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Customized Music Therapy to Deprescribe Psychotropics in a Skilled Nursing Facility

JAMDA
March 1, 2020
A significant proportion of skilled nursing facility residents hold at least 1 psychiatric diagnosis. Newer, revised Centers for Medicaid and Medicare Services (CMS) definitions, regulations, and limits regarding psychotropic use in skilled nursing...

Creating an Age-Friendly Health System: Lessons learned for the Post-Acute Care Setting

JAMDA
March 1, 2020
With health systems growing in size and complexity, older adults who seek medical care are forced to navigate the difficult terrain of the emergency room (ED), possible hospitalization and/or re-hospitalization, and skilled nursing facility (SNF)...

Association Between Patient-Tailored Case Management Initiative and Outcomes in Subacute Rehabilitation Facilities to Decrease 30-day Hospital Readmissions for Chronic Obstructive Pulmonary Disease

JAMDA
March 1, 2020
Chronic Obstructive Pulmonary Disease (COPD) will become the 3rd leading cause of death worldwide in 2020 and is currently the 3rd leading cause of hospital readmissions in the US. In October 2014, the Centers for Medicare and Medicaid Services (CMS...

An Integrated Healthcare Model for our County's Most Vulnerable Patients: Making an Impact with PACT (Post-Acute Care Transition)

JAMDA
March 1, 2020
Safe hospital discharge remains a high priority for maintaining quality of care in medical systems. The PACT initiative grew from a growing need to care for a challenging population - patients who are hospitalized for complex medical conditions but...

AI Predicts Post-Acute Care Need

JAMDA
March 1, 2020
Discharge delays due to non-medical reasons are important causes of unnecessary extended inpatient lengths of stay that contribute to rising costs and strained bed capacities. Appropriate post-acute care (PAC) placement is a critical component of...

Addressing Population Health Care Transitions by Utilizing Swingbed Post-Acute Care

JAMDA
March 1, 2020
Ste Genevieve County Memorial Hospital (SGCMH) has a swing bed hospital-based program for Transitional Care (skilled nursing). Recently, SGCMH implemented an innovative care model, standardized triage process, and collaboration with select tertiary...

A Multidisciplinary Process to Improve Quality Indicators in a Veterans Affairs Community Living Center

JAMDA
March 1, 2020
Quality Indicators (QIs) are an important part of Long-Term Care Quality improvement initiatives and 1 of 3 domains of the overall star rating developed by Centers for Medicare/Medicaid (CMS). At the Corporal Michael J Cresencz Veterans Affairs...

Utilizing the Huddle for Meaningful Conversations about Goals of Care and Advance Directives

JAMDA
March 1, 2020
Oftentimes, the conversations that are needed the most to understand patient care goals, especially in the context of serious illness or end of life, are often not talked about. Patients’ goals of care and advance directives tend to happen too late...

Staff Education on a Urinary Tract Infection Algorithm in a Skilled Nursing Facility

JAMDA
March 1, 2020
A nation-wide initiative has been established for antibiotic stewardship in an effort to reduce over-treatment and over-diagnosis of infections. In our Skilled Nursing Facility (SNF), there are minimal guidelines for ordering urinalyses (UAs) in...

Impacts of UTI Protocol Initiation on Long-Term Care Nursing Staff

JAMDA
March 1, 2020
Concerns of urinary tract infections (UTI) are widespread in long-term care (LTC) settings. Non-specific symptoms can lead to unnecessary testing and inappropriate antibiotic use. There have been numerous protocols developed to standardize diagnosis...