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https://www.readbyqxmd.com/read/27899433/can-we-help-care-providers-communicate-more-effectively-with-persons-having-dementia-living-in-long-term-care-homes
#1
Katherine S McGilton, Elizabeth Rochon, Souraya Sidani, Alexander Shaw, Boaz M Ben-David, Marianne Saragosa, Veronique M Boscart, Rozanne Wilson, Karmit K Galimidi-Epstein, M Kathleen Pichora-Fuller
BACKGROUND: Effective communication between residents with dementia and care providers in long-term care homes (LTCHs) is essential to resident-centered care. PURPOSE: To determine the effects of a communication intervention on residents' quality of life (QOL) and care, as well as care providers' perceived knowledge, mood, and burden. METHOD: The intervention included (1) individualized communication plans, (2) a dementia care workshop, and (3) a care provider support system...
November 28, 2016: American Journal of Alzheimer's Disease and Other Dementias
https://www.readbyqxmd.com/read/27544939/medicare-program-hospital-inpatient-prospective-payment-systems-for-acute-care-hospitals-and-the-long-term-care-hospital-prospective-payment-system-and-policy-changes-and-fiscal-year-2017-rates-quality-reporting-requirements-for-specific-providers-graduate
#2
(no author information available yet)
We are revising the Medicare hospital inpatient prospective payment systems (IPPS) for operating and capital-related costs of acute care hospitals to implement changes arising from our continuing experience with these systems for FY 2017. Some of these changes will implement certain statutory provisions contained in the Pathway for Sustainable Growth Reform Act of 2013, the Improving Medicare Post-Acute Care Transformation Act of 2014, the Notice of Observation Treatment and Implications for Care Eligibility Act of 2015, and other legislation...
August 22, 2016: Federal Register
https://www.readbyqxmd.com/read/27312737/icu-acquired-weakness-a-rehabilitation-perspective-of-diagnosis-treatment-and-functional-management
#3
Richard D Zorowitz
ICU-acquired weakness (ICUAW) occurs with reported incidence rates from 25% to 100%. Risk factors include immobility, sepsis, persistent systemic inflammation, multiorgan system failure, hyperglycemia, glucocorticoids, and neuromuscular blocking agents. The pathophysiology remains unknown. Clinical features may be neuropathic, myopathic, or a combination of both. Although manual muscle testing is more practical in diagnosing ICUAW, the "gold standard" for the diagnosis of ICUAW remains electromyography and nerve conduction studies...
October 2016: Chest
https://www.readbyqxmd.com/read/27101642/medicare-program-temporary-exception-for-certain-severe-wound-discharges-from-certain-long-term-care-hospitals-required-by-the-consolidated-appropriations-act-2016-modification-of-limitations-on-redesignation-by-the-medicare-geographic-classification-review
#4
(no author information available yet)
This interim final rule with comment period (IFC) implements section 231 of the Consolidated Appropriations Act of 2016 (CAA), which provides for a temporary exception for certain wound care discharges from the application of the site neutral payment rate under the Long-Term Care Hospital (LTCH) Prospective Payment System (PPS) for certain long-term care hospitals. This IFC also amends our current regulations to allow hospitals nationwide to reclassify based on their acquired rural status, effective with reclassifications beginning with fiscal year (FY) 2018...
April 21, 2016: Federal Register
https://www.readbyqxmd.com/read/26712302/recommendations-from-the-international-consortium-on-professional-nursing-practice-in-long-term-care-homes
#5
Katherine S McGilton, Barbara J Bowers, Hazel Heath, Kay Shannon, Mary Ellen Dellefield, Dawn Prentice, Elena O Siegel, Julienne Meyer, Charlene H Chu, Jenny Ploeg, Veronique M Boscart, Kirsten N Corazzini, Ruth A Anderson, Christine A Mueller
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 Homes (the Consortium) was formed to develop nursing leadership capacity and address the concerns regarding the current state of professional nursing practice in LTCHs. At its invitational, 2-day inaugural meeting, the Consortium brought together international nurse experts to explore the potential of registered nurses (RNs) who work as supervisors or charge nurses within the LTCHs and the value of their contribution in nursing homes, consider what RN competencies might be needed, discuss effective educational (curriculum and practice) experiences, health care policy, and human resources planning requirements, and to identify what sustainable nurse leadership strategies and models might enhance the effectiveness of RNs in improving resident, family, and staff outcomes...
February 2016: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/26305121/delivery-of-institutional-long-term-care-under-two-social-insurances-lessons-from-the-korean-experience
#6
Hongsoo Kim, Young-Il Jung, Soonman Kwon
Little is known about health and social care provision for people with long-term care (LTC) needs under multiple insurances. The aim of this study is to compare the profile, case-mix, and service provision to older people at long-term care hospitals (LTCHs) covered by the national health insurance (NHI) with those of older people at long-term care facilities (LTCFs) covered by the public long-term care insurance (LTCI) in Korea. A national LTC survey using common functional measures and a case-mix classification system was conducted with a nationally representative sample of older people at LTCFs and LTCHs in 2013...
October 2015: Health Policy
https://www.readbyqxmd.com/read/26292371/medicare-program-hospital-inpatient-prospective-payment-systems-for-acute-care-hospitals-and-the-long-term-care-hospital-prospective-payment-system-policy-changes-and-fiscal-year-2016-rates-revisions-of-quality-reporting-requirements-for-specific-providers
#7
(no author information available yet)
We are revising the Medicare hospital inpatient prospective payment systems (IPPS) for operating and capital related costs of acute care hospitals to implement changes arising from our continuing experience with these systems for FY 2016. Some of these changes implement certain statutory provisions contained in the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 (collectively known as the Affordable Care Act), the Pathway for Sustainable Growth Reform(SGR) Act of 2013, the Protecting Access to Medicare Act of 2014, the Improving Medicare Post-Acute Care Transformation Act of 2014, the Medicare Access and CHIP Reauthorization Act of 2015, and other legislation...
August 17, 2015: Federal Register
https://www.readbyqxmd.com/read/26067882/the-role-of-long-term-acute-care-hospitals-in-treating-the-critically-ill-and-medically-complex-an-analysis-of-nonventilator-patients
#8
Lane Koenig, Berna Demiralp, Josh Saavoss, Qian Zhang
BACKGROUND: Little evidence exists on the effects of receiving care in a long-term acute care hospital (LTCH). OBJECTIVE: To examine LTCH effects on mortality and Medicare payments overall and among high-acuity patients. RESEARCH DESIGN: A retrospective cohort study of Medicare beneficiaries using probit and generalized linear models. An instrumental variable technique was used to adjust for selection bias. SUBJECTS: Medicare beneficiaries within 5 major diagnostic categories and not on prolonged mechanical ventilation...
July 2015: Medical Care
https://www.readbyqxmd.com/read/25231807/-association-between-efficiency-and-quality-of-health-care-in-south-korea-long-term-care-hospitals-using-the-data-envelopment-analysis-and-matrix-analysis
#9
Minsung Sohn, Mankyu Choi
PURPOSE: Objectives of this study were to investigate the association between efficiency and quality of health care in Long-term Care Hospitals (LTCH) and determine related factors that would enable achievement of both high efficiency and high quality at the same time. METHODS: Major data sources were the "2012 Korean Assessment of Propriety by Long-term Care Hospitals" obtained from the Health Insurance Review & Assessment Service. Cost variables were supplemented by a National Tax Service accounting document...
August 2014: Journal of Korean Academy of Nursing
https://www.readbyqxmd.com/read/25226107/food-security-who-is-being-excluded-a-case-of-older-people-with-dementia-in-long-term-care-homes
#10
REVIEW
M Vahabi, L Schindel Martin
OBJECTIVES: HASH(0x4555d18) PURPOSE: To explore the extent of food security among older people, particularly those with cognitive impairments residing in Canadian long-term care homes (LTCHs) through a focused review of literature. METHOD: Databases including Medline, Nursing and Health Sciences (SAGE), Psych Info, Social Sciences Abstract, the Cumulative Index of Nursing and Allied Health Literature (CINAHL) and HealthSTAR were searched for peer-reviewed articles related to food experiences of older individuals in industrialized countries including Canada...
July 2014: Journal of Nutrition, Health & Aging
https://www.readbyqxmd.com/read/25167590/medicare-program-hospital-inpatient-prospective-payment-systems-for-acute-care-hospitals-and-the-long-term-care-hospital-prospective-payment-system-and-fiscal-year-2015-rates-quality-reporting-requirements-for-specific-providers-reasonable-compensation-equivalents
#11
(no author information available yet)
We are revising the Medicare hospital inpatient prospective payment systems (IPPS) for operating and capital-related costs of acute care hospitals to implement changes arising from our continuing experience with these systems. Some of these changes implement certain statutory provisions contained in the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 (collectively known as the Affordable Care Act), the Protecting Access to Medicare Act of 2014, and other legislation...
August 22, 2014: Federal Register
https://www.readbyqxmd.com/read/24781963/the-development-and-evaluation-of-mutual-support-groups-in-long-term-care-homes
#12
Kristine Theurer, Andrew Wister, Andrew Sixsmith, Habib Chaudhury, Loren Lovegreen
This article describes the development of a new mutual support group intervention for long-term care homes (LTCH); evaluates the processes, structure, and content of the intervention; and addresses replication and sustainability. Tom Kitwood's model of personhood is used as the basis for developing a weekly discussion group using themes chosen by participants and theme-associated music, readings, and photographs. A mixed-methods qualitative process evaluation design encompasses focus groups, systematic observation of six resident groups, individual resident interviews (N = 65), and staff interviews (N = 7) in three LTCH in British Columbia, Canada...
June 2014: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/24757563/a-review-of-advance-care-planning-programs-in-long-term-care-homes-are-they-dementia-friendly
#13
REVIEW
Abigail Wickson-Griffiths, Sharon Kaasalainen, Jenny Ploeg, Carrie McAiney
Background. Persons living with dementia in the long-term care home (LTCH) setting have a number of unique needs, including those related to planning for their futures. It is therefore important to understand the advance care planning (ACP) programs that have been developed and their impact in order for LTCH settings to select a program that best suits residents' needs. Methods. Four electronic databases were searched from 1990 to 2013, for studies that evaluated the impact of advance care planning programs implemented in the LTCH setting...
2014: Nursing Research and Practice
https://www.readbyqxmd.com/read/24133692/medicare-program-fy-2014-inpatient-prospective-payment-systems-changes-to-certain-cost-reporting-procedures-related-to-disproportionate-share-hospital-uncompensated-care-payments-interim-final-rule-with-comment-period
#14
(no author information available yet)
: In the fiscal year (FY) 2014 inpatient prospective payment systems (IPPS)/long-term care hospital (LTCH) PPS final rule, we established the methodology for determining the amount of uncompensated care payments made to hospitals eligible for the disproportionate share hospital (DSH) payment adjustment in FY 2014 and a process for making interim and final payments. This interim final rule with comment period revises certain operational considerations for hospitals with Medicare cost reporting periods that span more than one Federal fiscal year and also makes changes to the data that will be used in the uncompensated care payment calculation in order to ensure that data from Indian Health Service (IHS) hospitals are included in Factor 1 and Factor 3 of that calculation...
October 3, 2013: Federal Register
https://www.readbyqxmd.com/read/23977713/medicare-program-hospital-inpatient-prospective-payment-systems-for-acute-care-hospitals-and-the-long-term-care-hospital-prospective-payment-system-and-fiscal-year-2014-rates-quality-reporting-requirements-for-specific-providers-hospital-conditions-of-participation
#15
(no author information available yet)
We are revising the Medicare hospital inpatient prospective payment systems (IPPS) for operating and capital-related costs of acute care hospitals to implement changes arising from our continuing experience with these systems. Some of the changes implement certain statutory provisions contained in the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 (collectively known as the Affordable Care Act) and other legislation. These changes will be applicable to discharges occurring on or after October 1, 2013, unless otherwise specified in this final rule...
August 19, 2013: Federal Register
https://www.readbyqxmd.com/read/23910934/co-circulation-of-multiple-genotypes-of-human-rhinovirus-during-a-large-outbreak-of-respiratory-illness-in-a-veterans-long-term-care-home
#16
Samira Mubareka, Lisa Louie, Henry Wong, Andrea Granados, Sylvia Chong, Kathy Luinstra, Astrid Petrich, Marek Smieja, Mary Vearncombe, James Mahony, Andrew Simor
BACKGROUND: Human rhinoviruses (HRVs) are a well-recognized cause of long-term care home (LTCH) outbreaks of respiratory illness. However, there are limited data on the molecular epidemiology of the HRV types involved. OBJECTIVES: To determine whether a large respiratory outbreak in a LTCH was caused by a single type of HRV, and to describe the clinical impact of the outbreak. STUDY DESIGN: Nasopharyngeal swabs were collected from residents with one or more of the following: fever, cough, rhinitis, or congestion...
October 2013: Journal of Clinical Virology: the Official Publication of the Pan American Society for Clinical Virology
https://www.readbyqxmd.com/read/23777187/the-character-of-behavioural-symptoms-on-admission-to-three-canadian-long-term-care-homes
#17
COMPARATIVE STUDY
Kevin Brazil, Janine Maitland, Marianne Walker, Alice Curtis
OBJECTIVES: We determined the prevalence and nature of behavioural symptoms at the time of admission to a long-term care home (LTCH) and occurrence of resident-to-resident aggressive behaviour associated with behavioural symptoms within three months following admission. METHOD: The Cohen-Mansfield Agitation Inventory and Aggressive Behaviour Scale were completed at the time residents were admitted into the LTCH. A chart review, conducted three months after admission into the LTCH, abstracted documented resident-to-resident aggression...
2013: Aging & Mental Health
https://www.readbyqxmd.com/read/23251317/psychotropic-medication-use-in-canadian-long-term-care-patients-referred-for-psychogeriatric-consultation
#18
Corinne E Fischer, Carole Cohen, Lauren Forrest, Tom A Schweizer, Donald Wasylenki
UNLABELLED: BACKGROUND AND PUSPOSE: Prior studies have shown a high prevalence of psychotropic medication use among patients residing in long-term care homes (LTCHs). The purpose of this study was to examine psychotropic medication use by LTCH patients in a metropolitan Canadian city referred to outreach teams for psychiatric assessment. METHODS: A retrospective review of charts from specialized psychogeriatric outreach teams serving a large metropolitan city in Canada was undertaken...
September 2011: Canadian Geriatrics Journal: CGJ
https://www.readbyqxmd.com/read/21241209/an-analysis-of-clinical-outcomes-and-costs-of-a-long-term-acute-care-hospital
#19
COMPARATIVE STUDY
John J Votto, Paul J Scalise, Randall W Barton, Cristine A Vogel
OBJECTIVE: Compare clinical outcomes and costs in a study group of long-term acute care hospital (LTCH) patients with a control group of LTCH-eligible patients in an acute care hospital. LTCHs were created to provide post-acute care services not available at other post-acute settings. This is based on the premise that these patients would otherwise have stayed at acute care hospitals as high-cost outliers. The LTCH hospital is intended to deliver care to patients more efficiently, however, there are little documented clinical and financial data regarding the comparative clinical outcomes and costs for patients...
2011: Journal of Medical Economics
https://www.readbyqxmd.com/read/20712087/medicare-program-hospital-inpatient-prospective-payment-systems-for-acute-care-hospitals-and-the-long-term-care-hospital-prospective-payment-system-changes-and-fy2011-rates-provider-agreements-and-supplier-approvals-and-hospital-conditions-of-participation
#20
(no author information available yet)
: We are revising the Medicare hospital inpatient prospective payment systems (IPPS) for operating and capital-related costs of acute care hospitals to implement changes arising from our continuing experience with these systems and to implement certain provisions of the Affordable Care Act and other legislation. In addition, we describe the changes to the amounts and factors used to determine the rates for Medicare acute care hospital inpatient services for operating costs and capital-related costs. We also are setting forth the update to the rate-of-increase limits for certain hospitals excluded from the IPPS that are paid on a reasonable cost basis subject to these limits...
August 16, 2010: Federal Register
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