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JAMDA
December 16, 2015

We read with interest JAMDA's recent editorial by Katz and colleagues1 discussing the proposed rule change by the Centers for Medicare and Medicaid Services (CMS) to require in-person provider evaluations before a nursing home resident is transferred to a hospital, appearing in the October 2015 edition.

JAMDA
December 16, 2015

Burdensome symptoms and potentially inappropriate care practices are common at the end of life for nursing home residents. Appropriately managing symptoms and limiting aggressive care practices is key to high-quality end-of-life care. Little research is available, however, on the opinions of nursing home care providers about the impact of symptoms and practices for both residents and care facilities. Our objectives were to (1) identify common burdensome symptoms and potentially inappropriate practices at the end of life for nursing home residents, (2) develop and assess the feasibility of...

JAMDA
December 16, 2015

Identifying patients at risk for delirium allows prompt application of prevention, diagnostic, and treatment strategies; but is rarely done. Once delirium develops, patients are more likely to need posthospitalization skilled care. This study developed an a priori electronic prediction rule using independent risk factors identified in a National Center of Clinical Excellence meta-analysis and validated the ability to predict delirium in 2 cohorts.

JAMDA
December 16, 2015

The aim of this study was to examine whether informal caregiving affects subjective well-being (SWB) of the caregivers in the long run.

Policy Snapshot
December 11, 2015

To help eligible professionals, eligible hospitals, and Critical Access Hospitals (CAHs) successfully participate in the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs in 2015, the Centers for Medicare & Medicaid Services (CMS) posted new resources on the EHR Incentive Programs website.

  • What You Need to Know for 2015:
  • ...
Policy Snapshot
December 11, 2015

Electronic submission of staffing data through the Payroll-Based Journal (PBJ) is required for long-term care facilities beginning July 1, 2016. To prepare, nursing homes should register to submit data to meet this requirement and maintain compliance.

  • Obtain a CMSNet User ID for PBJ if you do not already have one for other Quality Improvement and Evaluation System (QIES) applications
  • Obtain a PBJ QIES Provider ID for
  • ...
Policy Snapshot
December 4, 2015

On November 25, CMS shared the updated 2016 CMS Quality Strategy, which incorporates progress made in shifting Medicare payments from volume to value, including payment reform initiatives, as well as new requirements from the Improving Medicare Post-Acute Care Transformation Act of 2014 and the Medicare Access and CHIP Reauthorization Act of 2015 legislation. The 2016 CMS Quality Strategy helps to align all of CMS to:...

Policy Snapshot
December 4, 2015

In response to feedback from stakeholders and partners of the National Partnership to Improve Dementia Care in Nursing Homes, CMS is sharing the revised survey materials that were developed for the 2014 Focused Dementia Care Survey Pilot and 2015 expansion effort. The intent is that facilities would use these tools to assess their own practices in providing resident care.

The tools can be accessed by clicking here....

Policy Snapshot
December 4, 2015

On October 30, the Centers for Medicare & Medicaid Services (CMS) issued the final rule that updates the payment policies and payment rates for services furnished under the Medicare Physician Fee Schedule (MPFS) on or after January 1, 2016. The rule changes several of the quality reporting initiatives associated with MPFS payments, including the Physician Quality Reporting System (PQRS).

...

JAMDA
December 1, 2015

Health care is filled with biases and assumptions. Family members, health care providers, even seniors themselves, carry beliefs about aging that affect choices of care, from pain control and end-of-life care decisions to settings and types of support services provided. There tends to be a consistent bias that people with more dependencies have lower quality of life and seniors who live in their own homes are happier than those in other settings of long-term care. Drs Uhlmann and Pearlman1 addressed some of these same biases in their 1991 article that investigated quality of life and...