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JAMDA
March 1, 2020
The geriatric population is at high risk of severe low blood glucose (LBG) events due to diminished homeostatic mechanisms, especially on hypoglycemic medications. Moderate to severe LBG events in these patients can contribute to behavior changes...
JAMDA
March 1, 2020
Hospitalizations from senior living facilities result in complications, morbidity, and Medicare expenditures of over 1 billion dollars annually. Lack of after-hours, on-site physician availability in these facilities may contribute to avoidable...
JAMDA
March 1, 2020
Parkinson’s disease (PD) is a multifaceted condition that impacts a wide range of functions, including speech. The effect of loss of communication ability creates a cascade of effects which includes decreased participation in social events, social...
JAMDA
March 1, 2020
Patients who transition from hospital to skilled nursing facilities (SNF) frequently require home healthcare (HHC) services upon discharge to home. The certifying physician must document that he or she, or an allowed non-physician practitioner (NPP...
JAMDA
March 1, 2020
Hand washing has been established as the single most effective way to significantly reduce the transmission of infections within healthcare facilities. Rising higher complexity of patients, multi-drug resistant infections, and increasing need for...
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...
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)...
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...
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...
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...