Publications

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Clinical and Safety Outcomes of Oral Antithrombotics for Stroke Prevention in Atrial Fibrillation: A Systematic Review and Network Meta-analysis

JAMDA
October 30, 2015
Novel oral anticoagulants (NOACs) expanded the options for stroke prevention in atrial fibrillation (AF). Earlier studies comparing their relative effectiveness and safety typically do not incorporate age-related differences or postmarketing studies...

Antipsychotic Drug Use in Nursing Homes: Trend Update

Policy Snapshot
Skilled Nursing Care, Antipsychotics
October 30, 2015
The Centers for Medicare & Medicaid Services (CMS) is tracking the progress of the National Partnership to Improve Dementia Care in Nursing Homes by reviewing publicly reported measures. The official measure of the Partnership is the percentage...

Discharge Planning Proposed Rule Focuses on Patient Preferences

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Transitions of Care
October 30, 2015
The Centers for Medicare & Medicaid Services (CMS) proposed to revise the discharge planning requirements that hospitals, including long-term care hospitals and inpatient rehabilitation facilities, critical access hospitals, and home health...

Lessons to Exchange: A Comparison of Long-Term Care Between Two Cultures: Uganda and Singapore

JAMDA
October 29, 2015
Today, both the developed and developing world are facing fast-aging populations. Projections show that by 2050, 80% of the world's older persons will live in low and middle-income countries. As developed countries look to institutionalization as...

Prescribed Doses of Opioids in Long-Term Care Facilities

JAMDA
October 28, 2015
Recent reports have highlighted a rapid increase in opioid use in long-term care. Pitkälä et al1 reported the prevalence of regular opioid use increased from 12% to 23% in Finnish nursing homes between 2003 and 2011. Hanlon et al2 reported that 65%...

Predicting Adverse Health Outcomes in Nursing Homes: A 9-Year Longitudinal Study and Development of the FRAIL-Minimum Data Set (MDS) Quick Screening Tool

JAMDA
October 23, 2015
To examine the predictive validity of a quick frailty screening tool, the FRAIL-NH, for adverse health outcomes in nursing home residents, using variables from the Minimum Data Set (MDS). The screening items were compiled from the MDS for potential...

HHS Awards more than $240 Million to Expand the Primary Care Workforce

Policy Snapshot
October 23, 2015
On October 14, U.S. Department of Health and Human Services (HHS) Secretary Sylvia Burwell announced more than $240 million – including about $176 million in Affordable Care Act funding – to support the National Health Service Corps and NURSE Corps...

Operational Definition of Active and Healthy Aging (AHA): The European Innovation Partnership (EIP) on AHA Reference Site Questionnaire: Montpellier October 20–21, 2014, Lisbon July 2, 2015

JAMDA
October 20, 2015
A core operational definition of active and healthy aging (AHA) is needed to conduct comparisons. A conceptual AHA framework proposed by the European Innovation Partnership on Active and Healthy Ageing Reference Site Network includes several items...

AMDA Submits Comments on CMS Reforms of Regulations for Long Term Care Facilities

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Federal Regulations
October 16, 2015
This week AMDA submitted comments to the Centers for Medicare & Medicaid Services (CMS) on the Proposed Rule Reform of Requirements for Long-Term Care Facilities . AMDA’s extensive comments showed an overall support of the intention of the...

Primary Care Makes Strides in Improving Quality and Costs

Policy Snapshot
Medicare
October 16, 2015
On October 7, CMS announced promising results of the first shared savings performance year for the Comprehensive Primary Care (CPC) initiative. In 2014, CPC practices showed positive quality results, with hospital readmissions lower than national...