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: With the rising acuity of skilled nursing facility (SNF) patients, the need for closer medical supervision has never been more pronounced. Unfortunately, the incentives for physician involvement have not kept pace with the changing patient acuity and regulations. While emerging evidence has demonstrated an association between physician availability and SNF quality, the concept of Physician Engagement remains elusive. In this session, three experienced SNF experts will use a case-based approach to help define engagement and will focus on available evidence to exhibit its significance. The speakers will also share research to propose a robust and validated tool to measure physician engagement in clinical care and quality improvement (QI) processes in SNFs. Finally, the speakers will lead an interactive discussion to strategize enhancement of physician engagement in SNFs.
Recognize association of physician availability and metrics of NH quality.
Define physician engagement in SNFs and describe related domains.
Strategize to facilitate physician engagement in their facilities.
Speaker(s): Arif Nazir, MD, CMD Jurgis Karuza, PhD Paul Katz, MD, CMD
Reference(s): 1. Katz PR, Karuza J. Physician practice in the nursing home: missing in action or misunderstood. J Am Geriatr Soc. 2005;53(10):1826-8. 2. Frank C, Seguin R, Haber S, Godwin M, Stewart GI. Medical directors of long-term care facilities: preventing another physician shortage? Canadian family physician Medecin de famille canadien. 2006;52:752-3. 3. Caverzagie KJ, Bernabeo EC, Reddy SG, Holmboe ES. The role of physician engagement on the impact of the hospital-based practice improvement module (PIM). J Hosp Med. 2009;4(8):466-70. 4. Katz PR, Pfeil LA. Nursing home physicians and the credibility gap. J Am Med Dir Assoc. 2013;14(2):83- 5. Lima JC, Intrator O, Karuza J, Wetle T, Mor V, Katz P. Nursing home medical staff organization and 30-day rehospitalizations. J Am Med Dir Assoc. 2012;13(6):552-7 6. Nazir A, Unroe K, Tegeler M, Khan B, Azar J, Boustani M. Systematic review of interdisciplinary interventions in nursing homes. J Am Med Dir Assoc. 2013;14(7):471-8. 7. Katz, PR, Karuza, J, Intrator, O, Mor, V. (2009). Nursing home physician specialists: a response to the workforce crisis in long-term care. Ann Intern Med. 150(6):411-3.