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Care model pilot for behaviorally complex long-term care residents sought; proponents cite ER and hospital savings
Summary
The North Dakota Long-Term Care Association and a behavioral-health vendor proposed a biennial $3 million pilot to provide training, on-site nonbillable supports and clinical wraparound services to nursing homes caring for residents with severe behavioral needs. Supporters cited out-of-state experience showing fewer ER transfers and shorter acute
The North Dakota Long-Term Care Association asked the Human Services Policy and Appropriations Committee to fund a $3 million, two-year pilot to deliver behavioral-health training, on-site non-billable supports and clinical wraparound services to nursing homes and basic-care facilities treating residents with severe behavioral health needs.
Nikki Wagner, president of the association, introduced the proposal and said facilities face growing difficulty caring for residents who present severe agitation, aggression or self-harm risk. Wagner said staffing policies, regulatory risks (for example, restraints, psychotropic oversight and resident-safety citations) and limited access to inpatient psychiatric beds leave nursing homes unable to stabilize a subset of high-need residents.
Dr. Christy Kovacs, chief clinical officer of…
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