Literature Review

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.

OIG to audit CMS oversight of state-contracted nursing home surveyorsMcKnights Long-Term Care, by Josh Henreckson; 1/23/24A top federal watchdog will audit the Centers for Medicare & Medicaid Services’ nursing home survey practices in 2024, according to a new report. Though sparse on details, the Jan. 16 announcement highlights concerns that third-party contractors may not have sufficient oversight to ensure proper performance of nursing home surveys.

'Sky is the limit' for health information networks' SNF insightsMcKnights Senior Living, by Kimberly Marselas; 1/24/24An expanding health information exchange connecting 71 hospitals and almost 600 post-acute providers in New Jersey is exceeding expectations and providing staffing insights not necessarily envisioned when state officials launched a patient discharge initiative.

Don’t stop dreamin’ turns nursing home residents’ dreams into realityiAdvanceSeniorCare, by Paige Cerulli; 1/22/24The nonprofit now works to fulfill dreams for residents of all Quality Life Services homes, as well as for patients of Three Rivers Hospice. “There is one employee at all ten locations, including Three Rivers Hospice, that represents Don’t Stop Dream’ as a Dream Ambassador,” explains [Paula] Elder. “They are responsible for learning about our residents and patients’ needs and dreams, and submitting them for request. Most dreams are typically granted to our residents and patients after research is completed to ensure their safety, travel arrangements (if necessary), and staffing is available.”

MedPAC approves hospital, physician pay bump; Doubles down on post-acute cutsInsideHealth Policy, by Bridget Early; 1/12/24Congress’ Medicare pay advisors recommended pay raises in 2025 for hospitals and physicians along with extra so-called Medicare safety-net pay and voted Thursday ... to recommend a second year’s worth of post-acute pay cuts as it approved proposals that would lower base pay rates for skilled nursing facilities, home health agencies and inpatient rehabilitation facilities. 

Increasing longevity, decreasing health quality: A close look at American health trendsBNN, by Ayesha Mumtaz; 1/16/24Recent data paints a concerning picture of Americans’ health despite an increase in longevity. While people are living longer, the quality of their health during these extended years is deteriorating. 

Hospital study on AI identifies undiagnosed dementia patients coming from LTCMcKnights Senior Living, by Aaron Dorman; 1/16/24A high number of senior living and care residents have dementia on admission, or develop it during their stay, despite never receiving a formal diagnosis. When these “secret” dementia patients, however, have an emergency – say, a fall – and are hospitalized, they can catch the new care team unaware and struggling to make appropriate clinical decisions. To avoid this pitfall, new research is looking at electronic health records to flag individuals who might have dementia, possibly undiagnosed, so that when they arrive at a hospital, the care team is ready. 

A looming crisis: Millennials caring for aging parentsFalls Church News-Press, by Brian Reach; 1/11/24... Millennials, born between 1981 and 1996, comprise roughly 73 million Americans. By 2030, all boomers, and over 70 million Americans in total, will be ages 65 and older. This represents an at least 25 percent increase in the number of senior citizens — in just over five years.

Well-being of older adults, workforce prioritized in executive orderMcKnights Senior Living, by Kimberly Bonvissuto; 1/8/24The well-being of older adults and members of the direct care workforce has become a top priority in Maryland with the recent signing of an executive order meant to address challenges related to the state’s aging population. Senior living industry representatives say the effort has “tremendous” potential for operators in the state.

Nursing home struggles expected to worsen hospital backlogsMcKnights Long-Term Care News, by Josh Henreckson; 1/4/24Nursing homes’ familiar struggles with insufficient staffing and insurance reimbursements are contributing to growing backlogs of patients awaiting throughput from hospitals to post-acute care across the US. Those waitlists are set to grow more congested in 2024 and cause even bigger disruption throughout the US healthcare system, according to recent state-level reports.Editor's Notes: Hospice leaders, how might your organization help reduce these backlogs and delays?

Cap rates increase by 74 basis points across all segments of senior living and careMcKnight's Senior Living, by Kathleen Steele GaivinThe average senior housing and care capitalization rate across all segments increased by 74 basis points between April and October, according to results of the 13th edition of CBRE’s US Senior Housing & Care Investor Survey for the second half of 2023. An April survey had found that cap rates had increased for all sectors but skilled nursing. 

Ensign (ENSG) buys 2 nursing facilities in Tennessee & NevadaZacks Equity Research; 1/2/24 The Ensign Group, Inc. announced that it bought the operations of a nursing facility in Harrogate, TN. It has also acquired the operations of a nursing facility in Sparks, NV. ... The 116-bed unit in Harrogate, named TriState Health and Rehabilitation Center, is ENSG’s first skilled nursing facility in Tennessee. ... The other acquisition, the 125-bed Hearthstone Health and Rehabilitation facility in Nevada, is likely to boost its footprint in the region. The acquisition deals have increased Ensign's portfolio to encompass 299 healthcare operations spanning 14 states. Of the total, 27 also have senior living operations.