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Researchers analyzed records for 43,200 veterans with prior hospitalization who had received primary care at a VA site between October 2016 and September 2019. They included VA hospice encounters in the outcome but not enrollment in a home hospice program, nursinghome hospice center or Medicare-paid hospice.
Many incarcerated seniors who could benefit from palliative care do not receive adequate access or referrals to these services, according to Katherine Supiano, associate professor in the College of Nursing at the University of Utah. The prison system was never designed to become a nursinghome or hospice, but it has become one.
An earlier version of budget neutrality was phased out in 2016. The payment increases were generally seen as a boon for providers, though some voiced concern about the cut to routine home care, which represents about 97% of the services hospices provide, according to the National Hospice & Palliative Care Organization (NHPCO).
New Hampshire, which scrapped CON in 2016, was the most recent. Montana removed CONs for all settings except nursinghomes as of last October. It really depends on the current culture of the state,” Lund Person told Hospice News. Will CON laws last? According to some, the prevalence of these laws may continue to dwindle. “In
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Joel: And by the way, I should mention that some of the work that’s been done in the past on patients with dementia in the hospital, it’s been based on Emily Finlayson’s work looking at surgery, but really looking only at nursinghome patients. Alex: But I’m talking about-. Joel: Talk about it.
Alex: Today we are delighted to welcome Heather Coats, who’s a palliative care nurse practitioner and scientist and Director of Research at the Hospice and Palliative Nurses Association, or HPNA, an Assistant Professor at the University of Colorado and Schutz College of Nursing. Alex: This is Alex Smith. Heather: Sure.
Alex: We’re delighted to welcome back Lauren Hunt, who is a Hospice and Palliative Care Nurse Researcher, an Assistant Professor of Nursing at UCSF. Nurse case management, social worker case management, medications, medical equipment, a home health aid, all that stuff goes away. Melissa: Thank you. Great to be here.
Private equity is probably one of the top things that I’m worried about with the future of our field in Palliative care and that because private equity is buying up… And Geriatrics, buying up assisted livings, nursinghomes, hospices at an extraordinary rate. They’ve all been laid out for you. Anne: Right.
Next, we talk with James Deardorff about whether we can accurately predict nursinghome level of care in community-dwelling older adults with dementia. Why do this? First, we have James Deardorff, who’s a geriatrician and assistant professor at UCSF in the division of Geriatrics. James, welcome back to GeriPal. Kara 04:09 Sure.
Malaz: One day I was in internal medicine residency and I had to take care of a patient who was admitted from a nursinghome with dementia. For me, right now, the worst thing, my nightmare is dying from dementia alone in a nursinghome. People start thinking about putting them in a nursinghome. 2015, 2016.
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