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).
The American Medical Directors Association designates this educational activity fora maximum of 1 AMA PRA Category 1 Credit(s)TM. Physicians should only claim credit commensurate with the extent of their participation in the activity. Presenter(s): Daniel L Swagerty, Jr, MD,MPH, CMD (Moderator); Howard Tuch, MD, CMD; William D. Smucker, MD, CMD Disclosure(s): All presenters reported they had no relevant financial relationships to disclose. Session Description: With the recent implementation of revised Hospice Conditions of Participation (COP), NHPCO and AMDA has began an initiative to support their members in examining the relationship between hospices and nursing facilities in providing quality care to long term care residents. Most hospices and nursing facilities will need to redefine their individual and joint roles and responsibilities in order to develop a standard of end-of-life care focused on collaboration. This session will describe the opportunities and potential pitfalls in meeting the palliative care needs of long term care residents through the revised Hospice COP and pending companion Nursing Facility Rule standards. Learning Objectives:
Identify the core services, especially professional management ofterminal illness, to be provided by hospices to nursing facility residents
Describe the ideal relationship between the attending physician, thenursing facilities medical director and the hospice team members,including the hospice medical director
List the primary functions of the attending physician, nursingfacility staff and the hospice staff in coordination and implementation ofthe plan of care for end-of- life conditions