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: Polypharmacy is a common problem in multi-morbid older adults. Multiple interventions have been developed to reduce inappropriate medication use in the long term care setting; however, many of these interventions are time, labor, or fiscally intensive. Through case examples and break-out groups, we will present a pharmacist-led interdisciplinary medication reduction and management program that can be easily implemented in any long term care facility. Outcome data will be reviewed and practical advice will be given to assist attendees in executing similar programs in their institutions.
Describe a practical, sustainable, patient-centered, interdisciplinary program that reduces inappropriate medication use in a long term care practice setting.
Compare the implementation and outcomes of the program to other landmark interventions described in the literature.
List practical ways to implement similar programs in home institutions in order to enhance the federally-mandated pharmacist review and improve the quality of patient care.
Speakers(s): Milta O. Little, DO; Alexis Morley, RPh
Disclosure(s): Milta O. Little, DO has no financial disclosures to report. Alexis Morley, RPh has no financial disclosures to report.
References(s): Blozik E, Born AM, Stuck AE, et al. Reduction of Inappropriate Medication among Older Nursing-Home Residents. Drugs Aging 2010; 27(12): 1109-1017 Tamura BK, Bell CL, Lubimir K, et al. Physician Intervention for Medication Reduction in a Nursing Home: The Polypharmacy Outcomes Project. J Am Med Dir Assoc 2010; Article in Press (published online) Olsson IN, Curman B, Engfeldt P. Patient focused drug surveillance of elderly patients in nursing homes. Pharmacoepidemiology and Drug Safely 2010; 19:150-157 Westbury J, Lisette T, Peterson G, et al. A 12-month follow-up study of "RedUSe": a trial aimed at reducing antipsychotic and benzodiazepine use in nursing homes. Int Psychogeriatrics 2011; 24:1-10 Trystad TK, Christensen DB, Wegner SE, et al. Analysis of the North Carolina Long-Term Care Polypharmacy Initiative: A Multiple-Cohort Approach Using Propensity-Score Matching for Both Evaluation and Targeting. Clin Therap 2009; 31(9):2018-2037