Episode Transcript
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Speaker 1 (00:02):
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(00:23):
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right choice for your higher education. Let's start the show.
Speaker 2 (00:35):
Welcome to Leecom Health Metas. Our guest today is our
good friend, doctor Jamie Babiac, who's the operations director of
everything that is aging at Leecomm. Jamie, welcome back to Leecomb.
It's good to have you here.
Speaker 3 (00:48):
Thank you very much for having me.
Speaker 2 (00:50):
Before we get into this, perhaps it's good if you
give our audience an overview of exactly what you do
and do so very well in terms of the senior
living units that we run.
Speaker 3 (01:01):
Sure so, as Mon Senior said, I'm director of operations
for our Lecom Institute for Successful Aging, which encompasses three
skilled nursing facilities, three personal care and independent living facilities,
two additional independent living facilities, home health agency, hospice agency
home care company with a shared housing living arrangement, and
(01:25):
numerous different educational and vaccine testing and grant related programs
as well.
Speaker 2 (01:32):
Jamie, how many beds do you actually cover in totality?
Speaker 3 (01:37):
So skilled nursing skilled nursing is three hundred and eighty
nine and then when you add in the personal care
close to six hundred.
Speaker 2 (01:45):
So it's a huge responsibility. Let's begin first with clearly
we are an aging population. I read somewhere that in
Pennsylvania there are something like eighty thousand Pennsylvanians who reside
in something like seventeen or eighty en facilities, and I
suspect as my generation and me age nursing homes and
(02:07):
skill livings become a necessity. But you went through a
list of different kind of facilities, could you just break
down for those who are listening exactly what they are
so people have a sense before we go into the
process of getting into them.
Speaker 3 (02:25):
Sure, So what we kind of would start out with,
which would probably be the most consistent next step when
leaving your own home, would be an independent living situation,
which is like a senior apartment. So a lot of
advantages there that may not be someone that totally needs
any kind of care for them at the time, but
they might be ready to transition, whether it be the
(02:47):
downsize to eliminate any yard maintenance or snow removal, different
things like that that the building in and of itself
would be doing for you. Some of our buildings offer
meal plans with this option, and lots of different activities
that go on anywhere from exercise classes to music and entertainment.
So just from a socialization standpoint and any kind of
(03:09):
downsizing options, the next level would be more of a
personal care or assisted living, which is another term folks
are familiar with, or the home care option. So the
homecare option could be services that are added on to
any care setting really so in your own home, in
a senior apartment or anything like that. This would be
(03:31):
the equivalent of a private duty aid that would come
and help with things such as bathing, dressing, maybe some
meal planning, maybe making a grocery list, maybe just general
companionship and personal care would be needing more like one
to two hours of nursing care a day for someone
(03:51):
that might need maybe help with doctor's appointments, help with
medication management, same thing along the lines of the bathing
and dressing, but a little bit more involved. From a
nursing standpoint, The highest level of care that we have
within our settings is skilled nursing. This is twenty four
to seven care where being taken care of by direct
(04:12):
care staff such as a nurse's aid, a nurse, and
then a number of interdisciplinary team members based on the
specific patient needs, so maybe a dietitian, be a womb nurse,
maybe a therapist either occupational, physical or speech therapy, and
then a number of you know, additional members of the
team depending on the needs. And ultimately hospice care which
(04:35):
can be provided anywhere really in the skilled nursing setting,
in the personal care setting, in the community setting, and
our home health oh.
Speaker 2 (04:44):
Sorry no, please continue.
Speaker 3 (04:48):
And our home health is kind of the last one
that is also one that can be provided. It's a
skilled nursing set of services. So it's either a nurse
or a therapist that comes in and does any strengthening
and we have or maybe nursing care that consists of
ivy medication or wound care something more involved that would
be done either in the home setting or in the
(05:08):
personal care setting.
Speaker 2 (05:10):
So clearly you're in charge and we are offering almost
a continuum of services from when someone simply want not
simply but wants to get out of the house, get
rid of the grass, get rid of all of that
responsibility as they can go through different disease. We offer
and you're responsible for all of that. Correct, Correct? Yeah,
(05:32):
mom and dad. My mom and dad are at the
point that I think they should get out of the house.
I'm not sure that they're safe in the house. What
do I do? Because I think people are not uncomfortable,
but people need the sense of who do I call,
where do I go? How do I start all of
(05:53):
this process of even knowing what type of facility that
they need, What should I do?
Speaker 3 (06:00):
It's definitely a difficult conversation to have, especially when different
family members might have different opinions about what would be best.
Speaker 2 (06:07):
So what I.
Speaker 3 (06:08):
Would suggest starting out is, for example, we have a
direct line which goes to one of our team members
which is eight one four eight six eight three eight
eight three. He will get you in touch with any
number of team members that would maybe kind of come
out and visit you, see you in your own home,
maybe evaluate how you move about your home, what kind
(06:30):
of things you need, what's going on medically if that's
something you know that might be a need and just
kind of see what level of care might be appropriate,
and we can do that. You know, at any point
in time, there's many members of our team that are
willing to do that and are very very in touch
with our continuum of care that would be able to say,
(06:51):
you know, I think this might be the right setting
for this individual.
Speaker 2 (06:54):
So people actually just to repeat, but I think it's
important for the audience to hear this. If I'm worried
about it, and I call that number that you mentioned,
someone would actually come to me and evaluate, say, my mother,
how she moves about the house, and in their professional opinion,
what she really needs in terms of quality care for her.
(07:18):
A difficult decision and a difficult conversation, clearly, but one
that in a sense the relative doesn't have to in
a sense worry about because we'll provide them that assistance
of walking through that conversation.
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Speaker 3 (08:28):
That's one of the that's one of the best initial
pieces to start with, just because then you know everything
after that you know then you know what kind of
what kind of options do I have? And you can
really start to dive in and look at those.
Speaker 2 (08:41):
Okay, And if the admissions representatives suggested to me that
my mom should go to this particular place, what then
would be the next step? Would I be able to
tour it or should I to tour it? Would I
take a look at it? Could I talk to people
or is that not permissible?
Speaker 3 (09:01):
No, that's absolutely the best next step. So taking a
tour of any locations that might fit that level of
care that is needed is certainly a great way to
get kind of a sense of what the building is like.
We even have at our locations for personal care. For example,
we have a guest apartment. So if it's even something
(09:23):
where you say, hey, I kind of want to stay
the night and I want to eat breakfast year in
the morning because I really want to get the full
feel of what it's going to be like, that's an option.
So that's definitely something that would help kind of get
a sense of the building, the population and kind of
what goes on there, maybe see some activities throughout that
time instead of just taking a quick tour. But obviously
(09:44):
a quick tour seeing a couple different sized rooms and
options of rooms is certainly the best next step.
Speaker 2 (09:50):
But those tours are available, and as you suggest that
they're important that people take so they feel comfortable when
they put their loved one and someone else less care.
Speaker 3 (10:03):
Correct.
Speaker 2 (10:04):
Okay, And then obviously part of this and one hates
to bring it up, but it's the reality is the
finances up. But how does that end of it work?
And I know that's a complicated question that takes time
to sort out. So in generalities, how does the finance
end if it work out in terms of you evaluating
someone's capacity to pay and what kind of support they
(10:27):
can get.
Speaker 3 (10:30):
So certainly knowing the level of care that's appropriate for
the patient's needs is the first step. So if we're
having someone evaluate them, you know, it could even be
their their physician, their PCP that says I think, you know,
this might be right. But knowing that level of care
is the first stop, because that's something that we'll say,
you know, am I going to pay X amount per day?
(10:50):
Or am I going to pay you know a lot more,
which you know, depending on the level of care, could
have a very broad range. So that's the that's the
first step, and then that can kind of tell you
how how long is this going to last me? How
long you know do I have? Do I have to
sell a home? So a review of all of the
assets is important, and really we suggest to a lot
(11:12):
of folks to find an elder attorney that would help
them and kind of make sure that their best interest
is in mind, especially if there's a lot of assets,
and there's a lot of, you know, different things going
on from the family finances or things like that that
might be confusing and kind of hard to uncover to
really see what's there to help them take that care
to the next level.
Speaker 2 (11:33):
Now you used the phrase I had never heard before,
an elder attorney. In other words, there are specialized attorneys
out there who will sit other than with you who's
obviously going to offer the service, and once the level
of care is determined, can go through a person's assets
and help them understand from a detatched perspective what they
(11:54):
should do to be able to afford appropriate care. Do
I have that right? Yep, correct, I'd never heard such
a term like that before, and you would recommend in
some cases that that is a necessity. How about if
someone is unable to pay.
Speaker 3 (12:12):
If someone is unable to pay, a lot of times
there are services in the community, So there's waiver services
in the community that someone could qualify for, which would
be something that we would take as providers in part
of our home care or shared housing program. So that's
an option as well as medical assistance depending on the
level of care, that would be something in the skilled
(12:34):
nursing facilities that would be acceptable as well.
Speaker 2 (12:37):
But all of these, Jamie, financial requirements and financial assistance.
Our job and your team's job is to help people
walk through these because I don't suspect many people know
the answers when that first team representatives goes to their
home to determine what level of care is there. And
(12:58):
once that's determined, my guess would be most families are
really somewhat intimidated by the financial piece of it. Our
job is to make them comfortable with it and provide
them their resources that they can objectively look at the
finances of it, like with elder attorneys and with if
they can't pay other providers that may help them. That's true, correct, Correct? Yeah,
(13:24):
How long Jamie does that process if evaluation normally.
Speaker 3 (13:28):
Take depending on how readily available documents are, you know,
bank statements, any assets, you know, savings, bonds, all that
kind of stuff, They could take you know, a couple
of weeks or a couple months, depending on I think
the motivation of how quickly you want to get things moving.
Speaker 2 (13:49):
But probably if someone is beginning to sense that their
mom or dad are going to need some care, the
sooner they jump into the process, the better, and would
it be acceptable for someone who's listening to this to
name I know that in six months, my mom and
dad don't need care, but I'm fairly certain any year
they will. Would it be appropriate for them to make
(14:11):
those initial contacts? Now?
Speaker 3 (14:16):
I think absolutely. I think it's you know, a very
intimidating conversation for some. You know, it can be very
upsetting for some to move from a home that they've
been in for maybe sixty years and downsize into an apartment. However,
I would say taking advantage of these types of things,
or at least educating yourself about it before it's something
(14:37):
that you need to do in a hurried respect, would
be so valuable because that'll really tell you what's out there,
you know, what place is the right fit for you,
instead of just choosing one in an urgent fashion. So
I really think, you know, and there's benefits, there's social benefits,
and we're all kind of striving for that right now
(14:58):
after you know, three years of COVID. There's social psychosocial
benefits at different activities that might be beneficial for some folks,
even if they're not ready for that care just yet.
Speaker 2 (15:09):
What's interesting you say that because for how many years
were our nursing facilities pretty much on lockdown one or two,
if not longer, And that had to be difficult. When
you reintroduce that social dimension, that relationship dimension that they
can enjoy now with their families being able to come
in and with their fellow residents. That's got the plan
(15:30):
to the well being and the wellness of our residents,
don't you think, you know, I think that's got to
be an in definitely thing for our residents that they
know that they can feel comfortable. So if someone's listening,
what's the first point of contact? What was that phone number?
(15:51):
You know? Yep?
Speaker 3 (15:54):
So first point of contact and our main line for
any inquiries is eight one four eight six eight three
eight eight three, And.
Speaker 2 (16:02):
That would put them in touch with whom Jamie.
Speaker 3 (16:05):
That would put them in touch with Gary, who is
actually our community director at Parkside, Westminster, which is one
of our indetendite living communities. Gary answers the phone all
by himself, So he's a wonderful guy. You get to
talk to a real human and he will get you
to the next best person for whatever the need may be.
Speaker 2 (16:24):
And I think it is interesting you say that Gary
is a good guy and a real human. I think
that's our goal throughout the entire Institute for Successful Aging
to build places where seniors can build human relationships one
with another. We're not just taking someone and saying here's
your room and here's your bed, and that's it. This
(16:45):
is a place where hopefully you can learn to relate
to your fellow residents, relate to the physicians who will
care for you, and the staff that will provide activities
to provide a holistic care for them. And I think
that's important. So I want the first thank you for
what you do. I mean, we are an aging population.
This is a reality that everybody simply has to face.
(17:07):
And I think what you have done in the facilities
that you run is make it as humanizing as possible
and to diffuse the institutionalization part of it. And for
that we thank you. Our guest today has been doctor
Jamie Mayby, acted Director of Operations of a Plea Common
Institute for Successful Aging. She will take your phone call
(17:28):
if you can get her, and Gary will surely answer
and walk you through anything if you're relative to Jamie.
Thank you today for being with us. We appreciate thank you.
Speaker 3 (17:39):
Have a good day,