Publications

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More of a Good Thing: A Framework to Grow and Strengthen the PALTC Workforce from the Inside Out

Caring for the Ages
May 1, 2022
We are all aware of the staffing crisis that post-acute and long-term care (PALTC) communities are experiencing across the nation. It is discussed in webinars, during meetings, in articles, and in casual conversations among exhausted clinicians,...

Three Little Pigs: COVID-19, Nursing Homes, and Person-Directed Culture — What’s the Connection?

Caring for the Ages
May 1, 2022
We all know the story of the three little pigs and the big bad wolf. Each of the pigs built a home with the same goal: keeping all who lived within safe from the big bad wolf. One home was made of straw, one of wood, and one of brick. We also know...

A Season for PALTC: Improving Quality, Increasing Transparency, and Strengthening Our Workforce

Caring for the Ages
May 1, 2022
Just a few weeks before assuming the role of president of AMDA – The Society for Post-Acute and Long-Term Care Medicine, I sat on the sofa in my family room watching President Biden give the State of the Union address. During the speech, he...

Arbitration Agreements: Are They Enforceable?

Caring for the Ages
May 1, 2022
Few issues regarding skilled nursing facilities are as controversial as pre-dispute, binding arbitration agreements. Moreover, even fewer issues have been litigated as much as binding arbitration agreements. The Federal Arbitration Act (FAA),...

Miss Dotlin’s Blankets: How a CNA in Georgia Brings Creativity and Care to Dementia Residents

Caring for the Ages
May 1, 2022
Dotlin Powell learned to knit while growing up in Saint Elizabeth, Jamaica, where girls in primary school were taught the skills of knitting, embroidery, and other arts and crafts. Knitting became part of her life. Into adulthood she decorated her...

My Father and Mother Died at Home — Will Yours?

Caring for the Ages
May 1, 2022
My mother was widowed for 11 years after my father died of Alzheimer’s disease. In the years before her own death at 93, she would often turn to me — her son, the geriatrician — and plaintively ask, “What will become of me?”

Erratum

JAMDA
April 30, 2022
In the March 2022 issue of the Journal of the American Medical Director's Association (Volume 23, Issue 3, page B12), the Myer et al poster abstract was not printed in its entirety. Some authors' names were omitted. The complete list of authors is...

IMPORTANT! PLEASE READ: CMS Clarifies Use of Telehealth After Waivers Lifted

Policy Snapshot
April 29, 2022
On April 7, the Centers for Medicare & Medicaid Services (CMS) announced its intention to end the use of some 1,135 pandemic waivers that allowed physician visits to the nursing home to be conducted via telehealth. Amid some confusion from...

Report Shows Long-Term Care Staffing Shortages By State

Policy Snapshot
April 29, 2022
A recent report from the Seniorly Resource Center breaks down long-term care facility staffing shortages by state and notes that an average of about one-quarter of long-term care facilities have reported shortages in nursing staff so far in 2022, an...

CMS Releases Informational Benchmarks to Help MIPS-Eligible Clinicians Prepare for the 2023 Performance Period

Policy Snapshot
April 29, 2022
As finalized in the Calendar Year 2022 Physician Fee Schedule Final Rule , the Centers for Medicare & Medicaid Services (CMS) is removing the 3-point scoring floor in the Merit-based Incentive Payment System (MIPS) for quality measures that can...