Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - News on Dr. Levine's medical and consulting practice, and reflections on our healthcare system.

Archive for October, 2010

Geriatrics: An Endangered Specialty

On December 1, 2010, Medicare payments will be slashed by more than 21%, a cut that will severely impact physicians who practice geriatric medicine.  The result will be devastating to the 43 million American seniors who receive Medicare coverage, sharply limiting access to care in an environment that is already facing a deficit in geriatric practitioners.  A report published by the Institute of Medicine in …Read More

CMS Tightens Up Pressure Ulcer Classification in Long-term Care

Revised Minimum Data Set (MDS) 3.0 Section M: Skin Conditions greatly expands the process of skin assessment in nursing homes.  The accompanying Resident Assessment Instrument (RAI) Instruction Manual has instructions on how to identify and code pressure ulcers and other wounds using a methodology that is explicitly stated.  These instructions include the following: “If an ulcer arises from a combination of factors which are primarily …Read More

Aging Across America Visits a California Shopping Mall

Last year I read about a group of elderly men from India and Pakistan who meet daily in a shopping mall in Fremont, California called The Fremont Hub.  The article talked about the local population of northern Indian immigrants, and recounted the trials and tribulations of these elderly newcomers.  I decided that I would make these men part of my portfolio of Aging Across America, and …Read More