University of the Sciences in Philadelphia
Editorial Archives
March/April 2005  •  Volume 1, Number 2
From the Editor
The Benefit of Staying Put (PDF, 383K)
Richard G. Stefanacci, DO, MGH, MBA, AGSF, CMD  •  p. 6
Feature Articles
Negotiating the Complexities of the Long-Term Care Continuum (PDF, 482K)
The increasing need for ALFs and other alternatives in senior housing is accompanied by a stream of questions about the real purpose of these settings and the targeted populations they serve. This article offers practitioners working in ALFs ideas for policies and procedures, programs, and activities that can help ensure quality care and resident safety. It also suggests ways to ensure that residents are protected as they move through the continuum of care.
Paula M. Podrazik, MD, and Richard G. Stefanacci, DO, MGH, MBA, AGSF, CMD  •  p. 8
As the MMA Storm Moves Toward Us… (PDF, 315K)
With the release of the final rule for the Medicare Modernization and Improvement Act, the Centers for Medicare and Medicaid Services have clarified some of the issues relating to the Medicare prescription drug benefit. At the same time, new questions have arisen about how the benefit will work and how it will impact assisted living residents. This article provides an analysis of the final rule and discusses how ALFs can prepare for the benefit’s implementation on January 1, 2006.
Richard G. Stefanacci, DO, MGH, MBA, AGSF, CMD  •  p. 15
Primer on Medication Management: What Practitioners Need to Know
(PDF, 332K)
The Medicare Modernization Act is coming faster and furious. But how will it impact assisted living facilities? This tutorial outlines some of the key details of the new act and what ALFs can do to prepare for implementation.
Joanne Kaldy  •  p. 19
AMDA Clinical Practice Guideline: Acute Change of Condition (PDF, 305K)
An acute change of condition can cause tremendous anxiety, stress, and fear for residents, staff, and family members alike. ACOCs also can result in hospitalizations and put residents at risk for serious health problems and loss of independence. This second in the series of AMDA guideline summaries offers steps to help ALFs identify and address ACOCs in a timely way and prevent unnecessary transfers.
American Medical Directors Association  •  p. 22
The Interdisciplinary Team: The Role and Responsibility of Nurse Practitioners in ALFs  •  p. 26
Legal Corner: Are ALFs Long-Term Care Facilities? •  p. 29
Calendar of Events •  p. 31
Experts' Roundtable: How do you see the new Medicare prescription
drug benefit affecting medication therapy for assisted living
 •  p. 32
Facts and Quick Stats: Osteoporosis •  p. 34
Q&A •  p. 35
Requests for reprints of Assisted Living Consult articles or permissions to
use article content may be sent to Jennifer Kenny at
The North American Menopause Society