2017 Annual Conference

Mar 16, 2017 ‐ Mar 19, 2017

Experience the education sessions from the Society's 2017 Annual Conference from the comfort of your own home!  Education sessions at the annual conference are recorded, synchronized with the audio and presentation PowerPoint handouts, and can be experienced either via online streaming or CD-ROM formats. CME/CMD credits are available for sessions with the online streaming format.

Don't miss out on experiencing any of the great education session that AMDA has to offer! 

2017 Annual Conference Management and Clinical Designations

Preview Available

Latest Approaches to Difficult Medical Issues in LTC

Mar 16, 2017 8:00am ‐ Mar 16, 2017 11:30am

Credits: None available.

This popular session by four experienced speakers from Cleveland and St Louis University present an intensive session on updates in caring for frail elders in the continuum of care.

Topics include:

1. Using a multifaceted approach to dementia in very old adults, where Alzheimer's does not necessarily explain the cognitive dysfunction
2. Prognostication in Medical Decision-Making
3. Hypertension targets post-SPRINT
4. Dyspnea and COPD in LTC
5. Update in wound care
6. Neuropathic pain management in the era of new opioid prescription guidelines.

• Analyze a multi-faceted approach to dementia in the LTC setting.
• Reexamine targets for hypertension based on Sprint and prognostication.
• Review the extent of the workup to confirm COPD as a contributor to dyspnea, and to suggest treatments to address dyspnea due to COPD including at the end-of-life.
• Choose non-opioid medications for neuropathic pain management.

• Julie Gammack, MD, CMD, Professor, Saint Louis University
• John E. Morley, MB, BCH
• Milta Oyola Little, DO, CMD
• Barbara Messinger-Rapport, MD, PhD, CMD, Associate Professor of Medicine, Case Western Reserve University School of Medicine

Preview Available

The Teaching Nursing Home Revisited: An International Perspective

Mar 16, 2017 8:00am ‐ Mar 16, 2017 11:30am

Credits: None available.

This session will review the rationale underpinning the development of the teaching nursing home. In comparing and contrasting the evolution of teaching nursing homes in four distinct jurisdictions, issues around academic affiliations, funding, interdisciplinary collaboration and quality measures will be addressed.

Learning Objectives:

• Describe how research can be promoted based on the unique needs of a given health care system.
• Discuss the varied approaches to student education in teaching nursing homes and related assessment modalities.
• Describe and contrast the different funding mechanisms for the teaching nursing home.
• Appreciate the role of interdisciplinary/interprofessional collaboration in the sustainability of the teaching nursing home.

• Paul Katz, MD, CMD, Chair Department of Geriatrics, Florida State University, College of Medicine
• Marit Kirkevold, RN,MA, Med, EdD
• Yves Rolland, MD, PhD, Professor
• Martin Smalbrugge, MD, PhD, Elderly Care Physician, Amsterdam UMC, location VUmc
• David Conn, MD

Preview Available

QAPI for the Interdisciplinary Team Workshop Train the Trainer

Mar 16, 2017 8:00am ‐ Mar 16, 2017 11:30am

Credits: None available.

This is a train-the-trainer session for teaching the Quality Assurance and Performance Improvement (QAPI) for the interdisciplinary team workshop. As new regulations around QAPI are implemented, nursing home leaders will be challenged to train and engage teams in quality assurance and performance improvement. This session will be structured around the core elements of QAPI programs and equip nursing home leaders with core skills for training nursing homes teams to design their own QAPI programs and develop QAPI skills in their staff, with an emphasis on the knowledge and skills needed to use a systematic approach to analyze, initiate, implement, and monitor evidence based performance improvement projects.

Key skills discussed will include problem identification, flow diagraming, data collection and trending data, root cause analysis, and monitoring. Participants will learn how to implement a curriculum of brief didactic introductions to skills and small group case-studies designed to teach teams to apply those skills. Participants will discuss how to facilitate active learning in the workshop design and how to support their learners’ development in QAPI.

Learing Objectives:

• Discuss the five key elements of effective QAPI programs.
• Identify a strategy to design and implement a QAPI program with in their nursing home.
• Teach nursing home staff fundamental quality improvement skills, including problem identification, flow diagramming, and root cause analysis to performance improvement projects.
• Describe the active learning component of the QAPI workshop and why they are necessary.

• Dallas Nelson, MD, CMD, Associate Professor of Medicine, University of Rochester
• Suzanne M. Gillespie, MD, RD, CMD, Associate Professor of Medicine, University of Rochester

Preview Available

Health Care Reform: MACRA and Beyond for PA/LTC Practitioner

Mar 16, 2017 8:00am ‐ Mar 16, 2017 11:30am

Credits: None available.

Recent health care reform efforts from the Affordable Care Act to the recently enacted Medicare Access and CHIP Reauthorization Act (MACRA), the Improving Medicare Post-Acute Care Transformation Act and revised Nursing Home Requirements of Participation, have dramatically changed the fee-for-service reimbursement and delivery model. Society members need to be aware of changes in payment structures and quality measures that will determine how care is delivered to patients in PA/LTC settings. This policy intensive, sponsored by the Society's Public Policy Committee, will have various panels of experts in the field that will dive into the details of the regulatory landscape and provide real world examples on how to succeed under the newly forming payment models.

Learning Objectives:

• Explain the changing health care payment and delivery reforms.
• Describe the impact of health care reform initiatives on PA/LTC practitioners.
• Discuss strategies for successful practice under MACRA.
• List examples of successful partnerships with other health care settings to improve patient care.

• William "Rod" Baird, MS
• Alex Bardakh, MPP, Director of Public Policy and Advocacy, AMDA – The Society for Post-Acute and Long-Term Care
• Charles A. Crecelius, MD, PhD, CMD, Medical Director, Post Acute Care, Barnes Jewish Christian Medical Group
• Karl Steinberg, MD, CMD, HMDC, Chief Medical Officer, Mariner Health Care
• Dheeraj Mahajan, MD FACP, CMD, CIC, CHCQM, President/CEO, Chicago Internal Medicine Practice and Research (CIMPAR, SC)
• Susan Emmer, JD
• Robert Reynolds, MD, National Medical Director, BPCI and Post Acute Innovation, TeamHealth
• John Derr, RPh, JD & Associates Enterprises, Inc.
• Rajeev Kumar, MD, FACP, CMD, Chief Medical Officer, Symbria
• Kerry Weiner, MD, MPH

Preview Available

Perspectives in Care: Improving Transitions from the SNF to the Community

Mar 16, 2017 8:00am ‐ Mar 16, 2017 11:30am

Credits: None available.

The transition of older adults from the skilled nursing facility (SNF) setting back to the community has been largely understudied or not explored in the transitions of care arena. We will use this session to explore and expand upon optimizing best practices for patient centered, trans-disciplinary, seamlessly coordinated care among provider and community-based teams working to transition their often medically complex and physiological frail patients, from the SNF, back to "home".

Learning Objectives:

• Discuss strategies to help providers coordinate care and utilize community and home-based resources to facilitate and improve the transition of complex older adults from the SNF setting to home.
• Identify the unique challenges of care transitions from the SNF to the home environment, and how these strategies can be utilized to support family, caregivers, and the community-based, health care team to maintain wellness and reduce the risk of hospital readmission, appreciate the evolution of the advanced practitioner’s (AP) function in the team management and care of the skilled nursing patient.
• Investigate opportunities to maximize the AP role for the patient, as well as families and caregivers, transitioning from the SNF setting, focusing on safety and quality improvement practices.
• Explore options and techniques in managing the highest risk segment of older adults, especially those with dementia or life-determining illnesses, in order to maintain their safety, comfort, dignity, independence, and quality of life as they transition to home.
• Review, incorporate, and operationalize best practices for creating a seamless transition back to the community that facilitates coordination of care, medication reconciliation, and implementation of an understandable care plan by the SNF and the expanded, community-based, health care team.

• Debra P. Bakerjian, PhD, ARPN, FNP
• H. Edward Davidson, PharmD, MPH, Partner, Insight Therapeutics, LLC
• Wayne Saltsman, MD, PhD, CMD, Chief Medical Officer, Continuing Care, Lahey Health
• Lee Lindquist, MD, MPH, MBA
• Damien Doyle, MD, CMD, Medical Director, Medicare Advantage MD, Johns Hopkins HealthCare LLC
• Alicia Arbaje, MD, MPH
• Manisha Parulekar, MD, CMD, Interim Chief of Geriatrics and the Program Director of the Geriatrics Fellowship Program, Hackensack University Medical Center

Preview Available

Diabetes Skills Workshop

Mar 16, 2017 1:30pm ‐ Mar 16, 2017 5:00pm

Credits: None available.

This session will provide practical training in identification, evaluation, treatment and monitoring of diabetes in the PA/LTC.

Learning Objectives:

• Estimate carbohydrate content of common foods and make practical recommendations for snacks, and celebrations, and treat hypoglycemia.
• Demonstrate self-monitoring of blood glucose, use of insulin delivery devices, and in the recognition of various brands of insulins and GLP1 agonists.
• Perform a comprehensive diabetic foot exam, and determine appropriate glycemic goals in an individualized, patient-centered manner.
• Discuss rational therapeutic choices in patients with varying co-morbidities, cognitive and functional challenges as fellas transitioning from the use of sliding scale insulin.

• Meenakshi Patel, MD, MMM, CMD, Assoc., Prof., Dept of Geriatrics, Wright State University Boonshoft School of Medicine
• Naushira Pandya, MD, CMD, FACP
• Chad Worz, PharmD, BCGP, CEO, The American Society of Consultant Pharmacists
• Cecilia Rokusek, EdD, MS, RD, Project Manager, NSU Institute for Disaster and Emergency Preparedness

Preview Available

Integrated Care as a "New" Model to Lead Assisted Living into the Future

Mar 16, 2017 1:30pm ‐ Mar 16, 2017 5:00pm

Credits: None available.

This session will present and discuss the compelling reasons why, in order to remain a viable residential choice for seniors, assisted living must evolve into a model of integrated care. Presenters from different health care and residential disciplines will articulate how integrating their respective skillsets will help to achieve improved overall assisted living performance via stabilized resident health attained only via an integrated care model.

Learning Objectives:

• Discuss why onsite care should be the gold standard for health care in assisted living.
• Define the role of health care professionals in an integrated care model in assisted living.
• Describe how assisted living industry providers are preparing for geriatric population health management. List at least three quality metrics that assisted living providers should obtain.

• Steven Fuller, MS, PhD, DO
• Alan Kronhaus, MD
• Kevin O'Neil, MD, FACP, CMD, Chief Medical Officer, Affinity Living Group
• Loren Shook
• David Zimmerman, PhD
• Lindsay B. Schwartz, PhD, Associate Vice President, Workforce & Quality, American Health Care Association/National Center for Assisted Living

Preview Available

Improving Care in the PA/LTC Setting Through Expanded Expertise in PA/LTC Attending Physician Competencies and Utilizing Clinical Practice Guidelines

Mar 16, 2017 1:30pm ‐ Mar 16, 2017 5:00pm

Credits: None available.

Health care providers are accustomed to focusing on patients in clinical decision-making, but in the PA/LTC setting providers must also consider the setting specific issues. This hands-on workshop focuses on the physician/NP as the leader and change agent. Using cases on common topics (infection management, pain, falls, depression/dementia/delirium, acute change in condition), the workshop helps providers to diagnose and treat the interplay between providers, patient, family members, and facility-specific/cultural factors in the quest to achieve regulatory compliance and excellent outcomes. We will discuss the recommendations from the Society’s clinical practice guidelines and attending physician competencies when appropriate. The key principles of shared decision-making, interprofessional collaborative practice, and the commitment required to achieve the best outcomes in PA/LTC will be emphasized.

Learning Objectives:

• Utilize shared decision-making in challenging cases in PA/LTC.
• Describe the importance of being available, committed, and knowledgeable about PA/LTC practice.
• Explain the identification and management of an acute change in condition.
• Explain the identification and management of common geriatric syndromes.

• Gwendolen Buhr, MD, MEd, CMD, Associate Professor of Geriatrics, Duke University
• Wayne Saltsman, MD, PhD, CMD, Chief Medical Officer, Continuing Care, Lahey Health
• Deborah Way, MD, CMD
• Thomas Lawrence, MD, CMD, Medical Director, Main Line Health System
• Renante Ignacio, MD, FACP, AGSF, CMD, Chief Executive Officer, Geriatric & Palliative Specialist, PC

Preview Available

Wound Care for the Post-Acute Care Clinician

Mar 16, 2017 1:30pm ‐ Mar 16, 2017 5:00pm

Credits: None available.

This session is a half-day seminar on wound care in the post-acute care continuum. Experts in wound care will present a complete range of topics in wound care with attention to the clinical importance of the anatomy of the skin in understanding wound care principles; a review of multiple types of wounds that the clinician will encounter (pressure, venous stasis, diabetic neuropathic, arterial, skin tears, traumatic, infectious, surgical and atypical): their identification, treatment and prevention; a review of wound care dressings, procedures, and therapies including nutritional aspects of care; and an overview of quality measures, improvement processes, documentation and how that relates to medical-legal aspects of the care of wounds.

By the end of the session, the participant will have gained an appreciation of the scope of the wound care specialty.

Learning Objectives:

• Discuss the anatomy of the skin organ and how that knowledge can lead to appropriate diagnosis and care of the patient with their wound(s).
• Develop a treatment plan of care for a specific wound type based on current scientific knowledge.
• Review the care of wounds including prevention, dressings, procedures and interventions.
• Describe the components of a wound care program including risk management, coding & billing.

• Scott Bolhack, MD, MBA, FACP, CMD, Medical Director, Northwest Medical Center, Tucson, Arizona
• Karl Steinberg, MD, CMD, HMDC, Chief Medical Officer, Mariner Health Care
• Jeffrey M. Levine, MD, Associate Clinical Professor of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai
• Paul Y. Takahashi, MD, MPH, MS, Professor of Medicine, Mayo Clinic
• Shark Bird, MD, CMD, CWSP, Chief Medical Officer, Vohra Wound Physicians

Preview Available

Breaking Down Poor Cardiovascular Outcomes in the SNF: Understanding the Root Causes and Targets for Intervention

Mar 16, 2017 1:30pm ‐ Mar 16, 2017 5:00pm

Credits: None available.

This session will review the complexities of caring for the growing population of cardiac patients in skilled nursing facilities (SNFs). The speakers will familiarize the participants with the current deficits in care provision to these patients from a clinical, systems, and facility factor perspective, and will provide the audience with an understanding of how to develop targets to improve care delivery. Proposed targets for performance improvement include appropriate recognition of the high risk patient, modification of clinical practice to the cardiology patient in the SNF setting, understanding the value of models in progress to improve systems of care, applying best practices to date for post- acute transfers and SNF preparedness, and understanding the policy changes pending implementation by Centers for Medicare & Medicaid Services that will emphasize improved performance.

Learning Objectives:

• Discuss the SNF patient with cardiovascular disease (CVD) as a distinct high risk patient with significantly increased morbidity, mortality, and risk for hospital readmission compared to those discharged to other health care settings.
• Describe the deficiencies in both facility preparedness for the growing population of SNF patients with CVD, and systems affecting care transitions to the SNF setting.
• Discuss developing policy changes and payments structures that will affect provision of care to the post-acute cardiac patient and provider reimbursement.
• Identify benefits and limitations of using CHF clinical practice guidelines in the geriatric guidelines.
• Describe the National PACE* Association CHF Model Practice and how it can be used to identify patient preferences and goals of care.

• Rebecca Boxer, MD, University of Colorado Denver School of Medicine
• Verna Sellers, MD, MPH, CMD, Medical Director, Centra
• Mary Dolansky, PhD, RN
• Nicole Orr, MD, FACC, Assistant Professor, President, Post-Acute Cardiology Care