2019 Conference Recordings Digital Only (CME)

Mar 7, 2019 ‐ Mar 10, 2019


Sponsored by AMDA – The Society for Post-Acute and Long-Term Care Medicine

Release Date: 03/2019 Valid Through: 03/2022

Accreditation
AMDA – The Society for Post-Acute and Long-Term Care Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physician. 

ACCME STANDARDS FOR COMMERCIAL SUPPORT
As an ACCME accredited provider of CME, AMDA adheres to all elements of the ACCME Standards for Commercial Support. Individuals in a position to control the content of this education activity were required to disclose all relevant financial relationships with any commercial interest to AMDA. Disclosures were reviewed by the AMDA Education Department to identify any conflicts of interest and methods of conflict resolution were conducted for each of the identified conflicts. Individual presenter’s disclosures can be found within the CME information for each session.

The Society wishes to gratefully acknowledge the Annual Conference Program Planning Subcommittee for their dedication to education and AMDA - The Society of Post-Acute and Long-Term Medicine Annual Conference 2019.

2019 Annual Conference Program Planning Subcommittee:

Michele Bellantoni, MD, CMD (Chair)

Rollin Wright, MD, MS (Vice Chair)

Alan Abrams, MD

Michelle Benedict, APN-C

Erin Brooks, RPA-C

Abimbola Farinde, PhD

Elizabeth Galik, PhD, CRNP

Julie Gammack, MD, CMD

Paige Hector, LMSW, MSW

Kristin Higgins, PharmD, CGP

Linda Keilman, DNP, GNP-BC

Zia Khan, MD, CMD

Michael Krol, MD

Vycki Nalls, GNP-BC, CWS, ACPNH

Kathleen Niedert, PhD, MBA, RD, NHA

Neela Patel, MD, MPH, CMD

Kimberly Posey, DNP, RN, AGPCNP-BC

Kenya Rivas, MD, CMD

Diane Sanders-Cepeda, DO, CMD

Phillip Sloane, MD, MPH

George Wang, MD, PhD

Robert Zorowitz, MD, MBA, CMD

According to the Society and ACCME policy, all those in a position to control content are required to disclose any relevant financial relationships.

The following Annual Conference Program Planning Subcommittee members have financial relationships to report:
Paige Hector – Paige Ahead Healthcare Education and Consulting-Owner; Diane Sanders-Cepeda, DO, CMD - UHG-Optum: Full Time Employee; Robert Zorowitz, MD, MBA, CMD – United Health Group: Stock Shareholder; All others have no financial relationships to disclose.

The following Education Committee members have financial relationships to report:
John Loome – Genesis HealthCare: Full Time Employee; Diane Sanders-Cepeda, DO, CMD – UHG-Optum: Full Time Employee; All others have no financial relationships to disclose.

The Society staff have no financial relationships to disclose.

Standard: $675.00

Products

Updates in Management of Common Infections in PALTC Facilities

Preview Available

Updates in Management of Common Infections in PALTC Facilities

Mar 7, 2019 8:00am ‐ Mar 7, 2019 11:30am

Through brief presentations and case-based discussions, this session, will provide updates on managing common infections (pneumonia, urinary tract infections [UTIs], skin and soft tissue infections [SSTI], and Clostridium difficile infection [CDI] ) in PALTC facilities. In addition, strategies for prevention and early recognition of these infections will be discussed. The goal of this session is to prepare clinical practitioners for evidence-based management of common infections in PALTC facilities.

Learning Objectives:

  • Describe various clinical presentations of pneumonia, UTI, SSTI, and CDI in PALTC settings.
  • Discuss the diagnostic challenges for pneumonia, UTI, SSTI, and CDI and the limitations of the available tests.
  • Demonstrate practical steps that can be taken for prevention and early recognition of the common infections in PALTC facilities.
  • Review the treatment updates for pneumonia, UTI, SSTI, and CDI.

Credits Available: 3.50 CMD Clinical | 3.50 CME | 3.50 MOC

Speaker(s):
  • Ghinwa Dumyati, MD, Professor of Medicine, University of Rochester
  • Muhammad Ashraf, MBBS, Associate Professor, University of Nebraska Medical Center
  • Laurie Archbald-Pannone, MD, MPH, Associate Professor of Medicine, University of Virginia
  • Dheeraj Mahajan, MD FACP, CMD, CIC, CHCQM, President/CEO, Chicago Internal Medicine Practice and Research (CIMPAR, SC)
  • Swati Gaur, AGSF, MD, MBA, CMD, Medical Director, Northeast Georgia Health System
Standard: $20.00

Hands-on Approach to Develop a Quality Improvement Project in Your Health Care Facilities

Preview Available

Hands-on Approach to Develop a Quality Improvement Project in Your Health Care Facilities

Mar 7, 2019 8:00am ‐ Mar 7, 2019 11:30am

Medical directors and PALTC providers are critical to the success of a facility’s quality and patient safety initiatives, but few have training in the design implementation and evaluation of quality assurance performance improvement (QAPI) projects. Ready, set, go, in this session as participants work together in mentored small groups on real-world QAPI experiences. Bring your own topic, or the session leaders will be prepared with their favorites.

Learning Objectives: 

  • Define a local problem for improving quality in your work setting.
  • Write an effective aim statement for the identified problem.
  • Evaluate current processes in your clinical setting and identify measures.
  • Illustrate a model for improvement of your defined problem.

Credits Available: 3.50 CMD Management | 3.50 CME | 3.50 MOC


Speaker(s):
  • Michele Bellantoni, MD, CMD, Associate Professor, Department of Medicine, Johns Hopkins University
  • Mamata Yanamadala, MBBS, MS, Assistant Professor, Duke University
  • Heidi K. White, MD, MHS, MEd, CMD, Associate Professor, Duke University
  • Adrienne Mims, MD, MPH, Vice President & Chief Medical Officer, Alliant Health Solutions
Standard: $20.00

Clinical and Administrative Update on PALTC

Preview Available

Clinical and Administrative Update on PALTC

Mar 7, 2019 8:00am ‐ Mar 7, 2019 11:30am

This session will update all practitioners on best practices in the clinical world that is unique to PALTC, and provide an administrative update stemming from the Mega Rule. Dr. Boettcher will review nursing home financing, billing, advanced care planning, transitions in care, and Medicare regulations with particular emphasis on Mega Rule changes. Dr. Jackson will review management of common geriatric syndromes, infection control and antibiotic stewardship, and medication management.

Learning Objectives: 

  • Explain Medicare regulations related to the Mega Rule.
  • List common geriatric syndromes in the PALTC setting.
  • Implement successful medication management strategies.
  • Describe palliative care, quality assurance, infection control, transitions in care and discharge planning, and other common PAC issues.

Credits Available: 3.50 CMD Management | 3.50 CME | 3.50 MOC

Speaker(s):
  • Mark Jackson, MD, CMD, PACE North
  • Iris Boettcher, MD, CMD, Division Chief, Geriatrics, Home Based Primary Care, Home and Community Services, Spectrum Health
Standard: $20.00

AMDA/CDC/SHEA Infection Prevention in PALTC Certificate Course

Preview Available

AMDA/CDC/SHEA Infection Prevention in PALTC Certificate Course

Mar 7, 2019 8:00am ‐ Mar 7, 2019 12:00pm

Back by popular demand, AMDA – The Society for Post-Acute and Long-Term Care Medicine will offer the Infection Prevention in Post-Acute and Long-Term Care Certificate Course at the 2019 annual conference. Developed in partnership with the Society for Healthcare Epidemiology of America (SHEA) and the Centers for Disease Control and Prevention (CDC), the course will address aspects of infection control and prevention that are unique to skilled nursing facilities, which must balance a home-like environment while minimizing the risk of infections. The course will review occupational health concerns in the PALTC setting, including outbreaks that affect both staff and residents, opportunities to improve antimicrobial use, and strategies to reduce the transmission of infections such as multi-drug resistant organisms and Clostridium difficile.

Participants who attend this course will earn 10 CME credits and a certificate in Infection Prevention in Post-Acute and Long-Term Care. Certificates will be sent electrically to participants within three weeks of course completion. This is a two-day course that runs Thursday from 8:00 AM – 5:00 PM and Friday from 11:00 AM – 3:00 PM. Participants must attend the course in its entirety to earn a certificate. Please be sure to scan your name badge at the beginning of each concurrent session time slot to verify your attendance. If you have questions or would like additional information, please email education@paltc.org.

Presentations during this time period:

  • CDI Prevention and Management - Laurie Archbald-Pannone, MD, MPH
  • Healthcare Epidemiology/Bringing it all Together - David Nace, MD, MPH, CMD

Course Speakers: Laurie Archbald-Pannone, MD, MPH; Ghinwa Dumyati, MD; Kara Jacobs Slifka, MD; Robin Jump, MD, PhD; Sarah Kabbani, MD, MSc; David Nace, MD, MPH, CMD; Theresa Rowe, DO, MS; Nimalie Stone, MD, MS

Learning Objectives:

  • Describe surveillance definitions and recognize differences in applying them in PALTC settings.
  • Identify opportunities for infection prevention, including those caused by multi-drug resistant organisms, in PALTC settings.
  • Discuss recognition and response to common outbreaks in PALTC settings.
  • Recognize the need for and opportunities to practice antimicrobial stewardship in PALTC settings.

Credit is not available for this session

Recording is not available for this session.

Speaker(s):
  • Nimalie Stone, MD, MS, Medical Epidemiologist, Centers for Disease Control and Prevention
  • Sarah Kabbani, MD, MSc, Centers for Disease Control and Prevention
  • David Nace, MD, MPH, CMD, Associate Professor of Medicine & Director of Long-Term Care, University of Pittsburgh
  • Theresa Rowe, DO, MS, Assistant Professor, Northwestern University
Standard: $20.00

Assisted Living: The Reality of Aging in Place

Preview Available

Assisted Living: The Reality of Aging in Place

Mar 7, 2019 8:00am ‐ Mar 7, 2019 11:30am

The session will present quality improvement tools identified through a detailed effort conducted by the University of North Carolina and funded by the Center for Excellence in Assisted Living. The discussion will address how providers can help assisted living (AL) leadership determine the targets for quality improvement and also will present the person-centered care paradigm noting that a person's goals of care must be the focus of that care. Successful outcomes of care include advance care planning that is person-centered and use of evidence-based research to implement processes that detect early change in condition. Three different models of care, including the chronic care model, will be addressed.

Learning Objectives: 

  • Describe three different models of care that can be used in the assisted living settings.
  • Describe the key elements of person centered care planning to ensure successful outcomes of care and resident satisfaction.
  • Identify quality improvement tools and discuss how providers can help assisted living leadership determine the targets for quality improvement.
  • Identify the knowledge gap by LPNs/LVNs in managing chronic medical conditions to prevent acute exacerbation of symptoms and transfer to a higher level of care.

    Credits Available: 3.50 CMD Management | 3.50 CME | 3.50 MOC

    Speaker(s):
    • Loretta Kaes, BSN, RN-BC, LNHA, CALA, Director of Clinical, Quality and Regulatory Services, Health Care Association NJ-State Affiliate of AHCA, NCAL and Argentum
    • Lindsay B. Schwartz, PhD, Associate Vice President, Workforce & Quality, American Health Care Association/National Center for Assisted Living
    • Kevin O'Neil, MD, FACP, CMD, Chief Medical Officer, Affinity Living Group
    • Sheryl Zimmerman, PhD, Distinguished Professor, Co-Director, Program on Aging, Sheps Center for HSR, University of North Carolina at Chapel Hill
    • Paul Katz, MD, CMD, Chair Department of Geriatrics, Florida State University, College of Medicine
    • Barbara Resnick, PhD, CRNP, Professor, University of Maryland
    Standard: $20.00

    Understanding Nursing Home Organizational Behavior for Effective Leadership as a Medical Director

    Preview Available

    Understanding Nursing Home Organizational Behavior for Effective Leadership as a Medical Director

    Mar 7, 2019 8:00am ‐ Mar 7, 2019 11:30am

    In 1905, Albert Einstein said, “We cannot solve problems by using the same kind of thinking we used when we created them.” A true leader understands his team and his processes and isn’t afraid of “out-of-the-box thinking.” Understanding organizational behavior helps medical directors understand their own core beliefs and values, and use their political and social capital to transform an ordinary organization into a highly efficient and successful one. During these 3.5 hours we will use interactive, lecture, small group case-based problem solving, and role-play methods to help attendees improve their management and leadership skills.

    Learning Objectives: 

    • Describe organizational behavior and why it's important for effective medical directorship.
    • Explain how individual values, attitudes, and emotions effect leadership performance.
    • Discuss groups and teams and how working with others can increase everybody’s performance.
    • Describe organizational culture, socialization, and mentoring and how to use these concepts for a competitive edge.

    Credits Available: 3.50 CMD Management | 3.50 CME | 3.50 MOC


    Speaker(s):
    • Dheeraj Mahajan, MD FACP, CMD, CIC, CHCQM, President/CEO, Chicago Internal Medicine Practice and Research (CIMPAR, SC)
    • Dallas Nelson, MD, CMD, Associate Professor of Medicine, University of Rochester
    • Laura J. Morton, MD, CMD, Associate Professor, Geriatric Medicine, University of Louisville
    • Susan M. Levy, MD, CMD, Medical Director, Self Employed (Consultant)
    Standard: $20.00

    Wound Care Boot Camp: The Basics and Beyond

    Preview Available

    Wound Care Boot Camp: The Basics and Beyond

    Mar 7, 2019 8:00am ‐ Mar 7, 2019 11:30am

    This session will offer an intensive review of the interdisciplinary knowledge base for wound care required by health professionals in the PALTC environment, as well as an intro to “what's hot” in the wound care world. We have gathered top leaders from across the country to discuss administrative considerations, pressure injury prevention, treatment modalities, nutrition, team building, wound care outsourcing, risk management, and infections. We will employ a lecture format, audience participation, and case presentations.

    Learning Objectives: 

    • Describe administrative challenges of wound care, including team building, outsourcing, and risk-management.
    • Discuss the array of treatment modalities for chronic wounds, including cost considerations.
    • Implement proper nutritional management for residents with chronic wounds.
    • Explain the importance of team building for assembling a synergistic, interdisciplinary wound care team to facilitate optimum patient and resident outcomes.

    Credits Available: 3.50 CMD Clinical | 3.50 CME | 3.50 MOC

    Speaker(s):
    • Jeffrey M. Levine, MD, Associate Clinical Professor of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai
    • Shark Bird, MD, CMD, CWSP, Chief Medical Officer, Vohra Wound Physicians
    • Scott Bolhack, MD, MBA, FACP, CMD, Medical Director, Northwest Medical Center, Tucson, Arizona
    • Gabriel Brandeis, MD, CMD, Clinical Professor, Icahn School of Medicine at Mount Sinai
    • Mary Litchford, PhD, RDN, LDN, President, CASE Software & Books
    • Victoria Nalls, GNP-BC, CWS, ACHPN, Mid-Atlantic Clinical Services Manager, Optum CCM
    • Karl Steinberg, MD, CMD, HMDC, Chief Medical Officer, Mariner Health Care
    • Arthur Stone, DPM, President, MedNexus, Inc.
    • Paul Y. Takahashi, MD, MPH, MS, Professor of Medicine, Mayo Clinic
    Standard: $20.00

    Implementation of Telemedicine in Nursing Homes: A Multidisciplinary Perspective

    Preview Available

    Implementation of Telemedicine in Nursing Homes: A Multidisciplinary Perspective

    Mar 7, 2019 8:00am ‐ Mar 7, 2019 11:30am

    This half-day session will provide information and guiding resources to assist nursing facility clinicians to implement and utilize telemedicine by providing a number of tools and processes. The session will include multiple stakeholder perspectives (i.e., physician, advance practice provider, nursing, nursing home administrator, legal, industry, and non-profit) and use facilitated interactive roundtable discussions to enhance learning. You will actively use a collection of tools and resources compiled as part of a Telehealth Program Manual for Nursing Facilities sponsored by West Health, which will be announced and distributed as part of this conference.

    Learning Objectives: 

    • Calculate nursing home telemedicine financial and reimbursement models to articulate value propositions from multiple stakeholder perspectives.
    • Perform nursing home telemedicine needs and organizational readiness assessments to assist with implementation.
    • Recommend nursing home telemedicine sustainability and performance monitoring metrics.
    • Explain the various legal and regulatory considerations for nursing home telemedicine.

    Credits Available: 3.50 CMD Management | 3.50 CME | 3.50 MOC


    Speaker(s):
    • Steven M. Handler, MD, PhD, CMD, Associate Professor, University of Pittsburgh
    • Michael Kurliand, MS, BSN, RN, Director, West Health Institute
    • Donny Tuchman, NHA, Chief Executive Officer, Cobble Hill LifeCare
    • Ashley Boots, CRNP, MSN, Lead Telemedicine Nurse Practitioner, Curavi Health
    • Diane Croll, DNP, Vice President of Clinical Services, Triple Care
    • Suzanne M. Gillespie, MD, RD, CMD, Associate Professor of Medicine, University of Rochester
    • Nathaniel Lacktman, JD, Partner, Chair Telemedicine & Digital Health Industry Team, Foley & Lardner LLP
    • Mei Wa Kwong, JD, Executive Director, Center for Connected Health Policy
    Standard: $20.00

    Global Perspectives on LTC: Clinical Approaches and Innovations

    Preview Available

    Global Perspectives on LTC: Clinical Approaches and Innovations

    Mar 7, 2019 8:00am ‐ Mar 7, 2019 11:30am

    This session will address global issues in long-term care (LTC) with an opportunity for engagement and interactive discussion with attendees. In this symposium, we will provide a summary of the AMDA international membership survey that will include a high-level overview of LTC from a global perspective, with a focus on funding, legislation, role of the medical director, and training. The symposium also will look at specific clinical issues with a panel of medical directors representing North America (Canada and USA) and Europe (Netherlands, France/Italy/Norway). These leaders will share leading best practices, innovative approaches, and relevant research on four topics clinically relevant globally: dementia care, end-of-life and palliative care, the Choosing Wisely campaign (appropriate prescribing/deprescribing), and antibiotic stewardship.

    Learning Objectives: 

    • Compare international approaches to appropriate prescribing/deprescribing and Choosing Wisely campaigns.
    • Identify controversies in end-of-life care, including medical assistance in dying/euthanasia.
    • Describe approaches to common clinical issues featuring similarities and differences focusing on end-of-life, dementia and antibiotic stewardship.

    Credits Available: 3.50 CMD Clinical | 3.50 CME | 3.50 MOC

    Speaker(s):
    • Sid Feldman, MD, CMD, Medical Director, Apotex Centre, Jewish Home for the Aged, Baycrest Health Sciences
    • Martin Smalbrugge, MD, PhD, Elderly Care Physician, Amsterdam UMC, location VUmc
    • Sabine VonPreyss-Friedman, MD, CMD, Associate Clinical Professor of Medicine, University of Washington
    • Andrea L. Moser, MD, MSc, CMD, Associate Medical Director, CMIO, Baycrest
    Standard: $20.00

    A Global Tour Through Pragmatic Trials in Nursing Homes

    Preview Available

    A Global Tour Through Pragmatic Trials in Nursing Homes

    Mar 7, 2019 8:00am ‐ Mar 7, 2019 4:00pm

    Nursing homes are inherently difficult locations to perform research, but are uniquely suited for conducting pragmatic research. Targeting all providers working in the nursing home setting, this one-day symposium will showcase international pragmatic trials and identify common themes. Each trial will be presented and followed by a discussion of specific strategies to address pragmatism. This program also will include a poster session to offer practical, scientifically sound information from around the globe to symposium participants, so you can apply exciting new ideas immediately to your practice. Participants can earn up to 6.5 CME, CMD, and MOC credits.

    Learning Objectives: 

    • Describe the core elements of conducting pragmatic trials.
    • Identify unique considerations in the conduct of pragmatic trials in nursing homes.
    • Describe outcomes of recent pragmatic trials in nursing homes.
    • Discuss how to anticipate and plan for challenges commonly encountered in the conduct of pragmatic trials in nursing homes.

    Credit Available: None

    Recording is not available for this session. 

    Speaker(s):
    • Rebecca Boxer, MD, University of Colorado Denver School of Medicine
    • Christian Gold, PhD, Uni Research Health
    • Paul Katz, MD, CMD, Chair Department of Geriatrics, Florida State University, College of Medicine
    • Cari R. Levy, MD, PhD, CMD, Denver Veterans Affairs Medical Center
    • Christopher Lien, MBBS, MD, Senior Consultant Geriatrician, Changi General Hospital, Singapore
    • Andrea L. Moser, MD, MSc, CMD, Associate Medical Director, CMIO, Baycrest
    • Yves Rolland, MD, PhD, Professor
    • Jos M.G.A Schols, MD, PhD, Professor, Maastricht University
    • Philip Sloane, MD, MPH, Distinguished Professor, Co-Director, Program on Aging, Sheps Center for HSR, University of North Carolina at Chapel Hill
    • Robyn Stone, DrPH, Senior Vice President of Research, LeadingAge
    • Hilde Verbeek, PhD, Associate Professor, Department of Health Services Research / Faculty of Health, Medicine and Life Sciences / Maastricht University
    • Sheryl Zimmerman, PhD, Distinguished Professor, Co-Director, Program on Aging, Sheps Center for HSR, University of North Carolina at Chapel Hill
    • Nimalie Stone, MD, MS, Medical Epidemiologist, Centers for Disease Control and Prevention
    • Marilyn Rantz, PhD, RN, Curators' Professor Emerita, University of Missouri
    Standard: $20.00
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