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 1.0 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 1.0 credit hours toward certification as a Certified Medical Director in Long Term Care (CMD).
Session Description: The behavioral health needs of long term care residents often go unmet. Patients may be misdiagnosed, placed on potentially unnecessary medications, and seen as burdens to their families or the facility staff. This vulnerable population deserves expert specialists who can appropriately evaluate and treat their complex behavioral issues within the broader context of multiple co-morbidities. These patients benefit from assessments and care provided in their nursing home environment. In addition, the Centers for Medicare and Medicaid Services (CMS) is asking the primary care teams to reduce both psychotropic medications and preventable transfers. A major limitation to quality behavioral health care and Medical Behavioral Integration in the long term care setting is the scarcity of psychiatrists and psychologists able to come on site to meet this need. This session will present a unique approach to improving behavioral health care and psychotropic medication management in nursing facilities by integrating gero-psychiatrists into the interdisciplinary team via video conference technology.
Review the present limitations to quality behavioral health care and psychotropic medication management in skilled nursing facilities.
Understand Medical Behavioral Integration, its role in 'patient-centered' care in nursing facilities, and how it provides a unique backdrop for introducing telepsychiatry to this environment.
Understand how to incorporate telepsychiatry into the nursing facility culture; define expectations and outcomes for this new model of care delivery.
Suggest alternatives to fee-for-service reimbursement that can sustain the telepsychiatry model over time.
Reference(s): Garcia-Lizana F, Munoz-Mayorga I. What about telepsychiatry? A systematic review Prim Care Companion J Clin Psychiatry. 2010;12(2). De Las Cuevas C, et al. Randomized clinical trial of telepsychiatry through videoconference versus face-to-face conventional psychiatric treatment Telemed J E Health. 2006 Jun;12(3):341-50. Hsu MH, et al. Development and implementation of a national telehealth project for long-term care: a preliminary study Comput Methods Programs Biomed. 2010 Mar;97(3):286-92. Lyketsos CG, et al. Telemedicine use and the reduction of psychiatric admissions from a long-term care facility. J Geriatr Psychiatry Neurol. 2001 Summer;14(2):76-9.