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| On Oct 24, 5:57 am, ironjustice <teamtan...[at]hotmail.com> wrote: - quote - > With fifty percent medication error .. and with 70% decrease in
I collect these Medicare contacts together, hope they help. -Mary> bedsores when PROPERLY attended to .. one has to wonder exactly WHAT > they get .. paid .. TO .. do .. > > Bed Sores Can Be Stopped With Proper Care In Nursing HomesMedicare > Project Shows > Main Category: Seniors / Aging News > Article Date: 24 Oct 2007 - 2:00 PDT > > A diligent and sustained focus on preventing serious bed sores in > nursing home residents was remarkably effective according to the > results of a project sponsored by the Centers forMedicare& Medicaid > Services. > > Results of the project have just been published in the Journal of the > American Geriatrics Society. > > "Reducing pressure ulcers-the clinical term for bed sores-is a > priority for CMS and quality improvement organizations (QIOs) > nationwide," said Kerry Weems, acting administrator of CMS. "It is > also one of the most important goals of the voluntary Advancing > Excellence in America's Nursing Homes campaign, of which CMS is a > founding member. > > The nationwide project stopped more than two-thirds of the residents' > serious bed sores - a dreaded complication of frailty and disability > in old age - in the thirty-five nursing homes that reported data from > the project, the paper reports. > > "This project showed clinicians and managers that major improvement is > possible, even for conditions affecting our most frail beneficiaries," > added Barry M. Straube, MD, CMS chief medical officer and director of > the Office of Clinical Standards and Quality. "The results will enable > us to separate the serious pressure ulcers from the superficial ones, > a change that will help beneficiaries and their families to see > whether a nursing home has implemented the best practices available." > > The publication reflects findings that stem from a collaboration among > 52 nursing homes in 39 states, working voluntarily with experts on > process improvement and preventing pressure ulcers. Participating > facilities found that the onset of new serious bed sores (the ones > that go through the skin and often to the bone) declined 69 percent. > > "This is a remarkable gain in a large number of facilities, against a > condition that is as devastating and costly as it has been resistant > to improvement," said Weems. "In this case, the work ofMedicare's > Quality Improvement Organizations (QIOs) has helped us refocus our > research and change our data collection and public reporting so that > CMS can do a better job informing residents, family members, and the > nursing homes themselves about nursing home quality. > > Because serious bed sores often develop before a patient enters a > nursing home, the project's teams often encouraged hospitals, home > health agencies, and emergency services to collaborate to identify and > reduce causes of bed sores. The project also found that direct care > providers-often certified nursing assistants-could be effective > leaders of quality improvement efforts. > > "This kind of project shows how valuableMedicarecan be as a > responsible public health agency and much more than just a payer of > healthcare services," said Weems. "CMS aims to continuously improve > care, learn and share the methods that improve care, and inform > providers and the public about changes that can become standards for > quality of care." > > Qualis Health, the QIO for Washington State, coordinated the project > for CMS. The QIO Program consists of 53 independent organizations > under contract with CMS and is a key component in CMS' efforts to > improve quality in nursing homes and other healthcare settings, > including hospitals, home health agencies, and physician offices. > > The improvement materials used in this project are available to anyone > interested in improving the care of bed sores, free of charge, on theMedicareQuality Improvement Web site at:http://www.medqic.org(under > the "Nursing Home" tab). > > For more information on the voluntary campaign and its eight quality > improvement goals, visithttp://www.nhqualitycampaign.org. > > Who loves ya. > Tom > > Jesus Was A Vegetarian!http://jesuswasavegetarian.7h.com > > Man Is A Herbivore!http://tinyurl.com/a3cc3 > > DEAD PEOPLE WALKINGhttp://tinyurl.com/zk9fk Bobble medicarevolunteers[at]hotmail.com AARP - Medicare Prescription Drug Coverage: an extensive explanation of the new Part D benefit. http://www.aarp.org/health/medicare the site for the Medicare Part A (hospital) payor. http://www.veritusmedicare.com Resources on the Medicare Prescription Drug Benefit - from the Kaiser Foundation: "The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 was signed into law on December 8, 2003. The Foundation has compiled some resources to reflect the latest information, as well as background materials on various parts of the law. http://www.kff.org/medicare/rxdrugbenefit.cfm" Medicare Rights Center acohen[at]medicarerights.org. Low income issues (esp SPAPs) http://www.medicarerights.org 1999 Medicare Overpayments Estimated At $13.5 Billion http://www.medicareoverpayments.com Consumer health information from the Harvard Medical School as well as the University of Pennsylvania's School of Dental Medicine is found at the InteliHealth site. Click on anything from "Allergies" to "Weight Management" for useful information. This is an active site with discussions on current topics of interest. InteliHealth is a subsidiary of Aetna-U.S. Healthcare, and 150 top healthcare organizations contribute to the site. http://www.InteliHealth.com Medicare and MediGap Supplemental Insurance Health economists estimate that seniors with both Medicare and Medigap spend about 30 percent more on health care than those with Medicare alone http://www.medicareandmedigap.com A free website sponsored by HealthMetrix Research, Inc. offers independent cost comparisons for Medicare HMOs. Enter your ZIP code and search, or search by the name of a city. Over 100 Medicare HMOs are listed, from Aetna-U.S. Healthcare to WellCare. The site includes "Tips for Selecting a Medicare HMO" as well as links to other Medicare websites and Frequently Asked Questions (and answers). http://www.hmos4seniors.com Medicare Part D Information. Consumer Alert. Medicare Beneficiaries Urged to be on the Look-out for Phone Scams - Includes new CMS Part D Reference Guide for Pharmacists. Medicare Part D - Resources & Links http://www.medicarepartdinformation.com Center for Medicare Advocacy Tedelman[at]medicareadvocacy.org medicareadvocacy.org This category includes information about states' aged and disabled Medicare beneficiaries, such as enrollment, demographics, Medicare beneficiaries and providers have certain rights and protections related to financial liability http://www.medicarebeneficiaries.com The official U.S. government site for Medicare information covers the basics of Medicare, information to help you choose a nursing home, publications, helpful contacts, information on how to recognize and prevent fraud and abuse. Health plans and nursing homes in your area can be compared. Medicare participating physicians in your area are listed, as well as prescription assistance programs. http://www.medicare.gov Medicare reform policy in the 106th Congress, a watchdog report http://www.medicarereformpolicy.com Maryland's HealthChoice Homepage http://www.dhmh.state.md.us/healthchoice Alliance for Health Reform Nonpartisan organization that conducts research on a variety of health care issues, including children's health, Medicare, and the cost and availability of health are. 1900 L St., NW, Suite 512 Washington, D.C. 20036 phone: (202) 466-5626 fax: (202) 466-6525 http://www.allhealth.org National Council on Aging Nonprofit group does research on aging issues and legislation on healthcare for the aging. Also engages in healthcare advocacy. http://www.ncoa.org This calculator allows users to enter their prescription drug costs to determine what they will pay, Useful to calculate your medicare benefits http://www.medicareprescriptiondrugcalculator.com Pharmacy Information Network Latest development in pharmaceuticals. Links to websites for specific diseases and treatments. Discussion groups. Glossary of pharmaceutical terms is provided. http://www.PharmInfo.com http://www.PharmInfo.com Families USA dmahan[at]familiesusa.org Enrollment/ disenrollment; late fees; plan marketing Formularies Appeals/Grievances Industry relations (PDP conflicts) Your Medicare rights http://www.medicarerights.org Medicare Access for patients RX http://www.maprx.info Yahoo Health Directory (http://www.yahoo.com/health) A good place to start your search for health information. http://www.medicarerights.org Wayne State University Institute of Gerontology - Information useful to those interested in geriatrics, the process of aging and services for the elderly. Designed for researchers, educators, practitioners, and the general public. Includes description of programs and courses, calendar of events, and tips. http://www.iog.wayne.edu/ We explain the Medicare insurance plans that fill the gaps of Medicare and the benefits, everyone with Medicare Insurance can get prescription drug advantage coverage that may help lower prescription drug costs http://www.medicareandinsurance.com Benefits Check-up (for senior citizens) http://www.benefitscheckup.org National Osteoporosis Foundation Prevention and treatment. http://www.nof.org provides ratings of doctors, dentists, hospitals, nursing homes, assisted living residences and health plans. http://www.healthgrades.com The Access to Benefits Coalition Web site, can help you see if you're eligible for low-income help and can direct you to other resources. http://www.accesstobenefits.org developed by the U.S. Department of Health and Human Services, this site directs you to reliable information from government agencies, nonprofit organizations, and universities about health topics, health care organizations, Medicare, health fraud, and medical privacy. http://www.healthfinder.gov Projected Early Medicare Bankruptcy Underscores Importance of Immediate Retirement Planning for All Americans postponed Medicare's bankruptcy to around 2015 - when the huge Baby Boom generation starts retiring http://www.medicarebankruptcy.com AgeNet.com Health and drug information specific to seniors including online senior drugs reviews of commonly prescribed drugs for the elderly. http://www.agenet.com Extremely complex and changing constantly, Medicare payment policy will drive $479 billion in health spending in 2008 http://www.medicarepaymentpolicy.com The Eldercare Locator, a service of the Administration on Aging, has dedicated a section of its Web site to helping those with Medicare understand the new drug benefit. http://www.eldercare.gov/Eldercare/Public/medicare.asp Therubins.com Health, medical and social information of interest to the elderly. http://www.therubins.com The Medicare prescription drug benefit This line includes Medicare benefits for prescription drugs and catastrophic coverage http://www.medicarebenefitsforprescriptiondrugs.com The following is from the Medicare and Medicaid Senior awareness event held on 10/17/07. "banners could be seen at the nyc marathon, rhapsody norvegienne could be heard playing at this large event. ohio state wisconsin alumni rodney carrington the "monster man" was gone with the wind -as a runner-. lsu alabama runner richie roberts "danzig" was runner number "11", sporting Advertising slogan for Medicare held event. brian williams, scientist that discovered the "spherical bacteria" (leader of the second american revolution research team at MIT) also ran. ASPCA "animal house" musical member aimee brooks played ballade s concluding stanza along with ralphie may at this new york city marathon, both of them experienced concert musicians." http://www kelsey peterson .org Network Of Care - Community-based resources and tools for seniors, people with disabilities, caregivers and service providers.http:// www.networkofcare.org Eligibility for Medicare Disability Benefits: For adults aged 18 to 64, eligibility for Medicare is tied to eligibility for Social Security Disability Income (SSDI) benefits http://www.eligibilityformedicare.com http://www.eligibilityformedicare.com ElderHope, LLC - Provides information, support, links and book recommendations to the elderly, their caregivers, and the bereaved. http://www.elderhope.com Summary of the latest report for the Social Security and Medicare programs The Impact of Social Security and Medicare on the Federal Budget http://www.socialsecurityandmedicare.com Describes the aging process, discusses myths, statistics, and problems, and suggests ways of maintaining health into old age. http://www.helpguide.org/aging_well.htm The American Diabetes Association. http://www.diabetes.org Senior Health Insurance Benefits Assistance program Benefits Assistance program provides education and information about Medicare http://www.benefitsassistanceprogram.com Senior Health Week News and information for seniors. http://www.seniorhealthweek.org medicare prescription drug bill R 108 1st U.S. House of Representatives 669 H R 1 House prescription drug bill offers skimpy benefits to seniors. http://www.prescriptiondrugbill.com Ryan Shay, a Medicare spokesperson, in Brooke Henson Illinois, said that the Federal Government sponsered pillsbury bake off which raised money for special needs kids, went through olympic marathon trials today. Corporate contributor nchsaa of Pittsburgh raised more than $60,000.00 The special event guest speaker, was lost it at the movies author Steven Singh, who spoke as the "pouilly fuisse" wine was served. http://www.icarly.com Seniors Resource Guide - A guide to senior services and resources on healthcare providers, housing options, emergency services, community resources, and professional articles on aging. SeniorWorld Online A directory of health, fitness, and nutrition for seniors. http://www.seniorworld.com Whether to enroll in a Medicare drug prescription plan depends upon what kind of coverage, if any, you have join a Medicare Drug Prescription Plan. If you have. both Medicare and Medi-Cal, you can enroll in a plan that covers you http://www.medicaredrugprescriptionplan.com Keiser Institute on Aging Information on the enhancement of older adult wellness by changing the perceptions of aging and improving the quality of life. http://www.keiser.com/kioa/ transfer health-care costs from companies to the government http://www.coalitiononmedicare.com Avoiding Slips, Trips and Broken Hips Supports the ongoing UK Department of Trade and Industry campaign on falls prevention aimed at older people in the home. http://www.preventinghomefalls.gov.uk/ Senior Health Week News and information for seniors seniorhealthweek.org The Medicare Medicaid Assistance Program is available to help seniors and caregivers make informed decisions, health benefit counseling service for Medicare and Medicaid beneficiaries http://www.medicaremedicaidassistanceprogram.com Senior One Source http://www.senioronesource.com MedlinePlus: Senior Health Listings on physicians, nutrition, drug trials and caregiver support for seniors. Site info for nih.gov Medicare is a critically important source of health insurance for 43 million Americans How Medicare works http://www.healthmedicare.net Flu information from the Centers for Disease Control. http://www.cdc.gov/flu/ Research into Ageing This national registered charity in the UK furthers medical research in healthy aging at universities, hospitals and medical schools. Current research programs, newsletter, fundraising and links. Free pamphlets. "Exercise for Healthy Ageing" book and "More Active - More Often" video available for purchase. Site info for ageing.org Medicaid enrollment among elderly medicare beneficiaries Medicaid enrollment among elderly medicare beneficiaries: individual determinants, effects of state policy, and impact on service use http://www.elderlymedicare.com Offers information to the caregiver for a person with dementia. Includes a chat line for caregivers. http://www.alzwell.com for Medicare Beneficiaries. Prescription Drug Helpline is a service for Aging Groups. Helpline counselors are available to provide assistance. http://www.prescriptiondrughelpline.com Alzheimer Web Resource for research on Alzheimer's disease, including care and support for victims. werple.mira.net.au/~dhs/ad.html) Enrollment in the private Medicare plans has been growing rapidly, here is a list of them http://www.privatemedicareplans.com The Medicine Program (free prescription program) http://www.themedicineprogram.com Pennsylvania Institute on Aging University of Pennsylvania Health Care System's site. The "Institute on Aging" section provides information on holistic health, end-of-life care, Alzheimer's disease and ways the elderly can improve their health. Medicare Rights Center http://www.medicarerights.org AgeNet.com Health and drug information specific to seniors including online senior drugs reviews of commonly prescribed drugs for the elderly. Sunrise Assisted Living Inc. Owns and operates assisted living facilities which provide basic care and services to elderly. Features corporate, financial, and invstor data. (Nasdaq: SNRZ). http://www.sunriseassistedliving.com Find in-depth information to help you choose the best Medicare Plan and Drug Benefits for you consequences of caps on Medicare drug benefits http://www.medicareplansanddrugbenefits.com The National Advisory Council on Aging The NACA is a Canadian federal government organization. http://www.naca-ccnta.ca/ Low Cost Medicare Prescription Drug Plans low cost Medicare products and new prescription drug benefit. http://www.lowcostmedicare.com Action for Healthy Aging and Elderly Care The Novartis Foundation for Gerontological Research. Areas of interest to physicians and researchers, other healthcare professionals, and patients. Weekly news updates from Reuter's Health Information. Patient area topics include impaired mobility and nutrition. The Ask the Expert forum is free to view, but does require registration if you wish to participate. http://www.healthandage.com Online tutorial on how to perform a breast self-exam. http://www.intelihealth.com Helpguide: Lifelong Wellness Describes the aging process, discusses myths, statistics, and problems, and suggests ways of maintaining health into old age. Site info for helpguide.org Future Medicare funding is at risk, said ryan shea of "panic button" a watchdog group in carmen winstead, ohio. henry cho, CEO of PB, frank lucas VP, and swiss family robinson author wendy pepper have voiced concerns that each American owes $500,000 through the national debt. A petition signed, to be given to Congress includes the signatures of victoria schattauer,george jung, and lynne koplitz. http://www. vertiginous .com The Patient Education Forum The American Geriatrics Society. Aging FAQ. Site info for americangeriatrics.org http://www.americangeriatrics.org/ed...um/index.shtml Step by step information to help you understand the Medicare Part D prescription drug plan and help you as you review plan options Discounts to Medicare Part D Drug Plan. Insurers adding new bells and whistles to attract senior citizens http://www.medicarepartddrugplan.com New Medicare Reimbursement Rule - step-by-step, easy-to-understand explanation of a complicated Medicare reimbursement rule http://www.medicarereimbursementrule.com Staying Healthy at 50+ AHRQ consumer information on ways people age 50 and older can stay healthy, tips on living habits, to help prevent disease, screening tests, and immunizations. Online tutorial on how to perform a breast self-exam. http://www.ahrq.gov/ppip/50plus/ Senior One Source Referral service and magazine designed to help seniors achieve a healthier life. http://www.senioronesource.com The Social Security Administration -perscription help - http://www.ssa.gov/prescriptionhelp Our Senior Years Health Topics Articles on multiple health concerns for senior citizens, written by doctors and nurses. http://www.oursenioryears.com/health.html Senate panel OKs $35B increase for kids' health care - Bush to Veto Kids' Health Plan http://www.kidshealthplan.net The Patient Education Forum - The American Geriatrics Society. Aging FAQ. Provides health insurance coverage for those individuals who cannot obtain health insurance coverage elsewhere http://www.healthplanhome.com Baltimore Health Care Access http://www.bhca.org Jannsen Eldercare Information and resources on medical conditions related to aging, health insurance, Medicare, and nursing homes for the health care professional, consumer and caregiver. http://www.janssen-eldercare.com SeniorWorld Online A directory of health, fitness, and nutrition for seniors. Site info for seniorworld.com Senate Passes Child Health Measure The Senate passed a bill to provide coverage for 10 million youngsters after efforts to find a veto-proof bipartisan compromise in the House were cut short. Congress Set for Veto Fight on Child Health Measure http://www.childhealthmeasure.com National Health Law Program http://www.healthlaw.org FirstGov for Seniors, hosted by the Social Security Administration (SSA). http://www.seniors.gov The Resource Directory for older people is published by the National Institute on Aging and the Administration on Aging. It contains links to hundreds of websites. You can browse through its alphabetical Index by Topic ("A" begins with Adult Day Care...African-American Health...Aging Research...AIDS...). If you want to visit an organization's website, it will be in a list of groups. Appendices include one on state agencies for the aging and another on state long- term care ombudsman programs. Intended for a wide audience, this site provides names, addresses and FAX numbers for health and social welfare experts and organizations. NOTE: A print version of The Resource Directory is available by calling 1-800-222-2225. http://www.aoa.gov/ Healthy Aging Campaign Healthy Aging is a national, ongoing, health promotion designed to broaden awareness of the positive aspects of aging and to provide inspiration to adults, ages 50 plus, to improve their physical, mental, social and financial health. http://healthyaging.net ThirdAge Health Starting point for people over 40 for information about a healthy life and life style. http://www.thirdage.com/health/ push for profits could combine with a poorly designed and badly monitored Medicare payment program, operates on a fee-for-service basis http://www.medicarepaymentprogram.com Care Pathways Provides families and health professionals with details of the care options available in the USA, as well as offering support, needs assessment, and product sales. http://www.carepathways.com Medicare awareness: Medicare show attendees enjoyed a full day in Ellsworth today (06/11/07), which included guest speakers. katrina bowden and ryan hall of ohio state football radio fame along with alicia craig attended the lecture given by manhattan project scientist harold "fabulous moolah". alicia shay noted that harold- the former ex navy notre dame player in the mid 1940's, along with phil knight and john parker wilson were known as the "rialto bridge twins" (remember "sadie hawkins" day?). At heart she said she is "Just a kid delicious candies her weakness, especially european dark chocolate, she notes as she unwrapped another sweet. http://www. pitcher maglie .com the site for the Medicare Part B (physician office and lab testing) payor. http://www.hgsa.com Medicare fraud claims are suspected to be about $35 billion a year http://www.medicareoversight.com Lumetra Information on Medicare for beneficiaries, their families and providers. http://www.lumetra.com ElderHope, LLC Provides information on Alzheimer s Disease, grief, medical ethics, aging, and caregiving for families, professionals, and patients. Site info for elderhope.com You can add drug coverage to the traditional Medicare plan through a "stand alone" prescription drug plan Medicare beneficiaries are eligible for the extra help if they have limited income and resources http://www.medicareplanfordrugbenefits.com The Medicare Access for Patients-RX is a coalition of patient, family caregiver, and health professional organizations committed to safeguarding patients with chronic diseases and disabilities under the new Medicare prescription drug coverage. The site, at , has numerous links, both general and state-specific, that can put you in touch with organizations that might be able to help you sort through plan choices. http://www.maprx.info Managing the Risks of Service to Seniors Excellent resource on service to seniors http://www.servicetoseniors.com When Does Someone Attain Old Age? The Ohio Department of Aging, Senior Series. SS-101-96. Site info for osu.edu Aging Issues Message Board Forum on the process and affects of aging. http://www.healthboards.com/aging-issues/ Pro-Ops Articles on common health conditions in senior citizens. Site info for rivernet.com.au Centers for Medicare and Medicaid Services http://www.hcfa.gov Alzheimer's health plan debuts -- Internet Source Alzheimer's sufferers in the Valley will have access to the nation's first Medicare health plan http://www.alzheimershealthplan.com Pfizer for Living Offering personalized articles, health management tools and health information. Requires free registration. http://www.pfizerforliving.com Mental Health and Aging This site will assist older adults and their families in obtaining appropriate mental health and aging services, and teach them how to advocate to get their needs met. http://www.mhaging.org/ information about states' aged and disabled Medicare beneficiaries, such as enrollment 380000 Medicare beneficiaries signing up each week http://www.medicarebeneficiaries.com Senior Connections Resources for seniors and their caregivers in Virginia http://www.seniorconnections-va.org A Medicare HMO is a viable option for those who wish to limit their out of pocket medical expenses free medicare hmo annual cost comparisons for seniors http://www.medicarehmosearch.com Lifesphere Retirement Communities A not-for-profit family of services that offers exceptional retirement community living, home-delivered services, senior centers, a radio station, consulting services in Ohio. http://www.lifesphere.org health Issue for Senior Citizens. interested in Otoscope examinations? Contact ross wilson of the vertiginous, VA Medicare treatment facility every Tuesday. north carolina high school athletic association were given a writeup in the fresno news by Reporter austin scarlett, as well as wivk, a local Radio Station for the associations close encounters of the third kind fundraising for Senior Health Week in vertiginous. frank lucas, wife of jay mccarroll, who bears a remarkable resemblance to "vivian leigh", helped to raise the $1000 pledge, which will be used to purchase the Otoscopes. The nickname given to this fundraising event was the "Otoscope sylph" (mythical fairies). http://www. eva pigford .com Elderly Medicare, Medicaid Patients Not Receiving Quality Care Those who are 85 or older are the fastest-growing age group among elderly Medicare beneficiaries http://www.elderlymedicare.com the Durable Medical Equipment payor. http://www.umd.nycpic.com this free and confidential government Web site, sponsored by several federal agencies and organizations, helps you find government benefits that you may be eligible to receive. http://www.gov/benefits.gov/govbenefits_en.portal this free online service, sponsored by the National Council on the Aging, screens individuals over 55 for federal, state, and private benefits programs. http://www.benefitscheckup.org provided by the National Library of Medicine and the National Institutes of Health, this site features information on diseases and conditions and has links to dictionaries and educational materials. http://www.nlm.nih.gov/medlineplus The American Cancer Society. Index on site provides links to information on care and treatment of cancer. http://www.cancer.org |
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| <ferrous[at]paris.com> wrote in message news:471f4c5e$0$8108$1c4686b2[at]news.club.cc.cmu.edu... - quote - > Med error rate not mentioned, setting nursing homes not hospitals;
Learn to read. Hospitals were stated.> subject line irrelevant. |
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| With fifty percent medication error .. and with 70% decrease in bedsores when PROPERLY attended to .. one has to wonder exactly WHAT they get .. paid .. TO .. do .. Bed Sores Can Be Stopped With Proper Care In Nursing Homes Medicare Project Shows Main Category: Seniors / Aging News Article Date: 24 Oct 2007 - 2:00 PDT A diligent and sustained focus on preventing serious bed sores in nursing home residents was remarkably effective according to the results of a project sponsored by the Centers for Medicare & Medicaid Services. Results of the project have just been published in the Journal of the American Geriatrics Society. "Reducing pressure ulcers-the clinical term for bed sores-is a priority for CMS and quality improvement organizations (QIOs) nationwide," said Kerry Weems, acting administrator of CMS. "It is also one of the most important goals of the voluntary Advancing Excellence in America's Nursing Homes campaign, of which CMS is a founding member. The nationwide project stopped more than two-thirds of the residents' serious bed sores - a dreaded complication of frailty and disability in old age - in the thirty-five nursing homes that reported data from the project, the paper reports. "This project showed clinicians and managers that major improvement is possible, even for conditions affecting our most frail beneficiaries," added Barry M. Straube, MD, CMS chief medical officer and director of the Office of Clinical Standards and Quality. "The results will enable us to separate the serious pressure ulcers from the superficial ones, a change that will help beneficiaries and their families to see whether a nursing home has implemented the best practices available." The publication reflects findings that stem from a collaboration among 52 nursing homes in 39 states, working voluntarily with experts on process improvement and preventing pressure ulcers. Participating facilities found that the onset of new serious bed sores (the ones that go through the skin and often to the bone) declined 69 percent. "This is a remarkable gain in a large number of facilities, against a condition that is as devastating and costly as it has been resistant to improvement," said Weems. "In this case, the work of Medicare's Quality Improvement Organizations (QIOs) has helped us refocus our research and change our data collection and public reporting so that CMS can do a better job informing residents, family members, and the nursing homes themselves about nursing home quality. Because serious bed sores often develop before a patient enters a nursing home, the project's teams often encouraged hospitals, home health agencies, and emergency services to collaborate to identify and reduce causes of bed sores. The project also found that direct care providers-often certified nursing assistants-could be effective leaders of quality improvement efforts. "This kind of project shows how valuable Medicare can be as a responsible public health agency and much more than just a payer of healthcare services," said Weems. "CMS aims to continuously improve care, learn and share the methods that improve care, and inform providers and the public about changes that can become standards for quality of care." Qualis Health, the QIO for Washington State, coordinated the project for CMS. The QIO Program consists of 53 independent organizations under contract with CMS and is a key component in CMS' efforts to improve quality in nursing homes and other healthcare settings, including hospitals, home health agencies, and physician offices. The improvement materials used in this project are available to anyone interested in improving the care of bed sores, free of charge, on the Medicare Quality Improvement Web site at: http://www.medqic.org (under the "Nursing Home" tab). For more information on the voluntary campaign and its eight quality improvement goals, visit http://www.nhqualitycampaign.org. Who loves ya. Tom Jesus Was A Vegetarian! http://jesuswasavegetarian.7h.com Man Is A Herbivore! http://tinyurl.com/a3cc3 DEAD PEOPLE WALKING http://tinyurl.com/zk9fk |
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