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Updated: 6 days 19 hours ago

The Power of Process Improvement

Sat, 09/01/2018 - 00:00
In an effort to curb the “madness of data insanity” in health care, a presentation at the 2018 AMDA – the Society for Post-Acute and Long-Term Care Medicine Annual Conference challenged the attendees to consider a different approach to statistics, one that emphasizes statistical thinking.

Don’t Miss These Events

Sat, 09/01/2018 - 00:00
Website: http://pamda.org/category/events/

Society Invites Submissions for Second Annual Shark Tank Competition

Sat, 09/01/2018 - 00:00
PA/LTC medicine is an interdisciplinary art, populated by passionate, creative professionals, as well as a proving ground for innovation. To recognize and promote innovation, the Society introduced its first Shark Tank Competition during the 2018 Annual Conference. Modeled after the popular television show in which individuals present their business ideas and models to a panel of successful entrepreneurs, this is a unique opportunity for innovators to share their ideas with the largest national audience in PA/LTC.

Journal Highlights From the September Issue of JAMDA

Sat, 09/01/2018 - 00:00
Individuals with dysphagia have an increased risk of mortality, especially when the dysphagia is accompanied by weight loss, researchers from Germany report.

Mobility Impairment An Underappreciated Health Care Epidemic

Sat, 09/01/2018 - 00:00
Compared with cognitive impairment, mobility impairment affects a similar number of the elderly and requires a comparable level of care, yet it receives far less attention, according to a presenter at AMDA – the Society for Post-Acute and Long-Term Care Medicine’s Annual Conference.

The Role of the Certified Nursing Assistant: Caring on the Front Line

Sat, 09/01/2018 - 00:00
Maureen D. Carland, MA, RN-BSN, NHA, administrator of the Maine Veterans Home-Scarborough, talks about the certified nursing assistant’s role in post-acute and long-term care.

Behavioral Health Disorder Diagnosis Decreases Access to High-Quality Facilities

Sat, 09/01/2018 - 00:00
Post-acute patients diagnosed with a behavioral health disorder are more likely to enter low-quality nursing home facilities and less likely to enter high-quality facilities than those without the diagnosis, according to study results in the American Journal of Geriatric Psychiatry.

Improving Oral Care in Nursing Homes May Reduce Pneumonia Rates

Sat, 09/01/2018 - 00:00
Preliminary results from a cluster randomized controlled trial have shown the potential of a mouth care program to curb the rates of pneumonia in the nursing home setting. Philip D. Sloane, MD, MPH, of the University of North Carolina at Chapel Hill, presented his group’s findings at AMDA – the Society for Post-Acute and Long-Term Care Medicine’s Annual Conference.

Nursing Home Culture Influences Hospice Utilization

Sat, 09/01/2018 - 00:00
What determines whether an eligible nursing home resident receives hospice care? Familial reluctance and financial disincentives can play a role in hospice underutilization, but so can staff attitudes about end-of-life care.

Growing a Geriatric Emergency Department

Sat, 09/01/2018 - 00:00
The concept of the geriatric emergency department is well developed after more than a decade of evolution, and at least nine EDs throughout the country are now accredited by the American College of Emergency Physicians (ACEP) as part of the first wave of geriatric ED accreditations.

Proxies’ Perception of Prognosis Impacts End-of-Life Care in Advanced Dementia

Sat, 09/01/2018 - 00:00
In a cohort of nursing home residents with advanced dementia, the proxies’ estimate of a resident’s prognosis was moderately accurate, and their perception of a resident having fewer than 6 months to live was associated with a decreased likelihood of the resident experiencing burdensome interventions.

Regulatory and Litigation Risks of Elopement

Sat, 09/01/2018 - 00:00
Elopements place nursing homes and assisted living facilities at great risk. When a resident exits the building undetected and the individual is unsafe to be out of the facility environment without supervision, it is very dangerous for the resident. The resident is alone in an uncontrolled environment and he or she lacks the skills and/or mental capacity for self-protection. Elopements have resulted in resident deaths, significant injuries and exposure to extreme heat and cold. Facilities can be the subject of negative national new stories related to resident elopements, be the subject of malpractice lawsuits and receive significant regulatory citations with large monetary sanctions.

CMS Finalizes Plans for Pay Hike, Less Regulation

Sat, 09/01/2018 - 00:00
Regulatory changes impacting post-acute care facilities for fiscal year 2019 are expected to increase reimbursements while reducing bureaucratic burden, according to federal health officials.

Each One Teach One

Sat, 09/01/2018 - 00:00
Dear Dr. Jeff:

(Not Enough) Labor Day

Sat, 09/01/2018 - 00:00
Another summer has come and gone, and they certainly seem to be whizzing by faster all the time. I remember in my grade school years how summer vacation seemed to just last forever, even though it was always over too soon. I hope all our readers took some time to do something vacation-ish this summer. And now we are back to the grind.

Experts Highlight Best Practices for Managing Incontinence

Sat, 09/01/2018 - 00:00
Four experts addressed evidence-based recommendations for assessing and treating urinary and fecal incontinence among older individuals in the PA/LTC setting at AMDA – the Society for Post-Acute and Long-Term Care Medicine’s Annual Conference.

Assisted Living Summit Addresses Changing World of Care for Older Adults

Sat, 09/01/2018 - 00:00
AMDA – the Society for Post-Acute and Long-Term Care Medicine held its third National Assisted Living Summit during the Society’s Annual Conference. This summit, in partnership with the Center for Excellence in Assisted Living (CEAL), brought together industry leaders, providers, physicians, and thought leaders. The participants took part in an all-day session to identify challenges and determine how best to provide care via an integrated care model. As the residents entering assisted living (AL) communities are becoming increasingly frail and medically complex, the challenge of providing patient-centered care within an interprofessional framework has increased proportionately.