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Policy Snapshot
January 22, 2016

All Quality Improvement and Evaluation System (QIES) systems will be unavailable from Wednesday, March 16 after 8 pm ET through Monday, March 21, 2016. This downtime will affect all QIES connectivity and systems. The national database, Certification and Survey Provider Enhanced Reporting (CASPER) reports, and quick reference (QW) will not be available during this time. In addition, the following submission systems will be unavailable:

  • Hospice Item Set
  • Inpatient Rehabilitation Facility (IRF) -Patient Assessment Instrument (PAI)
  • Long-term Care Hospital (
  • ...
JAMDA
January 21, 2016

The absolute and relative increases in the number of older persons are evident worldwide, from the most developed countries to the lowest-income regions. Multimorbidity and need for social support increase with age. Age-related conditions and, in particular, disabilities are a significant burden for the person, his or her family, and public health care systems. To guarantee the sustainability of public health systems and improve the quality of care provided, it is becoming urgent to act to prevent and delay the disabling cascade.

JAMDA
January 21, 2016

Resident relatives of patients with chronic obstructive pulmonary disease (COPD) may play a major role in obtaining a healthy lifestyle for patients. Little is known about resident relatives. This study aimed to compare health status, morbidities, care dependency, and mobility between patients with COPD and their resident relatives.

JAMDA
January 21, 2016

This study investigated the overlap among 3 different definitions of potentially harmful medication (PHM) use and the corresponding associations with resident quality of life and mortality.

JAMDA
January 21, 2016

Life-space mobility, assessed with the Life-Space Assessment (LSA), reflects an individual's mobility in terms of the spatial area, frequency, and need for assistance. The aims were to study associations between life-space mobility and disability status in activities of daily living (ADL), and to define cutoff scores for baseline LSA and LSA change over time identifying individuals who developed ADL inability during 2 years of follow-up. Robustness of the cutoff scores was tested accounting for potential confounders.

JAMDA
January 21, 2016

To compare the effects of care based on comprehensive geriatric assessment (CGA) as a complement to usual care in an outpatient setting with those of usual care alone. The assessment was performed 36 months after study inclusion.

JAMDA
January 18, 2016

To determine the risk and frequency of anticholinergic drug prescriptions in a population affiliated with the Colombian General System of Social Security in Health.

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...