Nurse Placing armband on patient

30-Day All Cause Hospital Readmission Study

Angie Szumlinski News, Studies

Several national initiatives, including the Centers for Medicare and Medicaid Services Hospital Readmissions Program (HHRP) and the Partnership for Patients (PfP), are dedicated to reducing the number of preventable readmissions in US hospitals. HRRP accomplishes this by incentivizing Hospitals to decrease readmission using a system that links funding with readmission metrics. Meanwhile, PfP has constructed an interconnected set of collaborative …

Culture, Confidence, and Past Experiences Factors in Failure to Detect Deterioration

Angie Szumlinski Health, News

A review of one of the most tragic issues in modern nursing homes, failure to detect patient deterioration, used a five-step process to extract and examine data on study aims, key findings, afferent/efferent consequences, and team implementation and practice of rapid response procedure. Ultimately, 23 of 120 potential articles were used in the review, with 15 of those focusing upon …

National Incidence of Adverse Events Among Medicare Beneficiaries in Long-Term-Care Hospitals

Angie Szumlinski Health, News, Studies

The Inspector General performed an in-depth review of adverse events on a subset of people receiving care. A summary of their findings and recommendations is as follows: The Office of Inspector General (OIG) found that 21 percent of Medicare patients in Long-Term-Care Hospitals (LTCH) experienced adverse events, which are particularly serious instances of patient harm resulting from medical care.  The …

Older Happy Americans

ACL Releases Annual Profile of Older Americans

Angie Szumlinski Announcements, News

The Administration for Community Living’s annual report for 2018 is out and is full of valuable information for any healthcare provider. Here is a quick list of some of the highlights of this incredibly detailed demographics report. Over the past 10 years, the population age 65 and over increased from 37.8 million in 2007 to 50.9 million in 2017 (a …

Anticholinergic Drugs and Dementia

Common prescription drugs could result in dementia

Angie Szumlinski Health, News

A new study by JAMA Internal Medicine found that certain classes of anticholinergic drugs — particularly antidepressants such as paroxetine or amitriptyline, bladder antimuscarinics such as oxybutynin or tolterodine, antipsychotics such as chlorpromazine or olanzapine and antiepileptic drugs such as oxcarbazepine or carbamazepine increased the odds of dementia by nearly 50%. This reinforces the suspected belief that there is an …

Hiring Nurses

Hiring more registered nurses and licensed independent practitioners, may be means of reducing Pneumonia and Influenza

Angie Szumlinski News

A recent study found that LTCFs with lower RSIRs had more licensed independent practitioners (nurse practitioners or physician’s assistants) among short-stay and long-stay residents, higher registered nurse hours/resident/day among short-stay and long-stay residents, and fewer residents for whom antipsychotics were prescribed among short-stay and long-stay residents. You can download the full study from Oxford University Press.

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 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 …