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SNF Provider Preview Report: Review Your Data by July 1

Policy Snapshot
Care Settings/Types, Centers for Medicare and Medicaid (CMS), Practitioners
June 21, 2018
Skilled Nursing Facility (SNF) Provider Preview Reports are now available. Visit the Spotlights and Announcements webpage for a list of quality measures based on quarterly data. Make sure to review your performance data by July 1, prior to public...

Secretary Azar Responds to Alternative Payment Model Proposals

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Payment, Alternative Payment Models (APM), Practitioners
June 21, 2018
Last week, Department of Health and Human Services (HHS) Secretary Alex Azar responded to a number of Alternative Payment Model (APM) proposals recommended by the Physician-Focused Technical Advisory Committee (PTAC). While the secretary felt very...

CMS Issues Request for Information on Self-Referral Law

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Alternative Payment Models (APM), Practitioners
June 21, 2018
In line with the Administration’s goals to continue to remove administrative burdens, Centers for Medicare & Medicaid Services (CMS) issued a request for information (RFI) on how the physician self-referral law (better known as the Stark Law)...

Handgrip Strength Cannot Be Assumed a Proxy for Overall Muscle Strength

JAMDA
June 20, 2018
Dynapenia, low muscle strength, is predictive for negative health outcomes and is usually expressed as handgrip strength (HGS). Whether HGS can be a proxy for overall muscle strength and whether this depends on age and health status is controversial...

Higher Level of Obesity Is Associated with Intensive Personal Care Assistance in the Nursing Home

JAMDA
June 20, 2018
To examine whether higher obesity level was associated with extensive staffing assistance (from 2 or more persons) for completing activities of daily living (ADL) among older nursing home residents.

Antimicrobial Stewardship in Long-Term Care Facilities: Approaches to Creating an Antibiogram when Few Bacterial Isolates Are Cultured Annually

JAMDA
June 19, 2018
Antibiograms are important clinical tools to report and track antibiotic susceptibility and help guide empiric antimicrobial therapy. Antibiograms support compliance with antimicrobial stewardship (AMS) requirements from the Centers for Medicare and...

Comparison of Computerized and Paper-and-Pencil Memory Tests in Detection of Mild Cognitive Impairment and Dementia: A Systematic Review and Meta-analysis of Diagnostic Studies

JAMDA
June 16, 2018
To compare the diagnostic performance of computerized and paper-and-pencil memory tests in detection of mild cognitive impairment (MCI) and dementia.

An Exoskeleton in the Rehabilitation of Institutionalized Elderly Patients at High Risk of Falls: A Pilot Study

JAMDA
June 16, 2018
Age-related changes in balance control combined with inactivity can lead to decreased physical performance resulting in increased risk of falling for many elderly people.1 Physical training exerts several beneficial effects in the elderly people...

Innovative Use of Cognitive Interviewing for Nursing Home Research

JAMDA
June 16, 2018
Due to nursing home (NH) regulatory and payment changes emphasizing person-centered care and value-based payment,1,2 we conducted a follow-up of a 2009–2010 survey3 to understand NH practice changes. In particular, our focus was on understanding NH...

Implementing Integrated Care Into Assisted Living—The Road (Finally) Taken

JAMDA
June 16, 2018
Two recent editorials in JAMDA highlighted the increasing health care needs of residents in assisted living (AL) communities. Katz et al addressed the need for more physician presence in AL,1 and Resnick and colleagues recognized that nurses play an...