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Policy Snapshot
September 3, 2020

There were several important telehealth proposals for post-acute and long-term care (PALTC) included in the release of the CY2021 Physician Fee Scheduled Proposed Rule earlier this month. The proposals aim to build on the momentum from waivers for the use of telehealth during the COVID-19 pandemic. For PALTC, Centers for Medicare & Medicaid Services (CMS) waived the existing once a month restriction for subsequent care codes (99307-99310) used under telehealth and added initial...

JAMDA
September 3, 2020

The ongoing COVID-19 pandemic has disproportionately affected older adults living in long-term care (LTC) homes, who have less functional immune systems, multiple comorbidities, and high levels of immobility and dementia. In Canada, 85% of COVID-19 deaths were LTC residents as of early May 2020—the highest among 14 countries.1 In response, provincial health offices have issued numerous emergency orders and one focused on restricting health care aides to working at only 1 site.1–3

JAMDA
September 3, 2020

Spasticity is a common movement disorder that arises from trauma or disease affecting the central nervous system. Untreated spasticity can result in limitations in completing activities of daily living, painful limb contractures, and other conditions associated with loss of mobility. In the long-term care setting, this treatable condition is prevalent, yet often unrecognized likely because of a lack of spasticity-trained practitioners. A recently published spasticity referral tool holds promise for addressing the underdiagnosis of spasticity in the long-term care population.

JAMDA
September 3, 2020

Multimorbidity and complex medications increase the risk of medication-related problems, especially in vulnerable home care patients. The objective of this study was to examine whether interprofessional medication assessment has an effect on medication quality among home care patients.

Spotlight
September 2, 2020

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“I have people coming in every day asking about different alternative medicines and other things, many of which I’ve never heard of,” says Mitsuo Tomita, MD. Between the internet and TV, consumers are bombarded daily with information about alternative medicines,...

JAMDA
September 1, 2020
JAMDA
September 1, 2020
JAMDA
September 1, 2020
JAMDA
September 1, 2020
JAMDA
September 1, 2020

A substantial portion of “potentially inappropriate” systemic antibiotics in nursing homes are prescribed with the intention of preventing the development of bacterial infections. In the past, such practices were generally considered acceptable; however, they now are being increasingly scrutinized due to concerns about limited benefits and the potential for adverse effects, including contributing to antimicrobial resistance. As a result of these issues and because of the frequency of these practices, unnecessary prophylactic antibiotic use is an appropriate target for antibiotic...