PMDA Pennsylvania’s Association for Long-Term Care Medicine PMDA 20th Annual SymposiumFriday–Saturday, October 26 & 27, 2012 Hershey® Lodge 325 University Drive Hershey, Pennsylvania 17033A continuing education service of Penn State College of Medicine Hershey is a trademark used with permission.
PurposeThe PMDA Annual Symposium is designed to meet the educational needs of health-careprofessionals working in long-term care settings. This year’s program has a Friday morningtheme of medication management in LTC. The remainder of Friday and Saturday includespolicy issues, and strategies to translate current literature about INTERACT and POLSTinto improved care of the long-term patient.AudienceThis conference is intended for all long-term-care health professionals, includinggeriatricians, psychiatrists, internists, family physicians, nursing home administrators,registered nurses, consultant pharmacists, therapists, physical medicine and rehabilitationprofessionals, and social workers.CreditThis activity has been planned and implemented in accordance with the Essential Areasand policies of the Accreditation Council for Continuing Medical Education throughthe joint sponsorship of Penn State College of Medicine and PMDA. Penn State Collegeof Medicine is accredited by the ACCME to provide continuing medical education forphysicians.Penn State College of Medicine designates this live activity for a maximum of 9.5 AMAPRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate withthe extent of their participation in the activity.This program includes 5.75 hours of patient safety/risk management education as requiredby the Pennsylvania State Board of Medicine. Please see the program schedule for topicsmarked with a “†.”Nurses will receive a certificate from Penn State College of Medicine verifying theircompletion of this approved continuing medical education activity. Continuingeducation activities which are approved by accredited institutions of higher educationand that are relevant to patient care or professional nursing meet the requirements ofmandatory continuing education for registered nurses in Pennsylvania, as required bythe Pennsylvania State Board of Nursing. The Board of Nursing recommends that nursesretain their certificates for a period of at least five years. Additional information is availablethrough the State Board of Nursing at www.dos.state.pa.us/nurse. This seminar has been approved for up to 9.5 credits toward certification as a CertifiedMedical Director in Long-Term Care (CMD). 6.75 credits have been designated asManagement hours and 2.75 credits have been designated as Clinical hours. The AMDACMD program is administered by the American Medical Directors Certification Program.Each physician should claim only those hours of credit actually spent on the activity.Application has been made for credits from the State Board of Examiners of Nursing HomeAdministrators under provider number PR000201L.Penn State Milton S. Hershey Medical Center is accredited by the Accreditation Councilfor Pharmacy Education as a provider of continuing pharmacy education. This knowledge type program has been approved for up to 6.0 contact hours (0.6 CEUs) for sessions on Friday, October 26 and 3.5 contact hours (0.35 CEUs) for sessions on Saturday, October 27 in states that recognize ACPE providers. The ACPE number for Friday’s sessions is 0322-9999-12-021-L04-P, and for Saturday’ssessions the number is 0322-9999-12-022-L04-P. Participants must attend all sessionseach day to receive full credit for the day. Partial credit will not be awarded. Verification
of attendance and completion of a program evaluation form is required to receive ACPEcredit. Statements of ACPE credit will be mailed to participants approximately one monthfollowing the program.It is our policy to ensure balance, independence, objectivity, and scientific rigor in allin all of our educational programs. Faculty and course directors have disclosed relevantfinancial relationships with commercial companies, and Penn State has a process in placeto resolve any conflict of interest. Complete faculty disclosure will be provided to programparticipants at the beginning of the activity.Registration FeesPlease see the registration form for the fee schedule. Discounts apply to registrationsreceived on/by September 27, 2012, and regular fees apply thereafter. The fees includeinstruction, handout materials, continental breakfast, refreshment breaks, and lunch.To receive the discounted rates, residents and fellows must include verification from theresidency director/supervisor.RegistrationRegister by fax or by mail. Registrations will be confirmed by e-mail upon receiptof payment, authorization to bill, or a credit card guarantee. If you do not receive aconfirmation within two weeks, phone 717-531-6483 to confirm. Walk-ins and lateregistrations can be accepted only if space is available.Cancellation and Refund PolicyCancellations received later than October 19, 2012, will be assessed a $25 processing fee.No refunds will be made for cancellations received after October 24, 2012. The Universitymay cancel or postpone any course or activity because of insufficient enrollment or otherunforeseen circumstances. If a program is canceled or postponed, the University willrefund registration fees but cannot be held responsible for any other related costs, charges,or expenses, including cancellation/change charges assessed by airlines or travel agencies.Preregistered participants will be notified if a program is filled or canceled.AccommodationsAccommodations are the responsibility of the participant. A block of rooms has beenreserved at the Hershey Lodge at the rate of $155 (plus taxes) for a single or double room.To receive conference rates, call the Lodge at 717-533-3311 or 800-533-3131 and mentionthe name of the conference. Rooms are available on a first-come, first-served basis, so makereservations as early as possible but no later than September 24, 2012. After this date,room rates are subject to availability.AccessPenn State encourages persons with disabilities to participate in its programs and activities.If you anticipate needing any type of special accommodation or have questions aboutthe physical access provided, please contact Continuing Education at least one week inadvance of your participation or visit.
NEW! Poster Session Abstract Deadline: August 17, 2012 • For info: pamda.org For More Information or to Register • Call: 717-531-6483 • E-mail: ContinuingEd@hmc.psu.edu • Web: pennstatehershey.org/web/ce/home/programs/pmda Go to the website above to download a brochure and/or complete the registration form, then fax or mail to: Mail: Registrar, Penn State Hershey Continuing Education G220 P Box 851, Hershey, PA 17033 .O. Fax: 717-531-5604 For presentations from previous years: pamda.org/pmda-past-symposia/ JOIN PMDA For more information, go to pamda.org I S S NDUSTRY PONSORED YMPOSIA Below is a list of non-CME functions sponsored by commercial companies at no cost to you. Please watch for invitations from companies to preregister for these functions. Penn State and PMDA are not handling registrations or questions for participation in these activities. • Friday morning: Breakfast meeting, sponsored by Dey Pharma • Friday evening: Event TBA, sponsored by UPMC Health Plan • Saturday morning: Event TBA, sponsored by Abbott LaboratoriesThis publication is available in alternative media on request.The Pennsylvania State University is committed to the policy that all persons shall have equal access to programs, facilities, admission, andemployment without regard to personal characteristics not related to ability, performance, or qualifications as determined by University policy orby state or federal authorities. It is the policy of the University to maintain an academic and work environment free of discrimination, includingharassment. The Pennsylvania State University prohibits discrimination and harassment against any person because of age, ancestry, color, disabilityor handicap, genetic information, national origin, race, religious creed, sex, sexual orientation, gender identity, or veteran status. Discriminationor harassment against faculty, staff, or students will not be tolerated at The Pennsylvania State University. Direct all inquiries regarding thenondiscrimination policy to the Affirmative Action Director, The Pennsylvania State University, 328 Boucke Building, University Park, PA 16802-5901;Tel 814-865-4700/V, 814-863-0471/TTY. U.Ed. MED 12-099 beeb
ProgramNOTE: The bulleted items are learner objectives for the session.Friday, October 26, 20127:30 a.m. Final Registration/Exhibits/Materials8:00 Welcoming Remarks David E. Fuchs, MD, CMD Private Practice Medical Director, Brethren Village Lancaster, Pennsylvania8:15 Introducing Formularies to LTC Richard G. Stefanacci, DO, MGH, MBA, AGSF, CMD • Identify the roles of all members of the interdisciplinary team in managing medication and resources available • Prioritize areas of focus to improve medication management in one’s own facility9:00 New Medications and Their Role in Long-Term Care Coleen Kayden, RPh • Identify newer medications since 2010, basic pharmacology, and reason for use • Review opportunities to incorporate these new medications into the management and care of LTC residents9:45 Break/Exhibits/Posters10:15 Update on Anticoagulation and Atrial Fibrillation † William D. Smucker, MD, CMD • Review recent changes in guidelines for VTE prophylaxis • Discuss a stepwise risk-benefit assessment for stroke prevention in atrial fibrillation 11:00 Geriatric Prescribing—When to Stop the Drugs † Jonathan Evans, MD, MPH, CMD • List rationale and strategies to wean and discontinue drugs commonly used in long-term care • Review principles of geriatric prescribing and identify problems in specific cases11:45 Panel Discussion with Morning Presenters • Identify issues related to medications and LTC patients12:15 p.m. Lunch/Exhibits/Posters/Business Meeting/AMDA Update2:00 CMS Update Kathleen M. Wilson, PhD • Discuss current and future policies affecting nursing homes • Examine ways conference participants may monitor public policy3:00 Break/Exhibits/Posters3:15 Legal Issues for End-of-Life Decision Making † Rodney A. Myer, JD • Discuss legal tools available in Pennsylvania for end-of-life decision-making and which tools are best suited to different scenarios† Patient safety/risk management topic
4:00 Public Policy Update David A. Nace, MD, MPH, CMD J. Kenneth Brubaker, MD, CMD • Discuss updates of public policy related to LTC4:45 Program Evaluation/AdjournmentSaturday, October 27, 20127:30 a.m. Registration8:00 Improve Nursing Home Care by Reducing Potentially Avoidable Hospitalizations: Interventions to Reduce Acute Care Transfers (INTERACT) † Joseph G. Ouslander, MD • Compare the importance of unnecessary hospitalizations of nursing home (NH) residents in relation to health-care reform initiatives • Discuss strategies to reduce unnecessary hospitalizations • Review tools developed for a quality improvement program (INTERACT) designed to improve the management of acute changes in condition and reduce unnecessary hospitalizations • Explore strategies for efficient and effective implementation of the INTERACT program in clinical practice9:00 Overview of POLST and Where We Are in Pennsylvania † Judith S. Black, MD, MHA • Define the role of POLST in advanced care planning • Recognize the value in helping assure patients’ health-care treatment choices are respected • Address religious and cultural concerns in end-of-life decisions10:00 Break10:30 BREAKOUT SESSIONS † 1A Everything You Want to Know About POLST Implementation Judith S. Black, MD, MHA (moderator) David A. Nace, MD, MPH, CMD Neelofer E. Sohail, MD, CAQ, CMD • Describe components of communities collaborating in the implementation of POLST • Apply skills, knowledge, and resources to champion POLST within your professional environment • Review barriers and key success factors in POLST implementation 1B The Nuts and Bolts of INTERACT Joseph G. Ouslander, MD (moderator) Steven M. Handler, MD, PhD, CMD Margaret A. Martin, MSN, RN • List strategies to incorporate INTERACT principles into long-term care settings12:00 noon Program Evaluation/Adjournment† Patient safety/risk management topic
FacultyJudith S. Black, MD, MHA Rodney A. Myer, JD Medical Director, Senior Managing Attorney for Markets Philadelphia area offices Highmark Kennedy, PC Law Offices Pittsburgh, Pennsylvania Cedars, PennsylvaniaJ. Kenneth Brubaker, MD, CMD David A. Nace, MD, MPH, CMD Geriatrician Assistant Professor of Norlanco Family Medicine Medicine Elizabethtown, Pennsylvania University of Pittsburgh School of Medicine University of Pittsburgh Institute on Aging Chief, Medical Affairs, Jonathan Evans, MD, MPH, CMD UPMC Senior Communities President-Elect, AMDA Pittsburgh, Pennsylvania Geriatrician Charlottesville, Virginia Joseph G. Ouslander, MD Professor and Senior Associate Dean for Geriatric Programs Charles E. Schmidt CollegeSteven M. Handler, MD, PhD, CMD of Medicine Assistant Professor, Professor (Courtesy), Department of Biomedical Christine E. Lynn College of Informatics and Division of Nursing Geriatric Medicine Florida Atlantic University University of Pittsburgh Executive Editor, Journal School of Medicine of the American Geriatrics Medical Director, LTC Society Health Information Boca Raton, Florida Technology Pittsburgh, Pennsylvania William D. Smucker, MD, CMD Associate Director andColeen Kayden, RPh Director of the Family Medication Information Medicine Clinical Research Services, a division of Center Williams Apothecary, Inc. Summa Health System, Lancaster, Pennsylvania Akron City Hospital Akron, Ohio Neelofer Sohail, MD, CAQ, CMDMargaret A. Martin, MSN, RN Geriatric Specialist Director, Clinical Services Lancaster General Hospital Quality Life Services Lancaster, Pennsylvania Butler, Pennsylvania
Richard G. Stefanacci, DO, MGH, MBA, Kathleen M. Wilson, PhDAGSF, CMD Deputy Director Associate Professor of Centers for Medicare & Health Policy and Public Medicaid Services’ Division Health of Nursing Homes Executive Director, Center Baltimore, Maryland for Medicare Medication Management University of the Sciences Philadelphia, PennsylvaniaPlanning CommitteeGary B. Bernett, MD, CMD Susan Hardy, MD, PhD*Genesis Health Care, Central Region UPMC, Division of GeriatricHaverford, Pennsylvania Pittsburgh, PennsylvaniaDonald R. Brindisi, RPh Coleen Kayden, RPhMasonic Villages Williams ApothecaryElizabethtown, Pennsylvania Lancaster, PennsylvaniaLou Czechowski, RPh, FASCP Brian B. Kimmel, DO, CMDSenior Health First Private PracticeMacungie, Pennsylvania Philadelphia, PennsylvaniaSusan Denman, MD, CMD, FACP John Mast, MD, CMD*Evercare Pennsylvania Private PracticeHorsham, Pennsylvania Elizabethtown, PennsylvaniaPamela Fenstemacher, MD, CMD Barbara Reall, MBA, MSN, CRNPMercy LIFE MedOptionsPhiladelphia, Pennsylvania Telford, PennsylvaniaCatherine Glew, BM, BS, CMD Daniel Steiner, MD, CMDLehigh Valley Health Network Private PracticeAllentown, Pennsylvania University of Pittsburgh Medical Center Pittsburgh, PennsylvaniaDaniel Haimowitz, MD, CMD, FACPPrivate Practice Joan Weinryb, MDLevittown, Pennsylvania University of Pennsylvania * co-chair Philadelphia, Pennsylvania ATTENTION NON-PMDA MEMBERS: JOIN PMDA AT A SPECIAL DISCOUNTED RATE If you have not joined PMDA, now is your chance to join and receive a discount on your first year’s dues. Any non-member registering for the PMDA Annual Symposium can complete the enclosed special 2013 membership application and return it to the PMDA office along with your credit card information or check. PMDA is pleased to extend this special discount on 2013 PMDA membership until the close of the Annual Symposium in Hershey on Saturday, October 27, 2012. We will not be able to honor any discounted applications received after that date. (Note: This does not apply to dues renewals.) You may take care of this now by completing the enclosed membership application with the discounted rates and forwarding with payment to: PMDA 777 East Park Drive Harrisburg, PA 17111 or e-mail: firstname.lastname@example.org with the form and your credit card information
20TH PMDA ANNUAL SYMPOSIUM OCTOBER 26–27, 2012 • J5049-13-ZRegister by fax or by mail. If you do not receive a confirmation from Penn State within two weeks, call 717-531-6483 to confirm. Late registrations are accepted only if space is available. Please provide both daytime andevening phone numbers so we can contact you should last-minute changes occur.Name (first name, M.I., last name) Degree(s)/Credentials Medical SpecialtyE-mail Address (Print legibly. Used for confirmation, registration status, and program materials) male femaleHome Address City State Zip CodeDaytime Phone Evening Phone Fax NumberHospital or Organization Street Address (HMC/COM employees—provide dept. name/mail code)City State Code ZipSpecial needs (dietary, access, etc.)SIGN UP FOR BREAKOUT SESSIONS: If you are attending the program on Saturday, October 27,please choose one Breakout Session at 10:30 am: 1A POLST Panel 1B INTERACT PanelThe fees for this program are Early Registration Late Registration(check one): (postmarked on or before 9/22/11) (postmarked after 9/22/11)I will attend both days, October 26–27.PMDA-member physician $210/person $225/personPMDA-member resident*, fellow*, $105/person $115/personor other health-care providerNonmember physician $240/person $260/personNonmember resident*, fellow*, $130/person $150/personor other health-care professionalPalliative care/geriatrics fellow* No fee No feeI will attend Friday, October 26 only.PMDA-member physician $150/person $175/personPMDA-member resident*, fellow*, $75/person $100/personor other health-care providerNonmember physician $180/person $200/personNonmember resident*, fellow*, $100/person $125/personor other health-care professionalPalliative care/geriatrics fellow* No fee No feeI will attend Saturday, October 27 only.PMDA-member physician $100/person $115/personPMDA-member resident*, fellow*, $50/person $65/personor other health-care providerNonmember physician $125/person $140/personNonmember resident*, fellow*, $75/person $90/personor other health-care professionalPalliative care/geriatrics fellow* No fee No fee *Resident/fellow include verification of status. —Indicate method of payment: Check enclosed payable to Penn State. Mail to: Registrar Bill my sponsoring organization. Attach a letter Penn State Hershey Continuing of authorization. Education G220 HMC/COM employee fees—same as above. Bill P.O. Box 851, Hershey, PA 17033 department budget. Cost center/budget #: Phone: 717-531-6483 _______________________________________ Fax to: 717-531-5604 Charge my VISA MasterCard or AMEXAccount Number Cardholder’s Signature Exp. Date
PENNSYLVANIA STATE UNIVERSITY Nonprofit Org.PENN STATE MILTON S. HERSHEY MEDICAL CENTER U.S. PostageDEPARTMENT OF CONTINUING EDUCATION G220 PAIDP.O. BOX 851 PA State UniversityHERSHEY, PA 17033-0851 M.S. Hershey Med. Ctr.Please join us for PMDA 20th Annual Symposium Friday–Saturday, October 26 & 27, 2012 Hershey Lodge • Hershey, Pennsylvania