Publications

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The Future is Now: Enabling Greater Post-Acute Care Interoperability

JAMDA
May 1, 2023
To establish a framework for HL7® Fast Health Interoperability Resource (FHIR®) Implementation Guide (IG) development to facilitate health information exchange across Post-Acute Care (PAC) settings and other entities exchanging PAC information...

Interprofessional Education on Transitions from Hospital to Skilled Nursing Facilities

JAMDA
May 1, 2023
At our institution, an interprofessional (IP) hospital team consisting of a hospitalist, pharmacist, and nurse practitioner, meets with IP teams from local skilled nursing facilities (SNFs) in a weekly teleconference to reconcile gaps in care for...

Improving Staff Capacity to Talk About Death and Dying

JAMDA
May 1, 2023
As the population ages, more people will die in long-term care (LTC) homes. Yet most LTC homes do not offer structured palliative education for their staff. The purpose of this study was to evaluate 2 multidisciplinary educational initiatives (i.e...

Implementation of a Novice Nurse Practitioner Geriatric Fellowship Program

JAMDA
May 1, 2023
Novice nurse practitioners (NP) often report anxiety, insecurity, exhaustion, and feelings of professional isolation during their transition to practice period. This leads to role dissatisfaction, suboptimal performance, and potential burnout. With...

Impact of Heart-Failure Education on Healthcare Staff at Nursing Home

JAMDA
May 1, 2023
Approximately 20% of hospital discharges for heart failure (HF) in the United States result in an admission to a skilled nursing facility (SNF). Patients discharged to a SNF with HF are usually older, frailer, with more significant comorbidities...

Impact of Education Campaign on Deprescribing

JAMDA
May 1, 2023
Polypharmacy is common in the nursing home population. Deprescribing programs generally result in 20-30% reductions in the targeted medications. Three categories of medications were chosen for this deprescribing initiative: anticholinergic bladder...

Education about Post-Acute and Long-Term Care for Experienced Clinicians Without Formal Geriatrics Training

JAMDA
May 1, 2023
In July 2021, the general medicine service at a large academic Veterans Affairs (VA) medical center assumed care of residents of a 110-bed Community Living Center (CLC). We developed a curriculum to help clinicians experienced in the care of...

What’s for Dinner? A Case of Polypharmacy Induced Weight loss

JAMDA
May 1, 2023
The complications arising from polypharmacy in older adults have been well described in literature. Increasing numbers of prescriptions have led to poor health outcomes, including increasing frailty, loss of independence and worsening nutritional...

Transthyretin Cardiomyopathy: An Underdiagnosed Pathology, Presenting with Common Geriatric Syndromes

JAMDA
May 1, 2023
Symptomatology of transthyretin amyloidosis varies with organ involvement, but it almost invariably presents with the common geriatric syndromes. Transthyretin cardiac amyloidosis causes restrictive cardiomyopathy which if not diagnosed and treated...

Subacute Memory Loss in PALTC: Beyond the Most Common

JAMDA
May 1, 2023
Major neurocognitive disorder due to brain metastasis in a previously independent veteran who was admitted to our post-acute care with an unrelated illness and noted with disorganized thinking, apathy, lack of hygiene and memory loss during...