Publications

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Meeting Patients Where They Are: Effectiveness of a Home Visit Program

JAMDA
March 1, 2017
Nearly four million people in the U.S. are homebound without adequate access to office-based primary care. Provider home visits can improve outcomes and reduce healthcare costs. In response to a growing need to see geriatric patients in the home, a...

Innovative Use of Interactive Doll Therapy in Addressing Management of Dementia with Behaviors and Reducing Antipsychotic Usage

JAMDA
March 1, 2017
One of the recent initiatives in geriatric medicine has been the push to decrease the usage of antipsychotics for treating dementia with behaviors in favor of non-pharmacologic interventions. We identified a high prevalence of antipsychotic usage in...

Improving Transitions for Elders from the Hospital to Skilled Nursing Facilities through HOPE (Health Optimization Program for Elders)

JAMDA
March 1, 2017
Accurate communication of medical information is a vital step to providing quality care. Transitioning patient care between siloed institutions such as hospitals and nursing facilities (SNF) brings many challenges. Inaccurate or incomplete discharge...

Improve Screening for Falls in the Elderly Population in a Long Term Care Setting

JAMDA
March 1, 2017
In 2014, the medical cost to manage fall related injuries was over $30 Billion. The Geriatric population falls more frequently than the other age groups, more than 2 million falls per year approximately. For elderly, a fall is a potential cause for...

Implementation of a Standardized Discharge Process for Patients Transitioning from a Skilled Nursing Facility to the Community and Impact on Patient Preparedness for Discharge and Various Post-Discharge Medical Outcomes

JAMDA
March 1, 2017
The percentage of short-stay residents who are discharged successfully to the community and the percentage that are re-hospitalized after a nursing home admission are Medicare quality measures. Re-hospitalization rates from skilled nursing...

Identify, Triage, and Treat (ITT) – A Programmatic Approach to the Assessment and Treatment of Patients with Clinical Changes to Limit Readmission

JAMDA
March 1, 2017
Increasing pressure by payers to limit readmissions across the continuum of care requires all providers in post-acute care and long term care (PALTC) to be aware of opportunities to treat patients who develop acute clinical deterioration safely and...

Healthcare Team Attitudes Influencing the Use of Intravenous Furosemide in a Long Term Care Center for the Treatment of Acute Decompensated Heart Failure

JAMDA
March 1, 2017
For residents living in long term care (LTC), cardiovascular disease represents one of the broadest challenges. Included within this diagnostic category are a number of diseases such as hypertension, myocardial infarction, and ischemic stroke, with...

Glycemic Control in Long-Term Care (PALTC) Older Residents with Diabetes Mellitus: An Opportunity for Less Intensive Therapy Consistent with Current Guidelines. A Quality Improvement (QI) Project

JAMDA
March 1, 2017
Diabetes Mellitus (DM) is common in older adults in the LTC setting. AGS and AMDA updated guidelines comment on the need for individualized glycemic control. They recommend a hemoglobin A1c (A1c) generally between 7.5 and 8%; between 7 and 7.5% if...

Fluoroquinolones, You’re Fired!

JAMDA
March 1, 2017
Efforts to improve antibiotic prescribing have become essential due to increased bacterial resistance and decreased antibiotic formulation. Long term care (LTC) facilities play a unique role in antibiotic overuse, as studies have found that 47-79%...

Discontinuation of Statins in Elderly Patients with Advanced Dementia and Limited Life Expectancy

JAMDA
March 1, 2017
Statins play a major role in primary and secondary prevention of stroke and coronary artery disease. In the elderly populations, there is limited evidence regarding their efficacy and benefits. Statins can increase the risk of falls; myopathy and...