Pediatric Skilled Nursing Facilities: An Overview and Challenges Facing Pediatric Administrators

There are over 2300 beds dedicated to medically fragile children in a variety of congregate settings throughout the United States. This presentation explores the variety of settings, the population served, and the challenges that are encountered by Pediatric Long-Term Care Administrators. Challenges include reimbursement, regulatory, and political/cultural issues.

Holly Jarek DSc, N.H.A

Vice President of Seven Hills Pediatric Center

Ms. Jarek is the Vice President and Administrator of Seven Pediatric Center in Groton, Massachusetts.  Seven Hills Pediatric Center is a skilled nursing facility that provides comprehensive, compassionate care to children and young adults with severe developmental delays and complex medical needs.  Holly is currently responsible for 83 residents and 220 employees at the Center.

Holly also oversees the operation of two additional affiliates of the Seven Hills Foundation.  Seven Hills Pediatric Center is a 12-bed group home for children with medical fragility and.  Children’s Aid and Family Service’s which provides child care services to families in North Central Massachusetts.

For the last ten years, Ms. Jarek has been a member of the Massachusetts Board of Nursing Substance Abuse Rehabilitation Team which assists substance addicted nurses to safely return to the healthcare environment.  She is also Vice President of the Pediatric Complex Care Association, an organization of pediatric long-term care providers from across North America.  She currently chairs the Intellectual Disabilities/Developmental Disability chapter of the American Health Care Association

Ms. Jarek is a graduate of Boston University’s School of Nursing, Bachelor’s and Master’s Programs in Child Health Nursing.  She has over 45 years experience working with medically fragile children and young adults. 

She holds a Doctorate of Science in Health Services Administration from the University of Alabama Birmingham. Her doctoral candidate focused on the “Administrative Challenges in Pediatric Long Term Care”.

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