Long-Term Care

Proposed managed care rule could accelerate shift away from nursing home care, official suggests

Proposed managed care rule could accelerate shift away from nursing home care, official suggests

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Proposed regulations slated for early 2015 likely will affect how Medicaid managed care balances home- versus facility-based long-term care, news sources reported Wednesday.

Face mask mandate dramatically increases healthcare worker flu vaccination

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Making nursing home workers wear face masks if they do not get a flu shot is a highly effective way of increasing vaccination rates, statistics in New York show.

Moderate alcohol consumption staves off dementia in seniors

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Drinking a moderate amount of alcohol might preserve cognition in people over the age of 60, according to recently published findings in the American Journal of Alzheimer's Disease and Other Dementias.

Falls are top reason for lawsuits against skilled nursing facilities, report states

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Resident falls continue to present the greatest risk of lawsuits to skilled nursing facilities and other long-term care providers, according to a recently released report from insurance company CNA.

Also in the news for Oct. 27, 2014 . . .

Long-term care executive directors lack knowledge of how oral health impacts diseases ... Alzheimer's Association announces $600,000 in grants to investigate non-drug treatments ... Extra-depth shoes ease seniors' foot pain

Bulk of Medicaid to be managed care in two years: Avalere

Bulk of Medicaid to be managed care in two years: Avalere

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More than three-quarters of Medicaid beneficiaries will be enrolled in a managed care plan as of 2016, according to an Avalere Health analysis released Thursday. The numbers reveal that managed care growth is especially strong in states that are expanding Medicaid.

A small team of workers responds best in emergencies, expert says

A small team of workers responds best in emergencies, expert says

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Long-term care providers should consider a "flat" crisis management approach that relies on a core group of staff members, experts advised Wednesday at the LeadingAge annual conference.

CDC tightens Ebola guidelines for healthcare workers

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The Centers for Disease Control and Prevention has issued more stringent guidelines for how healthcare workers should interact with Ebola patients, following an outcry from nurses and other professionals.

Facilities on high alert for Ebola in Ohio; authorities issue guidance

Facilities on high alert for Ebola in Ohio; authorities issue guidance

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Federal and state organizations have released new Ebola guidance for healthcare workers in long-term care and other settings, following the second case of a nurse acquiring the virus in the United States. Both infected nurses came into contact with Thomas Eric Duncan, the Liberian man who traveled to the United States, fell ill with Ebola and died Oct. 8 at a Dallas hospital.

Also in the news for Oct. 17, 2014 . . .

CMS announces new Accountable Care Organization model ... Drugmaker reaches $31 million settlement, resolving charges that it paid kickbacks to long-term care pharmacies ... People prefer institutional long-term care if they need more help with daily living activities ... First-of-its-kind guidelines recommend pneumococcal vaccine to prevent COPD exacerbations

Labor Department sues Virginia provider for allegedly withholding nurse overtime pay

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A Virginia healthcare provider did not pay long-term care nurses overtime for three years, the Department of Labor has alleged in a recently filed lawsuit.

Long-term care providers might need to change pain management to cut opioid use, MedPAC analyst says

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Long-term care and other providers might have to alter their pain management practices if changes discussed at a recent Medicare Payment Advisory Commission meeting come to pass.

Unpredictable schedules take a toll on nursing home workers, UMass authors say in new book

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Even at nursing homes with stable staffing and occupancy, a large percentage of workers struggle with highly unpredictable schedules, according to findings in a newly published book from researchers at the University of Massachusetts, Amherst.

Critics agree: New book about long-term care is a must-read

Critics agree: New book about long-term care is a must-read

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Doctors have a lot to learn about long-term care."Duh," you say? Fair enough. But a newly published study and a just released book really drive the point home.

Also in the news for Oct. 14, 2014 . . .

MedPAC to focus on opioids in long-term care, private sector management of post-acute services ... Workplace violence takes a severe toll on healthcare workers, analysis finds ... Premier applauds White House antibiotic plan

Providers should expect 'disruption' but are ready for Five Star changes, Parkinson says

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Coming changes to the Five Star rating system for nursing homes will "cause some disruption," but many long-term care providers already are on track, according to American Health Care Association/National Center for Assisted Living President and CEO Mark Parkinson.

We serve the poor and aged (and love a great hotel)

We serve the poor and aged (and love a great hotel)

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Messages about how the long-term care sector exists to serve the neediest and most vulnerable can seem hollow here at the Gaylord National hotel, with its high-end steakhouse and a breathtaking glass atrium offering stunning Potomac River views.

Supreme Court to rule on whether providers can sue states over inadequate Medicaid rates

Supreme Court to rule on whether providers can sue states over inadequate Medicaid rates

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The U.S. Supreme Court will hear a case on whether private sector healthcare providers can sue states to increase Medicaid reimbursements, the high court announced Thursday. Based on previous rulings, the court is not likely to rule in favor of the providers, experts say.

Hospice billings changed

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The Centers for Medicare & Medicaid Services recently updated instructions on coding hospice claims. Billing staffs should be aware of these changes, which went into effect Oct. 1, CMS stated in a memorandum about the Medicare manual update.

Ask the care expert ... about end-of-life wound care

Ask the care expert ... about end-of-life wound care

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I work on a floor in a skilled care facility where most residents are on hospice or at the end of life. Some have wounds that will never heal. How should we care for these?

Agencies offer resource for improving LGBT inclusion

Agencies offer resource for improving LGBT inclusion

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Many older lesbian, gay, bisexual, and transgender adults residing in long-term care facilities do not feel safe being open about their sexual identities, experts say.

Regular chats avoid lawsuits

Regular chats avoid lawsuits

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To prevent lawsuits, long-term care leaders need to routinely communicate with difficult family members, a defense attorney told a McKnight's Fall Online Expo webcast audience last month.

Also in the news for Sept. 30, 2014 . . .

CMS clarifies appropriate use of power strips in long-term care resident rooms ...GAO: Integrating Medicare and Medicaid may not reduce costs on dual-eligible care ... Brookdale discriminated against worker with fibromyalgia, EEOC claims ... State standards for physician access under Medicaid managed care vary widely, OIG finds

No ACOs have reliable interoperability with external organizations, survey finds

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A widespread lack of interoperable technology threatens the Accountable Care Organization model, according to recently released survey results.

CDC issues new guidelines on pneumococcal vaccine, says LTC flu vaccination rates remain low

CDC issues new guidelines on pneumococcal vaccine, says LTC flu vaccination rates remain low

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Long-term care workers continued to have low rates of flu vaccination last season, despite there being 92% vaccination coverage overall among physicians and nurses, the Centers for Disease Control and Prevention said Thursday. The agency also said seniors should receive two doses of the pneumococcal conjugate vaccine.

CMS releases updated Minimum Data Set manual

CMS releases updated Minimum Data Set manual

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The Centers for Medicare & Medicaid Services released an updated version of the Minimum Data Set 3.0 Resident Assessment Instrument manual Friday.

MedPAC chairman: Three-day stay requirement is 'archaic'

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The government should pay for skilled nursing care without a preliminary three-day hospital stay, and the recovery auditor program should be reformed, Medicare Payment Advisory Commission members said at a meeting Friday.

NC nursing home reaches $35,000 settlement over charges it discriminated against disabled worker

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A North Carolina long-term care company has reached a $35,000 settlement over charges that it discriminated against a cook/dietary aide with a physical impairment, the Equal Employment Opportunity Commission announced Wednesday.

Little Sisters of the Poor presses contraceptive mandate case, says government's latest solution isn't good enough

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The Little Sisters of the Poor is not satisfied with the federal government's recent regulations and will continue its challenge against the Affordable Care Act's contraception mandate, the Catholic long-term care provider stated in a legal brief filed Monday.

Long-term care facilities could collect residents' unused prescription drugs under new federal regulation to combat abuse

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Long-term care facilities will have a role to play in a new prescription drug take-back effort aimed at curbing addiction and abuse, U.S. Attorney General Eric Holder announced Monday.

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