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Participate in Field Testing of Cost Measures Through February 25

Policy Snapshot
February 18, 2022
As a reminder, the Centers for Medicare & Medicaid Services (CMS) and its contractor, Acumen, LLC, are conducting field testing of five episode-based cost measures until February 25 . The following episode-based cost measures are currently being...

Impact of Sarcopenia and Obesity on Gait Speed After Total Knee Replacement

JAMDA
February 18, 2022
Older adults with sarcopenic obesity have a higher risk of experiencing mobility difficulty. Additionally, sarcopenia and obesity are closely associated with knee osteoarthritis. This study investigated the associations of sarcopenia, obesity, and...

Ascension Requires All Medical Directors To Become CMDs

Spotlight
February 17, 2022
MEMBERS ONLY CONTENT Login or Join St. Louis-based Ascension Living, a mission-driven senior care and living provider with 28 skilled nursing facility medical directors across 11 states and Washington, DC, now requires all community medical...

The Surprise Question in Older Hospitalized Patients: To Use or Not to Use?

JAMDA
February 17, 2022
Identifying patients in the palliative phase is challenging but important, as timely and proactive palliative care can improve quality of life.1 One way of determining whether a patient is in the palliative phase is via the Surprise Question, a...

Management of Sarcopenia: A Network Meta-Analysis of Randomized Controlled Trials

JAMDA
February 17, 2022
This study aimed to determine the comparative effectiveness of interventions in treatment of sarcopenia. The primary outcome was the measure of treatment effect on muscle mass, and secondary outcomes were the treatment effect on muscle strength and...

Effect of Aerobic and Resistant Exercise Intervention on Inflammaging of Type 2 Diabetes Mellitus in Middle-Aged and Older Adults: A Systematic Review and Meta-Analysis

JAMDA
February 17, 2022
To examine the effect of aerobic and resistant exercise intervention on inflammaging in middle-aged and older adults with type 2 diabetes mellitus (T2DM) using inflammatory cytokines, such as interleukin (IL)-1 β, IL-6, tumor necrosis factor-α (TNF-...

Guidance to (Re)integrate Caregivers as Essential Care Partners Into the LTC Setting: A Rapid Review

JAMDA
February 17, 2022
This rapid review aimed to identify the strategies used to (re)integrate essential caregivers (ECs) into the LTC setting, particularly pertaining to principles of equity, diversity, and inclusion. In addition, this rapid review aimed to identify the...

Leisure-Time and Non–Leisure-Time Physical Activities are Dose-Dependently Associated With a Reduced Risk of Dementia in Community-Dwelling People Aged 40-74 Years: The Murakami Cohort Study

JAMDA
February 15, 2022
Although physical activity (PA) in late life is considered a preventive factor for dementia, effects of different types of PAs on the development of dementia in early old age are unclear. This study aimed to determine the effect of leisure-time and...

Examining Nursing Home Information Technology Maturity and Antibiotic Use Among Long-Term Care Residents

JAMDA
February 13, 2022
Up to 15% of the 1.4 million US nursing home (NH) residents receive antibiotics daily. Antibiotic use in NHs is often inappropriate, contributing to quality and safety concerns as well as antibiotic resistance. Information technology (IT) maturity—...

Discharge Destinations of Delirious Patients: Findings From a Prospective Cohort Study of 27,026 Patients From a Large Health Care System

JAMDA
February 13, 2022
Delirium is known to contribute to increased rates of institutionalization and mortality. The full extent of adverse outcomes, however, remains understudied. We aimed to systematically assess the discharge destinations and mortality risk in...