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August 15, 2019

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Delirium takes its toll, costing the health care system billions of dollars each year; and the condition is associated with increased morbidity, functional decline, nursing time, and caregiver burden, as well as higher hospital costs and longer lengths of...

Health Policy
August 15, 2019

One of the biggest complaints in today’s digital world is that it has not extended into the health care world. While many hospitals and physician offices have adopted some type of electronic medical record, and there is no shortage of new companies popping up every day, the world of interoperable data exchange still is elusive. In the post-acute and long-term care (PALTC) world, things are even more challenging given that they were left out of the major funding source that spurred the adoption of Health IT in the sector.  Even with the proliferation of Health IT, much of it remains in...

Health Policy
August 15, 2019

The Medicare Learning Network is hosting a call on September 10 from 1:30 to 3:00 PM ET, Dementia Care: Supporting Comfort and Resident Preferences. During this call, you’ll be able to gain insight on approaches to care for residents living with dementia that focus on resident preferences, maintaining comfort, and assisting with unmet needs. Additionally, a Centers for Medicare & Medicaid Services (CMS) representative will provide updates on the progress of the ...

Health Policy
August 15, 2019

On October 1, the new Patient Driven Payment Model (PDPM) is replacing the Resource Utilization Group, Version IV (RUG-IV) for the Skilled Nursing Facility (SNF) Prospective Payment System (PPS). The Centers for Medicare & Medicaid Services (CMS) has videos to help you prepare:

JAMDA
August 14, 2019

The “Goals of Patient Care” (GOPC) process uses shared decision making to incorporate residents' prior advance care planning (ACP) or preferences into medical treatment orders, guiding health care decisions at a time of clinical deterioration should they be unable to voice their opinions. The objective was to determine whether GOPC medical treatment orders were more effective than ACP alone in preventing emergency department (ED) visits (no hospitalization), ED visits (with hospitalization), and deaths outside the residential aged care facility (RACF).

JAMDA
August 14, 2019

Thyroid hormones (THs) play a critical role in skeletal muscle function, such as protein synthesis and energy metabolism, suggesting that thyroid function may be involved in the decline of muscle strength. Studies regarding the long-term effects of THs on muscle strength are limited. Therefore, this large-scale longitudinal study aimed to explore how TH levels were associated with handgrip strength (HGS) among middle-aged and older euthyroid adults.

JAMDA
August 10, 2019

People with dementia are known to be physically frailer, more sedentary, and participate less in regular physical exercise compared to their healthy peers. Physical activity interventions have the potential to reduce the level of frailty in community-dwelling older adults. Exergaming combines physical exercise with cognitive stimulation in a virtual environment. It is an innovative and fun way of exercising, which may aid people with dementia to be more physically active. The primary aim of this study was to investigate the efficacy of a 12-week exergame training and equally long aerobic...

JAMDA
August 10, 2019

The aim of this systematic review was to summarize the validity of nutritional screening tools to detect the risk of malnutrition in community-dwelling older adults.

JAMDA
August 10, 2019

Studies examining the associations between oral health and disability have limited oral health measures. We investigated the association of a range of objectively and subjectively assessed oral health markers with disability and physical function in older age.

Health Policy
August 8, 2019

Proposed changes to the CY 2020 Physician Fee Schedule are aimed at reducing burden, recognizing clinicians for the time they spend taking care of patients, removing unnecessary measures, and making it easier for clinicians to be on the path toward value-based care. During this listening session on Monday, August 12, from 1 to 2:30 PM ET, Centers for Medicare & Medicaid Services (CMS) experts will cover three provisions from the proposed rule and address your questions so you can formulate your written comments for formal submission:

  • Increasing value of Evaluation and
  • ...