December 29, 2020
As we close out the year 2020 and reflect back on what is important in life, we look forward to a better year ahead. Together with your help we can promote change. Please join us in the fight for best practice care for all. Your contribution will help advance programs and policy change to help secure that everyone has the care and respect that they deserve. Thank you for your support!
The Growing Problem of Elderly Abuse in the United States
Those who are living in assisted living facilities or nursing homes are at high risk of abuse. This is because many of them have limitations in both their mental and physical health. Many people in nursing homes have gone into them because they are no longer able to care for themselves and are in need of daily medical assistance. For those who are suffering from mental illnesses it can be very difficult for them to communicate with others when they are being abused or when they are not being given the care they need.
When there is an incident of abuse in a nursing home, the staff and medical professionals must report the abuse incident within 48 hours. Failure to do so can result in fines, criminal action, or even closing of the nursing home. This is a state and federal law.
There are many forms of abuse. Some forms of abuse include physical, mental, financial, abuse, neglect, and even social isolation. According to Nursing Home Abuse Statistics, as many as 1 in 10 people over the age of 60 have experienced some type of abuse. It is also believed that only 1 in 14 incidents of elder abuse are reported, while another study suggests that only 1 in 25 abuse cases are reported.
According to the adult protective services annual report SFY 2018, there were 4,257 investigated abuse allegations, 3,256 neglect allegations, and 3,748 exploitation allegations in Arizona in the year 2018 alone. Not every report is investigated, not everyone who experiences abuse files a complaint. Special focus facilities are nursing homes that have received low inspection scores by the Center for Medicaid and Medicare and are put on a national watch list. You can find a list of facilities in Arizona that have made the special focus facilities here.
One survey of 577 nursing home staff, found that 36% had witnessed at least one incident of physical abuse and 81% reported that had observed and 40% had committed at least one form of psychological abuse within a 12-month period. However, very few of these incidents were ever reported and the nursing homes were not fined or shut down.
A new study from CBC marketplace analyzed 632 nursing homes in Ontario, California and found that 85% were repeat offenders of violation codes. It also showed that 101 homes have repeatedly failed to report abuse that had occurred. The family of one woman who was physically abused wants there to be consequences for the facility where the abuse occurred, however it seems unlikely to happen.
Nursing homes and assisted living facilities are not being held accountable for abuse. Those who are in assisted living facilities are unlikely to report abuse because they are unable to.
More needs to be done to help prevent different types of abuse in nursing homes and healthcare providers need to begin holding each other accountable and report elderly abuse. This can help improve the quality and longevity of life for people in nursing homes and assisted living.
Here at RightCare our goal is to ensure that people are treated with the care they deserve and to hold those accountable who are not providing adequate care. We want a world where people can put their trust in nursing homes and assisted living facilities. Nursing homes and assisted living facilities need to report instances of abuse and there needs to be more staff training on elderly abuse as well as how to report it.
If you or a loved one has a story of abuse or neglect in a nursing home or assisted living facility and would like to share it, please contact us at enter email us at firstname.lastname@example.org to help the RightCare foundation change policies in nursing homes.
November 14, 2020
Innovative solutions being done in nursing homes to help combat isolation and loneliness.
Nursing homes have been hit badly due to Coivd-19. People over the age of 65 with preexisting medical conditions are the most at risk. Around 1/3 of adults over the age of 65 have a preexisting condition. Because of this, it is extremely important to keep those in nursing homes and assisted living facilities safe and socially distant. However, an increase in loneliness and depression in nursing homes because of not being able to see loved ones has occurred.
Before the pandemic, around 43% of adults in the United States aged 60 or older reported feelings of loneliness or isolation. Now with the pandemic limiting the elderly from seeing their family, there are sure to be more cases. Consequences of loneliness can include increased risk of heart disease, depression, dementia, and in severe cases, death.
Meals and activities in nursing homes that were once done in groups are now done alone. If someone wants to see their family, it must be scheduled in advance and through a glass window. People in nursing homes are no longer able to hold their family members for fear of getting the virus.
However, many facilities are doing their best to ensure that patients do not loose hope. They are creating hallway bingo, karaoke, and other fun activities that residents can participate in but stay socially distant.
AARP is helping connect people through a service called Friendly Voice. Friendly voice was created during the Coivd-19 pandemic to help combat loneliness. It is a program consisting of trained volunteers who call and check on folks from 9-5 on Monday-Friday. It offers hope to those who are isolated. Giving people someone to talk to can help to improve their mood significantly.
One nursing home helped to set up a beautiful wedding so that the mother of the bride would be able to attend. Originally, they were just going to have the wedding in the parking lot after their large wedding had to be cancelled due to Covid-19. However, the staff at Park Vista nursing home helped to set up a social distant area in their courtyard. Masks were handed out and everyone sat six feet apart. This enabled the bride to still have a beautiful and safe wedding that her mother was able to attend. The nursing home staffed helped to create a memory that the bride or her mother will not forget.
When nursing homes take the time to provide activities for their residents, they feel more involved and are less likely to feel lonely and isolated from everyone. Happiness can help benefit one’s entire body. People who are joyful are less likely to have a heart attack and more likely to have lower blood pressure, cholesterol, and stress levels.
RightCare is all about helping others and saving lives. We want to make sure that people have quality end of life care and are treated with respect. We also want to ensure the safety of people in nursing homes and assisted living facilities as well as end of life wishes.
October 30, 2020
One in four Arizona nursing homes didn’t meet basic infection controls
In Arizona, for a private room in a nursing home the average monthly cost is $7,908 or just under $100,000 each year. However, many nursing homes still do not have proper equipment to prevent against the spread of Covid-19, while others are not taking proper precautions. People are paying thousands of dollars, yet nursing homes are not safe for them in the fight against Covid-19.
One of nursing homes’ main goals should be in the prevention of infectious diseases. This is because most people in nursing homes are over the age of 65 and may have multiple underlying health conditions. The prevention of the spread of a disease can save lives. However, one in four nursing homes in the state of Arizona have not been following procedures to help prevent the spread of Covid-19. Those who are living in nursing homes are at very high risk of dying from nursing homes, yet their care givers are not aiding in their protection against Covid-19. Nursing homes were cited for not properly wearing masks, sanitizing their hands, failing to keep residents socially distant, and other things that were aiding in the spread of Covid-19 as well as other diseases. 43 nursing homes were recently cited for these errors, half of whom had previously made mistakes in disease prevention.
Nursing homes continue to have a large number of cases of Coivd-19 as well as a large percentage of the deaths from Covid-19. This number may be higher since some nursing homes have refused to share the number of cases they have had until March. This is when Doug Ducey released an executive order stating that nursing homes need to report the number of new cases they have as well as the amount of personal protective equipment.
Meaning all of the positive cases from before March 11, do not have to be shared. Since a large number of positive cases in a nursing home would create a negative image for the facility, many choose to only report the ones after March 11.
People living in nursing homes are an at-risk population, however, the precautions that need to be made in order to prevent more deaths are not being made.
Here at RightCare we want to ensure that people living in nursing homes and assisted living are being protected and given the best possible care. We want a world that is held accountable for their actions. Nursing homes need to do better in order to protect the lives of their residents as well ensure they are receiving proper care.
October 15, 2020
Nearly 1,000 people each day in America experience cardiac arrest. The majority of people who experience cardiac arrest outside of the hospital will not receive the immediate care that they need. Only 6% of people who experience cardiac arrest outside of a hospital will survive, the majority of them will die before even reaching a hospital.
When someone is experiencing cardiac arrest, the sooner they receive proper chest compressions, the more likely they are to survive. The first few minutes that a person is experiencing cardiac arrest are the most crucial, however many people do not receive proper aid that could significantly improve their chances of living. According to the CDC, it is important to increase awareness about early prevention, using an AED, and performing compression only CPR. This can help reduce mortality and morbidity rates.
According to Cleveland Clinic Heart Health Survey, only 51% of Americans claim to know how to perform CPR. However, only around 16% know that they should only do chest compressions on adults unless it is the case of drowning or drug overdose. Even then, only 11% of Americans know the speed to give chest compressions. However, when someone is there to give chest compressions, their chances of survival increase significantly. When someone is given care immediately from a bystander when they experience cardiac arrest, they have a survival rate of 45%. This is because those first few minutes to receive help are crucial. When one is not administered help right away, oxygen is not being delivered to the brain and each minute that passes, the chances of death begin to increase greatly. Even if someone were to survive after not being receiving care for more than a minute, the chances of them having permanent brain damage is high.
It is important to teach people how to give CPR, but also how to give someone CPR correctly and only give chest compressions. According to the American Heart Association, “once chest compressions are begun, it takes time to develop cerebral and coronary perfusion pressures. When chest compression is interrupted for rescue breathing, the cerebral perfusion pressure drops abruptly, and the cardiac perfusion pressure drops significantly.” This means that when someone stops performing chest compressions to give two breaths, blood and oxygen is no longer being pumped to the brain which can cause significant damage. If more people knew how to give chest compression only CPR and how to do it correctly, a lot of lives would be saved in the United States. Arizona has begun to push for better outcomes and for people to have give chest compression only CPR. Dr. Gordon Ewy, a cardiologist in Tucson, AZ, helped realize the importance of chest compression only CPR, and Ben Bobrow, MD, helped convince emergency some emergency responders in the state of Arizona to adopt Cardio-Cerebral Resuscitation. This provides continues chest compressions and helps to increase survival rates significantly.
With correct training, lives can be saved, and outcomes can improve significantly. One major place that cardiac arrests happen outside of the hospital is in nursing homes and assisted living facilities since they have a high percentage of elderly people. However, many nursing homes, even in the state of Arizona, have a policy to only call the ambulance. Instead of helping in ones most desperate time of need they stand by.
Here at RightCare we seek to change this. We believe that everyone has a right to the best care. We want to help properly train people how to give CPR in order to save a life. We also believe that people should be held accountable for helping others, especially those who are in need of life-saving support.
October 2, 2020
Can You Prevent Sudden Cardiac Arrest?
The word “sudden” may sound inevitable. However, depending on your risk factors – and even if you seem healthy enough – there are steps you can take to lower your risk of sudden cardiac arrest. Spend a few minutes to prepare now and prevent surprises later.
|See Heart Helpers|
September 30, 2020
Healthcare Facility owes Arizona nearly 12 million dollars, former executives indicted for fraud
According to the Arizona Attorney General, Hacienda Healthcare’s former executives are being indicted for fraud. The Division of Developmental Disabilities (DDD) had a contract with Hacienda that paid $1,100 per patient, per day. If Hacienda was to receive an overpayment, they were to reimburse the (DDD). The chief executive officer, William Timmons, and the chief financial officer, Joseph O’Malley, are both being charged with fraudulent schemes and artifices as well as illegally conducting an enterprise. They misallocated funds from the DDD by manipulating costs to avoid repayments of state funds. This was done by inflating salaries and bonuses. Timmons and O’Malley also used the money to pay for a large sum of costs at Hacienda’s other facilities without any reimbursement. They ended up getting millions of dollars of overpayment by the state. “This settlement provides a pathway for Arizona to recover funds misused for years by Hacienda,” says Attorney General Mark Brnovich.
Hacienda is a healthcare facility and a certified nonprofit. It is supposed to do good, yet it stole millions of dollars from Arizona taxpayers and still did not give quality care to its patients. The same healthcare facility was in the news after a family’s daughter was raped and impregnated by one of the staff members. “She was in a vegetative state on a ventilator with no way to communicate.” According to the lawsuit she “was repeatedly sexually assaulted.” The other healthcare employees there claim they had no idea she was pregnant. It was looked into after a 911 call from the facility and it is believed that she was sexually abused on many accounts.
Many people who are in assisted living facilities cannot speak for themselves which leaves them vulnerable to being easily taken advantage of. The same goes for nursing homes. The people living in these facilities are prone to having mental disabilities as well as health issues. The RightCare Foundation’s goal is to save lives and promote best practice care. We strive for change so that people can receive great care and still have their end of life wishes honored. We strive for a world that is responsible and accountable to ensure that caregivers are providing excellent care.
September 25, 2020
Isolation due to pandemic has resulted in thousands of deaths from nursing homes.
It is important to practice social distancing, especially among the elderly and those who are at a greater risk from dying due to Covid-19. However, 1.4 million people in the United States are living in nursing homes and losing the hope that they will ever see their family again. There have been over 13,000 more deaths due to dementia in the United States since March than previous years.
Nursing homes continue to have insufficient testing, funds, and equipment against Covid-19. The Coronavirus Aid, Relief and economic Security (CARES) Act, provided $2.07 trillion to help American people from the health and economic impacts of Covid-19. Yet only 5 billion or .2415% of it is going to nursing homes. Almost 40% of Covid-19 deaths have been related to nursing homes. It is as though the United States doesn’t care about our elderly population.
Those living in nursing homes live very close together. The average age of people in a nursing home is 79. People who are aged 65 and older are at a higher risk of dying from Covid-19. Those who have underlying health conditions are also more prone to require hospitalization or to die from Covid-19. Nursing homes are filled with an elderly population who often have multiple underlying conditions, yet little is being done to protect them. Many nursing home residents do not have enough masks to go around. According to the Covid-19 Daily Report, as of June 30, 2020, Maricopa county residents who resided in nursing home or a long term care facility accounted for 19% of the deaths in Maricopa due to Coivd-19 and 25% of the hospitalizations, although this number is believed to be higher.
The loved ones of people in nursing homes are often strong advocates for their family member to receive proper care. Loved ones often inform staff of a certain food residents may or may not like. They may also ensure that they are eating all their food and staying hydrated. The nursing home staff does not have time to spend hours with each patient to learn and observe these differences. Many nursing homes are still not opening their doors to families in hope of protecting the patients’ health. Although it may help protect residents there from Covid-19, it is causing severe mental illnesses.
Though many nursing home residents are not receiving the care and visitation they deserve, it is important to keep a positive attitude. Positive thinking can help to improve health and longevity. Unfortunately, it is becoming very difficult for those in nursing homes to have a positive attitude and many are losing hope. There has been an increase in depression and feelings of loneliness since the pandemic has started causing nursing homes to shut down. This is leading to more deaths and increased mental decline among the elderly. Main symptoms of depression are difficulty concentrating and mental decline increases rapidly sometimes becoming impossible to reverse.
RightCare advocates for proper training of nursing home staff, better equipment, and improved overall care for patients.
July 29, 2020
Are you ready and willing to save a life? RightCare believes that your survival should not depend upon your Zip code
David Schlinkert, policy analyst, Morrison Institute for Public Policy
Melissa Kovacs, Ph.D., associate director of research, Morrison Institute for Public Policy
Policy Brief Excerpt:
When it comes time to check a mother, father or grandparent into a senior care facility, families want to know that staff will make every effort to respect both their loved ones’ health and wishes.
First responders called to a senior care facility for a cardiac arrest emergency want no less, with their duty focused on saving a life but also respecting a loved one’s wishes.
According to some firefighters in Arizona, two things often get in the way of that goal:
- Staff at senior care facilities fail to begin resuscitation before first responders arrive, making lifesaving opportunities all the more difficult with every passing minute.
- End-of-life wishes, called Advanced Directives, are not readily available to first responders, essentially tying their hands on what course to take.
First responders in such situations are forced to either:
- Save seniors in their twilight days who might not want to be saved; or
- Resuscitate seniors who want to be saved, but due to confusion and delay by facility staff, highly likely will suffer brain damage if saved.
It takes Arizona firefighters approximately 8 minutes to arrive at a senior care facility.
Brain damage begins after 5 minutes without oxygen.
June 20, 2020
Our newest manikin technology has live and summative QCPR performance feedback, multiple student monitoring, and a gaming element to increase engagement are all available from the palm of your hand with the free QCPR Instructor and QCPR Learner apps. QCPR Technology is utilized to enable both instructors and trainees to more effectively monitor and review CPR performance, increasing the efficiency and value of training time.
May 28th, 2019
Our Senate Bill 1352 passed and is waiting for Governor Ducey to sign! Thanks to everyone who helped keep this Bill moving. With this Law, we will keep saving lives and honoring wishes in Arizona!
Read SB 1352 – Introduced by Senator Carter
RightCare Foundation, The AZ Hospital and Healthcare Assoc. and many other organizations were in support of SB1352. It is legislation that will improve effectiveness of health care directives Arizonans can use to ensure their healthcare wishes are honored at the end of life. This bill will make Healthcare Directives in the state registry accessible to EMS and all healthcare providers.
Facts About Senate Bill 1352 Health Care Directives Registry; Transfer
What’s the problem?
In 2004, the legislature created a framework for a statewide health care directive registry. The current system, however, limits medical providers’ efficient access to the registry and hinders providers’ ability to follow an individual’s directions for their health care.
What’s the solution?
SB 1352 improves the effectiveness of the Arizona Health Care Directives Registry by transferring it from the Secretary of State to a Qualifying Health Information Exchange that is approved by the Arizona Department of Health Services.
Does this really affect me?
Health Care Directives are legal documents that capture a person’s wishes regarding medical treatment or identify an individual who has the legal authority to make medical decisions on a person’s behalf.
Who supports SB1352?
Lots of people including legislators. All 30 Senators voted for it in the Senate and all nine committee members voted from it in the House Health & Human Services Committee. Additionally, the following organizations support it:
AARP ● Alzheimer’s Association Desert Southwest Chapter ● Arizona Ambulance Association ● Arizona Alliance For Community Health Centers ● Arizona Association of Health Plans ● AZ Chapter American College of Emergency Physicians ● AZ Council Of Human Service Providers ● Arizona Health Care Association ● Arizona Hospital and Healthcare Association ● Arizona Medical Association ● Arizona Nurses Association ● Arizona Osteopathic Medical Association ● Banner Health Arizona ● Donor Network Of Arizona ● Health Current ● Health System Alliance of Arizona ● Right Care Foundation
April 24th, 2018
Cronkite News reporter Madison Stark shares how the RightCare Foundation is changing the way people think about CPR before emergency vehicles arrive.
CPR training that uses chest compressions only is meant to prevent brain damage.
Posted by Cronkite News on Tuesday, April 24, 2018
August 31, 2017
RightCare was recently endorsed by the National Association of Emergency Medical Physicians – Arizona Chapter! Dr. Steven Maher is Chapter President and sited our “work to improve survival and neurological outcomes in the event of sudden cardiac arrest by promoting and teaching best practice Immediate Resuscitation in our community” and our “work to ensure that individual advanced directive wishes are honored” as the basis for the association’s endorsement.
RightCare is the first entity to be endorsed since their chapter began in November, 2016.
Promoting and teaching best practice Immediate Resuscitation in our community.
January 1, 2017
The City of Phoenix has increased the out-of-hospital cardiac arrest survival rate by 5 times!
This was possible through the implementation of leading-edge pre-hospital resuscitation protocols and the establishment of a hospital network of Cardiac Arrest Centers.
Though this is great news for The City of Phoenix, we hope to continually improve the quality of emergency care to our citizens.
The Sky Harbor International Airport has demonstrated a cardiac arrest survival rate of almost 80%! This is due to the great number of BLS/AED trained personnel and great number of automated external defibrillators available at the Sky Harbor. This life-saving emergency care at Sky Harbor serves as an example of what a community can accomplish with the appropriate resources.
The RightCare Foundation advocates for this best-practice emergency care in care homes/ facilities in Arizona.
Arguably seniors are more likely to experience sudden cardiac arrest than the average visitor to Sky Harbor International Airport.
The RightCare Foundation’s goal is to dramatically increase the rate of survival of seniors that experience sudden cardiac arrest in Arizona. “We intend to influence change requiring that the same emergency care that is available at our airport be available to consumers of senior care in our community”.
Please contact us for a complimentary copy of the PowerPoint presentation by Dr. John Gallagher, Medical Director of The City of Phoenix Fire Department, detailing the great work being done in Phoenix.
July 15, 2016
In California, an elderly woman died at a senior independent living facility after a 7-minute call between a 911 dispatcher and a nurse who refused to administer CPR which slowly stole her life away. While the company is conducting “a thorough review” of the proceedings, it was known ahead of time that CPR was “against their [company] policy.” Despite this legality, the 911 dispatcher becomes shocked and frustrated, pleading for someone – passerby or another senior citizen in the facility – to provide CPR, even offering to direct someone through it. Today show contributor, Dr. Roshini Raj reminds the public of the importance of CPR because “minutes make a difference.” Explaining that the human brain physiologically starts to die after 4 minutes due to lack of oxygen: halfway through the 911 call, the elderly woman was already dead.
Questions about the ethical and moral obligations of the nurse were discussed in the Today show clip. While it is shocking to comprehend how or why another human being would allow another person to die when they are fully qualified, this clip only scratches the surface of the inadequate systems in place in senior independent living facilities.
One important takeaway Dr. Raj made was for the public to remember that Good Samaritan Laws legally protect you if you see someone who is not breathing and try perform CPR on them – no matter the outcome. In effect, this nurse, though she could have lost her job, would have been protected by the legal system in place.
The premise, mission and lifeblood of RightCare Foundation is to help prevent tragedies like this from happening. With the proper CPR | AED training and equipment, lives can and will be changed, and minutes can turn into more years of vibrant life.
December 15, 2015
The behind-the-scenes look at how Phoenix paramedics and friend, Tina Johnson, saved popular KPNX-TV Channel 12 sportscaster Bruce Cooper’s life.
When seconds counted, there is a huge team effort put forth to save the life of a heart attack victim – and the famous broadcaster – affectionately known as ‘Coop’ was no exception.
Tina Johnson, Cooper’s daughter’s realtor, began performing CPR after he fainted moving boxes. Just moments earlier he had complained about pain in his lower back. From the time paramedics arrived at the scene to him entering the hospital Cooper had coded or “flat-lined” not once, but twice.
“I find life a lot more precious. I’m really glad that I can stay around a little while longer that I can be with my wife and daughter,” Cooper told Brad Cesmat on ‘Big Guy on Sports. “As you know there was a period not long ago that we lost our son [former Oakland Raiders linebacker Marquis Cooper, who died in a high-profile boating accident in Florida in 2009]. Just having our family together is really important.”
The station ran a special at the end of the story encouraging CPR training through the American Red Cross and even offered a 15% discount off of classes. This is another story emphasizing the importance of CPR | AED training and equipment and underscores the RightCare Mission to help save lives.
January 1, 2014
On October 5, 2009, Terry Schoen suffered a sudden cardiac arrest at his place of business. Two of Terry’s coworkers witnessed the arrest and within seconds put
their training to use. Phoenix Fire Paramedics arrived on the scene and began advanced life support treatment. The paramedics transported Terry to a local hospital where doctors continued his care. Terry was later discharged from the hospital with no permanent damage.
Two and a half years later, Terry is enjoying life to the fullest and would like to share his story. Come talk with Terry, the Phoenix Fire crews who treated him and Dr. John Gallagher about the value of early CPR and the lives that can be saved.
Press opportunity to speak with 2-year cardiac arrest survivor
& Phoenix Fire Paramedics on the value of bystander
CPR as a vital component of the chain of survival
WHAT: Phoenix Fire Paramedics will discuss the vital role early CPR plays in the survival of sudden cardiac arrest victims
WHEN: Thursday March 29, 2012 at 10:00 AM
WHERE: Phoenix Fire station #17 — 1531 E. Missouri, Phoenix
Contact: Captain Scott Walker at 602-309-2058
June 15, 2013
The words – I’ll take care of you – must have been a relief to the woman, who was failing in her later years and began falling and worrying what would become of her. Because she was old and frail and basically alone, she gave away her house to the owner of an assisted living facility.
Now the owner of that facility, Maria Barbu, has been charged with theft, fraud and forgery. Phoenix police say Barbu took Pauline Balseiro’s home, her antique furniture, her jewelry, her fur coats.
She’s also accused of forging checks on the elder lady’s accounts…
Although the perpetrator was charged with theft, fraud and forgery; This article, whose title and excerpt are featured above and that originally appeared on AZ Central, is an extremely important piece that The RightCare Foundation feels is a prime example of what continues to feed our energy and keeps our passion alive on improving the quality of senior care in our community.
December 15, 2012
In our continuous efforts to provide the community with important information, we wanted to share a Continuous Chest Compression (CPR) video
from the University of Arizona.
RightCare supports all efforts for life saving measures and this video is a valuable resource in our ongoing efforts to assist the community.
June 15, 2012
The recent headline, “Woman arrested for abuse of nearly 70 vulnerable adults,” explained the facts surrounding the closing of three long-term care facilities in Phoenix, but the article shows the extent of the abuse the residents had to endure.
While disturbing, the story is actually a victory for ensuring Right Care in our community and the underlying story is just as important.
Phoenix Departments Unite to Improve Care and Patients Lives
Though each city department operates under its own management, City of Phoenix Fire, Police and Neighborhood Services department personnel worked collectively to help bring the abuse to light and see that charges were filed and victims were relocated – resulting in dramatically improved conditions for 70+ assisted living care consumers.
This kind of “grass roots” first responder community involvement embodies The RightCare mission. We applaud The City of Phoenix for ensuring continuous quality improvement regarding care for its citizens.