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 1.5 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 1.5 management hours 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: The Seniors Quality Leap Initiative (SQLI) is a collaborative established in 2011 of 12 long-term care facilities in Canada and the United States with the goals to improve quality of care and patient safety by sharing performance data and specific quality improvement (QI) initiatives. Paul Katz, MD, CMD, will begin the session with an overview of the Seniors Quality Leap Initiative. Michelle Bellantoni, MD, CMD, will present the most recent data on pain from The Report Card of Quality Measures with the facilities de-identified. All members of the collaborative have at least one quality indicator in the bottom 20% of the standard, an opportunity for all to improve quality of care to some extent. Tammy Retallic, RN, MSN, will report on the gap analysis completed at the onset of the QI project: 2/9 facilities lacked policies on pain management, 3/9 had no clinical guidelines, 6/9 excluded nursing assessments from responsibility for pain assessment, 5/9 limited training on pain assessment to orientation, 5/9 excluded goals of care from training in pain management, 7/9 excluded cultural considerations in training, and 3/9 emphasized non-pharmacologic management of pain in staff training. Ms. Retallic will report on the QI process in which organizational leaders used their data to draft change ideas, process measures, and goals for change. She will report on barriers identified including staff attitudes, limitations resulting from electronic health record software, and the lack of educational tools. She will also describe the strategies employed to overcome these barriers. She will discuss outcome indicators related to effectiveness of change.
Describe an international collaborative of nursing home medical directors, administrators, and directors of nursing who are working together to improve clinical outcomes and quality of life for the nursing home.
Review de-identified data on the quality measures related to pain.
Work in interdisciplinary teams to implement best practices to improve quality measures related to pain.
Describe benchmarking of performance with multiple facilities and interpret longitudinal changes in quality improvement data.
Speaker(s): Michele F. Bellantoni, MD, CMD Paul Katz, MD, CMD Tammy Retallic, RN, MSN
Associate Professor, Department of Medicine,
Johns Hopkins University
Chair Department of Geriatrics,
Florida State University, College of Medicine
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