ARMOR Protocol Study on Reduction of Psychotropic Medications: Improvement in Daily Living

Angie Szumlinski Health, News

Polypharmacy in older nursing home patients is a well-documented concern. Several large studies have demonstrated an association between treatment with antipsychotics and increased morbidity and mortality in people with dementia, and the economic impact of polypharmacy is also substantial, with annual medication-related issues costing $7.6 billion in nursing facilities alone. A recent study uses the Assess, Review, Minimize, Optimize, Reassess …

CMS Panel Discussion on Revisions to E/M Documentation Guidelines

Angie Szumlinski News

Last year, CMS announced its intention to undertake a multi-year effort—with the input of providers and other stakeholders—to revise the current E/M documentation guidelines. This video features a panel discussion talking about the revisions.

CMS Releases Enforcement of Federal Regulations Related to Antipsychotic Medication Utilization Rates

Angie Szumlinski Compliance, News

As of January 2019, there are 235 late adopter nursing homes that have been cited for noncompliance with federal regulations related to unnecessary medications or psychotropic medications two or more times since January 1, 2016, and who have not shown improvement in their long-stay antipsychotic medication rates. If these facilities are determined not to be in substantial compliance with requirements …

Department of Justice Guidance on Evaluating Corporate Compliance Programs

Angie Szumlinski Compliance, News

The Criminal Division announced today the release of a guidance document for white-collar prosecutors on the evaluation of corporate compliance programs.  The document, entitled “The Evaluation of Corporate Compliance Programs,”updates a prior version issued by the Division’s Fraud Section in February 2017.  It seeks to better harmonize the guidance with other Department guidance and standards while providing additional context to …

Office of Inspector General – List of Excluded Individuals/Entities: May 2019

Angie Szumlinski Compliance, News

OIG has the authority to exclude individuals and entities from Federally funded health care programs for a variety of reasons, including a conviction for Medicare or Medicaid fraud. Those that are excluded can receive no payment from Federal healthcare programs for any items or services they furnish, order, or prescribe. This includes those that provide health benefits funded directly or …

Study on the Transition from Skilled Nursing Facility to Home Following Heart Failure

Angie Szumlinski Health, News

Discharge to skilled nursing facilities (SNFs) is common in patients with heart failure. SNFs are often used as a transition from hospital to home to regain strength, function, and independence, particularly for medically complex patients. Discharge home from SNF is often the ultimate goal, as the vast majority of these patients were residing at home prior to hospitalization. However, these …

New RAI Manual for PDPM Training Released Early

Angie Szumlinski News

This version of the MDS 3.0 RAI Manual incorporates clarifications to existing coding and transmission policy; it also addresses clarifications and scenarios concerning complex areas. Monday’s posting caught many insiders by surprise, as CMS officials had not been specific about a release date. Based on historical precedent, many were expecting a release late this week, possibly on Friday afternoon, leading …

Nonalcoholic Fatty Liver Disease discovered to be new risk factor for heart failure patients

Angie Szumlinski Health, News

A recent study finds that nonalcoholic fatty liver disease (NAFLD) is an emerging risk factor for incident heart failure (HF). Before this study, NAFLD was suspected to increase all-cause mortality in patients admitted for acute HF, but was never proven to do so. The study was conducted on 264 patients, of whom all were admitted for acute HF between 2013 …

elderly man sleeping comfortably in a bed

A Good Night’s Sleep for our Residents

Angie Szumlinski Health, News

A good night of undisturbed sleep is one of the most important services we can give our residents. By eliminating or minimizing night-time interruptions, we can encourage more of the restorative sleep our residents need to maintain and enhance their quality of life.  Two years ago, Great Plains Quality Innovation Network gave some presentation on exactly that topic. Recording of …

Nursing Homes Face More Challenges for Patients of Size

Angie Szumlinski News

By law, hospitals must treat people of all shapes and sizes when they need emergency care. However, these laws don’t apply to nursing facilities. A recent article appearing on caringfortheages.com talks about the challenges in placing obese patients in nursing facilities. The article states that as the American population grows increasingly larger, the elder population is no exception. According to …