Tag: clinical

Individualized strategies for managing dysphagia

Editor’s note: This post is an excerpt taken from the full article published in the August issue of PPS Alert for Long-Term Care. Not a subscriber? Sign up today! The act of swallowing, for those who do not have difficulty with it, can feel like second nature. But when this ability starts to diminish—a common […]

USPSTF removes recommendation for falls prevention based on new evidence

Studies show that in 2014, approximately 2.8 million older adults sought treatment in emergency departments for falls; roughly 800,000 older adults who experienced a fall were hospitalized; and more than 27,000 older adults die as a result of a fall. Based on evidence from 62 trials, the U.S. Preventive Services Task Force (USPSTF) recently shared […]

Understanding the evolution of care planning sets the stage for improvement

Editor’s note: This post is an excerpt taken from HCPro’s popular title, MDS Care Plans: A Person-Centered Interdisciplinary Approach to Care by Debbie Ohl, RN, M.Msc, PhD. Looking back in time can help us understand the significance of care planning. Federal involvement in nursing homes began with the passage of the Social Security Act in […]

Shared Savings Program ACOs reduced Medicare spending by $1 billion, according to OIG report

According to findings reported by the Department of Health and Human Services Office of Inspector General (OIG), accountable care organizations (ACOs) participating in the Shared Savings Program are learning how to achieve greater cost savings over time. The Medicare Shared Savings Program is one of the largest alternative payment models implemented by CMS to reward […]

When Wounds Won’t Heal, Therapies Spread — To The Tune Of $5 Billion

By Marisa Taylor, Kaiser Health News PHILADELPHIA — Carol Emanuele beat cancer. But for the past two years, she has been fighting her toughest battle yet. She has an open wound on the bottom of her foot that leaves her unable to walk and prone to deadly infection. In an effort to treat her diabetic […]

Six ways to maximize your clinical and operational outcomes

Managed care organizations (MCO) are breaking new ground when it comes to controlling and reducing long-term healthcare costs, changing the way care is delivered in today’s skilled nursing facility (SNF). With the number of managed care beneficiaries increasing every year and continual changes in how care is administered and reimbursed, it’s essential that SNFs understand […]

CMS proposes changes to outpatient knee replacement coverage and three-day waiver rule

Two proposals published by the Centers for Medicare & Medicaid Services (CMS) last week suggest two potential changes affecting Medicare coverage and the three-day rule waiver: Medicare may cover outpatient beneficiary knee replacements; and Accountable care organizations (ACO) may no longer be required to submit documents explaining financial relationships between the organization, skilled nursing affiliates […]

More SNF volunteers needed for CMS PAC data collection study

Patient assessment data elements collected across PAC settings must be standardized, according to requirements mandated by the IMPACT Act. CMS has contracted with the RAND Corporation to develop and implement standardized patient assessment data elements mandated by the IMPACT Act. This effort is taking place over a three-year period from October 2015 through September 2018. […]