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Policy Snapshot
November 22, 2019

The Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2019 was recently introduced in both the House of Representatives (H.R. 4932) and Senate (S.2741). The bill would grant authority for the secretary of the Department of Health and Human Services to waive current telehealth restrictions in fee-for-service Medicare, including remote services in the home. It also removes geographic restrictions and adds the home as an originating site for mental health and emergency medical services. The bill further allows for the use of telehealth in the...

Spotlight
November 21, 2019

MEMBERS ONLY CONTENT

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When opportunity knocked, Marissa Galicia-Castillo, MD, answered; the result was an innovative program to improve the identification and management of congestive heart failure (CHF) at her facility. “I’ve been an AMDA member for quite a while. We were seeing more cases...

JAMDA
November 21, 2019

Use of a system-wide standardized clinical assessment to facilitate information-sharing is an essential component of an integrated healthcare system.1 The Resident Assessment Instrument for Home Care (interRAI-HC) is a standardized clinical assessment and decision support instrument used to assess complex and vulnerable clients in home care.2 It provides reliable and valid screeners, risk stratification algorithms, outcome measures, and clinical recommendations for common and important conditions.

JAMDA
November 20, 2019

Previous research has shown that ethnicity may play a role in increased risk for hospital readmission during a post-acute rehabilitation care (PARC) stay. However, little is known about risk factors influencing discharge status from PARC settings among different ethnic groups. Hence, the aim of our study was to investigate the relationship of individual characteristics (eg, sex, neighborhood quality) and health behavior (use of rehabilitation services) with rehospitalization across ethnic groups of older adult patients who received post-acute rehabilitation for a cardiovascular disease at...

JAMDA
November 20, 2019

Advance care planning (ACP) is seldom initiated with people with dementia (PWD) and mainly focuses on medical end-of-life decisions. We studied the effects of an educational intervention for general practitioners (GPs) aimed at initiating and optimizing ACP, with a focus on discussing medical and nonmedical preferences of future care.

JAMDA
November 18, 2019

Low levels of vitamin D have been implicated in a wide variety of conditions highly prevalent in the geriatric population, including fractures, functional limitations, cancer, cardiovascular disease, and depression. Vitamin D supplementation is often considered integral to the prevention of falls and fractures in the setting of osteoporosis. For other conditions, however, consensus is lacking, and the clinician may struggle to balance competing recommendations around screening, supplementation, and monitoring.

JAMDA
November 18, 2019

Nonagenarian patients are underrepresented in clinical trials that have evaluated oral anticoagulation in patients with atrial fibrillation (AF). The aim of this study was to assess the pronostic impact of oral anticoagulation in patients with AF age ≥90 years.

JAMDA
November 16, 2019

Evidence on associations between marital status and frailty is limited. The objectives of this study were to perform a systematic review for associations between marital status and physical frailty and to perform a meta-analysis to combine findings.