Split Rock Rehabilitation & Healthcare Center

Caring + Tech: Nursing Homes Of The Future

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In 2020, just 19% of Americans say nursing home make seniors “better off”

  • Yet, 1 in 3 will need nursing home care at some point in their lifetime
  • How will nursing homes move forward in the digital age?

Nursing Homes Are At A Tipping Point

  • In 2030, the first of 77 million Baby Boomers will reach 85
    • 3 in 4 will need high-level, long-term care
    • By 2034, seniors will outnumber children for the first time in U.S. history
  • Nursing Homes Are Necessary
    • More than 1.3 million Americans live in a nursing home
    • Many have no other option, most residents 
      • Can’t independently care for themselves 
      • Lack the resources to pursue other options
      • Don’t have family that can take them in
    • Many nursing home residents need help with 2+ daily tasks
      • At least 25% of nursing home residents have
        • Alzheimer disease
        • Other dementias
        • Arthritis
        • Heart disease
        • Hypertension
    • On average, residents receive 4 hours of personalized nursing care each day
  • The Problem Of Social Isolation
    • 18% of suicide deaths are seniors — more than any other age group
    • Loneliness Increases Health Risks
      • Mortality: +400%
      • Hospitalization: +68%
      • ER visit: +57%
      • Dementia: +50%
      • Stroke: +32%
      • Heart disease: +29%
    • Medicare spends $6.7 billion more each year on seniors who are social isolated than those with a social support system
    • In 40% of seniors, moving away from friends, routines, and familiar surroundings leads to depression
      • BUT, a high-quality nursing home provides social support as well as medical care

Today, nursing homes have been the most affected by COVID-19 — In the U.S., nursing home residents and staff make up nearly 25% of coronavirus deaths ( as of September 2020)

Health Isn’t The Only Goal

  • Are Nursing Homes Providing Quality Care?
    • Coronavirus outbreaks among nursing home residents aren’t associated with resident demographics or local infection rates
      • BUT, the likelihood of an outbreak varies with quality of care*
        • Compared to 1 star facilities
          • 2-3 star facilities: 87% lower risk
          • 4-5 stars facilities: 94% lower risk 
    • Amidst the pandemic, nursing home residents have been 
      • Transferred to new facilities for infection control
      • Quarantined within their rooms to prevent exposure
      • Prevented from having visits with family and friends
    • Before COVID-19, 55% of nursing home residents said they didn’t see enough of their families
      • Isolation must be balanced with the need to for mobility and social contact
    • “This pandemic has made us painfully aware that we can’t ignore our most vulnerable people. Americans always respond to a crisis. And there is hope that, with innovative ideas and bold actions, they will again.” — Elaine Ryan, Vice President of Government Affairs for State Advocacy at AARP
  • Nursing Homes Not Institutions
    • “Because nursing homes are places to live, in addition to clinical settings, quality of life is salient . . . Health care needs might be met at the expense of drastically changing someone’s daily life and routines for the worse. The challenge is to pay attention to quality of life as an outcome in itself, and see how health care may be related to quality of life.” — Rosalie Kane, Ph.D., Professor of Health Policy & Management at the University of Minnesota
  • Nursing Homes Must Adapt

“The first value is that people are the bosses of their own lives” — Hans Becker,  Former CEO of Humanitas

  • Independence: Enabling residents to direct their care and daily activities — and empowering them to return home
  • Environment: Creating home-like living environments with privacy, independence, and personal touches
  • Community: Fostering close relationships among residents, their families, and healthcare staff
  • Collaboration: Promoting collaborative decision making and empowering staff to respond to residents’ needs and desires
  • Improvement: Practicing continuous quality improvement and embracing new technologies

New healthcare tech can help seniors recover their independence and return home

Technology For Better Elder Care

  • Cutting Edge Tech
    • Dialyze Direct: In-house dialysis for nursing home residents
      • Gentler, more frequent treatments for better results
        • 94% reduction in vascular infections
        • 65% reduction in dialysis-related hospitalizations
        • Patient recovery time reduced to 1 hour
      • Coordinated kidney care: dialysis, diet, and social support
    • VOCSN Ventilators: The only multifunction ventilator
      • Combines ventilator, oxygen, suction, nebulizer, and cough functions
        • Small, lightweight, and easy to carry
        • Maintain freedom with 9 hour battery
        • Quiet and discrete breathing therapy
      • Easily transition from hospital to nursing home to home care
    • Solo-Step: Rehabilitation harness helps restore independent mobility
      • Builds patients confidence to help them reach their next milestone
        • Eliminates fear of falling down
        • Help patients challenge themselves
        • Prevents fall related injuries
      • Gets measurable results in less time
  • Tech Of The Future
    • Neuro Rehab VR
      • Design to help patients recover from stroke and traumatic brain injuries
      • Physical therapy programs customizable for each patient’s need
      • Gamified experience motivates patients  for faster recovery 
    • The Kidney Project
      • Implantable artificial kidney would free patients from dialysis
      • Designed to perform kidney functions dialysis can’t replace
      • Will costs less than one-third the cost of chronic dialysis
    • Lifesprk: Electronic Life Record
      • Algorithms based on analysis of social, economic, and health factors
      • Analyzes individual medical profile to create a unique predictive model
      • Used to prescribe preventative, in-home, holistic healthcare  

Care with compassion. Tech for independence. 

Sources:
https://www.elderlawanswers.com/new-survey-examines-the-public39s-views-of-nursing-homes-4593
https://www.kff.org/wp-content/uploads/2017/06/infographic-medicaid_s-role-in-nursing-home-care-thumbnail.png
https://www.forbes.com/sites/howardgleckman/2020/01/02/the-2020s-will-be-a-tipping-point-for-elder-care-in-the-us/?sh=66e03d2157d2
https://aspe.hhs.gov/basic-report/what-lifetime-risk-needing-and-receiving-long-term-services-and-supports
https://www.directrelief.org/2019/12/an-aging-population-calls-for-a-new-approach-to-elder-care-this-clinic-is-meeting-the-challenge/
https://www.aarp.org/caregiving/health/info-2020/nursing-home-changes-after-coronavirus.html
https://www.aarp.org/ppi/info-2017/medicare-spends-more-on-socially-isolated-older-adults.html
https://www.cdc.gov/nchs/data/series/sr_03/sr03_43-508.pdf
https://www.care.com/c/stories/15840/nursing-homes-in-america/
https://nam.edu/reimagining-nursing-homes-in-the-wake-of-covid-19/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7353831/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6050816/
https://www.healthaffairs.org/doi/full/10.1377/hlthaff.2009.0966
https://www.commonwealthfund.org/publications/newsletter-article/issue-month-changing-culture-nursing-homes
https://nymag.com/intelligencer/2020/06/the-american-nursing-home-is-a-design-failure.html
https://www.npr.org/2019/07/27/745017374/isolated-and-struggling-many-seniors-are-turning-to-suicide
https://www.psychologytoday.com/us/blog/understanding-grief/202001/why-do-the-elderly-commit-suicide
https://www.cigna.com/individuals-families/health-wellness/chronic-loneliness
https://www.agingcare.com/articles/symptoms-of-depression-in-the-elderly-134275.htm
https://www.dialyzedirect.com/
https://www.venteclife.com/
https://solostep.com/benefits/benefits-for-the-facility/
https://www.neurorehabvr.com/
https://pharmacy.ucsf.edu/news/2020/10/bioartificial-kidney-aims-mimic-natural-kidney-function-1-million-grant-john-marcia
https://www.worth.com/covid-19-new-tech-ushering-in-biggest-revolution-in-senior-care/
https://www.cdc.gov/mmwr/volumes/69/wr/mm6937a5.htm
https://www.ahrq.gov/nursing-home/index.html
https://www.cdc.gov/aging/publications/features/lonely-older-adults.html

Cathy Rauschendorfer

Director of Social Services

Cathy Rauschendorfer is the Director of the Social Services department at Split Rock.  She joined our team in 2018, bringing with her, 17 years of experience in long term care.  Cathy received her Master’s degree from Fordham University, where she graduated Summa cum laude.  She is a Licensed Social Worker as well as a Licensed Nursing Home Administrator.

Cathy provides supervision and leadership to the Social Work team at Split Rock, as well as, providing support and education for the residents, families and the staff at the facility.  Cathy’s experience has given her a deep appreciation for how the quality of life for those we serve is impacted by the quality of care we provide. Therefore, she is dedicated to providing excellent service to all those that the facility serves.

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Rachel Sampson

Director of Respiratory

Rachel M. Sampson, MPH, RRT is the director of respiratory care services.  She brings to the facility 25 years of experience working with residents in acute and sub-acute facilities who present with varying respiratory illnesses.

Ms. Sampson is passionate about providing quality care to all, and with a team of dedicated respiratory therapists, is always searching for new developments and modalities to utilize for the respiratory population at the facility. The director is often consulted by other professionals @ Spilt Rock for her clinical expertise.

Although respiratory care is her specialty she enjoys interacting with all the residents and can be seen throughout the facility laughing and encouraging the residents to achieve their goals.

Her motto is: Quality care @ all times.

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Soha Alsafadi

Director of Nursing Services

Soha is a creative, dedicated and engaging, highly accomplished healthcare leader professional with a Master's degree in Nursing Administration, along with 30+ years of nursing experience, with the last 13 years being in leadership and management. Expert at building high-performing nursing teams. Energetic, determined, proactive and forward-thinking innovator and imparts a passion for providing high quality and safe patient care whilst demonstrating exceptional professional and clinical excellence. Talented and sought after nursing professional with excellent academic credentials and a proven capacity to work in multi-cultural.

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Dr. Mary Rose

Director of Rehabilitation

Dr. Mary Rose Custodio-Ober has been a Physical therapist in NY since 2004. She received her bachelors from De La Salle University, Philippines and her doctorate from Dominican College, New York. Dr. Ober manages the rehabilitation department of Split Rock Rehabilitation and Health Care Center ensuring a systemic approach to assessing and constructing operational efficiencies to enhance patient care and services.

In her years of service, she has demonstrated great leadership skills, often partaking on patient care, providing knowledge, advice, and counsel. She ensures that her team members feel comfortable and encourages collaboration in creating an interdisciplinary team approach towards patient care. Dr. Ober personifies professionalism in every duty she partakes, demonstrating ethical responsibility and excellence in conflict management to advocate for both rehab personnel and residents.

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Cristobal Castillo F.S.D

Director of Food Services

Cristobal Castillo has 20 plus years’ experience in the food industry and hospitality industry. He has served as a Food Service Director for 13 years at Split Rock Rehabilitation and Healthcare Center. As director of food services, he implements advanced systems to improve food service quality. In addition, he offers nutritious and high-quality cuisines. He upholds high standards of food safety, sanitary conditions, and hospitality practices. Additionally, he works with the recreation team to develop entertaining, captivating, and engaging events for residents and staff morale. He cares deeply about the wellbeing of the residents and strives to win their approval. He is aware of the profound impact that a delicious meal presented beautifully can have on someone's day.

Cristobal grew passion for the food industry at an early age. He took a few classes at Culinary Institute of NY in the early 2000’s. He is SERV safe Certified (QFO) and holds a New York State Mental Health and Hygiene Food Handlers Certificate. He has 20 years of hospital culinary expertise, first as a Sous Chef at Our Lady of Mercy Medical Center and later as a Chef/Purchasing Manager at Montefiore Medical Center.

Father of four children and three grandchildren, Cristobal is a devoted husband. He enjoys going outdoor hiking, swimming in rivers, watching football, baseball, and basketball games, and spending time with his family.

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Christina DePolo

Director Of Recreation Services

Christina joined Split Rock Rehab. & Health Care Center as it’s Activities Director early 2021 with a mission to provide quality of life to her residents.  Over the past year, she had done just that, fulfilling her purpose through engaging, interactive and rewarding one-on-one and group activities for the individuals she serves.  In the capacity of Activities Director, Christina is responsible for the development and coordination of activity programs for the community that reflects the varied interests and needs of the residents and provides them with meaningful and life enriching activities.

Bringing with her over 20 years of professional expertise, Christina understands the value of elevating her residents’ lives through personal engagement and enrichment.  She is aware that activities play a vital role in improving the quality of life in every resident in our community, regardless of their physical, emotional, social or spiritual status is.

Christina is a Certified Activities Director through the National Certification Council For Activity Professionals.  She is a graduate of Fordham University.

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Rebecca Fine MS RDN CDN

Director of Dietary Services

Rebecca earned her Bachelor of Science & her Master of Science in Nutrition
from Brooklyn College.

Rebecca has been working in Long-Term care as a Registered Dietitian for over 20 years.
Her specialties include providing optimum care for high risk patients including residents on a ventilator, providing enteral nutrition, working closely with our hemodialysis team, oncology & has vast experience with residents who exhibit advanced stage dementia. Rebecca has had a lot of success working with the SplitRock team in helping patients upgrade their diet consistencies, in weaning patients off of enteral feeding & ventilators, and improving their quality of life.

Rebecca also works closely with the short-term care & Adult day care population and provides seminars & lectures on nutrition education, giving them relevant tools that they can utilize to improve their nutrition when they are returned back to their home environment.

Rebecca has fun interacting with our residents, often joining in their karaoke jam sessions
and other activities.

Rebecca believes that communication between staff, residents & families is fundamental in achieving the best possible outcome for her patients.

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