AMDA Long Term Care Medicine - 2013


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AMDA Long Term Care Medicine - 2013

  1. 1. MonumentalSteps for QualityAMDA LONG TERM CARE MEDICINE – 2013march 21-24, 2013Gaylord National Registrationwashington, DC Brochure The Premier Conference for Long Term Care Professionals
  2. 2. 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 ™
  3. 3. 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
  4. 4. 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 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 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
  5. 5. 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 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.
  6. 6. 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 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 4 AMDA long term care medicine–2013
  7. 7. 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, 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. 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 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 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, 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
  8. 8. 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, 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. Contributions to the “Wall” are tax- deductible and support the AMDA Foundation’s mission 6 AMDA long term care medicine–2013
  9. 9. 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 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 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 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
  10. 10. 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. 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 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
  11. 11. 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, JJ, 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
  12. 12. 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
  13. 13. 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
  14. 14. 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; 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.
  15. 15. 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
  16. 16. 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
  17. 17. 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
  18. 18. 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
  19. 19. 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
  20. 20. 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
  21. 21. 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 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