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JAMDA
June 11, 2016

Because both the relative proportion of elderly and longevity in Western populations are steadily increasing, while health care resources remain limited, societal dependency on informal care will grow. The impact of providing informal care should be taken into account when designing research or policy regarding structure and provision of health care services. Currently, most studies monitoring the effect of providing care on the informal caregiver use instruments focusing on the burden of caregiving.

JAMDA
June 11, 2016

Because both the relative proportion of elderly and longevity in Western populations are steadily increasing, while health care resources remain limited, societal dependency on informal care will grow. The impact of providing informal care should be taken into account when designing research or policy regarding structure and provision of health care services. Currently, most studies monitoring the effect of providing care on the informal caregiver use instruments focusing on the burden of caregiving.

Spotlight
June 10, 2016
When she was teaching geriatrics, Pam Fenstemacher, MD, CMD, sat in on a Society Core Curriculum on Medical Direction in Post-Acute and Long-Term Care program; and she made a powerful observation. “Many of the physicians, even experienced ones, didn’t know much about some important aspects of long-term care practice, such as who tracks the MDS [Minimum Data Sets] and how this works, what various regulations are and how they impact practice in this setting, and even the extent of their clinical roles and responsibilities as physician leaders,” she says. She wanted to do something to support...
Policy Snapshot
June 10, 2016

Eligible professionals (EPs), eligible hospitals, and Critical Access Hospitals (CAHs) that wish to use the streamlined hardship exception application must submit their application by July 1, 2016. The streamlined hardship applications reduce the amount of information that EPs, eligible hospitals, and CAHs must submit to apply for an exception. The new applications and instructions for a hardship exception from the Medicare Electronic Health Records (EHR) Incentive Program 2017 payment adjustment are available below.

This new, streamlined application process is the result of PAMPA...

Policy Snapshot
June 10, 2016

The Centers for Medicare & Medicaid Services (CMS) is tracking the progress of the National Partnership to Improve Dementia Care in Nursing Homes by reviewing publicly reported measures. The official measure of the Partnership is the percentage of long-stay nursing home residents who are receiving an antipsychotic medication, excluding those residents diagnosed with schizophrenia, Huntington's Disease or Tourette’s Syndrome. In fourth quarter of 2011, 23.9 percent of long-stay nursing home...

Policy Snapshot
June 10, 2016

The Medicare Payment Advisory Commission (MedPAC) issued a letter on May 25, 2016, commenting on the Centers for Medicare & Medicaid Services’ (CMS) proposed rule relating to payment updates for skilled nursing facilities (SNFs). The letter, entitled “Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities for FY 2017, SNF Value-Based Purchasing Program, SNF quality reporting, and SNF payment research,” includes comments...

Policy Snapshot
June 10, 2016

The Centers for Medicare & Medicaid Services (CMS) invites the public to join an upcoming listening session to learn more about the Resource Use performance category, which is part of the Merit-Based Incentive Payment System (MIPS) proposed in the recently released...

JAMDA
June 10, 2016

Management of apathy is a very important issue in long-term care because many residents suffer from this syndrome. Apathy is present in many residents with neurodegenerative disorders. In Alzheimer disease, apathy is the most common behavioral syndrome.1 It may occur already in people with mild cognitive impairment (MCI)2 and could indicate elevated risk of progression into dementia, especially in people with apolipoprotein E ε4.3 The severity of apathy increases with progression of dementia,4,5 and it may be a behavioral marker of a more aggressive dementia, characterized by a faster...

JAMDA
June 10, 2016

To identify which clinical specialties are most central for care of people with dementia in the community and long-term care (LTC) settings.

JAMDA
June 10, 2016

Management of apathy is a very important issue in long-term care because many residents suffer from this syndrome. Apathy is present in many residents with neurodegenerative disorders. In Alzheimer disease, apathy is the most common behavioral syndrome.1 It may occur already in people with mild cognitive impairment (MCI)2 and could indicate elevated risk of progression into dementia, especially in people with apolipoprotein E ε4.3 The severity of apathy increases with progression of dementia,4,5 and it may be a behavioral marker of a more aggressive dementia, characterized by a faster...