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OIG Report Finds Extensive Misuse of Antipsychotics in Nursing Facilities

[07/09/12]

Posted on July 9, 2012 in Long-Term Care, Home Health & Hospice

Written by: Bufford, David W.

The Office of Inspector General (OIG) released a report this morning detailing issues found in the use of antipsychotics in nursing facilities.  Utilizing a sample of records from January through June of 2007, the OIG found over 99% of records reviewed failed to meet one or more Federal requirements.   READ MORE

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CMS Releases 2012 Nursing Home Action Plan

[07/06/12]

Posted on July 6, 2012 in Long-Term Care, Home Health & Hospice

Written by: Bufford, David W.

The Centers for Medicare & Medicaid Services (CMS) just released the 2012 Nursing Home Action Plan; a guide for CMS’ efforts to continue to improve nursing home safety and quality.  The plan features 5 actionable strategies, including: enhance consumer engagement; strengthen survey processes, standards, and enforcement; promote quality improvement; create strategic approaches through partnerships; and... READ MORE

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Another Antipsychotic Measure Fails to Pass

[07/06/12]

Posted on July 6, 2012 in Long-Term Care, Home Health & Hospice

Written by: Bufford, David W.

In an on-going push to regulate the use of antipsychotic medications in nursing facilities, another piece of legislation has failed to pass Congress.  The Senate did not pass a proposed regulation that would have standardized protocols for obtaining informed consent before administering antipsychotics for off-label use.   READ MORE

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BLS Report Details Time Spent on Elder Care

[07/06/12]

Posted on July 6, 2012 in Long-Term Care, Home Health & Hospice

Written by: Bufford, David W.

Since 2003, the Bureau of Labor Statistics (BLS) has asked Americans to detail how their time was spent during the last 24 hours.  Derived from a sample of 12,500 respondents, the American Time Use Survey (ATUS) details the average number of minutes spent daily in traffic, on the phone, shopping, cooking, etc.  Only last year was... READ MORE

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Revised Nursing Home Compare Website Poised to Launch Later This Month

[07/03/12]

Posted on July 3, 2012 in Long-Term Care, Home Health & Hospice

Written by: Bufford, David W.

The Nursing Home Compare website, originally launched in 1998, is set to launch with a redesign July 19th.  The Centers for Medicare & Medicaid Services (CMS) claims the redesign adopts industry design and usability best practices while also incorporating a considerable amount of new information to increase transparency and usability for consumers.   READ MORE

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CMS Releases Further Information of QAPI Program Implementation

[07/03/12]

Posted on July 3, 2012 in Long-Term Care, Home Health & Hospice

Written by: Bufford, David W.

The Centers for Medicare & Medicaid Services (CMS) has released a S&C Letter detailing the Nursing Home Quality Improvement Questionnaire (NHQIQ) discussed earlier this week.   The Affordable Care Act (ACA) mandates CMS to establish standards and provided technical assistance to nursing homes on the development and best practices relating to Quality Assurance and Performance Improvement... READ MORE

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CMS to Poll 4,200 Nursing Facilities to Best Develop QAPI Standards

[07/02/12]

Posted on July 2, 2012 in Long-Term Care, Home Health & Hospice

Written by: Bufford, David W.

The Centers for Medicare & Medicaid Services (CMS) is giving nursing home providers the opportunity to participate in the development of a new quality improvement initiative that was mandated by the Affordable Care Act (ACA).  While few people expected any issues with the implementation of the provisions in the ACA that affected long-term care... READ MORE

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New Jersey Court Holds Daughter Who Signed Admission Agreement as “Responsible Party” Liable For Amount Due to Nursing Home for Her Failure to Use Mother’s Income and Resource to Pay Nursing Home

[06/04/12]

Posted on June 4, 2012 in Long-Term Care, Home Health & Hospice

Written by: Fahey, Sean J.

A New Jersey Court of Appeals recently held that a resident’s daughter, who signed the admission agreement as the resident’s “responsible party” and who had access to the resident’s income and resources, liable for not using such income and resources to pay the long term care facility for the resident’s stay and care at... READ MORE

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Indiana Medicaid Estate Recovery – UPDATE – Indiana Signs Contracts with Law Firms to Pursue Collection from Estates

[06/04/12]

Posted on June 4, 2012 in Long-Term Care, Home Health & Hospice

Written by: Fahey, Sean J.

Recently, the Indiana State Department of Administration, on behalf of Indiana’s Family and Social Services Administration (FSSA), signed contracts with four law firms for Indiana Medicaid estate recovery. FSSA divided the contracts into three regions: Northern Indiana, Central Indiana, and Southern Indiana. Cases will be assigned by Indiana’s Office of Medicaid Policy and Planning... READ MORE

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CMS Announces Antipsychotic Initiative

[05/31/12]

Posted on May 31, 2012 in Long-Term Care, Home Health & Hospice

Written by: Bufford, David W.

On the heels of last week’s failure for the antipsychotic measures to pass the Senate, the Centers for Medicare & Medicaid Services (CMS) has just announced an initiative to reduce antipsychotic use in nursing facilities.  Yesterday, CMS officials announced a multi-year initiative to improve dementia care for residents of nursing homes by reducing the inappropriate... READ MORE

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