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JAMDA
March 1, 2020
JAMDA
March 1, 2020
JAMDA
March 1, 2020
JAMDA
March 1, 2020
JAMDA
March 1, 2020

Best practice guidelines recommend that patients follow up with their primary care provider (PCP) within 1-2 weeks after discharge (DC) from skilled nursing facilities (SNFs). In a local safe transitions initiative with 25 SNFs, PCP appointment compliance within 8 and 14 days was 29% and 48% after SNF discharge. We delivered a quality improvement (QI) coaching intervention to enhance transitional care processes from SNF to community.

JAMDA
March 1, 2020

Misconceptions and myths exist around palliative care due to inaccurate knowledge and/or negative beliefs among the general population. These misconceptions may inhibit integration of palliative care for eligible patients in skilled nursing home (SNF) settings. In our SNF the admission facilitator has a discussion with new SNF patients and families if deemed appropriate for palliative care and no additional education is provided during their SNF stay. SNF staff have mentioned having difficulty with palliative care conversations with families and patients when they become eligible for this...

JAMDA
March 1, 2020

The symptom of dizziness reflects a variety of sensations related to disturbances of the individual's sense of equilibrium, which have variously been described or subclassified by terms such as vertigo, presyncope, disequilibrium, wooziness, imbalance, falling sensation, spinning, and disorientation.1 In its various forms, dizziness is one of the most common symptoms in older persons, increasing in prevalence as age advances.2–4 This increasing prevalence with age reflects the fact that a variety of body systems interact to support one's sense of equilibrium, and that with age the...

JAMDA
March 1, 2020

Integrated care has been proposed as a solution for caring for an aging population with limited health- and social-care resources. Many of these policies have tried to reduce delayed discharges, including the High Impact Change Model (HICM). This model identified several integrated activities that may improve the transition from hospital to community with social care support. However, little is known about its uptake and if it is associated with delayed discharge rates. This study uses the first 6 quarters of reporting to 1) examine HICM uptake, 2) explore implementation patterns, and 3)...

JAMDA
March 1, 2020

Although antibiotic stewardship programs (ASPs) are now required in nursing homes (NHs), assimilating and responding to data to improve prescribing in nursing homes is novel. Four Atlanta-based skilled nursing facilities (SNFs) began collaborating (EASIL: Emory Antibiotic Stewardship in Long Term Care) to share standardized prescribing data to allow interfacility comparisons and action.

JAMDA
March 1, 2020

Electrocardiograms (EKGs) are a well-known diagnostic medical tool. At Post-Acute and Long-Term Care Centers (PALTCs), residents get EKGs ordered for many urgent and non-urgent clinical indications. There are no studies so far to demonstrate EKG performance at PALTC. We describe the clinical practice of EKG testing in a 720-bed facility in the Bronx, NY.