AMDCP Credit Designation: This session has been approved for a total of 3 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 3 AMA PRA Category 1 Credit(s)TM. Physicians should only claim credit commensurate with the extent of their participation in the activity. Presenter(s): Matthew Wayne, MD, CMD(Moderator); Gwendolen T. Buhr, MD, CMD; Susan Nicole Hastings, MD; CristinaHendrix, DNS, CFNP, CCRN; James E. Lett, II, MD, CMD; David E. Sandvik, MD,CMD; Priscilla Bade, MD, CMD Disclosure(s): DavidE. Sandvik, MD, CMD is a medical director at GoldenLiving Centers and Good Samaritan Society and a director of geriatric servicesat Rapid City Regional Hospital. Priscilla Bade, MD, CMD receives hourly reimbursement as a medical director from Regional Senior Care and Hospice of the Hills and a salary from Golden Living Center. All other presenters reported they had no relevant financial relationships to disclose. Session Description: This session introduces the broad concepts for best practicesin care transitions, followed by real world examples of strategies beingimplemented along the care continuum. The barriers encountered in multiple settings of the transitionalprocess are described and models of multiple projects, programs and solutionsfor addressing them are shared. Count on an engaging Q&A where lessonslearned are revealed and the answer to the question ‘whose business is it’ isprovided. Learning Objectives:
Outline two examples of effective approaches to improving the qualityof the care transition from hospital to home for older adults and theirfamily caregivers
Explain an innovative educational strategy to teach health professionstudents about important aspects of transitional care
Describe the global concepts of transitions of care and the careprocess associated with AMDA recommended best practices
Explain lessons learned from case examples of transitions in varioussettings
References: Hendrix C, Ray C. Informal caregiver training on home careand cancer symptom management prior to hospital discharge: a feasibility study.Oncol Nurs Forum. 2006 Jul 1;33(4):793-8. Eric A. Coleman EA, Parry C, Chalmers S, Min S. The caretransitions intervention:Results of a randomized controlled trial. Arch InternMed. 2006;166:1822-1828. Care Transitions InterventionSM Hendrix, C.C., Heflin, M., Twersky, J., Knight, C., Payne,J., Bradford, J., Schmader, K. (2008). Post-Hospital Clinic for Older Patientsand their Family Caregivers. Annals of Long-Term Care: Clinical Care and Aging,16:20-24