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Improving Nursing Home Quality: Jasmine Travers, Alice Bonner, Isaac Longobardi, and Mike Wasserman

GeriPal

Summary Transcript Summary In April 2022, the National Academies of Sciences, Engineering and Medicine (NASEM) issued a report on how the United States delivers, regulates, finances, and measures the quality of nursing home care. We have Alice Bonner, who’s Chair of the Moving Forward Nursing Home Quality Coalition.

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Understanding the Variability in Care of Nursing Home Residents with Advanced Dementia

GeriPal

If you develop dementia, odds are you will spend the last months to years of your life in a nursing home or assisted living facility. This study explored nursing home organizational factors and staff perceptions that are associated with the variation in care for residents with advanced dementia. Rehabbed to Death.

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Hospice Length of Stay: Balancing Patient Needs Against Regulatory Compliance

Hospice News

Researchers from the Case Western Reserve University School of Medicine in Ohio analyzed data for cancer patients between 2013 to 2017, finding that aggressive care in the last 30 days of life was more common among nursing home residents than community-dwelling older adults, at 64% versus 58%, respectively.

Hospice 247
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CMS 2025 Proposed Rule Signals Changes to Quality Measurement, Omits Program Integrity Actions

Hospice News

The proposal, if finalized, would also update aspects of the hospice Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey. It would also remove three nursing home items from the survey, revise the existing Hospice Team Communication and Getting Hospice Care Training measures and add a new Care Preferences measure. .

2025 226
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POLST Evidence and Update: Kelly Vranas, Abby Dotson, Karl Steinberg, and Scott Halpern

GeriPal

For a trial to have value, it should not exclude patients over age 80, or those with dementia, or patients residing in nursing homes. Additional links mentioned in the podcast: Recent JGIM article on POLST in California nursing homes, hospitalization, and nursing home care Karl’s GeriPal post on appropriate use of POLST Enjoy!

Document 283
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How Hospice, Behavioral Health May Cross Paths

Hospice News

“I cannot pinpoint exactly how people will do it, but I do expect more attention and program- and service-line development in mental and behavioral health within the home health and hospice sectors,” VNA Health Group President and CEO Steven Landers told Hospice News. I think that’s going to be a continuing area of focus.”

Hospice 227
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Deprescribing Super Special Part II: Podcast with Elizabeth Bayliss, Ariel Green, and Kevin McConeghy

GeriPal

Kevin’s study looks at a period of time in the COVID pandemic when a large multistate nursing home provider created a “nonessential medication on hold” (NEMOH) policy in order to conserve critical nursing resources and PPE, and to limit exposure risk for residents by reducing unnecessary contact. ” Ariel: Exactly.