2010 Annual Conference

Mar 11, 2010 ‐ Mar 14, 2010


The information provided in this CME activity is for continuing education purposes only and is not meant to substitute for the independent medical/clinical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition.

Contact Information: For questions about this CME activity contact AMDA’s Education Department at 410-740-9743 or at education@amda.com

LEARNING OBJECTIVES
Each year, the Program Committee works to formulate a program that provides cutting-edge, evidence-based, unbiased education relevant to the spectrum of professionals in the LTC setting. 

The following are global objectives that reflect the purpose of the overall program in terms of the knowledge, competencies and/or skills attendees may gain by participating in the activity. Note that due to varying needs, not all objectives will be relevant to each attendee.

Upon conclusion of participating in this educational activity, attendees should be able to:

  • Apply knowledge and skills gained to enhance the effectiveness of medical direction in nursing facilities,
  • Discuss clinical advances and new research findings relevant to long term care medicine,
  • Implement clinical practice guidelines in the long term care setting,
  • Utilize available data, tools, and emerging technologies to inform decisions about clinical care and/or medical direction,
  • Implement strategies for effective communication with patients, families and care teams,
  • Enhance skills and abilities to collaborate with and/or lead the long term care interdisciplinary team,
  • Analyze available data to promote quality improvement in long term care,
  • Gain new perspectives on relevant aspects of fiscal issues, health care policy, and AMDA policy priorities,
  • Establish a network with active members of AMDA and the long term care medical community.

Session-specific objectives are made available to attendees prior to the start of individual sessions. These should be taken into account when evaluating individual sessions. 

Instructions for Course Participation

  • Click on the session title to review the materials on Terms of Use and Disclaimer statements, accreditation information, target audience, learning objectives, and disclosure information
  • Complete the entire self-study activity (viewing the PowerPoint presentation and listen to the audio recording in its entirety)
  • Complete and submit the self-assessment and evaluation/CME claim form
  • Print out CME certificate
  • The online library awards credits for sessions ranging from 1 to 3.5 hours. Each activity should take you approximately the number of hours to complete as credits which are awarded for that activity, (e.g. for 1.5 credit hours awarded, the completion of the activity should take approximately 1.5 hours to complete.)

BY USING THIS SITE YOU AGREE TO ABIDE BY OUR TERMS OF USE AGREEMENT

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SELF-ASSESSMENT ACTIVITIES

Sponsored by the American Medical Directors Association (AMDA)

Release Date: 04/2010      Valid through: 04/2013

Click here for a list of Management and Clinical credit designations.

Accreditation
The American Medical Directors Association (AMDA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Credit Designation
The American Medical Directors Association designates this educational activity for a maximum of 103.25 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

AMDA Certification Program (AMDCP) Credit Designation
This seminar has been approved for a total of 103.25 credit hours toward certification as a Certified Medical Director in Long Term Care (CMD). 76.75 credits have been designated as Management education credits and 26.5 hours have been designated as Clinical education credits. The AMDA CMD program is administered by the American Medical Directors Certification Program. Each physician should claim only those hours of credit actually spent on the activity.

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.

PROGRAM PLANNING 

2010 Planning Committee Members

Matthew S. Wayne, MD, CMD (2010 Program Chair)     
Jeffrey Nichols, MD
David A. Brechtelsbauer, MD, CMD                             
Karl Steinberg, MD, CMD
Paul Drinka, MD, CMD, AGSF                                    
Belinda A. Vicioso, MD, CMD
Thomas Rex Flygt, MD, CMD                                      
Aida Wen, MD, CMD
Suzanne Gillespie, MD                                                 
Kristine M. Wilhelm, RN, BA, DON
Donald E. Golden, MD                                                
Heidi K. White, MD, CMD
William N. Hovland, MD, CMD                                   
Peter Winn, MD, CMD
Robin Kroft, PhD                                                         
Bonnie Wirfs, MD, CMD
Steven A Levenson, MD, CMD

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

Heidi K. White, MD, CMD – Amgen: Principle Investigator; Merck: Co-investigator
Karl Steinberg, MD, CMD – Eli Lilly and Company, GlaxoSmithKline: Speakers’ Bureau; Barr, Sanofi Aventis, Pfizer Inc., Roche: Stockholder
Peter Winn, MD, CMD – Fountains: Monthly Stipend for Medical Director Role; Mercy Hospice: Monthly Stipend for Medical Director Role

All other Program Committee members actively involved in planning reported they have nothing relevant to disclose. Faculty disclosure information is provided with the individual session information for each session on the CME information page.

Target Audience:
Medical Director, Attending Physician, Nurse (NP, DON, RN, CNA), Administrator, Consultant Pharmacist, Therapist

Standard: $395.00

Products

Controversies of Patient Management in Assisted Living

Preview Available

Controversies of Patient Management in Assisted Living

Mar 11, 2010 8:00am ‐ Mar 11, 2010 11:30am

Accreditation
The American Medical Directors Association (AMDA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Designation Statement:
The American Medical Directors Association designates
this educational activity for a maximum of 3.5 AMA PRA Category 1 Credit(s)™.
Physicians should only claim credit commensurate with the extent of their participation in the activity.

AMDCP Credit Designation:
This session has been approved for a total of 3.5 Management credit hours toward certification as a Certified Medical Director in Long Term Care (CMD).

Session Description:
Assisted living continues to be the most rapidly growing sector of long term care. This session will review issues and controversies in the management of patients in the assisted living setting. Included will be the role of the attending physician, notification policies, the potential role of a medical director, communicating with other members of the IDT, billing and codes, and issues in infection control.

Speakers(s):
Josh Allen, RN; Charles A. Crecelius, MD, PhD, CMD; Faculty; Daniel Haimowitz, MD, CMD; Juliette Holt-Klinger; Kevin W O'Neil, MD, CMD; Alec Pruchnicki, MD; Matthew S. Wayne, MD, CMD

Disclosure(s):
Josh Allen, RN has no disclosures to report.
Charles A. Crecelius, MD, PhD, CMD has no disclosures to report.
Dan Haimowitz, MD, CMD has no disclosures to report.
Juliette Holt-Klinger has no disclosures to report.
Kevin W. O'Neil, MD, CMD - Brookdale Senior Living: Employee/Stockholder.
Alec Pruchnicki, MD has no disclosures to report.
Matthew S. Wayne, MD, CMD has no disclosures to report.

Speaker(s):
Standard: $24.00

Everything You Wanted to Know about Billing and Coding in Long Term Care

Preview Available

Everything You Wanted to Know about Billing and Coding in Long Term Care

Mar 11, 2010 8:00am ‐ Mar 11, 2010 11:30am

Accreditation
The American Medical Directors Association (AMDA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Designation Statement:
The American Medical Directors Association designates
this educational activity for a maximum of 3.5 AMA PRA Category 1 Credit(s)™.
Physicians should only claim credit commensurate with the extent of their participation in the activity.

AMDCP Credit Designation:
This session has been approved for a total of 3.5 Management credit hours toward certification as a Certified Medical Director in Long Term Care (CMD).

Session Description:
This session provides a review of the most recent payment policy, including CPT changes relevant to nursing home services, and discusses lessons learned in their use. Procedural codes, codes with modifiers, coding for care by nurse practitioners, and day-of-death codes are discussed in-depth. Instruction includes case-studies and vignettes as examples and participants are led through a process of determining codes based on modifiers and procedures.

Learning Objectives(s):

  • Use the Medicare Carriers Manual as a reference source for defining payment parameters
  • Explain the concept of medical necessity as it relates to reimbursement
  • Delineate and apply evaluation and management codes for long term care for physicians and other providers

Speakers(s):
Alva S. Baker, MD, CMD; Leonard Gelman, MD, CMD

Disclosure(s):
Alva S. Baker, MD has no disclosures to report.
Leonard Gelman, MD, CMD has no disclosures to report.

Speaker(s):
Standard: $24.00

Preserving Bone Health: Recognition and Early Treatment

Preview Available

Preserving Bone Health: Recognition and Early Treatment

Mar 11, 2010 8:00am ‐ Mar 11, 2010 11:30am

Accreditation
The American Medical Directors Association (AMDA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Designation Statement:
The American Medical Directors Association designates
this educational activity for a maximum of 3.5 AMA PRA Category 1 Credit(s)™.
Physicians should only claim credit commensurate with the extent of their participation in the activity.

AMDCP Credit Designation:
This session has been approved for a total of 3.5 Clinical credit hours toward certification as a Certified Medical Director in Long Term Care (CMD).

Session Description:
This session will review the spectrum of bone disorders in the elderly with an emphasis on their impact on function and morbidity. The AMDA CPG on Osteoporosis and its approach to care will be highlighted in the discussion. A case-based approach will be utilized to facilitate clinical recognition, laboratory evaluation, and management.

Learning Objectives(s):

  • Describe the pathophysiology and clinical impact of osteoporosis, osteomalacia, Paget's disease, renal osteodystrophy,and multiple myeloma.
  • Determine clinical, laboratory as well as imaging modalities to diagnose bone disorders.
  • Analyze the evidence presented for the benefits of timely recognition and treatment of osteoporosis, osteomalacia.
  • Review and evaluate the evidence for newer therapeutic agents for osteoporosis.
  • Discuss the rational management of Paget's disease and renal osteodystrophy.


Speakers(s):
Naushira Pandya, MD, CMD; Thiruvinvamalai Dharmarajan, MBBS; Meenakshi Patel, MD, CMD; Manju T. Beier, PharmD

Disclosure(s):
Thiruvinvamalai Dharmarajan, MBBS has no disclosures to report.
Naushira Pandya, MD, CMD Novartis: Speakers' Bureau (Honorarium)
Meenakshi Patel, MD, CMD Novartis - Speakers' Bureau
Manju T. Beier, PharmD has no disclosures to report.

References:
1. Center, et al. Lancet 1999; 2. Lindsay, et al. JAMA. 2001; 3. Zimmerman, et al. Osteoporos Int. 1999; 4. Ray, et al. JBMR. 1997; 5.Pandya N. Managing Osteoporosis: Real Life Issues. Early Identification of Patients with Osteoporosis. Symposium Reporter 2007. Journal of the American Medical Director's Association September 2007

Speaker(s):
Standard: $24.00

Palliative Care Part I
    This session was supported by an education grant from Purdue Pharma L.P.

Mar 11, 2010 8:00am ‐ Mar 11, 2010 11:30am

Accreditation
The American Medical Directors Association (AMDA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Designation Statement:
The American Medical Directors Association designates
this educational activity for a maximum of 3.5 AMA PRA Category 1 Credit(s)™.
Physicians should only claim credit commensurate with the extent of their participation in the activity.

AMDCP Credit Designation:
This session has been approved for a total of 3.5 Management credit hours toward certification as a Certified Medical Director in Long Term Care (CMD).

Session Description:
This session combines didactic instruction with interactive educational methods to present an overview of practical approaches to communication, advance care planning, and assessment and control of pain and other distressing symptoms experienced by patients in long term care.

Learning Objectives(s):

  • Define palliative care as it relates to each resident within the long term care continuum.
  • Examine a systematic approach to assessing and managing pain and non-pain symptoms.
  • Describe comprehensive assessment and treatment of pain in the nursing facility.
  • Enhance communication with patients, families, and caregivers regarding goals of care and advanced care planning.


Speakers(s):
Willliam D. Smucker, MD, CMD; Peter Winn, MD, CMD; Jennifer Heffernan, MD, CMD

Disclosure(s):
Jennifer Heffernan, MD, CMD has no disclosures to report.
William D. Smucker, MD, CMD has no disclosures to report.Peter Winn, MD has no disclosures to report.


References:
These presentations are all based on the AMDA Palliative Care Curriculum, the AMDA Palliative Care Toolkit, the AMDA Pain CPG, and relevant updates to the literature.

Speaker(s):
Standard: $24.00

Starting and Growing a Long Term Care Ethics Committee

Preview Available

Starting and Growing a Long Term Care Ethics Committee

Mar 11, 2010 8:00am ‐ Mar 11, 2010 11:30am

Accreditation
The American Medical Directors Association (AMDA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Designation Statement:
The American Medical Directors Association designates
this educational activity for a maximum of 3.5 AMA PRA Category 1 Credit(s)™.
Physicians should only claim credit commensurate with the extent of their participation in the activity.

AMDCP Credit Designation:
This session has been approved for a total of 3.5 Management credit hours toward certification as a Certified Medical Director in Long Term Care (CMD).

Session Description:
AMDA has endorsed the creation of institutional ethics committees in long term care settings, but many medical directors and members of the IDT are challenged by how to begin. Many committees are formed, and then struggle to survive. Special ethical issues recur in long term care which differs from the better known hospital models. Different facilities require different models. AMDA's Ethics Committee will co-present models and facilitate actual case discussions to prepare participants to return to their facilities with new skills and experience.

Learning Objectives(s):

  • Evaluate different models for long term care ethics committees.
  • Discuss difficulties in resolving ethical issues in long term care facilities.
  • Participate in model committee sessions.
  • Use the ethics committee process to resolve sample ethical dilemmas.

Speakers(s):
Jeffrey N. Nichols, MD; Peter L. Jaggard, MD, CMD

Disclosure(s):
Jeffrey N. Nichols, MD has no disclosures to report.
Peter L. Jaggard, MD, CMD has no disclosures to report.

Speaker(s):
Standard: $24.00

Management of Depression, Bipolar Disorders, Obsessive-compulsive Disorder, Chronic Schizophrenia and Other Psychiatric Diagnoses in the Non-demented Residents of Long Term Care

Preview Available

Management of Depression, Bipolar Disorders, Obsessive-compulsive Disorder, Chronic Schizophrenia and Other Psychiatric Diagnoses in the Non-demented Residents of Long Term Care

Mar 11, 2010 8:00am ‐ Mar 11, 2010 11:30am

Accreditation
The American Medical Directors Association (AMDA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Designation Statement:
The American Medical Directors Association designates
this educational activity for a maximum of 3.5 AMA PRA Category 1 Credit(s)™.
Physicians should only claim credit commensurate with the extent of their participation in the activity.

AMDCP Credit Designation:
This session has been approved for a total of 3.5 Clinical credit hours toward certification as a Certified Medical Director in Long Term Care (CMD).

Session Description:
This session will discuss managing psychiatric illnesses other than dementia in long term care settings. Attendees will learn to recognize and treat depression, bipolar disorder, obsessive-compulsive disorder, and chronic schizophrenia, as well as becoming comfortable with both non-pharmacologic management strategies as well as drug therapies for these conditions. Tips for improving documentation will help with common survey related issues related to psychiatric illnesses.

Learning Objectives(s):

  • Develop personal strategies on recognizing depression, bipolar disorders, obsessive-compulsive disorder and chronic schizophrenia in non-demented residents of LTC.
  • Discuss primary care management of depression, bipolar disorders, obsessive-compulsive disorder and chronic schizophrenia in non-demented residents of LTC.
  • Implement the best utilization of psychiatric consultation and acute psychiatric hospital transfer when managing depression, bipolar disorders, obsessive-compulsive disorder and chronic schizophrenia in non-demented residents of LTC.
  • Describe best practice documentation under OBRA regulations when using medication and non-pharmacologic interventions for management of depression, bipolar disorders, obsessive-compulsive disorder and chronic schizophrenia in non-demented residents of LTC.


Speakers(s):
Jay S. Luxenberg, MD; Michael Geiser, MD; Clifford M. Singer, MD

Disclosure(s):
Jay Luxenberg, MD has no disclosures to report.
Clifford M. Singer, MD - AstraZeneca: Research Grant; Eli Lilly and Company: Advisory Board
Michael Geiser, MD has no disclosures to report.

Speaker(s):
Standard: $24.00

Transitions of Care: Effective Implementation of Clinical Practice Guidelines

Preview Available

Transitions of Care: Effective Implementation of Clinical Practice Guidelines

Mar 11, 2010 1:30pm ‐ Mar 11, 2010 5:00pm

Accreditation
The American Medical Directors Association (AMDA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Designation Statement:
The American Medical Directors Association designates
this educational activity for a maximum of 3.5 AMA PRA Category 1 Credit(s)™.
Physicians should only claim credit commensurate with the extent of their participation in the activity.

AMDCP Credit Designation:
This session has been approved for a total of 3.5 Management credit hours toward certification as a Certified Medical Director in Long Term Care (CMD).

Session Description:
In this session, AMDA's long awaited public access electronic version Transitions of Care in the Long Term Care Continuum CPG will be displayed and faculty will demonstrate its use. The accomplishments of AMDA members in transitions of care in their local settings will be highlighted. The panel will discuss the nuts and bolts of the victories and how the overarching principles of the CPGs applied. Panel members will also demonstrate successful projects on improving care transitions.

Learning Objectives(s):

  • Explore the new AMDA Clinical Practice Guidelines for Transitions of Care in the Long term Care Continuum.
  • Impact care transitions in their own communities by learning how medical directors and other practitioners from around the country effected positive change in care transitions.
  • Utilize tools, focusing on the Interact II, to improve care transitions and reduce unnecessary hospital admissions and readmissions.


Speakers(s):
James E. Lett, MD, CMD; Jonathan Musher, MD, CMD; Cornelius J. Foley, MD; Joseph Ouslander, MD; Jo Ann Fisher, MSN, FNP-C; Alice Bonner PhD, RN; John H. Potomski, DO, CMD

Disclosure(s):
Alice Bonner PhD, RN has no disclosures to report.
Jo Ann Fisher, MSN, FNP-C has no disclosures to report.
Cornelius J. Foley, MD has no disclosures to report.
James E. Lett, MD, CMD has no disclosures to report.
Jonathan Musher, MD, CMD has no disclosures to report.
Joseph Ouslander, MD has no disclosures to report.
John H. Potomski, DO, CMD has no disclosures to report.

Speaker(s):
Standard: $24.00

Effective Interdisciplinary Management of Challenging Behavioral Symptoms in Persons with Dementia

Preview Available

Effective Interdisciplinary Management of Challenging Behavioral Symptoms in Persons with Dementia

Mar 11, 2010 1:30pm ‐ Mar 11, 2010 5:00pm

Accreditation
The American Medical Directors Association (AMDA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Designation Statement:
The American Medical Directors Association designates
this educational activity for a maximum of 3.5 AMA PRA Category 1 Credit(s)™.
Physicians should only claim credit commensurate with the extent of their participation in the activity.

AMDCP Credit Designation:
This session has been approved for a total of 3.5 Management credit hours toward certification as a Certified Medical Director in Long Term Care (CMD).

Session Description:
Effective non-pharmaceutical management of behavioral symptoms require the participation of all members of the IDT. This session presents the process by which challenging behavioral symptoms in persons with dementia are effectively managed by the medical director, attending physician, nursing staff, activities staff, dining staff, social worker, chaplain, consultant pharmacist, rehabilitative services personnel and administration. The session will feature interactive didactic presentations with case studies and a videoconference featuring members of the IDT.

Learning Objectives(s):

  • Describe the types and frequencies of behavioral symptoms in persons with dementia.
  • Define the roles of each member of the IDT in the evaluation and management of such behavioral symptoms.
  • Delineate the matrix of interactions between members of the IDT and the resident with challenging behavioral symptoms that promote effective team functioning and successful management of the symptoms.
  • Implement strategies for collaboratively working with family members and other loved ones to manage the behavioral challenges.


Speakers(s):
Stephen M. Vozzella; Alva S. Baker, MD, CMD

Disclosure(s):
Alva S. Baker, MD has no disclosures to report.
Stephen M. Vozzella has no disclosures to report.

References:
Rabins, P.V., Lyketsos, C.G., and Steele, C.D. (2006). Practical Dementia Care (2nd ed.). New York: Oxford University Press. Cooley, E (1994). Training an Interdisciplinary Team in Communication and Decision-Making Skills Small Group Research, Vol. 25, No. 1, 5-25 Lyketsos, C.G, Steinberg, M., Tschanz, J.T., Norton, M.C., Steffens, D.C., and Breitner, J.C.S. (2000). Mental and Behavioral Disturbances in Dementia: Findings From the Cache County Study on Memory in Aging. Am J Psychiatry 157:708-714.

Speaker(s):
Standard: $24.00

Palliative Care Part II
    This session was supported by an education grant from Purdue Pharma L.P.

Mar 11, 2010 1:30pm ‐ Mar 11, 2010 5:00pm

Accreditation
The American Medical Directors Association (AMDA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Designation Statement:
The American Medical Directors Association designates
this educational activity for a maximum of 3.5 AMA PRA Category 1 Credit(s)™.
Physicians should only claim credit commensurate with the extent of their participation in the activity.

AMDCP Credit Designation:
This session has been approved for a total of 3.5 Management credit hours toward certification as a Certified Medical Director in Long Term Care (CMD).

Session Description:
This program provides an overview of practical approaches to ethical decision-making, evaluating benefits and burdens of artificial nutrition and hydration, encouraging spiritual and emotional considerations in end-of-life care, collaboration between nursing homes and hospice, and organizational changes to improve end-of-life care.

Learning Objectives(s):

  • Describe benefits and burdens of artificial nutrition and hydration.
  • Enhance understanding of emotional and spiritual issues at the end-of-life.
  • Describe how hospice and nursing homes can work together productively.
  • Identify organizational barriers to improving end-of-life care and describe practical policies to promote better end-of-life care.


Speakers(s):
William D. Smucker, MD, CMD; Deborah Way, MD, CMD; Lory Bright-Long, MD, CMD; Anthony Lechich, MD

Disclosure(s):
Lory Bright-Long, MD, CMD has no disclosures to report.
Anthony Lechich, MD, CMD has no disclosures to report.
Willliam D. Smucker, MD, CMD has no disclosures to report.
Deborah Way, MD, CMD has no disclosures to report.

References:
These presentations are all based on the AMDA Palliative Care Curriculum, the AMDA Palliative Care Toolkit, the AMDA Pain CPG, and relevant updates to the literature.

Speaker(s):
Standard: $24.00

The CMS 5-Star Rating System is a Bumpy Road: How to Understand, Improve and Defend Your Quality Measure Score

Preview Available

The CMS 5-Star Rating System is a Bumpy Road: How to Understand, Improve and Defend Your Quality Measure Score

Mar 12, 2010 11:00am ‐ Mar 12, 2010 12:00pm

Accreditation
The American Medical Directors Association (AMDA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Designation Statement:
The American Medical Directors Association designates
this educational activity for a maximum of 1 AMA PRA Category 1 Credit(s)™.
Physicians should only claim credit commensurate with the extent of their participation in the activity.

AMDCP Credit Designation:
This session has been approved for a total of 1 Management credit hours toward certification as a Certified Medical Director in Long Term Care (CMD).

Session Description:
The CMS Quality Measures (QM) are part of a complex measurement system used to gauge the quality of care provided by nursing homes, but their use doesn't stop there. The QMs directly affect survey results, reimbursement levels and the cost of liability insurance. A subset of QMs are used to generate a CMS 5-star Quality Rating that is publicly reported to help consumers select a nursing home. A key question is whether the QMs are up to the challenge of fairly ranking nursing homes? This session will help medical director's understand how the QMs factor into the Overall 5-Star Ratings and will help to explain facility 5-Star Quality Rating to staff, residents, families, boards and the public in the context of resident populations. The speaker was selected by CMS to participate in a small stakeholder group to review and make recommendations to improve the accuracy of the Five Star Quality Rating system and will report on the progress of the dialogue and status of proposed improvements to the rating system.

Learning Objectives(s):

  • Recognize the importance of the QM/QIs to your facility and the value of educating more than just nursing staff about QM/QIs.
  • Evaluate and explain your facility 5-Star Quality Measure rating to staff, residents, families and the public in the context of your resident population.
  • Discuss the status of a small stakeholder group convened by CMS to conduct ongoing discussions related to potential short-term and long term improvements to the 5-Star Rating System.
  • Discuss a proactive facility-wide process for integrating QM data into ongoing QA processes that can help minimize future adverse outcomes, maximize reimbursement and make optimal use of scarce staffing resources.


Speakers(s):
Christie L. Teigland, PhD, MA

Disclosure(s):
Christie L. Teigland, PhD, MA has no disclosures to report.

References:
For the past 12 years Dr. Teigland has specialized in long term care quality measurement research. She has served as Principal Investigator for 8 large outcome studies, including a 4-year patient safety project funded by DHHS (AHRQ) that developed computerized predictive risk tools. In 2005, DHHS (HRSA) awarded a large nurse education grant to develop on-line education modules to provide much needed training in the new "nursing informatics"; skills now essential to support complex clinical decision making, including how to use computerized patient data to improve resident outcomes and quality of care. In 2006, Dr. Teigland received a grant from the Alzheimer';s Association to develop new quality of life measures for dementia residents, and in 2007 received a grant from the NYS Dementia Grants program to use technology to improve pain assessment in elderly residents with dementia. Christie is lead developer of a clinical informatics software designed to improve outcomes and quality of care and serves on several CMS expert panels including the MDS 3.0 Validation Panel, stakeholder group convened to discuss potential improvements to the 5-Star Rating System, RAND/Harvard panel to identify national patient safety indicators, and AHRQ panel to develop a national patient safety culture survey for long term care.

Speaker(s):
Standard: $24.00
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