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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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How Palliative Care Could Help Break the SNF-to-Hospital Cycle

Hospice News

A dearth of coordination or integration between rehab teams and palliative care teams routinely forces some patients into a cycle between the hospital and the nursing home in their last year of life. These results appeared in a 2019 New England Journal of Medicine study titled “Rehabbed to Death.”

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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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GAO: CMS Should Update Rules for Hospices Reporting Abuse or Neglect

Hospice News

Strengthening hospice reporting requirements to align with the requirements for nursing homes and hospitals providing extended care will provide CMS with the information necessary to ensure that hospice care providers are taking appropriate steps within the scope of their authority to protect vulnerable individuals,” GAO indicated in a report.

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

Hospice News

It also featured a series of requests for information (RFI) on issues like health equity, social determinants of health and future quality measures. “The hospice community should pay attention to the information request on high cost services as it may signal an emerging interest in payment model reform.”

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Research Finds Home-Based Care Among Top End-of-Life Trajectories for Americans

Hospice News

More than half (59%) spent the last three years of life in the home. About 27% were in skilled nursing home care with “heavy use” of home health and hospice. The remaining 14% of Medicare decedents spent these years in institutional settings, particularly in nursing facility-based care and inpatient care.

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Palliative Care’s Evolving Role in Medicaid

Hospice News

Having access to it is one thing, but getting the information is another,” Keith said at the Palliative Care Conference. You’re going little by little to communities where the community partners are, and giving education to hospitals, nursing homes, physician offices and practices. Utilization is a totally different ball of wax.

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