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Policy Snapshot
October 14, 2016

On October 6, the Centers for Medicare & Medicaid Services (CMS) released a privacy-protected public data set, the Hospice Utilization and Payment Public Use File (Hospice PUF), which provides information on services provided to Medicare beneficiaries by hospice providers. CMS also released an update to the Market Saturation and Utilization Data Tool.

  • The Hospice PUF contains information on utilization, payments, submitted charges, diagnoses, and hospice beneficiary demographics organized by provider and state. The Hospice PUF covers CY 2014 and includes information on 4
  • ...
Spotlight
October 14, 2016
“This is a once-in-a-lifetime opportunity to help analyze and define post-acute and long-term care medicine as a specialty field. It is a chance to contribute to an analysis that will create a widespread understanding about what we do every day,” says ABPLM Chair Thomas Edmondson, MD, CMD. Less than an hour of time—what it takes for a meal, a workout, or reading the newspaper. This is all it takes for you to help ensure that stakeholders—from hospital systems and insurers to government agencies and policymakers to facility owners and administrators--understand the value of skilled,...
JAMDA
October 14, 2016

In their cross-sectional association study of 1988 outpatients older than 65 years of age, Piotrowicz et al very convincingly document that subclinical worsening of cognition and mood leads to poorer blood pressure control.1 As a consequence, they correctly emphasize the need for “widespread use of the Comprehensive Geriatric Assessment even in apparently self-dependent older patients with hypertension.” In this context, however, we should remember that poor blood pressure control has been shown to be a powerful risk factor for both Alzheimer disease and vascular dementia caused by strokes...

JAMDA
October 14, 2016

“Older people seldom have only medical or social need.”Ian Philp

JAMDA
October 14, 2016

Sufficient protein intake can decrease undernutrition risk among community-dwelling older adults. This study aimed to increase community-dwelling older adults' daily protein intake with acceptable and applicable protein-enriched bread and readymade meals at home.

JAMDA
October 14, 2016

To describe the prevalence and epidemiology of antimicrobial use (AU) in nursing home residents.

JAMDA
October 14, 2016

Forced expiratory volume in 1 second (FEV1) is proposed as a marker of healthy ageing and FEV1 expressions that are independent of reference values have been reported to be better at predicting mortality in older adults. We assess and compare the predictive value of different FEV1 expressions for mortality, hospitalization, and physical and mental decline in adults aged 80 and older.

JAMDA
October 11, 2016

Malnutrition in older persons is associated with an increased risk of mortality. Useful strategies to counteract malnutrition are nutritional interventions, such as fortified diets, oral nutritional supplements (ONS), tube feeding, and parenteral nutrition. Presently, it is not known if these strategies can reduce mortality risk of nursing home (NH) residents who are malnourished or at risk of malnutrition. Thus, the aim of this study was to investigate if nutritional intake and interventions are associated with mortality in this specific population.

JAMDA
October 11, 2016

Frailty is a state of increased vulnerability to disability, falls, and mortality. The Fried frailty phenotype includes assessments of grip strength and gait speed, which are complex or require objective measurements and are challenging in routine primary care practice. In this study, we aimed to develop a simple assessment tool based on self-reported information on the 5 Fried frailty components to identify older people at risk of incident disability, falls, and mortality.

JAMDA
October 11, 2016

The global prevalence of depressive and anxiety symptoms among caregivers of stroke survivors is unknown. Given the high index of caregiver burden, this meta-analysis aims to evaluate the pooled prevalence of depressive and anxiety symptoms among caregivers of stroke survivors globally and to determine underlying moderators.