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JAMDA
February 2, 2016

Multidrug-resistant organisms are an emerging and serious threat to the care of patients. Long-term care facilities are considered a reservoir of these organisms partly because of the over-prescribing of antibiotics. Antibiotic use is common in long-term care facilities. Antibiotic stewardship programs have been shown to reduce antibiotic consumption in acute-care facilities. The purpose of our study is to investigate existing infection-control practices and antibiotic stewardship programs in long-term care facilities in Maryland.

JAMDA
February 1, 2016
JAMDA
February 1, 2016
JAMDA
February 1, 2016
JAMDA
February 1, 2016
JAMDA
February 1, 2016

“Let it be a great day to die.”∼Sioux Warrior Greeting

JAMDA
February 1, 2016

In the specialties of geriatric medicine and long-term care, medication reduction is a large focus of daily clinical work and research due to the significant morbidity and mortality burden of polypharmacy on older adults.1–6 Many drug-specific tools and interventions to reduce polypharmacy have been developed and tested across health care settings.3,7–11 Most of these interventions start with identifying the use of high-risk medications, as well as those with a high utilization rate that could be a target for reduction or optimization.

JAMDA
February 1, 2016

Antimicrobial stewardship is becoming an increasingly important focus in long-term care settings. The Notice of Proposed Rulemaking, Medicare and Medicaid Programs: Reform of Requirements for Long-Term Care Facilities proposes that facilities must establish an infection prevention and control program, which must include, (among other elements), an antibiotic stewardship program with antibiotic use protocols and a system to monitor antibiotic use.1 Although it is unknown when, or if, the revised requirements will become effective in the proposed format, release of the draft document...

Caring for the Ages
February 1, 2016

The facility team members who nominate their physician leaders for AMDA Medical Director of the Year always speak about their nominee with passion and pride. They share stories of how their medical directors have implemented programs and initiatives that maximize quality and generally make the facility a great place to live and work. They talk of individuals who care deeply about their patients and their families, their colleagues, their communities, and their profession. The nominations for 2016 MDOY are no different.

Caring for the Ages
February 1, 2016

AMDA annual conference program chair Suzanne Gillespie, MD, RD, CMD, has many reasons that practitioners and other PALTC stakeholders should attend the conference in Orlando next month. She spotlighted five reasons and urged AMDA members and others to join her at this important event.