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Editor's e-Note
A recent study has found that among patients in hospice care, nursing home residents were older, more likely to be women, more likely to be on both Medicare and Medicaid, and more likely to have dementia than were individuals receiving hospice services outside of nursing homes. Findings indicate that nursing home patients have longer hospice stays than counterparts in hospice care in the community.

Increasing costs, longer hospice stays, and concerns about duplication of services have prompted policymakers to study the delivery of hospice care services.

In addition to reading our e-newsletter, be sure to visit Today’s Geriatric Medicine’s website at, where you’ll find news and information that’s relevant and reliable. We welcome your feedback at Follow Today’s Geriatric Medicine on Facebook and Twitter, too.

— Barbara Worthington, editor
e-News Exclusive
Study Assesses Hospice Use

As hospice for nursing home patients grows dramatically, a new study from the Regenstrief Institute and the Indiana University Center for Aging compares the characteristics of hospice patients in nursing homes with hospice patients living in the community. The study provides details on how hospice patients move in and out of these two settings.

Longer stays in hospice care, rising costs, and concerns over possible duplication of services have led to increased policymakers’ scrutiny of hospice patients living in nursing homes. Nursing home patients have longer hospice stays compared with individuals living in the community.

The researchers, led by Regenstrief Institute investigator and IU Center for Aging Research scientist Kathleen Unroe, MD, MHA, found that nursing home hospice patients were older, more likely to be women, more likely to be on both Medicare and Medicaid, and more likely to have dementia than individuals receiving hospice services outside a nursing home.

Full story »
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Special note to readers:
I’m aware that if you’re reading this, you’re already dedicated to caring for elders with quality and compassion. Thank you! Consider sharing this column with colleagues and staff as a way to enhance the quality elder care in your practice setting. Let us know if there are topics you’d like to see discussed or materials that would help put to use any specialized information.

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Welcome to 2015! We’ve all had experience making New Year’s resolutions to improve an aspect of our lives, but how about making resolutions that will improve the care of elders?

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