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JAMDA
February 25, 2016

Whether health care professionals should respect a properly executed advance directive (AD) refusing life support in late-stage dementia even if the patient seems contented, is an ethically contested issue. We undertook a nationwide survey to assess this problem and to test a practical solution.

Policy Snapshot
February 24, 2016

This week the Centers for Medicare & Medicaid Services (CMS) and America’s Health Insurance Plans (AHIP), as part of a broad Core Quality Measures Collaborative of health care system participants, released seven sets of clinical quality measures. These measures support multi-payer alignment, for the first time, on core measures primarily for physician quality programs. This work is informing CMS’s implementation of the Medicare Access and CHIP Reauthorization...

JAMDA
February 24, 2016

This study aimed to explore the concordance between definitions of sarcopenia and frailty in a clinically relevant population of geriatric outpatients.

JAMDA
February 23, 2016

Findings from several experimental studies in animals have suggested a protective action of testosterone on kidney function, but hard evidence for such an association in humans is scarce. We examined the association between testosterone levels and kidney function among adult men living in super-aged communities.

JAMDA
February 23, 2016

Both respiratory and nonrespiratory hospitalizations are common and costly events in older individuals with obstructive lung disease. Prevention of any hospitalization in these individuals is essential. We aimed to construct a prediction model for all-cause hospitalization risk in community-dwelling older individuals with obstructive lung disease.

JAMDA
February 21, 2016

We refer to the study by Lu et al1 on the diagnostic utility of the Montreal Cognitive Assessment (MoCA) in differentiating DSM-5 mild neurocognitive disorder (NCD) from healthy controls in the Hong Kong population. The diagnostic performance of MoCA in mild NCD was modest in our Singapore sample2 (area under the curve [AUC] 0.770), and it is noteworthy that it was comparably so in the Hong Kong sample (AUC 0.814). Lu et al1 also showed that MoCA's diagnostic utility varied between the subtypes of mild NCD (NCD-Alzheimer disease, AUC 0.794, versus NCD-vascular disease, AUC 0.836).

Policy Snapshot
February 19, 2016

AMDA is proud to announce that it has joined the The Family Caregiver Platform Project. The project is a nonpartisan effort to include caregiving issues in the state party political platforms across the country. The group works to educate and motivate policymakers to improve state and federal support for family caregivers and the frail elderly Americans for whom they selflessly provide support.

National partners in the effort include LeadingAge, Caring Across Generations, National Alliance for Caregiving, and Altarum Institute.

To learn more or to get involved visit...

Policy Snapshot
February 19, 2016

At AMDA’s upcoming Annual Conference in Orlando, Florida, a number of AMDA policy leaders will spotlight how health care reform changes will impact the post-acute and long-term care (PALTC) sector. At an all-day intensive session on Thursday, March 17 entitled Changing Health Care Delivery Environment: In Depth Analysis of Post-Acute/Long-Term Care in the New Age of Health Care, AMDA policy leaders will cover topics around value-based purchasing including the status of Accountable Care Organizations (ACOs), bundled payment initiatives, development of quality measures, and the role...

Policy Snapshot
February 19, 2016

On February 3, the Centers for Medicare & Medicaid Services (CMS) released the annual report summarizing impacts from the Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents in 2014. The project is designed to test ways to reduce avoidable hospitalizations among long-stay nursing facility residents.

During 2014, all seven sites generally showed reductions in Medicare...

Spotlight
February 19, 2016

Tochukwu C. Iloabuchi, MD, MS, CMD, was planning a career in post-acute care medicine before he attended the AMDA Foundation Futures Program. But it was at that AMDA Annual Conference in San Antonio that he learned about the Certified Medical Director (CMD) credential, and he decided this was something he wanted to pursue. “The Futures program opened my eyes, and I realized that the interdisciplinary team would be looking to me for guidance and leadership, and I wanted to be prepared for this role,” he says.

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