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: Through a joint effort of AMDA and the Society of Hospital Medicine (SHM), a Tool Kit has been developed that can improve care transitions from/to post acute care facilities (skilled nursing facilities, rehab, and long term acute care hospitals). This session will describe a range of checklists, forms, and other tools that can be used to improve care transitions and reduce readmissions. Attendees will also be instructed on how to initiate, manage, and monitor initiatives in their facilities designed to reduce readmissions.
Identify the major reasons that patients in post acute care facilities are readmitted to the hospital.
Initiate a project to improve care transitions from/to post acute care facilities.
Identify three tools (checklists, forms, etc.) that have the potential to improve post acute care transitions in your facility.
List three resources and references related post acute care transitions.
Speaker(s): Robert Young, MD, MS; Heather Zinella Cox, MD, CMD
Reference(s): AMDA. Transitions of Care in the LTC Continuum Practice Guidelines, Columbia MD, AMDA 2010 SHM. Project BOOST Implementation Guide, Philadelphia PA, SHM 2009 AMDA. Know-it-all when you’re called Diagnosing System, Columbia MD, AMDA 2011 Ouslander JG, Perloe M, Givens JH, et. al., Reducing potentially avoidable hospitalization of nursing home residents: Results of a pilot quality improvement project, Journal of AMDA, 2009; 10:644-652