Medication Errors There has been many articles about the case of RaDonda Vaught. Vaught killed a woman. She was criminally charged, prosecuted, and found guilty by a jury of her peers and fellow citizens. Normal so far, right? The criminal charges include reckless homicide and felony abuse of an impaired adult. But in this case,
The Bubble The “liberal media” is a myth. In 1987, Reagan’s Federal Communications Commission killed the Fairness Doctrine. The Fairness Doctrine required public media to present issues honestly and fairly. Without the need to be honest or fair, radical right-wing talk radio took off. In 1996, Australian-born Rupert Murdoch started the Fox News Channel. The “liberal
Social Security is the No. 1 anti-poverty program for children. Social Security is popular for poor and elderly retirees. However, it also provides support to children with a parent who has died or become disabled. Over 15 million beneficiaries are disabled or survivors of dead workers. The programs needs to expand for the 21st Century.
Reimbursement Rates CMS announced plans to lower nursing home Patient Driven Payment Model (PDPM) rates by 4.6% to account for unintentional overpayments. PDPM reimbursements were intended to be budget neutral. However, the nursing home industry exploited the new model and total spending increased by 5.3%, or $1.7 billion when compared to the old Resource Utilization
RUG v. PDPM There is hope that CMS will fix reimbursement rates associated with the Patient Drive Payment Model (PDPM). PDPM replaced the Resource Utilization Group – Version IV (RUGS-IV) on Oct. 1, 2019. PDPM is a case-mix model that relies on the accurate assessment and coding of over 150 items on the SNF minimum
Characteristics The Journal of the American Geriatrics Society (AGS) published a systematic review of studies concerning how certain factors–private equity, type of ownership, staffing, etc.–determine outcomes for the residents. Characteristics with no consistent correlations with outcomes included Nursing Home Compare 5-star ratings, ownership, and prior infection control citations. Staffing was the key factor. “A large
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