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JAMDA
January 16, 2016

Case finding for cognitive impairment (CI) is recommended for all persons older than 70 years.

JAMDA
January 16, 2016

Physical restraints can be harmful and abusive. Improper use of physical restraints has negative consequences on physical, functional, and psychological aspects and can even cause death. The main indication for physical restraint is a safety measure intended to protect individuals or others from disruptive behavior or for therapy maintenance. However, there is almost nonexistent evidence that physical restraints can prevent harm. Restraint-related injury is also underreported.1–3 On the contrary, restraint removal was found to reduce fall injuries in nursing home residents4 and reduce...

Policy Snapshot
January 15, 2016

This week, the Health Care Payment Learning and Action Network (LAN) released their Alternative Payment Model (APM) Framework White Paper. The paper defines payment model categories and establishes a common framework and a set of conventions for measuring progress in the adoption of APMs, which are methods of rewarding health care providers based on the quality and coordination of the care they provide.

APMs are important mechanisms for delivering high-quality, cost-effective, person-centered health care. In the APM Framework, all payments to health care providers fall within one...

Policy Snapshot
January 15, 2016

On January 11, the Centers for Medicare & Medicaid Services (CMS) announced 121 new participants in Medicare Accountable Care Organization (ACO) initiatives designed to improve the care patients receive in the health care system and lower costs. CMS also announced that providers and hospitals have signed up to join new types of ACOs, which in addition to being paid for positive patient outcomes will also receive penalties for negative ones. With new participants in the Medicare Shared Savings Program, the Next Generation ACO Model, Pioneer ACO Model, and the Comprehensive End-Stage...

Policy Snapshot
January 15, 2016

CMS has revised guidelines on Reviewing Short Stay Hospital Claims for Patient Status: Admissions On or After January 1, 2016. Starting October 1, 2015 Beneficiary and Family Centered Care Quality Improvement Organizations (BFCC-QIOs) began conducting initial patient status reviews of claims for inpatient admissions. Under the revised exceptions policy (CMS-1633-F), which became effective...

Policy Snapshot
January 15, 2016

In this MLN Connects video, Dr. Patrick Conway, the Principle Deputy Administrator and Chief Medical Officer for CMS, provides an overview of the Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014. This important legislation requires that patient assessment data used in post-acute care settings (Skilled Nursing Facilities, Home Health Agencies, Inpatient Rehabilitation Facilities, and Long-Term Care Hospitals...

Policy Snapshot
January 15, 2016

The 2015 White House Conference on Aging released their final report which summarizes the work of 2015 year as well as the feedback they have received in the course of carrying out the conference.

In a year that marked the 50th anniversary of Medicare, Medicaid, and the Older Americans Act, as well as the 80th anniversary of Social Security, the White House Conference on Aging provided an opportunity to reflect on the importance of these programs, highlight new actions to support aging Americans,...

JAMDA
January 14, 2016

Performing root cause analyses (RCA) on transfers of skilled nursing facility (SNF) patients to acute hospitals can help identify opportunities for care process improvements and education that may help prevent unnecessary emergency department (ED) visits, hospitalizations, and hospital readmissions.

JAMDA
January 13, 2016

Dietary pattern analysis has recently emerged as an alternative approach to investigate the association between diet and sarcopenia. This study examined the association of dietary patterns with sarcopenia in Chinese community-dwelling older people.

Policy Snapshot
January 8, 2016

On November 3, 2015, the Centers for Medicare & Medicaid Services (CMS), published in the Federal Register (80 Fed. Reg. 68126), proposed revisions to requirements for discharge planning for hospitals, Critical Access Hospitals (CAHs), and Home Health Agencies (HHAs). The proposed rule is designed to reduce avoidable hospital readmissions and improve patient care with a focus on improvements for psychiatric and behavioral health patients, including those with substance abuse disorders. It calls for coordination, consultation, and use of information from community-based service...