SlideShare una empresa de Scribd logo
1 de 32
Anatomy of the Elder Abuse Case
Nursing Home Cases AreNursing Home Cases Are
Not About The MedicineNot About The Medicine
Nursing Home Cases
ongoing benign neglect
failure to deliver custodial care
conscious indifference
deterioration of the vulnerable
Investing Time and Resources
“…“…a good plaintiff lawyer must be willing to investa good plaintiff lawyer must be willing to invest
serious time and resources to gather of all of the data”serious time and resources to gather of all of the data”
not recreating a moment in time
but an ongoing course of conduct
monthsmonths
yearsyears
several corporate entitiesseveral corporate entities
Documenting
and
Demonstrating Staffing
Cuts
Corporate memoranda
Profit expectationsProfit expectations
Staffing cutsStaffing cuts
Accounting documents
Management Rewards
 Annual inspections/surveys
 Complaint or adverse - incident inspections
 Corporate schemes designed to maximize
revenues while minimizing expenses
Former Employees
widespread and chronic short staffing
management’s efforts to fix problem
General Accounting Office (GAO)
Department of Justice (DOJ)
Health Care Financing Administration
Congressional Hearings
The “template” upon which to build
an effective case theme
54% of the homes in America
were dangerously short of staff
"A number of highflying
nursing home chains appear
to have incorporated
defrauding Medicare as part of
their business strategy."
Plaintiff’s Opening
Statement
“…died a needlessly painful death
because the company chose to under-
staff.”
YOU ARE GOING TO HEAR THAT
THEY DON'T HAVE ENOUGH STAFF, THAT
THEY WERE WOEFULLY UNDER-STAFFEDWOEFULLY UNDER-STAFFED
ON THE DAY OF MARCH 30 AND 31ST.
YOU ARE GOING TO HEAR EVIDENCE
THAT FOR THE YEAR PRIORYEAR PRIOR, THEY WERE
BELOW THE MANDATED MINIMUM ON ANBELOW THE MANDATED MINIMUM ON AN
AVERAGE.AVERAGE.
No experts needed?No experts needed?
failure to feedfailure to feed
failure to give waterfailure to give water
failure to turnfailure to turn
failure to bathefailure to bathe
Weight loss
Malnutrition
Dehydration
Bedsores
ULCERS
Common Locations for the Development of DecubitusCommon Locations for the Development of Decubitus
Ulcers or "Bedsores" or "Pressure-Sores"Ulcers or "Bedsores" or "Pressure-Sores"
Common Locations for the Development ofCommon Locations for the Development of
Decubitus Ulcers or "Bedsores" or "Pressure-Sores"Decubitus Ulcers or "Bedsores" or "Pressure-Sores"
Common Locations for the Development ofCommon Locations for the Development of
Decubitus Ulcers or "Bedsores" or "Pressure-Sores"Decubitus Ulcers or "Bedsores" or "Pressure-Sores"
3-D Scanner
X-Ray Scanner
X-Ray Scanner
X-Ray Scanner
X-Ray Scanner
Nursing Homes: A Different Kind of
Defendant--Different Kind of Class

Más contenido relacionado

Similar a Anatomy Of The Elder Abuse Case

Making A Crisis Worse
Making A Crisis WorseMaking A Crisis Worse
Making A Crisis Worsemschannon
 
Stop the Line – Empowering Clinicians to Recognize and Act on Impending Adver...
Stop the Line – Empowering Clinicians to Recognize and Act on Impending Adver...Stop the Line – Empowering Clinicians to Recognize and Act on Impending Adver...
Stop the Line – Empowering Clinicians to Recognize and Act on Impending Adver...marcus evans Network
 
Division Essay Example.pdf
Division Essay Example.pdfDivision Essay Example.pdf
Division Essay Example.pdfJackie Jones
 
Legal Perils of Wound Care
Legal Perils of Wound CareLegal Perils of Wound Care
Legal Perils of Wound CareTrustRobin
 
Derailed Crisis Plans
Derailed Crisis PlansDerailed Crisis Plans
Derailed Crisis Plansmschannon
 
Truth Telling & Truth Suppression:Lies, Myths. and Realities
Truth Telling & Truth Suppression:Lies, Myths. and RealitiesTruth Telling & Truth Suppression:Lies, Myths. and Realities
Truth Telling & Truth Suppression:Lies, Myths. and RealitiesDr. Don Daake, Ph.D.
 
Behavioral SafetyBehavioral SafetyIHumanErrorA c.docx
Behavioral SafetyBehavioral SafetyIHumanErrorA c.docxBehavioral SafetyBehavioral SafetyIHumanErrorA c.docx
Behavioral SafetyBehavioral SafetyIHumanErrorA c.docxAASTHA76
 
Classmate 1      The case of Enron is one that seems like it wa.docx
Classmate 1      The case of Enron is one that seems like it wa.docxClassmate 1      The case of Enron is one that seems like it wa.docx
Classmate 1      The case of Enron is one that seems like it wa.docxmccormicknadine86
 
Maintenance: How not to hate it - v.13
Maintenance: How not to hate it - v.13Maintenance: How not to hate it - v.13
Maintenance: How not to hate it - v.13Brian Gongol
 
IFCA 07 Crisis PR Presentation
IFCA 07 Crisis PR PresentationIFCA 07 Crisis PR Presentation
IFCA 07 Crisis PR PresentationDan Keeney
 
Pro Abortion Arguments Essays.pdf
Pro Abortion Arguments Essays.pdfPro Abortion Arguments Essays.pdf
Pro Abortion Arguments Essays.pdfCheryl Barry
 
Healthcare Transformation: The Journey of High-Value Healthcare
Healthcare Transformation: The Journey of High-Value HealthcareHealthcare Transformation: The Journey of High-Value Healthcare
Healthcare Transformation: The Journey of High-Value HealthcareHealth Catalyst
 
American Hospitals--Averting A Crisis In Declining Revenue
American Hospitals--Averting A Crisis In Declining RevenueAmerican Hospitals--Averting A Crisis In Declining Revenue
American Hospitals--Averting A Crisis In Declining Revenuejuliejohnson15
 
Charting For Keeps
Charting For KeepsCharting For Keeps
Charting For Keepsmkroland
 
Accident Investigation Basics Training by Alteris
Accident Investigation Basics Training by AlterisAccident Investigation Basics Training by Alteris
Accident Investigation Basics Training by AlterisAtlantic Training, LLC.
 

Similar a Anatomy Of The Elder Abuse Case (20)

Making A Crisis Worse
Making A Crisis WorseMaking A Crisis Worse
Making A Crisis Worse
 
Stop the Line – Empowering Clinicians to Recognize and Act on Impending Adver...
Stop the Line – Empowering Clinicians to Recognize and Act on Impending Adver...Stop the Line – Empowering Clinicians to Recognize and Act on Impending Adver...
Stop the Line – Empowering Clinicians to Recognize and Act on Impending Adver...
 
Division Essay Example.pdf
Division Essay Example.pdfDivision Essay Example.pdf
Division Essay Example.pdf
 
Legal Perils of Wound Care
Legal Perils of Wound CareLegal Perils of Wound Care
Legal Perils of Wound Care
 
SFP_BPM
SFP_BPMSFP_BPM
SFP_BPM
 
Derailed Crisis Plans
Derailed Crisis PlansDerailed Crisis Plans
Derailed Crisis Plans
 
J. christensen friday plenary personal & organizational well being
J. christensen friday plenary personal & organizational well beingJ. christensen friday plenary personal & organizational well being
J. christensen friday plenary personal & organizational well being
 
John christensen plenary friday 1
John christensen plenary friday 1John christensen plenary friday 1
John christensen plenary friday 1
 
Truth Telling & Truth Suppression:Lies, Myths. and Realities
Truth Telling & Truth Suppression:Lies, Myths. and RealitiesTruth Telling & Truth Suppression:Lies, Myths. and Realities
Truth Telling & Truth Suppression:Lies, Myths. and Realities
 
Behavioral SafetyBehavioral SafetyIHumanErrorA c.docx
Behavioral SafetyBehavioral SafetyIHumanErrorA c.docxBehavioral SafetyBehavioral SafetyIHumanErrorA c.docx
Behavioral SafetyBehavioral SafetyIHumanErrorA c.docx
 
Version 2.0
Version 2.0Version 2.0
Version 2.0
 
Classmate 1      The case of Enron is one that seems like it wa.docx
Classmate 1      The case of Enron is one that seems like it wa.docxClassmate 1      The case of Enron is one that seems like it wa.docx
Classmate 1      The case of Enron is one that seems like it wa.docx
 
Whose risk counts
Whose risk countsWhose risk counts
Whose risk counts
 
Maintenance: How not to hate it - v.13
Maintenance: How not to hate it - v.13Maintenance: How not to hate it - v.13
Maintenance: How not to hate it - v.13
 
IFCA 07 Crisis PR Presentation
IFCA 07 Crisis PR PresentationIFCA 07 Crisis PR Presentation
IFCA 07 Crisis PR Presentation
 
Pro Abortion Arguments Essays.pdf
Pro Abortion Arguments Essays.pdfPro Abortion Arguments Essays.pdf
Pro Abortion Arguments Essays.pdf
 
Healthcare Transformation: The Journey of High-Value Healthcare
Healthcare Transformation: The Journey of High-Value HealthcareHealthcare Transformation: The Journey of High-Value Healthcare
Healthcare Transformation: The Journey of High-Value Healthcare
 
American Hospitals--Averting A Crisis In Declining Revenue
American Hospitals--Averting A Crisis In Declining RevenueAmerican Hospitals--Averting A Crisis In Declining Revenue
American Hospitals--Averting A Crisis In Declining Revenue
 
Charting For Keeps
Charting For KeepsCharting For Keeps
Charting For Keeps
 
Accident Investigation Basics Training by Alteris
Accident Investigation Basics Training by AlterisAccident Investigation Basics Training by Alteris
Accident Investigation Basics Training by Alteris
 

Anatomy Of The Elder Abuse Case

Notas del editor

  1. Jim Wilkes discusses the distinct nature of for-profit nursing homes and offers advice on bringing suit against them
  2. Understanding the Medicine Medical Malpractice Cases Are about a failure that occurred during a moment in time usually as a result of a botched procedure or a misdiagnosis
  3. Nursing Home Cases Ongoing benign neglect and failure to deliver custodial care Deterioration of an already vulnerable person Conscious indifference to the pain and suffering
  4. Comb through literally dozens of time sheets and payroll records Former employees, especially CNAs, must be located and interviewed
  5. Encourage management to cut staff and supplies to meet revenue and profit expectations
  6. Accounting documents: Use a CPA to review and show that operators cut staff to make budget targets and maximize profits. Rewards: Management is often rewarded for meeting these budgetary goals
  7. Especially certified nursing assistants for: direct accounts of widespread and chronic short staffing that management did little or nothing to fix that problem
  8. "Medicare: Tighter Rules Needed to Curtail Overcharges for Therapy in Nursing Homes," U.S. General Accounting Office, March 1995; "Nursing Home Bankruptcies: What Caused Them?" U.S. Senate Special Committee on Aging, September 2000 "Appropriateness of Minimum Staffing Ratios in Nursing Homes," Health Care Financing Administration, August 2000 "Abuse of Residents Is a Major Problem in U.S. Nursing Homes," U.S. Congress Committee on Government Reform, July 2001. Government Surveys
  9. August 2000 report shows that 54% of the homes in America were dangerously short of staff placing residents in jeopardy. For‑profit homes are the worst offenders.
  10. May not require experts to explain
  11. May not require experts to explain
  12. Leads to adverse medical consequences that are not the central focus of your theme