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 Internet Enduring Material 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: Avoidable hospitalizations among nursing home (NH) residents result in unnecessary costs, and disruption of resident routines. This session will present results from a study of 39 NHs that carried out projects to reduce avoidable hospitalizations. The projects were supported by the Minnesota Performance-based Incentive Payment Program (PIPP), a statewide program that incentivizes NHs to develop and implement grass-roots quality improvement efforts. Facilities followed the basic principles of the INTERACT program, however, they tailored the INTERACT tools or developed their own tools to fit their local care setting. These projects were studied using hospitalization rate analyses, surveys, and case study interviews with nursing facility staff and medical directors. Results showed that NHs had a significant reduction in their resident hospitalization rates, particularly re-hospitalizations within 30 days of nursing home admission. The session will provide an overview of our results including staff perceptions about facilitators and barriers to project success. Moreover, staff members’ impressions of roles physicians or medical directors play in supporting quality improvement will be discussed. Results of medical director interviews regarding their own role in these quality improvement programs also will be presented. The audience will be able to learn new strategies for successfully implementing INTERACT and similar programs in their own environments.
Describe the components of the Minnesota Performance-Based Incentive Payments Program (PIPP).
Recognize the perceived barriers and facilitators to INTERACT implementation by facility staff.
Recognize the role Medical Directors in INTERACT implementation in PIPP facilities.
Draw conclusions about the impact of INTERACT program on hospitalizations in PIPP facilities.
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