Advanced Home Health Awarded Home Care Accreditation

Source: Advanced Home Health  |  2017-03-02
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Advanced Home Health, Inc. today announced it has earned The Joint Commission’s Gold Seal of Approval® for Home Care Accreditation by demonstrating continuous compliance with its performance standards. The Gold Seal of Approval® is a symbol of quality that reflects an organization’s commitment to providing safe and effective care.

Advanced Home Health, Inc. underwent a rigorous onsite survey. During the survey, compliance with home care standards reflecting key organization areas was evaluated, including the provision of care, treatment and services, emergency management, human resources, individual rights and responsibilities, and leadership. The accreditation process also provided Advanced Home Health, inc. with education and guidance to help staff continue to improve its home care program’s performance.

Established in 1988, The Joint Commission’s Home Care Accreditation Program supports the efforts of its accredited organizations to help deliver safe, high quality care and services. More than 6,000 home care programs currently maintain accreditation, awarded for a three-year period, from The Joint Commission.

“When individuals engage a home care provider they want to be sure that provider is capable of providing safe, quality care,” said Margherita Labson, RN, MS, executive director, Home Care Accreditation Program, The Joint Commission. “As the home care setting becomes increasingly popular, it is important that home care providers are able to demonstrate that they are capable of providing safe, high quality care. Accreditation by The Joint Commission serves as an indication that the organization has demonstrated compliance to these recognized standards of safe and quality care.”

Advanced Home Health, Inc. is pleased to receive accreditation from The Joint Commission, the premier health care quality improvement and accrediting body in the nation,” added  Angela Sehr, RN “Staff from across our organization continue to work together to strengthen the continuum of care and to deliver and maintain optimal home care services for those in our community.”

The Joint Commission’s home care standards are developed in consultation with health care experts, home care providers and researchers, as well as industry experts, purchasers and consumers. The standards are informed by scientific literature and expert consensus to help organizations measure, assess and improve performance.

Founded in 1951, The Joint Commission seeks to continuously improve health care for the public, in collaboration with other stakeholders, by evaluating health care organizations and inspiring them to excel in providing safe and effective care of the highest quality and value. The Joint Commission accredits and certifies more than 21,000 health care organizations and programs in the United States. An independent, nonprofit organization, The Joint Commission is the nation’s oldest and largest standards-setting and accrediting body in health care. Learn more about The Joint Commission at www.jointcommission.org.


Homelessness in District 4

By County Supervisor Sue Frost  |  2017-03-09

Through the generosity of the American River Messenger, this column serves to provide an update about matters affecting the unincorporated community of Gold River.

Recently I issued a survey to our community to help me evaluate and improve our services based on what you want to see. The survey is still open, and I invite you to participate by visiting my website at www.bos.saccounty.net/District4 – there is a link near the top that says “Complete a community survey.” However, while the survey is still open, with over 1,500 responses we can begin to make some meaningful conclusions based on the data.

For example, in a ranking of how residents feel budget priorities should be ordered, homelessness ranks 3rd in the community, with only law enforcement and transportation/roads being ranked higher. Clearly this issue is of high importance in our community.

On January 31st, the Sacramento County Board of Supervisors and the Sacramento City Council had a joint meeting that drew an overflow crowd of about 400 to have a discussion about homelessness. The main topic of discussion was in regards to federal housing vouchers. There are currently around 70,000 people in Sacramento County waiting to receive federal housing vouchers, with only around 900 open slots each year. The people waiting on this list are either veterans, disabled, or pay over 50% of their income on rent/utilities - and have been waiting for years. Sacramento County is being asked to divert around 800 of these 900 slots to homeless people, letting them “jump the line” on the list.

I am not in favor of this approach for two reasons.

First, I do not think it is fair to the people currently waiting on the list. These people are often one step away from being homeless themselves - when they receive these vouches, it helps ensure that their housing situation is more stabilized. This system would rob Peter to pay Paul, and push more people to homelessness.

Second, I do not think doing this will actually help solve the problem. We are kidding ourselves if we think that simply giving a homeless person access to housing is going to solve their problems. They need comprehensive services that any one solution fails to address, including better access to physical and mental health services. Further, voucher recipients must still convince landlords to rent to them. Unless they are receiving wide-ranging services, many landlords will simply refuse to rent to homeless people. If vouchers are not being utilized, it increases the risk of our voucher program receiving less funds from the federal government.

The Sacramento County Board of Supervisors has directed staff to report back in late March with a comprehensive plan to tackle the issue of homelessness. I voted in favor of this this approach, as I think a “quick fix” potentially creates more problems – and taking time to find solutions that look at the root cause of this issue is the right path for us to take. I have also requested that staff initiate conversations with the other cities and communities of Sacramento County. As the community survey has clearly shown, homelessness is not an issue isolated to Sacramento City, and everyone impacted deserves a seat at the table.

Thank you for reading - and as always, if you want to contact me, call me at 916-874-5491 or e-mail me at SupervisorFrost@saccounty.net.

Sue Frost represents the 4th District, which includes all or part of the communities of Citrus Heights, Folsom, Orangevale, Antelope, Rio Linda, Elverta, Gold River, Rancho Murieta, North Highlands, Carmichael, Foothill Farms, and Fair Oaks.


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Advanced Home Health Awarded Home Care Accreditation

Source: Advanced Home Health  |  2017-03-02

Angela Sehr, Owner of Advanced Home Health is pleased to receive accreditation from The Joint Commission, the premier health care quality improvement and accrediting body in the nation. 
--Photo courtesy of Advanced Home Health

Advanced Home Health, Inc. today announced it has earned The Joint Commission’s Gold Seal of Approval® for Home Care Accreditation by demonstrating continuous compliance with its performance standards. The Gold Seal of Approval® is a symbol of quality that reflects an organization’s commitment to providing safe and effective care.

Advanced Home Health, Inc. underwent a rigorous onsite survey. During the survey, compliance with home care standards reflecting key organization areas was evaluated, including the provision of care, treatment and services, emergency management, human resources, individual rights and responsibilities, and leadership. The accreditation process also provided Advanced Home Health, inc. with education and guidance to help staff continue to improve its home care program’s performance.

Established in 1988, The Joint Commission’s Home Care Accreditation Program supports the efforts of its accredited organizations to help deliver safe, high quality care and services. More than 6,000 home care programs currently maintain accreditation, awarded for a three-year period, from The Joint Commission.

“When individuals engage a home care provider they want to be sure that provider is capable of providing safe, quality care,” said Margherita Labson, RN, MS, executive director, Home Care Accreditation Program, The Joint Commission. “As the home care setting becomes increasingly popular, it is important that home care providers are able to demonstrate that they are capable of providing safe, high quality care. Accreditation by The Joint Commission serves as an indication that the organization has demonstrated compliance to these recognized standards of safe and quality care.”

Advanced Home Health, Inc. is pleased to receive accreditation from The Joint Commission, the premier health care quality improvement and accrediting body in the nation,” added  Angela Sehr, RN “Staff from across our organization continue to work together to strengthen the continuum of care and to deliver and maintain optimal home care services for those in our community.”

The Joint Commission’s home care standards are developed in consultation with health care experts, home care providers and researchers, as well as industry experts, purchasers and consumers. The standards are informed by scientific literature and expert consensus to help organizations measure, assess and improve performance.

Founded in 1951, The Joint Commission seeks to continuously improve health care for the public, in collaboration with other stakeholders, by evaluating health care organizations and inspiring them to excel in providing safe and effective care of the highest quality and value. The Joint Commission accredits and certifies more than 21,000 health care organizations and programs in the United States. An independent, nonprofit organization, The Joint Commission is the nation’s oldest and largest standards-setting and accrediting body in health care. Learn more about The Joint Commission at www.jointcommission.org.


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Advanced Home Health is Growing Treats Heart, Mind, Body and Soul

By Shelly Lembke  |  2017-01-26

The dedicated management staff of Advanced Home Care; Angela Sehr, Owner, Angie Macadangdang, Chief Clinical Officer, Debi Moroles, Director of Business Development, Deb Ryan, Administrator and Lisa Gaza, Director of Patient Care Services. 
--Photo courtesy of Colby Barrett

One Sacramento-based company has quietly and efficiently carved a niche into the home health care business by providing superlative care for patients and caregivers alike. The “whole-istic” business model of Advanced Home Health and Hospice (AHHH) has earned them not only professional accolades and a thriving business, but a stellar reputation for their positive results for even the most complex patient care. The beating heart of this organization is founder Angela Sehr. Sehr is a woman with a mission and a vision with patient wellbeing in the Sacramento area.

Born in Xian, China, home of the famous Terra Cotta Warriors, Sehr started college at 15 and became a nurse at 18. The youngest of nine children, her siblings are also high achievers with a judge, college professor, engineer and a teacher among her immediate family.

Shyly self-admitted as a teacher’s pet, she loved science from a very young age. She says her mother encouraged her children to all be independent. “Marry well, she said, but always be able to stand on your own two feet,” was her mom’s advice.

Sehr may now be the boss, but she is far from being afraid to roll up her sleeves when it comes to patient care. She paid her dues with years in hands-on nursing. In fact, she still takes care of patients herself, in addition to her many other duties. AHHH offers patients around the clock care, just one of the many aspects that separate them from their competition. “I go out to patients’ homes at 2 in the morning if they need it, just like everyone else on staff,” said Sehr.

Sehr is a Registered Nurse who has worked around the world with patients of all ages and many different health issues. She came to Sacramento, having worked in places like China and Saudi Arabia. She attended Sacramento State’s Nursing program and earned her BSN here, spending over a decade in pediatric care and found her way into Infusion care as a nurse for patients in need of this specialized help. She has built her company on years of caring for infusion patients. Her company carries her compassion forward, providing top-notch, compassionate care for patients and their families.

During a time when healthcare laws and models are in flux. Sehr’s company, AHHH has built a company that successfully and efficiently treats and maintains a base of anywhere from 600 to 800 patients, more than double similar programs of even healthcare giants like full-fledged local hospital systems. To meet the need AHHH has found, the company currently has a staff of approximately 400 highly-trained specialists performing an impressive array of care and support services, and specializes in “complex” patients, often avoiding such patients having to be readmitted to hospitals.

AHHH is as advertised. Staff is on-call 365 days a year, 24 hours a day. They provide truly advanced wound care, infusion nursing, orthopedic, occupation and physical rehabilitation, speech and swallow function therapy, specialized medical social workers and a chaplaincy ministering to the patients and their loved ones. The tiniest staff member is a therapy dog.

AHHH is a Medicare Certified Home Health Provider. They are licensed by the by the California Department of Public Health. They have provided care for premature babies, pre-and post op patients, patients such as diabetics with wounds that can be nearly impossible to heal. Many of these are patients the hospitals have given up on and AHHH has succeeded where others have failed, improving patient outcome in terms of health and healing. Sehr is intent that her teams utilize the latest technology to treat patients and makes available ultrasound and laser therapy, in addition to debridement if physician ordered.

The Low-Level Laser Therapy (LLLT) alone, per Sehr can be highly effective in treating, diabetic ulcers, venous stasis and arterial ulcers, and many other types of non-healing wounds.

The hospice care that Sehr’s company provides is a growing service, based on industry best practices, but also on her own experiences as a nurse. Most hospice patients they see are given six months or less to live, but that isn’t an outcome set in stone. “We don’t give up,” she says. “We’re not God, but people do ‘graduate’ from hospice. They do get better.”

Hospice care provides comfort care to patients and family. “Advanced hospice nurses are registered nurses specifically dedicated to end-of-life care. They are focused on pain and symptom management for our patients around the clock. In addition to serving the terminally ill, hospice clinical team counsel and educate caregivers and family members on the needs of the patient, guiding them through every issue that may arise. Our hospice nurses work as a part of an interdisciplinary team that develops and manages the care for our patients and their families.”

A vital part of their team are the hospice social workers who are there to support patients and their families. “Our social workers are trained to assist our patients and their families on developing an individualized plan of care, researching ways to relief stress and anxiety by non-medical means, and connecting them with appropriate local resources.

 “We understand that our patients and their families may have financial problems. Our social workers are equipped with the necessary tools and knowledge to provide counseling in these areas, as well as coordinating possible aid from other organizations,” Sehr commented.

What does it mean to be an advanced hospice social worker? According to AHHH, “It means to be a supporter of our patients and their families. Our social workers are trained to assist our patients and their families on developing an individualized plan of care, researching ways to relief stress and anxiety by non-medical means, and connecting them with appropriate local resources.

“A loss of a loved one, even if anticipated, brings a slew of emotions and grief for surviving family and friends. Our hospice bereavement professionals and volunteers are trained to provide counseling and support by understanding the loss and compassionately walking step by step with surviving spouses, children, or parents.”

“To help our patients cope with the end of their life, AHHH provides spiritual services by certified chaplains to promote spiritual and emotional well-being. Our chaplains may also work with the patient’s clergy and coordinate spiritual nourishment and revitalization.”

Sehr credits hospice volunteers for the selfless work they do as part of the organization. “Our hospice volunteers spend time with patients and their loved ones. They run errands and provide caregiver relief, companionship, and supportive services. Volunteers are the backbone of our hospice team.”. Volunteers form bonds with patients and family members. Patients and families often tell volunteers things they feel they can’t tell their loved ones and help open the way for people to talk honestly. Volunteers work alongside paid staff in every area of hospice care.”

AHHH truly treat the entire family, and that includes monthly bereavement support group meeting. “At Advanced Hospice, patients are nearing and passing the end of their life, leaving behind husbands, wives, sons, and daughters,” according to the company website.

“When a patient is diagnosed with a serious illness or is recovering from an injury, our medical professionals, nurses, and therapists work hard to rejuvenate him/her to normal life. In addition to purely medical procedures, medications, and techniques, a huge part of a person’s recovery depends on his/her psychosocial condition.”

AHHH is making a concerted effort to reach America’s veterans. “Veterans have done everything asked of them in their mission to serve our country and we believe it is never too late to give them a hero’s welcome home. That’s why our hospice is taking part in the We Honor Veterans program. Our staff understand the unique needs of veterans and are prepared to meet the specific challenges that veterans and their families may face at the end of life.”

AHHH measures its success with data, not just good feelings. Their clinicians log every visit in detail, right down to wound and physical improvement, modality effectiveness, length of visit and many more details. That data is analyzed for the benefit of each patient, but the accumulation of data is used by the company to improve patient outcome and patient satisfaction. The company has recently broken ground on its next project, a free-standing Hospice Facility. While starting small, at 6 beds, it will be the only hospice in the area and unlike any other, due again to Sehr’s experience and personal touch.


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Citrus Heights HART Providing Local Solutions to a Local Issue

Source: Citrus Heights Homeless Assistance Resource Team  |  2016-12-02

Homelessness is a large and complicated challenge nationwide and especially here in the state of California. Per the U.S. Department of Housing and Urban Development, there are approximately 113,000 homeless individuals in California – 20% of all homeless people in the United States. California has the highest rate of unsheltered homeless -67%. ‘Sacramento Steps Forward’ reports that the 2015 Point in Time Homeless Count revealed 2,650 homeless persons experiencing homelessness.

Citrus Heights HART (Homeless Assistance Resource Team) a group of nonprofits, street ministries, service and government organizations, churches and others formed in 2015 to develop solutions on a local level. The group’s mission is to provide resources that will enable at-risk people and those experiencing homelessness in Citrus Heights and adjacent areas to become independent, self-sustaining and participating members of the community.

Surveys indicate that Citrus Heights homeless prefer to stay in the Citrus Heights area and this is most likely true of other areas as well. CH HART is one of three HART groups which includes Rancho Cordova and Elk Grove HART. Each HART focuses on its own programs to address local issues associated with homelessness.

Citrus Heights HART focuses on a few programs: Homeless Outreach Navigator, Stand Down event for homeless veterans and Winter Sanctuary. CH HART has worked with the City of Citrus Heights to develop and activate a homeless outreach navigator program. The Navigator assists homeless individuals in various ways by connecting them with available services. Most social and judicial services are in the urban core/downtown which presents a challenge and obstacle to homeless and at risk populations in the outer core (suburbs).

“In 2017, we plan to advocate more aggressively for County services to more conveniently and effectively address issues in the areas outside of downtown core,” said Kathilynn Carpenter, founding member and Chair of CH HART.

CH HART held its first Stand Down event on March 30 of this year and assisted approximately 80 veterans with Veteran’s Affairs issues, legal services, medical, hair-cuts and showers, clothing, pet services and more. The second annual event is planned for April 18, 2017.

This past winter, CH HART participated in the Rancho Cordova Winter Sanctuary program and hosted a one week shelter at Holy Family Church. This winter, the group is hosting its own program and currently committed to four weeks beginning December 26.

The group has recently formed a Housing Committee to explore ways they can help with housing opportunities in more tangible ways through master leasing programs, transitional housing and other options.


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Funding for Winter Sanctuary Approved

Source: Sacramento County  |  2016-11-17

On November 1, the Sacramento County Board of Supervisors approved an agreement for $360,000 with Sacramento Steps Forward (SSF) for the administration of the Winter Sanctuary Program. The Winter Sanctuary Program provides nighttime shelter with local faith-based organizations, including transportation and two meals, for Sacramento County’s homeless population from November 21 through April 30, 2017. “This is the fifth year of funding this program in order to provide 100 additional beds for Sacramento’s homeless each night during the winter,” said Chair of the Board Roberta MacGlashan. “We are pleased and grateful to the 19 congregations that have agreed to host and look forward to other organizations filling in the remaining open nights.”

As part of the agreement, SSF will provide monthly reports of the number of persons sheltered per night, including the breakdown of men, women and families served and their geographic origination. The data will be utilized to determine potential areas of focus for future funding opportunities.

Sacramento Steps Forward coordinates the shelter, transportation to and from the shelter sites, and meals with, as well as outreach and referral efforts for ongoing supportive services.

Currently, congregations have been lined up to provide services for every night except 52. Sac Steps Forward and its subcontractor, First Step Communities (FSC), are working to recruit congregations to fill out the list, including those that can accommodate pets, and two congregations to serve as intake sites for persons who are unable to travel to the main intake site of Loaves and Fishes.

In recruiting these additional intake sites, SSF and FSC are utilizing data to determine where the highest populations of homeless exist outside of the immediate geography of Loaves and Fishes.

The County is also providing $75,000 to Volunteers of America (VOA) for the period of November 21 through March 31, 2017 for the administration of the Winter Shelter Program for homeless families. Offered since 2011, this program has provided shelter to 876 adults and children since its inception.


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Growing Old On the Streets is America's Dirty, Little Secret

Commentary by Association of Mature American Citizens  |  2016-10-20

University of Pennsylvania Professor Dennis P. Culhane is a recognized expert on the issue of the growing number of older individuals who are on the streets.  He says that in 1990 “the peak age of adults who were homeless was 30” and that today the peak age is 55.

The homeless are the invisible denizens of America's cities, says Dan Weber, president of the Association of Mature American Citizens. “But, the dirty little secret that has only come to light recently is the fact that the elderly are among the fastest growing populations living on the streets,” he reports.

The Department of Housing and Urban Development told Congress last year that there were more than 300,000 homeless Americans 50 years of age or more, 20% more than there were in 2007.

A recognized expert on the issue of the growing number of older individuals who are on the streets is University of Pennsylvania Professor Dennis P. Culhane. He says that in 1990 “the peak age of adults who were homeless was 30” and that today the peak age is 55.

Weber is calling on all candidates for election and re-election in November and those in the private sector to recognize the fact that more seniors are homeless than ever before and to take to heart the needs of “these hapless lost souls. Focus on their plight and let the truth be told, loud and clear. Everyone needs to pitch in if we are to solve this problem, which only grows bigger with each passing day.”

Some would blame the spike in homelessness among older Americans on the swiftly aging population. But, Weber says, it has more to do with the rising cost of health care and health insurance, the lagging economy, the impact of such diseases of old age as cancer and Alzheimer’s and, perhaps the most damaging cause of all, the lack of affordable housing.

“In fact, talk to any health provider who deals with the homeless and they will tell you that there has been a dramatic shift in recent years in the illnesses from which they suffer. It used to be that the homeless suffered mainly from drug abuse and mental illness. Nowadays they are more likely to have the chronic diseases of old age,” Weber notes.

Mel Martinez and Allyson Y. Schwartz are the co-chairs of the Bipartisan Policy Center Senior Health and Housing Task Force. Martinez is a former U.S. Senator from Florida and Schwartz is a former Congresswoman from Pennsylvania. They published an Opinion Article in U.S. News and World Report last month in which they concluded that “preventing and ending homelessness among older adults should become a major national priority in the United States. By setting goals to end homelessness; increasing available low-income senior housing; and by understanding that the challenge requires participation from public and private partners at all levels, we can and will find ways to ensure that all U.S. seniors have the shelter and security that they deserve.”

Meanwhile, Margot Kushel, professor of medicine at University of California, San Francisco, is an expert on the elderly who become homeless. She says that providing them with housing is the key to fixing the problem. “A lot of these people have been healthy their whole lives. But it doesn't take long for their health to plummet once they're homeless. Once someone is housed, depression often lifts, stress fades away, infections heal. It's instant.”

Says Weber, “everyone has his own set of priorities, but one thing we all have in common is that we are all growing older. It's one of the hardest things we will all do in this life and so we should have compassion for those who need our help.”

The Association of Mature American Citizens [www.amac.us] is a vibrant, vital senior advocacy organization that takes its marching orders from its members. We act and speak on their behalf, protecting their interests and offering a practical insight on how to best solve the problems they face today. Live long and make a difference by joining us today at www.amac.us/join-amac.


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