Core Resource

Core Curriculum on Medical Direction in Post-Acute and Long-Term Care

Resource Materials

 

JAMDA Article JAMDA Issue

01 INTRODUCTION

  • An International Perspective on Long Term Care: Focus on Nursing Homes September 2011
  • Developing Future Nursing Home Medical Directors: A Curriculum for Geriatric Medicine Fellows March 2013
  • Having a CMD is Associated with Improved Nursing Home Quality of Care October 2009
  • Impact of Medical Director Certification on Nursing Home Quality of Care July 2009
  • Roles and Responsibilities of the Medical Director in the Nursing Home: Position Statement A03 November/December 2005
  • The Roles and Responsibilities of the Nursing Home Medical Director November/December 2005
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    02 OVERVIEW OF LONG-TERM CARE

  • A Person-Centered Workplace: The Foundation for Person-Centered Caregiving in Long-Term Care January 2007
  • Addressing the Challenges to Improve Long-Term Care January/February 2004
  • Centenarians’ Views on Long Life and Nursing Home Living January 2008
  • Challenges in Transitional Care Between Nursing Homes and Emergency Departments October 2006
  • Considering the Employee Point of View: Perceptions of Job Satisfaction and Stress Among Nursing Staff in Nursing Homes January 2007
  • Home Sweet Home? Community Care for Older People in Australia February 2008
  • Identifying Characteristics of Residential Care Facilities Relevant to the Placement Process of Seniors February 2008
  • Physician and Nurse Staffing in Nursing Homes: The Role and Limitations of the Online Survey Certification and Reporting... January/February 2005
  • Program of All-Inclusive Care (PACE): Past, Present, and Future March 2009
  • Quality of Medical Care in British Care Homes May 2009
  • Should Programs of All-Inclusive Care for the Elderly Use Community-Based Primary Care Physicians? May 2008
  • Site of Death Among Nursing Home Residents in the United States: Changing Patterns, 2003–2007 October 2013
  • Systematic Review of Studies of Staffing and Quality in Nursing Homes July 2006
  • Tenure, Certification, and Education of Nursing Home Administrators, Medical Directors, and Directors of Nursing in For-Profit and... July 2009
  • The Consultant Pharmacist and the Physician in the Nursing Home: Roles, Relationships, and a Recipe for Success January 2007
  • The Future History of Long Term Care November 2007
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    03 REGULATORY ENVIRONMENT

  • A Comparison of Beers and STOPP Criteria in Assessing Potentially Inappropriate Medications in Nursing Home Residents... November 2014
  • American Medical Directors Association and American Society of Consultant Pharmacists Joint Position Statement... January/February 2005
  • An Educational Intervention on Drug Use in Nursing Homes Improves Health Outcomes Resource Utilization and Reduces... December 2014
  • Are Nursing Home Survey Deficiencies Higher in Facilities with Greater Staff Turnover February 2014
  • CMS Guidelines and Improving Continence Care in Nursing Homes: The Role of the Medical Director February 2006
  • Deliberations On and Myths About OBRA ’87 Psychopharmacological Medication Regulations September/October 2003
  • Education to Reduce Potentially Harmful Medication Use Among Residents of Assisted Living Facilities: A Randomized Controlled... December 2014
  • F-tag 501 Medical Director: Where Are We Now? May 2009
  • Identifying Modifiable Barriers to Medication Error Reporting in the Nursing Home Setting November 2007
  • Inappropriate Drug Prescribing and Polypharmacy Are Major Causes of Poor Outcomes in Long-Term Care November 2014
  • Internal Medicine Residents’ Perception of Nursing Home Demographics and Regulations: A Pilot Study February 2008
  • Interventions to Reduce Inappropriate Prescribing of Antipsychotic Medications in People with Dementia Resident in Care Homes... October 2014
  • Introduction: White Paper on the Survey Process February 2006
  • Is Education All That's Needed to Reduce Inappropriate Drugs in Long-Term Care? January 2015
  • MDS 3.0: A Giant Step Forward, but What About Items on Resident-to-Resident Aggression? August 2013
  • MDS 3.0 Section M: Skin Conditions: What the Medical Director Needs to Know March 2011
  • Medication Management in Assisted Living: A National Survey of Policies and Practices February 2009
  • Medications Prescribed by Specialists in Nursing Homes March 2008
  • Minimum Data Set 3.0: A Giant Step Forward January 2013
  • Nursing Homes Appeals of Deficiencies: The Informal Dispute Resolution Process July 2012
  • Potentially Inappropriate Drug Prescribing and Associated Factors in Nursing Homes November 2014
  • Survey Deficiencies Are Not Reliable for Drawing Conclusions About Aspects of Quality February 2014
  • The Impact of Laws and Regulations in Improving Physician Performance and Care Processes in LTC July/August 2004
  • The Maryland Regulations: Rethinking Physician and Medical Director Accountability in Nursing Homes March/April 2002
  • The Medical Director's Role in the State Survey and Dispute Resolution January 2013
  • The New F-tag 314: Prevention and Management of Pressure Ulcers October 2006
  • The New F-Tag 315 November 2006
  • The Newly Revised F-Tag 315 and Surveyor Guidance for Urinary Incontinence in Long-Term Care November 2006
  • The Statistical Validity of Nursing Home Survey Findings November 2011
  • Updated 2012 Beers Criteria: What’s Noteworthy and Cautionary? November 2012
  • What Factors Contribute to Successful Appeals of Nursing Homes' Deficiencies in the Informal Dispute Resolution Process? February 2013
  • White Paper on the Survey Process February 2006
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    04 MEDICAL INFORMATION MANAGEMENT

  • Advanced Technology Care Innovation for Older People in Italy: Necessity and Opportunity to Promote Health and Wellbeing July 2014
  • Are You on the Health Information Technology Bandwagon? July 2009
  • Computer-Assisted Direct Observation of Behavioral Agitation, Engagement, and Affect in Long-Term Care Residents July 2014
  • Cost, Staffing and Quality Impact of Bedside Electronic Medical Record (EMR) in Nursing Homes September 2010
  • Digital Photography in Long-Term Care February 2010
  • ECHO-AGE: An Innovative Model of Geriatric Care for Long-Term Care Residents with Dementia and Behavioral Issues December 2014
  • Electronic Health Record Implementation in Community Nursing Homes January 2007
  • Evaluating the Impact of Computer-Generated Rounding Reports on Physician Workflow in the Nursing Home: A Feasibility... May 2013
  • Factors Associated with the Use of Electronic Information Systems for Drug Dispensing and Medication Administration Records... July 2008
  • Geriatricians and Technology December 2014
  • High Technology Coming to a Nursing Home Near You June 2012
  • Impact of Physician Telephone Management of Nursing Home Residents Before the Initial Assessment: A Pilot Study July/August 2002
  • Implementing an Internet-Based Communication Network for Use during Skilled Nursing Facility to Emergency Department Care... March 2012
  • Information Exchange Between General Practitioner and Nursing Home Physician in the Netherlands May/June 2005
  • Information Technology Sophistication in Nursing Homes July 2009
  • Inter-Facility Transfer of Patient Information Before and After HIPAA Privacy Measures March 2006
  • Internet Training for Nurse Aides to Prevent Resident Aggression October 2007
  • Long-Term Care and the Electronic Medical Record September 2010
  • Look-Alike Medications: A Formula for Possible Morbidity and Mortality in the Long-Term Care Facility October 2007
  • Nursing Documentation of Telephone Communication with Physicians in Community Nursing Homes May/June 2004
  • Nursing Home Telepsychiatry January 2015
  • Telemedicine and the Evaluation of Cognitive Impairment: The Additive Value of Neuropsychological Assessment August 2014
  • The Diagnostic Accuracy of Telegeriatrics for the Diagnosis of Dementia via Video Conferencing June 2012
  • Using Electronic Health Records to Improve Care: Will “High Tech” Allow a Return to “High Touch” Medicine? July/August 2005
  • Videophone Communication Between Residents and Family: A Case Study February 2007
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    05 EMPLOYEE HEALTH AND SAFETY

  • Preventing Assaults by Nursing Home Residents November/December 2002
  • Sometimes People Don't Fit in Boxes.:" Attitudes Toward the Minimum Data Set Among Clinical Leadership in VA Nursing Homes February 2009
  • The Relationship Between Workplace Environment and Job Satisfaction Among Nursing Assistants: Findings from a National Survey May 2010
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    06 INFECTION CONTROL

  • A Short-Term, Multicomponent Infection Control Program in Nursing Homes: A Cluster Randomized Controlled Trial July 2012
  • Achieving and Sustaining High Rates of Influenza Immunization Among Long-Term Care Staff February 2007
  • Antibiotic Use and Resistance in Long Term Care Facilities July 2012
  • Are Standing Order Programs Associated with Influenza Vaccination? – NNHS, 2004 November 2010
  • Clostridium Difficile in the Long-Term Care Setting June 2007
  • Creating Artificial Barriers to Vaccinations September/October 2005
  • Diarrhea in Long-Term Care: A Messy Problem March 2009
  • Does Adherence to the Loeb Minimum Criteria Reduce Antibiotic Prescribing Rates in Nursing Homes? April 2013
  • Early Identification of an Influenza Outbreak in a Nursing Home with High Vaccination Coverage Facilitates Implementation of Infection... April 2014
  • Effectiveness of Influenza Vaccination in Institutionalized Older Adults: A Systematic Review March 2014
  • Efficacy of Trivalent Seasonal Influenza Vaccination in Reducing Mortality and Hospitalization in Chinese Nursing Home Older Adults December 2013
  • Evidence-Based Clinical Pathways to Manage Urinary Tract Infections in Long-Term Care Facilities: A Qualitative Case Stud... September 2007
  • Experience with the Rapid Directigen Test for Influenza January 2006
  • Factors Associated with Seasonal Influenza Vaccination in Chinese Nursing Home Older Adults October 2013
  • Flu in 15: A Novel 15-Minute Education Program to Promote Acceptance of the Influenza Vaccine Among Health Care Workers September 2010
  • Health Care Worker Influenza Vaccination in Oregon Nursing Homes: Correlates of Facility Characteristics November 2014
  • Healthcare Worker Influenza Vaccination in Nursing Homes November 2014
  • How Can We Increase Seasonal Influenza Vaccine Coverage in Nursing Home Residents? December 2013
  • How to Increase Seasonal Influenza Vaccine Coverage April 2014
  • Impact of NHAP Guideline Implementation Intervention on Staff and Resident Vaccination Rates June 2010
  • Improving Immunization Rates in Long-Term Care: Where the Forest Stops and the Trees Begin November 2008
  • Increasing Influenza and Pneumococcal Immunization Rates in a Nursing Home Network November 2011
  • Infection Control in Long-Term Care Facilities March 2007
  • Infection Prevention and Control Standards in Assisted Living Facilities: Are Residents' Needs Being Met? February 2014
  • Influenza Vaccination and Its Impact on Hospitalization Events in Nursing Homes September 2011
  • Influenza Vaccination in Long-Term Care Facilities: More Than Standing Order Programs? May 2011
  • Limiting the Impact of Antibiotic Resistance in Nursing Homes October 2010
  • Nursing Homes as Reservoirs of MRSA: Myth or Reality? July 2009
  • Nursing Staff Perceptions of Methicillin-Resistant Staphylococcus aureus and Infection Control in a Long-Term Care Facility June 2008
  • Pneumococcal Vaccination in Nursing Homes: Does Race Make a Difference? November 2008
  • Pneumococcal Vaccination in Nursing Homes - Kan, Gerard May 2009
  • Prevalence and Spread of Multidrug Resistant Escherichia coli Isolates Among Nursing Home Residents in the Southern Part... February 2013
  • Prevention of Mortality and Pneumonia Among Nursing Home Older Adults by Dual Pneumococcal and Seasonal Influenza... October 2012
  • Residents had an Increasing Risk of Norovirus Gastroenteritis Infection Than Health Care Workers During an Outbreak... October 2010
  • Scabies in the Nursing Home, Misdiagnosis Means Costs, and Embarrassment: Story of a Centenarian Smitten by Scabies! February 2014
  • Swab Culture of Purulent Skin Infection to Detect Infection or Colonization with Antibiotic-Resistant Bacteria January 2012
  • The Impact of Influenza Vaccination on Hospitalizations and Mortality Among Frail Older People April 2014
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    07 RESIDENTS RIGHTS

  • An Examination of Policies Addressing Resident Smoking in Nursing Homes May 2009
  • Decision-Making During Grave Illness: How to Show Respect for the Person July/August 2004
  • Elder Financial Abuse: Tips for the Medical Director November 2006
  • Elder Mistreatment in the Nursing Home: A Systematic Review November 2007
  • Religiousness, Religious Coping, and Psychological Well-Being in Nursing Home Residents October 2009
  • Smoking in the Nursing Home: A Case Report and Literature Review March 2008
  • Texas Certified Volunteer Long-Term Care Ombudsmen: Perspectives of Role and Effectiveness November/December 2003
  • The Medical Director’s Role: Neglect in Long-Term Care March 2007
  • The Ombudsman Program: An Overview of the History, Purpose, and Role of Ombudsmen in Long-Term Care Facilities July/August 2002
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    08 FINANCE ISSUES

  • Defining Common Ground: Long Term Care Financing Reform in 2001 July/August 2001
  • Economic Evaluation of a Multifactorial, Interdisciplinary Intervention Versus Usual Care to Reduce Frailty in Frail Older People January 2015
  • Home Care, Need for Increased Physician Involvement in the 21st Century August 2014
  • Home Is Where the Heart of the ACO Is July 2013
  • Medicare Reform's Impact on Long-Term Care November/December 2004
  • Nursing Home Revenue Source and Information Availability During the Emergency Department Evaluation of Nursing Home Residents May 2012
  • The Costs of Dementia from the Societal Perspective: Is Care Provided in the Community Really Cheaper than Nursing Home Care? February 2014
  • Validation of the Minimum Data Set in Identifying Hospitalization Events and Payment Source January 2011
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    08 FINANCE ISSUES - CODING

  • CPT Codes: The Evolution and Current State of Codes and Their Use November/December 2001
  • CPT Coding for Hospice in Long-Term Care January/February 2004
  • Psychiatry Billing for Nursing Home Services: Understanding Coding Options May/June 2005
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    09 ESSENTIAL HEALTH INFORMATION AND TOOLS

  • Accuracy of Minimum Data Set in Identifying Residents at Risk for Undernutrition: Oral Intake and Food Complaints May/June 2002
  • Beyond the Minimum Data Set: Measuring Disruptive Behaviors in Nursing Home Residents. Do We Need Better Psychometrics... May 2008
  • Challenging the Quality of the Quality Indicator, “Depression Without Treatment” March/April 2002
  • Clarion Call for a Dedicated Clinical and Research Approach to Post-Acute Care August 2014
  • Feasibility of Quality Indicators for the Management of Geriatric Syndromes in Nursing Home Residents September/October 2004
  • Finding Gertrude: The Resident's Voice in Minimum Data Set 3.0 November 2014
  • Making the Investment Count: Revision of the Minimum Data Set for Nursing Homes, MDS 3.0 September 2012
  • MDS 3.0: Brief Interview for Mental Status September 2012
  • MDS 3.0: Can This Release Be All Things to All People? September 2012
  • MDS 3.0 Perspective: A Better Tool for Patient Care March 2013
  • Operationalizing the MDS 3.0 in the Nursing Home June 2013
  • Overview of Significant Changes in the Minimum Data Set for Nursing Homes Version 3.0 September 2012
  • Prevalence of Behavioral Symptoms: Comparison of the Minimum Data Set Assessments with Research Instruments May 2008
  • Psychosocial Assessment of Nursing Home Residents via MDS 3.0: Recommendations for Social Service Training, Staffing...February 2012
  • Quality Indicators for the Management of Medical Conditions in Nursing Home Residents September/October 2004
  • Quality Care Indicators and Staffing Levels in a Nursing Facility Subacute Unit January/February 2002
  • Sensitivity and Specificity of the Minimum Data Set 3.0 Discharge Data Relative to Medicare Claims November 2014
  • Testing the PHQ-9 Interview and Observational Versions (PHQ-9 OV) for MDS 3.0 September 2012
  • The Accuracy of Minimum Data Set Diagnoses in Describing Recent Hospitalization at Acute Care Facilities May 2006
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    11 COMMITTEES

  • The Use of a Cholinesterase Inhibitor Review Committee in Long-Term Care May 2007
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    13 INTRODUCTION TO MEDICAL CARE DELIVERY SYSTEMS

  • Certified Nurse Aide Scope of Practice: State-by-State Differences in Allowable Delegated Activities January 2015
  • Interdisciplinary Interventions and Teams Are Good…Can We Move Beyond That? July 2013
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    14 TRANSITIONS IN CARE

  • Another Option in Reducing Hospital Readmissions from Skilled Nursing Facilities: Project RED (ReEngineered Discharge) October 2013
  • Burdensome Transitions at the End of Life Among Long-Term Care Residents with Dementia September 2014
  • Care Transitions by Older Adults from Nursing Homes to Hospitals: Implications for Long-Term Care Practice, Geriatrics Education... May 2010
  • Clinical and Nonclinical Factors Associated with Potentially Preventable Hospitalizations Among Nursing Home Residents in New York... June 2011
  • Do Internal Medicine Residents Know Enough About Skilled Nursing Facilities To Orchestrate a Good Care Transition? November 2014
  • Frequency and Diagnoses Associated with 7- and 30-Day Readmission of Skilled Nursing Facility Patients to a Nonteaching... March 2011
  • Improving Health Care Transitions for Older Adults Through the Lens of Quality Improvement September 2013
  • MDS 3.0: A Giant Step Forward, but What About Items on Resident-to-Resident Aggression? August 2013
  • Medication Reconciliation in Continuum of Care Transitions: A Moving Target September 2013
  • Nursing Home Procedures on Transitions of Care November 2009
  • Perceived Barriers to Communication Between Hospital and Nursing Home at Time of Patient Transfer May 2010
  • Predictors of Rehospitalization Among Elderly Patients Admitted to a Rehabilitation Hospital: The Role of Polypharmacy... October 2013
  • Project ReEngineered Discharge (RED) Lowers Hospital Readmissions of Patients Discharged from a Skilled Nursing Facility October 2013
  • Recent Health Care Transitions and Emergency Department Use by Chronic Long Term Care Residents: A Population-Based Cohor... March 2012
  • Reducing Potentially Avoidable Hospitalizations of Nursing Home Residents: Results of a Pilot Quality Improvement Project November 2009
  • Reducing Potentially Preventable Hospital Transfers: Results from a Thirty Nursing Home Collaborative September 2012
  • Reducing Unnecessary Hospitalizations: Apple Pie! November 2009
  • Strategies to Improve Care Transitions Between Nursing Homes and Emergency Departments October 2011
  • The Interventions to Reduce Acute Care Transfers (INTERACT) Quality Improvement Program: An Overview for Medical Directors... March 2014
  • The Psychophysics of Transition to Long Term Care February 2013
  • Transferring Nursing Home Residents to Acute Care Hospital–To Do or Not to Do, That is the Question June 2010
  • Transitions in Long-Term Care and Potential Implications for Quality Reporting in Ontario, Canada November 2010
  • Transitions November 2010
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    15 QUALITY MANAGEMENT

  • Adverse Events in Post-Acute Care: The Office of the Inspector General's Report May 2014
  • Beyond CMS Quality Measure Adjustments: Identifying Key Resident and Nursing Home Facility Factors Associated... September 2010
  • Caring for the Vulnerable Elderly: Are Available Quality Indicators Appropriate? January 2008
  • Certified Nursing Assistants: A Key to Resident Quality of Life September 2014
  • Challenges of Using Quality Improvement Methods in Nursing Homes that “Need Improvement” October 2012
  • Clinical Practice Guidelines, Process Improvement Teams, and Performance on a Quality Indicator for Urinary Incontinence... September 2008
  • Comment on Beyond CMS Quality Measure Adjustments January 2011
  • Commentary on the Quality Improvement Case Study July/August 2002
  • Continuous Quality Improvement in Nursing Homes: Public Relations or a Reality? March 2007
  • Creating a Quality of Life Assessment Measure for Residents in Long Term Care June 2012
  • Defining and Measuring Quality Outcomes in Long-Term Care March 2007
  • Developing Innovative Models to Translate Guidelines Into Practice January/February 2004
  • Direct Observations of Nursing Home Care Quality: Does Care Change When Observed? November 2006
  • Fallacious Reasoning and Complexity as Root Causes of Clinical Inertia July 2007
  • Future Nursing Home Design: An Important Component in Enhancing Quality of Life April 2013
  • Implementation of Quality Assurance and Performance Improvement Programs in Nursing Homes: A Brief Report January 2013
  • Implementing a Pain Management Program in a Long-Term Care Facility Using a Quality Improvement Approach January 2009
  • Implementing Best Practices in Pressure Ulcer Care: The Role of Continuous Quality Improvement March 2007
  • Incentivizing Nursing Home Quality and Physician Performance February 2012
  • Influenza Immunization Coverage Among Residents of Long-Term Care Facilities Certified by CMS, 2005–2006: The Newest MDS... January 2010
  • Monitoring Quality of Care for Nursing Home Residents with Behavioral and Psychological Symptoms Related to Dementia November 2011
  • New Toolkit to Measure Quality of Person-Centered Care: Development and Pilot Evaluation with Nursing Home Communities September 2014
  • Next Steps for Achieving Person-Centered Care in Nursing Homes September 2014
  • Nurse Staffing and Quality: The Unanswered Question June 2014
  • Nurse Staffing Impact on Quality of Care in Nursing Homes: A Systematic Review of Longitudinal Studies June 2014
  • Nursing Assistants and Quality Nursing Home Care September 2014
  • Nursing Home Quality: A Comparative Analysis Using CMS Nursing Home Compare Data to Examine Differences Between Rural... August 2013
  • Predictors of Quality-of-Care Processes in Geriatric Assessment Units: Toward a Better Organizational Framework October 2012
  • Quality Innovation Network Quality Improvement Organizations' (QIN-QIOs') Benefits to Skilled Nursing Facilities and Physicians January 2015
  • Quality of Life and Care in the Nursing Home March 2014
  • Selecting the Best Instruments to Measure Quality of End-of-Life Care and Quality of Dying in Long Term Care February 2013
  • Staffing, Quality, and Productivity in the Nursing Home November 2013
  • The Association Between Quality of Care and Quality of Life in Long-Stay Nursing Home Residents with Preserved Cognition March 2014
  • The Influence of Teams to Sustain Quality Improvement in Nursing Homes that “Need Improvement” January 2013
  • The Optimal Study: Describing the Key Components of Optimal Health Care Delivery to UK Care Home Residents: A Research... September 2014
  • The Use of Data for Process and Quality Improvement in Long Term Care and Home Care: A Systematic Review of the Literature February 2012
  • Trends in Postacute Care and Staffing in US Nursing Homes, 2001–2010 November 2013
  • Use of the Quality Improvement Process in Assessing End-of-Life Care in the Nursing Home March 2006
  • What Matters Most to Nursing Home Elders: Quality of Life in the Nursing Home January 2012
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    16 MEDICAL DIRECTOR’S CONTRACT

  • AMDA National Engagement in Care Transitions June 2011
  • Evaluation of a Nursing Home Medical Director's Curriculum for Geriatric Medicine Fellows August 2013
  • Has the Time Come for Salaried Nursing Home Physicians? October 2012
  • Nursing Home Control of Physician Resources April 2014
  • Nursing Home Medical Staff Organization and 30-Day Rehospitalizations July 2012
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    17 HEALTHCARE ETHICS

  • Advance Care Planning in Long-Term Care Facilities March/April 2003
  • Advance Care Planning in Nursing Homes and Assisted Living Communities May 2009
  • Advance Care Planning: Just Do It! July 2014
  • Advance Directive and End-of-Life Care Preferences Among Chinese Nursing Home Residents in Hong Kong February 2011
  • Advance Directive and End-of-Life Care Preferences Among Nursing Home Residents in Wuhan, China: A Cross-Sectional Study October 2014
  • Advance Directives at End-of-Life: Nursing Home Resident Preferences for Artificial Nutrition May 2007
  • Age as a Deciding Factor in the Consideration of Futility for a Medical Intervention in Patients Among Internal Medicine Physicians in Two... July 2010
  • Appointment of a Guardian for the Institutionalized Mentally Frail: Is It Necessary? July 2011
  • Can Goal-Based Advance Planning Guide Medical Care in the Nursing Home? September/October 2002
  • Comments on the Case of Esther M. July/August 2002
  • Comments on the Case of Mr. N. September/October 2002
  • Comments on the Case of Mrs. L. May/June 2002
  • Comments on the Case of Mrs. R. January/February 2003
  • Efficacy of Advance Care Planning: A Systematic Review and Meta-Analysis July 2014
  • Elder Mistreatment in the Nursing Home: A Systematic Review November 2007
  • Elders' Environs and Their End-Of-Life Preferences January 2011
  • Eliciting Goals of Care in a Nursing Home October 2006
  • End of Life in the Nursing Home: Redefining Roles February 2011
  • End-of-Life Care in Nursing Homes: Is the Glass Half Empty or Half Full? May 2004
  • End-of-Life Care in the Nursing Home February 2011
  • End-of-Life Care in U.S. Nursing Homes: A Review of the Evidence May/June 2004
  • End-of-Life Care of the Geriatric Patient and Nurses’ Moral Distress January 2012
  • Establishing and Educating a Long-term Care Regional Ethics Committee: The NJ Model January/February 2005
  • Ethics and Research in Long-Term Care: A Position Statement from the AMDA May/June 2003
  • Ethics Corner: Cases from the Hebrew Rehabilitation Center for Aged—Problematic Proxies July/August 2002
  • Ethics Corner: Cases from the Hebrew Rehabilitation Center for Aged—Restraint Complaint September/October 2002
  • Ethics Corner: Cases from the Hebrew Rehabilitation Center for Aged—Sex in the Facility November/December 2002
  • Ethics Corner: Cases from the Hebrew Rehabilitation Center for Aged May/June 2002
  • Ethics Corner: Cases from the Hebrew Rehabilitation Center for Aged—Truth or Consequences January/February 2003
  • Family and Emergency Decision Making in Noncompetent Very Old Patients June 2009
  • Futility Discussion Revisited July 2010
  • Health Care Decision-Making Capacity: A Legal Perspective for Long-Term Care Providers June 2006
  • Improving End-of-Life Care for Patients with Noncancer Illnesses: The Time is Now February 2011
  • Improving Rates of Advance Directive Discussions Among Managed Care Nursing Home Enrollees May 2001
  • Introduction to Elder Abuse Mini-series May 2006
  • Managed Death in a PACE: Pathways in Present and Advance Directives July 2006
  • Natural History of Feeding-Tube Use in Nursing Home Residents with Advanced Dementia May 2009
  • Overview of Issues Represented by These Cases November/December 2002
  • Pause Before a PEG: A Feeding Tube May Not Be Necessary in Every Candidate! July 2010
  • Physical Abuse of the Elderly: The Medical Director’s Response March 2007
  • Prevalence and Related Factors of Do-Not-Resuscitate Directives Among Nursing Home Residents in Taiwan July 2010
  • Sexual Abuse of Vulnerable Adults: The Medical Director’s Response September 2006
  • Ten Myths About Decision-Making Capacity July/August 2004
  • The God Card: Spirituality in the Nursing Home August 2014
  • The NJ SEED Project: Evaluation of an Innovative Initiative for Ethics Training in Nursing Homes January/February 2005
  • Using Video Images to Improve the Accuracy of Surrogate Decision-Making: A Randomized Controlled Trial October 2009
  • What Factors Are Associated With Having an Advance Directive Among Older Adults Who Are New to Long Term Care Services? January 2012
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    18 INTEGRATION OF SYSTEMS THEORY AND PROBLEM SOLVING

  • Beyond the Medical Model: The Culture Change Revolution in Long-Term Care March 2009
  • Health Care Providers' Opinions on Communication Between Nursing Homes and Emergency Departments March 2010
  • Physicians' Perceptions of Care in the Nursing Home and of Strategies for Improvement in a Survey on Treatment of Behavior... November 2008
  • Reducing the Likelihood of Long-Stay Nursing Facility Placement Through Health Plan–Linked Community Services June 2010
  • The Basis for Improving and Reforming Long-Term Care, Part 1: The Foundation September 2009
  • The Basis for Improving and Reforming Long-Term Care, Part 2: Clinical Problem Solving and Evidence-Based Care October 2009
  • The Basis for Improving and Reforming Long-Term Care. Part 3: Essential Elements for Quality Care November 2009
  • The Basis for Improving and Reforming Long-Term Care. Part 4: Identifying Meaningful Improvement Approaches (Segment 1) February 2010
  • The Basis for Improving and Reforming Long-Term Care. Part 4: Identifying Meaningful Improvement Approaches (Segment 2) March 2010
  • The Complexity of Implementing Culture Change Practices in Nursing Homes September 2010
  • The Physician's Role in Long-Term Care Culture Change July 2009
  • The Potential of Communities of Practice to Promote Evidence-Informed Practice Within Nursing Homes March 2011
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    19 RISK MANAGEMENT

  • A Comparison of the Nursing Home Evacuation Experience Between Hurricanes Katrina (2005) and Gustav (2008) November 2009
  • A Comparison of Two Distribution Methods on Response Rates to a Patient Safety Questionnaire in Nursing Homes September 2007
  • Can Background Checks of Long Term Care Residents Improve Safety? February 2012
  • Certified Nursing Assistants' Perceptions of Nursing Home Patient Safety Culture: Is There a Relationship to Clinical Outcomes? January 2009
  • Communication: The First Tool in Risk Management for Long-Term Care March/April 2004
  • Disaster: Nursing Homes Need to be Prepared March 2007
  • Hurricane Katrina: More Lessons Learned November 2010
  • Improving Safety and Operational Efficiency in Residential Care Settings with WiFi-Based Localization July 2012
  • Insufficient Lighting in Nursing Homes June 2007
  • Medication Administration in Nursing Homes: Pharmacists' Contribution to Error Prevention May 2010
  • Nursing Home Adverse Events: Further Insight into Highest Risk Periods July 2011
  • Nursing Home Safety Matters, But It’s Not an Easy Matter September 2007
  • RE: To Evacuate or Not to Evacuate: Lessons Learned from Louisiana Nursing Home Administrators Following Hurricanes Katrina... September 2007
  • Response Letter to Cefalu: RE: To Evacuate or Not to Evacuate: Lessons Learned from Louisiana Nursing Home Administrators... September 2007
  • Risk Management for Pressure Ulcers: When the Family Shows Up with a Camera June 2008
  • The Controversy Inherent in Managing Frail Nursing Home Residents During Complex Hurricane Emergencies October 2008
  • To Evacuate or Not to Evacuate: Lessons Learned from Louisiana Nursing Home Administrators Following Hurricanes Katrina and Rita March 2007
  • To Evacuate or Shelter in Place: Implications of Universal Hurricane Evacuation Policies on Nursing Home Residents February 2012
  • Videotaping to Protect Nursing Facility Residents: A Legal Analysis January/February 2001
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    20 WORKING WITH FAMILIES

  • A Family Booklet About Comfort Care in Advanced Dementia: Three-Country Evaluation May 2012
  • A Pilot Study to Explore Next of Kin’s Perspectives on End-of-Life Care in the Nursing Home February 2011
  • Characteristics of Nursing Home Social Services Directors: How Common is a Degree in Social Work? January 2009
  • Educating the Families of Nursing Home Residents: A Pilot Study Using a Computer-based System May/June 2003
  • Family Caregiving in Advanced Chronic Organ Failure May 2012
  • Family Member Perception of Quality of Their Visits with Relatives with Dementia: A Pilot Study March 2007
  • Impact of the Eden Alternative on Family Satisfaction May/June 2005
  • Improving Communication Among Attending Physicians, Long-Term Care Facilities, Residents, and Residents' Families March/April 2004
  • Is There a Conflicted Surrogate Syndrome Affecting Quality of Care in Nursing Homes? March 2006
  • Mediation in Long-Term Care Facilities: A Pilot Project June 2008
  • Nursing Home Involuntary Relocation: Clinical Outcomes and Perceptions of Residents and Families October 2006
  • Persistent Family Concerns in Long-term Care Settings: Meaning and Management March 2006
  • The Conflicted Surrogate Syndrome: Implications for Nursing Facility Work Force Stress, Safety, and Turnover October 2012
  • The Emotional Context Facing Nursing Home Residents’ Families: A Call for Role Reinforcement Strategies from Nursing Homes... January 2008
  • Working with Families in Long-Term Care May 2007
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    21 HOSPICE/ PALLIATIVE CARE/ PACE

  • A Guide to Becoming a Hospice Medical Director: Initial Decisions and Evaluations June 2009
  • A New Model for End-of-Life Care in Nursing Homes April 2014
  • Attitudes Toward Death, Dying, End-of-Life Palliative Care, and Interdisciplinary Practice in Long Term Care Workers March 2014
  • Developing Palliative Care Practice Guidelines and Standards for Nursing Home–Based Palliative Care Teams: A Delphi Study January 2015
  • Disparities Between Preferences and Practice for End-of-Life Care January 2010
  • End-of-Life Care in a PACE Program: Respecting the Patient's Wishes While Supporting the Caregiver September 2010
  • End-of-Life Care in Nursing Homes: The Importance of CNA Staff Communication September 2010
  • End-of-Life Care in the Nursing Home September 2010
  • Evaluation of a Continuous Quality Improvement Initiative for End-of-Life Care for Older Noncancer Patients February 2011
  • Home Care for Dying People January 2010
  • Hospice Family Members' Perceptions of and Experiences with End-of-Life Care in the Nursing Home October 2014
  • Hospice in the Nursing Home: Perspectives of Front Line Nursing Home Staff December 2014
  • Hospice Medical Directors: A Survey of One State January 2012
  • Hospice Providers in Nursing Homes: Why Is a Negative Study Important? February 2011
  • Hospice Use Among Nursing Home Patients April 2013
  • Integrating Palliative Care in the Nursing Home: An Interprofessional Opportunity December 2014
  • Nursing Homes and End-of-Life Care in Japan October 2013
  • Pain and Its Treatment in Older Nursing Home Hospice/Palliative Care Residents October 2010
  • Preferences Versus Practice: Life-Sustaining Treatments in Last Months of Life in Long-Term Care January 2010
  • Spiritual End-of-Life Care in Dutch Nursing Homes: An Ethnographic Study September 2013
  • Strategies and Innovative Models for Delivering Palliative Care in Nursing Homes February 2011
  • The Medical Director as a Member of the Hospice Team June 2009
  • The Paradigm of Life Extension September 2010
  • The Transition from Routine Care to End-of-life Care in a Nursing Home: Exploring Staff Perspectives February 2011
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    22 MEDICAL STAFF OVERSIGHT

  • A Call to Action March 2010
  • A Comparative Effectiveness Trial Between a Post-Acute Care Hospitalist Model and a Community-Based Physician Model of... June 2011
  • Advanced Practice Nurses and Attending Physicians: A Collaboration to Improve Quality of Care in the Nursing Home March 2011
  • Collaboration and the Physician/Advanced Practice Nurse Team September 2011
  • Collaborative and Supervisory Relationships Between Attending Physicians and Advanced Practice Nurses in Long-Term Care Facilities January 2011
  • Evidence Rocks in Long-term Care, But Does It Roll? October 2007
  • Examining the Physician’s Role with Assisted Living Residents July 2006
  • Issues Involving a Consultant's Obligation to Nursing Home Residents May/June 2001
  • Medical Staff Organization in Nursing Homes: Scale Development and Validation September 2009
  • Nursing Home Medical Staff Organization: Correlates with Quality Indicators November 2011
  • Physician Involvement in Long-Term Care: Bridging the Medical and Social Models September 2006
  • Physician Practice in Nursing Homes July 2006
  • Physician Practice Patterns in Nursing Homes November 2007
  • Profile of Physicians in the Nursing Home: Time Perception and Barriers to Optimal Medical Practice February 2009
  • Roles and Responsibilities of Attending Physicians in Skilled Nursing Facilities July/August 2003
  • The Importance of Physician Presence in Nursing Homes for Residents with Dementia and Pneumonia January 2011
  • The Nursing Home Physician Workforce July 2006
  • The Preliminary Impact of Maryland's Medical Director and Attending Physician Regulations May/June 2003
  • The Role of Physicians in Nursing Homes: A Comment June 2011
  • The Role of the Consultant in Long-Term Care Facilities September/October 2003
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    23 LEADERSHIP IN THE ORGANIZATION

  • Culture Change for Residents with Dementia July 2008
  • Educating Nursing Home Staff About the Progression of Dementia and the Comfort Care Option: Impact on Family Satisfaction with... January 2009
  • Physicians in Long-Term Care Running for Political Office Deserve Consideration November 2006
  • The Nursing Home in Long-Term Care Education February 2008
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    ADDITIONAL RESOURCES

  • AMDA – The Society for Post-Acute and Long-Term Care Medicine Competencies for PALTC Medicine Setting of Care: SNF/NF October 2013
  • Memo: Revision to State Operations Manual (SOM) Appendix PP February 2017
  • Morbidity and Mortality Weekly Report - Guidelines for Preventing the Transmission of Mycobacterium Tuberculosis... December 2005
  • Revision to State Operations Manual (SOM) Appendix PP – Incorporate revised Requirements of Participation...February 2017
  • Revision to State Operations Manual (SOM) Appendix PP for Phase 2, F-Tag Revisions, and Related Issues November 2017
  • SHEA/APIC Guideline: Infection Prevention and Control in the Long-Term Care Facility July 2008
  • State Operations Manual– Appendix P - Survey Protocol for Long Term Care Facilities April 2014
  • State Operations Manual – Appendix PP - Guidance to Surveyors for Long Term Care Facilities November 2017
  • Surveillance Definitions of Infections in Long-Term Care Facilities: Revisiting the McGeer Criteria October 2012