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Quality Payment Program: Updated List of APMs

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Payment, Alternative Payment Models (APM), Practitioners
December 13, 2018
The Centers for Medicare & Medicaid Services (CMS) posted an updated list of Alternative Payment Models (APMs) in the Quality Payment Program. The list displays the APMs that CMS currently operated or announced since November 2018, including...

Improving Antimicrobial Prescribing: A Multinomial Model Identifying Factors Associated With First- and Second-Line Prescribing

JAMDA
December 13, 2018
Broad-spectrum, second-line antimicrobials may be prescribed when initial first-line options prove ineffective. This study compares prescribing practices and identifies potential influencing factors for first- and second-line antimicrobials in long-...

Nutritional Status, Body Mass Index, and the Risk of Falls in Community-Dwelling Older Adults: A Systematic Review and Meta-Analysis

JAMDA
December 13, 2018
To evaluate the association between nutritional status, defined on the basis of a multidimensional evaluation, and body mass index (BMI) with the risk of falls and recurrent falls in community-dwelling older people.

POLICY UPDATE: END OF YEAR

AMDA On-The-Hill
Centers for Medicare and Medicaid (CMS), Alternative Payment Models (APM), Medicare Access and CHIP Re-authorization Act (MACRA), Merit-Based Incentive Program Payment System (MIPS), Practitioners
December 13, 2018
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Give for a Purpose; Watch Your Donation in Action

Spotlight
December 12, 2018
“When individuals donate to the Foundation, they are a giving to a purpose, a project they believe in—such as the Futures Program ; but they also understand the role these play for our profession and its future,” says Foundation Chair Barbara...

Similarity of Repeated Falls in Older Long-Term Care Residents: Do the Circumstances of Past Falls Predict Those of Future Falls?

JAMDA
December 11, 2018
More than 30% of older adults in the community and 60% in long-term care (LTC) will fall at least once per year, and many will fall repeatedly.1 For the physician treating a patient who presents with falls, a primary goal is to develop a management...

Pro Re Nata Drug Use in Nursing Home Residents: A Systematic Review

JAMDA
December 11, 2018
In addition to routinely administered long-term medication, complex drug regimens of nursing home residents often include as needed or pro re nata (PRN) medication. However, there has been no systematic evaluation of the frequency and concomitants...

Effect of 800 IU Versus 2000 IU Vitamin D3 With or Without a Simple Home Exercise Program on Functional Recovery After Hip Fracture: A Randomized Controlled Trial

JAMDA
December 11, 2018
To evaluate 2 simple strategies, vitamin D3 and a home exercise program, in functional recovery during the first year after hip fracture.

STOP-FALLING: A Simple Checklist Tool for Fall Prevention in a Nursing Facility

JAMDA
December 11, 2018
Falls are highly prevalent and lead to major health morbidity and mortality in older adults. We developed a “STOP-FALLING” checklist as a multifactorial intervention tool kit for a single long-term care facility. The objective of this study was to...

Associations Between Prefrailty or Frailty Components and Clinical Outcomes in Heart Failure: A Follow-up Meta-analysis

JAMDA
December 9, 2018
Recently, we received a letter concerning our recently published systematic review and meta-analysis on frailty and clinical outcomes in heart failure,1 to which we responded.2 It was suggested that a detailed analysis on the effects of prefrailty,...