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Boomer Living Senior Living Broadcast

Author: Hanh Brown

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Boomer Living Senior Living Broadcast is inspired by the professionals caring for older adults, hosted by Hanh Brown. Every week we have industry professionals on the show, namely neurologists, gerontologists, geriatricians, technologists, caregivers, providers, developers, and operators. They share their journey, impact, and lessons learned in caring for the aging population. Join the conversation of hot topics in serving older adults with friends and industry experts. The future of aging will be different for individuals, families, businesses, communities, and societies. Now is the time to lead, plan, and act. If this podcast resonates with you, feel free to subscribe and share with anyone who you feel may benefit. Send me a message
95 Episodes
On this episode of Boomer Living, we have Dr. Nate Bergman, Chief Scientific Wellness Officer for Kemper Cognitive Wellness, speaking about brain health and the concept of "Scientific Wellness" and how it relates to brain aging and wellness.[01:24] Introduction[02:04] Is memory loss preventable in any way or is it inevitable as we age?[03:16] Aside from memory loss, what other kinds of cognitive loss are possible and how can we pick up on this early both for ourselves and observing it in our loved ones?[06:49] Do you think our lifestyle lends ourselves to constantly be bombarded with information flashing in front of us and just taking us in so many different directions, does that contribute to it?[08:28] What should we do if we or someone we know are experiencing these types of loss?[10:37] Can you give an overview of what dimentigens are?[12:08] What are the most common dimentigens, and how do we best avoid dimentigens in our own lives?[17:55] Planning for longevity, aging, attitude towards aging, and caregiving should start in you're younger years.[20:52] Finding the strength to be a caregiver.[22:51] What is "Scientific Wellness" and how was it relevant to brain aging and wellness?[24:34] Is there anything beyond lifestyle factors that is evidence-based that may help delay or improve the effects of cognitive aging, perhaps technology?[27:23] What other types of anti-memory loss technology do you think we'll see in the next decade?[29:09] Kemper Cognitive Wellness is launching a new course for caregivers which gives theoretical and practical information to help new caregivers navigate the ins-and-outs of caregiving for someone with Alzheimer's and dementia.Dr. Nate Bergman is a board-certified physician currently acting as the Chief Scientific Wellness Officer for Kemper Cognitive Wellness in Cleveland, Ohio.  He formerly co-developed the brain health program at Cleveland Clinic's - Center for Functional Medicine. The author of peer-reviewed medical articles, a podcaster himself, and father of 5 very neurodiverse children!Dr. Bergman's podcast "Evolving Past Alzheimer’s" brings you the highest caliber information on Alzheimer’s prevention and reversal and pathways to thrive in life’s “second half.” The challenge of Alzheimer’s has provided humanity with an opportunity to upgrade its collective consciousness. Listen here:
On this episode of Boomer Living, we have Barry Jacobs and his wife, Julia Mayor. Both are clinical psychologists and together they co-authored two books: "Love and Meaning After 50", and "Meditations for Caregivers".[01:24] Introduction[02:02] As you get older, how does the role of marriage change?[04:58] Why is the divorce rate among married couples over 50 increasing in the US?[07:07] Do you think any of this is because of a lack of understanding of relationships, changing roles as we age? What can couples do to lessen the risks of divorce and stay together and happily married?[10:01] What is the impact of caregiving on relationships of couples over 50? And how does caregiving affect relationships?[16:06] Can you give suggestions, how can couples make sure that this doesn't create tension in the relationship?[18:16] What are some key ways to revitalizing the marriage in the last third of life?[20:16] How can senior living communities create marriage enrichment programs and family care, giving support programs?[22:14] How can senior living communities support residents who have lost their partner and are still dealing with the emotional impact of it?[23:29] What motivated you to write two books together as a couple? And can you share with the audience about your books?[25:26] Can you say what the names of the books are and can listeners find it on Amazon or where can they find it?[25:50] Closing thoughtsBarry J. Jacobs, Psy.D. is a clinical psychologist and Principal in the Philadelphia office of Health Management Associates, a national healthcare consulting firm. He is a monthly columnist on family caregiving for and an honorary board member of the Well Spouse Association.Julia L. Mayer, Psy.D. is a clinical psychologist in private practice in Media, PA. She specializes in helping individuals and couples with trauma and family caregiving.They are married and have co-authored two books: AARP Meditations for Caregivers (Da Capo, 2016) AND AARP Love and Meaning After 50 (Hachette Go, 2020).Visit Julia and Barry on the web at where you can view their books and learn more about relationships as we age.
Dr. Regina Koepp is the founder and CEO of Gero Champions, a company that provides training and education to enhance the mental health and wellness of older adults and their families. Dr. Koepp is the creator and host of the Psychology of Aging Podcast where she discusses aging and caregiving. She has been featured in the Chicago Tribune, Baltimore Sun, Insider, and is a contributing writer at Psychology Today.Topics of Discussion:[02:12] Introduction[02:58] What is the best way to study caregiving and what are some of the important roles of a caregiver?[09:14] What do you think it is like to be a caregiver during the pandemic?This is a very painful time, please take care of yourself. If you or someone you know is in crisis or struggling with thoughts about harming yourself or others, please reach out to the National Suicide Prevention Lifeline at 1-800-273-8255  or click on the link:[12:21] What policies need to be changed to better support caregivers?[16:50] Loved ones doing the caregiving many times are scrutinized by Families members[18:15] The Caregiver’s Journey, discussing the 6 stages of caregiving[18:28] Stage 1: Pre -caregiving stage[21:35] Stage 2: Early caregiving stage - "The Ambiguous Caregiver"[26:24] Stage 3: "Yes, I'm a caregiver - There is no denying it"[30:17] Stage 4: Moving toward death - "The Steward Stage"[33:01] Stage 5: The bereavement stage - Your loved one has passed and you're grieving[34:02] Stage 6: The rebuilding stage[37:54] What are some things the average person can do to maintain their mental health as they grow older?[40:56] Why do you think it’s so uncomfortable in our culture to discuss aging and end-of-life plans?[43:19] Which has a bigger impact on mental health for older adults?Dr. Regina Koepp is a board-certified Clinical Psychologist, Gerontologist, former Assistant Professor at Emory University School of Medicine’s Department of Psychiatry and Behavioral Sciences assistant professor, and former staff psychologist at the Atlanta VA Health Care System (VAHCS), where for more than a decade she provided direct patient care and consultation on the Gero-Psychiatry Outpatient Mental Health team.This is a very painful time, please take care of yourself. If you or someone you know is in crisis or struggling with thoughts about harming yourself or others, please reach out to the National Suicide Prevention Lifeline at 1-800-273-8255 or click on the link: more about Dr. Koepp at
Calvin Schnure, Senior Vice President, Research & Economic Analysis for Nareit shares with us his thoughts on the 2021 senior housing market.Impact of the pandemic on senior living communitiesWhat has been the impact on occupancy rates?What has been the financial impact of this on the communities?What is driving this lower demand? Is it preference or fear of COVID, or are there bigger macroeconomic factors at play here like unemployment?What makes the recession caused by this pandemic different from other historical recessions?What will the impact of this difference be on senior living real estate specifically?What have been the most effective ways senior living communities curbed the spread of the pandemic?What role does educating the residents play in keeping viral spread to a minimum?What has been the most effective way to communicate the danger to seniors living in these communities?Has this varied based on the health level of the seniors? For example, I imagine it’d be much more difficult to explain the seriousness of the pandemic to a senior with cognitive impairment or a memory disorder.Prior to the pandemic, what did you think the future of the senior housing sector would be?Did the pandemic change this course, or simply accelerate it?Do you think the pandemic will accelerate industry consolidation among operators of senior living facilities? Why?Once we move past the pandemic, what issues will we still be facing in senior housing?Modern facilities attract a younger crowd, but what problems will communities targeted at the age 80+ face?Calvin SchnureSenior Vice President, Research & Economic AnalysisCalvin Schnure is Senior Vice President, Research & Economic Analysis, and joined Nareit in March 2011. He analyzes developments in the macro economy and their impact on REITs and commercial property markets, and on financial returns to REITs. He monitors performance of mortgage REITs and conditions in the U.S. mortgage market. He also conducts original research on REITs' stock market returns and economic fundamentals.Calvin began his professional career in the 1990s as Economist at the Federal Reserve Board. While at the Fed he analyzed the non-bank financial sectors for the Flow of Funds Accounts, corporate profits and commercial paper markets in the Capital Markets group, and also analyzed business fixed investment, including capital spending on nonresidential structures, for the Fed's economic forecast. Subsequently he was Vice President for US Economics at JPMorganChase, where he analyzed and forecast economic and financial market conditions, and advised senior management and clients. He was Senior Economist at the International Monetary Fund from 2002 through 2006, and Director of Economic Analysis at Freddie Mac from 2006 through 2011.Calvin earned a B.A. in Economics from Williams College, a Master of Arts in Law and Diplomacy from the Fletcher School at Tufts University, and a Ph.D. in Economics from the University of California, Berkeley.He can be contacted at
I discuss the COVID-19 vaccine with Dr. Rhonda Collins, M.D., Chief Medical Officer for Revera, an owner, operator, and investor in the senior living sector with an aim to improve the aging experience by celebrating the ageless spirit of older adults. She joins me today for the second time on Boomer Living to discuss the new coronavirus vaccines that have been in the news so much recently.Topics of discussion:Why is it so important that our older adults get vaccinated quickly? [02:17]What is different about this vaccine? How does the vaccine work? [03:13]Myths and Facts about the vaccine [11:05]Should the vaccine be mandatory for Senior Living Staff? [13:00]Share with me the journey at your community and the rollout of the vaccine. When did it start? How has the the rollout been for you? [15:28]How has the pandemic affected you over the last year? [20:44]Dr. Rhonda CollinsChief Medical OfficerDr. Rhonda Collins brings passion and expertise in memory care, dementia, falls prevention and clinical quality improvement to the role of Chief Medical Officer – a first for the seniors living sector in Canada.Dr. Collins is a family physician with a certificate of added competence in Care of the Elderly from the College of Family Physicians of Canada. She has been lead physician for the Outpatient Primary Care Memory Clinic at Shaver Hotel Dieu Health and Rehabilitation Centre in St. Catharines, and Medical Director and attending physician for several long term care homes in the Niagara Region. She regularly consults on neuropsychiatric behaviours of dementia for the Niagara Seniors Mental Health Outreach program. She is Associate Clinical Professor with the Department of Family Medicine at McMaster University School of Medicine where she developed and leads a Care of the Elderly rotation for family medicine residents.You can reach Dr. Rhonda Collins M.D. via LinkedIn at
Thomas Sanders is a photographer who shoots for a wide variety of clients, from Esquire magazine to senior living communities. A professor of photography at the Savannah College of Art and Design, Sanders is also the author of two photography books, "The Last Good War: The Faces and Voices of  WWII” was published by Welcome Books in 2010.As the winner of the 2010 Foreword Reviews' Book of the Year Award for Editor's Choice Nonfiction as well as a selection of The History Book Club and The Military Book Club, this collection of portraits was called “meticulously rendered and brilliantly lit” by the Chicago Tribune. In 2020, Sanders published his second book, “Vietnam War Portraits: The Faces and Voices.”Topics of Discussion:Overview on my journey of doing films and photo shoots for senior living companiesHow to represent seniors in marketing: Some companies want realistic residents and some want seniors that are younger than their resident age demographicPhotos and films for baby boomers are going to become more modern and hip, how do boomers want to be perceived?How to pick senior stock photos?A few tips on how employees can take good social media photos of residentsThomas' Links:LinkedIn: Senior Living Photography: Stock Photos:
Riley GibsonPresident, SilvernestRiley Gibson is the president of Silvernest, a unique online homesharing service designed to pair boomers, retirees, empty nesters and other aging adults with compatible housemates. He is responsible for overseeing the company’s strategic vision and day-to-day execution, driving innovation and growth for its technology platform, and creating housing solutions that serve as a model for the future.Prior to assuming the role of president, Riley was Silvernest’s senior vice president of product, responsible for running a high-performing team through all aspects of the design and development process, as well as defining the go-to-market strategy. Riley is a visionary with an optimal combination of business leadership and technological skill. He joined Silvernest to pursue a long-term interest in applying design and technology to solve the nation’s mounting issues surrounding aging and longevity. Riley was previously with Kapost, where he led product and design and, following its acquisition by Upland Software, was tapped for a senior position in its $75 million marketing tech business unit. Before that, he co-founded and served as CEO of Napkin Labs (acquired by Chaordix), which built open innovative software for some of the world’s biggest consumer brands. Riley has been a contributing author to Fast.Co Design, Harvard Business Review and Inc. magazine, and has a passion for bringing technology and design together to rewrite the rules in mature industries.Topics of Discussion:Tell us more about the mission of Silvernest and what need you’re looking to fulfillCan you explain how Silvernest homesharing works (walk through process from start to housemate)?What are some specific benefits for homeowners, housemates and the community as a while?Who is homesharing a good choice for and what do people like about it? Boomers sharing a house isn't a new concept - thinking about "Golden Girls" 30 years ago. Why is it trending now? Is anything different?Can you share some success stories?Do you see many intergenerational pairings on your platform or is it mainly boomer roommates?Understanding that your solution is for the aging population, what impact have you had in providing this demographic with an affordable housing option?Previously, retirement was about safety, security and hopefully comfort. Are today's aging adults looking for more? Are they reinventing retirement living?Riley's Links:LinkedIn:
Jill Johnson is a two-time business Hall of Fame consultant whose work has influenced more than $4 billion worth of decisions for numerous senior living clients located throughout the United States. Jill’s engagements have encompassed the entire continuum of senior living services including active adult housing, independent housing with services, assisted living, memory care, skilled nursing, post-acute care, home healthcare and hospice services. She has personally visited more than 2,000 senior living communities across the nation and studied at least a thousand more.Topics Discussed:Differences in all types of senior housingWhat are the key differences in types of senior housing options?How do these housing environments support the transitions as you age?Are there any downsides to moving into senior housing?Healthy Aging and how senior living environments can support thisWhat are some of the key strategies for healthy aging?How important are Lifestyle elements to keep you healthy and interested in life?Why is living with other seniors a good option to consider?What to look for when considering senior housing for yourself or a loved oneHow should I bring this topic up with my parents?How should I talk about this topic with my children?What should I do to prepare for evaluating senior housing?What should I look for when going on a tour?What to consider as you are thinking about making this decisionI am not ready for this kind of living yet. Why should I plan ahead?How do you make the decision that it is time to move?What do you do if you have too much stuff?How should someone budget or plan to pay for this?Jill's Links:LinkedIn: Facebook: Clip:
Dr. Aubrey de Grey is a biomedical gerontologist based in Mountain View, California, USA, and is the Chief Science Officer of SENS Research Foundation, a California-based 501(c)(3) biomedical research charity that performs and funds laboratory research dedicated to combating aging. In addition, he is Editor-in-Chief of Rejuvenation Research, the world’s highest-impact peer-reviewed journal focused on intervention in aging.He received his BA in computer science and Ph.D. in biology from the University of Cambridge. His research interests encompass the characterization of all the types of self-inflicted cellular and molecular damage that constitute mammalian aging and the design of interventions to repair and/or obviate that damage.Dr. de Grey is a Fellow of both the Gerontological Society of America and the American Aging Association, and sits on the editorial and scientific advisory boards of numerous journals and organizations. He is a highly sought-after speaker who gives 40-50 invited talks per year at scientific conferences, universities, companies in areas ranging from pharma to life insurance, and to the public.Topics Discussed:Brief overview of SENSWhy try to end aging?How soon do you think we will end aging?What role does rejuvenation biotech play in the COVID-19 pandemic? How would regenerative medicine help us better cope with the pandemic?How are you implementing the techniques you research in your own life?Which breakthrough are you most proud of?Aubrey's Links:LinkedIn: Website: Website:
Emily Johnson is the Founder and Creative Director of StrongerU Senior Fitness. The first senior fitness certification globally to empower recreation, fitness, and wellness professionals and senior-serving organizations such as retirement communities and senior centers to deliver quality, safe, effective, and engaging fitness experiences through monthly pre-choreographed class content. She is on a mission to help seniors stay physically strong, intellectually sharp, and socially connected.Topics Discussed:The current state of fitness in senior livingMisconceptions about aging and exercise – ie. Gentle exercise and stretchingHow focusing on fitness can help senior living orgs to succeed post pandemicWhere to start for senior living orgs wanting to elevate their fitness offeringWhere to go next if you already have a pretty good fitness offeringEmily's LinkedIn:
Ryan HallerFounding PrincipalRyan has over 15 years of experience in operations, real estate development, and M&A in the senior living field. He has been featured in many national publications, and is a frequent speaker at industry events including NIC, LTC 100, Senior Living 100, and Senior Housing News’ BUILD.Ryan seeks every opportunity to be a trailblazer in the industry, as exemplified by his time at Avamere as Chief Development Officer creating the Ovation brand with the assistance of Ritz Carlton hotels. Ryan has led north of $3.7B in senior living transactions since 2008 at firms including Fortress Investment Group (NYSE: FIG), Newcastle REIT (NYSE: NCT), PDCo, and Orchard Hill Partners.Ryan is a member of Young Presidents Organization (YPO) and Executive Board of Directors for the American Senior Housing Association (ASHA). He holds degrees from the University of Nebraska (B.S. in finance), Portland State University (G.C. in Real Estate Development) and Mississippi State University (M.B.A.).Dave MazurekManaging PrincipalDave has over 15 years of real estate development, finance and operations experience across seven property types. Prior to joining WELL, Dave led the senior living platforms for Sterling Bay and Convexity Properties where he developed projects with costs over $620M. Additional experience includes Ventas, Inc. (NYSE: VTR), where he was responsible for overseeing all capital investment activities for a portfolio of 95 senior living communities in the US and Canada.Dave is a Vice Chair of the Urban Land Institute Senior Housing Council, a graduate of the University of Illinois with a B.S. degree in finance and played professional baseball following college.Topics Covered:The next generation consumer that was coming even before COVID, and with that, the advent of affinity group senior living.Our COGENT brand will be the first to introduce true coliving created for seniors.What the continuum of care will mean to senior living in 2025 and beyond.  Today, it's a cliche term that is often misused in senior living.  We hope through our four brands to introduce a new version of the continuum of care through our 11 Dimensions of WELLth.What the post-pandemic consumer and marketplace looks like, separate from #1 above.  What we are seeing in the debt and equity market, lessons learned, and what we do and do not discern to be a "fad" or "hot take" as we exit COVID and move onward to the next generation.Ryan's LinkedIn:'s LinkedIn:
The pandemic has highlighted the resiliency of the human spirit across humanity, particularly those serving the older adults. It has made many people slow down and give them the time to think about what’s most important.In healthcare, the true compassion, courage, heart, and knowledge of the front-line teams are and have been incredible. Especially given that they were entirely understaffed, underprepared, and under-protected. It is the worst best-case scenario, and there is tremendous pride in being part of the system that must keep going.There are many things to be grateful for despite this difficult time. Here are (3 of 5) conversations, and I hope you will enjoy this recording of friends and industry experts about their silver linings as they go into 2021.Guest Speakers (Timestamps):01:08 Jim Biggs06:58 Chris Heinz10:43 Rachel Blumberg18:39 Tricia Silverman25:04 Caroline Cadalbert
What is the “silver lining” in this crisis for you?In times of crisis, we must project optimism and look for opportunities and possibilities.  We will survive this crisis and come out of it stronger if we work together, demonstrate resilience, stay focused on what’s most important, and identify opportunities that others miss.We are all being tested, as human beings, in ways that were unimaginable at the beginning of the pandemic. Here are (2 of 5) conversations, and I hope you will enjoy recording friends and industry experts share about their silver linings as they go into 2021.Guest Speakers (Timestamps):00:56 Chai Chuah05:35 Loretta Shacklett09:56 Christine Thelker14:09 Natasha Goldstein-Levitas16:36 Krystal L. Culler22:39 Judy Cornish
2020 has been an eventful year for all of us globally, particularly for healthcare workers and older adults in long-term care. However 2020 had silver linings that would stand out as astonishing triumphs of human achievement in any older year. There were tremendous leaps in areas ranging from public health to medicine and technology.There's so much to fight for, and honor the work of many people who under adverse conditions in a challenging time, still made tremendous progress on critical problems.As we move into 2021 heading loss, many things that we should not have lost, more than 1.5 million preventable deaths have occurred so far. Hundreds of millions have been pushed into a spiral of poverty.But beneath all of that, there is still real work in the world, which transforms our lives, helps older adults, treats disease and makes the future brighter.That work deserves a spotlight. Here are (1 of 5) conversations with friends, and industry experts who share their silver linings as they go into 2021. Guest Speakers (Timestamps):01:26 Hanh Brown - Introduction message02:49 Lakleyn Hogan04:48 Greg Gorgone08:06 Ngan MacDonald10:36 Rachel Nader12:40 David Weisman14:12 Michael R. Klatt16:32 Steven Fuller22:51 Kathryne Fassbender25:51 Rick Banas30:09 Cliff Ewing33:21 Scott Tolan35:52 Tom Tressler
Kate Swaffer, MSc, BPsych, BA, Retired Nurse Chair, CEO & co-founder, Dementia Alliance International                                    Kate Swaffer is a humanitarian and an award-winning campaigner for the rights of people with dementia and older persons globally. She has a Master of Science in Dementia Care, a Bachelor of Psychology, a BA, a graduate Diploma in grief counselling, and is a retired chef, and a retired nurse.Swaffer has played a key role in campaigning for the human and legal rights for people with dementia including equal access to the CRPD. She has been tireless in her work on reframing dementia as a disability, for rehabilitation for dementia, and is the first person in the world with dementia, diagnosed herself at the age of 49, to be a keynote speaker at the WHO.Swaffer has won many national and international awards for her work including 2017 Australian Of The Year in South Australia, and the 2018 Global Leader, top 100 Women Of Influence in Australia. She has contributed to key policy documents including work for the Australian Aged Care Quality Agency, the World Health Organisation (WHO) Quality Rights initiative, the International Consortium for Health Outcomes Measurement (ICHOM) and is an Ambassador for StepUp for Dementia Research in Australia.Swaffer has two honorary university positions, has been very active as a researcher, and is a highly published author and poet. Her uncompleted doctoral work, and other research projects includes Dementia as a Disability, Disability Rights, Human and Legal Rights, Stigma, Quality of Life, and the Public Discourse of Dementia.  She has published two books, What the hell happened to my brain? Living beyond dementia (2016) and Diagnosed with Alzheimer’s or Another Dementia (2016), two poetry books, and countless journal articles, media appearances, interviews, publications, and blogs.Topics of discussion:What was it like being diagnosed with dementia at the age of 49?What do you wish you knew then, that you know now?Why have you been campaigning for dementia as a disability, and for human rights all people with dementia for over a decade?Tell us about the stigma and discrimination you have experienced since diagnosis.Have there been any gifts having dementia?Kate's LinkedIn:
Jake Rothstein is the CEO and Founder of UpsideHoM, whose mission is to enhance the quality of life for older adults everywhere. UpsideHoM is the first and only fully managed, shared living option for older adults, providing a turn-key, affordable and appealing alternative to traditional senior living.Jake previously co-founded Papa - a company which pairs older adults and families with “Papa Pals” for companionship and assistance with everyday tasks - based on experience with his own grandfather (who he called Papa). Witnessing the wide-spread nature of loneliness, isolation and unaffordable housing options for older adults, Jake developed the idea for UpsideHoM, which would provide a solution to more completely tackle these challenges at scale.With a background in technology sales, operations and management, Jake has experience building and running successful, international teams, selling enterprise software into the Global 2000.Jake holds a BA in Economics from the University of Florida. He is a FAA certificated Private Pilot who enjoys flying, outdoor running and spending time with his incredible wife Sharona and their Goldendoodle Louie.Topics Discussed:Everyone ages differently - Why does senior living have to be a one-size fits all approach? Why not different?Why loneliness is different than social isolation – and how to tackle both?The looming housing affordability crisisChanging tastes/needs of today’s older adultsWhy aging in place sounds nice but isn’t always realistic for you or your familyJake's LinkedIn:
Dr. Sandeep Pulim, MD is the Chief Medical Officer at Bluestream Health. He most recently served as the Chief Innovation Officer at Medici, and prior to joining the Medici team, Sandeep worked to enable cognitive technology at the point of care for HCPs and patients, to positively impact clinical learning and quality measures for healthcare organizations, pharma, and payers. Previously as co-founder of Health Recovery Solutions, he helped empower patients to better manage their health and improve quality of life using evidence-based interventions using remote patient monitoring.Topics Covered:Access to careSupporting caregivers with technologyChallenges with technologyStaying healthy at homeSandeep's Links:LinkedIn: for America: health:
Dr. Lydia Cristobal DNP, LNHA, RN-BC, NEA-BC is a healthcare executive who has worked in various health care settings and specializes in post-acute and geriatric care.  She earned her undergraduate and graduate degrees in nursing administration from New York University and Doctor of Nursing practice from Yale University.  Her credentials are licensed nursing home administrator, board certified in gerontology, and board certified in advanced nurse executive practice.  A Veteran of Operation Enduring Freedom, she continues to serve in the U.S. Army Reserve as a Major in the Nurse Corps at Picatinny Arsenal in New Jersey.  She is currently the administrator of a hospital-based skilled nursing facility in Hudson County, New Jersey. Topics Discussed:Organizational stewardshipHigh turnover rates in nursing home leadershipChanging the way geriatric care is deliveredEvidence-based practiceLydia's Links:LinkedIn:
Amy Goyer, author of "Juggling Life, Work and Caregiving" and is a nationally known writer, speaker and consultant specializing in caregiving and family issues. Amy serves as AARP's national family and caregiving expert, columnist, and spokesperson, and moderates AARP’s Facebook Family Caregivers Discussion Group. Her columns and caregiving YouTube series share her personal caregiving journey as well as practical, actionable tips for caregivers.Amy is often quoted, and a recognized media authority and frequent guest on NBC’s Today show with 35 years of experience in the field of aging, she began her career as a music therapist. She is also a Certified Aging in Place Specialist. Amy’s work is the perfect fusion of her professional and personal experience.Amy is a passionate champion for family caregivers and has been one her entire adult life, caring for her grandparents, parents, sisters and other family members and friends. Learn more about AARP resources for family caregivers at Connect with Amy at and and in Facebook, Twitter, Youtube, Instagram, Pinterest and LinkedIn.Topics Discussed:How Amy's current work is the perfect fusion of her personal caregiving experience and professional experienceCaregiving during the holidays in the middle of a pandemicMental health issues for caregiversAARP Facebook Group and other resources for caregiversMore of Amy's Links:LinkedIn: Blogs: Website:
Donika Schnell began her healthcare career in financing as a hospital consultant at KPMG and then in financial reporting with The University of Chicago Hospitals. She transitioned to lending to healthcare providers starting with working capital finance in lending operations and adding real estate and cash flow term loans soon after.Donika moved into business development for Heller Financial, GE Capital and then CapitalSource building pipelines and relationships to providers and capital providers along the entire continuum of healthcare primarily in the Western half of the country. With rounded lending and industry experience, Donika was tapped to build two national healthcare lending divisions for banks before her recent focus on real estate lending at Greystone solely eyeing seniors housing, skilled nursing and hospitals.Greystone is the number 1 HUD lender to the healthcare industry who also provides Fannie/Freddie and bridge term loan lending.  Greystone additionally owns and operates about 4,000 seniors/skilled beds.Topics Discussed:Overview of the sources of capital available to providers:Equity – There is approximately $2T of pent up equity to deploy into the economy from the Private Equity sector.  Healthcare is very attractive as it has proven to be recession proof and if supporting the right sectors and operators/managers, equity investments have been solid returns.Bank Debt – Community banks willing to work with smaller providers.  Larger banks stalled with COVID first hit as they tried to assess existing portfolio risk and then what the pandemic meant overall to the industry.  Took about 90 days or so but most banks are back to lending at usually lower advance rates and perhaps asking for increased credit enhancements.  Pricing increased by 25 to 75 bps.Finance Companies – also stalled a bit when COVID first hit in March, but are back at lending at prior lending levels. Pricing increased by 50 to 100 bps.What does a lender look for in evaluating credit?Operator experience and track recordFinancial performance of the business historically. High emphasis on dealing with COVID in the business.For real estate such as skilled nursing, look to surveys and reports from CMS and especially Star Ratings and Special Focus Candidate lists.Occupancy trends.Projections/Proformas. Sources of revenue, thorough understanding of reimbursement, expenses especially any additional COVID costs such as increased staffing and PPE costs.Debt needs clearly defined.From a national lender’s perspective, how are the Seniors Housing and Skilled Nursing industries performing?Occupancy naturally down in ALFs and SNFs. With the drop in selective procedures, occupancy went down. Additionally, fewer discharges to SNFs after hospital stays affected occupancy. Independent living facilities have fared rather well with occupancy.Stimulus monies have helped ease the concern of working capital for providers so they can focus on caring for patients/residents and staff with needed safety measures.Have seen providers work closely with county and/or state health departments to provide for COVID only patients for care upon hospital discharge. Delicate balance to ask staff if they are committed to working in those buildings and wards – very collaborative efforts being made in communities.Future sees a high need for mental health services.Preventative services back to near pre-COVID levels such as with dentists, PCPs, ancillary services put on hold.Donika's Links:LinkedIn:
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