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Updates to Skilled Nursing Facility (SNF) Patient Driven Payment Model (PDPM) to Correct the Adjustment Process

Policy Snapshot
Patient Driven Payment Model (PDPM), Centers for Medicare and Medicaid (CMS), Practitioners
May 14, 2020
The Centers for Medicare & Medicaid Services (CMS) released a new MLN Matters Article MM11727 on Updates to Skilled Nursing Facility (SNF) Patient Driven Payment Model (PDPM) to Correct the Adjustment Process (PDF) . Learn about corrections to...

Interventions to Improve Clinical Outcomes in Older Adults Admitted to a Surgical Service: A Systematic Review and Meta-analysis

JAMDA
May 14, 2020
Managing older patients with surgical conditions is a major challenge for hospitals. There is therefore a growing interest in providing geriatric perioperative services. The aim of this systematic review and meta-analysis was to characterize and...

Measuring Slowness in Old Age: Times to Perform Moberg Picking-Up and Walking Speed Tests

JAMDA
May 11, 2020
Slowness is a marker of frailty captured by the Fried phenotype by a walking speed test which, for health or logistical reasons, is sometimes difficult to perform. The Moberg picking-up test (MPUT) is another timed functional test. It measures hand...

Calf Circumference as a Case-Finding Tool for Sarcopenia: Influence of Obesity on Diagnostic Performance

JAMDA
May 10, 2020
We read with interest the Asian Working Group for Sarcopenia (AWGS) 2019 consensus update.1 Akin to the direction adopted by its European counterpart, AWGS 2019 aims to promote greater integration of sarcopenia in clinical practice by making it...

Palliative Sedation and End of Life: Lights and Shadows

JAMDA
May 10, 2020
We read with great interest the article of Rietjens et al1 about continuous deep sedation in Netherlands. The authors compared the rate of deep sedation at the end of life in 2005, 2010, and 2015, and they found a considerable increase of this...

Impact of Anticholinergic Burden on Cognitive Performance: A Cohort Study of Community-Dwelling Older Adults

JAMDA
May 10, 2020
Older people are susceptible to the adverse effects of anticholinergic medications, including cognitive impairment.1 A systematic review of observational studies reported mixed associations between high anticholinergic burden, a cumulative measure...

May 10, 2020

Weekly Roundup
May 10, 2020
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Urge Your Members of Congress to Support a Nursing Home Medical Director Registry

Policy Snapshot
Practitioners
May 8, 2020
Nursing homes are on the front lines of the response to the COVID-19 pandemic, accounting for a large proportion of cases and deaths. Unfortunately, there is no public listing of nursing home medical directors, impeding the ability of public health...

CMS Issues Interim Final Rule on SNF Reporting COVID-19 Cases of Residents and Staff

Policy Snapshot
COVID-19, Skilled Nursing Care, Centers for Medicare and Medicaid (CMS), Practitioners, Resident
May 8, 2020
Last week, the Centers for Medicare & Medicaid Services (CMS) issued an interim final rule updating requirements for notification of confirmed and suspected COVID-19 cases among residents and staff in nursing homes. CMS is requiring nursing...

New Informed Consent Resources for Telehealth from AHRQ

Policy Snapshot
Practitioners, Telemedicine
May 8, 2020
As the COVID-19 pandemic has forced health care providers to limit in-person visits, telehealth has expanded rapidly. In response to the need to obtain informed consent from patients for virtual visits, the Agency for Healthcare Research and Quality...