GCM Operations Manual Archives ⋆ Cathy Cress

PRISON INMATES AND NURSING HOME PATIENTS NOT 6FT APART – 6 FEET UNDER

70% of inmates in federal prisons have COVID-19. In Kansas, the Lansing Correctional Facility had a riot of inmates over COVID-19 lack of care or protection It took the rebellion to get the coronavirus testing PPE and care. The Bureau of Prisons in Kansas confirmed finally that 79 staff have coronavirus and 88 prisons and prisoners dead.

Older residents in nursing homes cannot rebel like prisoners. Many can’t even walk. The Atlantic Magazine just published an article, We are Killing Elders Now. The writer states “In at least six states, these fatalities account for half of all COVID-19 deaths, and according to the World Health Organization, half of all coronavirus fatalities in Europe have been traced to nursing homes too. Some of this mortality is linked to long-term-care facilities that are shoddily run or that violate health standards. But most of them are doing the best they can with what they have. And they don’t have much”.

KAISER FOUNDATION NURSING HOME STAFFING AND USE OF PPE NOT REQUIRED IN MOST STATES

Kaiser reports -Staff Screening. It is more common for states to recommend rather than require daily screening of staff for illness in NFs (24 states recommend, 16 states + DC require)

Use of PPE. More states recommend (23 states) than require (7 states + DC) staff to use PPE

Two States that require testing for coronavirus of ALL residents of nursing homes are Maryland where 556 have died as of the Washington Post article. and Tennessee

THE FEDS HAVE NO CMS FEDERAL GUIDELINES OR REPORTING

We have no federal guidelines for safety testing according to an article by the Kaiser Foundation

It is now estimated that 16,000 deaths have occurred in nursing homes and that is without the federal government revealing any numbers and not making available any testing. But the numbers are probably huge- if we could just do testing.

CMS announced it would have a meeting of a “panel” of experts “ sometime at the end of May”. After probably 20,000 older people died and the feds did nothing this shows their sense of urgency about this pandemic’s national “elder cleansing”.

WHAT CONNECTS PRISONS AND NURSING HOMES – CONCENTRATION CAMPS

So, what is the connection between the viral spread of COVID-19 in nursing homes and prisons- 6 feet ? Prisoners and residents, in nursing homes, and prisons cannot social distance. Jails and prisons have human beings crammed together with no choice. Nursing homes have 2 beds or if you are on Medicaid three to a room. Neither group has a choice to social distance. They are ” concentrated” as in concentration camps or death camps.

Do SOMETHING – HELP NURSING HOMES PREVENT MORE CARNAGE

So, as someone who has spent her career in aging, I am calling out to everyone, especially professional in aging – do something. Since the feds appear to be doing little- call your congressman, write a letter to the editor.

BE KIND LIKE RACHEL MADDOW REPORTS LA JEWISH HOME LA WAS

Rachel Maddow suggests calling your local nursing homes and see what they need. Be kind like the LA Jewish Home was to a smaller nursing home LA Brier Oaks. They wanted to test their residents and had no tests and the larger LA Jewish Home had tests and shared them with the smaller as a good neighbor. What they found was ravaging but it also showed caring and generosity. Care and be generous and show the helpless elders in nursing homes in your town you are opposed to -nursing home being prisons or concentration camps.

A GCM Operations Manual is absolutely essential.

It needs to be comprehensive, useful, with all your services or products and procedures to deliver them. Here are 6 reasons why your business needs this.

1.With an Operations Manual, You Can Sell your GCM Business for Twice the Amount

The geriatric care owner’s brain is the system. Without the owner, the business has little or no value unless you have made a very large profit. What will make your business more s= valuable and sellable is to have well-designed, well-documented systems that almost anyone can operate successfully? Think of Starbucks. The more your business looks like this, the less dependent it will be on the owner, and the more asset value your business will have.

2. The operations manual will create and maintain the highest quality of gold standard service /products in your business.

Most business owners start their businesses because they believe that they can do a superior job at what they do. Their intent from the beginning is excellent products and/or customer service. However, as a business grows and new employees are added to the mix, the quality often diminishes. If the owner gives a customer one experience but the employees give that same customer a bad experience, it lowers the customer’s opinion of the business. A written operations manual will help give you and your team the discipline to do what it takes to maintain excellence as the business grows.

3. The operations manual becomes the primary tool for training your employees.

Unfortunately, most business owners do not have a strong process for training new employees. They typically walk them around the place of business showing them where everything is. They then tell them what they need to do and then expect that new employee to intuitively do what they were told with excellence. Often the new employee is a

disappointment to the owner.

If there is a manager responsible for the orientation and training of the new employee the results can be even worse. A well-written operations manual will set the standard for performance. It will also give detailed procedures (how-to’s) on the critical functions of the tasks the new employee is responsible for. Mentoring is always a great idea, but an operations manual is essential as both a standard and a reference tool.

4. The operations manual creates more time for the owner.

Most small business owners feel like they do not have enough time to do the higher level, more strategic functions of their business. They lament that they do not have time to plan and think strategically. Time gets consumed putting out fires and solving problems. This typically happens when the company does not have a good operations manual. Operations manuals, once written, are a tremendous time saver

5. The operations manual makes your business scalable.

If you as the owner have to do everything for it to be done right, your business is not scalable. It cannot grow beyond the time that you as the owner have to “do everything.” You must create systems that are documented in an operations manual for your business to grow in a healthy, sustainable way.

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