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We Will Do All We Can to Protect Our Beatitudes Family

Mon, September 20, 2021 Published by

Beatitudes Campus mission commits all of us to a model of service for our residents – to inspire purpose and vibrancy in all that we do. Our mission compels us to do all we can so that we do no harm to the ones we love and serve. We are so grateful to our Beatitudes Strong staff, particularly in the last 19 months, who have lived out our mission and worked hard to protect our Beatitudes family and ensure the safest environment possible.

Below is a letter I sent to every staff member, informing them of the policy.

I want to thank all of you for your steadfast support and flexibility throughout the past 19 months of this pandemic. I hope that you and your families are doing well despite the many challenges we have collectively faced and continue to experience because of the pandemic.

Over the past month, much has happened both nationally and locally within life plan communities, such as Beatitudes Campus, regarding COVID-19 vaccines and requiring staff to become vaccinated. As we have always said, we will follow the science, and the science overwhelmingly points to the vaccine’s critical role in protecting our residents, our community and each other from this deadly disease.

We carefully deliberated and reviewed recommendations from scientists and the medical community and the requirements from the Centers for Medicare and Medicaid Services (CMS) and we have made the decision to require all Beatitudes staff and contractors to be fully vaccinated for COVID-19 by no later than November 15, 2021. Concomitant with this decision, on August 18, 2021, the White House announced an initiative to increase vaccination rates in America that included mandatory vaccinations for long-term care workers in nursing homes. The Centers for Medicare & Medicaid Services (CMS) followed quickly with an announcement of forthcoming regulation mandating vaccinations for all staff working in nursing homes. On September 9, 2021, President Biden signed an executive order that included the provision that 17 million health care workers at all facilities, hospitals, home health providers, dialysis centers and other health service providers that receive funds from Medicare and Medicaid be fully vaccinated.

This decision was not an easy one to make. We know that this requirement will affect a portion of our staff. But as COVID-19 variants emerge and proliferate, it is critical that we protect everyone who lives and works at Beatitudes Campus. Our campus mission commits us to a model of service for our residents that promotes soundness of mind, spirit and body. We chose to work in the field of aging so that we could serve some of the most vulnerable people in our communities, and we owe it to them to take every measure possible to ensure the safest environment possible. Our residents and staff expect to be safe at Beatitudes Campus and we need to do everything we can to protect our Beatitudes family. We have a unique and special responsibility to keep the campus as safe as possible to protect our residents and staff, especially as the risk environment rises, as it has during this pandemic.

We understand that this may be a heavy and emotional issue for some staff. There will be a very limited allowance for exemptions for our staff from being vaccinated. Those exemptions will be for legitimate, fully documented medical reasons as well as fully documented long-held religious beliefs. We also understand that some Beatitudes staff will choose not to be vaccinated who do not qualify for one of the rare exemptions. We urge those employees to reconsider based on facts and science. We are all in this together. Together we serve our residents and together we have a collective responsibility to keep them as safe as possible. We encourage you to talk to your manager or director, or, alternatively, we will have our spiritual life team of Rev. Peggy Roberts and Rev. Andrew Moore as well as our nurse educator, Karen Mitchell, who can talk with you confidentially.

Beatitudes Campus policy for a vaccine requirement has been distributed, as well as the forms should you seek an exemption.

Please take a moment to reflect on why you chose to work at Beatitudes Campus and with the seniors who live here. The campus would not have a 56-year history of success without the contributions of a dedicated staff. Throughout this pandemic you have demonstrated your dedication and bravery in the face of unprecedented and challenging circumstances. The residents you love to serve, the residents you help to live their best, most successful and engaged life, are enriched by the Beatitudes team. They deserve to live in the safest community possible. We must do everything possible to deliver a safe environment for them.

We are Beatitudes Strong! Thank you.

Sincerely,
Michelle Just, President and CEO

Arizona State Retirement System Changes

Sun, February 10, 2019 Published by

Are you an Arizona State Retiree who gets health insurance through your retirement plan? This year the Arizona State Retirement System (ASRS) announced a change in one segment of its retiree health insurance.

ASRS has traditionally had two plans to choose from: they offered both an HMO Plan (Medicare Part C) and a Medicare Senior Supplement (Original Medicare with Part B Supplement, also called a Medigap plan). If you previously had Medicare coverage through the ASRS HMO Plan, these new changes do not affect you. If, however, you had Original Medicare with a Senior Supplement through ASRS, the 2019 changes will affect your coverage.

Both ASRS plans rely on “passive enrollment,” which is a convenient way for people to keep their current plan from year to year. This year, however, retirees who had the Senior Supplement Plan (not the HMO) were passively enrolled out of Original Medicare and into a Preferred Provider Organization (PPO) through UnitedHealthcare (the same insurer who provides coverage for the HMO beneficiaries).

The “behind the scenes” problem with this change is that retirees were not informed that by enrolling in a Medicare Advantage Plan, they would lose “guaranteed issue” to future Supplement / Medigap policies. Guaranteed issue means that you have the right to buy a policy without medical underwriting, which can lead to denials of coverage or inflated prices based on age and health conditions. Another concern is that the new lower premiums, while attractive, are due to a temporary rate adjustment, and future costs may not remain low.

How might this affect you? Both our contracted outpatient services through OASIS and our Campus Home Health program accept Original Medicare but not Advantage Plans (HMOs or PPOs), with the exception of Home Health accepting UHC Community and UHC Dual Complete (AHCCCS). For example, if you are a retired teacher previously on the ASRS Senior Supplement Plan, you are now on a PPO Plan. You may have had physical therapy on campus as an outpatient, or through the campus Home Health service. Now, however, you will not be covered and will need to seek outpatient services off campus, and Home Health from an outside agency.

SHIP Medicare Counselors believe individuals can get better coverage at a better price by remaining on Original Medicare with a Supplement and Part D coverage. The new deadline to change your Medicare coverage from the new PPO to Original Medicare with a supplement is March 3rd, 2019.

If you are affected by this change, and wish to speak to a Medicare counselor about making a change, please let Josephine know no later than February 15th at x16117.

New Medicare Cards

Sun, January 6, 2019 Published by

Medicare has recently changed their health insurance cards.  If you have traditional Medicare, you will notice that previously your Social Security number was used as your medical identification number as well as your Medicare Number.  As we know, over the past several years there has been nationwide concerns with identity theft and this is one way Medicare is addressing the concerns to minimize the risk of future identity theft.

Most of you should have already received your new Medicare card in the mail.  If you have not, please contact the Social Security Administration to ensure your address is correct.  You may contact them at ssa.gov/myaccount or by calling 800-772-1213.

It is important that when you receive your new card that you destroy your old card and replace with the new one which has a unique combination of letters and numbers and provide a copy to all of your health care providers. Please see the example below.

In addition to replacing your card, we are requesting all residents/responsible parties to provide accounting with a copy of your new card.  You may take it personally to their office in Agelink or it can be sent in with your monthly payment so that the new information can be updated in your Electronic Record here on campus.  Accounting’s office is open from 7:30AM to 4:30PM Monday through Friday.

Having the most up-to-date information will assist with transition so that if you are sent to the hospital we can provide them with the most current and up to date information.  Additionally, it allows a smooth billing of Medicare if you are admitted to the Health Care Center for a short stay or need to utilize Home Health or Outpatient Therapy services on campus.

Please be advised that only health care professionals should be requesting your Medicare card.  The Centers for Medicare/Medicaid Services (CMS) also wants beneficiaries to beware of anyone who contacts you about your replacement Medicare card, as scammers have already targeted recipients with new ploys. CMS officials say they will never ask a beneficiary for personal or private information or for any money as a condition of getting a new Medicare number and card.

If you have any questions, please do not hesitate to contact me at x16111. *

Are You ALTCS Curious?

Sun, July 29, 2018 Published by

The Arizona Long Term Care System (ALTCS) is designed to help people pay for long term care. Part of the Arizona Health Care Cost Containment System, AHCCCS (pronounced “access”), ALTCS (pronounced “all-tex”) provides support for both children with substantial needs as well as older adults. ALTCS is part of the Medicaid system, and it has very specific medical and financial qualifying guidelines.

To qualify medically, applicants will be interviewed by a nurse or social worker who will come to your apartment. The interviewer will ask for a list of current medications and recent medical records. Questions are designed to evaluate activities of daily living (“Can you dress yourself? How long does it take?”). They may ask about recent falls, as well as orientation to time and place. In order to qualify medically an applicant’s level of need must be determined to be at or near a nursing home level of care. I often observe these interviews on Campus and have found the interviewers to be friendly and helpful.

While the majority of people who receive ALTCS services do live in assisted living or higher level of care, an ALTCS designation does not mandate setting.  If an individual lives at large in the community, or in an independent living apartment here on Campus, they can still qualify for ALTCS services. However, in these cases ALTCS will provide (pay for) caregivers to assist with needs; these caregivers can be from an agency or someone of your own choosing, including your spouse. If you are in independent living, ALTCS will not help pay for rent. If you live in assisted living, they will.

The second qualifying category is financial. Income and assets are evaluated to see if a person meets the qualifying standard. If you have over $2,000 in a checking account, or earn more than $2,250 per month (these numbers change for married couples) you will not appear to be financially eligible. However, the financial guidelines can get complicated. For example, if you earn over the monthly limit, but meet other criteria, you can have an income-only trust set up that will allow you to qualify. It can pay in the long run to have your application handled by experienced ALTCS planning professionals or elder law attorneys. Please feel free to contact me at x16117 if you have questions about ALTCS.*

Beware; You Need to Be Aware

Sun, July 29, 2018 Published by

For those of you with Medicare Part A and Part B insurance, the following may come as a surprise to you.  What I am referring to is, over the last few years, there had been an increase in the hospital admission practice of admitting patients under an outpatient “observation” status versus an “inpatient” status.  While we don’t see this happening as often, it is still something to be aware of and keep fresh in your mind.

Some Medicare patients have found that after being admitted into the hospital for a few nights, they were then discharged to a skilled nursing facility and that their stay was not going to be covered under their Medicare Part A benefits because when they were admitted to the hospital, they were admitted under an outpatient “observation” status.

The difference between an outpatient “observation” status and “inpatient” status according to Medicare.gov, is that an “inpatient” status means you are formally admitted to the hospital per a doctor’s order.  An “observation” status means a doctor has not written an order to admit you to the hospital.  This may be the case if you are getting emergency care, observation services, outpatient surgery, lab test, x-rays, etc. Medicare.gov also states, “The decision for inpatient hospital admission is a complex medical decision based on your doctor’s judgment and your need for medically necessary hospital care. An inpatient admission is generally appropriate when you’re expected to need two or more midnights of medically necessary hospital care, but your doctor must order such admission and the hospital must formally admit you in order for you to become an inpatient.”

What does all of this mean? If you have been admitted as an “inpatient”, Medicare Part A will cover your hospital services after you have met your deductible as well as will cover eligible drugs administered as part of your inpatient treatment during a covered stay.  Medicare Part A will also cover 100% for the first 20 days in an approved skilled nursing facility or rehab if the patient had spent at least three midnights in the hospital admitted as an “inpatient”.  If you were classified as “observation”, Part A will not cover the services.  Medicare Part B can cover your hospital services; however, a copay is required and varies depending on the service.   Additionally, prescription drug coverage during an outpatient “observation” stay is not covered by Part A or Part B potentially leading to more out of pocket expenses.   Medicare Part B may be used in skilled nursing facilities to cover the physician visits as well as the rehabilitative therapies prescribed.

What can you do to avoid this type of situation?  AARP offers the following tips:

  1. Ask about your admission status each day you are in the hospital as it may change.
  2. Ask the hospital doctor to reconsider your case if you were admitted under an “observation” status.
  3. Ask your own doctor whether “observation” status is justified. If not, ask him/her to call the hospital to speak with the hospital doctor for an explanation.

For more detailed information on how Medicare covers hospital services, including premiums, deductibles, copayments, or any other questions you have about Medicare, you may reach out to Josephine Levy, our Success Matters Resource Navigator who is also a Medicare State Health Insurance Program Counselor, at x16117.  You may also visit Medicare.gov/publications to view the “Medicare & You” handbook or call 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048.*

What We Know Right Now…

Mon, September 11, 2017 Published by

As we shared in the Roadrunner last week, the on-site HonorHealth Clinic will be closing effective October 31, 2017 per the decision made by HonorHealth. Dr. Mawyer will continue to schedule appointments until Friday, October 20, 2017 and then he will be moving to an HonorHealth clinic located at 62nd Avenue and Bell Rd on the west side of town. For those not interested in traveling that far to continue to see him, HonorHealth has recommended another physician who is available at the HonorHealth Clinic located at 9100 N. 2nd Street, Suite 121. This building is located at 2nd Street and Hatcher by the hospital. Dr. Berdeja specializes in Geriatric Medicine and she will be available if you would like to continue to see an HonorHealth provider going forward. You may schedule an appointment at (602)997-7331.

If you are a current patient of Dr. Mawyer’s and have not received a letter in the mail, Dr. Mawyer’s office has copies in their office as well as an authorization form to sign if you would like your medical records sent to a different provider. We will miss Dr. Mawyer, Misty and Ericka and wish them well in their new endeavors.

Please know that we are actively seeking a new on-site physician or physician group to provide services to all of you. Our goal would be to find someone who is willing to see patients at all levels of care, including independent living as well as assisted living which will provide additional continuity of care as resident’s move through the continuum on campus. If we have not found anyone to come on campus by mid-October, we will ensure you have been provided with a list of nearby physicians. We will host a meet and greet with Dr. Berdeja as well as continue our search to find an on-site provider.

I will continue to keep you posted on our progress in finding a new provider as it is very important to us to ensure you continue to see a physician as needed and to make it as convenient as possible for you. Thank you for your patience and understanding.

You may have also heard that John Marlow, the Physical Therapist that joined us at the beginning of August is no longer on campus. This unfortunately is true and we apologize for any inconvenience this has caused. Covenant Alliance Rehab, the company we contract with for our campus rehab services, is actively recruiting for his replacement and has two interviews scheduled already.

In the meantime, Emmerson Salamat, PT, has been filling in along with a couple of Physical Therapy Assistants, Eric and Holly. As Jeff Olson, Regional Director of Covenant Alliance Rehab has shared, Eric and Holly will be helping out and have the ability to treat patients to help expand coverage for the time being. Additionally, Jeff Olson will be attending October’s Resident Town Hall to apologize for the lack of consistent staff along with providing an update on the search if someone new has not been found by then. We encourage you to continue to utilize the Beatitudes Outpatient Rehab Clinic for your rehab needs during this transition time. Covenant Alliance Rehab has assured us that only qualified staff are hired and on-site. Please don’t hesitate to call x16158 if you have any questions for the therapists or would like to schedule an appointment. You may contact me at x16111 for any questions or concerns as well. Thank you again for your patience and understanding. I will continue to provide updates on this as well going forward.

Safety Tip: Heat Exhaustion

Fri, May 19, 2017 Published by

Heat exhaustion is most likely the culprit when a worker experiences an excessive loss of water and salt and is sweating profusely. Among those most prone to heat exhaustion are employees who work in hot environments such as laundry, grounds, cooks, and maintenance, or who have high blood pressure or who are elderly.

Heat exhaustion symptoms include:heat-clipart-gceLkArcd

  • Nausea
  • Heavy sweating
  • Muscle cramps
  • Dizziness, confusion
  • Clammy, moist skin
  • Pale or flushed complexion
  • Fast and shallow breathing
  • Extreme weakness or fatigue
  • Slightly elevated body temperature

According to the Arizona Department of Health Statistics, nearly 1,500 people in Arizona died between 1992 and 2009 from exposure to excessive natural heat due to weather conditions.

Employees working in hot environments should be trained in first-aid treatment of heat exhaustion. When workers succumb to heat exhaustion:

  • Place them in a cool, shaded or air conditioned are to rest.
  • Help them drink plenty of water or other cool non-alcoholic, non-caffeinated beverages.
  • If possible, have them take a cool shower, bath, or sponge bath.

thirst-1409747Some common myths about heat stress are:

  • Medications and health conditions don’t affect one’s ability to work safely in the heat. Health and medication can affect how the body handles working in high temperatures. Workers at risk in high temperatures are those who are obese and/or have diabetes or cardiovascular disease. Medications to control these ailments can affect a body’s ability to cool down.
  • Unlike heat exhaustion, there is no sweating with heat stroke. Workers suffering from heat stroke may continue to produce sweat, as well as to show symptoms of confusion, loss of consciousness, seizures and high body temperature. Heat stroke is life-threatening and must be dealt with immediately: give first-aid treatment and call 911 for medical help.
  • Using salt tablets will restore electrolytes lost to sweating. Do not use salt tablets unless a doctor approves their use. Workers should drink small amounts of water (1 cup per 15-20 minutes) to maintain good hydration. Eating regular meals and snacks provides enough salt and electrolytes to replace those lost through sweating, as long as enough water is consumed. However, drinking extreme amounts of water is harmful; workers should generally not drink more than 12 quarts (48 cups) in a 24-hour period.
  • Taking a work break in an air-condition are will ruin workers’ acclimation. Air-conditioned break areas offer an effective way to cool down.

For more information and tips on how to avoid heat exhaustion visit www.copperpoint.com and search for “Heat Stress”.

Source: CDC, NIOSH

Healthy Living for Healthy Lungs

Mon, March 13, 2017 Published by

With warmer spring weather arriving, we are all enjoying the welcoming temperatures of the season and spending more time outdoors. But with spring comes higher pollen counts and an increase in allergic symptoms. In Arizona, allergens cause more severe and prolonged allergy symptoms due to the extended growing seasons. Phoenix residents also endure more air pollution in the form of soot, dust, aerosols and emissions than most large cities, which can exacerbate allergy symptoms, as well as other lung conditions like asthma and chronic obstructive pulmonary disease (COPD).  Allergies, asthma, and COPD combined affect over 56% of the population, and COPD, in particular, has a higher rate of occurrence among older adults.  But breathe easy…we’ve got you covered.

Better Breathers is a group sponsored by the American Lung Association, which meets every 2nd Monday of the month at 4PM in the Motion Studio.  This group supports individuals with various lung conditions and provides valuable insights and tools for lung health.  Under the thoughtful leadership of resident, Barbara Carpenter, the Better Breathers hosts speakers and regularly addresses topics, such as:

  • How COPD, asthma, and allergies affects the lungs
  • Breathing techniques and relaxation to manage lung conditions
  • Exercise
  • Talking with your physician
  • Medications and other treatment options
  • Air pollution

Like many residents on campus, participants in Better Breathers are committed to living their lives to the fullest, despite physical challenges that may arise.  Through peer support and education, Better Breathers helps residents and community members learn proactive ways to face lung conditions head on and embrace life!

On March 25th, members of the Better Breathers group will be making a special trip to the LUNG FORCE Expo. The LUNG FORCE Expo is a program designed for patients, caregivers and healthcare providers to learn more about the latest trends, resources and research surrounding lung conditions.  Speakers from a variety of fields will present current medical information on topics that have the most impact on those whose lives are touched by these conditions.

If you’re interested in learning more about Better Breathers or attending the LUNG FORCE Expo, join us Monday, March 13th at 4PM in the Motion Studio or catch us next month on April 10th. 

Solve the Puzzle

Mon, February 20, 2017 Published by

The puzzle of advance care medical planning has several factors working against it: while many of us have thought about what types of care we would – or would not — want if we were unable to communicate our wishes, only about one-third of adults have completed plans that make these wishes known. Of those over age 65, that number increases to just over half.

Like tax forms, these documents meet the needs of procrastinators nationwide. They seem, somehow, both complicated and boring at the same time, but are nevertheless essential to complete. Unlike taxes, there is no federal law compelling us to complete them. That is why April 16th has been designated as National Healthcare Decision Day, as a gentle nudge to move forward with this very personal task.

Barriers to completing this puzzle are typically either emotional or informational. We either simply don’t want to think about (or cannot imagine) a time when we are unable to exert control over ourselves and our bodies, or we aren’t sure how to go about making our wishes known ahead of time. However, the benefits of doing so far outweigh the minor inconvenience and forced introspection of putting a plan in place.

Not having documents such as Health Care Power of Attorney, Mental Health Care Power of Attorney, and Living Will compromise your independence when you need it most. We need to be able to assert our wishes so that our values can emerge even under difficult circumstances, should they arise. In this spirit, I invite you to attend the Advance Planning Puzzle 101 on Wednesday, April 12th, from 2:00-3:00PM in the Agelink Great Room. We will review the scope of these three documents, as well as how to complete them and what to do with them once completed. No need to RSVP for this event.

Upcoming Focus Group

In addition to helping you with your Advance Planning needs, I would love to hear from you about other issues or resource assistance you feel is relevant to improving your experience here at Beatitudes Campus. I will be meeting informally with interested residents on Tuesday, March 7th, from 10:00 to 11:00AM, here in the Success Matters office in the Agelink building. If you’d like to stop by, please let me know at x16117. If you can’t make it that morning, just give me a call to share your thoughts any time.

Medicare Benefits and YOU

Sat, September 24, 2016 Published by

1620218Late each year, beneficiaries are offered the opportunity to review their Medicare plans and make changes accordingly during the Medicare Open Enrollment Period. Understanding how your insurance selection impacts you is more important today than ever before. This is crucial since the Affordable Health Care Plans and Medicare are key Congressional discussion items.

To help educate and inform you on Medicare updates and available options, we have asked a third party insurance consultant, Ellen Dean from Dean and Associates, to come and discuss changes in Medicare on Monday, October 19th at 2:30pm in the Motion Studio at the Nelson Administration Center.  Mrs. Dean, an expert on senior health insurance since 1992, will inform you on the complexities of Medicare Insurance Coverage and Part D Prescription Drug Coverage.  Ellen’s partner, Katie Ponton, will also be available to specifically discuss changes directly related to the 2017 Part D Drug Plans.  Additionally, Ellen has agreed to meet individually with residents and their families to evaluate insurance coverage and re-enroll you into a different insurance plan if you so desire.  Medicare open enrollment is scheduled for October 15-December 7, 2016 with changes effective for a January 1, 2017 start date.  As a Certified© Financial Planner and Health Insurance Broker, Mrs. Dean and Katie work with many insurance companies and are not restricted to a limited few….their expertise is highly valued!

Like many health care providers, we are not contracted with many Medicare Advantage HMO Plans.  This is due, in large part, to the fact that many HMOs do not reimburse our Health Care Center at the rate that covers the cost of care provided.  Offering high-quality skilled nursing care services is important to us because we know these services are important to you and your family.  In addition, to add to our continuum of care, the services offered by Beatitudes Home Health are only reimbursed by Medicare at this time, as well as our outpatient therapy clinics which are contracted with Medicare and very few other insurance companies.

It is essential that you understand your current options and find a plan that works best for you in regards to costs and access to care.   Our experience has shown that residents who have Medicare with a traditional supplement have greater satisfaction with health care services.  These residents have more choices in providers and may see lower out-of-pocket costs in the event of a medical emergency, post-hospital skilled care event, or cancer treatments.

I hope you will join us on October 19th for this special informational session covering the 2017 Traditional Medicare vs. Medicare Advantage plan (HMO) Benefits. Additionally, you may set a private appointment with Mrs. Dean right here on Campus by calling 602-266-9200. *

Health Insurance Reminders

Fri, May 13, 2016 Published by

Just a few reminders to help you get the best use out of your Campus-provided Health Reimbursement Account (HRA) dollars each year ($2000 for employee only and $4000 for employee plus dependent(s)):

  • If you’re on the Cigna HIGH (open access) plan – the HRA dollars will automatically be applied to all of your doctor visits (no additional card needed).
  • If you’re on the Cigna MIDDLE (LocalPlus and CMG network) plan – you will need to use your black/purple Ameriflex Visa card for covered HRA expenses.  Note: if you seek treatment at a specialist or outpatient clinic, you will need to pay cash/card for your visit and seek reimbursement through Ameriflex.  Claim forms are available online, through their smart phone app, or in HR.
  • If you’re on the Cigna LOW (CMG network only) plan – you will need to use your black/purple Ameriflex Visa card for covered HRA expenses.  Note: if you seek treatment at a specialist or outpatient clinic, you will need to pay cash/card for your visit and seek reimbursement through Ameriflex. Claim forms are available online, through their smart phone app, or in HR.

**Keep in mind – you cannot use HRA dollars on ANY PLAN for Prescriptions ($20/$40/$60 copays), Urgent Care ($75 copay), or Emergency Room ($400 copay, waived if admitted).  You will need to pay cash/card for these copays.  This helps you save and protect your HRA dollars for serious medical injuries and illnesses.**

See HR anytime if you have additional questions about any of your benefits!

HRA Proper Usage 2015