008 Haymarket Media Inc.

AdvertiseKarmen Maurer

SubscribeMcKnight's Product Buzz www.mcknights.com

Unsubscribeclick here

[email protected]

[email protected]

haymarket.puresendmail.com

mcknights.com

Page 16: Brain Fitness2.Pdf Mck Coverage 2009

Brain fitness mentions

September 24, 2008 Product Buzz

Brain scan

Dakim earns ‘approved vendor’ statusMcKnight's Product Buzz - 9/24/2008 - McKnight's Long Term Care News 9/24/08 12:17 PM

mhtmlmain: Page 1 of 2

Wednesday, September 24, 2008Here are the latest product-related developments in the eldercare marketplace, from McKnight's

THE LATEST BUZZ NEW IN THE MARKET NEWSMAKERS

PRIMARY SPONSOR

• THE LATEST BUZZ

Show time!

September 23, 2008

The nation's two largest eldercare organizations are about to kick off their biggest events of the year. The AHCA/NCAL National Convention & Expo will be held Oct. 5-8 in Nashville, TN. The AAHSA show will be held in Philadelphia from Oct. 12-15. Participating vendors will represent key purchasing areas, including, technology, medical supplies/equipments, foodservice, insurance/risk management, quality improvement, rehabilitation, safety and transportation. If you're in the market for products or services, these are two events that can help.

is changing the face of bathing. Create the ultimate bathing experience and home-like atmosphere. Choose colors, options, and styles with The Cascade Series of spas from . All spas carry a five year warranty.

.

SPONSOR

PennerPenner Manufacturing

www.pennerpatientcare.com

• NEW IN THE MARKET

Brain scan

September 23, 2008

The American Seniors Housing Association has released a 15-page report that examines the growing use of brain fitness programs in the eldercare field. The study was prepared by SharpBrains.

Winter prep

September 23, 2008

As colder weather approaches, many operators will need to assess whether their buildings are ready for the winter ahead. Owens Corning has launched a new line of products that can help. They include the AttiCat Insulation Machine.

Pocket pal

September 23, 2008

Steiner has released its Safari series of binoculars. They are especially helpful for seniors because they are lightweight and can easily fit into residents' pockets, according to the firm.

• NEWSMAKERS

McKnight's offers video from NIC conference

September 23, 2008

Want to hear directly from industry leaders on market trends and capital availability? McKnight's can help. We recently posted a dozen short videos from the recently-held National Investment Center for the Seniors Housing & Care Industry conference in Chicago. Participants included Robert Kramer (NIC president), George Hager (CEO of Genesis), Arnold Whitman (CEO of Formation Capital), Dave Schless (Executive Director of the American Seniors Housing Association), Dave Kyllo (Executive Director of the National Center for Assisted Living) and others.

Dakim earns 'approved vendor' status

September 23, 2008

Dakim recently announced that it has received 'Approved Vendor' status in the brain fitness category from the Aging Services of California. The recognition came for Dakim's dementia-fighting [m]Power cognitive fitness system. Aging Services of California represents more than 400 nonprofit senior living and care providers.

Sales management survey underway

September 23, 2008

The Center for Applied Sales Research recently launched a survey that examines effective sales practices in the senior living field. The survey's goal is to help managers improve the quality of their sales management efforts, according to the center. Participants can access the survey through the link below.

Advertising rates and specifications, please contact

To subscribe to , or to any of our other e-mail newsletters, visit

To unsubscribe from McKnight's Product Buzz .

You are subscribed as:

To contact Haymarket Media for general questions or unsubscribe problems, please e-mail

All McKnight's newsletters are sent from the domain " ". When configuring e-mail or spamfilter rules, please use this domain name.

Haymarket Media Inc.114 West 26th St., Fourth FloorNew York, NY 10001

© 2008 Haymarket Media Inc.

AdvertiseKarmen Maurer

SubscribeMcKnight's Product Buzz www.mcknights.com

Unsubscribeclick here

[email protected]

[email protected]

haymarket.puresendmail.com

mcknights.com

McKnight's Product Buzz - 9/24/2008 - McKnight's Long Term Care News 9/24/08 12:17 PM

mhtmlmain: Page 1 of 2

Wednesday, September 24, 2008Here are the latest product-related developments in the eldercare marketplace, from McKnight's

THE LATEST BUZZ NEW IN THE MARKET NEWSMAKERS

PRIMARY SPONSOR

• THE LATEST BUZZ

Show time!

September 23, 2008

The nation's two largest eldercare organizations are about to kick off their biggest events of the year. The AHCA/NCAL National Convention & Expo will be held Oct. 5-8 in Nashville, TN. The AAHSA show will be held in Philadelphia from Oct. 12-15. Participating vendors will represent key purchasing areas, including, technology, medical supplies/equipments, foodservice, insurance/risk management, quality improvement, rehabilitation, safety and transportation. If you're in the market for products or services, these are two events that can help.

is changing the face of bathing. Create the ultimate bathing experience and home-like atmosphere. Choose colors, options, and styles with The Cascade Series of spas from . All spas carry a five year warranty.

.

SPONSOR

PennerPenner Manufacturing

www.pennerpatientcare.com

• NEW IN THE MARKET

Brain scan

September 23, 2008

The American Seniors Housing Association has released a 15-page report that examines the growing use of brain fitness programs in the eldercare field. The study was prepared by SharpBrains.

Winter prep

September 23, 2008

As colder weather approaches, many operators will need to assess whether their buildings are ready for the winter ahead. Owens Corning has launched a new line of products that can help. They include the AttiCat Insulation Machine.

Pocket pal

September 23, 2008

Steiner has released its Safari series of binoculars. They are especially helpful for seniors because they are lightweight and can easily fit into residents' pockets, according to the firm.

• NEWSMAKERS

McKnight's offers video from NIC conference

September 23, 2008

Want to hear directly from industry leaders on market trends and capital availability? McKnight's can help. We recently posted a dozen short videos from the recently-held National Investment Center for the Seniors Housing & Care Industry conference in Chicago. Participants included Robert Kramer (NIC president), George Hager (CEO of Genesis), Arnold Whitman (CEO of Formation Capital), Dave Schless (Executive Director of the American Seniors Housing Association), Dave Kyllo (Executive Director of the National Center for Assisted Living) and others.

Dakim earns 'approved vendor' status

September 23, 2008

Dakim recently announced that it has received 'Approved Vendor' status in the brain fitness category from the Aging Services of California. The recognition came for Dakim's dementia-fighting [m]Power cognitive fitness system. Aging Services of California represents more than 400 nonprofit senior living and care providers.

Sales management survey underway

September 23, 2008

The Center for Applied Sales Research recently launched a survey that examines effective sales practices in the senior living field. The survey's goal is to help managers improve the quality of their sales management efforts, according to the center. Participants can access the survey through the link below.

Advertising rates and specifications, please contact

To subscribe to , or to any of our other e-mail newsletters, visit

To unsubscribe from McKnight's Product Buzz .

You are subscribed as:

To contact Haymarket Media for general questions or unsubscribe problems, please e-mail

All McKnight's newsletters are sent from the domain " ". When configuring e-mail or spamfilter rules, please use this domain name.

Haymarket Media Inc.114 West 26th St., Fourth FloorNew York, NY 10001

© 2008 Haymarket Media Inc.

AdvertiseKarmen Maurer

SubscribeMcKnight's Product Buzz www.mcknights.com

Unsubscribeclick here

[email protected]

[email protected]

haymarket.puresendmail.com

mcknights.com

McKnight's Product Buzz - 9/24/2008 - McKnight's Long Term Care News 9/24/08 12:17 PM

mhtmlmain: Page 1 of 2

Wednesday, September 24, 2008Here are the latest product-related developments in the eldercare marketplace, from McKnight's

THE LATEST BUZZ NEW IN THE MARKET NEWSMAKERS

PRIMARY SPONSOR

• THE LATEST BUZZ

Show time!

September 23, 2008

The nation's two largest eldercare organizations are about to kick off their biggest events of the year. The AHCA/NCAL National Convention & Expo will be held Oct. 5-8 in Nashville, TN. The AAHSA show will be held in Philadelphia from Oct. 12-15. Participating vendors will represent key purchasing areas, including, technology, medical supplies/equipments, foodservice, insurance/risk management, quality improvement, rehabilitation, safety and transportation. If you're in the market for products or services, these are two events that can help.

is changing the face of bathing. Create the ultimate bathing experience and home-like atmosphere. Choose colors, options, and styles with The Cascade Series of spas from . All spas carry a five year warranty.

.

SPONSOR

PennerPenner Manufacturing

www.pennerpatientcare.com

• NEW IN THE MARKET

Brain scan

September 23, 2008

The American Seniors Housing Association has released a 15-page report that examines the growing use of brain fitness programs in the eldercare field. The study was prepared by SharpBrains.

Winter prep

September 23, 2008

As colder weather approaches, many operators will need to assess whether their buildings are ready for the winter ahead. Owens Corning has launched a new line of products that can help. They include the AttiCat Insulation Machine.

Pocket pal

September 23, 2008

Steiner has released its Safari series of binoculars. They are especially helpful for seniors because they are lightweight and can easily fit into residents' pockets, according to the firm.

• NEWSMAKERS

McKnight's offers video from NIC conference

September 23, 2008

Want to hear directly from industry leaders on market trends and capital availability? McKnight's can help. We recently posted a dozen short videos from the recently-held National Investment Center for the Seniors Housing & Care Industry conference in Chicago. Participants included Robert Kramer (NIC president), George Hager (CEO of Genesis), Arnold Whitman (CEO of Formation Capital), Dave Schless (Executive Director of the American Seniors Housing Association), Dave Kyllo (Executive Director of the National Center for Assisted Living) and others.

Dakim earns 'approved vendor' status

September 23, 2008

Dakim recently announced that it has received 'Approved Vendor' status in the brain fitness category from the Aging Services of California. The recognition came for Dakim's dementia-fighting [m]Power cognitive fitness system. Aging Services of California represents more than 400 nonprofit senior living and care providers.

Sales management survey underway

September 23, 2008

The Center for Applied Sales Research recently launched a survey that examines effective sales practices in the senior living field. The survey's goal is to help managers improve the quality of their sales management efforts, according to the center. Participants can access the survey through the link below.

Advertising rates and specifications, please contact

To subscribe to , or to any of our other e-mail newsletters, visit

To unsubscribe from McKnight's Product Buzz .

You are subscribed as:

To contact Haymarket Media for general questions or unsubscribe problems, please e-mail

All McKnight's newsletters are sent from the domain " ". When configuring e-mail or spamfilter rules, please use this domain name.

Haymarket Media Inc.114 West 26th St., Fourth FloorNew York, NY 10001

© 2008 Haymarket Media Inc.

AdvertiseKarmen Maurer

SubscribeMcKnight's Product Buzz www.mcknights.com

Unsubscribeclick here

[email protected]

[email protected]

haymarket.puresendmail.com

mcknights.com

Page 17: Brain Fitness2.Pdf Mck Coverage 2009

Brain fitness mentions

May 21, 2008 Product Buzz

Jack LaLanne teams with DakimMcKnight's Product Buzz - McKnight's Long Term Care News 5/21/08 10:11 AM

mhtmlmain: Page 1 of 1

Wednesday, May 21, 2008Here are the latest product-related developments in the eldercare marketplace, from McKnight's

THE LATEST BUZZ • NEW IN THE MARKET • NEWSMAKERS

PRIMARY SPONSOR:

• THE LATEST BUZZ

Crowd pleaser

May 21, 2008

"I don't believe I've ever witnessed as many people at a hearing," Sen. Elizabeth Dole (R-NC) remarked last week. She was referring to a high-profile session at the Senate Committee on Aging, in which lawmakers and invited guests discussed the personal impact of Alzheimer's disease. Former Supreme Court Justice Sandra Day O'Connor highlighted the event. O'Connor shared her experience as a caregiver to her husband, John, who was diagnosed with Alzheimer's in 1990. The speakers called for more funding and a national strategy for this fatal illness, which now claims more than 5 million victims. Currently, there are no products available to cure Alzheimer's.

SPONSOR

Finally there's a time-tested system in place that has a proven track record of success. Hear from experienced, successful nursing facility professionals and marketing/public relations experts that have come together to help build your census! To learn more visit .

THE OFFICIAL BUILD YOUR CENSUS SYSTEM- How's your census?

http://myexpectations.com

• NEW IN THE MARKET

High-tech fall prevention

May 21, 2008

Korebalance has released a new computerized balance trainer that's ideal for preventing resident falls. The product includes 3D software games displayed on a 17" video screen for balance assessment and training. The product can be adjusted to meet the needs of people at all levels, according to the firm.

Better visual acuity

May 21, 2008

Nintendo recently unveiled a game that can help residents improve their visual acuity. Flash Focus: Vision Training in Minutes a Day puts users through a series of activities that test hand-eye coordination, according to the firm.

Surface appeal

May 21, 2008

Newell Rubbermaid's commercial products unit has started a line of commercial vacuums. The Rubbermaid Commercial Products branded vacuum line-up has seven upright and specialty models, including backpack-style and wet/dry vacuums. The models feature worker-friendly ergonomics, quiet operation and functions to save time, Newell Rubbermaid said.

• NEWSMAKERS

Medline offers pressure ulcer relief

May 21, 2008

Through Medline Industries, the International Expert Wound Care Advisory Panel released a consensus report on changing wound care treatment and regulations. The report helps facilities put the new CMS policy into perspective and understand required preparatory actions, according to Medline. The paper also reveals four preventive strategies and two behavioral challenges for facilities to consider.

Jack LaLanne teams with Dakim

May 21, 2008

Dakim last week announced that 93-year-old fitness guru Jack LaLanne has joined the firm as a "brain fitness motivational coach." Dakim's product helps seniors combat mental decline. It is now used in over 100 senior living communities nationwide, according to the firm.

Podcasts showcase CIT executives

May 21, 2008

CIT Group has begun releasing installments of its "Five Minute Capital" series. In these short podcasts, company executives comment on current market conditions, trends and growth opportunities.

Advertising rates and specifications, please contact

To subscribe to , or to any of our other e-mail newsletters, visit

To unsubscribe from McKnight's Product Buzz .

You are subscribed as:

To contact Haymarket Media for general questions or unsubscribe problems, please e-mail

All McKnight's newsletters are sent from the domain " ". When configuring e-mail or spamfilter rules, please use this domain name.

Haymarket Media Inc.114 West 26th St., Fourth FloorNew York, NY 10001

© 2008 Haymarket Media Inc.

AdvertiseKarmen Maurer

SubscribeMcKnight's Product Buzz www.mcknights.com

Unsubscribeclick here

[email protected]

[email protected]

haymarket.puresendmail.com

mcknights.com

January 30, 2008 Product Buzz

Tech toysMcKnight's Product Buzz - McKnight's Long Term Care News 1/30/08 11:40 AM

mhtmlmain: Page 1 of 1

Wednesday, January 30, 2008Here are the latest product-related developments in the eldercare marketplace, from McKnight's

THE LATEST BUZZ • NEW IN THE MARKET • NEWSMAKERS

SPONSOR

The Official Build Your Census System

Learn proven and successful techniques from experienced nursing facility professionals and LTC marketing/public relations experts who've come together specifically to help you build your census. For more information visit

Is Your Census Where You Want and Need it to be?

www.myexpectations.com.

• THE LATEST BUZZ

It's about time

January 30, 2008

Staying on top of the latest products, services and industry trends can be a time-devouring pursuit. But the job just became less time consuming, thanks to our new Web site. Eldercare pros can find many time-saving options. These include a substantially enhanced Directory that makes it easier to locate needed services, plus videos of important suppliers. The latest job openings are also available, as well as immediate access to our Career Guide. Please take a moment to familiarize yourself with our new site. We think you'll find it's time well spent.

SPONSOR

is changing the face of bathing. Create the ultimate bathing experience and home-like atmosphere. Choose colors, options, and styles with The Cascade Series of spas from . All spas carry a five year warranty.

PennerPenner Manufacturing

http://www.pennerpatientcare.com

• NEW IN THE MARKET

Wrist action

January 30, 2008

The new CodeWatch transmitter from RF Technologies gives residents wristwatch-like comfort. The small, lightweight device feels familiar and comfortable, which helps put residents at ease.

Passing the smell test

January 30, 2008

Birchwood Laboratories has introduced two new products that provide a sanitary solution for incontinence cleansing and management. B-SURE Perineal Wash and B-SURE Odor Eliminator are products help operators help communities look and smell fresh.

Weighty matters

January 30, 2008

Tanita's PW-630U wheelchair scale is designed to make it easy for residents to get on the scale and be stable. The durable, portable unit is equipped with wheels, allowing caregivers to bring the scale wherever elderly or wheelchair-bound residents are. Other features include body mass index, an integrated thermal printer, memory, recall and RS-232 output so data can be captured electronically.

• NEWSMAKERS

Tech toys

January 30, 2008

The nation's top lawmakers are learning more about new monitoring, personal health record and brain fitness technologies for seniors during a special briefing and demonstration today.Senators from the Special Committee on Aging; the Health, Education, Labor and Pensions Committee; and the Medical Technology Caucus are hosting the event to discuss and explore what type of support is needed to promote technological advances that can help our nation's aging population.

Pain-relief patch available

January 30, 2008

Alpharma has announced the availability of the Fletcor Patch. The adhesive patch delivers medication directly to the pain site, offering a safe and effective alternative to widely used nonsteroidal anti-inflammatory drugs, according to the firm.

Pricing program

January 30, 2008

The American Society for Healthcare Environmental Services (ASHES) and the Association for Linen Management (ALM) announced a pricing program for the benefit of members in both organizations. According to the agreement, ALM and ASHES will offer special discounted pricing levels for products and services to members of the other organization. This agreement will allow members of ALM to purchase products and services offered by ASHES at a discounted rate and vise versa.

Alzheimer's setback

January 30, 2008

Amyloid inhibitors, once considered the secret to preventing Alzheimer's, have been found to be ineffective in the treatment or prevention of the disease, a new study has found. According to senior study author Brian Shoichet, a chemist at the University of California, San Francisco, researchers experimenting with amyloid inhibitors "should stop."

Advertising rates and specifications, please contact

To subscribe to , or to any of our other e-mail newsletters, visit

To unsubscribe from McKnight's Product Buzz .

You are subscribed as:

for McKnight's Product Buzz can be sent to

is published every Wednesday.

Visit regularly for more information about the seniors housing and care market.

To contact Haymarket Media for general questions or unsubscribe problems, please e-mail

Haymarket Media Inc.114 West 26th St., Fourth FloorNew York, NY 10001

AdvertiseKarmen Maurer

SubscribeMcKnight's Product Buzz www.mcknights.com

Unsubscribeclick here

[email protected]

Comments and suggestions John O'Connor

McKnight's Product Buzz

mcknights.com

[email protected]

mcknights.com

Click to report this email as spam.here

McKnight's Product Buzz - McKnight's Long Term Care News 5/21/08 10:11 AM

mhtmlmain: Page 1 of 1

Wednesday, May 21, 2008Here are the latest product-related developments in the eldercare marketplace, from McKnight's

THE LATEST BUZZ • NEW IN THE MARKET • NEWSMAKERS

PRIMARY SPONSOR:

• THE LATEST BUZZ

Crowd pleaser

May 21, 2008

"I don't believe I've ever witnessed as many people at a hearing," Sen. Elizabeth Dole (R-NC) remarked last week. She was referring to a high-profile session at the Senate Committee on Aging, in which lawmakers and invited guests discussed the personal impact of Alzheimer's disease. Former Supreme Court Justice Sandra Day O'Connor highlighted the event. O'Connor shared her experience as a caregiver to her husband, John, who was diagnosed with Alzheimer's in 1990. The speakers called for more funding and a national strategy for this fatal illness, which now claims more than 5 million victims. Currently, there are no products available to cure Alzheimer's.

SPONSOR

Finally there's a time-tested system in place that has a proven track record of success. Hear from experienced, successful nursing facility professionals and marketing/public relations experts that have come together to help build your census! To learn more visit .

THE OFFICIAL BUILD YOUR CENSUS SYSTEM- How's your census?

http://myexpectations.com

• NEW IN THE MARKET

High-tech fall prevention

May 21, 2008

Korebalance has released a new computerized balance trainer that's ideal for preventing resident falls. The product includes 3D software games displayed on a 17" video screen for balance assessment and training. The product can be adjusted to meet the needs of people at all levels, according to the firm.

Better visual acuity

May 21, 2008

Nintendo recently unveiled a game that can help residents improve their visual acuity. Flash Focus: Vision Training in Minutes a Day puts users through a series of activities that test hand-eye coordination, according to the firm.

Surface appeal

May 21, 2008

Newell Rubbermaid's commercial products unit has started a line of commercial vacuums. The Rubbermaid Commercial Products branded vacuum line-up has seven upright and specialty models, including backpack-style and wet/dry vacuums. The models feature worker-friendly ergonomics, quiet operation and functions to save time, Newell Rubbermaid said.

• NEWSMAKERS

Medline offers pressure ulcer relief

May 21, 2008

Through Medline Industries, the International Expert Wound Care Advisory Panel released a consensus report on changing wound care treatment and regulations. The report helps facilities put the new CMS policy into perspective and understand required preparatory actions, according to Medline. The paper also reveals four preventive strategies and two behavioral challenges for facilities to consider.

Jack LaLanne teams with Dakim

May 21, 2008

Dakim last week announced that 93-year-old fitness guru Jack LaLanne has joined the firm as a "brain fitness motivational coach." Dakim's product helps seniors combat mental decline. It is now used in over 100 senior living communities nationwide, according to the firm.

Podcasts showcase CIT executives

May 21, 2008

CIT Group has begun releasing installments of its "Five Minute Capital" series. In these short podcasts, company executives comment on current market conditions, trends and growth opportunities.

Advertising rates and specifications, please contact

To subscribe to , or to any of our other e-mail newsletters, visit

To unsubscribe from McKnight's Product Buzz .

You are subscribed as:

To contact Haymarket Media for general questions or unsubscribe problems, please e-mail

All McKnight's newsletters are sent from the domain " ". When configuring e-mail or spamfilter rules, please use this domain name.

Haymarket Media Inc.114 West 26th St., Fourth FloorNew York, NY 10001

© 2008 Haymarket Media Inc.

AdvertiseKarmen Maurer

SubscribeMcKnight's Product Buzz www.mcknights.com

Unsubscribeclick here

[email protected]

[email protected]

haymarket.puresendmail.com

mcknights.com

McKnight's Product Buzz - McKnight's Long Term Care News 1/30/08 11:40 AM

mhtmlmain: Page 1 of 1

Wednesday, January 30, 2008Here are the latest product-related developments in the eldercare marketplace, from McKnight's

THE LATEST BUZZ • NEW IN THE MARKET • NEWSMAKERS

SPONSOR

The Official Build Your Census System

Learn proven and successful techniques from experienced nursing facility professionals and LTC marketing/public relations experts who've come together specifically to help you build your census. For more information visit

Is Your Census Where You Want and Need it to be?

www.myexpectations.com.

• THE LATEST BUZZ

It's about time

January 30, 2008

Staying on top of the latest products, services and industry trends can be a time-devouring pursuit. But the job just became less time consuming, thanks to our new Web site. Eldercare pros can find many time-saving options. These include a substantially enhanced Directory that makes it easier to locate needed services, plus videos of important suppliers. The latest job openings are also available, as well as immediate access to our Career Guide. Please take a moment to familiarize yourself with our new site. We think you'll find it's time well spent.

SPONSOR

is changing the face of bathing. Create the ultimate bathing experience and home-like atmosphere. Choose colors, options, and styles with The Cascade Series of spas from . All spas carry a five year warranty.

PennerPenner Manufacturing

http://www.pennerpatientcare.com

• NEW IN THE MARKET

Wrist action

January 30, 2008

The new CodeWatch transmitter from RF Technologies gives residents wristwatch-like comfort. The small, lightweight device feels familiar and comfortable, which helps put residents at ease.

Passing the smell test

January 30, 2008

Birchwood Laboratories has introduced two new products that provide a sanitary solution for incontinence cleansing and management. B-SURE Perineal Wash and B-SURE Odor Eliminator are products help operators help communities look and smell fresh.

Weighty matters

January 30, 2008

Tanita's PW-630U wheelchair scale is designed to make it easy for residents to get on the scale and be stable. The durable, portable unit is equipped with wheels, allowing caregivers to bring the scale wherever elderly or wheelchair-bound residents are. Other features include body mass index, an integrated thermal printer, memory, recall and RS-232 output so data can be captured electronically.

• NEWSMAKERS

Tech toys

January 30, 2008

The nation's top lawmakers are learning more about new monitoring, personal health record and brain fitness technologies for seniors during a special briefing and demonstration today.Senators from the Special Committee on Aging; the Health, Education, Labor and Pensions Committee; and the Medical Technology Caucus are hosting the event to discuss and explore what type of support is needed to promote technological advances that can help our nation's aging population.

Pain-relief patch available

January 30, 2008

Alpharma has announced the availability of the Fletcor Patch. The adhesive patch delivers medication directly to the pain site, offering a safe and effective alternative to widely used nonsteroidal anti-inflammatory drugs, according to the firm.

Pricing program

January 30, 2008

The American Society for Healthcare Environmental Services (ASHES) and the Association for Linen Management (ALM) announced a pricing program for the benefit of members in both organizations. According to the agreement, ALM and ASHES will offer special discounted pricing levels for products and services to members of the other organization. This agreement will allow members of ALM to purchase products and services offered by ASHES at a discounted rate and vise versa.

Alzheimer's setback

January 30, 2008

Amyloid inhibitors, once considered the secret to preventing Alzheimer's, have been found to be ineffective in the treatment or prevention of the disease, a new study has found. According to senior study author Brian Shoichet, a chemist at the University of California, San Francisco, researchers experimenting with amyloid inhibitors "should stop."

Advertising rates and specifications, please contact

To subscribe to , or to any of our other e-mail newsletters, visit

To unsubscribe from McKnight's Product Buzz .

You are subscribed as:

for McKnight's Product Buzz can be sent to

is published every Wednesday.

Visit regularly for more information about the seniors housing and care market.

To contact Haymarket Media for general questions or unsubscribe problems, please e-mail

Haymarket Media Inc.114 West 26th St., Fourth FloorNew York, NY 10001

AdvertiseKarmen Maurer

SubscribeMcKnight's Product Buzz www.mcknights.com

Unsubscribeclick here

[email protected]

Comments and suggestions John O'Connor

McKnight's Product Buzz

mcknights.com

[email protected]

mcknights.com

Click to report this email as spam.here


Recommended