Livingwell March 2015

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Livingwell A SPECIAL PUBLICATION CREATED BY REPUBLIC MEDIA CUSTOM PUBLISHING

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MARCH 2015

HEALTHCARE NEWS YOU CAN USE FOR YOUR WHOLE FAMILY

IN THIS ISSUE | 2 Hear that? | 3 Medicare pre-planning | 4-6 Top events and support groups | 9 Electronic Health Records

Enhancing thehealthcare experience Patient advocates provide assistance, information and even friendship

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By Gremlyn Bradley-Waddell

ver had a doctor’s appointment and by the time you were back in the parking lot, realized that you’d forgotten at least half of what was said in the exam room? Or maybe you’re in a hospital bed and disappointed with the care you’re receiving, but afraid — or too exhausted — to voice displeasure. These are the kinds of scenarios in which patient advocates can be lifesavers, both literally and figuratively. As the job title suggests — although that title can differ from organization to organization — these lay professionals advocate for all kinds of patients in any number of ways and their ranks are growing; more hospitals and healthcare organizations are offering their advocacy services to clients, usually at no charge. But you don’t have to be in a hospital setting to get this kind of help — patient advocates also are available for hire through for-profit companies.

‘It’s about personalizing care’

In her role as the sole patient care coordinator at John C. Lincoln North Mountain Hospital in Phoenix, Debbie Denton may visit with four patients or even as many as 30 on any given day. “It just depends where I’m needed,” said Denton, who makes morning rounds, attends nursing huddles and is in constant communication with all 10 nursing units and the emergency department. The concerns she hears from patients range from complaints about meals to requests for helping out-of-town family members find local lodging. If a patient doesn’t have family, she “can help be their voice,” she said. Or if a patient is unhappy with their level of care or service, she can help with that, too. “If the patient doesn’t want to talk to the nurse — maybe there’s a personality

“It’s all about the little things and being a friend. Sometimes, that’s all that’s needed.” Debbie Denton, patient care coordinator, John C. Lincoln North Mountain Hospital, Phoenix conflict — I can go into the room, listen and let the patient know I’m hearing the concern and that we will come up with a plan to fix whatever’s broken,” she said. “It’s a team effort.” Denton’s services are free and offered to any of the hospital’s patients (John C. Lincoln Deer Valley Hospital also has a patient care coordinator), but a patient must either request it or be referred to the service. And, when Denton’s off duty, nursing supervisors are there to step in. “We want our patients to be cared for and to know that their care is to benefit them, not to benefit us or our schedules,” said Denton, who’s been in the medical field more than 30 years. “My position is ! ADVOCATES, continued on page 7

SENIOR LIVING

PLENTY OF OPTIONS AND PRICE RANGES

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STORY BY DEBRA GELBART | PHOTOS BY RICK D’ELIA

f you’re a healthy older adult, a senior living arrangement could be the last thing on your mind. But planning for the

future may be smarter than waiting until a senior living

situation is actually needed.

From independent living to skilled nursing

Most senior living communities are restricted to residents 62 and older. They’re available in a variety of configurations, said Martha Batista, president of Senior Living Advisory Group in Scottsdale and Phoenix. These include independent living only; independent and assisted living; assisted living only; independent living, assisted living and skilled nursing all on one property (called a continuing care retirement community or a CCRC); and skilled nursing only. For assisted living, you have the choice of a large community or a group home, which is a smaller setting with generally no more than 10 residents under one roof. In a CCRC that requires an entrance fee for what’s known as a “life-care plan,” you must be able to live independently when you first move there and you must qualify financially to be able to pay the monthly cost of living there. You live independently for as long as possible, but if you need assisted living or skilled nursing care later on, it’s available without moving to an entirely new location. In CCRCs where you don’t pay an upfront entrance fee, you can move into assisted living from the start if you need it, Batista said, but you’ll pay the market price for that service. Whether you pay an entrance fee or not, all CCRCs require that you pay a monthly fee for your apartment or townhouse.

Variety of community options, fees and amenities

A sampling of just a few local CCRCs include Vi (pronounced “vee”) at Silverstone and Vi at Grayhawk in North Scottsdale; Sun Health Senior Living’s three locations in the West Valley; Fellowship Square’s two locations in Mesa and one in north Phoenix; and The Terraces of Phoenix. Vi, Sun Health properties and The Terraces require an entrance fee. Fellowship Square requires only a monthly fee. All CCRCs include a variety of activities and some meals paid for by the monthly fee. ! SENIOR LIVING, continued on page 10

a-z H E A LT H C A R E B R I E F S

Top: While sitting in the library at Atria Sierra Pointe Independent and Assisting Living community in Scottsdale, Martha Batista chats with (from left) Len Niemiec, Miriam Brodian and Estelle Caron. When not working directly with clients looking for a new home, Batista takes time to tour communities and visit with residents. Above right: Sharon Grambow, chief operating officer for Sun Health Senior Living in Surprise, said that Sun Health focuses on what residents can accomplish and what they still want to learn rather than on how people may have declined with age. Grambow said:

“We’re here to be advocates for healthy living and innovative programming that help people live well for as long as they possibly can.” Many senior living communities offer activeliving amenities, including The Colonnade, Sun Health’s senior living community in Surprise, where residents can enjoy everything from exercise classes, a gym and a pool, to a restaurant, café and a well-stocked library. Above left: Vi at Silverstone residents enjoy many upscale features, including this outdoor fireplaced sitting area. | Photo: Vi at Silverstone

Blue Cross Blue Shield of Arizona launches ‘Nourishing Arizona’

Alzheimer’s Prevention Registry reaches 100,000 enrollees

Blue Cross Blue Shield of Arizona (BCBSAZ) recently announced it is stepping up efforts to fight the issue of food insecurity and related chronic health conditions through a new program called Nourishing Arizona. Research shows that one in three Arizonans are considered “working poor,” meaning they are living at or below 185 percent of the Federal Poverty Level. Families with limited incomes are often forced to make food choices based on price or convenience alone. Nourishing Arizona aims to help people understand the importance of good food, while

The Alzheimer’s Prevention Registry recently enrolled its 100,000th volunteer interested in participating in studies aimed at preventing Alzheimer’s. Championed by Banner Alzheimer’s Institute (BannerALZ.org), in collaboration with partner organizations and leading scientists, the Registry aims to accelerate prevention research by establishing an online community of healthy individuals who are committed to fighting the disease, informing them about the latest developments in research and connecting those who may be interested with scientists carrying out the studies.

gaining an understanding of how to make healthy decisions and knowing where to go to get help. “By raising awareness, supporting new and ongoing community programs, Nourishing Arizona looks to have a long-term effect on chronic health conditions and improve overall wellness for Arizonans,” said Rich Boals, president and CEO of BCBSAZ. More info: NourishingArizona.com

Registry staff communicates closely with stakeholders in the international Alzheimer’s research community and provides information to Registry members about the latest developments in research, scientific advances and overall brain health. The Registry also notifies members about research opportunities taking place in their communities and how to participate if they are interested. Anyone 18 or older with an interest in the fight against Alzheimer’s can join the Registry. Several studies that are currently enrolling, as well as others that are launching soon, will need thousands of volunteers. More info: EndALZnow.org


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