Ellie had always been the type of person that always kept herself busy. Maybe she would tend her African violets, sew a quilt, read a book, go to church, or attend her grandchildren’s many sports activities and musical performances. Her daughters began to notice a bit of apathy early in the disease process. Ellie was always the type to do for others she had always doted on others and never let people dote on her. They began to notice her willingness to let others take care of

CNN discusses information from a report from a Roundtable Sponsored by United Hospital Fund and the Alliance for Home Health Quality and Innovation. It discussed the confusion around why older adults turn down home health care and home care.

Families are often in denial of the disease. Ellie’s sister is coming to town and wants her to accompany her to their High School reunion. Sarah has nicely mentioned to her Aunt that Ellie is not interested in the reunion. Sarah explained that because of her condition her Mom would not be familiar with the location it’s being held at, leading to confusion and increased dependence. The Aunt believes that Ellie is fine and just as sharp as ever. Ellie only ever speaks with her

In the 2018 proposed PPS rule for home health that was published in the Federal Register on July 28, CMS proposes to adopt several data elements that assess cognitive impairment, behavioral signs and symptoms and mental status (Depressed mood). The Improving Medicare Post-Acute Care Transformation ACT (IMPACT ACT) requires CMS to develop, implement, and maintain standardized patient assessment data elements across the PAC settings. At C&V , we have always recognized the impor