Dear Dr. Jeff: When I started my position as medical director, the only paperwork that I was required to submit was a timesheet. When our facility became part of a chain, a job description was created to include an evaluation of my performance based...
It’s not too early to start planning for AMDA — The Society for Post-Acute and Long-Term Care Medicine’s 2020 Annual Conference, set for April 2–5 in Chicago, IL. The Program Planning Subcommittee is putting together another outstanding program. As...
Your input is requested for an ongoing project of the ECRI Institute. The Institute is currently evaluating the usability of discharge documents generated by electronic health record (EHR) systems that are intended to communicate clinical...
The Dover Park Hospice in Singapore asked me to visit their hospice to observe how they had adapted Namaste Care, a program I had developed for people with advanced dementia. Originally it was a small group program for nursing homes, but now it has...
Mrs. B is a 100-year-old white female with a history of dementia, squamous cell carcinoma to the bilateral lower extremities, and venous insufficiency. She is no longer able to verbally express her opinions or desires, although she recognizes...
It is a cardinal fact that if one wishes to perpetuate any given behavior, then that behavior needs to be rewarded. A simple “thank you” or “you made a difference in the care of me or my loved one” from a family or resident is always welcome for...
A new study covering almost all nursing home residents in Ontario, Canada, has shown highly variable urine culturing rates across facilities and a strong association of culturing with antibiotic use and Clostridioides difficile infection — a...
