CMS has finalized its Interoperability and Prior Authorization final rule (CMS-0057-F). The rule sets requirements for Medicare Advantage organizations, Medicaid and the Children’s Health Insurance Program (CHIP) fee-for-service programs, Medicaid managed care plans, CHIP managed care entities, and issuers...
We examined nursing home care providers' (NHCPs’) self-reported intent-to-leave (ITL) within 1 year and identified associated demographic, well-being, and workplace factors.
Dying in a hospital is highly stressful for older adults and families. Persons with dementia who are hospitalized are particularly vulnerable to negative outcomes. The objective of this study is to fill an evidence gap on whether the 2015 Dutch long-term care reforms were effective in increasing deaths at ...
To develop and validate a machine learning–based risk score—the Acute Care for Elders (ACE) Risk Score—that integrates the Clinical Frailty Scale (CFS) with readily available clinical and laboratory data to predict adverse outcomes in older hospitalized patients.
The “Goals of Patient Care” (GOPC) process uses shared decision making to incorporate residents' prior advance care planning (ACP) or preferences into medical treatment orders, guiding health care decisions at a time of clinical deterioration should they be unable to voice their opinions. The objectiv...
This study investigates the transitions of community-dwelling patients with a proximal femoral fracture towards recovery of independence using multistate modeling. The prognostic value of factors affecting the short-term rate of recovery of independence in activities of daily living was assessed for the re...
Professionals caring for frail older adults understand that the percentage of patients dying in hospitals is decreasing while the percentage of patients dying at home or in post-acute and long-term care (PALTC) facilities is increasing. Patients may experience physical, emotional, and spiritual suffering ...
Bipartisan leaders in Congress are being urged to prioritize policies that ensure continued access to telehealth services for Medicare beneficiaries. A letter addressed to Senate leaders Chuck Schumer and Mitch McConnell emphasizes the broad support for permanently expanding telehealth access, with at leas...
Sarcopenia is a risk factor for poor outcomes in older adults. Identification of plasma markers may facilitate screening of sarcopenia. We previously reported that creatinine-to-cystatin C ratio is a simple marker of muscle mass. To further assess the clinical relevance of the creatinine-to-cystatin C rati...