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JAMDA
May 27, 2019

Many older adults in long-term care (LTC) experience acute health crises but are at high risk of transfer distress and in-hospital morbidity and mortality. Residents often complete advance directives (ADs) regarding future care wishes, including directives for hospital transfers. This study aims to estimate the prevalence of, and adherence to, “no transfer to hospital” ADs in LTC, and to explore the circumstances leading to transfers against previously expressed directives.

Weekly Roundup
May 26, 2019

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In Episode 31, AMDA On-The-Go host Wayne Saltsman, MD, PhD, CMD, and his guest, Michael Wasserman, MD, CMD, president of the California Association of Long Term Care Medicine (CALTCM), talked about “Leadership in Skilled Nursing Homes," including the...

JAMDA
May 24, 2019

Visit-to-visit blood pressure (BP) variability is a risk factor for cardiovascular disease and cognitive decline. Our aim was to assess the association between visit-to-visit BP variability and progression of white matter hyperintensities (WMH).

JAMDA
May 24, 2019

In 2017, the American College of Cardiology (ACC)/American Heart Association (AHA) guidelines for treatment of hypertension were published.1 Since then, much controversy continues to exist around whether and to what extent they should and should not be applied to older persons, including nursing home residents, with multiple comorbidities, frailty, and relatively short life expectancy. This has led to persistence of the philosophy among many physicians that the dangers of intensive blood pressure treatment in older persons outweigh the benefits in most, if not all, persons age 75 years and...

JAMDA
May 24, 2019

To evaluate the effects of an exercise intervention on physical function, maximal muscle strength, and muscle power in very old hospitalized patients.

JAMDA
May 24, 2019

Sarcopenia has been classically defined as the loss of skeletal muscle mass and function that occurs with advancing age. According to the original definition of the European Working Group of Sarcopenia in Older People (EWGSOP),1 diagnosis of sarcopenia required documentation of both low muscle mass and either low muscle strength or low performance. In the recently updated definition (EWGSOP-2), sarcopenia must be suspected in presence of low muscle strength and confirmed by documentation of reduced muscle mass.

Health Policy
May 23, 2019

Last week, Reps. Jan Schakowsky (D-IL) and Michael C. Burgess (R-TX) introduced the bipartisan EMPOWER for Health Act of 2019 (H.R. 2781) in the U.S. House of Representatives.  The bill reauthorizes many workforce programs under Title VII of the Public Health Service Act, including geriatrics, and would ensure communities across the United States have access to health professionals and other critical supports to improve care for an aging population....

Health Policy
May 23, 2019

Skilled Nursing Facility (SNF) Provider Preview Reports are available from the Centers for Medicare & Medicaid Services (CMS). Review your performance data by May 30, prior to public display on Nursing Home Compare in July 2019. Corrections to the underlying data are not permitted during this time; request a CMS review if you believe your data is inaccurate.

For more information:

  • ...
Health Policy
May 23, 2019

Beginning this year, all Promoting Interoperability Program participants must use 2015 Edition Certified Electronic Health Record (EHR) Technology (CEHRT) to avoid a downward Medicare payment adjustment. 2019 CEHRT requirements:

  • Did not need to be in place by January 1, 2019, but must be used for the entire EHR reporting period of any continuous, self-selected 90-day period
  • Functionality must be in place by the first day of the EHR reporting period and the product must be certified to the 2015 Edition criteria by the last day of the EHR reporting period
  • ...
JAMDA
May 22, 2019

Older people resident in care homes often rely on staff for support relating to their activities of daily living, including intimate care such as continence care. Managing fecal incontinence can be challenging for both residents and care staff. We conducted this review to describe the prevalence, incidence, and correlates of fecal incontinence among care home residents.