Clemente Aquino, a seasoned and passionate professional with nearly two decades of rehab experience, has the unflappable demeanor that makes him an effective catalyst for industry best practices. Specializing in applicant tracking systems and online rehab documentation, Aquino facilitates specialty programs tailored to community, regional, and divisional needs. His perseverance in facing challenges, commitment to surpassing average expectations, and desire for continuous self-improvement further define Aquino’s professional character. Currently, he serves as Vice President of Rehab Practice Standards at Life Care Centers of America.
Please share with our readers your current roles and responsibilities.
I have been serving Life Care Centers of America in the skilled nursing arena for almost two decades. I currently serve as the VP for rehab practice standards. On a typical day, my focus is on examining the clinical practices within our company. We have around 200 buildings across 27 states and so understanding the regulations and compliance plays a critical role in delivering great clinical care out in the field. In my role, I support our occupational therapists, physical therapists, and speech and language pathologists to drive clinical program that aligns with our patient care needs. A significant part of my responsibilities includes coaching our therapists, offering guidance on addressing patient care issues at the facility level, and strategizing on how to enhance it at regional and divisional levels. The nature of my work is quite dynamic, varying based on the day and the projects at hand.
I believe that by fostering collaboration, and education, and refocusing on the vital role of skilled nursing care, we can enhance our ability to support and care for more individuals in the future.
Can you share some of the challenges you have noticed?
In the aftermath of the COVID era, a noticeable impact was noticed in our census across all our buildings. Most patients, who would typically choose skilled nursing, opted to go straight home post-COVID. However, we've observed a concerning trend – a considerable number of these patients, despite bypassing the skilled nursing sector, often end up returning to the hospital. What we're witnessing is an increase in the number of acute patients, adding a more dramatic dimension to addressing their care needs. This shift has become particularly evident in the past 24 to 36 months. In response to this evolving scenario, we've undertaken a strategic pivot. While the desire for patients to return home is understandable, what we've observed is that, once back in their routines, they may lack the necessary support to fully regain an independent state of mind, both physically and emotionally. Unfortunately, this has led to instances where patients end up harming themselves down the road.
How do you see technology playing a part in the eldercare sector?
When considering the elderly population, particularly those in the 70-plus age range, there is an interesting evolution that is undergoing especially in the realm of technology. While some individuals within this age group may have been exposed to technology, the majority have not, leading to a general inclination to distance themselves from it. So it really takes children or support networks to bridge the gap and educate them on the technological tools that could significantly benefit their care. However, it's fair to say that the adoption of technology among this demographic is progressing at a slow pace. More folks are entering the 70-plus age range which will significantly increase technology exposure. The shift is underway, but it's important to recognize that it's a gradual process within the current age range.
How do you envision the future of this industry?
I believe technology is poised to play a crucial role in supporting elder care, and one notable example is the Home Exercise Program by Med Bridge. Through this program, a patient nearing discharge from skilled nursing can access their home exercise program on their phone. This not only facilitates compliance but also empowers patients to continue their exercises at home, with ongoing support from therapists at the skilled nursing facility. This is just one example of the technology available. However, the key lies in building awareness and helping individuals understand that technology can significantly contribute to their recovery journey.
What is your piece of advice to your fellow peers?
I strongly believe that the continuum of care is of utmost importance, especially in anticipation of the upcoming silver tsunami—the surge in the aging population. In other words, all play a pivotal role in the recovery of elder care. As a result, one who goes through a traumatic event that impacts both physical and mental health should have the opportunity to leverage the various sectors that offer excellent care, with skilled nursing. I believe that by fostering collaboration, and education, and refocusing on the vital role of skilled nursing care, we can enhance our ability to support and care for more individuals in the future.
