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 1.5 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: Collaboration, data sharing, and dissemination of leading practices are key elements for quality improvement practices in nursing homes. In this session, presenters will describe an international collaborative, The Seniors Quality Leap Initiative (SQLI), which addresses each of these key elements of quality improvement. SQLI collaborative was established in 2011 of 11 long-term care facilities in Canada and United States with the goals to improve quality of care and patient safety by sharing performance data and specific quality improvement initiatives.
List principles in pain assessment and narcotic prescribing in the elderly.
Develop a plan to address common risks in pain management for geriatric patients.
Name three tips related to starting and stopping medications.
Identify simple treatment approaches for addressing fatigue, depression, dyspnea and nausea.
Speaker(s): Paul R. Katz, MD, CMD; Michele F. Bellantoni, MD, CMD
Reference(s): Smith KM, Castle NG, Hyer K. Implementation of quality assurance and performance improvement programs in nursing homes: a brief report.J Am Med Dir Assoc. 2013 Jan;14(1):60-1. doi: 10.1016/j.jamda.2012.09.010. Epub 2012 Nov 2.PMID:23123004 Cranley LA, Norton PG, Cummings GG, Barnard D, Batra-Garga N, Estabrooks CA.Identifying resident care areas for a quality improvement intervention in long-term care: a collaborative approach.BMC Geriatr. 2012 Sep 25;12:59. doi: 10.1186/1471-2318-12-59.PMID:23009173 Möhler R, Richter T, Köpke S, Meyer G.Interventions for preventing and reducing the use of physical restraints in long-term geriatric care - a Cochrane review.J Clin Nurs. 2012 Nov;21(21-22):3070-81. doi: 10.1111/j.1365-2702.2012.04153.x. Epub 2012 Sep 14. Review. PMID:22978254 Rantz MJ, Zwygart-Stauffacher M, Flesner M, Hicks L, Mehr D, Russell T, Minner D.Challenges of using quality improvement methods in nursing homes that "need improvement".J Am Med Dir Assoc. 2012 Oct;13(8):732-8. doi: 10.1016/j.jamda.2012.07.008. Epub 2012 Aug 25.PMID:22926322 http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/index.html
Associate Professor, Department of Medicine,
Johns Hopkins University
Chair Department of Geriatrics,
Florida State University, College of Medicine