Requiring On-Site Evaluation in the Nursing Home Before Hospital Transfer: Is This Proposed CMS Rule Change Feasible and Safe?

Katz Paul R.; Resnick Barbara; Ouslander Joseph G.

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Requiring On-Site Evaluation in the Nursing Home Before Hospital Transfer: Is This Proposed CMS Rule Change Feasible and Safe?

机译：在医院转移之前需要在疗养院进行现场评估：此提议的CMS规则更改是否可行且安全？

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《Journal of the American Medical Directors Association 》 |2015年第10期| 共3页
作者
Katz Paul R.; Resnick Barbara; Ouslander Joseph G.;
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正文语种 eng
中图分类预防医学、卫生学 ;
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1. Requiring On-Site Evaluation in the Nursing Home Before Hospital Transfer: Is This Proposed CMS Rule Change Feasible and Safe? [J] . Katz Paul R., Resnick Barbara, Ouslander Joseph G. Journal of the American Medical Directors Association . 2015 ,第10期

机译：在医院转移之前需要在疗养院进行现场评估：此提议的CMS规则更改是否可行且安全？
2. A.Martin1,N.Boyle2,J.Cooke3,S.P.Kennelly4,R.Martin5,M.Mulroy6,M.O’Connor7,S.O'Keeffe8,D.O’Neill4OnbehalfoftheIrishSocietyofPhysiciansinGeriatricMedicine.1.BeaumontHospital,Dublin.2.St.Vincent’sUniversityHospital,Dublin.3.UniversityHospitalWaterford.4.TallaghtUniversityHospital,Dublin.5.ConnollyHospital,Dublin.6.OurLadyofLourdesHospital,Drogheda.7.CorkUniversityHospital.8.GalwayUniversityHospital.AbstractResidents in nursing home care have borne a disproprtionate morbidity and mortality in the COVID-19 pandemic in comparison to the general population. Although the high rate of infection, morbidity and mortality in older people living in nursing homes may be attributable to increased levels of frailty and comorbidity in residents, the physical infrastructure and governance structures within nursing homes is also likely to be highly significant. The authors present, on behalf of Irish Society of Physicians in Geriatric Medicine, a position paper on changes that should be implemented to enhance the safety and quality of care for nursing home residents in Ireland. IntroductionResidentsinnursinghomesrepresentagroupwithhighlevelsofdisabilityandco-morbiditywhichrenderthemparticularlyvulnerabletoexternalandinternalstressors1,asexemplifiedbythehighdeathrateinIrishnursinghomesduringtheCOVID-19pandemic.Atthelastcensusin2016were22,762peopleover65yearsofage(3.7%)listedasresidentinnursinghomesinIreland2.Althoughthiswasadecreaseintheproportionoftheolderpopulationinresidentialcarefrom2011itreflectsanactualincreaseof9.4%inpeoplelivinginnursinghomesinthiscountry.Asoursocietyagesitwillbeincreasinglyimportanttoprovidehighqualitycareforthisvulnerablegroup.TheIrishSocietyofPhysiciansinGeriatricMedicine(ISPGM)haspromotedthedevelopmentofimprovedstandardsofcareinresidentialcareforseveraldecadesandwasthefirstIrishprofessionalgrouptoformulateimprovedstandardsofcarein2001,publishedintheIrishMedicalJournal3. [J] . Irish medical journal. . 2020 ,第9期

机译：A.Martin1，N.Boyle2，J.Cooke3，SPKennelly4，R.Martin5，M.Mulroy6，M.O'Connor7，S.O'Keeffe8，D.O'Neill4OnbehalfoftheIrishSocietyofPhysiciansinGeriatricMedicine.1.BeaumontHospital，Dublin.2.St .Vincent'sUniversityHospital，Dublin.3.UniversityHospitalWaterford.4.TallaghtUniversityHospital，Dublin.5.ConnollyHospital，Dublin.6.OurLadyofLourdesHospital，在家庭护理Drogheda.7.CorkUniversityHospital.8.GalwayUniversityHospital.AbstractResidents已经结出一个disproprtionate发病率和死亡率在COVID-19大流行相比于普通人群。虽然感染，发病率和死亡率在生活在养老院的老年人率高可能是由于增加了居民的脆弱性和合并症的水平，养老院内的物理基础设施和治理结构，也可能是非常显著。作者提出，对应该实施，加强安全和医疗质量养老院在爱尔兰的变化代表在老年医学，意见书医生的爱尔兰社会。 IntroductionResidentsinnursinghomesrepresentagroupwithhighlevelsofdisabilityandco-morbiditywhichrenderthemparticularlyvulnerabletoexternalandinternalstressors1，asexemplifiedbythehighdeathrateinIrishnursinghomesduringtheCOVID-19pandemic.Atthelastcensusin2016were22,762peopleover65yearsofage（3.7％）listedasresidentinnursinghomesinIreland2.Althoughthiswasadecreaseintheproportionoftheolderpopulationinresidentialcarefrom2011itreflectsanactualincreaseof9.4％inpeoplelivinginnursinghomesinthiscountry.Asoursocietyagesitwillbeincreasinglyimportanttoprovidehighqualitycareforthisvulnerablegroup.TheIrishSocietyofPhysiciansinGeriatricMedicine（ISPGM）haspromotedthedevelopmentofimprovedstandardsofcareinresidentialcareforseveraldecadesandwasthefirstIrishprofessionalgrouptoformulateimprovedstandardsofcarein2001，publishedintheIrishMedicalJournal3。
3. CMS Proposed Rule to Require API Implementations for Prior Authorization, Data Sharing [J] . Healthcare Innovation . 2021 ,第1期

机译：CMS建议规则要求先前授权的API实现，数据共享
4. Analysis of Consciousness of Nursing Safety Management and Safety Hidden Danger Prevention in Operating Room Based on Nursing Quality Evaluation Index [C] . Feng Zhao, Hongyan Cui, Fudong Chen, International Conference on Biomedical Sciences and Information Systems . 2019

机译：基于护理质量评价指标的手术室护理安全管理与安全隐患意识分析
5. The Effect of Evaluating a Quality Improvement Initiative on Reducing Hospital Transfers of Nursing Home Residents [D] . Jarboe, Denise Eileen 2015

机译：评估质量改进计划对减少疗养院住院病人的医院转移的影响
6. Feasibility of the Manchester Acute Coronary Syndromes (MACS) decision rule to safely reduce unnecessary hospital admissions: a pilot randomised controlled trial [O] . Richard Body, Charles Boachie, Alex McConnachie, -1

机译：曼彻斯特急性冠状动脉综合征（MACS）决策规则可安全减少不必要的住院人数的可行性：一项随机对照试验
7. Feasibility of the Manchester Acute Coronary Syndromes (MACS) decision rule to safely reduce unnecessary hospital admissions:A pilot randomised controlled trial [O] . Body, Richard, Boachie, Charles, McConnachie, Alex, 2017

机译：曼彻斯特急性冠状动脉综合征（maCs）决定规则安全减少不必要的住院率的可行性：一项试点随机对照试验
8. NIOSH Comments to DOL on the Occupational Safety and Health Administration's Proposed Rule on Permit Required Confined Spaces by R. W. Niemeier, May 18, 1990 [R] . 1990

机译：NIOsH关于职业安全与健康管理局关于许可所需空间的建议规则的评论，作者：R. W. Niemeier，1990年5月18日

Requiring On-Site Evaluation in the Nursing Home Before Hospital Transfer: Is This Proposed CMS Rule Change Feasible and Safe?

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