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 1.5 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 management 1.5 credit hours toward certification as a Certified Medical Director in Long Term Care (CMD).
Session Description: This session will present a comprehensive review of the development and implementation of the OBRA '87 legislation, 25 years after its passage. It presents this overview from the vantage point of a physician who has been intimately involved since 1988 in many facets of implementation, including development of assessment tools, surveyor guidance, quality improvement, reimbursement, and extensive training of physicians, surveyors, administrators, nurses, and others across the country. The session will also discuss whether and to what extent OBRA-related materials can continue to support improvement in the future.
Identify key aspects of the development and implementation of the OBRA '87 law and regulations for nursing homes.
Discuss the strengths and weaknesses of OBRA '87 as a foundation for improving nursing home practice and care during the past 25 years.
Recognize the prospects and limits of the OBRA package to generate further improvement of long term care in the future.
Speakers(s): Steven A. Levenson, MD, CMD
Disclosure(s): Steven A. Levenson, MD, CMD has no financial disclosures to report.
References(s): Levenson SA. Crecelius C. The long-term care survey. Caring for the Ages: June, August, October-December 2001; January-December 2002. Levenson SA, Morley JE. Evidence rocks in long-term care, but does it roll? J Am Med Dir Assoc 2007, 8:493-501. Levenson SA. The basis for improving and reforming long-term care, Part 1: The foundation. J Am Med Dir Assoc 2009; 10: 459-465. Part 2: Clinical problem solving and evidence-based care. J Am Med Dir Assoc 2009; 10: 520-529. Part 3: Essential elements for quality care. J Am Med Dir Assoc 2009; 10: 597-606. Part 4: Identifying meaningful improvement approaches (Segment 1). Levenson SA. J Am Med Dir Assoc 2010; 11: 84-91. Part 4: Identifying meaningful improvement approaches (Segment 2). J Am Med Dir Assoc 2010; 11: 161-170.