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 thisInternet 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:
This session creates a forum for interdisciplinary teams (IDTs) to share their innovative programs and policies. Come hear how other teams have overcome barriers and challenges in their practice. Several programs will briefly present their best practices, and then offer expert advice to attendees and share the materials which have contributed to their programs’ successes in roundtable format. This session is an excellent opportunity to network with other IDT colleagues and learn new strategies for addressing challenges in your long-term care practice.

Moderator: Suzanne M. Gillespie, MD, RD, CMD

PRESENTATIONS

A Critical Analysis and Adaptation of a Clinical Practice Guideline for the Management of Behavioral Problems in Dementia Residents in Long-Term Care

This presentation will discuss the development and adaptation of a new clinical practice guideline for the non-pharmacological management of behavior problems in long-term care residents with dementia. The focus will be on how the guideline was developed, plans for implementation and applicability to practice. An excerpt of the guideline will be made available to attendees.

Nanette Lavoie-Vaughan, APN-C, DNP

Development of a Peritoneal Dialysis Program in the Skilled Nursing Facility

This presentation will demonstrate the benefits of developing an in-house peritoneal dialysis program in the skilled nursing facility. The audience will gain an appreciation for the value of an inter-institutional collaborative effort in improving quality of life and providing new opportunities for participation in rehab for patients with end stage renal disease.

Zachary J. Palace, MD, CMD

Diabetes Mellitus Monitoring: Quality Improvement Process in a Skilled Nursing Facility

This presentation will discuss a quality improvement process for the care of diabetic patients utilizing multidisciplinary approach to education, spreadsheet tracking, spreadsheet analysis, finger stick tracking and analysis with the goal to minimize medications and finger sticks and control diabetes mellitus in a long-term institutionalized population.

Scott Bolhack, MD, CMD, MBA

Intensive Care Units, Hospitals have them so should we: A Systematic Approach Towards Building a High Acuity Unit in Nursing Homes

This presentation will discuss practical approaches to plan, develop and run high acuity units in nursing home setting. Establishing and running the HAU based on 4 (P.U.R.E) pillars drops readmission rates, improve the quality of care and clinical outcomes as well as increases resident and family satisfaction while saving money for the Medicare program.

Shauna Laatz, MSN, ANP

Three Simple Tools to Assist Physicians in Management of Pressure Ulcers

This presentation will review three tools developed to assist physician clinical assessment and treatment of pressure ulcers. A template for documentation of assessment, diagnosis and treatment will be described. A standard order set for topical treatment that simplifies dressing orders, as well as a “sample box” that illustrates the mechanical properties of different dressing types will be shared. These three tools enable clear, consistent and accurate documentation, and appropriate selection of topical treatments.

Evelyn M. Williams, MD, CMD

Learning Objective(s):

• 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):
Suzanne M. Gillespie, MD, RD, CMD (moderator); Roxana Bologa, MD; Bruce R. Gordon, MD; Shauna Laatz, MSN, ANP; Nanette Lavoie-Vaughan, APN-C, DNP; Zachary J. Palace, MD, CMD; David Weinstein, NHA; Evelyn Williams, MD, CMD

Disclosure(s):
None

Reference(s):
None

Speaker(s):

• Suzanne M. Gillespie, MD, RD, CMD, Associate Professor of Medicine, University of Rochester
• Zachary J. Palace, MD, CMD, Medical Director, Hebrew Home at Riverdale
• Evelyn Williams, MD, CMD
• Roxana Bologa, MD
• Bruce R. Gordon, MD
• Nanette Lavoie-Vaughan, DNP, APCNP-C
• David Weinstein, NHA
• Annie Zambrano, PA-C