Seniors with severe dementia residing in nursing homes (NHs) frequently receive large numbers of medications. With disease progression, the medications' harm-benefit ratio changes and they need to be reviewed, adjusted, or discontinued. Evidence on successful interventions to optimize medication use a...
The most fundamental principle in geriatric and long-term care medicine: ensure every treatment order aligns with the resident’s values and goals of care—eliciting these is a core skill for long-term care physicians. Many residents have multimorbidity, and a substantial proportion are at the end of life. E...
Pneumonia is a frequent condition in older people. Our aim was to examine the total healthcare cost related to pneumonia in nursing home (NH) residents over a 1-year follow-up period.
Older adults are at high risk of rehospitalization after an acute event and at even higher risk of permanently losing an activity of daily living with each hospitalization. This is especially true in those with encephalopathy, delirium, dementia, falls, and failure to thrive. Although it is widely known th...
Last week, the Centers for Medicare &Medicaid Services (CMS) announced increased transparency of additional nursing home ownership data, including names of affiliated owners for the first time on Nursing Home Care Compare
Last week, as their first legislative introduction for the new Congress, Reps. Mike Levin (D-CA) and Brian Fitzpatrick (R-PA) reintroduced the Nursing Home Disclosure Act (H. R. 177), bipartisan legislation to improve public disclosure of nursing home medical directors.
This article summarizes key program elements and lessons from the Moving Forward Michigan initiative, a project generously supported by the Michigan Health Endowment Fund designed to strengthen leadership capacity and improve Quality Assurance and Performance Improvement (QAPI) in nursing homes. Moving For...
Examine whether the introduction of the Hospital Readmissions Reduction Program (HRRP) is associated with changes in post-acute care (PAC) use and 30-day readmission.
The Centers for Medicare and Medicaid Services’ National Partnership to Improve Dementia Care in Nursing Homes focuses on but is not limited to long-term care (LTC) residents with dementia; the potential impact on residents with other diagnoses is unclear. We sought to determine whether resident subpopulat...