Publications

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Adult Daughters: Our Nation’s Front Lines of Caregiving in the Era of Alzheimer’s

Caring for the Ages
July 1, 2017
In honor of A Day Without a Woman, my friends at Daughters Unite quoted one of my frequent go-to sayings: “If adult daughters went on strike tomorrow, our health care system would collapse.” It’s time I explained why I say this so often.

CMS Asks for Comments on Payment Model

Caring for the Ages
July 1, 2017
The Centers for Medicare & Medicaid Services has extended the deadline for public comments regarding revisions to the prospective payment system’s case-mix methodology, (82 FR 20980) (the ANPRM) that appeared in the Federal Register on May 14.

Introducing the Pioneer Perspective

Caring for the Ages
July 1, 2017
How many times have we heard that “it’s all about relationships”? A truer statement you won’t often hear. Physicians have known this for a long time, and yet in the face-paced world we live in, having the time to build and grow those relationships...

The Refusing Resident: Risk Management Principles

Caring for the Ages
July 1, 2017
Ms. C was a 65-year-old woman admitted to a skilled nursing facility for rehabilitation after falling and sustaining a hip fracture that had been surgically repaired. Ms. C had a complex medical history including stage 4 breast cancer with...

Obesity Burden in US Challenges SNFs

Caring for the Ages
July 1, 2017
PHOENIX — The rapidly rising rates of obesity in the United States put many skilled nursing facilities at risk for legal and other challenges, according to experts.

Bedside Signs Lead Way to Fewer Falls

Caring for the Ages
July 1, 2017
LOS ANGELES — At first glance, the fall prevention program at a Southern California skilled nursing facility sounds too simple to make a huge difference. It largely relies on colorful bedside signs to alert staff members that patients are at special...

Education on Basics Results in Significant CAUTI Reduction, Cost Savings

Caring for the Ages
July 1, 2017
PHOENIX — Staff at the 162-bed Henry J. Carter Nursing Facility in New York City achieved a 78% reduction in the rate of catheter-associated urinary tract infections (CAUTI) with training on basic care and strict adherence to preventive practices,...

Society Innovations: Where Are We Now?

Caring for the Ages
July 1, 2017
At AMDA – the Society for Post-Acute and Long-Term Care Medicine’s Annual Conference, the Innovations workgroup led an engaging session to introduce the concept of innovation and implementation as it pertains to health care in general, and...

Organizational Dysfunction Implicated in Antipsychotic Prescription Rates

Caring for the Ages
July 1, 2017
A qualitative study from Australia has found that staffing levels and effective communication of management with staff were found to affect the levels of psychotropic prescribing.

Evolving Sepsis Criteria and New Management Guidelines Hold Lessons for PALTC

Caring for the Ages
July 1, 2017
PHOENIX — The recently published Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3) and newly updated Surviving Sepsis Campaign international guidelines for management emphasize the need for earlier recognition and more...