The Centers for Medicare and Medicaid (CMS) initiated the National Partnership to Improve Dementia Care in Nursing Homes in 2012, which led to a steady decline in antipsychotics use. However, inappropriate use of antipsychotics and other...
Frailty is a syndrome characterized by decreased physiologic reserve resulting from decline across multiple physiologic systems. It is a common condition among elderly patients in nursing homes and has been linked to increased risk of adverse health...
Consequences of Alzheimer’s disease and related dementias (ADRD) complicate care of patients with heart failure after hospitalization. Skilled Nursing Facility (SNF) admission with routine cognitive assessment could help guide care planning. However...
The COVID-19 pandemic has profoundly affected skilled nursing facilities (SNFs). Our objective was to understand healthcare workers’ perspectives on the unintended effects of isolation protocols on cognitive and functional decline, SNF responses,...
Admission to a nursing facility often leads to separation from the community. This increased during Covid-19 pandemic, when nursing facilities closed to family and volunteer visitors. The authors attempted to connect residents with others using...
Many patients use the post-acute rehab (PAR) benefit during the last year of life, and a significant number of seriously ill patients die in PAR. PAR patients are often medically fragile and at risk for decompensation. This suggests urgent needs for...
Polypharmacy is commonly encountered in Long-term Care (LTC) residents and associated with adverse drug events (ADEs) and worsening function. Data from a prior PI project1 resulted in an average deprescribing (DeP) of 1.3 medications per resident...
Age -Friendly Health Systems is an initiative of The John A. Hartford Foundation and the Institute for Healthcare Improvement in partnership with the American Hospital Association and the Catholic Health Association of the U.S. The purpose of Age-...
Preventable errors in care transitions for the elderly are responsible for up to one third of costly hospital readmissions. The 2009 Institute of Medicine sentinel report outlined a critical need to expand geriatrics competencies in residencies...
Older adults in skilled nursing facilities are often complex and at high-risk for polypharmacy and adverse medication reactions. To address these issues, an important step is to be able to identify medications that are high-risk for older adults...
