Accreditation Statement: AMDA – The Society for Post-Acute and Long-Term Care Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Designation Statement: AMDA – The Society for Post-Acute and Long-Term Care Medicine designates this Internet Enduring Material for a maximum of 3.5 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
ABPLM Designation Statement: This Internet Enduring Material has been pre-approved by the American Board of Post-Acute and Long-Term Care Medicine (ABPLM) for a total of 3.5 clinical hours toward certification as a Certified Medical Director (CMD) in post-acute and long-term care medicine. The CMD program is administered by the ABPLM. Each physician should claim only those hours of credit actually spent on the activity.
Session Description: Medical providers for short-stay post-acute inpatients are increasingly challenged by high medical acuity, co-morbid medical conditions, and limited diagnostic resources. This workshop addresses the most common active medical conditions responsible for complications in this setting using case-based presentations. Speakers will review current clinical guidelines from specialty organizations and address how these guidelines are best applied in the skilled nursing facility setting. The format will be a case presentation by Dr. Bellantoni for each of the four clinical conditions addressed - diabetes mellitus, congestive heart failure, delirium, and infection, followed by a literature review including guidelines published by specialty societies (American College of Clinical Endocrinologists, American College of Cardiology, American Heart Association, American Delirium Society, Infectious Diseases Society of America, Center for Disease Control). AMDA Clinical Guidelines will be reviewed, and the speaker will summarize recommendations for management followed by audience discussion of the case.
Manage diabetes mellitus across the transition from acute hospital to post-acute inpatient setting to community, minimizing hypoglycemic events
Effectively manage congestive heart failure using multi-disciplinary team of the skilled nursing facility including licensed nurses, nursing assistants, nutritionists, and physical rehabilitation staff
Prevent, diagnosis, and manage delirium in the post-acute inpatient setting
Manage common infections that occur in the post-acute inpatient setting
Speaker(s): Michele F. Bellantoni, MD, CMD Meenakshi Patel, MD, MMM, CMD John Loome, MD, CMD Thomas Edmondson, MD, CMD George C. Wang, MD, PhD
Disclosure(s): Dr. Patel - Research Grants: GlaxoSmithKline and Sanofi
Reference(s): AMDA Clinical Practice Guidelines - Diabetes, Heart Failure, Delirium, Common Infections. Dy P1, Morin PC, Weinstock RS. Telemed J E Health. 2013 Aug; 19(8): 643-5. do: 10.1089/tmj.2012.0274. Epub 2013 Jun 12. Use of telemedicine to improve glycemic management in a skilled nursing facility: a pilot study. Migdal A, Yarandi SS, Smiley D, Umpierrez GE. Update on diabetes in the elderly and in nursing home residents. J Am Med Dir Assoc 2011; 12: 627–632. Boxer RS1, Dolansky MA, Bodnar CA, Singer ME, Albert JM, Gravenstein S. J Am Med Dir Assoc. 2013 Sep; 14(9): 710. e5 -11. doi: 10.1016/j.jamda.2013.05.023. Epub 2013 Jul 18. A randomized trial of heart failure disease management in skilled nursing facilities: design and rationale. G. Poelzla, J. Altenbergerb, R. Pacherc, et al. International Journal of Cardiology 2014; 175: 83-89; DOI: 10.1016/j.ijcard.2014.04.255 Bergmann MA1, Murphy KM, Kiely DK, Jones RN, Marcantonio ER. J Am Geriatr Soc. 2005 Oct; 53(10):1817-25. A model for management of delirious postacute care patients. Flanagan E1, Chopra T, Mody L. Infect Dis Clin North Am. 2011 Mar; 25(1): 271-83. doi: 10.1016/j.idc.2010.11.008. Epub 2010 Dec 17. Infection prevention in alternative health care settings. N. Stone, Center for Disease Control Guidelines for Management of Multi-drug Resistant Organisms in Long-term Care. http://www.cdc.gov/longtermcare/
Associate Professor, Department of Medicine,
Johns Hopkins University