The Centers for Medicare & Medicaid Services does not have adequate procedures in place to ensure potential abuse or neglect of Medicare beneficiaries in nursing homes are identified and reported, according to recent testimony from the HHS Office of the Inspector General (OIG).
While the agency has taken some action, based on earlier OIG recommendations, it has not yet acted on the other suggestions to help consumers better understand nursing home quality and make distinctions between nursing homes. Continue reading
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It seems to make sense intuitively that creating a smaller, more home-like atmosphere would foster improvements in nursing home residents’ psychosocial outlook.
But, there’s been little hard data to support the time and effort needed to implement culture change in institutional care. Most efforts have come from qualitative research. However, qualitative results from a 2017 study confirm that widespread adoption of a person-centered care approach makes a difference. Continue reading
PBJ stands for Payroll-Based Journal, a new data set for nursing home staffing from the Centers for Medicare and Medicaid (CMS). It turns out it’s a goldmine for reporters trying to figure out whether skilled nursing facilities are fulfilling care and quality requirements under the Affordable Care Act.
It took time, effort, and knowledge gained from a prior class in SQL, but Kaiser Health News reporter Jordan Rau crunched the data to determine whether nursing homes might be inflating their staffing reports — a move that directly impacts the star quality ratings at Nursing Home Compare. Continue reading
Despite efforts to curb the use of antipsychotic drugs in nursing homes, about 20 percent of residents – more than 250,000 vulnerable individuals – are still given these potent medications, according to a new report from the Long Term Care Community Coalition (LTCCC).
While the Centers for Medicare and Medicaid (CMS) estimates that only a very small percentage of the senior population will ever have a condition warranting use of these powerful medications, psychotropic drugs still are being overused among the elderly, especially for those suffering from dementia, the report concluded. Continue reading
Caregivers seeking a long-term facility for their loved ones often have little idea about how to evaluate certain issues that can’t be easily quantified. Are the aides kind and attentive? Do residents easily make friends? Are calls and queries handled promptly and efficiently? Will Mom or Dad really be OK?
Enter crowdsourcing. Continue reading
A nursing home demonstration project in Indiana has reduced avoidable hospitalizations among residents by a third, according to a recently released independent evaluation of OPTIMISTIC, (Optimizing Patient Transfers, Impacting Medical quality and Improving Symptoms: Transforming Institutional Care).
OPTIMISTIC is a Centers for Medicare and Medicaid (CMS) demonstration program designed to improve chronic disease management and boost staff education and training.