Description

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:
Care planning for the diverse population of nursing home residents can be challenging. Individual patient goals can be difficult to elicit.  Medical complexity is significant and practice guidelines often do not include tailored recommendations for those with functional or limited prognosis.  Moreover, when disease guidelines for the multi-morbid resident are complied, recommendations are often divergent.  This session uses a facilitated small-group, case-based approach to improving provider skills in developing person-centered care plans that thoughtfully address these challenges. 

Learning Objective(s):

• Explain the factors that help to determine a resident’s goals of care.
• Create an individualized plan of care for nursing home residents with multimorbidity.
• Describe how the AMDA Clinical Practice Guideline can support a variety of types of goal base plans of care.

Speaker(s):
Thomas V. Caprio, MD, MPH, CMD; Suzanne M. Gillespie, MD, RD, CMD; Dallas Nelson, MD, CMD

Disclosure(s):
None

Reference(s):
Gillick M, Berkman S, Cullen L. A patient-centered approach to advance medical planning in the nursing home, J Am Geriatr Soc 1999;47:227-230. Singer PA, Martin DK, Kelner M. Quality End-of-Life Care: Patients ' Perspectives. JAMA. 1999;281(2):163-168. American Medical Directors Association. Diabetes Management in the Long Term Care Setting. Clinical Practice Guideline. Columbia, MD AMDA 2008, revise 2010

Speaker(s):

• Thomas Caprio, MD, MPH, HMDC, CMD
• Suzanne M. Gillespie, MD, RD, CMD, Associate Professor of Medicine, University of Rochester
• Dallas Nelson, MD, CMD, Associate Professor of Medicine, University of Rochester