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JAMDA
June 11, 2019

Patients with obstructive sleep apnea (OSA) have increased postoperative complications that are important for patient safety and healthcare utilization. Questionnaires help identify patients at risk for OSA; however, among older adults who preoperatively self-administered OSA questionnaires, the frequency of postoperative Medical Emergency Team Activation (META), rapid response, code blue, code stroke, is unknown.

JAMDA
June 11, 2019

Motoric cognitive risk syndrome (MCR) is a predementia stage associated with increased risk for falls. There are conflicting results regarding its association with recurrent falls and no information about its association with postfall fractures. The aim of the study was to examine the association of MCR and its components [ie, slow walking speed and subjective cognitive complaint (SCC)] with the occurrence of falls, their recurrence, and postfall fractures in older community-dwelling adults.

Weekly Roundup
June 10, 2019

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On the May 28 AMDA On-The-Go podcast about the Patient Driven Payment Model (PDPM), host

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Health Policy
June 7, 2019

Recently the Centers for Medicare & Medicaid Services (CMS) responded to an inquiry from Sens. Bob Casey (D-PA) and Pat Toomey (R-PA) regarding underperforming nursing homes. CMS sent them a list of nursing homes with a recorded pattern of poor care and the senators released the information to the public along with a report and additional background information.

Under the Special Focus Facility (SFF) program, overseen by CMS, those facilities are made public; however, SFF...

Health Policy
June 7, 2019

In a letter sent this week to congressional leaders, the Society joined the American Medical Association and other national medical societies in urging Congress to make further refinements to improve the Medicare Access and CHIP Reauthorization Act (MACRA). The groups called on Congress to replace the 2020-2025 physician payment update freeze with positive payment adjustments for physicians, extend the Advanced APM bonus payments for an additional six years, and implement several additional technical improvements to MACRA.

MACRA included modest positive payment updates in the...

Health Policy
June 7, 2019

This week the Society submitted comments on the Centers for Medicare & Medicaid Services (CMS) proposed rule on the Medicare and Medicaid Programs, Issuers of Qualified Health Plans in the Federally-Facilitated Exchanges and Health Care Providers (proposed rule), and the Office of the National Coordinator for Health Information Technology (ONC) on the Interoperability, Information Blocking, and the ONC Health Information Technology (Health IT) Certification Program.

The Society supported the overall intent and direction of the proposed rule and pushed to ensure that...

Health Policy
June 7, 2019

The Centers for Medicare & Medicaid Services (CMS) issued a Request for Information (RFI) seeking new ideas from the public on how to continue the progress of the Patients over Paperwork initiative. As of January 2019, CMS estimates that through regulatory reform alone, the health care system will save an estimated 40 million hours and $5.7 billion through 2021. These estimated savings come from both final and proposed rules.

The RFI on Reducing Administrative Burden to Put Patients over Paperwork invites patients and their families, the medical community, and other health care...

JAMDA
June 6, 2019

Pneumonia is 1 of the 3 most common infections identified in nursing home residents and is associated with the highest mortality of any infection in this setting. In regard to pneumonia in the nursing home setting, practitioners are focused primarily on identifying residents with this infection and choosing a treatment regimen. In this article, the diagnosis of this infection is addressed. Based on published studies and clinical experience, “bedside criteria” for the diagnosis of nursing home–associated pneumonia (NHAP) are proposed that are based primarily on objective respiratory signs...

Spotlight
June 5, 2019

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On the May 28 AMDA On-The-Go podcast about the Patient Driven Payment Model (PDPM), host Wayne Saltsman, MD, PhD, CMD, had several questions: “What is this new thing called PDPM? How is it generated? Why do we need it? What was wrong with the current system? What does PDPM mean, if anything, to patients and medical teams...

JAMDA
June 5, 2019

To identify factors associated with 30-day all-cause readmission rates in surgical patients discharged to skilled nursing facilities (SNFs), and derive and validate a risk score.