Tag Archives for COVID-19

Fixing Access to Internet as Tech Usage Surges Among Seniors During Pandemic

Published in Pawtucket Times on May 10, 2021

Over a year where a global pandemic has significantly reduced social interaction, technology becomes more important than ever, especially for home bound seniors. A newly released 39-page report from the Washington, DC-based AARP found that more older adults (44 percent) view tech more positively as a way to stay connected than they did before COVID-19. The findings indicate that 4 out of 5 adults age 50 and over-relied on technology to stay connected and in contact with family and friends.

Yet, the researchers found that the greater adoption and reliance on technology is uneven because 15 percent of adults 50 and over do not have access to any type of internet, and 60 percent say the cost of high-speed internet is a problem.

Pandemic Increases Use of Technology

“Technology-enabled older adults to better weather the isolation of the pandemic, from ordering groceries to telehealth visits to connecting with loved ones,” said Alison Bryant, Senior Vice President of Research at AARP in an April 21 statement announcing the release of the report, 2021 Tech Trends and the 50+: Top 10 Big Trends. “But it also exacerbated the divide. So much more is done online, and the 38 million disconnected older adults are being further left out,” she says. 

The report’s findings indicate that annual tech spending by those age 50 and over exponentially increased – from $394 to $1144. The top three tech purchases were smartphones, smart TVs, and earbuds/Bluetooth headsets. 

According to the researchers, using technology to connect with family and friends across multiple forms of communication has increased since the onset of the COVID-19 pandemic. Many say they are using video chats (45 percent), texting (37 percent), emailing (26 percent), and phone (29 percent) more now than before the pandemic’s onset. As of 2019, about half had never even used video chat, but one year later they did. Seventy percent have, with 1 in 3 using video chat weekly. Tech use among the age 50 plus community increased particularly in wearable devices – from 17 percent to 27 percent.

The AARP study’s findings indicate that the older participant’s use of smartphones increased dramatically, especially among the homebound. For instance, use for ordering groceries grew from just 6 percent to 24 percent; use for personal health increased from 28 percent to 40 percent for activities like telehealth visits, ordering prescriptions, or even making appointments; use for health and fitness information increased 25 percent to 44 percent and use for financial transactions increased 37 percent to 53 percent.

Weekly use of streaming increased to 58 percent from 44 percent, a significant shift in how the 50+ consume entertainment says the researchers.

Although the study’s researchers also found that half of the age 50 plus wanted to learn more about using tech (54 percent), cost (38 percent), awareness/lack of knowledge (37 percent), and privacy concerns (34 percent) were the top self-reported barriers holding them back from adopting and using the new technology.  

“Privacy concerns continue to be a factor when it comes to using tech, with 83 percent lacking confidence that what they do online remains private,” says the researchers.   

Bringing U.S. Broadband Networks to Millions of Americans

According to Washington, DC-based Free Press, a nonprofit group that is part of the media reform or media democracy movement, more than 77 million Americans lack adequate internet service at home, either because they do not have access or can’t afford it.  

Because of the “stark digital divide,” a much a higher percentage of white families use home broadband internet than Black or Latino families. The ongoing pandemic clearly showed these disparities, particularly for students who struggled to connect while learning remotely, compounding learning loss and social isolation for those students.

Although Congress has already included $3.2 billion in emergency funding for broadband access in the 2021 COVID-19 Stimulus Bill this year, President Biden has called for more funding to increase access to the nation’s U.S. Broadband Networks. Biden recently unveiled the American Jobs Plan Act of 2021, a $ 2.3 trillion infrastructure package, which includes $100 billion in funding to build affordable, reliable high-speed broadband infrastructure throughout the nation to reach 100 percent coverage, as a goal. It would also ensure that all Americans have lower costs for the internet.

Biden’s proposal would build “future proof” broadband infrastructure in unserved (rural and tribal lands) and underserved areas to reach 100 percent high-speed broadband coverage. It calls for reducing the cost of broadband to allow anyone who wants high-quality and reliable broadband internet to afford it and to promote widespread adoption. It funds the building of high-speed broadband infrastructure to reach 100 percent coverage, bringing access to unserved and underserved areas across the nation. It would also promote price transparency and competition among internet providers. This would be accomplished by lifting barriers that prevent municipally owned or affiliated providers and rural electric co-ops from competing on an even playing field with private providers, and requiring internet providers to clearly disclose the prices they charge.

The internet item falls within a broader “infrastructure proposal”. Rhode Island Congressman David Cicilline calls for the passage of Biden’s infrastructure proposal, stating: “I’m especially pleased that President Biden’s American Jobs Plan addresses some of our most pressing priorities here in Rhode Island. It will rebuild our national transportation infrastructure by modernizing 20,000 miles of roads and doubling federal support for public transit. It will put us on track towards a more sustainable future by electrifying our transportation system and building a network of half a million electric vehicle charging stations. It will ensure every American has access to clean drinking water by replacing lead service lines and pipes that still serve up to ten million homes in our country. It will double the number of registered apprenticeships so that more Americans can take advantage of the jobs this plan creates.” 

It’s Time to Seriously Negotiate

GOP House Minority Leader Kevin McCarthy of Calif. and GOP Senate Minority Leader Mitch McConnell, of Kentucky, along with members of their Caucuses, are united in their opposition to the passage of Biden’s infrastructure proposal. An insurmountable wedge was created by the bill’s expansive definition of infrastructure, to includes major funding investments for transportation, housing, eldercare workforce development, and access to broadband, to name a few. It even includes climate change policies, too. GOP lawmakers have a very narrow definition. Simply put, they say just include funding to fix roads, bridges, ports and waterways, and expanding broadband.  

Ultimately, another deal-breaker is how the costly legislative proposal is paid for. Biden calls for the costs to be offset by a corporate tax increase while Republicans see user fees such as road-related taxes and unspent COVID-19 relief funding, to cover costs.

Speaking recently at a press conference at the University of Louisville, McConnell said Democrats should expect “zero” support from the GOP for Biden’s big-ticket infrastructure and social spending proposal. He called on Democrats to support a Senate GOP counteroffer to Biden’s costly infrastructure proposal, costing a mere $568 billion (for roads and bridges, ports, waterways and expanded broadband).

There are many provisions of Biden’s American Jobs Plan of 2021 that both Republicans and Democrats agree on, including investing in roads, bridges, rail lines, ports electricity grid improvements, and increasing access to broadband. Biden says “he’s prepared to negotiate” the cost of the package and how it is paid for. 

So, it’s now time for McCarthy and McConnell to step up to the negotiating table to address their political and philosophical differences over Biden’s definition of infrastructure and funding.

It’s time to send a bipartisan infrastructure bill to Biden to sign.

·For more details about AARP’s Tech Study, go to https://press.aarp.org/2021-4-21-Tech-Usage-Among-Older-Adults-Skyrockets-During-Pandemic.

Whitehouse Pushes for COVID-19 Senate Proposal to Protect Residents, Employees

Published in the Pawtucket Times on March 1, 2021

As the one-year anniversary of the coronavirus disease (COVID-19) pandemic approaches, U.S Senator Sheldon Whitehouse (D-RI) joins Senators Bob Casey (D-PA), Raphael Warnock (D-GA), Richard Blumenthal (D-CT), and Cory Booker (D-NJ) in introducing a legislative proposal to save lives of nursing home residents and employees and assist with vaccinations.   At press time, over 1.3 million nursing residents and workers in long-term care facilities have been infected with COVID-19 and more than 170,000 have died so far, accounting for approximately 35 percent of COVID-19 deaths nationwide.

Taking a Close Look at S.333

Last week, S.333, “The COVID-19 Nursing Home Protection Act,” was thrown into the legislative hopper.  Initially introduced last Congress, the latest version, now being considered by the Senate Finance Committee, would provide funding to give nursing homes the needed resources to keep residents and workers safe; funding would go towards providing vital infection control assistance and organizing local health and emergency workers – known as “strike” or “surge” teams – to manage COVID-19 outbreaks and care for residents.  At this time no House companion measure has been introduced.

S. 333, introduced on Feb. 22, would provide $210 million for the Secretary of HHS to contract with quality improvement organizations to provide essential infection control assistance to nursing homes. 

Moreover, the legislative proposal would also send $750 million in funding to states to implement “strike” or “surge” teams. States are using “strike” or “surge” teams to ensure a sufficient number of aides, nurses and other providers are available to care for residents. Such teams also help manage COVID-19 outbreaks within a facility, particularly as vaccinations proceed in these settings. Since August, approximately 20 percent of nursing homes have reported each week that they do not have a sufficient workforce to care for residents.”

The impact of the pandemic has been devastating to minority communities, where reports have indicated that facilities serving significant numbers of Black and Hispanic residents were twice as likely to have COVID-19 infections. S. 333 would require the HHS Secretary to collect and make public demographic data on COVID-19 cases and deaths, including information on age, race, ethnicity, and preferred language. 

Whitehouse supports President Joe Biden’s call for the implementation of strike teams in his American Rescue Plan to help address these persistent shortages as well as the collection and dissemination of data on suspected and confirmed COVID-19 cases and deaths by race, ethnicity and preferred language.

Controlling COVID-19 Outbreaks in the Nation’s Nursing Homes

“Nursing home residents and staff have been through a traumatic year,” said Whitehouse who sites on the Senate Finance Committee.  “We need to prioritize vaccinating and caring for the Americans who live and work in these settings.  That means providing additional staff as needed to control outbreaks and making sure every resident and care worker who wants a vaccine can get one.,” said the Rhode Island’s junior Senator who has served since Jan. 4, 2007.

“As more than 170,000 residents and workers in nursing homes and other long-term care facilities have died from COVID-19, it is critical that Congress pass the COVID-19 Nursing Home Protection Act,” says Sen. Bob Casey, Chair of the U.S. Special Committee on Aging.

“This bill would address persistent staffing shortages in nursing homes by utilizing strike teams, promote infection control protocols and require that demographic data is collected on COVID-19 cases and deaths,” notes Casey.

Adds Casey, “The challenge this terrible virus poses are unprecedented and requires an immediate and extraordinary response. That is why my colleagues and I are advancing strategies to give states what they need – funding for ‘strike’ teams to help address staffing shortages in nursing homes and assist with vaccinations in these settings. We have an obligation to protect our most at-risk citizens.”

 “We applaud the efforts of Senator Whitehouse and his colleagues to provide funding for the protection of nursing home residents and staff,” said Scott Fraser, President and CEO of the Rhode Island Health Care Association, an affiliate of the Washington, DC-based American Health Care Association.  “We are especially pleased with the creation of strike teams to address the critical issue of staffing shortages during times of crisis.  This is a suggestion that RIHCA brought to Senator Whitehouse’s attention this past Spring when our homes were in critical need of additional staff due to the pandemic.  We thank him for listening and taking action,” he says.

At press time, 12 Democratic Senators join Sens. Whitehouse, Casey, Warnock, Blumenthal, and Booker, becoming cosponsors to this legislation.  They are: Sens. Maria Cantwell (D-WA), Bob Menendez (D-NJ), Jeanne Shaheen (D-NH), Tina Smith (D-MN), Amy Klobuchar (D-MN), Tammy Duckworth (D-IL), Chris Van Hollen (D-MD), Sherrod Brown (D-OH), Catherine Cortez Masto (D-NV), Jack Reed (D-RI), Maggie Hassan (D-NH) and Mazie Hirono (D-HI). 

A Call for Bipartisan Support

With the Senate now under Democratic control, there is a good chance that S. 333 will be considered by the Senate Finance Committee and if passed sent to the floor for consideration.   During the 116th Congressional session, the former Senate GOP Majority Leader, Mitch McConnell, of Kentucky, who often called himself the “Grim Reaper,” sent Democratic legislation to a legislative graveyard, refusing to act on Democratic legislation, even proposals with bipartisan support.

It’s time for Senate Republicans to support a Democratic proposal that protects the health and safety and the wellbeing of nursing home residents and workers in the nation’s 15,600 nursing homes. 

Partisan politics shouldn’t play a role in Senate Minority Leader Mitch McConnell’s decision to not urge his caucus to support this worthy legislative proposal.  S. 333 truly deserves bipartisan support and enactment, especially during the ongoing COVID-19 pandemic.

Dr. Teresa Chopoorian: McKnight’s Women of Distinction Award winner

Published in the Pawtucket Times on February 22, 2021

After reviewing hundreds of submitted entries, an independent panel, composed of two dozen judges, selected 19 women, including Dr. Teresa J. Chopoorian, to be inducted into the McKnight’s Women of Distinction Hall of Honor as part of the program’s third annual class. 

Dr. Chopoorian serves as Vice President and Administrator of the Central Falls, RI-based Mansion Nursing and Rehabilitation Center and is a former Professor of Nursing and Chairs the City of Pawtucket Cancer Control Task Force.     

According to McKnight’s Long-Term Care News the Hall of Honor recognizes executive-level professionals who have made a significant impact in the skilled nursing or senior living industries.  Of the sixty women who have been inducted into the Distinction Hall of Honor since its inception in 2019, Dr. Chopoorian is the only Rhode Islander to receive this prestigious recognition. 

Considered the hallmark of recognition for women leaders in the seniors’ care and living industries, McKnight’s Women of Distinction honors are given in three categories: Rising Stars, Veteran VIPs, and the Hall of Honor. A Lifetime Achievement Award winner will also be announced in March.  The annual awards program is administered jointly by McKnight’s Long-Term Care News and McKnight’s Senior Living. The winners will be recognized in editions of the McKnight’s Daily Update and McKnight’s Daily Briefing newsletters.

All of this year’s honorees, working in the health care industry, will be celebrated during a May 18th virtual awards event.  The ceremony will take place the evening followed by a special McKnight’s educational forum for all professionals in the long-term care and senior living industries the next morning. 

The Life and Times of Dr. Chopoorian

Dr. Chopoorian was hired as an Instructor at Boston University School of Nursing after completing her master’s degree at this university in 1964.  She was promoted to Assistant Professor and recognized as Teacher of the Year in 1968.  

She left Boston University in 1970 to accept a professorship at Boston College to co-direct a Macy Foundation graduate program with Harvard Medical School, a novel initiative to prepare Clinical Nurse Specialists. The program was among the first graduate nursing curriculum in the country and served as a critical role model for forthcoming nurse practitioner programs. 

In 1974, Dr. Chopoorian joined the faculty of Boston State College Department of Nursing and began doctoral studies at Boston University in 1978.  Upon completion of her doctorate in 1982, she accepted a professorship at Northeastern University School of Nursing where she continued to teach and participate in the development of nursing practice.

Coming Back Home to Long Term Care

Dr. Chopoorian joined the Mansion after a 22-year career as a nursing educator.  Her career parallels the transformation of nursing home care as it has undergone generational change.  As nursing homes evolved from custodial care to a case mix of higher morbidities and a greater need to deal with an increasing population of younger residents and residents with mental illnesses, Dr Chopoorian’s career paralleled this transformation in unique ways.

Starting as a teenager working in her family’s business, a 76-bed nursing home on the border of Central Falls and Pawtucket, mill towns emerging from the flight of the textile industry, she was inspired to become a nurse.  She then chose the rigor of enrolling at Classical High School Providence, which laid a strong foundation of scholarship that would serve her well.   More importantly, this earliest choice illustrated a characteristic of always taking on the greater challenge.  

In 1986, Dr. Chopoorian joined the Mansion staff at a time of family crisis.  Her father was retiring as administrator soon after the passing of her mother. At a crossroad of whether to continue the development of a fruitful academic career or apply her clinical knowledge and nursing skills to a family business, she made the critical choice of leading the family’s nursing facility while caring for her father. A daunting choice on every level, leaving the security of an academic career for a business whose nature and regulatory landscape were dramatically different than two decades earlier when she helped her father as a nursing aide.   

Dr. Chopoorian’s family crisis thrust her into the role of Administrator; she led the Mansion as a quality provider of skilled care and rehabilitation services, consistently a 4 and 5-star rated facility.  In 2010, she was recognized as the first recipient of the Nightingale Nurse of the Year Award by the Rhode Island State Nurses Association, as a nurse in the role of nursing home administrator.

Dr. Chopoorian also became active in the greater community and participated in boards such as the Pawtucket YMCA and Samaritans of Rhode Island. But closest to her heart, she has a lifelong commitment to cancer prevention, and has become one of the strongest local voices for cancer prevention in her community.  As chair of the Cancer Control Task Force supported by the City of Pawtucket Mayor’s office, she instituted programs such as a Poetry Slam that has young local school students writing poems competitively on the theme of smoking cessation or prevention.

A Rising Star in the Nursing Profession 

After graduation from the College of Nursing at the University of Rhode Island in 1962, she started as a Staff Nurse at Children’s Hospital Medical Center in Boston. Again, rising to the greater challenge, she enrolled in the Nursing Master’s program at Boston University.  It launched a career that would keep her in the mainstream of nursing education and growth, up to the present day to bring her full cycle to administering a family business and the challenges of passing it on to a third generation.

Dr. Chopoorian shared her pioneering work on education for nursing practice through her teaching, publishing and consulting as these programs became established. She was recognized for her work by the Massachusetts Nurses Association in 1974 – “Recognition of a Nurse Influencing the Directions of Professional Nursing Practice”. 

Perhaps the most prestigious recognition was her selection as the 9th recipient of the International Council of Nursing (ICN) Fellowship in 1978, the first US candidate to be selected from among its 44 member countries.

Among Dr. Chopoorian’s publications, one of special note is her article, “Reconceptualizing the Environment”, which called attention to the social, cultural, political and economic environmental factors that impact the practice of nursing. Published in 1986, it is still heavily cited by scholars in the field and pertinent to the dialog of nursing practice today.

She was appointed Fellow in the National Academy of Practice, Nursing in 1987.

Meeting the Challenges of COVID-19

Dr. Chopoorian is now practicing what she has preached over the years, applying her knowledge and skills to the practical matters of administering a skilled nursing care facility, and doing it in a manner that has earned her the recognition of her peers as Nightingale Nurse of the Year.

Early in March 2020 as it became clear that nursing homes were ground zero in an epic battle; she consulted with her Medical and Nursing Director and decided to close admission of anyone into the facility who was not already in the facility until October of 2020, when community spread overcame the facility staff’s most resolute of defenses. The Mansion is one of only three facilities in Rhode Island with this record in the midst of what was designated as the state’s hot zone. The residents and staff who tested positive have since quickly passed quarantine with no deaths or illnesses. A major practice achievement as we now head into a time of protection with the Pfizer, Moderna, and other versions of the COVID-19 vaccine, and are hopefully home free.