Publications

Members only publications are marked with a lock icon:
Filter By

How Nursing Home Leadership Strengthens the Workforce Pipeline Through the Teaching Nursing Home Collaborative

Caring for the Ages
March 1, 2024
I have been privileged to have a 40-year career in and around long-term care and aging. While there have been challenges around quality, cost, and policy for all those years, recent years have seen unprecedented workforce challenges in recruitment,...

Caregivers, the Secret Sauce in Care Transitions

Caring for the Ages
March 1, 2024
The challenge of care transitions between post-acute and long-term care and other care settings was illustrated in the graphic article “A Hidden Crisis” (N Engl J Med 2022;387:1157–1159). The daughter of a man with dementia served as his support...

QAPI Alert — Do We Still Need to Discuss the Call Bell?

Caring for the Ages
March 1, 2024
Dear Dr. Diane: I have a situation that keeps occurring during our QAPI meeting. The administrator is asking that we conduct another call bell performance improvement plan. But the issue is that this building continuously has a problem with call...

Moving Needles: Increasing Rates of Immunization in PALTC

Caring for the Ages
March 1, 2024
Individuals enter assisted living and long-term care facilities for a number of reasons. Primary on their minds, and the minds of their loved ones, is safety. They expect — rightly so — that they or their loved one will be protected. One way to keep...

MIPS 2023 Data Submission Is Now Open

Caring for the Ages
March 1, 2024
Did you participate in the 2023 performance year of the Quality Payment Program (QPP)? The Centers for Medicare & Medicaid Services is now accepting data submissions from clinicians eligible for the Merit-based Incentive Payment System (MIPS)...

Prevention, Recognition, and Treatment of Diabetes-related Hypoglycemia in PALTC Residents

Caring for the Ages
March 1, 2024
Approximately 15.9 million adults aged ≥65 years, which is around 33% of all adults aged ≥65 years, have diabetes (Fast Facts: Data and Statistics About Diabetes [American Diabetes Association, 2022], https://bit.ly/48AJrSm ). Of this population,...

Delirium: Conviction and Conundrum

Caring for the Ages
March 1, 2024
“A new consult for delirium,” said the provider from the primary team. When I inquired,* the elicited details were reported in a rote but familiar fashion: Mr. A, a gentleman in his mid-70s with underlying dementia, had been admitted after a motor...

Medical Aid in Dying Laws: The Hidden Conflicts and Controversies

Caring for the Ages
March 1, 2024
For decades, the right to self-determination has been a fundamental bioethical principle. The Omnibus Budget and Reconciliation Act of 1987 (OBRA) regulations incorporate the notion of the “right to choose” and self-determination throughout. For...

Remembering Steven Levenson, MD, CMD

Caring for the Ages
March 1, 2024
It is with great sorrow that I write about the unexpected passing of Steven Levenson, MD, CMD, on January 24, 2024, at his home in Maryland. Steve was a champion of quality care for older adults. He influenced several generations of post-acute and...

Program Offers Even More of a Good Thing for the Challenge of Staff Retention

Caring for the Ages
March 1, 2024
Two years ago, AMDA – The Society for Post-Acute and Long-Term Care Medicine convened a series of six virtual roundtable discussions ( https://paltc.org/goodthing ) guided by the themes of the 4Ms for staff, based on the 4Ms of the Age Friendly...