Publications

Members only publications are marked with a lock icon:
Filter By
Caring for the Ages
October 1, 2019

A new study covering almost all nursing home residents in Ontario, Canada, has shown highly variable urine culturing rates across facilities and a strong association of culturing with antibiotic use and Clostridioides difficile infection — a diagnostic “cascade effect,” the authors reported.

Caring for the Ages
October 1, 2019

Phase 3 of the revised Medicare and Medicaid Requirements of Participation for long-term care, which will go into effect next month, require skilled nursing homes to provide “trauma-informed care (TIC),” an approach to care that factors in the pervasive nature of trauma and establishes safe and nurturing environments where residents won’t be retraumatized. However, the Centers for Medicare & Medicaid Services haven’t yet provided guidance on this directive, so trying to comply may feel like completing a jigsaw puzzle without all the pieces.

Caring for the Ages
October 1, 2019

Enrollment in nursing schools is up as more people — men and women alike — see this as an exciting field where they can have a rewarding career and job security. However, while nursing schools are attracting more students, too few of their graduates are choosing to practice in post-acute and long-term care (PALTC). As a result, a perfect storm is brewing: a rapidly growing over-65 population, a large number of nurses nearing retirement age, and not enough students choosing this specialty. PALTC communities and their team leaders are scrambling to find creative ways to attract more nurses...

Caring for the Ages
October 1, 2019

Practitioners are already beyond busy addressing all the clinical and regulatory demands on them. So why should they take the time to hone their leadership and management skills? Michael Wasserman, MD, CMD, president of the California Association of Long Term Care Medicine (CALTCM), suggested during a recent On-The-Go podcast for AMDA — The Society for Post-Acute and Long-Term Care Medicine that practitioners increasingly are expected to take leadership roles, so these skills are essential. “We are delivering clinical care to the most complex population in history, and more care is being...

Caring for the Ages
October 1, 2019

“Caring Collaborative” is more than the catchy title of our regular editors’ column for Caring for the Ages — it is meant to be a guide for our work. Today’s post-acute and long-term care (PALTC) environment requires a caring collaborative among a range of disciplines to be successful. This is so very different than the past PALTC environment with its fee-for-service, acute care, siloed focus, which was typically run by community physicians who worked independent of other disciplines.

Caring for the Ages
October 1, 2019

There is a well-known association between transitions of care and medication-related problems, notably in the form of adverse drug events. Although we have limited evidence-based information on this topic in assisted living facilities (ALFs), some of what we’ve learned from transitions of older adults to nursing homes provides useful insight into what we can expect.

Caring for the Ages
October 1, 2019

Dear Drs. Galik and Stefanacci, AMDA — The Society for Post-Acute and Long-Term Care Medicine has been a strong proponent of team-based care for older adults. The Society has supported collaborative relationships among attending physicians and nurse practitioners (NPs) and physician assistants (PAs) in long-term care facilities, advocated for voting membership in the Society for NPs and PAs, has NPs on both the board of directors and the Foundation board of directors, and has included them as members of the numerous working committees (e.g., Education, Conference).

Spotlight
September 26, 2019

MEMBERS ONLY CONTENT

Login or Join

When David Smith, MD, CMD, received the 2019 William Dodd Founder’s Award at the Society’s annual conference in Atlanta, GA, earlier this year, it was a “career-capping event.” Afterwards, Society members—newcomers and veterans alike—approached him with congratulations....

Policy Snapshot
September 26, 2019

On October 1, the new Patient Driven Payment Model (PDPM) is replacing the Resource Utilization Group, Version IV (RUG-IV) for the Skilled Nursing Facility (SNF) Prospective Payment System (PPS). PDPM improves the accuracy and appropriateness of payments by classifying patients into payment groups based on specific, data-driven patient characteristics, while simultaneously reducing administrative burden.

Changes to the assessment:

  • Both RUG-IV and PDPM use the Minimum Data Set (MDS) 3.0 as the basis for patient assessment and classification, but the assessment
  • ...
Policy Snapshot
September 26, 2019

Medicare pays Medicare Diabetes Prevention Program (MDPP) suppliers to furnish group-based intervention to at-risk Medicare beneficiaries:

  • Centers for Disease Control and Prevention (CDC)-approved National Diabetes Prevention Program curriculum
  • Up to 2 years of sessions delivered to groups of eligible beneficiaries

Find out how to become a Medicare enrolled MDPP supplier:

  • Obtain CDC preliminary or full recognition: It takes at least 12 months to obtain preliminary recognition and up to 24 additional months to achieve full recognition;
  • ...