Tom aka Rusty RustbeltHEALTH CARE – PUBLIC POLICY DILEMMA Fifty years ago much mental illness treatment was done in-patient in state run facilities, and many of them were hellholes (One Flew Over the Cuckoos Nest was probably too positive compared to what I saw early in my career). The de-institutional movement (starting in the late […]

by Tom aka Rusty NURSING HOME REGULATORY FIASCO – PART I Nursing homes are subject to a two part interactive regulatory system (plus several others) used to calculate certain reimbursement levels. The Minimum Data Set 2.0 (MDS) is a clinical reporting system that is supposed to improve care by having nurses do more paperwork (more […]