Medicaid

  • Staff to Resident Ratio in Nursing Homes

    Care provided in nursing homes is expensive. Even when the costs are covered by private insurance, Medicaid, or Medicare , long-term care facility costs for an older adult can come with a considerable price tag. So, when family members have to decide to place an older person into a nursing ...

  • Palliative Care vs. Hospice Care: What's the Difference?

    In simplest terms, a patient can pursue a cure while receiving palliative care, while hospice patients forego further treatment. Both approaches emphasize person-centered care and easing uncomfortable or distressing symptoms. Hospice incorporates palliation of symptoms. Many misconceptions about disease management approaches cause patients to become uneasy when healthcare professionals broach either topic.

  • Safety and Medication Management for Dementia Patients

    The elderly person with dementia will eventually need to have his medication administration monitored. Forgetfulness contributes to non-adherence to the medication regimen. However, psychiatric symptoms can do the same. Paranoia is not uncommon, and the person may be suspicious and refuse to take medications out of fear that someone is trying to cause them harm. As an aside, this also happens with food and fluids. Frequent medication reviews should take place, and the prescriber should discontinue any unnecessary meds.

  • Coronavirus and Depression - Behavioral Changes and Symptoms

    Coronavirus and depression are terms that we are hearing a lot about in these days of facing and living with a pandemic. COVID-19 is changing the way we live daily, and it is affecting our seniors on a grand scale. Seniors are facing a myriad of changes and learning to ...

  • QAPI: Quality Assurance/Performance Improvement

    Yet another acronym; we say "kwa-pee." This program was introduced by the Centers for Medicare and Medicaid (CMS) to give nursing homes the tools necessary to address the limitations, problems, or on-going concerns of each facility. Various tools are available to detail and guide management teams through the QAPI process, ...

  • PDPM: Patient-Driven Payment Model

    Changes to Medicare commence on October 1 each year. In 2019, the Centers for Medicare and Medicaid changed its reimbursement structure. For nursing homes, the Patient-Driven Payment Model (PDPM) affects the Minimum Data Set (MDS), which drives clinical reimbursement. How do nursing homes get paid for care? Nursing homes, or ...

  • Nursing Home Staff Ratios

    Since 2004, California has had a law in place to ensure adequate patient care. "At least 21 states have varying regulations that require healthcare institutions to develop independent staffing policies and plans. Many healthcare facilities in these jurisdictions have found success (in) managing the competing tensions surrounding staffing issues by ...

  • MOLST, POLST, and Advance Directives

    The MOLST form replaces traditional advance directives for only some people . MARK DON'T PUBLISH THIS YET A Medical Order for Life-Sustaining Treatment (MOLST) is a set of orders from a physician, nurse practitioner, or soon, a physician’s assistant, to lay out a course of treatment for a patient who ...

  • Infection Control in Nursing Homes

    The chain of infection Six conditions contribute to the spread of infection. Removing one link in the chain of infection can halt transmission and potentially save lives. Infectious agents are germs that cause disease. Reservoirs are places in the environment where the germs live, including people, medical equipment, and even ...

  • The Advantages of Telemedicine Implementation

    Telemedicine Implementation and the Advantages | CareWindow.com Meta Description: Telemedicine implementation has many advantages. From saving time and money to better quality healthcare the telemedicine is popular.