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JAMDA
September 1, 2019
JAMDA
September 1, 2019
JAMDA
September 1, 2019
JAMDA
September 1, 2019

Post-acute and long-term care providers (both physicians and advanced practice providers) depend on well-executed hospital discharge plans. This is due to concerns about patient safety as well as ensuring our ability to deliver prompt, high-level medical care.1,2 The nursing facility also relies on well-communicated discharge plans to ensure necessary medications are available from the pharmacy in a timely manner, a patient's necessary medical equipment has been delivered, and to ensure that staff education, skills, and competency are vetted to meet the needs of this increasingly complex...

JAMDA
September 1, 2019

We're living in an era in which the credibility of scientific evidence is sometimes challenged—think climate change1—and important research findings don't always impact practice and policy. Regarding the latter point, it remains common to hear nurses who work in long-term care presume the presence of a urinary tract infection when a resident's urine has an offensive odor (despite guidelines to the contrary)2, and to use antipsychotics for residents with dementia (despite Food and Drug Administration black-box warnings to the contrary).

JAMDA
September 1, 2019

Sarcopenia is a major public health problem, and recognized as a disease with its own International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code assigned in 2016.1 The total number of people affected by sarcopenia is expected to grow spectacularly in the next decades, with a projected rise from 10.9 million people in 2016 to 18.7 million people in 2045 for the 28 countries of the European Union.2 If we want to address this situation, it is essential that we will able to detect sarcopenia in clinical practice with a fast, easy-to-use and low-cost...

Policy Snapshot
August 30, 2019

As a way of providing more details on the five-part strategy the Centers for Medicare & Medicaid Services (CMS) is taking to ensure safety and quality in nursing homes, CMS Administrator Seema Verma has begun a blog series offering more details for each step. This topic was also the subject of CMS’ Beyond the Policy podcast with the administrator and CMS Medical Director and Director of Clinical Standards and Quality Dr. Kate Goodrich, who has worked with the Society on various...

Policy Snapshot
August 30, 2019

The Centers for Medicare & Medicaid Services (CMS) recently released a proposed rule outlining changes in the Quality Payment Program (QPP). The rule contains a request for information (RFI) on ways to simplify the Merit-Based Incentive Payment System (MIPS) by creating a new reporting mechanism through what the agency is calling MIPS Value-Pathway (MVPs). These pathways would allow practitioners to bypass the traditional MIPS reporting across the four different categories. CMS is asking for comments on the rule as many details are still to be determined. To help understand the new...

Policy Snapshot
August 30, 2019

The Medicare Learning Network is hosting a call on September 10 from 1:30 to 3:00 PM ET, Dementia Care: Supporting Comfort and Resident Preferences. During this call, you’ll be able to gain insight on approaches to care for residents living with dementia that focus on resident preferences, maintaining comfort, and assisting with unmet needs. Additionally, a Centers for Medicare & Medicaid Services (CMS) representative will provide updates on the progress of the ...

Policy Snapshot
August 30, 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). CMS has videos to help you prepare: