CMS has had a continuing interest in exploring ways to incorporate frailty adjustment into the CMS Hierarchical Condition Categories (CMS-HCC) risk adjustment methodology for Medicare Advantage and other Medicare private organizations. In this article we present research results for Medicare risk adjustment of the frail elderly since the adoption of frailty adjustment for Program of All-Inclusi...

objective: grief is one of the most painful experiences of the humans after linking emotions. in the literature of trauma, grief and mourning can be seen on many topics. intervention and treatment of grief seems necessary as the period of mourning is prolonged. thus, this study aimed at understanding the effectiveness of cognitive behavioral therapy on spiritual well-being and emotional intelli...

background: cognitive impairments, which are common problems among the elderly people, account for a wide range of aging disorders. group reminiscence can be used as a profitable therapeutic method for preventing cognitive-behavioral disorders in older adults. therefore, we aimed to investigate the effect of group reminiscence on the cognitive status of elderly people. methods: this study was a...

the effect of water exercises on physiological indices and bio-motor capabilities ofsedentary elderly men   the effect of water exercises on physiological indices and bio-motor capabilities ofsedentary elderly men

PURPOSE The purpose of the study was to understand better the clinical collaboration process among primary care physicians (PCPs), case managers (CMs), and geriatricians in integrated models of care. METHODS We conducted a qualitative study with semistructured interviews. A purposive sample of 35 PCPs, 7 CMs, and 4 geriatricians was selected in 2 integrated models of care for frail elderly pa...

BACKGROUND If brief and easy to use self report screening tools are available to identify frail elderly, this may avoid costs and unnecessary assessment of healthy people. This study investigates the predictive validity of three self-report instruments for identifying community-dwelling frail elderly. METHODS This is a prospective study with 1-year follow-up among community-dwelling elderly a...

PURPOSE Integrated care for the frail elderly and other populations with complex, chronic, disabling conditions has taken centre stage among policymakers, planners and providers in the United States and other countries. There is a growing belief that integrated care strategies offer the potential to improve service co-ordination, quality outcomes, and efficiency. Therefore, it is critical to ha...

OBJECTIVE To measure the prevalence in frail elderly people, their consequences and associated demographic factors. METHODS This was an epidemiological and cross-sectional study with a probabilistic sample composed of 240 elderly people (≥ 60 years) living in Ribeirão Preto, Sao Paulo state. Data were collected between November 2010 and February 2011, through a questionnaire that included soc...

BACKGROUND A major effort is underway to integrate primary and community care in Canada's western province of British Columbia and in Fraser Health, its largest health authority. Integrated care is a critical component of Fraser Health's planning, to meet the challenges of caring for a growing, elderly population that is presenting more complex and chronic medical conditions. DESCRIPTION OF I...

background aging is an irreversible natural process characterized by a decline in both the physical and mental status of individuals. because of multiple factors, this process and its consequences vary greatly between individuals. a successful aging (sa) is the target of current health policies and well-being of individuals. knowing the factors that contribute to sa and its barriers would trans...