Is the doctor in? Improve nursing homes with one easy stroke
By
Kenneth Lehmann
Apr 14, 2021
Many nursing home COVID-19 patients would have benefitted from daily, reimbursed-for physician visits in their skilled nursing facilities, but they were not entitled to them. With an epic crisis...
The MDS reminds me of something in Narnia?
By
Joel VanEaton
May 16, 2023
I am a fan of C.S. Lewis. If you have not read “The Chronicles of Narnia,” you should. You may have seen the more recent three films based on these books. As good as they were, as is usually the case,...
Getting ready for the unthinkable
By
Richard Cheng
Mar 12, 2014
Natural disasters and catastrophic events by definition arise unpredictably and consequently do not remain even in the back of people’s minds on a consistent basis.
Old wine, new bottles: Increased scrutiny for antipsychotic drug use
By
Alan C. Horowitz, Esq., RN
Feb 22, 2013
The landmark legislation known as “OBRA ’87” (the Omnibus Budget Reconciliation Act of 1987) significantly limited the inappropriate use of antipsychotic drug use in long-term care facilities....
Antibiotics in LTC: Changing from ‘Just in case’ to ‘Only when needed’
By
Philip D. Sloane, M.D., MPH and Sheryl Zimmerman, Ph.D.
Mar 01, 2017
Prior to the discovery of antibiotics, the most common cause of death was infection. There was no good treatment for pneumonia, complications of urine or ear infections were common, and many people died...
The importance of a smoking policy
By
Betty Norman
Oct 25, 2012
Resident smoking polices mean much more than cleaner air at long-term care facilities. As recent incidents demonstrate, having effective policies for residents – and making sure they are followed...
Stakeholders need to prepare for the loss of long-term care’s exemption to e-prescribing
By
Cynthia Morton
Sep 15, 2014
The Centers for Medicare & Medicaid Services is set to lift long-term care’s exemption from its e-prescribing rule as of Nov. 1. This is bigger news than most realize right now, and there has been...
Political grandstanding hurting long-term care again
By
Brendan Williams
Jun 04, 2018
It is regrettable that 17 state attorneys general are grandstanding by demanding that federal officials impose stricter nursing home regulation and sanctions. Their letter shows no real understanding of...
How do we know if we know what we don’t know?
By
Steven Levenson
Sep 08, 2023
The amount of knowledge and skill involved in complying with the OBRA regulations is monumental. Every topic, from pressure injury prevention to behavior management, has many tec hnical details and clinical...
Biden Medicare regulations favor hospitals over skilled nursing facilities
By
Lisa Grabert
Jun 02, 2021
On an annual basis, the Centers for Medicare & Medicaid Services updates various payment systems within the Traditional (fee-for-service) Medicare program. This regulatory season is more entertaining than...