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VIEWPOINT: Understanding the Complexities of Long-Term Care
If your business closed today and was gone tomorrow, would Central New York miss it? What would the impact be on our community? An article in the Harvard Business Review I recently read opened with a similar question. Loretto, as the fourth-largest health-care provider in the region, is deeply ingrained in the fabric of our […]
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If your business closed today and was gone tomorrow, would Central New York miss it? What would the impact be on our community?
An article in the Harvard Business Review I recently read opened with a similar question. Loretto, as the fourth-largest health-care provider in the region, is deeply ingrained in the fabric of our community. We employ 2,500 individuals who deliver care to about 10,000 people of all ages, income levels, and care needs in Onondaga and Cayuga counties. If we closed our doors overnight, the individuals who rely on us would feel the impact. However, the second question really gave me pause. In addition to providing jobs and care, Loretto also plays an integral role in the regional health-care continuum.
Chances are you, or someone you know has experienced lengthy wait times in our local hospitals. If you haven’t, chances are you have read about it. William Paolo, chief of emergency medicine at Upstate University Hospital, was recently quoted by Syracuse.com, saying the only way to reduce ER wait times is to increase the number of available beds upstairs. It’s simple math — if there are more people coming into the ER than beds available in the hospital, you will wait either in the waiting room or in a “boarding” area. While seemingly independent from long-term care, these waiting times are connected to our work at Loretto.
Over the past several years, we have taken risks to embrace and pursue our community-focused mission — to be a family of exceptional people who care for and about each other.
• When we experienced the COVID-19 pandemic, our swift actions, such as setting up a COVID facility and providing training for the National Guard, directly benefited the community by helping to decant patients from the hospitals.
• When there was a health-care worker shortage, our initiatives, such as providing wage increases, on-the-job education opportunities, and new work schedules, directly improved the health-care services in the community.
• When the needs of the short-term rehab patients in our community changed, our investment in our restorative care unit (RCU) directly addressed those needs and made room in local hospitals.
The long-term care industry has been challenged to get creative and innovate when it comes to care and funding. We have accepted that challenge — anticipating community needs, studying trends, and making meaningful changes. As a result, our facilities no longer resemble nursing homes from 10 or 15 years ago. Patients are younger and/or more complex, and they are coming from a greater distance. We recently had patients from Rochester complete rehab at one of our facilities. The restorative care unit (RCU) looks like a hospital floor, providing advanced wound care, treating patients with LVAD, and other highly complex care as a part of short-term rehab. As we continue to anticipate needs and observe trends, an effort to explore dialysis is underway to relieve our local hospitals. We continue to evaluate our on-the-job education and training programs, empowering employees to provide a new level of care — and earn more.
While the demands on long-term care facilities to innovate caring for our most vulnerable populations have become a critical part of our overall regional health-care network, it comes amid a funding crisis, explosive anticipated growth from Micron, and an increase in the aging population known as the “Silver Tsunami.” If community members are having to wait for health care now, how much more will they have to wait in the future? In CenterState CEO’s 2024 Economic Forecast for Central New York, Participants were asked to identify the biggest economic factors impacting Central New York businesses, one of which was “pressures on the health care delivery system as the population of the region increases.” I share that concern.
The outcomes of the most recently passed New York State budget continue to have significant financial impacts on our already strained nonprofit long-term care system. When you consider the limited rate increase that will not cover this year’s cost of living index, combined with the 10-percent cut to support of facilities and the CMI freeze — how we are paid for care — Loretto will experience a nearly $1.2 million loss in planned revenue in just one year. As the region’s leading provider of services for the Medicaid and underserved populations in Onondaga and Cayuga counties, as 75 percent of Loretto residents are supported by Medicaid, the impacts of this budget shortfall are long-reaching.
As a local leader in this industry, my aspirations are to continue innovating solutions, providing a high level of care to our patients, educating and empowering employees, and supporting hospitals. However, the reality is that this business of aging is still a business, and there is a limit to what Loretto and other long-term care facilities can do without financial support. Many have been forced to close their doors or sell to out-of-state systems due to financial limitations.
As I consider Loretto’s impact on our community, I look ahead with realistic optimism. Loretto’s leadership and employees are truly a family of exceptional people, and we have accomplished much together. However, stabilizing a business when funding opportunities are decreasing, and community needs are increasing is challenging. We must continue to take risks and embrace creativity and innovation to survive.
I am reminded of an observation made by John F. Kennedy: “The Chinese use two brush strokes to write the word ‘crisis.’ One brush stroke stands for danger; the other for opportunity.” The opportunity is to deliver high-quality care in new ways. The danger is that our most vulnerable seniors will be left behind.
Kimberly Townsend, Ph.D. is president and CEO of Loretto and author of “Lifecircle Leadership” and “Lessons in Lifecircle Leadership.” For more information about Townsend, visit: DrKimberlyTownsend.com and LorettoCNY.org.
OPINION: Supreme Court fails to rein in deep-state coercion and censorship
First Amendment in Peril It is appalling that the Supreme Court failed to rein in the intelligence and law-enforcement agencies’ abuse of individual First Amendment rights in the Murthy v. Missouri case [with the decision announced on June 26]. The contorted logic that those in the federal government who abused their power with the worst
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It is appalling that the Supreme Court failed to rein in the intelligence and law-enforcement agencies’ abuse of individual First Amendment rights in the Murthy v. Missouri case [with the decision announced on June 26]. The contorted logic that those in the federal government who abused their power with the worst censorship operation in U.S. history should be protected under the guise that they did not voluntarily release enough details of their abuse for the plaintiffs to achieve standing, gives jet fuel to these agencies’ unchecked power to continue abusing the Constitution.
Under former President Donald Trump, resisters in these same departments and agencies refused to release materials that the president ordered released via declassification with dire consequences.
As it relates to the facts of this case, Trump, should he win the election, should order the release of all pertinent materials that enable will plaintiffs to incontrovertibly prove their censorship occurred, and if the agencies refuse, fire everyone involved. Additionally, the House of Representatives should subpoena all involved government parties and compel them to provide further documentation and testimony under oath. We agree with Justice Samuel Alito’s dissent which noted that the record had sufficient evidence to uphold the injunction, and that ‘The Court… shirks that duty and thus permits the successful campaign of coercion in this case to stand as an attractive model for future officials who want to control what the people say, hear, and think.’
The Supreme Court’s cowardice in the face of a direct assault by the federal government on First Amendment rights using Silicon Valley cutouts is a black mark on an institution that the left is seeking to destroy. We can only hope that when the case continues in the lower courts, the record can be further established as to be uncontestable.
Rick Manning is president of Americans for Limited Government. This article is drawn from a statement Manning issued on June 26 in response to the Supreme Court decision in the Murthy v. Missouri case. The justices, by a 6-3 majority, ruled that the plaintiffs had no standing to bring the case against the Biden Administration, alleging that its communications with social-media companies to remove certain posts about COVID-19 violated the First Amendment and amounted to censorship.
OPINION: A Big Issue No One is Talking About this Election Year
Though the pace won’t really pick up until the fall, federal election campaigns are well under way. And we’re hearing a lot about a welter of key issues like abortion, immigration, the ethics of the Supreme Court, wars in Europe and the Middle East, and the like. But at a time when candidates should be
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Though the pace won’t really pick up until the fall, federal election campaigns are well under way. And we’re hearing a lot about a welter of key issues like abortion, immigration, the ethics of the Supreme Court, wars in Europe and the Middle East, and the like. But at a time when candidates should be engaging the electorate on the country’s biggest challenges, here’s something they’re not talking about: the national debt.
We’ve been in uncharted territory on this front for years, and the issue is only growing more pressing. It was super-charged by the pandemic, and total public debt in early June stood at about $34.6 trillion, which puts the U.S. among the top countries with the highest debt-to-GDP ratios. Given that we’ve made it this far without a crisis, it’s possible this could go on for years. But it’s equally possible everything could come crashing down a year or two from now, regardless of who is president.
Even if we escape a crisis, it’s growing harder to ignore the toll that growing federal debt is taking on Americans and our economy. Its sheer size is raising questions among debt-holders — investors and other countries chief among them — about the U.S.’s long-term reliability. Spending to service the debt dampens economic growth by diverting billions of dollars from more productive uses. And many economists argue that we’ve already reached the point where the sheer size of the debt has held back Americans’ financial standing. “There’s a palpable sense of not having the same opportunities we had before,” prominent economist Douglas Holtz-Eakin said at a conference a few months ago. “I believe a lot of that is the headwinds provided by debt.”
The problem is not that no political leaders are talking about the debt — some are doing so. Yet even when they do, it’s not an especially productive discussion. Instead, for the most part, they lob partisan charges at each other — and then continue to press tax cuts or spending increases of all kinds and descriptions. Politicians like to say that economic growth spurred by their pet policies will save us. But if it’s done so, we have yet to see it. The government is still spending far more than it takes in, which is why we have this problem.
What we really haven’t seen are politicians who are willing to level with us and ask us to face the challenges like adults. A big part of the issue we’ll have to confront is entitlement reform, especially to Social Security and Medicare. These are political third rails, yet as Baby Boomers retire, federal spending has had to grow to keep up with them — made harder because the share of wages subject to the payroll tax has been declining even as wage growth in certain sectors of the economy has boomed. At the same time, a series of tax cuts dating back decades — under both Republican and Democratic presidents — have contributed substantially to the rise in debt relative to GDP.
What we need to do is no secret: We must spend less and tax more. No wonder politicians aren’t talking about that this election season. But like a lot of problems, the longer we wait to act, the more disruptive any solution will need to be. Waiting until we’re actually in a crisis seems like a bad idea.
So, if American politicians are reluctant to bring it up on the campaign trail, American voters will need to make sure they do by pressing them on the question at campaign events. And if they give you any answer that doesn’t include both efforts to rein in spending and to make sure that revenues rise to meet our needs, don’t accept it. You deserve a clear-eyed view of the problem, not partisan talking points.
Lee Hamilton, 93, is a senior advisor for the Indiana University (IU) Center on Representative Government, distinguished scholar at the IU Hamilton Lugar School of Global and International Studies, and professor of practice at the IU O’Neill School of Public and Environmental Affairs. Hamilton, a Democrat, was a member of the U.S. House of Representatives for 34 years (1965-1999), represent
SYRACUSE, N.Y. — Gov. Kathy Hochul on Thursday unveiled new renderings that give Syracuse residents their first glimpse of the new safety and access enhancements coming to the Inner Harbor and Northside as part of the Interstate 81 (I-81) viaduct-replacement project’s third contract. The six renderings depict improvements to North Clinton Street, new bridges along
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SYRACUSE, N.Y. — Gov. Kathy Hochul on Thursday unveiled new renderings that give Syracuse residents their first glimpse of the new safety and access enhancements coming to the Inner Harbor and Northside as part of the Interstate 81 (I-81) viaduct-replacement project’s third contract.
The six renderings depict improvements to North Clinton Street, new bridges along Bear, Court, and Spencer Streets, and pedestrian and cyclist enhancements that connect residents on the Northside to the Empire State Trail.
The renderings are available online at: https://www.governor.ny.gov/sites/default/files/2024-06/Syracuse_I-81_Viaduct_Northside_Inner_Harbor_renderings.pdf
The renderings were on display at a Northside/Inner Harbor open house on Thursday evening at OneGroup at 706 North Clinton St. in Syracuse.
Visuals show a new gateway to the city’s Northside and Inner Harbor, focusing on a reconstructed North Clinton Street that will include new pavement, sidewalks, a shared-use path and on-and-off ramps from future Business Loop 81, per Hochul’s office.
Renderings also include a preview of the three replacement bridges on Bear, Court, and Spencer Streets. These structures will be longer to fit over the expanded future Business Loop 81 and feature new sidewalks. Additionally, a shared-use path will be included on the Court and Spencer Street bridges.
Pedestrians and cyclists will have improved access to the Empire State Trail through a new shared-use path constructed north of West Bear Street. A view in one of the new renderings shows the existing shared-use path along the Empire State Trail, south of West Bear Street, reconstructed and with amenities that include a bike repair station, bike racks and seating.
The third contract of the I-81 project — under construction in the Inner Harbor and Northside — is an extension of the work already underway in the northern and southern interchanges of Interstates 81 and 481 and is supported by federal funding from the federal Infrastructure Law, Hochul’s office said.
Utica National Insurance Group’s first woman CEO ready to start position
NEW HARTFORD, N.Y. — Utica National Insurance Group is ready for its first female CEO Kristen H. Martin to take the reins on July 1 when Richard P. Creedon retires after 26 years with the company. Martin joined Utica National in 2001 as an examiner before several promotions including corporate secretary and executive VP in
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NEW HARTFORD, N.Y. — Utica National Insurance Group is ready for its first female CEO Kristen H. Martin to take the reins on July 1 when Richard P. Creedon retires after 26 years with the company.
Martin joined Utica National in 2001 as an examiner before several promotions including corporate secretary and executive VP in 2013, director of underwriting operations in 2014, and executive VP and chief operating officer in 2016. She most recently served as president and chief operating officer.
“I’m grateful for the opportunity to lead an amazing team and work closely with the independent agents who represent our company toward one goal — to help our insureds protect what’s important to them,” Martin said in a news release. “At the same time, I’m excited about helping our company continue to grow, be successful, and contribute to the wellbeing of the communities where we live and work.”
Under her leadership, Martin said the Utica National Group Foundation will continue to be actively involved in the community supporting events like the Utica National Kids Run and Boilermaker 5K race in Utica and aiding nonprofit organizations through grants and volunteer efforts.
Martin holds a law degree from Albany Law School, a bachelor’s degree in economics and government from St. Lawerence University, and the Associate in Claims professional designation. She has been active in several community and academic organizations and was elected to the New York Insurance Association’s board of directors in 2020.
Creedon, who served as CEO and chairman of the board, will remain chairman of the board following his retirement.
The Utica National Insurance Group is a group of insurance companies providing personal and commercial insurance products and services sold through more than 2,500 independent insurance agents. Its principal company, Utica Mutual Insurance Company, was founded in 1914.
Valley Health Services receives $15K grant for therapy equipment
HERKIMER, N.Y. — The Community Foundation of Herkimer and Oneida Counties, Inc. has awarded a $15,000 grant to Bassett Healthcare Network’s Valley Health Services in Herkimer to advance its care for those recovering from strokes, neurological conditions including traumatic brain injury, and debilitating illnesses and surgeries. Valley Health Services used the grant funding to purchase
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HERKIMER, N.Y. — The Community Foundation of Herkimer and Oneida Counties, Inc. has awarded a $15,000 grant to Bassett Healthcare Network’s Valley Health Services in Herkimer to advance its care for those recovering from strokes, neurological conditions including traumatic brain injury, and debilitating illnesses and surgeries.
Valley Health Services used the grant funding to purchase equipment used in therapy sessions that advance a patient’s level of independence. The new tools help patients strengthen their sense of balance, use stairs, complete physical transfers, and improve their cognition and reaction time.
The grant was made possible by the Wesley and Marion Small Fund at the Community Foundation.
Valley Health Services is part of the Bassett Healthcare Network, which provides health care to a 5,600-square-mile region of upstate New York.
Geddes Federal’s Manlius branch has a new manager
MANLIUS, N.Y. — Geddes Federal Savings and Loan Association has named a new manager for its branch in Manlius. Linda Meade is assuming the duties of branch manager. Meade is succeeding Christy Krzywda in that role, the organization tells CNYBJ in an email. Krzywda, a junior officer in the savings department, has relocated to the
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MANLIUS, N.Y. — Geddes Federal Savings and Loan Association has named a new manager for its branch in Manlius.
Linda Meade is assuming the duties of branch manager. Meade is succeeding Christy Krzywda in that role, the organization tells CNYBJ in an email.
Krzywda, a junior officer in the savings department, has relocated to the Syracuse branch, Geddes Federal added in its email.
The Manlius branch of Geddes Federal Savings and Loan Association is located at 240 West Seneca St. in the Limestone Commons Plaza. The Manlius branch has been in operation for 12 years, Geddes Federal says.
Meade has worked for Geddes Federal since beginning as a part-time teller in 2017, per its announcement. She later became a part-time floating customer-service representative in 2018.
In 2019, Meade became a full-time customer-service representative before Geddes Federal promoted her to a loan originator position in 2020.
“I look forward to continuing the leadership and excellent service our customers have expected from Geddes as we continue to embrace the future,” Meade said in the Geddes Federal announcement.
AmeriCU Credit Union has announced the appointment of retired U.S. Army Sergeant Major Richard Foist as its new Lowville Financial Center manager. With extensive experience
2024 Best Places to Work Featured Qualifying Companies
Each year, representatives from The Central New York Business Journal, BizEventz, and RMS visit some of the many Best Places to Work Qualifying Companies.
Cornell University, USDA break ground on grape-research lab in Geneva
GENEVA, N.Y. — Cornell University and the U.S. Department of Agriculture’s (USDA) Agricultural Research Service (ARS) on Wednesday broke ground on construction of the upcoming
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