Publications

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The Delirium, Depression, and Dementia (3Ds) Clinical Practice Guideline: A Team Effort and Labor of Love

Caring for the Ages
April 1, 2023
This past fall, AMDA – The Society for Post-Acute and Long-Term Care Medicine launched a newly revised “3-in-1” clinical practice guideline (CPG): Delirium, Depression and Dementia in the Post-Acute and Long-Term Care Setting ( https://bit.ly/3DCPG...

In Gratitude to a Colleague Who Brings Calm to the Chaos

Caring for the Ages
April 1, 2023
It was around 6:00 p.m., and I was on my way to leave the facility when I suddenly heard a new patient screaming. He was bellowing from his room asking for the nurse and pain medication. His transportation packet did not have his pain prescription,...

From Protection to Collaboration: What to Do and Say to Empower Ourselves When Hearing a Difficult Message

Caring for the Ages
April 1, 2023
You’ve had a long day with five admissions, and you still have hours of documentation to finish before you can go home to your family. You are sitting at the nursing station, and Ms. Green’s daughter approaches you with a look on her face that you...

Optimizing the Use of Gabapentin: A Special Drive to Deprescribe Podcast

Spotlight
March 31, 2023
Medication optimization is a hot topic in post-acute and long-term care and a focus of AMDA’s very popular Drive to Deprescribe (D2D) initiative. Now practitioners have yet another opportunity to address their deprescribing challenges with a new...

Ask Your Senators to Support Medical Director Transparency

Policy Snapshot
March 31, 2023
The Fiscal Year (FY) 2024 appropriations process is underway. Encourage your senators to support transparency for nursing home medical directors. Your senators can join by signing on to a letter to Appropriations Subcommittee members encouraging...

CMS Open Door Forum Call on April 13

Policy Snapshot
March 31, 2023
The next Centers for Medicare & Medicaid Services (CMS) Skilled Nursing Facilities (SNF)/Long Term Care (LTC) Open Door Forum is scheduled for Thursday, April 13, 2023, 2:00–3:00 PM ET. See the agenda here . To participate in this conference...

CMS Revises Guidance for Enforcement for Infection Control Deficiencies

Policy Snapshot
March 31, 2023
The Centers for Medicare & Medicaid Services (CMS) has rescinded memorandum QSO-20-31-ALL , the Enhanced Enforcement for Infection Control Deficiencies, and replaced it with memorandum QSO-23-10-NH , revised guidance for Strengthened Enhanced...

Letter to the Editor in Response to Paul Katz et al: “Raising the Bar for Physicians Practicing in Nursing Homes: Is Specialty Status the Answer?”

JAMDA
March 31, 2023
Our current health care system is failing to meet the needs of our population, particularly with regard to chronic illness and post-acute and long-term care (PA-LTC). Despite widespread dissatisfaction, major reforms are not in sight.

Continuous Vital Signs Monitoring in Patients Hospitalized at Home: Burden or Benefit?

JAMDA
March 31, 2023
Hospital-at-Home (HaH) programs are increasingly popular alternatives to inpatient hospitalization,1-3 proving to be a tenable model of care especially during the COVID-19 pandemic.4,5 They demonstrated benefits of shorter lengths of stay,2 improved...

Frailty and Time at Home After Post-Acute Care in Skilled Nursing Facilities

JAMDA
March 31, 2023
To examine the association of a claims-based frailty index with time at home, defined as the number of days alive and spent out of hospital or skilled nursing facility (SNF).