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January 08 107 is far from the case for JPS Health Network. “It’s focusing on form over substance,” Cecero said. “If you pay attention to the basics and deliver quality care you’ll get the best fi nancial results.” This year the organization was upgraded two rankings by Moody’s from A2 to AA3 with no suggestions for improvements. JPS also boasts the highest bond rating of any public hospital in the country. “But what is most impressive is that the ratings we are receiving are typical of much larger health care systems,” Cecero noted. JPSHealthNetwork as well as a nearby medical offi ce facility. Additionally the organization is offering spine, sport and orthopedic services, and operates community-based centers that offer internal medicine and primary care services in that community. Cecero sees the Arlington hospital as a “hub and spoke” model. “Our community locations are now feeding into the hospital, so it’s time to expand the ‘hub,’” he explained. Expanding services can prove challenging to a health care organization’s bottom line, but this

108 January 08 Quality of care, both physical and emotional, makes all the difference for Silverado Senior Living. Kate Sawyer reports Silverado Senior Living’s mission is heroic and until recently was considered impossible: to give true quality of life to residents living with Alzheimer’s and other serious memory-related diseases. But through concerted effort to offer a home rather than a hospital environment, Silverado is able to do much more. With carefully laid plans, Silverado adds to and maintains quality of life for people with memory-related illnesses by optimizing physical and emotional health; having caring staff who have specialized training in memory loss care available 24 hours a day; and giving residents opportunities for appropriate natural social interaction with family, children, and pets. It’s Silverado’s philosophy that allowing residents to have moderate control and decision making ability will give them a more meaningful life purpose—and, in turn, will better help to treat illnesses that have no cure. Unlike nursing homes, Silverado is able to offer a full continuum of care, from earliest onset through end of life. Founded in 1996, with a total of 12 facilities and 1,021 beds throughout California, Utah, and Texas, Silverado is able to care for those in need of long-term, short-term, and day care services. In addition, the company offers care management, in-home care, and hospice services. Silverado stays current on all the latest news and treatment options by partnering with leaders in the field of Alzheimer’s research, such as the University of California, San Diego; University of California, Los Angeles; University of Utah; and Baylor College of Medicine in Houston, Texas. “The Silverado philosophy of care is exactly what separates us from other senior care communities,” said Anne Ellett, RN, MSN, NP, vice president of clinical services. “Our goal with every one of our residents is to give them the very best quality of life. In addition to our high staff-to-resident ratio, other elements include many live-in pets. Residents are encouraged to bring their pets to live with them, even when they can no longer care for the animals themselves. Silverado also believes in the value of intergenerational programs and therefore staff may bring their children to work with them. Families are encouraged to bring grandchildren and great grandchildren to enjoy time with their loved one.” According to a February 2006 AARP bulletin on assisted living, one Silverado facility in Escondido, The humane touch