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 1.5 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 1.5 management 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: Avoidable hospitalizations are a marker of poor quality care and represent missed opportunities for intervention. Defining "avoid ability," however, is a complex task and not well described in the literature. Many nursing home residents rely on family members as surrogate decision makers. Specifically elusive are family perspectives around the transfer of nursing home (NH) residents. In this interactive session, presenters will utilize real cases and interviews of facility staff, clinicians and family members to explore at length various factors, beliefs and perspectives that impact hospitalizations. Presenters will also provide an overview of relevant literature regarding hospitalizations of NH residents and utilize data from the CMS-funded demonstration project OPTIMISTIC to put forth quality improvement strategies for preventing avoidable hospitalizations from NHs. Thus, this session will provide the audience a unique opportunity to understand the three dimensional interplay – facility staff, medical providers, and residents and family – in various clinical and non-clinical aspects affecting NH to hospital transfers, as well as windows of opportunity to mitigate these factors.
Discuss the interplay of facility staff, clinician, and resident/family factors that impact hospitalization decision
Describe the roles care plan team-members can play to minimize avoidable hospitalizations
Discuss implementation of quality improvement strategies targeting avoidable hospitalizations, using the OPTIMISTIC project experience
Reference(s): Buchanan JL, Murkofsky RL, O'Malley AJ, Karon SL, Zimmerman D, Caudry DJ, et al. Nursing home capabilities and decisions to hospitalize: a survey of medical directors and directors of nursing. J Am Geriatr Soc. 2006; 54 (3): 458-65. Marcantonio ER, O'Malley AJ, Murkofsky RL, Caudry DJ, Buchanan JL. Derivation and confirmation of scales measuring medical directors' attitudes about the hospitalization of nursing home residents. Journal of aging and health. 2006; 18 (6): 869-84. Grabowski DC, Stewart KA, Broderick SM, Coots LA. Predictors of nursing home hospitalization: a review of the literature. Med Care Res Rev. 2008; 65 (1): 3-39. O'Malley AJ, Caudry DJ, Grabowski DC. Predictors of nursing home residents' time to hospitalization. Health Serv Res. 2011; 46 (1 Pt 1): 82-104.