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    AMDA Long Term Care Medicine - 2013 AMDA Long Term Care Medicine - 2013 Document Transcript

    • MonumentalSteps for QualityAMDA LONG TERM CARE MEDICINE – 2013march 21-24, 2013Gaylord National Registrationwashington, DC Brochure The Premier Conference for Long Term Care Professionals
    • MonumentalSteps for Quality table of contents General Program Information 2 Target Audience 2 Learning Objectives 2 Handouts 2 AMDA Online Library 2 AMDA e-University 2 Poster Session 2 Interactive Workshops 3 Meet the Expert Breakfast Session 3 Model Programs and Policies Swap Session 3 In-The-Trenches Round Table Lunch Discussion 3 AMDA Policy 3 AMDA CMD Information 4 Credit Statements 5 AMDA Foundation Activities 6 Exhibit Hall Information 8 Schedule At A Glance 9 General Session Highlights 10 Education Program 12 Thursday 12 Friday 15 Saturday 21 Sunday 27 Hotel & Travel Information 30 Spouse/Guest Information 32 Membership Information 36 Registration Information 38 Interdisciplinary Team Discount 38 Registration Fees 39 Cancellation Policy 40 Attendee Registration Form 41 Spouse/Guest Registration Form 43 Frequently Asked Questions 45 AMDA RED: C=0, M=91, Y=34, K=38 PMS 208 ™
    • an invitation from the program chairDear Colleagues,AMDA’s Program Committee invites you to participate in the premier conference for health care professionals in longterm care (LTC). AMDA Long Term Care Medicine – 2013 will be held March 21-24, 2013, at the Gaylord National inthe Washington, DC metropolitan area. With the participation of many AMDA members through the call for proposals(more than 100 submissions) and the dedication of the AMDA staff working in conjunction with the committee, adynamic program has been assembled with stimulating topics to enhance LTC practice.Our theme, “Monumental Steps for Quality”, reminds us of our proximity to the election and representatives and ourproximity to our nation’s capitol while we highlight the value AMDA places on education, advocacy, and successful patientoutcomes. This year’s program is filled with opportunities that enable a diverse group of attendees to strive for excellencein LTC medicine. It takes a dynamic health care team to meet the varied needs and challenges that our residents and theirfamilies face on a daily basis. The program is designed to impart knowledge and provide tools to enhance your skills inmedical direction, clinical advances, communication, interdisciplinary team collaboration, quality improvement, andappropriate coding for reimbursement to name a few.The program begins on Thursday with the pre-conference Intensive Workshops. Enjoy the return of attendees’ favoritesthat include the palliative care curriculum, billing and coding, and the latest approaches to difficult medical issues. Newsessions by popular speakers will also be provided that include care transitions and the Accountable Care Act, initiatingjoint quality committees, and a comparison of international approaches to improving the quality of LTC.On Friday, we lead off with the Keynote Address given by Thomas Scully, JD, former Administrator of Centers forMedicare and Medicaid Services (CMS). Mr. Scully will address the future of health care delivery reforms such as theAccountable Care Organizations and bundled payments and their impact on the LTC setting. This will be followed byconcurrent educational sessions highlighting emerging issues in LTC.On Saturday, we begin with Cathleen Colón-Emeric, MD, MHS, Associate Professor of Medicine at Duke University, inour “Meet the Expert” session focusing on fall and fracture prevention in LTC residents. Saturday’s General Session willhighlight key policy issues affecting health care in LTC. This session will specifically address the latest AMDA policyissues for 2013, including quality improvement initiatives and tools, and the current regulatory framework for the CMSElectronic Health Records (EHR) Incentive and the Electronic Prescribing Incentive (eRx) programs.The conference concludes with a dynamic program on Sunday, beginning with the Red-Eye Rounds, followed by theAnne-Marie Filkin Lecturer, Ira Byock, MD, and the closing Keynote given by Joanne Lynn, MD, MA, MS, entitled,Health Reform for When We are Frail and Old. She will give us a vision for the future we can all work to attain and makesure that staying until the end of the conference is worth the effort.New this year, AMDA’s Exhibit Hall Passport Program. Stamp your passport, win prizes! Attendees who stop by andcollect stamps from all of the passport booths will be eligible to win a free registration for AMDA Long Term CareMedicine – 2014 conference or a complete set of AMDA Electronic CPGs. Back by popular demand is the Job Fair whichallows prospective employees to meet and network with employers in long term care.We encourage you to join us and take advantage of this exciting educational opportunity. Bring your family and explorethe wonderful adventures that the Washington, DC metropolitan area has to offer.We look forward to seeing you there!Heidi White, MD, CMDChair, Program Committee General program 1
    • MonumentalSteps for Quality general program information TARGET AUDIENCE Session-specific objectives are made available to attendees AMDA supports the entire interdisciplinary team and prior to the start of individual sessions. These should be provides educational activities to be of value to the following taken into account when evaluating individual sessions. long term care professionals: SESSION HANDOUTS u Medical Director No paper handouts will be provided onsite. AMDA will post u Attending Physician speaker handouts online at www.prolibraries.com/amda u Practitioner (APN, PA) approximately one month prior to the conference for you u Nurse (DON, RN, LPN) to review, download and/or print for sessions that you want u Administrator to attend. Attendees are strongly encouraged to download u Consultant Pharmacist and/or print desired handouts prior to arriving at the u Dietician conference. No printers will be available onsite, nor will u Rehabilitation Professionals there be Wifi in the session rooms. LEARNING OBJECTIVES Each year, the program committee works to formulate AMDA ONLINE LIBRARY a program that provides cutting-edge, evidence-based, Upon conclusion of the conference, audio and PowerPoint unbiased education relevant to the spectrum of professionals versions of the presentations will be accessible via AMDA’s in the long term care setting. Online Library and will include CME and/or CMD credit. In the meantime, please visit www.prolibraries.com/amda The following are global objectives that reflect to access AMDA Long Term Care Medicine — 2012 content the purpose of the overall program in terms of the from San Antonio, TX, and earn CME/CMD credit. You knowledge, competencies and/or skills attendees may gain are encouraged to take advantage of the valuable education by participating in the activity. Note that due to varying available for purchase via AMDA’s Online Library. needs, not all objectives will be relevant to each attendee. Upon conclusion of participating in this educational AMDA e-University activity, attendees should be able to: Visit AMDA’s e-University booth; the online source for u Analyze available data to improve process and promote long term care CME/CMD. Staff will be showcasing the quality improvement in long term care. various online educational possibilities for credit including: u Apply knowledge and skills gained to enhance the u AMDA Online Education Library effectiveness and quality of medical direction in nursing u AMDA Live Webinars facilities. u CPG Self-Study Programs u  iscuss clinical advances and new research findings D Stop by to see just how easy it can be! relevant to long term care medicine. u  mplement Clinical Practice Guidelines (CPGs) in the I POSTER SESSION long term care setting. The scientific posters will be located in the Potomac u Utilize available data, tools, and emerging technologies 1-6 Foyer and can be viewed from 11:30 AM Thursday, to inform decisions about clinical care and/or medical March 21 through 6:00 PM Friday, March 22. Poster direction. presenters will be on hand to answer questions Thursday u  mplement strategies for effective communication with I evening from 5:00 PM – 7:00 PM. Attendees who view the patients, families and care teams. posters may claim up to 1 AMA PRA Category 1 Credit™. u Enhance skills and abilities to collaborate with and/or The poster session will be judged to select the Howard lead the long term care interdisciplinary team. Guterman Award for best poster, which will be presented u  ain new perspectives on relevant aspects of fiscal G during Saturday’s General Session. issues, health care policy, risk management and AMDA policy priorities. u Establish a network with active members of AMDA and the long term care medical community. 2 AMDA long term care medicine–2013
    • session HighlightsINTERACTIVE WORKSHOPS IN-THE-TRENCHES ROUNDTABLE LUNCHThe Interactive Workshops are a series of case-based, team- DISCUSSIONbased sessions focusing on hot topics in the long term This informal, peer-to-peer exchange with table facilitatorscare community. A panel of experts will be assembled to and attendees is an effective and popular way to engage indiscuss pertinent cases in long term care. Attendees will thought-provoking conversations on a wide array of hothave an opportunity to engage in a formative discussion topics. The session will be held on Saturday, March 23, 1:00with experts as well as participate in interactive discussion PM – 2:00 PM. A complete list of topics will be providedthrough an audience response system. There is an online at www.LTCmedicine.com one month prior to theadditional fee of $35 to participate in an Interactive conference and listed in the Onsite Program. Although noWorkshop and pre-registration is required. To ensure an CME is offered for this session, it is a great opportunity tooptimal learning experience, space is limited so be sure to network with faculty, colleagues, peers, and mentors forsign up as soon as possible by checking the session(s) on a thoughtful exchange of valuable information relative tothe conference registration form. your practice setting. No advance sign-up is required and participation is not guaranteed. Seating is provided on aInteractive Workshops Include: first come, first served basis. Lunch can be purchased at oneFriday, March 22 of the conveniently located kiosks in the convention center.11:00 AM – 12:30 PM The Beers List Made Real AMDA POLICY1:30 PM – 3:00 PM Anticoagulation in the Long Term Care Setting AMDA is committed to the policy that all persons shall for Patients with Atrial Fibrillation have equal access to all of its programs, facilities and3:30 PM – 5:00 PM Integrated Management of Pain and Suffering employment without regard to race, color, creed, religion, at the End-of-Life national origin, sex, age, marital status, disability, public assistance, veteran status or sexual orientation. AMDA isMEET THE EXPERT BREAKFAST SESSION committed to preserving the content, quality, and scientificThe Meet the Expert Breakfast Session will focus on recent integrity of its program. In order to preserve the program’sevidence informing fall and fracture prevention in long integrity, AMDA prohibits registrants from engaging interm care residents. The session will be held on Saturday, commercial solicitation and limits any such solicitationMarch 23, 6:30 AM – 7:45 AM. Dr. Colón-Emeric will to those individuals and entities that have registered todiscuss risk stratification, implementation of multi- participate in the program as commercial exhibitors. Anyfactorial fall risk reduction programs, new pharmacologic registrant who engages in commercial solicitation activitiestreatments for osteoporosis, of interest in long term care, as described above forfeits his or her right to participate inand the controversy surrounding calcium and vitamin the program.D supplements. There is an additional fee of $55 toparticipate and pre-registration is required. Breakfast Learner Assurance Statement & AMDAwill be provided. To ensure an optimal learning experience, Policy on Disclosure and Resolution ofspace is limited so be sure to sign-up as soon as possible by Conflict of Interestchecking the session on the conference registration form. It is AMDA’s policy that all those in a position to directly control CME content, such as, planning committees, faculty,MODEL PROGRAMS AND POLICIES SWAP SESSION and authors, disclose any relationships with commercialThe Model Programs and Policies Swap Session will present entities upon nomination or invitation for participation.a forum for interdisciplinary teams to share their innovative Disclosure documents are reviewed in advance forprograms and policies. Come hear how other teams have potential conflicts of interest. If conflicts are identified,overcome barriers and challenges in their practice. Selected they are resolved prior to confirmation of participation toprograms will briefly present their best practices, and then ensure participation and/or presentation is non-biased/offer expert advice to attendees and share the materials, which promotional, evidence-based and scientifically sound.have contributed to their program’s successes in roundtable Only those participants who had no conflict of interest orformat. This session provides an excellent opportunity to who agreed to an identified resolution process prior to theirnetwork with colleagues who have turned challenges in long participation are involved in this CME activity.term care medicine into best practices. The session will be General program 3held on Saturday, March 23, 11:00 AM – 12:30 PM.
    • MonumentalSteps for Quality amda cmd information AMDA CMD Reception CMD Recognition Attention CMDs and those who are interested in the CMDs are asked to attend the Friday Opening General CMD program. The AMDCP Board of Directors invites Session, beginning at 8:00 AM. During the AMDA you to attend the CMD Reception on Wednesday, March President’s remarks, CMDs will be recognized for their 20 from 8:00 PM – 10:00 PM. The reception provides a commitment to excellence and leadership as medical casual atmosphere in which to visit with friends or to meet directors in long term care. and share insights with new attendees. AMDCP Board members will be available to discuss the program with CMD Booth you, and a brief presentation will inform you of current AMDCP staff will be available to answer your questions AMDCP activities and goals. and assist with applications throughout the conference. The booth will be open Thursday morning through Saturday Understanding certification credits afternoon. You may sign up for individual counseling to Per the AMDCP Board of Directors (BOD), as of January complete an application or to discuss a plan for becoming a 2007, a distinction is made between sessions that have CMD. The tentative booth schedule is as follows: content considered as clinical education and those that Thursday, March 21 have content considered as management education. 9:00 AM – 12:30 PM and 1:00 PM – 5:00 PM The conference program is reviewed by the AMDCP BOD to identify management content. Any session with Friday, March 22 management content, regardless of the session category 8:00 AM – 12:00 PM and 1:00 PM – 5:00 PM (Medical Direction, Clinical, Models of Care or Research), Saturday, March 23 is approved and identified by a CMD icon and 8:00 AM – 11:30 AM and 3:00 PM – 5:00 PM can go toward meeting the requirement for management hours. All other sessions at the conference are considered clinical education that can be used to meet the requirement for clinical hours. The educational requirements for (re)certification as a CMD are 60 hours of clinical education and 60 hours of management education. As you assess your need for education hours, carefully choose from the mix of clinical versus management hours available to you to accommodate your certification or recertification needs. For your membership affiliations and state license or other reporting, note that all hours of this conference have been designated for AMA PRA Category 1 CreditsTM. For further information about the Certification Program, please contact the AMDCP Program Manager by phone or email at 410-992-3117 or cmd@amda.com CMD applications Apply credits earned from this meeting toward (re)certification. Application deadlines are April 1st and October 1st each year. For questions about the AMDCP, contact the Program Manager at cmd@amda.com 4 AMDA long term care medicine–2013
    • credit statementsACCREDITATION STATEMENT NAB (Administrators)The American Medical Directors Association is accredited This program is currently by the Accreditation Council for Continuing pending approval of the National Medical Education (ACCME) to provide Association of Long Term Care Administrator Boards. continuing medical education for physicians. Determination of credit will be updated via the conference website, www.LTCmedicine.com.DESIGNATION STATEMENTThe American Medical Directors Association designates MNA (Nursing)this educational activity for a maximum of 25 AMA PRA Application has been made to the Maryland NursingCategory 1 Credits™.  Physicians should only claim credit Association for contact hours for this activity. Determinationcommensurate with the extent of their participation in the of credit will be updated via the conference website,activity. www.LTCmedicine.com.CMD CREDIT HOURS ACPE (Pharmacy) This activity has been approved for Application for pharmacy continuing education up to 22.5 hours in management has been requested from the Samford University education and up to 19 hours in McWhorter School of Pharmacy. The Samfordclinical education toward certification/recertification as University McWhorter School of Pharmacy is accreditedan AMDA CMD. Sessions that have been approved for by the Accreditation Council for Pharmacy Education as amanagement education will have the icon to the provider of continuing pharmacy education. Determinationright of the title. All presentations that you attend that are of credit will be updated via the conference website,not annotated with the icon may be claimed as www.LTCmedicine.com.clinical education toward certification/recertification.The American Medical Directors Certification Program 4-Day attendance is eligible for up to 25 CME credits(AMDCP) administers the CMD program. Each physician and 22.5 hours of CMD Management Credit.should claim only those credit hours that he/she actuallyspent in the activity. For further information, contact 3-Day attendance is eligible for up to 18 CME creditsAMDCP at 410-992-3117 or at cmd@amda.com. and 15.5 hours of CMD Management Credit.AAFPApplication for CME credit has been filed with theAmerican Academy of Family Physicians. Determinationof credit is pending and will be updated via the conference Visitwebsite, www.LTCmedicine.com. www.LTCmedicine.com for the latest updates on CreditsAGS GERIATRICS RECOGNITION AWARD for the MeetingThis CME activity is endorsed by the American GeriatricsSociety. Credits earned from this activity may be countedtoward the AGS Geriatrics Recognition Award. General program 5
    • MonumentalSteps for Quality amda foundation activities AMDA Foundation Futures Program for Residents and Fellows The AMDA Foundation Futures Program, co-chaired by Cari R. Levy, MD, PhD, CMD, and Heidi K. White, MD, CMD, enables residents and fellows to learn about the numerous career prospects and opportunities in long term care, including specialty areas such as research. Over 600 residents and fellows have participated in this program and for many this has marked the beginning of successful long term care careers. Participants selected for this competitive award will receive the following benefits: u Admission to the Futures Program on March 21, 2013, u  omplimentary registration to AMDA Long Term Care C Medicine – 2013, March 22-24, 2013, u AMDA membership for one year including a subscription to JAMDA, beginning in March 2013, u The opportunity to participate in a mentoring program, u Attendance at a joint Welcome Reception for Futures to educate and inspire current and future long term care participants and CMDs on Wednesday evening, March professionals. 20, 2013; recognizing the newest members of the AMDA community and certified medical directors whose Celebration of Caring at the Wall—from dedication assures excellence in the long term care field. Canines to Chocolate! Interested individuals may apply online at Our theme “Caring at the Wall” will take on many features, www.amdafoundation.org. The application deadline is from Caring Canines to a silent auction of autographed November 19, 2012. The Futures Program is proudly books on Caring. We will also continue a member- sponsored by a host of donors including AMDA State acclaimed tradition of featured artwork from AMDA Chapters. favorites. Please come by to bid on autographed books by featured authors on topics in caring and purchase copies of The “Wall of Caring” at the the Foundation’s 4th annual “Caring Canine Calendar,” a Foundation Booth 12-month tribute to adorable dogs and other furry friends Please visit the “Wall of Caring” at the AMDA Foundation whose work with AMDA members at long term care Booth. The “Wall” has been a poignant and powerful facilities is a labor of love. staple of AMDA’s annual conference, a place where Feeling hungry? Visitors to the “Wall of Caring” can purchase AMDA’s members and friends can honor their mentors, Bricks of Chocolate to enjoy while reading the many colleagues, patients and loved ones—all while supporting tributes on the “Wall”; all proceeds will benefit Foundation the Foundation Futures Program. This inspiring and visual programs. tribute is dedicated to those individuals whose unwavering loyalty, wisdom and grace have supported medical direction and improved long term care. Contributors to the “Wall of Caring” may write messages, post photos, drawings and other memorabilia to honor those individuals who have inspired them. After the 2013 conference, the tributes will be placed on the Foundation’s public website: www. WallofCaring.org. Contributions to the “Wall” are tax- deductible and support the AMDA Foundation’s mission 6 AMDA long term care medicine–2013
    • quality improvement awards excellence awardsAMDA Foundation/Pfizer Quality William Dodd Founder’sImprovement Awards Award for Distinguished ServiceThe AMDA Foundation and Pfizer remain committed The Dodd Award recognizes significant contributions topartners with the Quality Improvement Awards program, building the organizational strength, image, and missionnow in its 13th year. Three awards - $7,500 each - will of AMDA (to promote Medical Direction and Physiciansupport proposed initiatives that focus on facility staff Services in long term care, to enhance the reputation ofeducation, quality improvement programs, research on AMDA, and to advance goals enabling the association tointerventions and treatment, and health literacy to directly improve care delivered to patients throughout the longenhance the quality of care provided to patients in long term term care continuum). Honor the accomplishments andcare settings. For further information and to apply online, dedication of your medical director!please visit www.amdafoundation.org. The applicationdeadline is December 3, 2012. James Pattee Award for Excellence in EducationAMDA Foundation Quality Improvement & Acknowledge the educational impact made by your medicalHealth Outcome Awards director by nominating him or her for the 2013 JamesThe AMDA Foundation presents the AMDA Foundation Pattee Award. The Pattee Award recognizes significantQuality Improvement & Health Outcome Awards for contributions to the educational goals of AMDA (to enhance“Improving the Quality of Life for Persons Living in Nursing the educational structure and framework of AMDA, toHomes,” which honors three facilities for programs they advance education specific to long term care physicianhave implemented to improve the quality of life for their practice, and to promote AMDA leadership via educationalresidents. For further information and to apply online, endeavors within the long term care continuum).please visit www.amdafoundation.org. The applicationdeadline is November 26, 2012. The Medical Director of the Year Award The Medical Director of the Year Awards recognizes thoseAMDA Foundation Long Term Care individuals whose vision, passion, leadership, knowledgeResearch Network and commitment succeed in taking patient care in the The AMDA Foundation Long facilities they serve as medical director to exceptional levels Term Care Research Network of quality, excellence, and innovation. AMDA asks facility is putting the spotlight on staff and their interdisciplinary leaders to identify and quality improvement and nominate outstanding medical directors. Recognize theresearch with three sessions on the program for AMDA good work of your medical director by nominating themLong Term Care Medicine — 2013. For full session details, for the 2013 Medical Director of the Year!please see the Educational Program section on the pages The nomination deadline for all three awards islisted below. November 27, 2012. Visit www.amda.com/awards foru A11 (pg 14) – Thursday, March 21, 1:30 PM - 5:00 PM: more information about these prestigious awards. Advancing LTC Quality Improvement as Part of a Research Network: An International Comparisonu  18 (pg 18) – Friday, March 22, 1:30 PM – 3:00 PM: B AMDA Foundation: QI Awards and Expert Panel Discussionu  26 (pg 20) – Friday, March 22, 3:30 PM – 5:00 PM: B LTC from an International Perspective 2012 AMDA Foundation Future Class General program 7
    • MonumentalSteps for Quality exhibit hall information Exhibits Product Theaters Commercial exhibits will be located in the Prince George’s The 2013 Exhibit Hall will host Product Theater sessions Exhibit Hall D/E of the Gaylord National Resort and for attendees to enjoy interactive discussions on industry Convention Center. Only registered attendees and products. These sessions will not provide CME and may registered guests displaying a badge are permitted in the require pre-registration by the host. Product Theaters will Exhibit Hall. One-day guest passes for non-registered also serve refreshments and meals. For more information guests (over the age of 18) will be available onsite at the on product theater topics and sponsors, please visit Registration Desk for a fee of $25. www.LTCmedicine.com. Thursday, March 21, 2013 Exhibit Hours are as follows: 11:45 AM - 12:45 PM Thursday, March 21, 2013 5:15 PM - 6:15 PM 11:30 AM – 1:30 PM Grand Opening 5:00 PM – 7:00 PM Welcome Reception Friday, March 22, 2013 7:00 AM - 8:00 AM Friday, March 22, 2013 12:30 PM - 1:30 PM 6:30 AM – 8:00 AM Continental Breakfast 10:30 AM – 4:00 PM Refreshment Breaks, Cash Lunch Saturday, March 23, 2013 7:00 AM – 8:00 AM (2 Sessions) Lunch Cash lunch will be available in the Exhibit Hall on both Job Fair Thursday and Friday from 11:30 AM- 1:30 PM. Stop by to Friday, March 22, 2013 browse the exhibits while you enjoy lunch. 10:30 AM – 1:30 PM Are you looking for a position or a qualified employee Exhibit Hall Features Not to Be Missed in long term care? The annual AMDA Job Fair can give Participate in the 2013 Exhibit Hall your resume or open position national exposure and Passport program! increase your opportunity of finding your best fit. Bring Participating companies will be featured in the Exhibit Hall resumes and contact information to share with the onsite Passport that will be given to attendees onsite. Attendees recruiters as well as browse the postings available across who stop by and collect stamps from all passport booths the country. will be eligible to win a free registration for AMDA Long Looking for a candidate? Term Care Medicine – 2014 or a complete set of AMDA Contact Cara Smith at csmith@amda.com or 410-992- Electronic CPGs (Clinical Practice Guidelines). 3121 for information on how your open position can be seen by 1,600+ long term care professionals. 8 AMDA long term care medicine–2013
    • 2013 schedule at a glance (Tentative schedule as of 10/1/12)Wednesday, March 20, 2013 1:30 PM – 3:00 PM Concurrent Education Sessions1:00 PM – 6:00 PM Registration Open 3:00 PM – 3:30 PM Refreshment Break in Exhibit Hall5:00 PM – 8:00 PM State Chapter Working Session 3:30 PM – 5:00 PM Concurrent Education Sessions8:00 PM – 10:00 PM Foundation Futures/CMD Welcome Reception 5:15 PM – 6:15 PM Product Theater(s) 6:30 PM – 8:00 PM State Chapter Business MeetingsThursday, March 21, 20136:30 AM – 5:00 PM Registration Open Saturday, March 23, 20137:00 AM – 8:00 AM Welcome Coffee and Continental Breakfast 6:30 AM – 7:45 AM Meet the Expert7:30 AM – 5:00 PM Foundation Futures Program 6:30 AM – 8:00 AM State Presidents Council Breakfast8:00 AM – 11:30 AM Pre-Conference Intensive Sessions 7:00 AM – 4:00 PM Registration Open10:00 AM – 10:30 AM Refreshment Break 7:00 AM – 8:00 AM Coffee Service11:30 AM - 1:00 PM House of Delegates Business Meeting 7:00 AM – 8:00 AM Product Theater(s)11:30 AM – 1:30 PM Exhibit Hall Grand Opening (Cash Lunch) 8:00 AM – 10:30 AM General Session II11:30 AM Poster Session Opens 10:30 AM – 11:00 AM Refreshment Break11:45 AM – 12:45 PM Product Theater 11:00 AM – 12:30 PM Concurrent Education Sessions1:30 PM – 5:00 PM Pre-Conference Intensive Sessions 12:30 PM – 2:30 PM Lunch On Own3:00 PM – 3:30 PM Refreshment Break in Exhibit Hall 1:00 PM – 2:00 PM In-the-Trenches: Peer Group Roundtable5:00 PM – 7:00 PM Welcome Reception in Exhibit Hall Discussions5:15 PM – 6:15 PM Product Theater 2:30 PM – 3:30 PM Concurrent Education Sessions 3:30 PM – 4:00 PM Refreshment BreakFriday, March 22, 2013 4:00 PM – 5:30 PM Concurrent Education Sessions6:30 AM – 5:30 PM Registration Open 4:00 PM – 6:00 PM House of Delegates Meeting6:30 AM – 8:00 AM Exhibit Hall Open with Continental Breakfast 7:00 PM – 9:30 PM AMDA President’s Reception7:00 AM – 8:00 AM Product Theater8:00 AM – 10:30 AM General Session I Sunday, March 24, 201310:30 AM – 4:00 PM Exhibit Hall Open 6:30 AM – 8:00 AM Red Eye Rounds: Medical Direction Challenges10:30 AM – 11:00 AM Refreshment Break in Exhibit Hall 6:30 AM – 8:00 AM Red Eye Rounds: Clinical Quandaries10:30 AM – 1:30 PM Job Fair in Exhibit Hall 7:30 AM – 8:30 AM Coffee Service11:00 AM – 12:00 PM Concurrent Education Sessions 8:00 AM – 11:00 AM Registration Open11:30 AM – 1:30 PM Cash Lunch in Exhibit Hall 8:30 AM – 11:00 AM General Session III and Closing Remarks12:30 PM – 1:30 PM Product Theater2 0 1 3 P r o g r a m P l a nn i ng C o mm i t t e eAMDA wishes to gratefully acknowledge the Program Planning Committee for their dedication toAMDA education and AMDA Long Term Care Medicine – 2013.Heidi K. White, MD, CMD (2013 Program Chair) Mary P. Evans, MD, CMD James S. Powers, MD, CMDSuzanne Gillespie, MD, RD, CMD, (Vice Chair) Melinda Henderson, MD, CMD Albert L. Riddle, MD, CMDPatricia Bach, PsyD, RN Robert G. Kaplan, MD, FACP, CMD Ronald Shumacher, MD, CMDMichele F. Bellantoni, MD, CMD Dheeraj Mahajan, MD, CMD Kenneth Scott, DOAmy M. Corcoran, MD, CMD Louis Mudannayake, MD, CMD Verna Reynolds Sellers, MD, MPH, CMDSuzanne C. Cryst, RD, CSG, LD Patrick J. Murphy, MD, CMD James Thomason, NHAThomas Edmondson, MD, CMD Lindsey Neal, MDDavid Espino, MD Meenakshi Patel, MD, CMDAccording to AMDA and ACCME policy, all those in a position to control content are required to disclose any relevant financial relationships.Program Committee members with relevant financial relationships are listed below. All other Program Committee members have reported theyhave no relevant financial relationships to disclose.Michele F. Bellantoni, MD, CMD; – Research Contract: Johns Hopkins University Mary P. Evans, MD, CMD; – Golden Living: Corporate MedicalDirector Meenakshi Patel, MD, CMD; – Grants-Research: GSR, Sanofi-Aventis, AMD, J&J, Novartis, Merck, BI, Forest, Angeir, Pfizer, Avanir; Speaker:Novartis, Sanofi, BI, Forest, Avanir, Pfizer, Eisai; Pharmacy & Therapeutics Committee: Omnicare James S. Powers, MD, CMD; – Education Grant:DW Reynolds Foundation; Consultant: Health Spring Albert L. Riddle, MD, CMD; – Speaker Bureau: GSH, Novartis and Eli Lily; Advisory Board:Jansen Kenneth Scott, DO; – Life Care Centers of America: Corporate Medical Director Ronald Shumacher, MD, CMD; – Employee: EverCare/United Healthcare Services, Inc.; Heidi K. White, MD, CMD; – Education Grant: Sanofi; Monograph Review through AGS: Omnicare
    • MonumentalSteps for Quality general session highlights friday health systems. Mr. Scully holds a Juris Doctor degree from Catholic University and a Bachelor’s degree from the University of Virginia. March 22, 2013 saturday Keynote Address New Waves in US Health Care Thomas Scully, JD As one of Medicare’s strongest March 23, 2013 proponents – and one of its toughest critics – Tom AMDA’s Top Policy Issues 2013 Scully worked tirelessly to AMDA’s Public Policy Committee leaders will deliver bring reform to the nation’s an overview of AMDA’s top policy issues for 2013. largest health care program, Specific updates will be provided on DEA nurse as agent, including designing Medicare dementia care in nursing homes, legislative advocacy, Advantage and Medicare Part communications with government agencies, health care D. Mr. Scully makes sense of reform implementation efforts, and payment policy this constantly evolving issue, changes (i.e. care coordination). providing to-the-minute insights on current policy and Charles A. Crecelius, MD, CMD, PhD, Chair, Public Policy its repercussions. Using ongoing legislative action as his Committee; Karl E. Steinberg, MD, CMD, Vice Chair, starting point, Mr. Scully offers audiences a clear analysis Public Policy Committee of the future of Medicare and Medicaid. Thomas Scully, JD, is Senior Counsel in Alston & Bird Quality Improvement Washington, DC office and a General Partner at Welsh, Initiatives and Tools Carson, Anderson and Stowe (WCAS), the largest private This session will outline the initiatives by the newly created equity investor in health care. His practice focuses on Center for Medicare and Medicaid Innovation (CMMI). health care regulatory and legislative matters, as well as on The Center identifies, develops, supports, and evaluates advising clients on health policy and strategies for health innovative models of payment and care service delivery care delivery. Prior to joining WCAS and Alston & Bird, for Medicare, Medicaid and Childrens Health Insurance Mr. Scully was appointed by President George W. Bush and Program (CHIP) beneficiaries. confirmed by the United States Senate as the Administrator CMMI Official TBD of the Centers for Medicare & Medicaid Services (CMS), where he served from 2001 through 2003. At CMS, Mr. Health Information Technology Scully was noted for his instrumental role in passing (HIT) for the Long Term Care Setting Medicare reform and Medicare Rx legislation, as well as Leaders from AMDA’s HIT Committee will describe the changing the agency’s culture and making the vast agency current regulatory framework for the Center for Medicare more open and accountable to the public. He initiated the and Medicaid Services (CMS) Electronic Health Records first public reporting and disclosure for comparative quality (EHR) Incentive and the Electronic Prescribing Incentive among hospitals, nursing homes, home health agencies, (eRx) and how these programs relate to the current value- and dialysis centers. Mr. Scully also initiated a broad public based payment movement. The session will focus on the education campaign to improve seniors’ awareness and challenges and benefits of adopting HIT systems in the utilization of their Medicare benefits. Before joining CMS, long term care setting and specifically identify strategies Mr. Scully served as President and Chief Executive Officer for demonstrating required minimum participation in each of the Federation of American Hospitals from January program as well as other ways to avoid penalties. 1995 to May 2001. The federation represents over 1,700 privately-owned and managed community hospitals and William M. Russell, MD, Chair HIT Committee; Rod Baird, MS 10 A M D A l o n g t e r m c a r e m e d i c i n e – 2 0 1 3
    • Update on Development of Competencies for field. The Four Things That Matter Most, (2004) is usedAttending Physicians in the Nursing Home as a counseling tool widely by palliative care and hospicePaul R. Katz, MD, CMD; Matthew S. Wayne, MD, CMD programs, as well as within pastoral care. His most recent book, The Best Care Possible (March 2012) tackles the crisis that surrounds serious illness and dying in Americasunday and his quest to transform care through the end of life.March 24, 2013 CLOSING KEYNOTE Health Reform for When We are Frail and Old Joanne Lynn, MD, MA, MSAnne-Marie Filkin LectureTransforming the End of Life: Exciting, far-reaching reformsClinical Excellence and Cultural Leadership toward continuity and efficiencyIra Byock, MD for our last frail phase of life are possible – but not yet really “on It is said that the moral worth of a the agenda.” Dr. Lynn lays out a nation can be judged by how it cares provocative and plausible vision for its most vulnerable members. for health care reform that focuses Providers of long term care are a on these important goals. She sustaining moral force in society. Dr. will highlight the role medical Byock challenges assumptions and directors can play in achieving constraints of the medical model. He these goals through facility-based refocuses attention on the essential reform, community action, monitoring and measurement, components and characteristics emphasizing work force issues, and more. of human caring. The best careis highly personal, not merely competent or technically Joanne Lynn, MD, MA, MS (MACP, AGSF), has longexcellent, but also tender and loving. been an activist, researcher, policy maker, and quality improvement coach in serious chronic conditions andIra Byock, MD, is Director of Palliative Medicine end-of-life care. She served as medical director of variousat Dartmouth-Hitchcock Medical Center in Lebanon, nursing homes, home care agencies, and hospices inNew Hampshire and a Professor at the Geisel School of Washington, DC. She has also led training programs,Medicine at Dartmouth. He has been involved in hospice health services research organizations, Medicare initiatives,and palliative care since 1978, during his residency. At that and city public health offices. She is author of more thantime he helped found a hospice home care program for the 250 peer-reviewed journal articles, 80 books and chapters,indigent population served by the university hospital and and dozens of amicus briefs and public reports – includingcounty clinics of Fresno, California. He is a Past President the Handbook for Mortals (for the public), the Common(1997) of the American Academy of Hospice and Palliative Sense Guide to Improving Palliative Care (for front-lineMedicine. During the 1990s he was a co-founder and clinicians), and Sick to Death and Not Going to Take it Anyprincipal investigator for the Missoula Demonstration More!(for policy). She now heads the Center for Elder CareProject, a community-based organization in Montana and Advanced Illness at Altarum Institute, a non-profitdedicated to the research and transformation of end-of-life research and consulting company.experience locally, as a demonstration of what is possiblenationally. From 1996 through 2006, he served as Directorfor Promoting Excellence in End-of-Life Care, a nationalgrant program of the Robert Wood Johnson Foundation.Dr. Byock has authored numerous articles on the ethicsand practice of hospice, palliative and end-of-life care. Hisfirst book, Dying Well, (1997) has become a standard in the General program 11
    • MonumentalSteps for Quality education program Education sessions have been identified by learning level to help you select the sessions that best meet your needs. Unless otherwise indicated, sessions are considered appropriate for the thursday general audience. General Audience sessions provide review and March 21, 2013 updates as well as emerging knowledge pertinent to the various p r e - c o n f e r e n c e day settings in long term care. The following icons indicate the learning levels and topics of special interest. 6:30 AM - 5:00 PM Registration Open I Introductory 7:00 AM - 8:00 AM An overview that covers basic concepts and information. Welcome Coffee and Continental Breakfast A Advanced 7:30 AM - 5:00 PM Cutting-edge and/or higher level information on clinical AMDA Foundation Futures Program care and management. 8:00 AM - 5:00 PM pre-conference all-day workshop IDT Interdisciplinary Team (IDT) Designated for those interested in building on the A01 Navigating Mood and Behavior Challenges in Long collaborative aspect of long term care. Term Care: Strategies for Optimal Outcomes Clinical Medicine IDT P P Back by Popular Demand Mood and behavioral problems impact the majority of patients in long term care. State surveyor guidance will continue to CMD Credit Hours review the use of atypical antipsychotic medications to treat Indicates approval by the AMDCP for CMD management Behavioral and Psychological Symptoms of dementia (BPSD). education toward (re)certification as an AMDA CMD. Overuse of antidepressants is also a growing concern and the Sessions without the CMD icon are applicable as clinical treatment of the “depression of Alzheimer’s disease” needs hours. to be understood. This year we plan to pursue an evidence- based approach to non-drug interventions. Physicians need Additional designations include: to know when, how and why to use a wide complement of n Clinical Medicine diagnostic tools and interventions for better patient care. We n Medical Direction (All sessions listed under Medical  will also describe AMDA’s quality initiative with the National Direction are approved for management hours toward Quality Forum and two measures that impact both short- CMD certification/recertification.) term and long-term stay residents who have dementia or n models of care Alzheimer’s disease but do not yet carry an accurate diagnosis. n Research Breakout workshops will again provide practical strategies and solutions in navigating mental health challenges in the All sessions, including the Pre-Conference Intensive long term care setting. Case based presentations in abstract Sessions, are first-come first-served with the exception form will be submitted by attendees for full panel discussion of the (5) five ticketed sessions. in the afternoon. Relevant handouts and take home tools will be disseminated. Ticketed sessions are highlighted in the program and list ticket cost. Eric Tangalos, MD, CMD; Joshua Chodosh, MD; George T. Grossberg, MD; Brenda K. Keller, MD, CMD; Thomas M. Magnuson, MD; Peter V. Rabins, MD, MPH; Ladislav Visit Volicer, MD, PhD; Jackie Vance, RNC, CDONA/LTC; www.LTCmedicine.com Additional Speakers TBD for the latest updates to the 4-Day Registration and an additional fee of $55 are education program required for participation and pre-registration is required. To ensure an optimal learning experience, space is limited so be sure to sign up as soon as possible by checking the 12 A M D A l o n g t e r m c a r e m e d i c i n e – 2 0 1 3 session on the conference registration form.
    • education program • thursday/march 218:00 AM - 11:30 AM A05 Success through Relationships: A Workshop onPre-conference intensive sessions Initiating Joint Quality CommitteesA02 Policy Update on Transitions of Care and the Models of Care I IDTAffordable Care Act This presentation will share the process for developing aModels of Care IDT formalized relationship between skilled nursing facilitiesThis session will examine current and future national and acute care hospitals, insurers or other key referralinitiatives, in a panel format, for addressing patient needs sources. With a focus on patient outcomes and enhancedduring care transitions. Presenters will discuss what is and communication this Joint Quality Committee model cancan be done to improve transitions of frail elders across have positive effects on transitions of care, readmissionsettings and determine opportunities for long term care in rates and confidence between organizations. The sessionthe Affordable Care Act (ACA) as well as guide the Medical will provide step-by-step facilitated guides on how toDirector to position their facility for success in long term plan for and implement a Joint Quality Committee incare initiatives with the ACA initiatives. partnering organizations.James E. Lett, II, MD, CMD; Additional Speakers TBD Michael E. Felver, MD; Leslie J. Vajner, RN, BSN, MHA; Seth Vilensky, MBAA03 Palliative Care Part I: Clinical and EthicalConsiderationsClinical Medicine 10:00 AM - 10:30 AM I IDT PThis session will present an overview of practical Refreshment Breakapproaches to communication, advanced care planning, 11:30 AMand assessment and control of pain and other distressing Poster Session Openssymptoms experienced by patients in long term care. IDT PWilliam D. Smucker, MD, CMD; Amy M. Corcoran, MD, The Scientific Posters may be viewed from 11:30 AMCMD; Peter Winn, MD, CMD Thursday, March 21 through 6:00 PM Friday, March 22.A04 Data Sanity: Quality Improvement in the Poster presenters will be on hand to answer questions onNursing Home Using Statistical Process Control Thursday evening from 5:00 PM to 7:00 PM. AttendeesMedical Direction A IDT P who view the posters may claim up to 1 AMA PRA Category 1 Credit™.All work is a process. Your current processes are perfectlydesigned to get the results they are already getting and 11:30 AM - 1:00 PMdesigned to go, with corollary; insanity is doing things theway you have always done them while expecting different House of Delegates Business Meetingresults. This session will provide an in-depth look at how 11:30 AM - 1:30 PMto start to work towards a better quality improvementprocess in your facility. Examples of actual data analysis Exhibit Hall Open with Cash Lunchwith audience participation will be used. Presenters willteach the basics of variation and statistical process control,and then advance to how this mechanism can be used toimprove care at your site.Leonard Gelman, MD, CMD; Matthew S.Wayne, MD, CMD General program 13
    • MonumentalSteps for Quality 1:30 PM - 5:00 PM A10 Managing Your Small Long Term Care Practice Pre-conference intensive sessions Models of Care A P A07 Everything You Wanted to Know About Billing and Long term care medicine is a rewarding career but it is also Coding in Long Term Care a business. Success can be challenging and elusive if you are Medical Direction not armed with some basic business skills. This session will This session provides a review of the most recent payment cover the fundamental management principles needed to policies, including CPTTM changes relevant to nursing build and maintain your long term care practice. home services, and discusses lessons learned in their use. Gregory P. Zydiak, MD, CMD Procedural codes, codes with modifiers, coding for care by nurse practitioners, and day-of-death codes are discussed A11 Advancing Long Term Care Quality Improvement as in-depth. Instruction includes case-studies and vignettes Part of a Research Network: An International Comparison as examples and participants are led through a process of Research A IDT P determining codes based on modifiers and procedures. Medical Directors in the United States and Europe are Alva S. Baker, III, MD, CMD; Leonard Gelman, MD, CMD leading their staff to focused care improvement by applying the basic principles of quality improvement in a variety A08 Palliative Care Part II: Clinical and Organizational of inventive and unique ways in the long term care Considerations (LTC) setting. Building on the successes of several AMDA Clinical Medicine I IDT P Foundation training programs, this session will provide an This session will provide an overview of practical approaches opportunity for health outcome researchers and in-the- to ethical decision-making, evaluating benefits and trenches practitioners to meet and build skills around the burdens of artificial nutrition and hydration, encouraging concept of “team science,” including discussions of key spiritual and emotional considerations in end-of-life care, strategies for effective research collaboration of multiple collaboration between nursing homes and hospice, and facilities with a major gerontology center as part of a research organizational changes to improve end-of-life care. network. A comparison of international approaches to William D. Smucker, MD, CMD; Deborah Way, MD, improving the quality of LTC will be examined as part of CMD; Anthony J. Lechich, MD this session, as well as, considering lessons for revitalizing the AMDA Foundation Research Network. A09 Latest Approaches to Difficult Medical Issues in Long Suzanne M. Gillespie, MD, RD, CMD; Jurgis Karuza, PhD; Term Care Paul R. Katz, MD, CMD; Bruno Vellas, MD, PhD Clinical Medicine A IDT P This popular session by four experienced speakers from 3:00 PM - 3:30 PM Cleveland Clinic and St. Louis University present an Refreshment Break intensive session on updates in treating chronic disease 5:00 PM - 7:00 PM in frail elders in the continuum of care, including during transitions from one setting to another. Welcome Reception in the Exhibit Hall Julie K. Gammack, MD, CMD; Barbara Messinger-Rapport, MD, CMD, PhD; John E. Morley, MB, BCH; David R. Thomas, MD, CMD 14 A M D A l o n g t e r m c a r e m e d i c i n e – 2 0 1 3
    • education program • friday/march 22friday 10:30 AM - 4:00 PM Exhibit Hall OpenMarch 22, 2013 10:30 AM - 11:00 AM Refreshment Break in Exhibit Hall6:30 AM - 5:30 PM 10:30 AM - 1:30 PMRegistration Open Job Fair in Exhibit Hall6:30 AM - 8:00 AM 11:00 AM – 12:30 PMContinental Breakfast in the Exhibit Hall B02 Interactive Workshop I: The Beers List Made Real Clinical Medicine A IDT8:00 AM - 10:30 AMB01 General Session I This session through an interactive case study format will IDT engage the participants in examining the updated 2012 AGS Beers Criteria. The discussion will focus on minimizing orOpening of AMDA Long Term Care Medicine – 2013 eliminating potentially inappropriate medications (PIMs)Heidi K. White, MD, CMD, Program Committee Chair; and exploring alternative pharmacotherapeutic strategiesMatthew S. Wayne, MD, CMD, AMDA President in selected therapeutic areas.AWARD PRESENTATIONS Meenakshi Patel, MD, CMD; Naushira Pandya, MD,Medical Director of the Year Award CMD; Manju T. Beier, PharmD, CGPAMDA Foundation Update and Quality Improvement AwardsDaniel L. Swagerty, MD, MPH, CMD, AMDA Foundation **There is an additional fee of $35 to participate in thisChair workshop and pre-registration is required. To ensure an optimal learning experience, space is limited so sign-upKEYNOTE ADDRESS as soon as possible by checking the appropriate box on theNew Waves in US Health Care registration form.Thomas Scully, JDAs one of Medicare’s strongest proponents – and one 11:00 AM – 12:00 PM concurrent sessionsof its toughest critics – Tom Scully worked tirelessly to B03 Meeting the CMS Challenge to Antipsychotic Usebring reform to the nation’s largest health care program, Medical Direction A IDTincluding designing Medicare Advantage and Medicare This session will provide a brief overview of the A-B-CPart D. Mr. Scully makes sense of this constantly evolving model to managing challenging behaviors of residentsissue, providing to-the-minute insights on current policy and then introduce clinical and educational tools for useand its repercussions. Using ongoing legislative action by the interdisciplinary team (IDT) and quality assuranceas his starting point, Mr. Scully offers audiences a clear and improvement initiatives in nursing facilities; especiallyanalysis of the future of Medicare and Medicaid. as related to the recent Centers for Medicare & Medicaid Services (CMS) focus on the reduction in antipsychotic use in nursing facilities and the newly CMS public reported quality measure on their use. Peter Winn, MD, CMD; Alan Davis, PhD, PharmD I Introductory A Advanced IDT Interdisciplinary Team (IDT) P back by popular demand CMD Credit Hours General program 15
    • MonumentalSteps for Quality B04 The Future is Coming: What a Medical Director Needs available for each recommended symptom intervention. The to Know About Bundled Payments and ACOs final portion of the talk will address special devices/therapies Models of Care IDT for which primary care providers may need to counsel patients. This session will review the various models of Bundled These include defibrillators, left ventricular assist devices, cardiac Payments and Accountable Care Organizations, resynchronization therapy and inotrope therapy. emphasizing the implications for long term care in the near Tanya L. Stewart, MD future. Because “form follows financing,” these changes will require organizational changes in how medicine is currently B07 Changing the Philosophy of Care in Long Term Care practiced if nursing homes and home care agencies are to Settings: Innovative Approaches survive. Potential strategies to manage changes will be Models of Care General Audience IDT discussed. This session will discuss two innovative philosophies of Jeffrey N. Nichols, MD care that introduce alternatives to how care is usually provided in long term care settings. These innovative B05 “Is it Worth it?”: Utilizing an 8-Step Tool for approaches, Function Focused Care and The Volunteer Successful Decision-Making in Long Term Care Kibbutz, focus on optimizing resident outcomes in terms Clinical Medicine A IDT of function, physical activity, mood, and resident behavior. For geriatric patients, especially those residing in long In addition to theoretical background and evidence of term care, the question regarding a specific intervention beneficial outcomes, implementation materials and steps or the ongoing treatment of a chronic disease is not only for how to integrate these philosophies of care into real “does it work?” but “is it worth it?” Many doctors and world settings will be provided to participants. patients make this decision by gut feeling, unspoken values Elizabeth Galik, PhD, CRNP; Barbara Resnick, PhD, ANP and an incomplete interpretation of the literature. The 8-step decision-making tool systematically walks providers B08 The Certified Medical Director (CMD) and Quality through critical points that include thinking through Medical Direction A IDT the effectiveness of an intervention, the resident’s life Although there are many theoretical constructs for expectancy, existing medical evidence, resident quality of improving care and safety in long term care facilities, life, cultural context, and goals of care for the resident/ Medical Directors are challenged by severe time pressures family. By looking at the primary literature critically, and competing responsibilities, and at times might question there are objective answers to these questions which can the impact they can have on an organization. This session then be fit into a patient’s goals of care and value system. will discuss how seasoned Medical Directors integrate Special focus will be on hypertension, hyperlipidemia, concepts from industry and hospital settings (such as CHF, diabetes, and prevention of cardiovascular events. PDCA, lean concepts, “just culture,” safety culture) into the The goal is that patients would be on medications that are daily operations of their nursing homes. The panelists will realistically effective for their goals of care. present cases of challenging situations regarding difficult or Amy M. Corcoran, MD, CMD; Joshua Uy, MD high risk residents, quality concerns, “wasteful practices,” and cultural or leadership challenges and discuss with each B06 When the Heart Fails: Managing Heart Failure other and with you what works and what doesn’t. Through in Life’s Last Chapter a focus on solutions tested in diverse homes across the Clinical Medicine A IDT country, the audience will come away with practical and This session will review perceived difficulties in incorporating innovative ideas about how to make a difference in their palliative care concepts into care for patients with advanced heart organization. failure and identify opportunities to overcome these barriers. Bruce E. Robinson, MD, MPH, CMD; Sabine Maria von Best practice approach for symptom intervention will also be Preyss-Friedman, MD, CMD; Rebecca L. Ferrini, MD, discussed by addressing the top five most frequently encountered MPH, CMD symptoms. The presenter will review data on strength of evidence 16 A M D A l o n g t e r m c a r e m e d i c i n e – 2 0 1 3
    • education program • friday/march 22B09 Oral Health Care in Long Term Care: Not 12:00 PM - 1:30 PMJust a Tool Kit but a Link to Quality Health Care Lunch Break (Cash Lunch Available in Exhibit Hall)Clinical Medicine IDTThe White House Conference on Aging in 2005 dealt with 1:30 PM - 3:00 PM concurrent sessionsbaby boomers and their impact on the economy, especially B11 Interactive Workshop II: Anticoagulation in the Longas they reach age 80 and beyond. The number of disabled Term Care Setting for Patients with Atrial Fibrillation Clinical Medicineolder Americans is projected to reach 21 million in 2040.This population is also retaining more of their teeth. This session will review anticoagulation for patientsStudies have shown the clear link between periodontal with atrial fibrillation starting with an overview, clinicaldisease and systemic disease. “A person cannot have good effectiveness and risks associated with warfarin therapy.general health without good oral health.”-C. Everett Koop, Newer approved medications for anticoagulation, clinicalformer US Surgeon General. There must be a paradigm effectiveness, risks and uses will be discussed. Clinicalshift in the way we treat oral hygiene in long term care vignettes will be briefly discussed at the beginning withsettings, including oral care as an integral part of the overall suggested treatment options with review of the same casesmedical care plan for each resident. This session will review at the end highlighting possible changes in treatment.good oral health care strategies and will discuss the new Jeffrey B. Burl, MD, CMDAMDA Oral Care Tool Kit. The conclusion is clear - wecannot afford to neglect oral hygiene. Quality care must **There is an additional fee of $35 to participate in thisinclude oral health, and in long term care, a quality oral workshop and pre-registration is required. To ensure anhealth program can lead to reduced hospitalizations and optimal learning experience, space is limited so sign-updownstream health care cost savings. as soon as possible by checking the appropriate box on theJonathan Musher MD, CMD (Moderator); Paul L. registration form.Mulhausen, MD; Janet A Yellowitz, MPH B12 Long Term Care Litigation: The Roles and Responsibilities of a Consulting ExpertB10 Alternative to Nursing Homes When Long TermSupports and Services are not Enough: Medical Foster Clinical Medicine IDTHome This session is designed to familiarize long term careModels of Care (LTC) physicians and Medical Directors with the process,This session will review national efforts to substitute roles and responsibilities involved in the provision of LTCcare in community-based settings for traditional nursing expert consultation and testimony. Attendees will be takenhome care. Several models within the Department of through a brief overview of LTC litigation, and the caseVeterans Affairs (VA) will be described including Home for increasing the numbers and availability of physiciansBased Primary Care and the innovative Medical Foster willing to provide competent expert review and witnessHome model of care now operating in 36 states. Costs services in this field. A detailed description of the litigationand outcomes in traditional nursing home care will be process, including burdens of proof, typical strategies andcompared to these integrated community-based models the actual trial process will be undertaken. The presentersas will resident-level characteristics among those in the will review the essential qualifications and skills neededdifferent settings of care. National efforts emphasizing to provide competent expert consultation and testimonyexpansion of integrated community-based care models in LTC litigation. A detailed explanation of the processand the potential barriers to implementation will be also of review and testimony in a plaintiff ’s case, a defensebe discussed. case, and other types of issues such as competency and capacity determinations will be provided. The presentersThomas Edes, MD; Bruce Kinosian, MD; Cari R. Levy, will also discuss the opportunity the consultant often has toMD, PhD, CMD I Introductory A Advanced IDT Interdisciplinary Team (IDT) P back by popular demand CMD Credit Hours General program 17
    • MonumentalSteps for Quality provide an attorney with advice about correcting deficient B15 Decision-Making Capacity in Long Term Care: processes or policies that are uncovered during review. When, Who, and How? Clinical Medicine IDT Randall Huss, MD, CMD; David A. Smith, MD, CMD; Karl E. Steinberg, MD, CMD This session will present an overview of issues related to decision-making in long term care, as well as the B13 Nursing Home or Hospital? The Medical Director’s U-CARE model for capacity assessment (assessment of Response to Increasing Medical Acuity and Multi-Morbidity understanding, consistency, appreciation of consequences, Medical Direction A IDT reasoning, and expression). Discussion will include A number of pressures - increasing complexity of care addressing changes in capacity, as well as variation in the needs for people with multiple co-morbidities, pressure standard for capacity as related to the complexity of the by hospitals to transfer patients out of acute care settings decision and the resident’s present capabilities. Additionally, and incentives to avoid readmissions - have all led to an cases will be examined to illustrate the principles discussed. increase in the complexity of care needs for many post Rebecca L. Ferrini, MD, MPH, CMD; Robert M. Gibson, acute patients. And yet far too often, the nursing home PhD, JD staff, attending physicians, other health care professionals and Medical Directors are ill-prepared to address these B16 The 2013 Approach to Diabetes In Long Term Care needs. This session will review the current regulatory and Clinical Medicine A IDT payment environment that is contributing and explore This session will examine patient, institution and strategies and resources that the Medical Director may use practitioner challenges in diabetes care, review pertinent to improve the competencies of all the health care team and aspects of the AMDA Clinical Practice Guideline on to safely care for such medically-complex patients in the Diabetes Management, analyze the latest American Diabetes post-acute setting. Association and the EASD Guideline on Hyperglycemia Cheryl L. Phillips, MD, CMD; Robert Schreiber, MD, CMD; Management in Type 2 diabetes, and formulate an Michele Bellantoni, MD, CMD; Melvin Hector, MD, CMD evidence-based approach for the control of diabetes in long term residents. Improvement of care transitions in patients B14 Creating a Person-Centered Care Plan for the with diabetes will also be discussed. Nursing Home Resident with Multi-Morbidity: A Case-Based Interactive Session Naushira Pandya, MD, CMD; Meenakshi Patel, MD, CMD Medical Direction IDT B18 AMDA Foundation: Quality Improvement Awards and Care planning for the diverse population of nursing home Expert Panel Discussion residents can be challenging. Individual patient goals can Research IDT P be difficult to elicit. Medical complexity is significant This session will focus on the collaborative and and practice guidelines often do not include tailored interdisciplinary nature of improving the quality of recommendations for those with functional or limited care and life for long term care residents. It will feature prognosis. Moreover, when disease guidelines for the presentations by the 2012 AMDA Foundation/Pfizer multi-morbid resident are complied, recommendations Quality Improvement award winners and the 2013 Quality are often divergent. This session uses a facilitated small- Improvement & Health Outcome award winners which group, case-based approach to improving provider skills will form the basis for discussion by Drs. Paul Katz and in developing person-centered care plans that thoughtfully Joseph Ouslander. Their discussion will serve to highlight address these challenges. the relationship between individual Quality Improvement Thomas V. Caprio, MD, MPH, CMD; Suzanne M. Gillespie, initiatives and larger research projects and trends that MD, RD, CMD; Dallas Nelson, MD, CMD strengthen the quality of life across the long term care continuum. Paul R. Katz, MD, CMD; Joseph G. Ouslander, MD; Daniel L. Swagerty, MD, MPH, CMD 18 A M D A l o n g t e r m c a r e m e d i c i n e – 2 0 1 3
    • education program • friday/march 223:00 pm - 3:30 pm minutes. The session will conclude with consideration ofRefreshment Break in Exhibit Hall how QI approaches in these specific contexts generalize to other issues and conundrums.3:30 PM - 5:00 PM concurrent sessions Daniel Bluestein, MD, MS, CMD; Irene Hamrick, MD;B19 Interactive Workshop III: Integrated Management of Sabine Maria von Preyss-Friedman, MD, CMD; AshkanPain and Suffering at the End-of-Life Javaheri, MD, CMDClinical Medicine IDTThis session examines the identification and treatment of B21 This Year in Review for Long Term Carepain and suffering at the end-of-life. Topics will include Clinical Medicine A IDT Pthe components of total pain and their interdisciplinary This session presents 12-15 articles published in the pastassessment and management. Participants will receive and year which have the potential to impact the practice oflearn the use of the Suffering Index and its role in end-of- medicine and the processes of care for frail elders in thelife pain management. continuum of care. All articles are chosen and criticallyAlva S. Baker, III, MD, CMD; Steve Taylor, PhD, MEd appraised by experienced, multidisciplinary practitioners**There is an additional fee of $35 to participate in this and educators. This presentation continues to be well-workshop and pre-registration is required. To ensure an received each year by attendees and is often the site ofoptimal learning experience, space is limited so sign-up spirited discussion.as soon as possible by checking the appropriate box on the Barbara Messinger-Rapport, MD, CMD, PhD; John E.registration form. Morley, MB, BCH; Elizabeth Galik, PhD, CRNP; Julie K. Gammack, MD, CMDB20 To Treat or Not to Treat: How Clinical ConundrumsBecome Opportunities for Quality Improvement B22 Making Long Term Care Fun to Learn: Active TeachingMedical Direction IDT Strategies to Achieve CompetenceThis session will examine how Medical Directors can Medical Direction I IDTreframe regulatory and other pressures to “treat” key Do you provide didactic or bedside teaching in the nursingclinical conundrums (unintended weight loss, osteoporosis home for students, residents, or long term care staff? Arein frail elders, initiation/discontinuation of antidepressants, you ready to update your teaching strategies to enhanceand urinary tract infections) into an opportunity for the appeal and promote retention for your learners? Usingeducation, evidence-based practice, quality improvement an interactive small group format and table facilitators,(QI) and enfranchisement of the interdisciplinary team this session will introduce adult learning principles and a(IDT). To begin, a brief introduction to QI principles will framework for educational program planning, focusing onserve as a framework for subsequent discussions. Each of innovative instructional strategies. After an introduction byfour experienced Medical Directors will then review the a professional educator, the audience will participate in smalltopics noted above, beginning with a short case to highlight groups by playing a game to learn many innovative activehow the issue arose in the facility. Attention will then shift teaching methods to achieve long term care educationalto a brief review of the evidence base to guide clinical objectives. By the end of the session, the participantsevaluation and treatment. Presenters will facilitate audience should be able to identify and describe how to utilize 4-5discussion on how Medical Directors can use QI to foster active learning strategies that will enhance their teaching.these best practices. They will also share the QI approachthey took with their IDTs and address these complicated, Gwendolen T. Buhr, MD, MEd, CMD; Sandro Pinheiro,controversial but common clinical issues in long term care, PhDreferencing AMDA CPGs (Clinical Practice Guidelines)as appropriate. Each segment will last approximately 15 I Introductory A Advanced IDT Interdisciplinary Team (IDT) P back by popular demand CMD Credit Hours General program 19
    • MonumentalSteps for Quality B23 National Initiatives for Infection Prevention in B26 Long Term Care from an International Perspective Nursing Homes Models of Care IDT Medical Direction IDT This session will examine long term care (LTC) medicine Nursing homes and skilled nursing facilities have been from an international perspective. This session will identified as critical partners to engage in the efforts to highlight Dr. Jan-Pierre Michel, President of the European reduce and prevent healthcare associated infections (HAI). Union Geriatric Medicine Society (EUGMS) and Dr. This session will describe several new resources available to Bruno Vellas, President of the International Association of support infection surveillance and prevention activities by Gerontology and Geriatrics (IAGG) discussing two issues nursing homes and discuss how use of these resources will of interest for the AMDA membership concerning the LTC support a facility’s performance improvement program. continuum in Europe. First, this session will address the David A. Nace, MD, MPH, CMD; Lona Mody, MD; significant advances in technological support of the LTC Nimalie D. Stone, MD, MS resident in Europe, including smart technology designed to improve safety and quality of care while maintaining B24 Accountable Care Organizations: resident dignity and quality of life. Second, the presenters Payer Driven Innovation in Long Term Care will discuss dementia as an international public health Medical Direction A IDT concern, with an emphasis on how research and public The Affordable Care Act (ACA) was signed into law policy influence care delivery and systems of care. This March 23, 2010. The Act includes a provision for the session will also discuss opportunities for AMDA to establishment of Accountable Care Organizations (ACOs). collaborate with the international LTC community through Many health care providers are unaware of the details of education and research. the Act and are uncertain of its implications for long term Daniel L. Swagerty, MD, MPH, CMD; Jean-Pierre Michel, care. This session will provide an overview of the history MD; Bruno Vellas, MD, PhD; John Morley, MB, BCH of health care reform in the US, describe ACOs and their potential impact on long term care, and identify strategies B27 Addressing the Psychosocial Needs of Younger for physicians and health care providers to deliver quality Residents in Long Term Care of care in an ACO environment. Clinical Medicine IDT David D. Adams, MS; Verna Reynolds Sellers, MD, CMD, This session will examine differing needs and risks MPH associated with younger residents in long term care. We will discuss reasons for the growth of this population, and B25 American Society of Consultant Pharmacists (ASCP) associated challenges as long term facilities and staff adapt Sponsored Session to individuals who may be very long term residents. Many Clinical Medicine IDT P of these residents may be tech savvy, retain considerable This session is a collaborative between AMDA and ASCP. physical or cognitive capacity, and also retain interests or The topic will be determined based on the educational personality traits that can be very difficult to manage in a need that reflects the mission of the two organizations. traditional skilled nursing facility setting. Details of the session will be available via the conference Rebecca L. Ferrini, MD, MPH, CMD; Robert M. Gibson, website, www.LTCmedicine.com. PhD, JD Speakers TBD 6:30 pm - 8:00 pm State Chapter Business Meetings 20 A M D A l o n g t e r m c a r e m e d i c i n e – 2 0 1 3
    • education program • saturday/march 23saturday 8:00 AM - 10:30 AM C01 General Session II: Policy MattersMarch 23, 2013 Opening Remarks Jonathan M. Evans, MD, MPH, CMD, AMDA President-6:30 AM - 8:00 AM ElectState President’s Council Breakfast7:00 AM - 4:00 PM AWARD PRESENTATIONSRegistration Open Howard Guterman Best Poster Award7:00 AM - 8:00 AM James Pattee Excellence in Education AwardCoffee Service William Dodd Founder’s Award6:30 AM - 7:45 AMCEXP Meet the Expert Breakfast Session: What’s New in AMDA’s Top Policy Issues 2013Fall and Fracture Prevention in Long Term Care AMDA’s Public Policy Committee leaders will deliver Clinical Medicine an overview of AMDA’s top policy issues for 2013. IDT P Specific updates will be provided on DEA nurse as agent, Cathleen Colón-Emeric, MD, MHS dementia care in nursing homes, legislative advocacy, This session will summarize recent communications with government agencies, health care evidence informing fall and fracture reform implementation efforts, and payment policy prevention in long term care residents. changes (i.e. care coordination). Dr. Colón-Emeric will discuss risk Charles A. Crecelius, MD, CMD, PhD, Chair, Public Policy stratification, implementation of multi- Committee; Karl E. Steinberg, MD, CMD, Vice Chair, factorial fall risk reduction programs, Public Policy Committeenew pharmacologic treatments for osteoporosis of interest inlong term care, and the controversy surrounding calcium and Quality Improvement Initiatives and Toolsvitamin D supplements. This session will outline the initiatives by the newly createdCathleen Colón-Emeric, MD, MHS, is an Associate Center for Medicare and Medicaid Innovation (CMMI).Professor of Medicine at Duke University, a Senior Fellow The Center identifies, develops, supports, and evaluatesfor the Duke Center for Aging and Human Development, innovative models of payment and care service deliveryand the Assistant Director of the Geriatric Research for Medicare, Medicaid and Childrens Health InsuranceEducation and Clinical Center at the Durham VA Medical Program (CHIP) beneficiaries.Center. She is the recipient of several research awards in CMMI Official TBDGeriatric Medicine including a Brookdale FoundationFellowship and a Paul B. Beeson award from the NationalInstitutes of Health (NIH). She is currently the PrincipalInvestigator on NIH and VA funded-studies of fall andfracture prevention in long term care, and a Department ofDefense study on male osteoporosis screening.**There is an additional fee of $55 to participate in thissession and pre-registration is required. To ensure anoptimal learning experience, space is limited so sign-upas soon as possible by checking the appropriate box on theregistration form. Breakfast will be provided. I Introductory A Advanced IDT Interdisciplinary Team (IDT) P back by popular demand CMD Credit Hours General program 21
    • MonumentalSteps for Quality Health Information Technology (HIT) for the Long Term C03 Quality Assurance and Performance Improvements Care Setting (QAPI): A Medical Director’s Toolkit Leaders from AMDA’s HIT Committee will describe the Medical Direction A current regulatory framework for the Centers for Medicare The Affordable Care Act included a provision to advance & Medicaid Services (CMS) Electronic Health Records Quality Assurance and Performance Improvement (QAPI). (EHR) Incentive and the Electronic Prescribing Incentive The five key elements of QAPI are: 1) ongoing and (eRx) and how these programs relate to the current value- comprehensive, 2) involving governance and leadership, 3) based payment movement. The session will focus on the feedback, data systems, and monitoring, 4) performance challenges and benefits of adopting HIT systems in the improvement projects, and 5) systematic analysis and long term care setting and specifically identify strategies systemic action. Centers for Medicare & Medicaid Services for demonstrating required minimum participation in each (CMS) has been developing and promoting a QAPI program as well as other ways to avoid penalties. program for facilities and surveyors. But for the most part, William M. Russell, MD, Chair HIT Committee; Rod the current QAPI talk is little more than “old wine in a Baird, MS new bottle.” Why, then, is yet another initiative needed? And, what should the Medical Director do about it? This Update on Development of Competencies for Attending session will discuss QAPI and its implications for Medical Physicians in the Nursing Home Directors. It will explain in depth how Medical Directors Paul Katz, MD, CMD; Matthew S. Wayne, MD, CMD can effectively and efficiently provide oversight of facility quality and can ensure that practitioners are performing 10:30 AM - 11:00 am and practicing appropriately. It will also provide attendees with actual materials (including templates of review tools Refreshment Break and QA meeting forms) that they can use in their own 11:00 AM - 12:30 PM concurrent sessions facilities, based on the presenter’s 30+ years of experience C02 Pressure Ulcers in Long Term Care: A Case Based in developing and implementing such programs. Approach Steven A. Levenson, MD, CMD Clinical Medicine IDT Chronic wounds in long term care are common, and C05 Model Programs and Policies Swap Session Medical Direction IDT P include pressure ulcers, arterial and venous ulcers, diabetic foot wounds, and others. Practitioners in long term care This session creates a forum for interdisciplinary teams need to know how to diagnose and treat these wounds. (IDTs) to share their innovative programs and policies. This session will provide a series of cases involving wounds Come hear how other teams have overcome barriers and in long term care. Each case will be discussed by an challenges in their practice. Several programs will briefly interdisciplinary team and include audience participation. present their best practices, and then offer expert advice to Jeffrey M. Levine, MD, CMD; Paul Y. Takahashi, MD, attendees and share the materials which have contributed CMD; Mary Frances Valle, MS, CRNP 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 22 A M D A l o n g t e r m c a r e m e d i c i n e – 2 0 1 3
    • education program • saturday/march 23C06 Effective Communication with Residents and C09 The Teaching Nursing Home Revisited: Centres forFamilies: The Daily Challenge of the Long Term Care Health Learning, Research and Innovation in Ontario CanadaProfessional Models of Care A IDTMedical Direction A IDT The “Teaching Nursing Home” has been offered as aWe “talk” everyday but how often do we actually communicate? framework to integrate teaching and research in theNursing facility residents come in all “shapes and sizes”; long term care setting, and in the process align academiasome can speak and advocate for themselves while others with health care at the bedside. While funding of suchcannot. Many are elderly orphans but most come with formal entities has been a challenge in the past, governmentsand informal families. Working with families can be quite around the world have begun to test new paradigms.challenging for physicians and interdisciplinary team (IDT) The Province of Ontario Canada has funded threemembers. Family input and assistance may be necessary to Centres for Learning, Research and Innovation with adevelop and implement a resident’s care plan. Physicians five year mandate to enhance the quality of senior’s careand long term care professionals need to know how to work through education, research, innovation, evidence-basedeffectively with family members to improve the care of the service delivery, design, and knowledge transfer. Goalsnursing facility resident. This session will provide strategies include the building of sector wide capacity through bestand tools to enhance the long term care professional’s skills practice dissemination and enhanced competency of the(abilities) in communicating with residents and families and interdisciplinary workforce. Each of the three Centresdelivering patient-center care. (Baycrest in Toronto, Schlegel in Waterloo and Bruyere inSara Knox, PT, DPT; Verna Reynolds Sellers, MD, CMD, Ottawa) are committed to collaboration and the forgingMPH of new partnerships. Unique components of the Centres include an Interprofessional Learning Unit, research thatC07 American Geriatrics Society (AGS) Sponsored Session focuses on health system delivery, workforce and qualityClinical Medicine and life, and the establishment of living classrooms forThis session is a collaborative presentation between AMDA learning. Lessons learned will be reviewed with a focus onand AGS. The topic will be determined based on the dissemination of best practices. In addition, parallels witheducational need that reflects the mission of the two the US federally funded Geriatric Education Centers willorganizations. Details of the session will be available via the be highlighted with a focus on sustainability.conference website, www.LTCmedicine.com. Paul R. Katz, MD, CMD; Josie d’Avernas; Peter Walker, MD;Speakers TBD John E. Morley, MB, BCH; Jurgis Karuza, PhDC08 When Poor Outcomes Happen: Making theCase for the Unavoidable in Long Term CareClinical Medicine A IDTThis session will address key clinical issues in the longterm care setting relative to unavoidability: pressure ulcers,falls, malnutrition, and dehydration relative to definition,process, documentation and communication, to providethe highest quality of care while reducing liability.Charles A. Cefalu, MD, MS I Introductory A Advanced IDT Interdisciplinary Team (IDT) P back by popular demand CMD Credit Hours General program 23
    • MonumentalSteps for Quality 12:30 PM - 2:30 PM C11 Another Patient with Parkinson’s Disease? A Lunch on your own Comprehensive Approach to Treatment of Parkinson’s Disease and Parkinsonism 1:00 PM - 2:00 PM Clinical Medicine A IDT In-the-Trenches: Peer Group Roundtable Discussion IDT This session will incorporate case reviews of various A variety of hot topics in long term care practice settings clinical approaches for different presentations of and issues will be selected for small group discussions and Parkinson’s disease as well as parkinsonism in order to will be facilitated by conference speakers. A complete list of provide concrete examples of treatment concepts for this topics will be provided online at www.LTCmedicine.com very prevalent issue in long term care and assisted living and onsite at the meeting. There is no advance sign-up to environments. Management of Parkinson’s disease and participate in the Roundtable discussions. It is first come, parkinsonism can be very complicated and difficulties can first served! Lunch will be available for purchase. be exacerbated by comorbidities, particularly dementia and psychoses. In addition, there are numerous commonly 2:30 PM - 3:30 PM concurrent sessions used medications that can induce parkinsonism or C10 Managed Long Term Care: How to Thrive in a exacerbate Parkinson’s disease. Management approaches Changing Market should include pharmacological interventions as well as an Models of Care I IDT interdisciplinary approach to treatment. Skilled nursing Managed care programs for Medicare and/or Medicaid environments can be particularly effective in implementing eligible individuals are increasing. A majority of states have an interdisciplinary team approach to maximize function enacted, or are considering, legislation that mandates or and provide the best quality of life. At end-of-life, there encourages enrollment of individuals with Medicaid into are additional challenges including when to implement managed Medicaid programs as a method to better define comfort care measures like withdrawing medications, and reduce state Medicaid costs. Nursing homes and modifying provision of nutrition and other elements of other long term care providers will be impacted by these care. Family members and care partners are typically highly mandates. Medical Directors, attending physicians, nurse involved in care planning and would benefit from clinical practitioners, physician assistants, and administrators need expertise, quality information and relevant resources to understand how managed care programs are funded and including internet resources. measured. This presentation will help attendees prepare for John M. Dean; Nora Reznickova, MD and thrive in a managed care environment. Brian Heppard, MD; Dallas Nelson, MD, CMD; Thomas V. C12 Improving Antipsychotic Appropriateness in Dementia Patients: The IA-ADAPT Project Caprio, MD, MPH, CMD; Stephen Ryan, MD, PhD Clinical Medicine IDT This session will provide an overview of evidence-based approaches to manage behavioral and psychological symptoms of dementia. The program will introduce participants to the Agency for Healthcare Research and Quality (AHRQ) funded IA-ADAPT project which offers on-line resources to disseminate the AHRQ comparative effectiveness research review and summary guide to assist providers in the care of patients with dementia and behavioral disturbances. Ryan Carnahan, MD, PhD; Paul L. Mulhausen, MD 24 A M D A l o n g t e r m c a r e m e d i c i n e – 2 0 1 3
    • education program • saturday/march 23C13 Geriatric Clinical Thinking PACE Model Practices developed for patients with HeartClinical Medicine IDT Failure. Suggested quality measurements will be discussedIn this world of hospitalists, intensivists, and subacutists, in this same context of individualized patient decisionthe long term care physician can be best described as a making. Access to the PACE Model Practices includingcomplexivist. The kind of clinical thinking that is required CHF, diabetes, chronic kidney disease, chronic obstructiveto make complex care decisions for the long term care pulmonary disease, and preventive care will be granted topopulation, institutional or community, requires a different the audience.set of clinical analytic tools, not specifically taught in Laura Trice, MD, CMD; Verna Reynolds Sellers, MD,most primary care/internal or family medicine residency MPH, CMDprograms. This session will introduce the audience to thatthinking process and validates the basis of clinical decision C17 Facility Crisis! Practical Techniques for Success inmaking by expert geriatric care providers. the Midst of Conflict Medical Direction IDTAlan Abrams, MD, CMD; Houman Javedan, MD Successful long term care clinicians manage conflictC14 Survey Deficiencies, CMS Enforcement Actions and productively. During this interactive session attendeesthe Plaintiff’s Bar: Successfully Responding to the Storm will explore proven theories and techniques in conflictMedical Direction IDT resolution to help communicate with staff, residents,This session will present information and material that may families, and other providers. Participants will becomeeliminate and/or mitigate negative survey findings. The acutely aware of the many dynamics that come to playprimary mechanism will be presentation of information in situations with conflict and practice newly learnedand illustration by actual case examples where providers techniques to manage that conflict.(Medical Directors as well as other staff) have demonstrated Larry Bridgesmith, JD; Melinda Henderson, MD, CMDthat quality of care was rendered even if there was anegative outcome that was incorrectly cited as a deficiency. C18 Using Telepsychiatry to Improve Behavioral HealthAttendees will also learn that at times, an otherwise and Medication Management in Long Term Careavoidable negative outcome may occur and how best to Models of Care A IDTavoid those situations. This session will present a unique approach to improvingAlan C. Horowitz, Esq; Tricia Tomsko Nay, MD, CMD behavioral health care and psychotropic medication management in nursing facilities by integratingC16 Managing CHF: Using the PACE (Program of All- geropsychiatrists into the interdisciplinary team via videoInclusive Care for Elderly Model Practice) Where Patient conference technology.Centered Care Meets Clinical Practice Guidelines Cathy Lipton, MD, CMD; Murray Zucker, MDModels of Care IDTThe PACE Model Practices have been developed to respondto PACE clinicians’ concerns of being measured againstinterventions in accepted Clinical Practice Guidelines(CPGs) that were not developed for older adults withmultiple comorbidities and varying goals of care. Thissession will review the development of a patient centeredapproach that first defines the patient’s goal of care anduses that to suggest which interventions of a standardCPG are appropriate or not appropriate for that person.Presenters will then provide key recommendations of the I Introductory A Advanced IDT Interdisciplinary Team (IDT) P back by popular demand CMD Credit Hours General program 25
    • MonumentalSteps for Quality 3:30 PM - 4:00 PM C21 A Tool Kit for Post Acute Care Transitions (A Joint Refreshment Break Session between Society of Hospital Medicine and AMDA) Models of Care IDT 4:00 PM - 5:30 PM concurrent session Through a joint effort of AMDA and the Society of C19 Geriatric Pain and Palliative Medicine Pearls Hospital Medicine (SHM), a Tool Kit has been developed Clinical Medicine I IDT that can improve care transitions from/to post acute care This session will discuss a palliative approach to caring for facilities (skilled nursing facilities, rehab, and long term elderly patients with multiple chronic conditions. The first acute care hospitals). This session will describe a range 45 minutes will focus on principles of pain management and of checklists, forms, and other tools that can be used provide multiple easy to remember tips on how to approach to improve care transitions and reduce readmissions. pain in the elderly using case-based teaching. The final 45 Attendees will also be instructed on how to initiate, minutes will address other common symptoms seen in manage, and monitor initiatives in their facilities designed geriatrics such as fatigue, depression, dyspnea and nausea. to reduce readmissions. Presenters will provide several short cases with practical Rob Young, MD; Heather Zinella Cox, MD, CMD pearls and discussion for each case. Time will also be allotted to attendees for question, answers and case review. C24 Crossing the Digital Divide: Benefits, Challenges, and Use of Social Media and Internet Technologies in Long Melinda Henderson, MD, CMD; Brian Heppard, MD; Term Care Tanya L. Stewart, MD Models of Care IDT C20 C. difficile: Clinical Dilemma, Probiotics, Despite perceptions of social media as youth-focused and Antibiotics technology, Facebook, You Tube, Twitter and Internet- Clinical Medicine IDT mediated services such as email and Skype are quickly This session will discuss the increasing dilemma of reaching a new audience of aging and older adults. While C.difficile infection in long term care. Presenters will focus the potential impact is significant, research on the use of on prevention of infection with a discussion on proper use these technologies among elders in long term care facilities of antibiotics for most common infections seen in long lags notably behind that of other demographic groups. term care residents and review of the literature on the Critically important are the attitudes, perceptions, and use of probiotics for prevention and possibly treatment of social media experiences of physicians, administrators, and C.difficile infection. long term care providers, whose philosophies and roles may impact the use of social media in long term care settings. Laurie R. Archbald-Pannone, MD; Glynis Kolling, PhD; The presenters have addressed this issue from bilateral Amy Mathers, MD perspectives, incorporating both relevant literature and more uniquely, via data gathered from AMDA members themselves. Thus, the goal of this session is to examine the benefits, challenges, and uses of social media and Internet- mediated technology in the long term care setting and to provide proactive strategies for the use of these resources. Patricia L. Bach, PsyD, MS, RN; Daniel Bluestein, MD, MS, CMD 26 A M D A l o n g t e r m c a r e m e d i c i n e – 2 0 1 3
    • education program • sunday/march 24C25 Guidelines for Podiatric Services in Long Term CareFacilitiesModels of Care A sundayThis session will outline assessment protocols and risk March 24, 2013stratification principles and identify primary foot problemsand complications associated with selected at risk systemic 6:30 AM - 8:00 AMdiseases. The presenter will provide early preventive D01 Red Eye Rounds: Medical Direction Challengesstrategies to reduce complications and amputations as well Medical Direction Pas provide guidelines for care and referral for patients in This breakfast panel is an opportunity for attendees tolong term care facilities and programs. engage leaders in medical direction in a dialogue on bestArthur E. Helfand, DPM practices. The focus of this panel is on the management aspect of medical direction.C26 The Conflicted Surrogate Syndrome: Implications for Alva S. Baker, III, MD, CMD; Jeffrey B. Burl, MD, CMD;Nursing Facility Workforce Stress, Safety, and Turnover Leonard Gelman, MD, CMD; Susan M. Levy, MD, CMDClinical Medicine AThis session will discuss risk factors and diagnostic criteria D02 Red Eye Rounds: Clinical Quandariesfor the Conflicted Surrogate Syndrome. Three cases meeting Clinical Medicine Pthe criteria in which violence toward facility staff occurred This breakfast panel is an opportunity for attendees towill be reviewed. The symposium will discuss the role of the engage leaders in medical direction in a dialogue on bestMedical Director, director of nursing, administrator, and practices. The focus of this panel is on geriatric clinical careombudsman in recognizing and managing the syndrome. and management from a clinical perspective.The perspective of a family member is also presented,bringing a word of caution regarding the potential for J. Kenneth Brubaker, MD, CMD; David A. Nace, MD,inappropriate use of the label “conflicted surrogate MPH, CMD; Peter Winn, MD, CMDsyndrome.” The impact of the syndrome on work forcestress, safety, and turnover are discussed. Strategies for early 7:30 AM - 8:30 AMdetection and intervention are presented, to mitigate thepotential for negative outcomes. Coffee ServiceRebecca D. Elon, MD, MPH, CMD; Donna Z. Leister, PhD, 8:00 AM - 11:00 AMRN; Fatima A. Naqvi, MD, CMD; Laura L. Waterman, RN Registration Open 8:30 AM - 11:00 AM4:00 PM - 6:00 PM D03 General Session III IDTAMDA House of Delegates Meeting Closing Remarks7:00 PM - 9:30 PM Heidi K. White, MD, CMD, Program Committee ChairAMDA President’s Reception I Introductory A Advanced IDT Interdisciplinary Team (IDT) P back by popular demand CMD Credit Hours General program 27
    • MonumentalSteps for Quality ANNE-MARIE FILKIN LECTURE CLOSING KEYNOTE Transforming the End of Life: Health Reform for When We are Frail and Old Clinical Excellence and Cultural Leadership Joanne Lynn, MD, MA, MS Ira Byock, MD Exciting, far-reaching reforms toward continuity and It is said that the moral worth of a nation can be judged by efficiency for our last frail phase of life are possible – how it cares for its most vulnerable members. Providers but not yet really “on the agenda.” Dr. Lynn lays out a of long term care are a sustaining moral force in society. provocative and plausible vision for health care reform Dr. Byock challenges assumptions and constraints of the that focuses on these important goals. She will highlight medical model. He refocuses attention on the essential the role Medical Directors can play in achieving these components and characteristics of human caring. The best goals through facility-based reform, community action, care is highly personal, not merely competent or technically monitoring and measurement, emphasizing work force excellent, but also tender and loving. Loving care enhances issues, and more. comfort and quality of life, honors the inherent dignity of each person, and recognizes innocence in late life. In caring well for those who are frail and facing death, we can lead our country and culture through the unprecedented challenges of 21st century civilization. 28 A M D A l o n g t e r m c a r e m e d i c i n e – 2 0 1 3
    • BECOME A CERTIFIED MEDICAL DIRECTOR Improve the Quality of Health Care Your Facility Provides The presence of a Certified Medical Director (CMD) in nursing homes results in a 15% improvement in quality scores compared to those without CMDs, with the F-tags most likely to be influenced including1 : • Restraint use • Weight loss & nutrition • Pressure ulcers • Unnecessary drugs • Freedom from abuse • Infection control 1 Rowland FN, Cowles M, Dickstein C, Katz PR. Impact of medical certification on nursing home quality of care. J Am Med Dir Assoc. 2009;10: 431-435.Apply now to become a CMD in Long Term Care if you are a physician currently serving as the medical directorin one or more long term care facilities or settings. Applicants are required to complete AMDA’s Core Curriculumon Medical Direction, or its equivalent, a 46-hour course focusing on 20 critical areas of medicaldirection management.Applications for certification are reviewed by the American Medical Directors Certification Program (AMDCP)Board of Directors twice annually in June and December. Deadlines for submission of applications areApril 1 and October 1.The American Medical Directors Association (AMDA) CMD in Long Term Care recognizes the dual clinical andmanagerial roles of the medical director. CMDs commit to initial, intensive training in the functions and skills ofmedical directors as well as to continuing education specifically relevant to management and leadership.Help improve your facility today – learn about becoming a Certified Medical Director: AMDCP, 11000 Broken Land Parkway, Suite 400, Columbia, MD 21044 Phone: 410-740-9743 • Fax: 888-249-6533 • E-mail: cmd@amda.com The AMDA CMD program is administered by the American Medical Directors Certification Program (AMDCP), an independent not-for-profit organization. The AMDCP mission is to recognize and advance physician leadership and excellence in medical direction throughout the long term care continuum through certification, thereby enhancing quality of care. The AMDCP has certified over 2,700 medical directors in a variety of settings across the long term care continuum since the program’s inception in 1991.
    • MonumentalSteps for Quality Hotel and travel information Hotel Information Parking Parking at Gaylord National Resort is $22 per day for All education sessions and exhibits will be held at the overnight self-parking and $32 per day for overnight valet Gaylord National Convention Center at 201 Waterfront parking. Street, National Harbor, MD 20745. The Headquarter hotel will be Gaylord National Resort, conveniently attached to Reservations the Convention Center. AMDA has a limited number of To make a reservation, please call Gaylord National’s rooms available in the group block, so be sure to make your reservation line at (301) 965-4000, and mention that you reservation early to ensure availability. are with AMDA. All reservations require a credit card at Please note that AMDA is financially responsible for all time of booking. We encourage you to make your travel hotel rooms reserved in our group block. Any rooms not plans early to secure your stay at Gaylord National Resort. sold are still billed to AMDA in the form of attrition. We All reservations must be made by February 25, 2013. ask for your support in booking only at the headquarter Any remaining rooms being held for AMDA will be hotel to ensure we fill the room block and can continue released after that date. The hotel will not guarantee room to offer discounts to our attendees. We ask that you availability or the discounted group rate after February 25, reserve hotel rooms realistically and cancel any unneeded 2013. Make your reservations now to ensure availability. rooms with as much notice as possible. Should you need assistance with housing, please contact Nadine Hines at 410-992-3130 or nhines@amda.com. Take advantage of the AMDA BEST VALUE RATE by booking your room at Gaylord National Resort prior to Changes and Cancellations registering to receive a $50 discount on your registration! Please note that any changes or cancellation of a room Gaylord National Resort reservation is your responsibility. Please review the 201 Waterfront Street cancellation policy with the hotel prior to making your National Harbor, MD 20745 reservation. It is your responsibility to understand the Hotel Phone: (301) 965-2000 policy and that you are accountable for any fees that may Reservations: (301) 965-4000 be incurred. Website: www.gaylordhotels.com/gaylord-national Also note that if you received a discount rate on your Room Rate: $234 Single/Double Occupancy registration for staying in the AMDA Group Block and This year’s room rate is inclusive of internet access later change your reservation to a hotel outside of the group (wired and wireless) in your guest rooms. block, you will be charged for the difference in registration fees based on the date that you registered. The room rates listed are subject to state and local taxes, currently 16%. Each additional person to a room is $20. Rooms may be available at the group rate three days prior to the meeting and three days post meeting based on hotel availability. Guest rooms are available with one king bed or two double beds. Check in is 3:00 pm and check out is 11:00 am. The hotel will make every attempt to accommodate early arrivals and late departures. 30 A M D A l o n g t e r m c a r e m e d i c i n e – 2 0 1 3
    • travel Information Get the most out of AMDA LongAirports Term Care Medicine – 2013 by beingGaylord National Resort and Convention Center is located prepared8 miles south of Ronald Reagan Washington NationalAirport (DCA). Plan ahead…Other airports in the vicinity include Washington Dulles uress in layers. You may find you are going from DInternational Airport (IAD), 35 miles away and Baltimore/ cold air conditioning to hot crowded rooms andWashington International Thurgood Marshall Airport hallways. Temperatures can vary from one extreme(BWI), 38 miles away. to the other.Ground Transportation u ear comfortable shoes and bring at least one other WAirport Shuttle: Gaylord National offers an exclusive, pair to alternate. Walking around the conventionexpress shuttle, run by SuperShuttle, to and from center will take its toll on your feet.Reagan National Airport. The shuttle departs everytwenty minutes from Gaylord National Resort and the Pack u plenty of business cards to share with yourReagan National Airport baggage claim. Reservations peers and to enter drawings in the Exhibit Hall.are recommended, but tickets are also available fromthe SuperShuttle desk, located on the lower level of the urrive A early if possible and take time to orientairport, near baggage claim. Shuttles run daily from 6:00 yourself to National Harbor. Get to know theAM to 8:00 PM. Tickets are $19 per person one way, conference locations, seminar rooms, restrooms,or $38 round trip. For Shuttle reservations, please call and local eating establishments.1-800-660-8000. u your conference days ahead of time by choosing PlanTaxis are readily available from the airports. The the sessions you most want to attend. Be sure toapproximate cost is $25-$30, from Reagan National register in advance for any ticketed sessions as theyAirport. will sell out.Car Rentals u to arrive to your selected session 10-15 minutes Plan ® in advance, as session attendance is on a first-come, first-served basis. Select alternate sessions in each timeframe in case the room is full.AMDA has negotiated special arrangements with Hertz Read up on industry news and updates to understand uCorporation to provide discounted car rentals during your what’s affecting those working in long term care.stay.For reservations, call Hertz at 800-654-2240 and reference uon’t D forget to visit the Exhibit Hall to participateCV# 03YJ0013. You may also contact your travel agent or in the Exhibit Hall Passport Program. Fill yourbook online at www.hertz.com. passport and enter win conference registration for AMDA Long Term Care Medicine – 2014! See page 8 for more details. General program 31
    • MONUMENTALSteps forQuality C.A.S.T. ROG P RAM Calling All Spouses and Guests THE CAST PROGRAM Be whisked around town to enjoy the sights and sounds Back by popular demand the Companion and Spouse of Washington, DC and the surrounding area. You are Traveler (C.A.S.T) Program will be coming to you live given the option of enjoying one of the following tours per from the Gaylord National Resort and Convention Center. day. Tours will depart and return to the Gaylord National Enjoy this opportunity to explore the Washington, DC Resort and Convention Center. AMDA has partnered region with great guides and even better company. Please with Capitol Services, Inc. (CSI) to provide high quality complete the registration form on page 43 and be sure tours and transportation. AMDA will make every effort to to include an email address to receive C.A.S.T. Program accommodate onsite registrants but cannot guarantee tour Updates. Bring your smile and be prepared to shine! availability. Register early to secure your “first-class” spot! REGISTRATION FEES The C.A.S.T. Program is open to all spouses and guests Thursday, March 21, 2013 (over the age of 18). Pre-Registration is $180 for a 4-Day 8:00 AM – 10:00 AM registration (includes events Thursday through Sunday) BEVERAGE SERVICE IN THE C.A.S.T. LOUNGE and $150 for a 3-Day registration (includes events Friday- (COFFEE AND TEA ONLY) Sunday) Please note, onsite registration fees will be higher. See registration form for fees (pg 43). 9:30 AM – 2:30 PM The registration fee includes: A TRIBUTE TO OUR NATION’S HEREOS �Daily C.A.S.T. tours, This tour begins with a stop at Arlington National Cemetary, �� ccess to the C.A.S.T. Lounge and all activities within, A where our guide will share with you the many stories of the �� ccess to the Exhibit Hall and social functions, A fallen heroes during a walking tour. View the powerful Eternal including refreshment breaks, Flame, the Tomb of the Unknowns, and witness the impressive �Welcome Reception on Thursday, “Changing of the Gaurd” Ceremony performed with perfect �President’s Reception on Saturday, percision by a team of United States Maries. Next you will see �� ccess to non-ticketed education sessions, A the United States Marine Memorial, affectionately known as �C.A.S.T. Bag. the Iwo Jima Memorial. This memorial is dedicated to all Please note that while C.A.S.T. members may sit in on Maries who have given their lives in defense of the United educational sessions, they will not receive any educational States since 1775. No tour or Washington, DC, would be materials and are ineligible for educational credits. Spouses/ complete without a visit to the National World War II Guests wishing to receive education credits need to register Memorial. The memorial honors the 16 million who served in as a full attendee. the armed forces of the U.S. during World War II, the more than 400,000 who died, and the millions who supported the CAST LOUNGE war effort at home. Enjoy this exclusive lounge to mingle and relax, created with you in mind. The lounge features a computer with This tour includes time for lunch provided “on your own”. internet access, plenty of space to meet with friends, a Participants should plan to bring cash to purchase lunch at a memo board for C.A.S.T. members to leave notes and local vendor near the memorials. updates, and beverage service. All tours will depart from and return to the C.A.S.T. lounge. On Thursday, Friday and Saturday, join fellow C.A.S.T members in the lounge 12:00 PM – 5:00 PM for fun activities. These activities are included in your MOU VERNON – GEOR WASHIN G NT GE TON’S HOME registration fee and do not require pre-registration. A motor coach will take you over the Potomac River to Mount Vernon Estate, America’s most visited historic house. The estate sits on a grassy, shaded slope overlooking the Potomac River. Upon arrival you will pass through 32 A M D A L O NG T E R M C A R E M E D I C I N E – 2 0 1 3
    • the newest additions to the estate: The Ford Orientation 4:00 PM – 5:00 PMCenter and Donald W. Reynolds Museum and Education Knitting in the C.A.S.T. LoungeCenter. The exhibits depict Washington as an incomparable Join Fellow C.A.S.T. members for an introduction to knittingAmerican hero who evolved from a young man of modest and get to know your fellow C.A.S.T. mates in the process.means into this country’s first and greatest president. Basic knitting supplies and instruction will be provided.From the visitor’s center, you will make your way alongthe garden path to Washington’s home, where you willbe presented with an authentic look at the life of George Friday, March 22, 2013 8:00 AM – 10:00 AMand Martha Washington. Docents will describe the rich Beverage Service in the C.A.S.T. Loungehistory and significant historical events that took place (Coffee and Tea only)in each of the bright and colorful rooms in the mansion.From there, you will tour the outbuildings where muchof the day-to-day domestic activity on the plantation took 10:00 AM – 3:00 PMplace – from the curing, spinning and laundry houses to A Day at the Smithsonian: On the Mallthe living quarters for overseers and slaves. As you venture Your first stop is at the world famous and most visiteddown the pathway, you will see the tombs where George museum on the planet, The Smithsonian Institution’sand Martha Washington are buried along with other National Air and Space Museum – an absolute must forfamily members. After a lunch break it’s off to George any visitor to our capital city! This magnificent glass andWashington’s Distillery. Renovated and opened in 2007, the marble building maintains the largest collection of historic airGeorge Washington Distillery has become a popular side and spacecraft in the world. Located on the Mall, the museumtrip when visiting Mount Vernon Estate. has hundreds of artifacts on display including the original Wright 1903 “Flyer,” Charles Lindbergh’s “Spirit of St. Louis,”This Tour does not include lunch. Participants should plan the Apollo 11 command module, “The Voyager,” which flewto eat lunch prior to the start of the tour around the world on one tank of gas, and a lunar rock display that visitors can touch. This Museum is a fitting tribute to the great explorers who have advanced the history of flight. After the Air and Space Museum, guests will move to the newly renovated Museum of American History where you will find a marvelous collection of treasures from America’s past; beginning with the actual Star Spangled Banner which inspired Francis Scott Key to compose our national anthem, the first telephone, the atomic bomb and the original Apple Computer. You’ll see Henry Ford’s Model T, the world’s oldest operative locomotive, and early American history displays which include George Washington’s Revolutionary War uniform and a 1776 gunboat. Special exhibits include the dresses of all the First Ladies, a Conestoga Wagon, Thomas Jefferson’s writing desk, and the Greensboro lunch counter, the site of the 1960 civil rights sit-in. This tour includes time for lunch provided “on your own.” 12:30 PM – 4:30 PM Whirlwind Tour of Our Nation’s Capital Become a part of our nation’s most historic landscape and feel history come to life as you “visit” some of our country’s most beloved sites. As the tour makes its way to Capitol General program 33
    • MonumentalSteps for Quality c.a.s.t. program Hill, you’ll follow a route that affords splendid views of the 9:45 AM – 1:45 PM monuments, and famous sites along the Potomac River. A Private Tour of our US Capitol See the majestic US Capitol Building, Senate and House On the city’s most prominent hill lies Washington’s most office buildings. As you travel along the “Mall,” your CSI spectacular structure, The U.S. Capitol. It is a symbol of tour guide will also point out the famous Smithsonian the American people and their government; the meeting Museums, the US Holocaust Memorial Museum, and the place of the nation’s legislature; as well as an art and Bureau of Engraving and Printing. View the World War history museum. This private tour will take AMDA guests II Memorial and the Washington Monument. Weather through this magnificent building where the laws of the permitting guests will walk down the reflecting pool to land are still being created. Within the building, amaze at the Lincoln Memorial, where you will climb the marble Bernini’s “Apotheosis of Washington” in the Rotunda, learn steps to the temple that enshrines Abraham Lincoln. From the secret of Statuary Hall and visit the many nooks and there, you will take a short walk to the somber setting of crannies of this impressive structure. The tour continues the powerful Vietnam Veterans Memorial. Your guide will within the chambers of the buildings. This private tour then walk you to the Korean War Veterans Memorial – a is conducted by expert docents from the US Capitol powerful reminder of this important war. At the end of our Historical Society. day, we will stop on Pennsylvania Avenue to view the White ** Please note there is an additional registration fee of House. As you approach the White House through Lafayette $75 for this premium tour. Park, your tour guide will tell you the history of the park and of the many famous buildings that surround you. This tour does not include lunch. Participants should plan to eat lunch following the tour. A light snack will be provided. This tour does not include lunch. Participants should plan to eat lunch prior to the start of the tour. 34 A M D A l o n g t e r m c a r e m e d i c i n e – 2 0 1 3
    • Saturday, March 23, 2013 10:30 AM – 3:30 PM7:00 AM – 9:00 AM Abraham Lincoln’s WashingtonBeverage Service in the C.A.S.T. Lounge Your tour will begin at President Lincoln’s Cottage, the most(Coffee and Tea only) significant historic site directly associated with Lincoln’s presidency aside from the White House. In February 2008, President Lincoln’s Cottage at the Soldiers’ Home opened to7:30 AM – 8:30 AMMorning Yoga and Stretching the public for the first time, giving Americans an intimate,Join fellow C.A.S.T. members and start your morning with never-before-seen view of Abraham Lincoln’s presidencysome light yoga and stretching to prepare yourself for a and family life. While here, you will visit Lincoln’s countryday of tours or relaxing sightseeing. Instruction will be home and workplace where he spent a quarter of hisprovided and appropriate for all levels. presidency. A special exhibition gallery at the Visitor Education Center presents rotating displays of objects related to Lincoln and his legacy. In “Lincoln’s Cabinet9:15 AM – 1:45 PM Room,” you can participate in an innovative interactiveHillwood Museum and Gardens experience exploring Lincoln’s toughest decisions relatedSituated in Northwest Washington, the newly renovated to emancipation, politics, and military affairs. Next, youHillwood estate is a lush enclave in the middle of the city. will stop at Ford’s Theatre, the historical landmark inMarjorie Merriweather Post, heiress to the Post cereal Washington, DC dedicated to President Abrahamfortune, purchased the twenty-five acre estate overlooking Lincoln at the location where he was shot. Completing aWashington’s Rock Creek Park in 1955. She then multimillion dollar expansion in February, 2009 in timecommissioned a massive renovation of the mansion and for the Abraham Lincoln Bicentennial Celebration, it givesgardens; a custom known as the American country house visitors the opportunity to learn more about Abrahamtradition. Reviving a tradition in which wealthy Americans Lincoln’s life and his presidency. The theater and museumbetween 1880 and 1930 would build large houses near include a state-of-the-art education center (completed inmajor urban areas for escape and relaxation, Mrs. Post 2012) directly across the street from the theater.transformed the Hillwood into a breathtaking architectural This tour does not include lunch. Participants should planmasterpiece. Hillwood Estate Museum & Gardens is one accordingly. A light snack will be provided.of the premier art collector’s museums in the UnitedStates. The museum features the most comprehensivecollection of Russian imperial art outside of Russia and a 2:00 PM – 4:00 PMworld renowned collection of eighteenth-century French Scrapbooking in the C.A.S.T. Loungedecorative art and furnishings. The collection includes Enjoy this opportunity to get a little crafty! AMDA willFabergé eggs, Russian porcelain, Russian Orthodox icons, provide supplies to get you started; feel free to bring picturesBeauvais tapestries, and Sèvres porcelain. Encircled by or supplies from home or that you’ve collected during yourwoodlands, the twenty-five acre estate provides visitors a visit to Washington, DC.tranquil oasis of luscious formal gardens.This tour includes time for a light lunch provided “on your 7:00 PM – 9:30 PMown.” President’s Reception Sunday, March 24, 2013 7:00 AM – 9:00 AM Beverage Service in the C.A.S.T. Lounge (Coffee and Tea only) General program 35
    • MonumentalSteps for Quality AMDA Membership Who we are… www.amda.com AMDA is the only national organization guided exclusively by the needs and issues affecting long term care. AMDA addresses the responsibilities inherent in the roles of the medical director, attending physician, and others practicing in the long term care continuum, providing resources to the entire team to help everyone work together and address difficult clinical, administrative, and ethical issues in long term care. Why You Should Join… Provides a Voice News Resources Exclusive Benefits for You on Advocacy www.amda.com/publications www.amda.com/membership Issues Journal of the American Medical Directors Association (JAMDA) Your membership allows you exclusive access to AMDA’s online www.amda.com/advocacy - nine issues per year of the directory, plus members-only AMDA advocacy efforts include highly respected peer-reviewed news and resources. In addition, regular dialogue with the Centers journal (2011: ranked 4th out of members receive discounted rates on for Medicare & Medicaid Services 44 for citations in the Geriatrics & conferences, seminars, workshops, (CMS), legislators, stakeholders, Gerontology category) and our wide variety of products. coalitions, and related associations. Caring for the Ages - The must-read monthly newspaper. Professional AMDA Reports - The quarterly Local Networking Advancement newsletter outlining AMDA issues in an easy-to-read format. Opportunities www.amda.com/chapters www.amda.com/education Weekly Round-Up - A weekly Multiply the effectiveness of your Receive the highest value at the e-newsletter reporting on the current membership by joining your state most reasonable prices for seminars, trends, advocacy, clinical updates, and chapter. Membership in your state workshops, and conferences. AMDA other issues impacting long term care chapter provides you with numerous programs are taught by outstanding professionals. networking and professional faculty who are experts in the field. development opportunities with local Physicians have an opportunity to colleagues; and opportunities to work achieve Certified Medical Director on boards and committees. (CMD) designation. This is offered to AMDA members at a significant cost savings. DON’T WAIT! Join today to receive all these benefits plus a discounted price for the meeting. Visit www.amda.com/membership or call 410-992-3118. 36 A M D A l o n g t e r m c a r e m e d i c i n e – 2 0 1 3
    • MonumentalSteps for Quality registration information AMDA offers two registration levels—4-Day Registration If you wish to attend any of these five (5) ticketed and 3-Day Registration sessions, please indicate this on the registration form in The 4-Day Registration is our most popular. Your the appropriate section. These sessions are limited in registration fee includes: size and typically sell out prior to the close of the pre- registration period. See pages 12-28 for full descriptions u Thursday’s Pre-Conference, ½ day Intensive Sessions on all of AMDA Long Term Care Medicine – 2013 sessions, (morning and afternoon), including these five (5) special ticketed sessions. u Education sessions on Friday, Saturday and Sunday, u Electronic access to all the handouts via AMDA’s Online AMDA’s Best Value Registration Rate Library, AMDA’s headquarter hotel is the Gaylord National Resort. u Access to the Exhibit Hall and social functions including Attendees supporting AMDA by booking their hotel refreshment breaks, reservation at the Gaylord National are eligible to register u Welcome Reception on Thursday, under the discounted Best Value Rate. To receive the Best u President’s Reception on Saturday. Value Rate you must book your room reservation at the The 3-Day Registration fee includes all of the above except Gaylord National prior to registering for AMDA Long the Thursday pre-conference sessions. The Thursday pre- Term Care Medicine – 2013. conference 1/2–day Intensive Sessions offer in-depth The Best Value Rate is in effect through February 11, 2013 review of subject matter, discussions and interaction with or until AMDA’s room block is sold-out; whichever comes faculty. To attend the Thursday pre-conference sessions, first. For those attendees staying at another hotel, or who you must register under the 4-Day Registration fee. Please book at the Gaylord after February 11, 2013, the Regular note, your name badge will reflect your registration type.  Fee applies (through March 4, 2013). The majority of the education sessions are available on Those registering under the Best Value Rate but do not a first-come, first-served basis and are included in your have a reservation at the Gaylord National Resort, will be registration fee. invoiced for the difference between the Best Value Rate and Pre-registration closes on March 4, at 5:00 PM ET. All the Regular rate. those wishing to register after March 4th can do so onsite at the Gaylord National Convention Center beginning Join AMDA to take Advantage of the Wednesday, March 20th. Member Registration Rate If you are not currently an AMDA Member, visit www. ticketed sessions AMDA.com/join to become a member before registering. This year AMDA has five (5) sessions that are ticketed and You can then take advantage of the lower member incur additional fees besides the registration fee. These registration rate. See Membership Information and Dues ticketed sessions are: chart by visiting www.amda.com/join. u Thursday All-Day workshop Navigating Mood and Bring Your Interdisciplinary Team Behavioral Challenges (8:00 AM – 5:00 PM): Save $50 per registration when three people of different $55 (requires a 4-Day registration in addition) disciplines from one facility register together; medical u Friday’s three (3) Interactive Workshops: $35 each director, administrator, attending physician, director u The Beers List Made Real (11:00 AM – 12:30 PM) of nursing, pharmacist, nurse, or nursing assistant. For u  nticoagulation in the LTC Setting for Patients with A example, a facility’s medical director, administrator and Atrial Fibrillation (1:30 PM – 3:00 PM) director of nursing are all attending the conference. Each u  ntegrated I Management of Pain and Suffering at the person fills out a registration form and then all three forms EOL (3:30 PM – 5:00 PM) are sent in together indicating, in the appropriate area Saturday morning “Meet the Expert” breakfast session, u of the registration form, that all three are from the same What’s New in Fall and Fracture Prevention in LTC facility. Each of the three registrants is then eligible for a $50 (6:30 AM – 7:45 AM): $55 discount, for a total savings of $150. 38 A M D A l o n g t e r m c a r e m e d i c i n e – 2 0 1 3
    • All three registration forms must be submitted together. 4-Day C.A.S.T. Registration includes:Forms can be faxed or mailed to the AMDA office or u Daily C.A.S.T. tours Thursday through Saturday,emailed to registration@amda.com. Registration cannot be u Access to the C.A.S.T. Lounge and all activities within,completed online if registering with the InterdisciplinaryTeam u Access to the Exhibit Hall and social functions,discount. If you have questions regarding the IDT discount, including refreshment breaks,call 410-992-3116. u Welcome Reception on Thursday, u President’s Reception on Saturday,State Chapter Support Staff u Access to all non-ticketed education sessions; ThursdaySupport staff of AMDA’s State Chapters receive a discounted through Sunday. (C.A.S.T. members will not receiveregistration rate for AMDA Long Term Care Medicine – education credits or materials. Spouses/Guests wishing2013. Please contact the AMDA Registrar at registration@ to receive education credits need to register as a fullamda.com to obtain your registration form. attendee.) u C.A.S.T. BagC.A.S.T. Registration 3-Day C.A.S.T. Registration includes all of the above exceptAMDA’s spouse/guest program, C.A.S.T. (Companions the Thursday tour options and Thursday education sessions.and Spouse Travelers), provides events and activitiesthroughout the conference for your spouse and/or guest For full details and a complete list of scheduled C.A.S.T.to participate in while you attend the education sessions. activities, please see page 32. Please use the separateFollowing the attendee registration model, registering C.A.S.T. Registration Form on page 43 to register yourspouses/guests have a choice of 4-Day or 3-Day rates. spouse/guest. Pre-registration for C.A.S.T. members ends March 4, 2013. C.A.S.T. members must be at least 18 years old. Those wishing to register after March 4th may do so onsite at the AMDA Registration Desk but note some of the activities may not be available to late registrants. 4-Day Fees Best Value Rate Regular Fee On-Site Fee Thursday, March 21-Sunday, March 24, 2013 Received through 2/11/2013 Received at AMDA (Includes the Thursday educational sessions/CME) This fee is only available to those who have already through Desk at booked their room reservation at the Gaylord National 3/04/2013 Gaylord Resort. Once AMDA’s room block is sold out, the Best 5:00 PM ET National Value Rate will no longer be available. AMDA Member $510 $560 $660 Non Member $780 $830 $930 Geriatric Fellow * $350* $375* $450* Ticketed sessions; See pages 12-28 for session details These sessions carry additional fees. 3-Day Fees Best Value Rate Regular Fee On-Site Fee Friday, March 22-Sunday, March 24, 2013 Received through 2/11/2013 Received at AMDA (Does not include the Thursday education sessions/CME) This fee is only available to those who have already through Desk at booked their room reservation at the Gaylord National 3/04/2013 Gaylord Resort. Once AMDA’s room block is sold out, the Best 5:00 PM ET National Value Rate will no longer be available. AMDA Member $400 $450 $550 Non Member $670 $720 $820 Geriatric Fellow * $275* $300* $375* Ticketed sessions; See pages 15-28 for session details These sessions carry additional fees.* To qualify for the Geriatric Fellow registration rate, registration forms must be accompanied by fellowship verification. Forms and verification/letter can befaxed or mailed to the AMDA office or emailed to registration@amda.com. Registration can not be completed online if registering under the Geriatric Fellowfee category. Call 410-992-3116 with any questions. General program 39
    • MonumentalSteps for Quality registration information Cancellation Policy for Register Now Meeting Registration Fees Register today using 1 of 3 easy options: Cancellations received by March 11, 2013,  will receive a 1. Register Onlineand get immediate confirmation. Visit full refund minus a $75 administrative fee ($50 for C.A.S.T. www.LTCmedicine.com. We accept American Express, cancellations).  Notice of cancellation must be made in MasterCard, and Visa. When registering online, click the writing and sent to the AMDA Registrar: log in tab on the left side of the registration page to enter u Via email to registration@amda.com, or your AMDA login and password in order to receive the u Faxed to 410-740-4572, or member pricing. (Should you need assistance when using the online registration, call 410-992-3116 between 9:00 AM u Mailed to AMDA Registrar, 11000 Broken Land Parkway, – 3:00 PM ET, Monday through Friday), OR Suite 400, Columbia, MD 21044.  2. Fax registration form (pages 41-42) with credit card Fees will be refunded the same way they were paid to AMDA. Please allow up to four weeks for delivery of payment to 410-740-4572, OR refund if payment was made by check.  Substitutions are 3. Mail registration form (pages 41-42) with check payment welcome at any time. to AMDA Registrar, 11000 Broken Land Parkway, Suite Cancellations received after March 11, 2013, will result in 400, Columbia, MD 21044. the forfeiture of all registration fees. No-shows will also Please note that payment must accompany your forfeit all registration fees. Partial or full fees that have registration to be processed. All confirmations and been forfeited cannot be applied to subsequent meetings. conference updates will be sent to you via email. The pre- Cancellation of all travel arrangements is the responsibility registration period closes March 4th, 2013 at 5:00 PM ET. of the registrant. Onsite registration will begin March 20th at the Gaylord Violators of AMDA’s anti-solicitation policy will forfeit all National Convention Center. registration fees and the right to continued participation in the program. 40 A M D A l o n g t e r m c a r e m e d i c i n e – 2 0 1 3
    • conference registration formAMDA LTC Medicine – 2013: Monumental Steps for QualityMarch 21-24, 2013 • Gaylord National Resort and Convention CenterPlease Print Legibly – All confirmations and updates will be sent via email to the address provided below.Name MD DO Other (specify) AMDA member # Title (ie: Medical director,dON) Facility Name Badge Name (Nickname) E-mail Address City, State, Zip Office Phone Fax ______ Please check here if your membership record should be updated with the contact information listed aboveAMDA LTC Medicine - 2013 offers attendees the choice of a 4-Day Registration or a 3-Day Registration. Please review the registration fee optionsbelow. The Exhibit Hall and Scientific Posters open Thursday at 11:30 AM for all registered attendees. 4-Day Fees Best Value Rate Regular Fee On-Site Fee Thursday, March 21 — Sunday, March 24, 2013 Received through 2/11/2013 Received at AMDA (Includes the Thursday educational sessions/CME) This fee is only available to those who have already through Desk at booked their room reservation at the Gaylord National 3/04/2013 Gaylord Resort. Once AMDA’s room block is sold out, the Best 5:00 PM ET National Value Rate will no longer be available. AMDA Member $510 $560 $660 Non Member $780 $830 $930 Geriatric Fellow * $350* $375* $450* Ticketed sessions; See pages 12-28 for session details These sessions carry additional fees. 3-Day Fees Best Value Rate Regular Fee On-Site Fee Friday, March 22-Sunday, March 24, 2013 Received through 2/11/2013 Received at AMDA (Does not include the Thursday education sessions/CME) This fee is only available to those who have already through Desk at booked their room reservation at the Gaylord National 3/04/2013 Gaylord Resort. Once AMDA’s room block is sold out, the Best 5:00 PM ET National Value Rate will no longer be available. AMDA Member $400 $450 $550 Non Member $670 $720 $820 Geriatric Fellow * $275* $300* $375* Ticketed sessions; See pages 15-28 for session details These sessions carry additional fees.* To qualify for the Geriatric Fellow registration rate, registration forms must be accompanied by fellowship verification. Forms and verification/letter can be faxedor mailed to the AMDA office or emailed to registration@amda.com. Registration can not be completed online if registering under the Geriatric Fellow fee category.Call 410-992-3116 with any questions.Please answer the following:Is this your first time attending AMDA’s annual conference? __________How did you learn of this conference? Please check all that apply:_____ Direct Mailing/Brochure _____ E-mail ______ Advertisement; list publication___________________________ Phone Message _____ Fax ______ Word of Mouth ______ Social Media_____  heck here if you have a physical disability and require accommodation in order to fully participate in this conference. AMDA C Staff will contact you to determine how your needs can be met._____  heck here that you have read the following Photo Release: Any attendee of AMDA LTC Medicine – 2013 gives AMDA the absolute C right and permission to publish, copyright and use pictures which may include attendees in whole or in part, composite or retouched in character or form.Please complete the back of this form. Both pages need to be completed and returned to AMDA office to register for this meeting. General program 41
    • MonumentalSteps for Quality conference registration form Page 2 Name: _________________________________________ On-Site Emergency Contact Information: In case of emergency call: Name of person to be called ____________________________________________________________________ Phone number including area code _______________________________________ Relationship to you ____________________________ The President’s Reception on Saturday evening is included in your registration fees. For AMDA’s planning purposes, please indicate whether you will be able to attend: _________ Yes, I will attend _______ No, I am unable to attend If you checked yes. please let us know if you have a specific diet request: ________Gluten-Free ________Kosher _________Vegan _______Vegetarian **Sessions Requiring Pre-Registration — The following sessions are ticketed sessions and carry additional fees. Seating is limited. Please check the sessions (if any) you wish to pre-register for. o  ll-Day Workshop A01 – Thursday, 8:00 AM-5:00 PM, Navigating Mood and Behavior Challenges in LTC. In addition to the 4-Day registration, A this session has an additional fee of $55. o  nteractive Workshop B02 – Friday, 11:00 AM-12:30 PM, The Beers List Made Real. This session has an additional fee of $35. I o nteractive Workshop B11 – Friday, 1:30 PM-3:00 PM, Anticoagulation in the LTC Setting for Patients with Atrial Fibrillation. This session has an I additional fee of $35. o nteractive Workshop B19 – Friday, 3:30 PM-5:00 PM, Integrated Management of Pain and Suffering at the EOL. This session has an additional fee I of $35. o  eet the Expert Breakfast Session CEXP – Saturday, 6:30 AM-7:45 AM, What’s New in Fall and Fracture Prevention in LTC. This session has an M additional fee of $55. Interdisciplinary Team Discount — Register three members of the interdisciplinary team from one facility and receive a discount of $50 per registration, for a total of $150 savings. Please complete a registration form for each of the three people attending. All three forms must be submitted together. Registration can not be completed online if registering under the IDT Team Discount. See page 38 for full details regarding this discount. The following three people from the same facility are registering: o Name Self Discipline ______________________________________ (I.E. Medical Director, Administrator, DON, Consultant Pharmacist, Attending Physician, Nursing Assistant., etc.) o Name ___________________________________ Discipline ________________________________________________________ o Name ___________________________________ Discipline ________________________________________________________ Registration Payment: Registration Fee $__________ The Best Value Rate is only available to those who have already booked their hotel reservation with the Gaylord For each ticketed session checked above $__________ please add the appropriate fee(s) National Hotel. Once the hotel is sold out, or if you are staying IDT Discount (See Above) $__________ at another hotel, the Regular Fee applies. Payment must accompany form; checks are to be made payable to AMDA. Pre-registration closes March 4, 2013 at 5:00 PM ET. Total Fees Enclosed $__________ Check Enclosed Ck # or o American Express o MasterCard o Visa Credit Card# Exp.Date Credit Card Security Code Number* *(code is required for processing card) Name on Card (please print) Billing Address associated with card Signature ____ Please check here to indicate you have reviewed the cancellation policy on page 40. Your signature authorizes AMDA to charge your credit card for the total amount above. If your registration fees are totaled incorrectly, AMDA will make the necessary adjustments and charge your credit card accordingly. Send Registration Form to: If paying by credit card, you may fax this form to 410-740-4572. If paying by check, please mail check with registration form to AMDA Registrar, 11000 Broken Land Parkway, Suite 400, Columbia, MD 21044. Questions? Call 410-992-3116
    • c.a.s.t. registration formAMDA LTC Medicine – 2013 • C.A.S.T. Registration Form(Companion and Spouse Travelers — AMDA’s Spouse/Guest Program)March 21-24, 2013 • Gaylord National Resort and Convention CenterTo register for the Companions and Spouse Travelers (C.A.S.T.) Program you must be accompanying an attendee orspeaker of this conference. C.A.S.T. member registrations must be received by March 4, 2013. Those wishing toregister after March 4th, may do so onsite at the AMDA Registration Desk but note some of the activities may not beavailable to late registrants. C.A.S.T. members must be at least 18 years old to participate.C.A.S.T. Information (Please Print):NameI am the spouse/guest ofE-mail - (All communications of the AMDA C.A.S.T. Program will be sent via email. Your email address will only be used to send information regarding this program).Mailing AddressCity, State, ZipPhone NumberOnsite Emergency Contact Information –Name of person to be calledPhone number (Including Area Code) Relationship to youAMDA LTC Medicine - 2013 offers C.A.S.T. members the choice of a 4-Day Registration or a 3-Day Registration. Please review theregistration fee options below and circle the appropriate fee. Thursday’s tours are available only to those who are registered for theC.A.S.T. 4-Day Registration option. Please see pages 32-35 for Spouse/Guest Program. The Exhibit Hall and Scientific Posters openThursday at 11:30 AM for all C.A.S.T. members. C.A.S.T. Registration Fees 4-Day 3-Day (Companion and Spouse Travelers) Thursday – Sunday Friday – Sunday Please circle appropriate fee March 21-24, 2013 March 22-24, 2013 Regular C.A.S.T. Fees (must be received by March 4) $180 $150 Onsite C.A.S.T. Fees $255 $225Please check here:o This is my first time attending AMDA’s Annual Conference.o If you have a physical disability and require accommodation in order to fully participate in this conference. AMDA staff will contact  you to discuss your needs.o I have read the following Photo Release. Any attendee of AMDA LTC Medicine – 2013, gives AMDA the absolute right and permission  to publish, copyright and use pictures which may include participants in whole or in part, composite or retouched in character or form.Please complete the back of this form. Both pages must be returned to the AMDA office to register for this program. General program 43
    • MONUMENTALSteps forQuality C.A.S.T. REGIST RATION RM FO Page 2 Name: ____________________________________ Registration for AMDA’s C.A.S.T. Program includes access to the Exhibit Hall, social functions, President’s Reception, and educational sessions (no CME or educational materials). In addition, your registration includes several daily tours for you to choose from. Please select which tour you wish to participate in for each of the days your registration covers. All tours depart and return to the C.A.S.T. Lounge located in the Gaylord National Convention Center. All activities are provided for C.A.S.T. members’ enjoyment. Participation is optional. Please select ONE tour for each day: Thursday, March 21 **Thursday tours are only available to those registering under the C.A.S.T. 4-Day registration** _____ A Tribute to Our Nation’s Heroes – 9:30 AM – 2:30 PM, opportunity for lunch “on your own.” _____ Mount Vernon, George Washington’s home – 12:00 PM – 5:00 PM _____ No tours selected for this day Friday, March 22 _____ A Day at the Smithsonian: On the Mall – 10:00 AM – 3:00 PM, opportunity for lunch “on your own.” _____ Whirlwind Tour of Our Nation’s Capitol – 12:30 PM – 4:30 PM _____ A Private Tour of Our U.S. Capitol – 9:45 AM – 1:45 PM – This premium tour carries an additional fee of $75, a light snack will be provided. _____ No tours selected for this day Saturday, March 23 _____ Hillwood Museum and Gardens – 9:15 AM – 1:45 PM, opportunity for lunch “on your own.” _____ Abraham Lincoln’s Washington – 10:30 AM – 3:30 PM, a light snack will be provided. _____ No tours selected for this day Sunday, March 24 ______ Closing General Session Please check your response to the following. The Saturday evening President’s Reception is included in your registration. For AMDA’s planning purposes please indicate whether you will be attending. Yes, I plan to attend _____ No, I am unable to attend _____ If yes, do you require: Vegetarian ____ Kosher ____ Vegan _____ Gluten Free ____ Payment must accompany your form. Checks are to be made payable to AMDA. Registration Fee $ (Please circle Registration Fee on page 1 and add any Premium Tour fee) CHEC ENCLO K SED CK # OR o AMERICAN EXPRE SS o MASTERCARD o VISA CREDITCARD# EXP.DATE CREDITCARD SECRITY CODENU U MBER (CODESI REQUIREDFOR PROCE SSING CARD) NAME ON CARD (PLEAE PRINT) S BILLIN ADDRE S ASSOCIATED G S WITH CARD SIGNAT URE o I have read the cancellation policy. Please Note: “No Shows” for tours will not be eligible for refunds. If paying by credit card, please FAX this form to 410-740-4572. If paying by check, please MAIL form with check to: AMDA Registrar, 11000 Broken Land Parkway, Suite 400, Columbia, MD 21044. Questions? Call 410-992-3130. 44 A M D A L O NG T E R M C A R E M E D I C I N E – 2 0 1 3
    • Frequently Asked Questions (FAQs)The following is a list of questions Where are the education level to help you choose the sessions thatmost frequently asked of AMDA sessions held? best suit your needs. If you are a nurse,staff members regarding the annual All of the education sessions will take administrator or pharmacist, you will wantconference. First time attendees may place at the Gaylord National Resort to pay particular attention to the sessionsfind this section especially helpful.    & Convention Center (just outside coded for the interdisciplinary team (IDT).What do my fees cover? Washington, DC). The Gaylord is located If you did not pre-register for any ofThe 4-Day Registration fee includes: at 201 Waterfront Street, National the five (5) ticketed sessions when youuThursday’s Pre-Conference Intensive Harbor, MD 20745.   registered but now have decided you Sessions (morning and afternoon), want to attend one or more of these How many CME credits sessions, please contact the AMDAuEducation sessions on Friday, will I earn? Saturday and Sunday, Registrar at 410-992-3116 or by email touElectronic access to session handouts 4-Day Registration - up to 25.0 CME registration@amda.com. via AMDA’s website, credits / 22.5 Management credits How do I get a copy of theuAccess to the Exhibit Hall and social 3-Day Registration – up to 18.0 CME session handouts? functions including refreshment credits / 15.5 Management credits To maximize credits you will want to Beginning in late January, AMDA will breaks, start posting the session handoutsuWelcome Reception on Thursday, attend the educational sessions during all the time periods available, including on the conference web site,uPresident’s Reception on Saturday. www.LTCmedicine.com, for you to print the scientific poster session, Red Eye Rounds and the Meet the Expert or downloaded prior to the meeting. The 3-Day Registration fee includes breakfast session. To see the complete Can spouses/guests attend theall of the above except the Thursday list of available credits, visit AMDA education sessions?Pre-Conference Intensive Sessions.The Thursday Pre-Conference 1/2–day www.LTCmedicine.com. Registered spouses/guests (C.A.S.T.Intensive Sessions offer in-depth Do I need to register for each members) can sit in on the educationreview of subject matter, discussions individual education session? sessions. CME credit will not beand interaction with faculty. To attend provided. Spouses/guests wishing to For the vast majority of the education earn credits must register as a fullthe Thursday Pre-Conference Intensive sessions, no you do not. You choose paying attendee.Sessions, you must register under the which sessions interest you. Seating4-Day Registration fee. Please note, When will my certificate of is on a first-come, first-served basis.your name badge will reflect your attendance arrive after the You can attend as many or as fewregistration type.  conference? sessions as you wish. This year we have five (5) special sessions that are In your onsite registration materials,If you have registered under the you will receive a 2-ply form to track ticketed and incur an additional fee; the3-Day Registration and would like to your education session attendance.  all-day Navigating Mood and Behiavoral“upgrade” your registration to the Before leaving the conference, you Challenges workshop on Thursday, three4-Day fee you can do so by contacting will complete the form and turn in the Interactive workshops on Friday andthe AMDA Registrar at 410-992-3116 or yellow/bottom copy to AMDA staff at the Saturday morning Meet the Expertby email to registration@amda.com.  the AMDA Registration Desk in the Breakfast Session. If you wish to attendThe difference in fee is $110.    convention center. You will retain the any of these five (5) tickets sessions, you must indicate such on your registration top/white copy of this form for yourCan I register under the 3-Day records. This is your certificate ofRegistration but attend Thursday, form in the appropriate section.    attendance. You will not receive anyFriday and Saturday?  How do I choose the further certificate from AMDA.  AMDAThe 3-Day Registration covers Friday, sessions I want to attend? will keep the yellow copy on file andSaturday and Sunday.  You are ineligible Before arriving at National Harbor, review attach the credits earned to yourto attend the Thursday Pre-Conference your Registration Brochure or the session individual record in our database. Intensive sessions with a “3-Day” line up on www.LTCmedicine.com, and If you have further questions, pleasebadge.  select the sessions that are of interest call the AMDA office for assistance; to you. All education sessions have been 410-740-9743. given a designated category and learning
    • AMDA Long Term C are Medicine – 2013 Monumental march 21-24, 2013 Gaylord NationalSteps for Quality washington, DCregistration informationAMDA11000 Broken Land Parkway, Suite 400Columbia, MD 21044 Indiciawww.LTCmedicine.comreturn service requested