Institute Talk: A Conversation with Bill Reichman on Elder Care Technology and Innovation in the COVID-19 Pandemic and Beyond

William ReichmanWilliam E. Reichman is a physician and chief executive of Baycrest, a leading non-profit elder care organization comprising health care and housing facilities, outpatient services and a research center on one campus in Toronto. His organization operates a 300-bed rehab hospital, a 472-bed skilled nursing facility, 200 assisted living units and 125 independent-living apartments. (Note: In characterizing the facilities, we have used terminology familiar to U.S. readers.)

 Baycrest, affiliated with the University of Toronto, is also home to one of the world’s largest research institutes focused on brain aging and an innovation accelerator focused on elder well-being. Its tele-education program delivers education content and training to 42 countries around the world. 

 Gerontology Institute Director Len Fishman recently spoke with Reichman about ways Baycrest has deployed technology to manage the impact of the COVID-19 pandemic and how those innovations can permanently influence elder care practice. Fishman is also a board director at Baycrest. The follow transcript has been edited for length.

Len FishmanLen Fishman: A recent Washington Post article reported that 81 percent of COVID-19 deaths in Canada are nursing home residents. How has Baycrest been affected?

 

 

 

William Reichman headshotWilliam Reichman: Baycrest has had some sporadic cases of COVID-19, both in residents and patients, as well as staff members who likely brought the virus to the campus inadvertently. I think all told, we’ve had six cases among our 1,100 beds. There have been other senior care organizations in Canada which tragically have had 40 percent or more of their residents test positive for the virus and 25 percent or more actually die from infection. So it’s been catastrophic in Canada. Continue reading

Gerontology PhD Grads Look Ahead to Next Career Step in a More Complicated Working World

Life after PhDBy Claire Wickersham

UMass Boston’s newest class of Gerontology PhD graduates are heading out into a world – and a job market – unseen by any of their predecessors.

The good news: As a group, they have their immediate work future well in hand. Many secured post-graduation positions or commitments well before the COVID-19 pandemic struck. Some are working in jobs they had held for some time.

Among the freshly-minted PhDs, Danielle Waldron is the newest tenure-track assistant professor in Healthcare Administration at Stonehill College. She will teach courses in gerontology, disability, and methods, while continuing research in aging with Autism Spectrum Disorder. Continue reading

UMB Gerontologists Tell Legislators Research, Preparation Keys to Helping Older Adults Deal with Impact of COVID-19

Len Fishman, Elizabeth Dugan and Jan Murtchler

Left to right, Gerontology Institute Director Len Fishman, associate professor Elizabeth Dugan and professor Jan Mutchler. Fishman, Dugan and Mutchler appear in photos below.

UMass Boston gerontologists offered legislators two suggestions for state government in the midst of the COVID-19 pandemic: Help researchers better understand what has happened to older adults and get elder Massachusetts residents prepared for a more challenging future.

Gerontology Institute Director Len Fishman, associate professor Elizabeth Dugan and professor Jan Mutchler all appeared individually at a May 15 virtual listening session hosted by the legislature’s Joint Committee on Elder Affairs. They joined a wide range of advocates, policymakers and other members of the public to describe the impact the pandemic has had on older adults and what state government should do to help. Continue reading

Beth Dugan on COVID-19 in Aging Populations: “Older People are Part of the Solution”

This conversation with Gerontology associate professor Elizabeth Dugan was conducted by the McCormack Graduate School and  first appeared on the UMass Boston News web page.

Q: Can we start by talking a bit about the aging population in Massachusetts and how it’s similar or different from other places facing the COVID-19 crisis?

Beth Dugan:  I would say overall, we have more positives to work with. Here in Massachusetts, we have more than a million people who are 65 and older, so we have more older people than other states. And one thing that’s interesting to think about is that longevity is a new experience in terms of human development. We’re about the first or second generation where most people could expect to live to old age. Continue reading

Gerontology MAS Student Kate Martin’s Quest to Improve Care Access for Vulnerable Patients

Kate and Michael Martin, with parents Thomas and Susan Martin

Kate and Michael Martin, foreground, with their parents, Thomas and Susan Martin.

By Taryn Hojlo

Kate Martin and her family were exasperated. Her older brother, Michael, desperately needed professional care to help manage his health and daily needs. But there were few providers in Las Vegas who accepted Michael’s insurance, and even fewer who seemed capable of treating him with the same dignity and respect that other patients received without a second thought.

After a lifelong struggle with epilepsy, Michael had considerable physical and intellectual impairments. Although his condition made him eligible for Medicaid, finding local services that would accept it proved to be a struggle. Those that did often neglected to treat Michael as an individual and failed to involve him in the management of his own care. There were times when Michael wasn’t even addressed during his own appointments.

“He struggled pretty significantly with access to care and getting what he needed,” says Martin, a family physician who will be graduating from UMass Boston Gerontology’s Management of Aging Service masters program later this month. Continue reading

COAs and COVID-19: Managing New Issues on Communications, Food Security and Volunteerism

Bread in Bridgwater

Among many volunteers, a retired Bridgwater State University professor baked bread for distribution through his local COA.

The Gerontology Institute’s Center for Social and Demographic Research on Aging is publishing a series of blog posts to follow the ongoing impact of the coronavirus pandemic on Councils on Aging across Massachusetts.  We encourage COA readers to tell us about their experiences or responses to blog posts by using the reply box at the bottom of each post.

It’s a good thing Zoom and lots of other communications technology exists these days. But the old-fashioned telephone is also playing important role in the plans councils on aging are following to keep in touch with their elder residents.

In Bridgewater, the Fire Department is assisting to help identify phone numbers from census data for over 5,000 residents who are age 60 or older. Those numbers are being used to make wellness calls, but also develop a huge database for town’s emergency response protocol.

In Billerica, volunteers are making about 150 calls each week to check in with elder residents and evaluate their needs.

“During calls to check on patrons, they are so grateful to be remembered,” said Billerica COA Director Jean Bushnell. “It was remarkable to discover that care and concerned flowed both ways, they were actually worried about our staff.” Continue reading

PAC Case Study: Pension Confusion Resolved, but Benefit Arrived Decades Too Late for Former Chicago Hospital Worker

Lillie McWilliams passed away at the age of 86 without getting a dime of her pension.

McWilliams worked at a hospital in Chicago as a housekeeper in the late 1970s and early 1980s. Her daughter, Carol Griffin, believes she never knew she’d earned a pension and may have believed she lost any entitlement to a retirement benefit when her job was eliminated in 1983.

Carol and Lillie were very close throughout Lillie’s life and they lived together for many years. Carol, who was a nurse, stopped working outside the home when Lillie became ill and required full-time care. Money was tight, but it was important to Carol to keep her mother in their home and serve as her nurse. Continue reading

COAs and COVID-19: How Councils Are Adapting to Serve Their Communities

The Gerontology Institute’s Center for Social and Demographic Research on Aging is launching a series of blog posts to follow the ongoing impact of the coronavirus pandemic on Councils on Aging across Massachusetts. Posts reporting on conversations with COA directors about how they manage the evolving COVID-19 challenge will appear on the Gerontology Institute Blog. We encourage COA readers to tell us about their experiences or responses to blog posts by using the reply box at the bottom of each post. 

 How do you deal with a problem as overwhelming as the coronavirus pandemic? David Stevens prefers to think about that answer in phases.

Stevens, the executive director of the Massachusetts Councils on Aging (MCOA), has been leading an effort to provide support, coordinate resources and lead communication with his 350 member-COAs since the COVID-19 crisis gripped the state. Continue reading

Zoom Boom: Gerontology Department Moves Online to Conduct 5 Virtual PhD Dissertation Defenses in 4 Days

The new dissertation defense (pets welcome): Clockwise from top left PhD candidate Hayley Gleason defending her dissertation, professor Edward Miller, associate professor Kathrin Boerner, PhD student Molly Wylie, LeadingAge LTSS Center @Mass Boston co-director Robyn Stone and Brandeis University professor Christine Bishop.

Years of work, study and preparation came down to this final step: Defending PhD dissertations to a series of faces on a computer screen.

Conversing with images of people, arranged like tiles on an electronic board, had become a suddenly familiar experience for millions of people as Zoom and other virtual meeting platforms replaced live gatherings amid the growing coronavirus threat. No doubt many PhD dissertation defenses took place that way as campuses shut down across the country in March.

But the UMass Boston Gerontology Department’s busy schedule put that virtual work-around to a serious test: Five remote dissertation defenses in a span of four days. Three of them took place through the morning and early afternoon of a single day.

PhD candidates Andrea Daddato, Danielle Waldron and Hayley Gleason all defended their dissertations on March 31. Yijung Kim followed on April 2 and Haowei Wang defended the following day. All were successful. Continue reading

Institute Talk: A Conversation with Hospice Physician Joanne Lynn About Nursing Homes Dealing with COVID-19


Joanne Lynn is a nationally recognized expert on issues related to palliative and end-of-life care. A geriatrician and hospice physician, she is the author of hundreds of journal articles and many books on issues concerning long-term services and supports. Very recently, she has written articles offering detailed advice for nursing homes dealing with the coronavirus pandemic and an overview of policy priorities for upcoming COVID-19 related deaths out of hospitals.

Gerontology Institute Director Len Fishman spoke with Lynn on April 3 about the daunting health challenges facing nursing homes and the best ways facilities can respond to them. The following transcript has been edited for length and clarity.

Len Fishman: Let’s start by explaining the particular risk COVID-19 poses to residents of nursing homes and other facilities like assisted living?

 

 

Joanne Lynn: The people who live in nursing homes and other residential facilities tend to be not only in the age group that has high risk but also to have multiple complicating conditions that make it very difficult to survive a serious bout of COVID-19. Still, many people get a mild case and sail through or have very mild flu symptoms and feel sick for a few days but do okay. But a substantial proportion will have a serious illness. And it looks like something on the order of around 20 percent will die from COVID-19 in these conditions. Continue reading