Literature Review

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.

Assisted living scrutiny by lay media continues into new yearMcKnights Senior Living, by Kimberly Bonvissuto; 1/8/24It’s been a rough few months for the assisted living sector as lay media reports put a spotlight on the varying — or a lack of — regulations covering operators, a situation they said has led to tragic outcomes for some residents. Georgia assisted living operators are the latest to come under scrutiny. ... Industry advocates say that it is unfair to paint all providers with one brush, but they acknowledge that the attention is a reminder that “good policies and procedures, routine staff training, and oversight to ensure staff are following the policies are vital for providing great care.”

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.

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. 

We’re college students with ideas of how to promote senior living careers to a younger generation

Continuum Of CareTallahassee Magazine, by Steve Bornhoft; 12/31/23Leaders seek seamless approach to services. In the United States, health services are delivered based on what Mark O’Bryant sees as a “reverse model.” Some might even call it a perverse model.