Sep 232014
 
IOM Supports Strengthening Social Services near EOL

The Institute of Medicine (IOM) report “Dying in America,” issued September 17, concludes that public and private insurance programs should integrate medical and social services in order to provide care consistent with people’s individual values, goals, and preferences as they approach the end of life. The IOM report underscores that, as currently configured, gaps in [...]

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Aug 262014
 
A Dangerous Malfunction in the Measure of Readmission Reduction

By Joanne Lynn and Steve Jencks Work to reduce readmissions has started to yield remarkable improvements in integration of care for frail elderly people – by prompting hospital personnel to talk with community-based service providers, by teaching patients and families how to manage conditions and navigate the health care system more easily, and by paying [...]

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Jul 302014
 
Include Family Caregiving in the White House Working Families Initiative

by Janice Lynch Schuster Age-related issues, including family caregiving, must become integral to the domestic policy agenda. Until now, they have received lip service. But here’s our opening to push for real conversation: The Obama Administration has declared a domestic policy focus on improving the lives of working families. At a June White House Summit [...]

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Jul 092014
 
The IMPACT Bill, the BACPAC Proposal, and Why It Matters Where PAC Savings Go

by Anne H. Montgomery and Joanne Lynn, MD, MA, MS Congress is gearing up to put a legislative glide path in place that is intended to culminate in major reform of Medicare’s post-acute care (PAC) payment system. Following several months of soliciting and reviewing comments on a discussion draft, the “Improve Medicare Post-Acute Care Transformation [...]

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Jun 302014
 

Closing the Care Gap for Families in the 21st Century In early July, Sen. Bob Casey (D-PA) will introduce a novel policy proposal that could be life changing for the millions of Americans who quietly worry and wonder who they can call on for help and steady companionship when a loved one becomes ill, disabled, [...]

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May 282014
 
Innovation Requires Shedding Established Patterns

While diligently trying to improve care for frail elders, often by filling gaps in the care system, even our most innovative programs tend to work within the constraints that created those gaps in the first place. Dr. Joanne Lynn, Director of the Center for Elder Care and Advanced Illness (CECAI), has been visiting and often [...]

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May 272014
 
The Case for Care Plans

Posted on behalf of Dr. Joanne Lynn Patients and policy makers must require that clinicians communicate effectively with patients and families, not only to plan for death but also to develop a care plan that guides healthcare services through to end of life. Discussing clinical circumstances and their probable course, understanding the patient’s goals and [...]

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May 272014
 
Family Caregivers Need Care, Too

Family caregivers are the infrastructure upon which the lives and well-being of millions of frail elders rest. Without their presence, and without their filling in healthcare gaps to coordinate and manage care for their loved ones, whole segments of the healthcare industry would simply collapse. Although caregivers can find the experience of helping others to be [...]

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May 192014
 
Community Services Redux: Shaping Communities that Care for Frail Elders

Despite surveys that indicate our overwhelming preference to grow old and die in our own home, those among us who grow old and frail are more likely to live in many different settings. The likelihood that we will face old age encumbered by multiple complex health conditions makes it very likely that we will, at [...]

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May 152014
 
Building Outrage: Mad as Hell—and Then What?

The worlds of frailty, caregiving, and geriatrics tend to be a women’s world—men grow old, but women grow even older. Although more men are now acting as family caregivers, the high-touch, hands-on work continues to land mostly on women. The eldercare workforce teams with women, from direct care workers to geriatricians. For all that we [...]

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