Publications

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Caring for the Ages
April 1, 2016

Benzodiazepine use by elderly adults did not seem to be causally related to an increased risk for dementia and cognitive decline, according to results from a prospective study.

Caring for the Ages
April 1, 2016

We ran a Medical Ethics column in October 2015 by Robert Gibson, PhD, JD, about medical decision-making for our patients who lack decisional capacity and have nobody available to serve as a surrogate to provide substituted judgment, that is, to tell us what that patient would have wanted in those circumstances (or at least what their overall values were) (Consent Process Complex for the Unbefriended. Caring for the Ages 2015;16[10]:10. Online at: www.caringfortheages.com/article/S1526-4114%2815%2900350-9/...

Caring for the Ages
April 1, 2016

Steven M. Handler, MD, PhD, CMD, has two professional loves — PALTC medicine and research. He is combining the two to explore the potential role for telemedicine in nursing homes and other PALTC settings, and he’s sought the input of his AMDA colleagues as part of this effort.

Caring for the Ages
April 1, 2016

For David LeVine, MD, CMD, medical director at Menorah Manor in St. Petersburg, FL, there was never a question that he would practice medicine. In a family where his father, grandfather, and two brothers are all physicians, the profession is in his blood. However, whereas father and brothers chose surgery, Dr. LeVine went in a very different direction — geriatrics. Today, Dr. LeVine, who is AMDA’s 2016 Medical Director of the Year, can’t imagine doing anything else.

Policy Snapshot
April 1, 2016

The Centers for Medicare & Medicaid Services (CMS) today announced it will test whether a new payment model for nursing facilities and practitioners will further reduce avoidable hospitalizations, lower combined Medicare and Medicaid spending, and improve the quality of care received by nursing facility residents.

This next phase of the Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents seeks to reduce avoidable hospitalizations among beneficiaries eligible for Medicare and/or Medicaid by providing new payments to practitioners for...

Policy Snapshot
April 1, 2016

Over the last year, AMDA - The Society for Post-Acute and Long-Term Care Medicine has asked the Centers for Medicare & Medicaid Services (CMS) to clarify whether the Chronic Care Management (CCM) Current Procedural Terminology (CPT) code was billable in nursing facilities. The original descriptor per AMA CPT for CCM stated that “these [CCM] management and support services are provided to patients who reside at home or in a domiciliary, rest home, or assisted living facility” which left confusion about billing the code in skilled nursing facility and nursing facility (SNF/NF) settings....

Policy Snapshot
April 1, 2016

Tuesday, April 5 from 1:30 to 3 pm ET

To Register: Visit MLN Connects Event Registration. Space may be limited, register early.

During this call, CMS subject matter experts provide information on what you can do to prepare for the Medicare Shared Savings Program (Shared Savings Program) application process for the January 1, 2017, program start date. A question and answer session will follow the presentation.

We encourage call participants to review important information, dates, and...

Spotlight
April 1, 2016
Susan Levy, MD, CMD, AMDA—The Society for Post-Acute and Long-Term Care 2016-2017 President, looks forward to a hectic year working and traveling for her professional home. “This is my way of giving back to a profession and an organization that have given much to me over the years,” she said. “I am thrilled to have the opportunity to foster and support our members and their teams to work successfully in this setting and effectively navigate this ever-changing health care system.”
JAMDA
April 1, 2016

In this issue, Degenholtz et al1 describe a conceptual framework to better understand the potential uses of health information technology (HIT) in the nursing home setting to improve the care delivered to residents. The authors classified HIT into 6 functional domains: Communication, Clinical Information Systems, Medication Use Process, Quality Improvement, Regulatory Compliance, and Transfer of Data. These domains were selected by using the Nominal Group Technique (NGT) as a consensus-building process with a small group of interprofessional nursing home workers.

JAMDA
March 31, 2016

Dementia is recognized as a global health priority and has recently been identified as the single greatest cause of disability and the third leading cause of death in older Australians. Findings from a recent Australian Parliamentary Inquiry into early diagnosis and intervention in dementia highlighted that current care pathways for dementia diagnosis are not timely but instead complex and variable. This is not unique to Australia but common also in many developed countries. This has prompted a call within this Journal for earlier diagnosis of cognitive impairment.