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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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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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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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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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Playwright, Foundation Teaching Hospice Through Theater

Hospice News

Accord has staged other performances at nursing homes and senior living facilities, and in school buildings and other community spaces that have enough room for the actors and audience. When you have a new group [of employees] come in, you can present this because it creates conversation,” she said.

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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.

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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!

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