Resource Library

ACHT free resources include fact sheets and slide presentations,and book reviews. Please go to education section to purchase other products such as videos. Also, please log in to members only section for free access to video of April 14, 2015 conference at The Johns Hopkins Mt. Washington Conference Center

Fact Sheets are one-page briefing documents that provide quick tutorials on a wide variety of topics that Boards should be aware of.  Each fact sheet contains a concise description of the issue and explains the Board's oversight role.  It concludes with a series of questions for Board members to ask to satisfy themselves that the organization is addressing the issue appropriately. 

Slide Presentations are easy-to-follow tutorials on topics relevant to health care boards.

Book Reviews address books relevant to our membership

White Papers


explication of Bayesian logic for decision makers

Don’t Let the Costs of Future Care 
Get the Best of You
For more information, contact the author, Hazel Bridges at
Here’s something unpleasant you need to know: Medicare generally doesn’t cover the costs of long-term care, and that’s expensive. Really expensive. How much depends on the health risks you face as well as where you live, but it could run into the hundreds of thousands of dollars or more, considering that a private room in a nursing home costs over $8,000 per month on average. Even a less intensive service like adult day care bears the heavy price tag of $1,500.
There’s really only one thing to do: plan accordingly. That requires understanding your physical condition as well as how to pay for the care you require. Here are some suggestions. Assess Your Health You can gauge the risk of future conditions, to a certain degree, by how well you’re doing physically and mentally in the present. High blood pressure increases the risk of cardiovascular
disease, for example, and there may be a similar link between anxiety and dementia.
Look Into the Past
That means a close examination of your family's medical history, as many conditions are passed on genetically. In simple terms, having a close relative with diabetes, cancer, or heart disease means you’re likely at greater risk yourself, and that should also affect your future planning.
Research Care Options
Furthermore, the health conditions you’re likely to confront largely determine the services you’ll need. The Association for Long-Term Care Planning has a useful outline of the options available from the least intensive types of home care to assisted living facilities and nursing homes.
Improve Your Lifestyle
A healthy diet and proper exercise decrease the risk of a variety of health conditions from atherosclerosis to osteoporosis, which, in turn, reduces the likelihood that you’ll require more
expensive forms of care during your retirement. Seniors with a Medicare Advantage plan may be eligible for membership to a fitness facility in their area. Advantage plans also offer benefits for prescriptions and vision and dental care. As such, it’s important to know when you can enroll. Medicare Open Enrollment Period runs from October 5 to December 7, and you can sign
up for a plan, change your coverage, or leave your existing plan during that time. The Medicare Advantage Open Enrollment Period, however, runs from January 1 to March 31.
Adapt Your Home
This will allow you to age in place for longer and put off the day you move into an assisted living facility or nursing home, perhaps forever. Some helpful modifications include grab bars in the bathroom as well as a ramp at your front door for increased mobility.
Now that you know what’s available to you, here are the main options you have to pay for these services. Bear in mind that the earlier you get started, the easier it will be. Ideally, you’ve got
some time left before retirement.
● Savings
There are many places to store your income to pay for future care, including traditional IRAs and Roth IRAs as well as health savings accounts. The latter allows for tax-free earnings on investments along with tax-free withdrawals for qualified health expenses.
● Property Sale
This may be the solution if you’re no longer able to live at your own residence, even with home care services. Another determining factor is how much you would get through the
sale, which you can find out by researching listing prices in your area. 
● Insurance
Specifically, long-term care insurance. One of the main advantages of these policies is that they can be used to pay for the costs of home care. However, the premiums are usually high, and you may never use the coverage.

● Living Benefits
This refers to a rider on your life insurance that allows you to withdraw from the death benefit while still alive to pay for qualified health expenses that may include long-term care. Pricing and conditions vary between insurers, so do your research wisely.
● Home Equity
There are ways to tap into the wealth locked in your property. A home equity line of credit is a loan secured by the property itself that operates somewhat like a credit card, allowing for withdrawals up to a certain amount, with a repayment period that includes principal plus interest. Reverse mortgages are another popular option.
You can breathe easier with a clearer idea of what’s ahead, but don’t wait too long before
coming up with a plan. It’ll make your retirement a whole lot easier.

For more information, contact the author, Hazel Bridges at

$8,000 per month  
anxiety and dementia.
passed on genetically.
useful outline
proper exercise

helpful modifications  

grab bars
places to store
pay for the costs
death benefit
line of credit

Physicians as Systemic Change Leaders: Six Applications of Polarity Thinking in Support of Physician Leadership Development By Joy Goldman

How our Fellows can save money with Purchasing Connections

Business Relationship Management

important resource on board oversight


AHRQ Monograph on mistake proofing

University of Pennsylvania Anesthesiology six sigma



FDA on approval of medical devices

CMS Conditions for Coverage (CfCs) & Conditions of Participations (CoPs)

Safe handling of Protected Health Information with Citrix Sharefile

SHRM paper on financial stress having negative effect on job performance

Dean Patricia Davidson's video from compliance to accountability

help with human resources with Insperity

our ethics curriculum

ethics video

video on Institute for Consultative Bioethics

Margareta Berg, MD, PhD on global surgical training models

link to The Surgicon Foundation- Dr. Berg Founder and Chairman

The American College of Healthcare Trustees has an online store called Exponential Leaders

ACHT welcomes your feedback and contributions.  If the topic you are seeking is not covered, or you would like to contribute a fact sheet or slide presentation, please contact David Levien, MD, MBA, FACS at or by phone at 844 322-4867

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