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 benefits of a successful discharge plan
By
Susan LaGrange
Jun 20, 2014
It is critical to have a solid system for discharge planning that begins even before the resident is admitted to the facility. Individualized, resident-centered discharge planning will provide a solid...
NYT: You are as much of the problem as the Five-Star system
By
Steven Littlehale
Apr 02, 2021
A recent New York Times article about nursing homes is shameful, lazy journalism. Coupled with the need to sell advertising space, it purposefully perpetuates misunderstandings about nursing homes, caregivers...
Wait, what did you just say, CMS?
By
Jacqueline Vance, RNC, CDONA/LTC
Feb 15, 2022
Keeping up with the constantly changing guidance between the Centers for Medicare & Medicaid Services and the Centers for Disease Control and Prevention regulations would make even a rocket scientist’s...
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...
‘Keep it simple’ is just not in our nature
By
Steven Littlehale
Jun 28, 2021
I asked all the leadership at New Choice Nursing and Rehabilitation Center to bring me their department-specific resident assessment tools. They were to leave them on my desk by 5 p.m. When I returned...
It’s time to be a team player and place public safety first
By
Neville M. Bilimoria
Jun 18, 2021
Recent legislative activity in Ohio just highlights the public’s and the government’s fickle view of long-term care in our country.
From volume to value: The conversation now applies to staffing
By
Steven Littlehale
Aug 21, 2015
It’s all you hear about in healthcare today: from Volume to Value. With the July 30 release of the PPS proposed rule, we see how this discussion now applies to staffing.
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...
Practical advice on reducing antipsychotics
By
Jerome Wilborn
May 08, 2015
Two CMS tags —F-Tag 329, which addresses unnecessarily using antipsychotic drugs, and F-Tag 309, which addresses taking steps to reduce antipsychotic drug use — are used by nursing home surveyors to...