Publications

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JAMDA
November 24, 2015

To identify distinct sets of disability trajectories in the year before and after a Medicare qualifying skilled nursing facility (Q-SNF) admission, evaluate the associations between the pre–and post–Q-SNF disability trajectories, and determine short-term outcomes (readmission, mortality).

JAMDA
November 20, 2015

The elderly (aged ≥65 years) population with type 2 diabetes (T2D) is growing substantially, but evidence for associations between the use of dipeptidyl peptidase-4 inhibitors (DPP-4is), novel incretin-based antidiabetic drugs, and clinical hard endpoints in this group remains inconclusive. We aimed to assess the safety and cardiovascular effects of DPP-4i use in a nationally representative sample of elderly adults with T2D.

JAMDA
November 20, 2015

As home care utilization increases, information technology (IT) becomes a critical tool for providing quality home care. However, most home health agencies (HHAs) in the United States are in a position to adopt and leverage IT solutions in budget-constrained settings, where it is crucial to address important and pressing challenges and opportunities for achieving effectiveness in IT adoption.

JAMDA
November 20, 2015

Currently, most rehabilitation services for individuals who sustain a hip fracture are not designed to meet the complex needs of those who also have cognitive impairment. The goal of this review was to identify current best practices for rehabilitation in long-term care settings and approaches to optimize outcomes among individuals with dementia and other cognitive impairments post-hip fracture.

Policy Snapshot
November 20, 2015

This week AMDA, submitted comments to the Centers for Medicare & Medicaid Services (CMS) on their Request for Information (RFI) regarding the implementation of Alternative Payment Models (APMs) and Merit-Based Incentive Programs (MIPS) under the Medicare Access and CHIP Reauthorization Act (MACRA).

AMDA noted that “if properly implemented, the new physician payment framework will promote improvements in the delivery of care to Medicare patients.” To help clinicians make the transition to new care and delivery models and ensure access to high-quality care for all patients, AMDA...

Policy Snapshot
November 20, 2015

his week the American Medical Association (AMA) House of Delegates (HoD) met to deliberate a number of policies at the 2015 Interim Meeting held in Atlanta, Georgia. During the meeting, attended by AMDA Delegate Eric Tangalos, MD, CMD, Alternate Delegate Rajeev Kumar, MD, CMD, and Director of Public Policy and Advocacy Alex Bardakh, MPP, the AMA HoD adopted a number of policies ranging from public health issues to physician value-based purchasing programs. Highlighting the list of policy directives to the AMA were resolutions asking the AMA to “seek exemptions from Meaningful Use penalties...

Policy Snapshot
November 20, 2015

The Office of Inspector General for Health and Human Services (OIG) recently issued its 2016 Work Plan, which sets the agenda for its auditing and investigation in the year ahead. The broad mandate of the OIG is to eliminate fraud, waste and abuse. The work plan describes more than 100 initiatives, 43 of which are new, for the upcoming year. The plan focuses on a variety of different health care aspects including nursing homes, home health agencies, pharmacies and hospitals.

In the past, the OIG has had success with recovering Medicare payments for therapy in nursing homes. Now the...

Policy Snapshot
November 20, 2015

Model supports quality and care improvements for patients’ transition from surgery to recovery

In 2014, more than 400,000 Medicare beneficiaries received a hip or knee replacement, costing more than $7 billion for the hospitalizations alone. Despite the high volume of these surgeries, quality and costs of care for these hip and knee replacement surgeries still vary greatly among providers. For instance, the rate of complications, like infections or implant failures, after surgery can be more than three times higher for procedures performed at some hospitals than others....

Policy Snapshot
November 20, 2015

In discussions and comments received as part of the 2015 White House Conference on Aging (WHCOA), researchers, practitioners and other stakeholders highlighted the lack of research focusing on elder abuse as a major barrier to creating evidence-based solutions and developing policies that promote elder justice. Despite growing awareness of elder abuse, there remain significant evidence gaps in detecting, preventing, and intervening in elder abuse.

As a follow up to the WHCOA, the National Institutes of Health (NIH) held a workshop on October 30 on “Multiple Approaches to...

JAMDA
November 17, 2015

Do resident case conferences in nursing homes improve care for people with dementia? Do these conferences provide support to care staff engaged in dementia care? What is the most effective organization for such conferences? Does use of structured assessments in case conferences improve care planning? Are nursing homes with dementia-specific care units more likely to use case conferences or use them more effectively than other skilled nursing facilities?