Publications

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Decision Guide Helps Families Navigate Path From Home to Hospitalization

Caring for the Ages
April 1, 2016
It has occurred to every PALTC clinician on call, whether it’s a nurse practitioner, physician assistant, or physician. The skilled nursing facility calls with an acute change in status for a resident under your care. Fortunately, the nurse is well...

Advance Care Planning Discussions Help Physicians Walk the Talk

Caring for the Ages
April 1, 2016
Dear Dr. Jeff:

Thrombectomy Highly Cost-Effective for Stroke

Caring for the Ages
April 1, 2016
LOS ANGELES — Endovascular thrombectomy is not only clinically the best option for many patients with acute, ischemic strokes involving a proximal occlusion in a large cerebral artery; it’s also highly cost effective, based on follow-up analyses of...

New Prediction Tool Forecasts Long-Term ICU Outcomes for Very Elderly

Caring for the Ages
April 1, 2016
ORLANDO, FL — A new clinical prediction rule correlates well with performance status at 1 year after ICU hospitalization in patients older than 80.

Benzodiazepines Not Causally Related to Increased Dementia Risk

Caring for the Ages
April 1, 2016
Benzodiazepine use by elderly adults did not seem to be causally related to an increased risk for dementia and cognitive decline, according to results from a prospective study.

California Decision Brings No Relief to the Unbefriended

Caring for the Ages
April 1, 2016
We ran a Medical Ethics column in October 2015 by Robert Gibson, PhD, JD, about medical decision-making for our patients who lack decisional capacity and have nobody available to serve as a surrogate to provide substituted judgment, that is, to tell...

Researcher Connects With Colleagues for Telemedicine Study

Caring for the Ages
April 1, 2016
Steven M. Handler, MD, PhD, CMD, has two professional loves — PALTC medicine and research. He is combining the two to explore the potential role for telemedicine in nursing homes and other PALTC settings, and he’s sought the input of his AMDA...

Medical Director of the Year Loves the Art of Geriatrics

Caring for the Ages
April 1, 2016
For David LeVine, MD, CMD, medical director at Menorah Manor in St. Petersburg, FL, there was never a question that he would practice medicine. In a family where his father, grandfather, and two brothers are all physicians, the profession is in his...

CMS Launches New Effort to Improve Care for Nursing Facility Residents

Policy Snapshot
Long-Term Care, Skilled Nursing Care, Centers for Medicare and Medicaid (CMS), Payment, Attending Physician, Medical Director, Nurse Practitioner (NP), Physician Assistant (PA), Quality
April 1, 2016
The Centers for Medicare & Medicaid Services (CMS) today announced it will test whether a new payment model for nursing facilities and practitioners will further reduce avoidable hospitalizations, lower combined Medicare and Medicaid spending,...

CMS: You can bill CCM in Non-Part A Nursing Facility Stays

Policy Snapshot
Assisted Living, Skilled Nursing Care, Centers for Medicare and Medicaid (CMS), Payment, Current Procedural Terminology (CPT) codes, Attending Physician, Nurse Practitioner (NP), Physician Assistant (PA)
April 1, 2016
Over the last year, AMDA - The Society for Post-Acute and Long-Term Care Medicine has asked the Centers for Medicare & Medicaid Services (CMS) to clarify whether the Chronic Care Management (CCM) Current Procedural Terminology (CPT) code was...