Proud of our Neighbor…In January, Paradise Valley Hospital Recognized Among Top 15 in Nation

What a blessing for a Retirement and Assisted Living Community to be located adjacent to such a quality medical facility!

National City, CA – Jan. 24, 2012 – Paradise Valley Hospital and Alvarado Hospital Medical Center were recognized this week as part of the only hospital system—Prime Healthcare—in California named one of the nation’s top 15 by Thomson Reuters, a leading provider of information and solutions to improve the cost and quality of healthcare.

The prominent award is based on objective criteria such as clinical outcomes, patient safety, patient satisfaction and operational efficiency.

“Our healthcare system excelled even in this elite group,” said Luis Leon, CEO of Alvarado and Paradise Valley hospitals. “We have long been proud of our clinical quality, but now San Diegans can see that the high level of quality care, better survival rates, fewer complications and better patient safety provided to our patients has been validated by an outside source based on federal data.”

Researchers from the Thomson Reuters “100 Top Hospitals” program analyzed the clinical quality and efficiency of more than 300 health systems to identify the top 15 in the nation. The study found that regardless of their size, the top health systems shared many of the same qualities, including:

Lower 30-day mortality rates
Better survival rates
Fewer complications
Shorter hospital stays
Better patient safety
Core measure adherence

In fact, top health systems had 23% fewer adverse patient safety events than expected and had better adherence to core measures of care than their peers.

Prime Healthcare, which operates 14 hospitals in California and one in Texas, ranked higher than the other 21 health systems in California and the more than 30 other health systems on the West Coast.

The study used the 2010 Medicare Provider Analysis and Review (MedPAR) and the CMS Hospital Compare data sets to examine health systems with two or more short-term, general, non-federal hospitals; cardiac and orthopedic hospitals; and critical access hospitals.

To Itemize or Not, That is the Question

Many seniors have gotten into the habit of claiming the standard deduction instead of itemizing. That’s because they typically pay little or no mortgage interest, and they usually don’t owe much for state and local income and property taxes either. So the most common itemized deductions for the rest of us often amount to little or nothing for seniors. Plus folks age 65 and older get larger standard deductions. All that said, claiming the standard deduction may not be the right answer if you have significant medical expenses.

As you probably know, medical expenses can only be deducted to the extent they exceed 7.5% of your adjusted gross income (AGI). In adding up your expenses, don’t make the common mistake of forgetting to count Medicare insurance premiums. Together with other out-of-pocket costs, Medicare premiums can easily put you over the 7.5%-of-AGI threshold and also cause your total itemized deductions to exceed the standard deduction amount. Here’s the drill to find out if you can cut your tax bill by itemizing.

Step 1: Identify Expenses that Count as Medical Expenses.

 

To figure out if you have enough medical expenses to benefit from itemizing, add up the following.

  • Premiums for Medicare Parts B, C, and D Coverage. Seniors enrolled in Medicare can count premiums for Medicare Part B coverage (for medical costs other than hospital bills), Part C coverage (for Medicare Advantage policies), and Part D coverage (for prescription drugs) as medical expenses. *For most people, the 2011 Part B premium is $1,157 per covered person, but it can be up to $4,429 per person for higher-income folks (the 2012 premiums will be a bit higher, but we don’t have the exact numbers yet). *Part C premiums depend on the plan. *Part D premiums average around $360 per covered person for 2011 (and will probably be about the same for 2012).
  • These Medicare coverage premiums are generally withheld from your SocialSecurity benefit payments. If so, you can find the premium amounts for each year on Form SSA-1099 (Social Security Benefit Statement) which you should receive shortly after the end of each year.
  • Premiums for Supplemental Medicare Coverage (Medigap Insurance)
  • Seniors can also count premiums paid for private Medicare supplemental insurance policies — often called Medigap coverage — as medical expenses. The cost depends on the plan, but annual premiums can easily amount to $1,000 to $2,000 per covered person or more.
  • Premiums for Qualified Long-Term Care Coverage
  • Premiums for qualified long-term care (LTC) insurance also count as medical expenses, subject to age-based limits. For each covered person, count the lesser of: (1) the actual premiums paid in 2011 or (2) the age-based limit from below: Age on 12/31/2011 – Maximum Premium Amount 61-70 $3,390. Over 70 $4,240
  • Out-of-Pocket Medical Expenses
  • Many seniors also incur significant out-of-pocket outlays due to insurance co-payments and deductibles and for dental and vision care. Be sure to add these into the mix.
  • Medical Expenses Paid for Relatives
  • Did you pay health premiums or uninsured medical expenses for a qualifying relative this year? If you did, count these expenses, too. For a person to be your qualifying relative, you generally must pay over half of his or her support for 2011, and the person must be your adult child, son-in-law, daughter-in-law, grandchild, father, stepfather, father-in-law, mother, stepmother, mother-in-law, brother, stepbrother, brother-in-law, sister, stepsister, sister-in-law, aunt, uncle, niece or nephew. It doesn’t matter if the relative lives with you or not.

 

Step 2: Add Everything Up and Subtract 7.5% of AGI

 

As earlier, you can only claim an itemized medical expense deduction to the extent your total expenses exceed 7.5% of adjusted gross income (AGI). For example, say your 2011 AGI is $80,000, and you have $20,000 of medical expenses from the preceding expansive list, deduction is $14,000 [$20,000 -- $6,000 (7.5% of your $80,000 AGI)].

 

Step 3: Add in Other Itemized Deductions and Compare to Standard Deduction

 

Now that you’ve learned you can claim a significant itemized deduction for medical expenses (even after subtracting 7.5% of AGI), the next step is to identify any other potential itemized deductions for 2011. These can include (among other things):

  • State and local income and property taxes (including taxes on cars, boats, and other personal property).
  • State and local general sales taxes (but only if you choose to claim them instead of claiming state and local income taxes).
  • Home mortgage interest (if any).
  • Charitable contributions

 

Add these to your medical expense deduction, and see if the total exceeds your 2011 standard deduction amount of $7,250 if you are aunmarried and will be 65 or older as of 12/31/11 or $13,900 if you file jointly, and both you and your spouse will be 65 or older as of 12/31/11.

 

Be sure to contact a trusted, experienced tax advisor to find what’s right for you!

95-year-old Paradise Village Original Tuskegee Airman Proud of Impact and Accomplishments

Colonel Louis Hill, Retired Air Force, says he has a unique story.  Hill is an extremely modest man with life experiences that would impress anyone, though he states, “I’m no one special.”   Hill lives by his father’s expression, “Do the most good for the largest number.”

Hill was raised by his parents, both college graduates, which was a feat in their day.  He was the seventh of eight children, all whom went to college as well.  Growing up in the South at that time had its challenges.  Regarding segregation, Hill believed that “five percent of the population was in favor, another five percent against, and the balance just went along to get along.”  It was not until age 16 that Hill was told “Go to the back of the bus!”  Hill humorously added, “mainly because they did not have buses in my hometown.”  He later married his college sweetheart Ecra Yvon Jett, and they had beautiful daughters Myrna E. Hill and Ecra Elaine Hill.

Hill taught high school following his Bachelor’s Degree in Chemistry and Mathematics fromAlabamaStateUniversityin 1938.  He was deferred for entry into the military at that time.  In 1942, he was drafted as a “buck” Private at the age of 26.  Three months later he found himself in officer’s training and three months later a new 2LT officer in the Army Air Corps.  His goal was to get to the Tuskegee Project which was formed in 1941 from political and social pressure, though he never formally submitted an application to the program.  He made himself a nuisance in his pursuit, and was transferred 16 times before landing in the exact place he wanted to call his military home at the Tuskegee Army Airfield in September 1943.  The Tuskegee Airmen were training to becomeAmerica’s first black military pilots in segregated units.   Eleanor Roosevelt was a major champion of the Project, telling her President husband “those men can fly!”

Hill was 26 years old joining this testing ground and was called “The Old Man” in the group.  He chose not to apply as a pilot, but rather wanted to work others through the program—a mentor and educator at heart.  He worked in Cadet Classification in the Psychological and Motor Skill Testing Sections.  His job was to ensure the program was successful by screening for candidates who were both stable and could withstand extreme stress.  The personality and Psych tests, and the pressure to become two to three times as good as non-black counterparts, were key to the viability of the project.  Hill was most proud of the caliber of candidates and colleagues he worked with atTuskegee.  Black enlisted men were what Hill described as “extraordinary.”  They were men of character and ambition with Master and Doctoral degrees, but were not seeking entry into the officers’ ranks at that time.  At the beginning of the project, only five black pilots graduated the first year.  Just before military segregation ended, 940 fighter pilots graduated in total.  Tuskegee Airmen were considered any service man or woman that took part in any aspect of the fighter group, not just the pilots.  Hill firmly believed that war was transitory and they would win the war.  He taught and encouraged all he worked with to develop marketable skills to use following in peacetime. 

The Tuskegee Airmen broke through a barrier of ignorance and proved that black men would handle themselves equally among the officers’ ranks, as brave countrymen, and outstanding aviators.  Respect came from white fighter pilots who showed appreciation by nicknaming the black airmen the “Red Tail Angels.”  These white pilots knew they were led to successful missions and safely returned back to base as a result of the black unit’s skill and bravery.  The Army Air Corps’  332nd Tuskegee Fighter Group and its four squadrons (the 99th, 100th, 301st, and 302nd) were commanded by West Pointer COL Benjamin O. Davis, Jr. who was an honors graduate, but endured discrimination and isolation by peers at the Military Academy all four years. 

The war ended in 1945.  Hill discovered his strengths, expertise and leadership in Logistics.  He was transferred to Hawaiiand joined a group to prepare a separate location for the 477th Bombardment Group.  Hill didn’t have enough points to make him eligible to get out of the service.  There was an effort, where possible, to have black officers command black companies.  In 1945, Hill deactivated these seven companies, and then activated the 10th Air Ammunition Squadron, and commanded as a Captain.  He was quite proud, and rightly so, of their deficiency-free distinction.  It was not until 1946 when Hill would be accepted as equal and received officer’s housing.  In 1947, the United States Army Air Corps became the Unites States Air Force.  In 1948, full integration occurred in theU.S. military. 

Further along in Hill’s service he became a staff officer at the fighter wing headquarters in Columbus, Ohio.  Four black fighter units and one bomber unit transferred to Ohioand were nicknamed “The Black Air Force,”  Hill worked with an inspiring group of officers who shared his philosophy to lead and mentor.  Later, Captain Hill was chosen to go on to AdvancedOfficersSchooland graduated in the top 10 percent.  He was one of the first black officers and the only representative from the newly formed Air Force at the time.  Hill moved on to Strategic Air Command and was promoted later to Integrated Major.  He transferred to Englandand commanded the 3918th Maintenance Supply and Services Group.  Major Hill always pushed for mainstreaming his career as a military officer.  When asked about leading “Red Necks,” Hill stated, “I have no problem with them.  They will be the ones with a problem.”   Hill served in many other positions and locales in the service.  In 1964, Hill was promoted to Colonel.  His career in Air Force Logistics continued as Deputy Wing Commander for the 6200th Material Wing in support of all ofSoutheast Asia.  Hill was ultimately assigned to Aerospace Defense Command as Commanding Director of Supply and Services for all radar sites of the world, as he managed four billion dollars of inventory.  On June 1, 1971, Colonel Hill retired from active duty joining at that time thousands of original Tuskegee Airmen.  Upon retirement, Hill was awarded the Legion of Merit.

Segregation was an interesting time in history and in Hill’s life and military career.  Hill shared, “I always believed the movement that integration would occur.”  He painted a picture of the ridiculousness of segregation. 

Two days after Hill’s military retirement, he was employed by Northrop Aerospace Industry inLos Angeles.  His great work and mentoring continued in the Aerospace Industry, retiring again after 10 years as Corporate Director of Logistics Engineering.  He later became a community volunteer. 

Hill was honored by President Clinton as one of the original Tuskegee Airmen on V Day at the 50th Anniversary inPearl Harbor.  In 1995, Hill was an advisor to a documentary on the Tuskegee Airmen. 

Ten years ago, Hill joined 15 other “originals” and rode atop the “Tuskegee Airmen: A Cut Above” float in the 121st Tournament of Roses Parade.  In 2007, Hill, along with other original Tuskegee Airmen, was awarded the Congressional Gold Medal by President George W. Bush.  President Bush autographed his award photograph with the words, “With Respect and Appreciation.”  On 11/11/11, Hill was honored at the Nellis Air Force Base Veteran’s Day celebration and air show among other Tuskegee Airmen.  Most recently, George Lucas’ film Red Tails, a story about the Tuskegee Project, was released in theatres everywhere.  Lucas invited Hill to theHollywood preview where he wore his uniform and ribbons.  Two days later, Hill was honored by the City ofLos Angeles and offered an interview with ABC news.

When asked about his greatest life accomplishments, Hill reflected, “I am proud of the impact I had on the Tuskegee Airmen.  They deserve all the recognition and then some.  I am also proud of the impact on men—officers and enlisted—year after year.  I believe I inspired them to do something with their life.  We all had everything to gain and nothing to lose.”  Hill always stressed accomplishments instead of the individual people.  He taught, “If you believe in yourself, you can do anything!”  Hill’s biggest regret, “I wish I had finished a book about all of this that I started 10 years ago.” 

(Editor’s note: Colonel Hill will be receiving an audio recorder as a gift fromParadiseVillageto help complete his life’s work and experiences in writing!)

What are the most important lessons you have learned?

The Legacy Project began in 2004, when Karl Pillemer, a professor of human development at Cornell University, began collecting advice for living from American’s seniors. He gathered 1500 responses to the question: “What are the most important lessons you have learned over the course of your life?”

People from all over the nation in their 70′s and above shared their advice and wisdom for living a live with no regrets. A summary of his findings can be found in his recent book, 30 Lessons for Living-from the Wisest Americans.

Here is a summary of some of their thoughts.

How To Be Happy: The consensus of the elders is that we can’t wait for external events to bring about happiness. They suggest we can make a choice not to brood negatively about life. Don’t think on any past shortcomings or failures. Learn what you can from them, resolve to do better, and live on. Almost all elders viewed happiness as a choice, not the result of how live treats you.

On Aging: “Embrace it. Don’t fight it. Growing older is both an attitude and a process”, an 80 year old man said. The experts advice to the young: “Don’t waste your time worrying about getting old.”

Maintain social contacts. Avoid becoming isolated. When an invitation is issued, say yes. Take steps to stay engaged, and take advantage of opportunities to learn new things. Although many were initially reluctant, those who moved to a senior living community found more freedom to enjoy activities and relationships then they had before.

On Regrets: Travel more when your younger rather than wait until the children are grown or you are retired. Travel is so rewarding that is should take precedence over other things younger people spend money on. Create a bucket list now and start whittling it down.

Vist the web site for more advice and Meet The Elders videos.  www.legacyproject.human.cornell.edu

Jazz 88 All-Stars at the Liberty Hall Theatre

Jazz 88 All-Stars at the Liberty Hall Theatre

By Robert Bush | Posted January 30, 2012, 3:57 p.m.

Last night, another in a an excellent series of monthly jazz concerts was produced by the folks at Liberty Theatre at Paradise Village. This time, the featured act was the KSDS Jazz 88.3 All Stars, loaded with some of San Diego’s premier, yet under-sung players.

“The All-Stars were formed about eight years ago to do a promotional jingle for the radio station,” says drummer Barry Farrar, who has hosted one of KSDS’ best programs for more than 30 years, the always entertaining “Percussive Profiles,” which airs on Tuesdays at 10-12 p.m.

What makes “Percussive Profiles” such a satisfying show is the fact that it’s put together by a jazz drummer. There’s never a lack of enthusiasm, or absence of inside information, and Farrar, obviously knows and loves, the subject of jazz drumming. He also features live interviews with many drum legends on the show, an extra treat.

Since it’s inception, the All-Stars have focused the bulk of their attention to a celebration of the music recorded on the Blue Note label in the 1960s, and related material, including some excellent originals that reflect a similar oeuvre.

In that spirit, the band burst out of the gates with a version of Freddie Hubbard’s “Gibraltar,” a smoking tune from that tradition. Farrar set up a quasi-Latin groove, then trumpeter Steve Ebner and tenor saxophonist Bob Campbell jumped all over the intricate theme before launching into excellent, idiomatic solos.

As a soloist, Ebner navigates the divide between the breakneck velocity of Hubbard and the more nuanced chops of Woody Shaw quite well. Campbell usually reflects a tone similar to Stan Getz but his lines are more intense, like someone who has studied John Coltrane’s early work as well.

Joining Farrar in the rhythm section were two cats I wish I heard much more often: the ebullient Mikan Zlatkovich on piano, and the powerful veteran Bill Andrews on bass. I remember being enthralled by Andrews’ playing some 30 years ago, and he’s even better now. Zlatkovich is a master of the piano, on the opener, he displayed his absorption of McCoy Tyner, but you can hear everyone from Art Tatum to Bill Evans in his wide ranging personal distillation of the jazz piano aesthetic.

On “Senor Blues,” Ebner blew bright, fleet-fingered excursions with frequent stops at the blues, while Campbell wound tight arpeggios and knotty improvisations with a clear and calm tone. Zlatkovich seemed to watch his own handiwork with an ecstatic wonder, and Andrews took it into the basement with a solo loaded chock full of double-stops and slurring asides.

Blue Mitchell’s “Fugi Mama,” was an island-flavored tune in the spirit of Sonny Rollins’ “St. Thomas,” and it bounced along joyfully, powered by the manic ornamentation of Campbell and the squeezed notes of Ebner, who shot skeins of scalar harmony into the rafters. Zlatkovich picked up the last line of Ebner’s solo, repeated it, then sent it into several harmonically related neighborhoods before unleashing a torrent of fresh ideas.

Jeffery Smith, the Managing Artist Director of the Liberty Theatre, and a celebrated vocalist in his own right, joined the band for a sensitive, yet powerful reading of Bill Evans’ “Detour Ahead.” Smith has a muscular baritone that retains the clarity of a Johnny Hartman, and the elasticity of Leon Thomas. He’s got a command of the emotional center of a ballad, and he makes you think about the lyrics.

Zlatkovich’s “This Is For Horace,” followed a brief intermission, and it was probably the standout moment of the concert. An excellent, swinging tune, this one also visited the blues in a deep, gutbucket fashion–eliciting exciting solos from the whole band, especially from the composer.

Wayne Shorter’s elliptical, modal masterpiece, “Speak No Evil,” followed. The pianist struck a free, rubato intro that set up the melody, and the furious swing and swagger of its groove. Campbell started out slow and easy, before erupting into altissimo register screams and squeals. Zlatkovich set dizzying streams of back and forth melodic ideas into motion and rocked some explosive block chord harmony. Both Campbell and Zlatkovich tossed in heavy quotes from another Shorter tune, “Witch Hunt,” for good meausre.

To close out this excellent evening of classic mainstream music, the band stormed through Duke Ellington’s ever popular “Caravan.”

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Photo by Barbara Wise

Paradise Village enjoy nearby waterfront park!

Pepper Park

 

 

 

 

Paradise Village retirement community residents love the close access to parks and recreation we have within a few miles of our senior living community.  National City’s own Pepper Park, named after National City businessman and civic leader Leonard Pepper, is a 5-½ acre park with picnic areas, a busy boat launching ramp and a fishing pier equipped with lighting for night fishing.  Paradise Village is located two miles from the beautiful, waterfront area in our city.

Residents venture off on their own to explore these local area gems or are taken in our lovely coach van to a variety of parks, waterfront areas and picturesque places in town.  Our walking club heads out weekly on Saturday mornings.  World renown Balboa Park is only 5 miles away.

Paradise Village offers affordable senior housing in San Diego’s beautiful South Bay!

PEPPER PARK stats:

Special Events Permitted: Yes
Maximum Occupancy for Events: 1,000
Weddings/Receptions: Yes
Location: South Terminus of Tidelands Avenue
Hours
: 6:00 a.m. – 10:30 p.m.

Amenities

Telephones Bike Parking Play Equipment
Boat Launch Picnic Telephones
Bike Restrooms

The Third Act

What is your attitude about aging? Most of us think about getting older as a decline. Jane Fonda, in her recent TED video shares her research on on aging and suggest we rethink how we feel about the last 3 decades of our lives. 

Researchers say that we will live 30 years longer then our grandparents.   With all this added time how do we use it?  How do we live it successfully?   She suggests that we look at aging as a upward reaching staircase, the upward ascension of the human spirit.

How will you live your third act?

 
The Third Act

Going the Distance

If you’re a runner, perhaps the name Dr. George Sheehan rings a bell.  If not, you may want to pick up one of his books on the subject, one that he knew quite a lot about.  Dr. Sheehan was an accomplished physician and a forerunner (pun intended, of course) in the jogging/running movement of the 70′s.  Throughout his later years, he became an icon of the benefits and the joys of running, a celebrated author, and a man who celebrated the excitement of living each and every day.

His words on running seem to fit perfectly with Generations’ mission of Enhancing Lives and Celebrating the Excitement of Living.  We believe that everyone is an athlete and that wellness is an integral part of life, no matter one’s age.  Here is a quote from George Sheehan’s book, ”Going the Distance”.  Enjoy your road!  Make it an exciting journey!

“To many people, growing old seems like the endgame in chess: life winding down in a series of small moves with lesser pieces.  As I age, I have discovered this is not true.  I am not an elderly king stripped of my powers, reduced to a ragtail army of pawns.  My life is not a defensive struggle of restricted options.  Growing old is a game of verve and imagination and excitement!

The aging game is chess at its best.  The opening gambit may have been made long ago.  The responses long set in motion.  Some pieces indeed have been lost.  But the board is still filled with opportunity.  The outcome is not now a matter of strength, although that still remains, but of faith and courage, hope and wisdom.

The aging game is a sport for which childhood and youth and maturity are no more than a preparation.  Its scope comes as a surprise.  It expands my life at a time when I expected it to diminish.  It demands an excellence that no longer seemed necessary.  It asks me to surpass what I did at the peak of my powers.  Age will not accept second best.

In the aging game I must be all I ever was and am yet to be.  What has gone before is no more than a learning period.  A breaking in.  Life, someone has said, is boot camp.  If it is, age is the combat for which I was trained.  Now I must take this person I have become and make each new day special.  I must make good on the promise of every dawn I a privileged to see!”

Well said, Dr. Sheehan!  We shall go and greet each dawn with excitement!

Paradise Village Hosts Ultra-Walker Leo Schreven!

Paradise Village is proud to host Leo Schreven – the man who walked across America in 100 days!  Paradise Village warmly invites you to this free event so that you can be inspired to achieve your maximum potential, no matter your age.

Mr. Schreven has been walking across the country to bring awareness of the issue of malnutrition in children around the world and to raise funds to combat this problem.  In total, he has walked a marathon each day for the past 100 days.  You can go to www.kidscharitywalk.com for more information.

The Kids Charity Walk is working in partnership with MannaRelief (www.mannarelief.org), a Christian inter-denominational, non-profit organization that provides advanced nutritional support to malnourished children around the world. Since 1999 they have helped over 109,000 children in over 83 countries of the world.

Come and listen to Leo talk about his journey, his secrets to motivation, and his mission.  It’s an evening sure to inspire!

We hope to see you on Wednesday, May 18th at 7pm.

For more information, call 619-475-0383.

Spring is Upon Us Here in San Diego!

February brought to San Diego, one of the strangest weather events in memory. While it may have made it seem like Spring would not get here, in fact, March is upon us. March is one of the wetter months for San Diego, but the temperature continues to rise and the days grow longer. If you haven’t been able to enjoy the out-of-doors as much as you might like, consider Spring as your invitation to reconnect with San Diego’s World famous temperate climate and beautiful gardens. Whether you go to Balboa Park, or the one-of-a-kind Ocean coastline or simply open up your windows, or step outside you’ll be glad you live in this special area.