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Caring for the Ages
November 1, 2019

How will PDPM affect your facility financially? Our columnist answers the question with two case scenarios. 2

Caring for the Ages
November 1, 2019

The upper left photograph and corresponding caption on p. 15 in the October 2019 issue incorrectly identified David Smith, MD, CMD, as Charles Crecelius, MD, PhD, CMD, receiving an award from Lames Lett, II, MD, CMDR. The correct photograph (below), picturing Dr. Lett and Dr. Crecelius, has since been published online. We sincerely apologize for this error.

Caring for the Ages
November 1, 2019
Caring for the Ages
November 1, 2019

Dear Dr. Jeff: Our team struggles with the reality of the attempt to provide quality care for residents with dementia and the care philosophy espoused by dementia experts and enshrined in regulations by CMS. We believe in nonpharmacologic approaches, in person-centered care, in the theory that dementia behaviors are not simply random and should be understood. And, of course, we are well aware of the black box warning on antipsychotic use for dementia management. But when residents kick, bite, or scratch our staff and sometimes other residents, when incessant screaming disrupts the other...

Caring for the Ages
November 1, 2019

To be a caregiver is more than being in place to take a call, hold a hand, or jot down the recommendations of a health care professional. It is about being fully present to someone whose life is changing in a way neither of you could have anticipated.

Caring for the Ages
November 1, 2019

On October 1, 2019, the Centers for Medicare & Medicaid Services (CMS) fundamentally changed the payment methodology for skilled nursing facility (SNF) post-acute care services. This switch from the Resource Utilization Groups, Version IV (RUG-IV), to the Patient Driven Payment Model (PDPM) is the biggest change to skilled nursing reimbursement in over 20 years.

Caring for the Ages
November 1, 2019

As the year draws to a close, it is a good time to reflect on the accomplishments of your Foundation in 2019. Our mission remains two-fold: Firstly, to address the geriatric workforce deficiency this country faces; and, secondly, to demonstrate the value of those of us who practice in the post-acute and long-term care (PALTC) continuum. So, how did we do in pursuit of these goals?

Caring for the Ages
November 1, 2019

The Medicare Patient Driven Payment Model (PDPM) is finally here. Proactive skilled nursing facilities (SNFs) have been preparing for this sea change for months, adapting processes and procedures to align with the new model. It represents a huge shift in our reimbursement focus from therapy to patients’ clinical characteristics and skilled services rendered. The change makes perfect sense as, over time, the role of SNFs has evolved from rehabilitation to subacute care for medically complex patients.

Caring for the Ages
November 1, 2019

As the year 2020 approaches, Alzheimer’s disease research is more generously funded and richly infused with biomarker studies and clinical trials addressing a diversity of therapeutic targets and approaches that move beyond anti-amyloid therapies — to tau, for instance, and to neuroinflammation and neurodegeneration — than it was a decade ago.

Caring for the Ages
November 1, 2019

Every three seconds, an individual somewhere in the world develops dementia. By 2030, the illness is expected to affect 75 million people (Alzheimer’s Disease International, http://bit.ly/2pqfd44). So it shouldn’t surprise anyone that digital health companies are prioritizing high-tech care and services for these patients. However, these innovations seem to be taking a new focus.