HCAP in Long-Term Care Facilities

Empiric Therapy for Healthcare-Associated Pneumonia (HCAP) in the Long-Term Care Setting Most common pathogens responsible for HCAP in the LTC setting: Streptococcus pneumoniae Haemophilus influenzae Methicillin sensitive Staphylococcus aureus (MRSA) Antibiotic-sensitive enteric gram-negative bacilli Escherichia coli Klebsiella pneumonia Enterobacter species Proteus species Serratia marcescens Multi Drug Resistant Pathogens Pseudomonas aeruginosa Klebsiella pneumonia Acinetobacter Methicillin resistant … Continue reading

Long Term Care Federal Mandates

Effective January 1st 2013, all solid oral doses of brand name drugs (including controlled substances)must be dispensed to Part D beneficiaries residing in LTC facilities in 14-day or less increments with some ¬†exceptions (ex. Antibiotics, inhalers). Unlike Schedules III-V medications that can be returned to the pharmacy for destruction, Schedule II medications may not legally … Continue reading

Long Term Care Overview

Long term care (LTC): a range of health, personal care, social & housing services provided to people whom can no longer care for themselves as a result of chronic illness, mental disability or physical disability 90% of LTC patients are elderly (primary payer = medicare) Originally funded by spiritual & charity organizations Minimal custodial care … Continue reading