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2019 Medicare Part D Opioid Policies: Training Materials from CMS

Health Policy
Centers for Medicare and Medicaid (CMS), Opioids, Practitioners
December 13, 2018

The Centers for Medicare & Medicaid Services (CMS) will implement new opioid policies for Medicare drug plans on January 1. The new policies include:

  • Improved safety alerts when patients fill opioid prescriptions at the pharmacy
  • Drug management programs for patients at risk for misuse or abuse of opioids or other drugs 

CMS posted new training materials, including slide decks and tip sheets for:

  • ...

Quality Payment Program: Updated List of APMs

Health Policy
Centers for Medicare and Medicaid (CMS), Payment, Alternative Payment Models (APM), Practitioners
December 13, 2018

The Centers for Medicare & Medicaid Services (CMS) posted an  updated list of Alternative Payment Models (APMs) in the Quality Payment Program. The list displays the APMs that CMS currently operated or announced since November 2018, including those considered Advanced APMs and Merit-based Incentive Payment System APMs. 

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Improving Antimicrobial Prescribing: A Multinomial Model Identifying Factors Associated With First- and Second-Line Prescribing

JAMDA
December 13, 2018

Broad-spectrum, second-line antimicrobials may be prescribed when initial first-line options prove ineffective. This study compares prescribing practices and identifies potential influencing factors for first- and second-line antimicrobials in long-term care facilities.

Nutritional Status, Body Mass Index, and the Risk of Falls in Community-Dwelling Older Adults: A Systematic Review and Meta-Analysis

JAMDA
December 13, 2018

To evaluate the association between nutritional status, defined on the basis of a multidimensional evaluation, and body mass index (BMI) with the risk of falls and recurrent falls in community-dwelling older people.

Give for a Purpose; Watch Your Donation in Action

Spotlight
December 12, 2018

MEMBERS ONLY CONTENT

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“When individuals donate to the Foundation, they are a giving to a purpose, a project they believe in—such as the Futures Program; but they also understand the role these play for our profession and its future,” says Foundation Chair Barbara Resnick, PhD...

Similarity of Repeated Falls in Older Long-Term Care Residents: Do the Circumstances of Past Falls Predict Those of Future Falls?

JAMDA
December 11, 2018

More than 30% of older adults in the community and 60% in long-term care (LTC) will fall at least once per year, and many will fall repeatedly.1 For the physician treating a patient who presents with falls, a primary goal is to develop a management strategy for preventing future falls by targeting underlying physiological, behavioral, and environmental risk factors. A seemingly essential component herein is a careful history of how past falls occurred, including the cause of imbalance and activity at time of the fall (eg, tripping while walking).

Pro Re Nata Drug Use in Nursing Home Residents: A Systematic Review

JAMDA
December 11, 2018

In addition to routinely administered long-term medication, complex drug regimens of nursing home residents often include as needed or pro re nata (PRN) medication. However, there has been no systematic evaluation of the frequency and concomitants of PRN medication in nursing homes. The main objective of this systematic review was to provide a current assessment of PRN drug use in nursing homes.

Effect of 800 IU Versus 2000 IU Vitamin D3 With or Without a Simple Home Exercise Program on Functional Recovery After Hip Fracture: A Randomized Controlled Trial

JAMDA
December 11, 2018

To evaluate 2 simple strategies, vitamin D3 and a home exercise program, in functional recovery during the first year after hip fracture.

STOP-FALLING: A Simple Checklist Tool for Fall Prevention in a Nursing Facility

JAMDA
December 11, 2018

Falls are highly prevalent and lead to major health morbidity and mortality in older adults. We developed a “STOP-FALLING” checklist as a multifactorial intervention tool kit for a single long-term care facility. The objective of this study was to determine feasibility and adherence of the checklist, and to determine whether STOP-FALLING reduces total number of falls, frequent fallers, and fall-related injuries.This is a quality improvement demonstration project comparing the effect on falls 3 months before and 3 months after introducing a STOP-FALLING checklist.

Associations Between Prefrailty or Frailty Components and Clinical Outcomes in Heart Failure: A Follow-up Meta-analysis

JAMDA
December 9, 2018

Recently, we received a letter concerning our recently published systematic review and meta-analysis on frailty and clinical outcomes in heart failure,1 to which we responded.2 It was suggested that a detailed analysis on the effects of prefrailty, and individual frailty components, on adverse outcomes in heart failure patients would provide additional insights, with which we fully agree. We now present the follow-up meta-analyses. Using the search results of our previously published meta-analysis,1 we found that 3 studies3–5 reported prefrailty, which was defined as meeting 1 or 2 of the...