It is likely that 2015 will be remembered as a crucial year of policy implementation that will set the stage for the future of health care delivery. It began early last January with an announcement from Health and Human Services (HHS) Secretary...
Today, the Health Information Technology Policy Committee (HITPC) , a federal advisory committee to the Office of the National Coordinator for Health IT, transmitted a report to Congress on interoperability. The report reviews the technical,...
In response to the International Association of Gerontology and Geriatrics' global agenda for clinical research and quality of care in long-term care homes (LTCHs), the International Consortium on Professional Nursing Practice in Long Term Care...
We thank Dr Basel for his thoughtful comments on our editorial, and we agree that telemedicine is a promising approach to both reducing unnecessary hospital transfers and the clinician workforce shortage in long-term and post-acute care, especially...
Early in my clinical career I remember walking into the rehabilitation department of the skilled nursing facility where I was working with an 85-year-old patient who announced when she entered the room, “look at all these old people!” This was the...
Health-related quality of life (HRQoL) is a multidimensional outcome measure thought to be affected by changes in health and the quality of services provided.1,2 HRQoL has been described as the most important outcome among residents of long-term...
We read with interest JAMDA's recent editorial by Katz and colleagues1 discussing the proposed rule change by the Centers for Medicare and Medicaid Services (CMS) to require in-person provider evaluations before a nursing home resident is...
Burdensome symptoms and potentially inappropriate care practices are common at the end of life for nursing home residents. Appropriately managing symptoms and limiting aggressive care practices is key to high-quality end-of-life care. Little...
Identifying patients at risk for delirium allows prompt application of prevention, diagnostic, and treatment strategies; but is rarely done. Once delirium develops, patients are more likely to need posthospitalization skilled care. This study...
