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: This session will describe a provincial quality improvement initiative undertaken in Alberta, Canada aimed at supporting care teams in 170 LTC homes to implement a guideline on the appropriate use of antipsychotic medications and to implement non-pharmacologic approaches to care of those with behaviors associated with dementia. The key performance indicator for the initiative was the RAI-MDS 2.0 Quality Indicator for the Appropriate Use of Antipsychotics. In 2012, the provincial average on this indicator was 26.8%. By Q4 2014-15 the provincial average had decreased to 21.1%. The key intervention to achieve this success was intentional monthly antipsychotic medication reviews and care planning to enhance the use of non-pharmacologic approaches, and engaging front-line teams in Innovation Collaboratives. A comprehensive plan to ensure sustainability of the achievements has been accepted by key stakeholders at the unit, home, organization and provincial levels. Plans to move this approach to other sectors of the continuum are underway.
Determine the applicability of the strategies used in a provincial quality improvement initiative aimed at supporting care teams in LTC homes.
Analyze the role of the Home medical directors and attending physician in supporting culture changes that have resulted in greater use of non-pharmacologic person-centered dementia care.
Consider the use of monthly measures of success on a balanced scorecard as a key strategy for maintaining the participation of teams over a 9 month period.
Appreciate the similarities and differences in LTC services in a Canadian publicly-funded Health Care system with American LTC services including: government mandated Continuing Care Health Service Standards and National public reporting of RAI-MDS Quality Indicators for all homes.
Speaker(s): Douglas Faulder, MD Mollie Cole, RN, MSN