Literature Review

3 predictions for the future of post-acute careBecker's Hospital Review, by Mariah Taylor; 2/28/24Robust in-home care, advances in technology and seamless access to nursing facilities are some of the ways leaders anticipate post-acute care may change in the next 50 years. Here, three leaders give their predictions and hopes for the industry in the future.

‘Joint employer’ rule effective date now March 11 McKnights Senior Living, by Lois A. Bowers; 2/26/24The National Labor Relations Board’s “joint employer” rule now is set to go into effect on March 11 after a federal judge granted a stay last week. ... Long-term care providers that use temporary or contract workers, as well as operators that are part of franchises, and others, could be affected.

4 recent advancements in Alzheimer's disease careBecker's Hospital Review, by Ashleigh Hollowell; 2/6/24Alzheimer's disease research in the last year has expanded, promising clinicians in the field and patients experiencing the condition more accurate detection tests, new treatment possibilities and research to fuel further advancements in care. ... For four of the most recent updates in care and detention, [click on the title's link, above].

Study highlights financial burden of dementia on older adults, familiesGeorgia State University - School of Public Health, by Sam Fahmy; 2/7/24A team of researchers from the Georgia State University School of Public Health, the University of Washington School of Pharmacy and the University of California San Francisco analyzed data from a national sample of more than 4,500 adults aged 70 and older to arrive at what are thought to be the first comparisons of out-of-pocket expenses by dementia status and care setting. The researchers found that the median adult with dementia in residential facilities such as assisted living centers spent 97% of their monthly income on long-term care. People with dementia in nursing homes spent nearly 83% of their monthly income on long-term care.

Arizona legislators call for more transparency, improved safety in assisted livingMcKnight's Senior Living, by Kimberly Bonvissuto; 1/30/24Arizona has joined a growing list of states where governments are calling for more transparency from assisted living communities through legislation following local media reports questioning resident safety in the setting.

Patient-centered focus is key to reducing hospitalizations, value-based success, experts sayMcKnights Home Care, by Adam Healy; 2/6/24To keep hospitalization rates low — and thereby produce better results within the Home Health Value-Based Purchasing (HHVBP) model — providers need a good understanding of patients’ goals to tailor care to meet their unique wants and needs. ... Keeping these goals at the forefront of care can reduce their chances of being hospitalized, according to Cindy Campbell, senior director of advisory services at healthcare technology firm WellSky. But defining patients’ goals is not just a recommendation, she noted: It’s mandated by the Centers for Medicare & Medicaid Services.

Alabama agencies get new resources for dementia care amid 'great void' in servicesAlabama Reflector, by Alander Rocha; 1/31/24In a meeting of the Interagency Council for the Prevention of Elder Abuse on Tuesday, Alabama Department of Senior Services (ADSS) Commissioner Jean W. Brown said the department is “awash in money to just go where we’ve never gone before in dementia services and dementia care.” ... According to the Centers for Disease Control and Prevention, Alabama in 2021 had the second highest mortality rate from Alzheimer’s disease, behind only Mississippi, at 46.8 per 100,000 people. 

Alternative therapies for pain management in senior careMedCity News, by Bent Philipson; by 1/30/24Chronic pain, an enduring concern for many older adults, is no longer confined to the traditional realm of pharmaceuticals. While traditional pain management methods like medication were once the go-to approach, alternative therapies are emerging as a viable and holistic approach to addressing this issue.

Viewpoint: Care fragmentation, care continuity, and care coordination—How they differ and why it mattersJAMA Intern Med., by Lisa M. Kern, MD, MPH; Julie P. W. Bynum, MD, MPH; Harold Alan Pincus, MD; 1/29/24Health care in the US is characterized by fragmentation, with many patients seeing multiple physicians. Indeed, 35% of Medicare beneficiaries saw 5 or more physicians in 2019.1 Having multiple physicians may be appropriate, but it may also lead to medical errors, unnecessary visits, avoidable hospitalizations, and suboptimal care if all of the physicians do not have complete information about the patient and each other’s care plans.

Alzheimer’s Association calls for federal involvement to increase dementia care workforce, training in assisted livingMcKnights Senior Living, by Lois A. Bowers; 1/29/24“Congress should consider the steps it can take at the federal level, including expanding the necessary workforce and improving dementia training standards and access,” as part of efforts to “help ensure a quality direct care workforce that can meet the unique needs of our nation’s growing number of Americans living with Alzheimer’s and other dementia” in assisted living communities and elsewhere, the Alzheimer’s Association and its advocacy affiliate, the Alzheimer’s Impact Movement, said in comments submitted to the US Senate Special Committee on Aging for the record of the hearing it held Thursday, titled “Assisted Living Facilities: Understanding Long-Term Care Options for Older Adults.”

US Senate launches investigation of assisted living after lay media reports about safety, staffing, pricingMcKnight's Senior Living, by Kimberly Bonvissuto; 1/17/24The US Senate Special Committee on Aging is launching a review of the assisted living industry following recent articles in the Washington Post, which reported on the deaths of residents who wandered from communities, as well as the New York Times and KFF, which scrutinized an industry pricing structure that adds fees on top of basic charges to cover additional services, as well as rate increases and the for-profit status of most providers.

Study shows 'alarming' sharp increase of colon cancer in younger AmericansThe National Desk, by Jamel Valencia; 1/17/24Colorectal cancer is the leading cause of cancer death in men and the second in women under the age of 50, according to the American Cancer Society's annual report on cancer facts and trends. It indicated that colon cancer moved up from being the fourth leading cause of cancer death in both younger men and women two decades ago to first in men and second in women. Breast cancer leads in women under 50 with 2,251 deaths in 2021.