Accreditation Statement: AMDA – The Society for Post-Acute and Long-Term Care Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Designation Statement: AMDA – The Society for Post-Acute and Long-Term Care Medicine designates this live 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.
ABPLM Designation Statement: This internet enduring material has been pre-approved by the American Board of Post-Acute and Long-Term Care Medicine (ABPLM) for a total of 1 management hour toward certification as a Certified Medical Director (CMD) in post-acute and long-term care medicine. The CMD program is administered by the ABPLM. Each physician should claim only those hours of credit actually spent on the activity.
Session Description: Care transitions have become a target for reform efforts, yet, our current understanding of how to optimize care transitions remains incomplete. The skilled nursing facility (SNF) to community transition is an important transition which has been largely neglected in the care transitions discussion. With this gap in knowledge, the Society for General Internal Medicine’s Geriatrics Task Force in conjunction with AMDA and AGS assembled a team of physicians from across the nation who practice in primary care, skilled nursing facilities, and in the home care environment. The purpose of this workgroup was to create best practice recommendations for optimal health care transitions from SNF to the community. Rather than preserve the pattern of silos of care in which providers do not communicate their knowledge and expectations to each other, members of this panel met with the express purpose of identifying ideal practice patterns in both the primary care and the skilled nursing facility settings. This session will present the best practice recommendations and means of implementing them in SNF and primary care provider (PCP) settings.
Demonstrate a basic knowledge of the real and potential gaps in care during the transition from SNF to home.
Demonstrate knowledge of the needs of patients and their caregivers during the SNF to home transition.
Describe and implement best practices for a SNF provider discharging patients into the community.
Describe and implement best practices for a primary care provider to receive patients after a brief stay in a SNF.
Speaker(s): Lee Lindquist, MD, MPH, MBA Wayne Saltsman, MD, PhD, CMD