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Journal Highlights From the July Issue of JAMDA

Caring for the Ages
July 1, 2017
A collaboration of experts from around the world developed evidence-based, multi-disciplinary clinical practice guidelines for identifying and managing frailty, particularly for health care providers in the Asia-Pacific region, at the Asia-Pacific...

Completion of an Outpatient Visit After Skilled Nursing Facility Discharge and Readmission Risk

JAMDA
July 1, 2017
Examine the association between completion of an outpatient visit with a physician or advanced practice provider (PCP) within 7 days of discharge from a short skilled nursing facility (SNF) stay and 30-day readmission and determine if functional...

Metformin Safety Warnings and Diabetes Drug Prescribing Patterns for Older Nursing Home Residents

JAMDA
July 1, 2017
Diabetes mellitus is common in US nursing homes (NHs), and the mainstay treatment, metformin, has US Food and Drug Administration (FDA) boxed warnings indicating safety concerns in those with advanced age, heart failure, or renal disease. Little is...

Intestinal Permeability Biomarker Zonulin is Elevated in Healthy Aging

JAMDA
July 1, 2017
Increased gut permeability (“leaky gut”) has been proposed as a potential contributor to age-related inflammation and gut dysbiosis. However, information on the relationship between a leaky gut and inflammation and physical frailty during aging are...

Attitudes Toward Advance Directives Among Patients and Their Family Members in China

JAMDA
July 1, 2017
Chinese people are generally unfamiliar with the concept of advance care planning or advance directives (ACP/ADs), which raises dilemmas in life-support choice and can even affect clinical decision making. To understand and address the issues...

Differential Characteristics of Skeletal Muscle in Community-Dwelling Older Adults

JAMDA
July 1, 2017
Sarcopenia is diagnosed on the basis of skeletal muscle mass and muscle strength/function. However, more simple and accurate measures for muscle mass and muscle strength/function should be explored.

Thanks to Foundation Award, Idea Becomes a Movement

Spotlight
Advance Directives, End-of-Life Care, Palliative Care, Quality, Improvement, Quality Assurance and Performance Improvement (QAPI), Transitions of Care
June 30, 2017
Receiving a national award is an honor; but when that award lead to action, energy, heightened staff morale, team building, and improved quality of life, it becomes a movement. That is true of the Foundation for Post-Acute and Long-Term Care...

Society Opposes Better Care Reconciliation Act

Policy Snapshot
Skilled Nursing Care, Medicaid
June 30, 2017
AMDA – The Society for Post-Acute and Long-Term Care Medicine strongly opposes the Better Care Reconciliation Act, H. R. 1628 (BCRA of 2017). The Society believes this legislation does not address and only worsens concerns expressed in response to...

House Passes Bill To Limit Medical Malpractice Litigation

Policy Snapshot
Practitioners
June 30, 2017
This week, the House of Representatives passed the Protecting Access to Care Act of 2017 (H.R. 1215) a bill supported by the Society through our work in The Health Coalition on Liability and Access (HCLA). The bill was introduced by Representative...

CMS Quality Payment Program Year 2 Proposed Rule Listening Session — July 5

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Payment, Quality Payment Program (QPP), Practice Management
June 30, 2017
Wednesday July 5 from 2 to 3:30 pm ET Register for Medicare Learning Network events. The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) ended the Sustainable Growth Rate formula and established the Quality Payment Program, improving...