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: This session will focus on three model programs for the care of the older orthopedic patient. First, the development and implementation of a specialized 27 bed orthopedics unit within a 718 bed sub-acute rehabilitation and long-term care facility. The discussion will focus on the requirements of the unit including: staffing, clinician education, and the development of clinical pathways for: "fast track" patients, DVT prophylaxis, pain management, and mobilization. Outcomes data including length of stay, pressure ulcers and 30 day readmissions will be presented. The second model is an Elective Joint Replacement Program, which is collaboration between an Orthopedic Joint Replacement Center and a Home Health Agency for the care of patients with total knee or hip replacement. The program has led to a significant decrease in hospital length of stay while simultaneously increasing discharges to home rather than to long-term care. The discussion will focus on program development including: clinical pathways and clinician and patient education. Finally, an innovative program for geriatrics co-management of the hip fracture patient will be presented. This model leads to decreased hospital length of stay with improved clinical outcomes.
Describe the key components required to develop and implement a specialized orthopedics unit within a long term care facility.
Identify the required components to develop an elective joint replacement program.
Explain the impact of collaboration between geriatrics and orthopedics on the care of the hip fracture patient.
Speaker(s): Amy Ehrlich, MD Roy J. Goldberg, MD, CMD Angela Schonberg, PT Wojciech Rymarowicz, PT Wanda Horn, MD