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New Survey process preparation materials, aka Long-term Care Survey Pathways, updated in August 2018.
While strong admission assessments are needed to ensure that the interdisciplinary team (IDT) creates a timely baseline care plan, directors of nursing services (DNSs) may want to beef up their pre-admission assessments to improve their IDT’s ability to provide person-centered care that addresses quality-of-care and quality-of-life needs right out of the gate, especially for skilled short-stay patients, suggests Kristin Bernard Breese, BSN, RN, CPC, RAC-MT, owner of Post-Acute Clinical Advisors LLC in North Granby, CT.
“Historically, many SNFs looked at potential admissions strictly from a financial perspective,” notes Breese. “However, the Reform of Requirements for Long-term Care Facilities increased surveyors’ focus on incorporating the resident’s voice—their personal and cultural preferences—into care goals, as well as improving quality of care and quality of life.”
Requirement to Reduce Legionella Risk in Healthcare Facility Water Systems to Prevent Cases and Outbreaks of Legionnaires’ Disease (LD)
***Revised 07.06.2018 to Clarify Expectations for Providers, Accrediting Organizations, and Surveyors*** ***Revised 06.09.2017 to Clarify Provider Types Affected***
• Legionella Infections: The bacterium Legionella can cause a serious type of pneumonia called LD in persons at risk. Those at risk include persons who are at least 50 years old, smokers, or those with underlying medical conditions such as chronic lung disease or immunosuppression. Outbreaks have been linked to poorly maintained water systems in buildings with large or complex water systems including hospitals and long-term care facilities. Transmission can occur via aerosols from devices such as showerheads, cooling towers, hot tubs, and decorative fountains.
• Facility Requirements to Prevent Legionella Infections: Facilities must develop and adhere to policies and procedures that inhibit microbial growth in building water systems that reduce the risk of growth and spread of legionella and other opportunistic pathogens in water.
Purpose of Review
To synthesize the evidence regarding the effects of dietary sodium reduction and increased potassium intake on blood pressure and risk for cardiovascular diseases (CVD) and renal disease outcomes and related risk factors.
Decreasing dietary sodium intake most likely reduces blood pressure in normotensive adults and more so in those with hypertension
Higher sodium intake may be associated with greater risk for developing hypertension
Use of potassium-containing salt-substitutes in the diet to reduce sodium intake most likely reduces blood pressure in adults
Increasing potassium intake most likely decreases blood pressure in adults with hypertension
All-cause mortality may be associated with sodium intake
Reduced sodium intake may decrease the risk for combined CVD morbidity and mortality
The Agency for Healthcare Research and Quality (AHRQ), in conjunction with the Johns Hopkins Medicine Armstrong Institute for Patient Safety and Quality and NORC at The University of Chicago, created the AHRQ Safety Program for Improving Antibiotic Use to develop and implement a bundle of interventions designed to improve antibiotic stewardship and antibiotic prescribing practices across acute care, long-term care, and ambulatory care facilities across the United States.
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