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INsight | Quality of Care from Indiana Nursing Homes

Dave Farnbauch talked with ABC's INsight about the quality of care provided by nursing homes in Indiana. Unfortunately, Indiana is currently ranked very low in comparison to other states. 

You can read the full transcript below, or access a PDF version of the transcript.


Charity: Welcome back to INsight. I'm here with Dave Farnbauch from Sweeney Law Firm. We're going to talk today about the quality of care delivered by nursing home, specifically in Indiana. Where does Indiana stand compared to the quality of care delivered by other States nursing homes? 

David Farnbauch: Well Charity, we've talked about this a number of occasions about where Indiana ranks in terms of quality of nursing home care. Unfortunately we rank near the very bottom by organizations like AARP. They rank Indiana dead last in 50 States, we ranked 48th out of the 50 States in the average number of nursing hours per patient, which is really the most important thing. How many hours of care are you getting? We ranked 48th. So all these objective measures of quality of nursing home care, we rank near the very bottom. 

Charity: So why? why do we rank so poorly? 

David Farnbauch: I'm glad you asked me that question. If viewers are interested in learning the answer to that question, I want to direct them to some investigative journalism that was done by the Indianapolis Star this spring. There were a couple of reporters for the Indianapolis Star that dug very deeply into the question of why the quality of nursing home care is so poor in Indiana. And they wrote a series of articles in the Indianapolis Star, which are available online. I printed off a copy and the article’s probably 17 or 18 pages, but it goes into considerable detail about what's happened in the last 20 years with Indiana nursing homes, namely that there was a provision in federal legislation that enabled underfunded County Hospitals to apply for federal funding to pay for nursing home care, to upgrade that care back in 2000. 

David Farnbauch: And at that time we only had about nine facilities that were owned by County hospitals. Now, 499 nursing home facilities in the state of Indiana are owned by small County owned hospitals. And the reason these County owned hospitals acquire the licenses of these facilities is because they can receive higher. They get higher billing rates for these patients. And what this article points out is these County owned nursing homes, which most of the facilities now in the state are County owned, instead of taking that federal funding and putting it into nursing care, hiring more nursing staff, paying adequate wages to the nursing staff or in other words putting the money into care, this article points out that these County owned nursing home facilities have diverted that federal money into the physical facilities of their hospitals. They built brand new hospitals, there has been several. There was a hospital down in Indianapolis that took this money and built a $750 million hospital. And the small County hospitals in different areas around the state have significantly hundreds of millions of dollars building new hospitals with this money that was originally intended to provide and upgrade the care in nursing homes. So that's a big part of the problem. The money is not really being spent on patient care. 

Charity: If you feel like your loved one has been neglected or there has been an issue in a nursing home, Sweeney Law Firm would be happy to talk to you. It's something we've talked about many times that nursing home care is so very important. Give them a call today. 420-3137. We'll be right back.

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INsight | Sweeney Law Firm Process

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INsight | Changes to the Court System with COVID-19

Dave Farnbauch sits down with ABC's INsight to talk about the changes to the court system in light of COVID-19. You can read the full transcript below, or access a PDF of the transcript. Charity: Welcome back to INsight. I'm here with Dave Farnbauch from Sweeney Law Firm. We're going to talk today about what's happened in the court system since the COVID-19 pandemic. Is it safe to assume that there haven't been many jury trials since the stay-at-home order happened in late March and since everything that's gone on? David Farnbauch: Right. Just like every other, institution and organization, the court system has been impacted by COVID. And I'd say the biggest change that I've seen is the courts issuing orders this spring to put sort of a moratorium on jury trials. There have been some bench trials. That's where the judge is there. The courts have actually been very creative. I've heard of some trials by zoom. But the big change is putting potential jurors at risk by bringing them into a courthouse and putting them amongst other jurors. And so the courts have really been cautious about resuming jury trials and they put together, I think, a very careful plan so that when they do bring jurors back in it really minimizes the risk of COVID-19. Charity: Why am I not surprised that there've been some by zoom? I feel like we've done everything by zoom lately. Let's talk about that plan. What are they doing as they start to bring jurors back? What's the court going to do to make sure that people who are summoned to be jurors are going to be safe as they come into the courthouse. David Farnbauch: All right. So I'd say some of the basic things that they're doing for a lot of things, which is to obviously check the temperature of everybody comes in, masks are mandatory. And then what they've done is changed, Charity, the configuration of the courtroom. We don't have, we're not going to have the traditional jury box. We're going to use the whole courtroom, like traditionally where the audience would be the gallery in the courtroom, that's where the jurors are going to be. And of course they have rules about social distancing in the courtroom. Some courts have put in some plexiglass to minimize the transmission of COVID in the courtroom. So those are the main things, but it's taken awhile to sort of formulate a plan and implement all these things. Charity: Do you think the COVID-19 pandemic will make a difference in how many prospective jurors will respond to a summons? David Farnbauch: Well, that's the concern, in fact in an organization that I belong to we recently commissioned a company that does research and focus group testing to find out the answer to that question. Which is are people, prospective jurors that get a summons for jury service, are they likely to actually show up for jury service, given the risk. It’s a fluid thing, but everybody would agree there are still risks there if you go to a public building like a courthouse. And what's interesting is the research that's been done shows that only about 20% of the people that they surveyed and these focus group tests are really sort of hardline that they will not respond to a summons for jury service in the midst of a pandemic like this. And about one third are somewhat comfortable if the court implements these measures that I just talked about; mask and social distancing and not being in a jury box. David Farnbauch: And then to our surprise are there were about 40% of the respondents that said as long as we have masks, and as long as the court is saying that we've got appropriate measures in place to protect us, they felt very comfortable with showing up for jury service, which was kind of a big surprise to everybody. So we still have that segment of the population that feels that call of duty. They get a summons for jury service, and they feel like it's their civic duty to go to the courthouse, even in the midst of a pandemic to make sure that the justice system goes forward. Charity: It's our civic duty to serve our jury duty and to vote. That's what, that's what we have to do. If you have questions about something in the legal world I have to do is give Sweeney Law Firm a call 420-3137, check him out online. We'll be right back.

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