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Clinical Medicine [clear filter]
Thursday, March 22
 

8:00am

TH2 | Updates in Management of Common Infections in PA/LTC Facilities
This session will highlight diagnostic challenges faced by providers when managing common infections (pneumonia, urinary tract infections and Clostridium difficile infections) in PA/LTC facilities, along with providing treatment updates. In addition, speakers will discuss strategies for prevention and early recognition of these infections. The audience will have the opportunity to seek answers for practical questions that they come across in their daily practice while managing common infections. This session will combine short presentations with interactive role-play session, small group case-based discussions, and an interactive panel discussion towards the end of the workshop.

Learning Objectives:
(1) Describe various clinical presentations of pneumonia, UTI and CDI in PA/LTC setting.
(2) Discuss the diagnostic challenges for pneumonia, UTI and CDI and the limitations of the available tests.
(3) Demonstrate practical steps that can be taken for prevention and early recognition of the common infections in the PA/LTC facilities.
(4) Review the treatment updates for pneumonia, UTI and CDI.

Speakers
avatar for Dheeraj Mahajan, MD, CMD

Dheeraj Mahajan, MD, CMD

Dheeraj Mahajan, MD, CMD, CIC, is currently the President and CEO of CIMPAR, S.C. (Chicago Internal Medicine Practice and Research). He also holds an academic appointment as the Clinical Assistant Professor of Medicine, University of Chicago, Illinois. In addition to being President... Read More →
avatar for Muhammad S. Ashraf, MBBS

Muhammad S. Ashraf, MBBS

Muhammad Salman Ashraf, MBBS, is an Associate Professor in the Division of Infectious Diseases, Department of Internal Medicine, at University of Nebraska Medical Center, Omaha, NE where he also serves as the medical director for Nebraska Infection Control Assessment and Promotion... Read More →
avatar for Ghinwa Dumyati, MD

Ghinwa Dumyati, MD

Ghinwa Dumyati, MD, is an infectious disease physician and a Professor of Medicine at the University of Rochester Medical Center. She has research support by the CDC and the New York State Department of Health (NYSDOH). Her interests focus on surveillance and prevention of healthcare... Read More →
avatar for Laurie Archbald-Pannone, MD, MPH

Laurie Archbald-Pannone, MD, MPH

Laurie Archbald-Pannone, MD, MPH, is currently on faculty as an Associate Professor in the Department of Internal Medicine at the University of Virginia. Dr. Archbald-Pannone has a primary appointment in the Division of General Medicine, Geriatrics, and Palliative Care and a secondary... Read More →
avatar for Sharon Bradley, RN

Sharon Bradley, RN

Sharon Bradley, RN, CIC, has been a board-certified infection preventionist since 2000. Ms. Bradley has practiced for over 45 years in acute care clinical, risk management, and patient safety roles and in long term care as a clinician, educator and director of nursing. She serves... Read More →


Thursday March 22, 2018 8:00am - 11:30am
Texas 1-2

8:00am

TH3 | Latest Approaches to Difficult Medical Issues in PA/LTC
This popular session, by four experienced speakers from Saint Louis University and the University of North Carolina, will present an intensive session covering current and difficult clinical topic in the care of frail elders in the continuum of care. Topics will reflect best recent medical evidence, evidence-based guidelines, and current health care best practices.

Learning Objectives:
(1) Consider a multi-faceted approach to manage lower extremity mobility and polysubstance abuse in PA/LTC.
(2) Discuss treatment options for epilepsy and hepatitis management in PA/LTC.
(3) Use guidelines for management of anemia and vaccination in PA/LTC.
(4) Choose appropriate medications for joint pain and osteoporosis in PA/LTC.

Speakers
avatar for Julie Gammack, MD, CMD

Julie Gammack, MD, CMD

Julie Gammack, MD, CMD, is a Professor of Medicine at St. Louis University School of Medicine. She is the Associate Dean for Graduate Medical Education, past Program Director for the Geriatric Medicine Fellowship, and a Medical Director at a teaching nursing home. She is a member... Read More →
avatar for Milta Little, DO, CMD

Milta Little, DO, CMD

Milta Little, DO, CMD, is an Associate Professor of Medicine at St. Louis University in the Division of Geriatric Medicine. She is board certified in General Internal Medicine, with added qualifications in Geriatric Medicine. She serves the division as Program Director of the Geriatric... Read More →
avatar for Angela Sanford, MD, CMD

Angela Sanford, MD, CMD

Angela Sanford, MD, CMD, is an Assistant Professor of Internal Medicine in the Division of Geriatrics at Saint Louis University School of Medicine.  She practices in a wide variety of care settings, including inpatient medicine and geriatric consults, outpatient geriatric clinic... Read More →
avatar for Philip Sloane, MD, MPH

Philip Sloane, MD, MPH

Philip Sloane, MD, MPH, is the Elizabeth and Oscar Goodwin Distinguished Professor of Family Medicine and co-director of the Program on Aging, Disability, and Long-Term Care, Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill. Jointly... Read More →


Thursday March 22, 2018 8:00am - 11:30am
Texas Ballroom D

8:00am

TH4 | Telemedicine in PA/LTC: How to do it and do it Well
Telemedicine is rapidly becoming a standard of care in modern medicine. By increasing access and responsiveness to care, telemedicine can improve clinical outcomes, reduce costs, and increase provider, patient, and family satisfaction. Despite these potential benefits, the technology and the requisite changes that it brings are relatively new in the PA/LTC setting. Many health care providers and leaders have expressed the need to build their knowledge and skills to reap the full potential value of this innovation. This half-day workshop will build attendee’s knowledge and skills in the standards for telemedicine care in PA/LTC through engaging lectures, roundtable interactive examples of telemedicine from PA/LTC settings, and facilitated discussions. Learners will leave with practical skills that are needed to “get started,” to advanced skills such as making the financial case for telemedicine in their PA/LTC system, to ensure that their program has the care processes and technology to accomplish their goals.

Learning Objectives:
(1) Discuss the opportunities to use telemedicine to enhance PA/LTC.
(2) Identify technical and environmental considerations for high quality telemedicine in PA/LTC.
(3) Develop a strategy for establishing telemedicine services in their practice or medical group.

Speakers
avatar for Thomas Edmondson, MD, CMD

Thomas Edmondson, MD, CMD

Tom Edmondson, MD, CMD, AGSF, FACP, is a native Texan who graduated from the University of Texas Medical School at Houston, and he completed his residency training in internal medicine at the University of Texas Southwestern Medical Center and Parkland Memorial Hospital followed by... Read More →
avatar for Suzanne Gillespie, MD, RD, CMD

Suzanne Gillespie, MD, RD, CMD

Suzanne Gillespie MD, RD, CMD, is Associate Professor of Medicine in the Division of Geriatrics/Aging and Associate Professor of Emergency Medicine at the University of Rochester School of Medicine and Dentistry. She is board-certified in Internal Medicine, Geriatric Medicine and... Read More →
avatar for Murthy Gokula, MD, CMD

Murthy Gokula, MD, CMD

Murthy Gokula, MD, CMD, is CEO of STAYHOME IWILL PC and Clinical Associate Professor of Family Medicine at the University of Toledo, College of Medicine. He teaches medical students, residents and fellows in the long term care setting. Dr. Gokula is the current president of Ohio Medical... Read More →
avatar for Steven Handler, MD, PhD, CMD

Steven Handler, MD, PhD, CMD

Steven Handler, MD, PhD, CMD, is an Associate Professor with a primary appointment in the Division of Geriatric Medicine, where he serves as the Director of Geriatric Telemedicine Programs. He has secondary appointments in the Department of Biomedical Informatics, and Clinical and... Read More →


Thursday March 22, 2018 8:00am - 11:30am
Texas 5-6

8:00am

TH7 | Non-Pharmacologic Interventions for Persons With Dementia in Residential Care: Strategies for Implementing Cognitive Stimulation Therapy
This session will introduce participants to evidence-based, non-pharmacologic interventions that will expand knowledge and competence regarding strategies to address behavioral symptoms in persons with dementia and improve quality of life. Through three presentations, the interactive session will highlight non-pharmacologic interventions appropriate for the LTC setting with specific strategies for implementation of one, Cognitive Stimulation Therapy (CST), into the residential environment. The first presentation focuses on the evidence and options for interprofessional non-pharmacologic interventions with specific attention being devoted to Reminiscence Therapy, Validation Therapy, and Reality Orientation. The second and third presentations will focus on a well-researched non-pharmacologic intervention, Cognitive Stimulation Therapy (CST) which can be delivered by residential staff at multiple levels of clinical training to address behavioral symptoms and issues in persons with dementia.

Learning Objectives:
(1) Discuss the evidence for non-pharmacologic interventions for persons with dementia.
(2) Describe criteria for appropriateness to receive non-pharmacologic interventions for persons with dementia.
(3) Apply knowledge and skills gained to introduce Cognitive Stimulation Therapy within the residential care setting.
(4) Implement strategies for integration and evaluation of Cognitive Stimulation Therapy.

Speakers
avatar for Marla Berg-Weger, PhD, LCSW

Marla Berg-Weger, PhD, LCSW

Marla Berg-Weger, PhD, LCSW, is a Professor at Saint Louis University Schools of Social and Medicine and serves as the Executive Director of the Gateway Geriatric Education Center and Co-Project Director with John Morley, MB, BCh, for the Geriatric Workforce Enhancement Program. Dr... Read More →
avatar for Janice Lundy, MA, MHA

Janice Lundy, MA, MHA

Janice Lundy, MA, MHA, is Director, Department of Social Work and Geriatric Care Management at Perry County Memorial Hospital, Perryville, Missouri. Certified by the International CST Centre at University College of London, Ms. Lundy and colleagues deliver over ten CST groups/week... Read More →
avatar for Deborah Hayden, OT, RN

Deborah Hayden, OT, RN

Deborah Hayden, RN, BSN, OTR/L, Director, Occupational Therapy Services, Perry County Memorial Hospital, Perryville, Missouri. Along with her colleague, Janice Lundy, Ms. Hayden co-facilitates CST groups in the out-patient and residential care setting, publishes, and provides training... Read More →


Thursday March 22, 2018 8:00am - 11:30am
San Antonio 5-6

8:00am

INF1 | SHEA/CDC/AMDA Infection Prevention in PA/LTC Certificate Course
Back by popular demand, AMDA – The Society for Post-Acute and Long-Term Care Medicine (AMDA) will offer the Infection Prevention in Post-Acute and Long-Term Care Certificate Course in 2018. Developed in partnership with the Society for Healthcare Epidemiology of America (SHEA) and the Centers for Disease Control and Prevention (CDC), the course will address aspects of infection control and prevention that are unique to skilled nursing facilities, which must balance a home-like environment while minimizing the risk of infections. The course will review occupational health concerns in PA/LTC including outbreaks that affect both staff and residents, opportunities to improve antimicrobial use and strategies to reduce the transmission of infections, including multi-drug resistant organisms and Clostridium difficile.

Participants who attend this course will earn 10 CME credits and a certificate in Infection Prevention in Post-Acute and Long-Term Care. Certificates will be sent electrically to participants within three weeks of course completion. Participants must attend the course in its entirety to earn a certificate. Please be sure to scan your name badge at the beginning of each concurrent session time slot to verify your attendance. If you have questions or would like additional information, please contact AMDA’s education department at education@paltc.org.

Learning Objectives:
(1) Describe surveillance definitions and recognize differences in applying them in the PA/LTC settings.
(2) Identify opportunities for infection prevention, including those caused by multi-drug resistant organisms, in the PA/LTC settings.
(3) Discuss recognition and response to common outbreaks in the PA/LTC settings.
(4) Apply principles of occupational health and safety to healthcare workers and staff in the PA/LTC settings.
(5) Recognize the need for and opportunities to practice antimicrobial stewardship in the PA/LTC settings.

Speakers
avatar for David Nace, MD, MPH, CMD

David Nace, MD, MPH, CMD

David Nace, MD, MPH, CMD, is an Associate Professor of Medicine in the Division of Geriatric Medicine at the University of Pittsburgh. He serves as the Director of LTC and Influenza Programs for the division and as Chief of Medical Affairs for UPMC Senior Communities. Dr. Nace chairs... Read More →
avatar for Ghinwa Dumyati, MD

Ghinwa Dumyati, MD

Ghinwa Dumyati, MD, is an infectious disease physician and a Professor of Medicine at the University of Rochester Medical Center. She has research support by the CDC and the New York State Department of Health (NYSDOH). Her interests focus on surveillance and prevention of healthcare... Read More →
avatar for Morgan Katz, MD, MHS

Morgan Katz, MD, MHS

Morgan Katz, MD, MHS, is an infectious disease physician and Assistant Professor of Medicine at Johns Hopkins University. She works as a consultant in several long-term care buildings and has research support from AHRQ to implement antibiotic stewardship in nursing homes using a... Read More →
avatar for Laurie Archbald-Pannone, MD, MPH

Laurie Archbald-Pannone, MD, MPH

Laurie Archbald-Pannone, MD, MPH, is currently on faculty as an Associate Professor in the Department of Internal Medicine at the University of Virginia. Dr. Archbald-Pannone has a primary appointment in the Division of General Medicine, Geriatrics, and Palliative Care and a secondary... Read More →
avatar for Theresa Rowe, DO, MS

Theresa Rowe, DO, MS

Theresa Rowe, DO, MS, is an Assistant Professor in the Department of general internal medicine and geriatrics at Northwestern University Feinberg school of Medicine. She is board certified in Geriatrics and Infectious Diseases and is a part time medical officer with the Centers for... Read More →
avatar for Sarah Kabbani, MD, MSc

Sarah Kabbani, MD, MSc

Sarah Kabbani, MD, MSc, is an adult infectious disease physician and a medical officer in the Office of Antibiotic Stewardship, Division of Healthcare Quality Promotion, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention. Dr... Read More →
avatar for Robin Jump, MD, PhD

Robin Jump, MD, PhD

Robin Jump, MD, PhD, is an Infectious Disease physician at the Louis Stokes Cleveland Veterans Affairs Medical Center and Assistant Professor of Medicine at Case Western Reserve University. She has research support from the VA and AHRQ. Her long-term academic interests are to support... Read More →



Thursday March 22, 2018 8:00am - 5:00pm
Grapevine Ballroom B

1:30pm

TH11 | Serious Illness Conversation, Evidence-Based Techniques for LTC Clinicians
This session will review the components of the Serious Illness Program, an evidence-based, patient tested, structured approach to serious illness conversation. Participants will practice using the serious illness conversation guide and will receive feedback and advice for implementing the technique in patient care.

Learning Objectives:
(1) Recognize the need for a systematic evidence-based approach to discussing goals and values with seriously ill patients.
(2) Describe the seven steps of the Serious Illness Conversation.
(3) Demonstrate use of the Serious Illness Communication Guide to elicit preferences and patient goals of care.
(4) Provide feedback related to observed skills/techniques that facilitate exploratory conversations with patients and family members.

Speakers
avatar for Kevin Henning, MD, CMD

Kevin Henning, MD, CMD

Kevin Henning, MD, CMD, is a family physician and serves as Medical Director, Optum CarePlus for the state of Washington. He is board-certified in family practice and hospice and palliative medicine and a certified medical director with the American Medical Directors Association... Read More →
avatar for Grace Cordts, MD, MPH, CMD

Grace Cordts, MD, MPH, CMD

Grace Cordts, MD, MPH, CMD, is an internal medicine physician who serves as Medical Director for Optum CarePlus in Pennsylvania and Delaware. She is board certified in internal medicine and hospice and palliative medicine and has added qualifications in geriatric medicine and is a... Read More →
avatar for James Mittleberger, MD, MPH

James Mittleberger, MD, MPH

James Mittelberger, MD, MPH, CMD, is an internal medicine physician who serves as the Chief Medical Officer of the Optum Center for Palliative and Supportive Care. Dr. Mittelberger is board certified in internal medicine and hospice and palliative medicine and is a certified medical... Read More →
DS

Denise Stahl, MSN

Denise Stahl, MSN, FPCN, is the Chief Clinical Officer of the Optum Center for Palliative and Supportive Care. She is an Oncology Clinical Nurse Specialist with more than 25 years of experience working in hospice and palliative care and a distinguished HPNA Fellow in Palliative Care... Read More →


Thursday March 22, 2018 1:30pm - 5:00pm
Texas 5-6

1:30pm

TH9 | Demystifying the Basic Metabolic Panel
This interactive, case-based session will engage participants in problem solving commonly reported electrolyte abnormalities encountered in LTC. The cornerstones of understanding altered physiology, astute clinical assessment, and application of logical diagnostic and therapeutic strategies will be highlighted.

Learning Objectives:
(1) Interpret the BMP accurately, Diagnose and manage hyponatremia and hypernatremia.
(2) Identify causes work up and treatment of hyperkalemia and hypokalemia and acid base imbalance.
(3) Describe the differential diagnosis of hypercalcemia and hypocalcemia and appropriate management.

Speakers
avatar for Meenakshi Patel, MD, MMM, CMD

Meenakshi Patel, MD, MMM, CMD

Meenakshi Patel, MD, MMM, CMD, is a board certified geriatrician internist and a multi-facility medical director. She has an active medical practice in Centerville, OH as well as a research program. She has been a member of the AMDA Board of Directors, and several key AMDA committees... Read More →
avatar for Naushira Pandya, MD, CMD

Naushira Pandya, MD, CMD

Naushira Pandya, MD, CMD, is a board certified geriatrician internist as well as endocrinologist. She is chair of the Geriatrics department and directs the recently federally funded Geriatrics Education Center at Nova Southeastern University College of Osteopathic Medicine. She is... Read More →
avatar for T.S. Dharmarajan, MD

T.S. Dharmarajan, MD

T.S. Dharmarajan, MD, MACP, AGSF, is currently the Vice Chairman, Department of Medicine, and Clinical Director of Geriatrics at Montefiore Medical Center (Wakefiel;d Campus). He is a board certified geriatrician, internist, and nephrologist. He is a prolific researcher and has been... Read More →


Thursday March 22, 2018 1:30pm - 5:00pm
Texas 1-2
 
Friday, March 23
 

11:00am

FR5 | Apathy: Treating What can be Overlooked in LTC Facilities
Apathy is a common disorder, but can be easily overlooked. Treatment requires multidisciplinary approaches based on the understanding of apathy from the biomedical, psychological, and socio environmental aspects. This session reviews the definition of apathy, its effects, physiological implications, and approaches used to detect, treat, and manage elderly patients experiencing apathy in LTC facilities. The goal of this session is to increase the recognition of apathy and enhance the role and functions of the interdisciplinary team caring for patients dealing with apathy in LTC facilities.

Learning Objectives:
(1) Define, and discuss the diagnostic criteria and effects of Apathy on patients in LTC facilities.
(2) Describe the physiological implications of Apathy: Differential Diagnosis, Frontotemporal Dementia and Apathy.
(3) Discuss approaches and demonstrate the use of screening tools used to detect, treat and manage patients experiencing apathy in LTC facilities.
(4) Demonstrate strategies to foster effective communication, role and functions of the interdisciplinary team, patients, families and caregivers.

Speakers
avatar for Jacqueline Curtis, MD

Jacqueline Curtis, MD

Jacqueline Curtis, MD is board certified in psychiatry and neurology with a background in the treatment of psychiatric disorders in long term care facilities, quality care review, telemedicine and treatment of Adult ADHD. She began her training at Louisiana State University and graduated... Read More →
avatar for Elizabeth Mynard, PhD

Elizabeth Mynard, PhD

Elizabeth Mynard,PhD, is the Corporate Clinical Director and Licensed Psychologist, Neuropsychologist at Senior PsychCare Dallas, LLC. She provides professional clinical leadership as a Senior Manager for an outpatient clinical practice providing care in long term care and Assisted... Read More →


Friday March 23, 2018 11:00am - 12:00pm
Dallas 5-7

11:00am

FR8 | Parkinson's Disease: A Video is Worth 1.8 Million Words
If a picture is worth 1,000 words and video shoots at 30 frames per second, every second of video is worth 30,000 words and a whole minute of video could be worth 1.8 million words. Regardless of the metrics, videos are an excellent tool for showing some of the many highly variable presentations of common issues associated with Parkinson's, especially motor manifestations such as tremor, bradykinesia and freezing of gait. During this session, the presenters will make extensive use of video to highlight presentations of common phenomena associated with Parkinson's over the course of the disease. When available, videos will demonstrate similar phenomena at early and later stages to help illuminate how common symptoms such as tremor and gait deficits change over time. Additional video will demonstrate possible compensatory approaches for difficult to treat issues such as freezing of gait and swallowing issues as well as the significant gains that can be achieved by the simple speech and physical therapy approaches to many issues. All topics, however, will be accompanied by a discussion of both pharmacological and nonpharmacological treatment approaches.

Learning Objectives:
(1) Recognize key components of primary motor symptoms of Parkinson's, tremor, rigidity, akinesia/bradykinesia and postural instability.
(2) Highlight potential complications of dopaminergic therapy, including dyskinesias, motor fluctuations and off-period symptomatology.
(3) Implement strategies to address freezing of gait.
(4) Identify manifestations of voice and swallowing issues associated with Parkinson's and possible treatment approaches.

Speakers
avatar for John Dean, MA, CCC-SLP

John Dean, MA, CCC-SLP

John Dean, MA, CCC-SLP, is a speech language pathologist specializing in the treatment of Parkinson's and related disorders. He serves on the faculty of the Allied Team Training Program (ATTP) and is active within the International Parkinson's Movement Disorder Society as well as... Read More →
avatar for Nora Reznickova, MD

Nora Reznickova, MD

Nora Reznickova, MD, is geriatrician and palliative care physician, serving elderly individuals in post-acute care, long-term care and assisted living facilities in the metro Denver area. She has witnessed many of the gaps in care for people with Parkinson's disease as a medical provider... Read More →


Friday March 23, 2018 11:00am - 12:00pm
Grapevine 1-2

11:00am

INF1 | SHEA/CDC/AMDA Infection Prevention in PA/LTC Certificate Course Cont.
Back by popular demand, AMDA – The Society for Post-Acute and Long-Term Care Medicine (AMDA) will offer the Infection Prevention in Post-Acute and Long-Term Care Certificate Course in 2018. Developed in partnership with the Society for Healthcare Epidemiology of America (SHEA) and the Centers for Disease Control and Prevention (CDC), the course will address aspects of infection control and prevention that are unique to skilled nursing facilities, which must balance a home-like environment while minimizing the risk of infections. The course will review occupational health concerns in PA/LTC including outbreaks that affect both staff and residents, opportunities to improve antimicrobial use and strategies to reduce the transmission of infections, including multi-drug resistant organisms and Clostridium difficile.

Participants who attend this course will earn 10 CME credits and a certificate in Infection Prevention in Post-Acute and Long-Term Care. Certificates will be sent electrically to participants within three weeks of course completion. Participants must attend the course in its entirety to earn a certificate. Please be sure to scan your name badge at the beginning of each concurrent session time slot to verify your attendance. If you have questions or would like additional information, please contact AMDA’s education department at education@paltc.org.

Learning Objectives:
(1) Describe surveillance definitions and recognize differences in applying them in the PA/LTC settings.
(2) Identify opportunities for infection prevention, including those caused by multi-drug resistant organisms, in the PA/LTC settings.
(3) Discuss recognition and response to common outbreaks in the PA/LTC settings.
(4) Apply principles of occupational health and safety to healthcare workers and staff in the PA/LTC settings.
(5) Recognize the need for and opportunities to practice antimicrobial stewardship in the PA/LTC settings.

Speakers
avatar for David Nace, MD, MPH, CMD

David Nace, MD, MPH, CMD

David Nace, MD, MPH, CMD, is an Associate Professor of Medicine in the Division of Geriatric Medicine at the University of Pittsburgh. He serves as the Director of LTC and Influenza Programs for the division and as Chief of Medical Affairs for UPMC Senior Communities. Dr. Nace chairs... Read More →
avatar for Morgan Katz, MD, MHS

Morgan Katz, MD, MHS

Morgan Katz, MD, MHS, is an infectious disease physician and Assistant Professor of Medicine at Johns Hopkins University. She works as a consultant in several long-term care buildings and has research support from AHRQ to implement antibiotic stewardship in nursing homes using a... Read More →
avatar for Nimalie Stone, MD, MS

Nimalie Stone, MD, MS

Nimalie Stone, MD, MS, is the Medical Epidemiologist for Long-Term Care in the Division of Healthcare Quality Promotion at the Centers for Disease Control and Prevention (CDC). She is a board-certified infectious disease physician who has a research and clinical background in managing... Read More →
avatar for Robin Jump, MD, PhD

Robin Jump, MD, PhD

Robin Jump, MD, PhD, is an Infectious Disease physician at the Louis Stokes Cleveland Veterans Affairs Medical Center and Assistant Professor of Medicine at Case Western Reserve University. She has research support from the VA and AHRQ. Her long-term academic interests are to support... Read More →


Friday March 23, 2018 11:00am - 12:00pm
Grapevine Ballroom B

1:30pm

FR11 | 'Worthless Care': Medical Necessity and the False Claims Act
This session provides a review and update of legal issues of special importance to PA/LTC medicine providers participating in Medicare and Medicaid. The speakers will discuss key legal issues and concepts, and will guide the participants to develop and practice an approach to evaluating cases as part of ongoing quality assurance and compliance activities. This session will focus on the issues of medical necessity, false claims, and worthless care. The history and philosophy of these concepts and their application to PA/LTC settings will be discussed, along with illustrative cases, which participants will evaluate together.

Learning Objectives:
(1) Review the concepts of 'medical necessity', 'false claims', and 'worthless care', and their relationship to quality of care.
(2) Apply the concepts of “medical necessity”, “false claims”, and “worthless care”, and their relationship to quality of care to specific case examples to evaluate medical necessity and quality of care in individual cases.
(3) Describe the processes by which CMS and other government-related entities evaluate 'medical necessity', potentially 'false claims', and potentially 'worthless care' in PA/LTC settings, what SNFs and other providers do in response, and develop strategies for how PA/LTC practitioners and Medical Directors may be asked to participate productively in these processes to provide clinical insight and interpretation and help to resolve concerns.
(4) Discuss proactive strategies that will empower the physician/Medical Director to provide quality care to the patients at the SNF, assist the facility to be successful in the current increasingly challenging health care environment and assist the facility team to avoid – and successfully to refute if/when necessary – any unfounded allegation from any source of providing “worthless care” or of faling to meet the requirements of medical necessity.

Speakers
avatar for Jonathan Evans, MD, MPH, CMD

Jonathan Evans, MD, MPH, CMD

Jonathan Evans, MD, MPH, CMD, is a graduate of Mayo Medical School, Rochester, Minnesota. He is board certified in Internal Medicine, Geriatrics, and Hospice and Palliative Medicine. Dr. Evans is a member of Blue Ridge Long Term Care Associates, which is based in Charlottesville... Read More →
avatar for David Jackson, MD, PhD

David Jackson, MD, PhD

David Jackson, MD, PhD, is President of Jackson and Associates Incorporated and he has served as a White House fellow, as the director of the Ohio Department of Health and as the National Medical Director for a National geriatric services company. He has also served as an external... Read More →


Friday March 23, 2018 1:30pm - 3:00pm
Texas 1-2

1:30pm

FR14 | Advanced Care Planning: Using the PACE (Program of All Inclusive Care for the Elderly Model Practice)
This session will demonstrate the benefits of integrating the National PACE Association (NPA) model practices in discussion of goals of care in LTC facilities. The three presenters will discuss how the NPA model practice was developed and the synergies that these model practices bring to LTC facilities. The presenters will also detail the “nuts and bolts” in implementing these goals of care discussion including approaches to staffing, training, care coordination, as well as with challenges and opportunities. This session will provide an opportunity for attendees to explore with presenters the details of the program and identify elements applicable to their own programs.

Learning Objectives:
(1) Describe a process to identify goals of care utilizing the National PACE Association Model Practice and how they may be utilized for advanced care planning.
(2) Explain how integrating goals of care discussion increases the quality of care of all residents in nursing home.
(3) Describe the fundamentals of shared decision making in the application of person-centered care.
(4) Utilize effective communication with patients, staff, families and caregivers.

Speakers
avatar for Renee Connolly, DNP, APRN

Renee Connolly, DNP, APRN

Renee Connolly, DNP, APRN, is a full-time nurse practitioner at Germantown Home (180-bed post-acute and long-term care facility) located in Philadelphia, Pennsylvania. She acquired her Masters at University of Pennsylvania and Doctor of Nursing Practice at Widener University. She... Read More →
avatar for Verna Sellers, MD, MPH, CMD

Verna Sellers, MD, MPH, CMD

Verna Sellers, MD, MPH, CMD, AGSF, is Medical Director of Geriatrics Service and PACE (Program of All-Inclusive Care for the Elderly) for CentraHealth in Lynchburg, Virginia. Dr. Sellers is certified by the American Board of Internal Medicine in Geriatric Medicine and in Hospice and... Read More →
avatar for Luz Ramos-Bonner, MD, MBA, CMD

Luz Ramos-Bonner, MD, MBA, CMD

Luz Ramos-Bonner, MD, MBA, CMD, is the Network Medical Director for NewCourtland Senior Services overseeing the Primary Care Practice that provides medical directorship and primary care to all NewCourtland’s LIFE programs, nursing homes and other initiatives such as transitions... Read More →


Friday March 23, 2018 1:30pm - 3:00pm
Dallas 5-7

1:30pm

FR15 | Navigating the Turbulent Waters of Wound Care
This session will provide an update on the current practice guidelines and recommendations for delivery of wound care in the post-acute setting. Various etiologies, assessment, and treatments will be discussed. Additionally, information on the development of a wound care team and establishing a center of excellence in wound management will be addressed.

Learning Objectives:
(1) Understand various wound types and classifications.
(2) Recognize the importance of correct etiology identification.
(3) Identify various roles of the wound care team.

Speakers
avatar for Shark Bird, MD, CMD

Shark Bird, MD, CMD

Shark Bird, MD, CMD, has been practicing post acute medicine since completion of his residency in 1996. In addition, he has served on multiple missions in Benin, West Africa at the Hospital Evangelique a Bembereke. He has been practicing in wound care full time since 2004 and currently... Read More →
avatar for Scott Bolhack, MD, MBA, CMD

Scott Bolhack, MD, MBA, CMD

Scott Bolhack, MD, CMD, speaks nationally on the subject of wound care, palliative care and hospice, rehabilitation in nursing homes, and quality improvement processes. Dr. Bolhack has additional experience as a medical director for wound centers, nursing homes, assisted living facilities... Read More →
avatar for Karl Steinberg, MD, HMDC, CMD

Karl Steinberg, MD, HMDC, CMD

Karl Steinberg, MD, HMDC, CMD, is Chief Medical Officer for Mariner Health Care Central and has served as a nursing facility and hospice medical director since 1995.  He has served on the Society's Board of Directors and currently chairs their Public Policy Committee.  Dr. Steinberg... Read More →
JK

James Kramer, MD

James Kramer, MD, FACS, CWS-P, is a Board Certified General Surgeon who has specialized and been devoted to wound care for the past five years. He treats all manner of wounds in the post-acute setting. He also is active in the ongoing training of physicians from multiple specialties... Read More →


Friday March 23, 2018 1:30pm - 3:00pm
Austin 4-6

1:30pm

INF1 | SHEA/CDC/AMDA Infection Prevention in PA/LTC Certificate Course Cont.
Back by popular demand, AMDA – The Society for Post-Acute and Long-Term Care Medicine (AMDA) will offer the Infection Prevention in Post-Acute and Long-Term Care Certificate Course in 2018. Developed in partnership with the Society for Healthcare Epidemiology of America (SHEA) and the Centers for Disease Control and Prevention (CDC), the course will address aspects of infection control and prevention that are unique to skilled nursing facilities, which must balance a home-like environment while minimizing the risk of infections. The course will review occupational health concerns in PA/LTC including outbreaks that affect both staff and residents, opportunities to improve antimicrobial use and strategies to reduce the transmission of infections, including multi-drug resistant organisms and Clostridium difficile.

Participants who attend this course will earn 10 CME credits and a certificate in Infection Prevention in Post-Acute and Long-Term Care. Certificates will be sent electrically to participants within three weeks of course completion. Participants must attend the course in its entirety to earn a certificate. Please be sure to scan your name badge at the beginning of each concurrent session time slot to verify your attendance. If you have questions or would like additional information, please contact AMDA’s education department at education@paltc.org.

Learning Objectives:
(1) Describe surveillance definitions and recognize differences in applying them in the PA/LTC settings.
(2) Identify opportunities for infection prevention, including those caused by multi-drug resistant organisms, in the PA/LTC settings.
(3) Discuss recognition and response to common outbreaks in the PA/LTC settings.
(4) Apply principles of occupational health and safety to healthcare workers and staff in the PA/LTC settings.
(5) Recognize the need for and opportunities to practice antimicrobial stewardship in the PA/LTC settings.

Speakers
avatar for David Nace, MD, MPH, CMD

David Nace, MD, MPH, CMD

David Nace, MD, MPH, CMD, is an Associate Professor of Medicine in the Division of Geriatric Medicine at the University of Pittsburgh. He serves as the Director of LTC and Influenza Programs for the division and as Chief of Medical Affairs for UPMC Senior Communities. Dr. Nace chairs... Read More →
avatar for Morgan Katz, MD, MHS

Morgan Katz, MD, MHS

Morgan Katz, MD, MHS, is an infectious disease physician and Assistant Professor of Medicine at Johns Hopkins University. She works as a consultant in several long-term care buildings and has research support from AHRQ to implement antibiotic stewardship in nursing homes using a... Read More →
avatar for Nimalie Stone, MD, MS

Nimalie Stone, MD, MS

Nimalie Stone, MD, MS, is the Medical Epidemiologist for Long-Term Care in the Division of Healthcare Quality Promotion at the Centers for Disease Control and Prevention (CDC). She is a board-certified infectious disease physician who has a research and clinical background in managing... Read More →
avatar for Robin Jump, MD, PhD

Robin Jump, MD, PhD

Robin Jump, MD, PhD, is an Infectious Disease physician at the Louis Stokes Cleveland Veterans Affairs Medical Center and Assistant Professor of Medicine at Case Western Reserve University. She has research support from the VA and AHRQ. Her long-term academic interests are to support... Read More →


Friday March 23, 2018 1:30pm - 3:00pm
Grapevine Ballroom B

3:30pm

FR19 | Sepsis in LTC: Recognition and Appropriate Response
This session will address the presentation of sepsis in older adults, early recognition of sepsis in PA/LTC residents and realistic expectations for managing sepsis based on the staff, training, and resources available in most PA/LTC settings.

Learning Objectives:
(1) Describe the clinical presentation of sepsis in older adult.
(2) Discuss initial assessment and management of an older adult with possible sepsis.
(3) Recognize the risks and benefits of attempting to manage sepsis in the PA/LTC setting.

Speakers
avatar for Swati Gaur, MD, MBA, CMD

Swati Gaur, MD, MBA, CMD

Swati Gaur, MD, MBA, CMD, is Vice President of Medical Affairs at Community Health Services of Georgia, a post-acute care company. She is board certified in Internal Medicine, Geriatrics and Hospice and Palliative Care. She also serves as medical director of Nursing Facilities with... Read More →
avatar for Sheila McLean, MBA, LNHA

Sheila McLean, MBA, LNHA

Sheila McLean, MBA, LNHA, is the vice president of Health Quality Innovators (HQI), a quality improvement organization. She is responsible for driving multiple quality improvement initiatives across various care and provider settings, including CMS Special Innovations Projects related... Read More →
avatar for Philip Sloane, MD, MPH

Philip Sloane, MD, MPH

Philip Sloane, MD, MPH, is the Elizabeth and Oscar Goodwin Distinguished Professor of Family Medicine and co-director of the Program on Aging, Disability, and Long-Term Care, Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill. Jointly... Read More →
avatar for Theresa Rowe, DO, MS

Theresa Rowe, DO, MS

Theresa Rowe, DO, MS, is an Assistant Professor in the Department of general internal medicine and geriatrics at Northwestern University Feinberg school of Medicine. She is board certified in Geriatrics and Infectious Diseases and is a part time medical officer with the Centers for... Read More →


Friday March 23, 2018 3:30pm - 5:00pm
Texas 1-2

3:30pm

FR20 | This Year in Review for LTC
In this session, we present 8-15 articles published in the past year which have the potential to impact the practice of medicine and the processes of care for frail elders in the continuum of care. All articles are chosen through a Modified-Delphi approach and critically appraised by experienced, multidisciplinary practitioners and educators. This presentation has been well-received each year and is often the site of spirited discussion.

Learning Objectives:
(1) Consider changes in your practice based on recent publications.
(2) Identify publications that are controversial and/or may affect the direction of research.
(3) Describe techniques for critiquing publications.

Speakers
avatar for Milta Little, DO, CMD

Milta Little, DO, CMD

Milta Little, DO, CMD, is an Associate Professor of Medicine at St. Louis University in the Division of Geriatric Medicine. She is board certified in General Internal Medicine, with added qualifications in Geriatric Medicine. She serves the division as Program Director of the Geriatric... Read More →
avatar for Julie Gammack, MD, CMD

Julie Gammack, MD, CMD

Julie Gammack, MD, CMD, is a Professor of Medicine at St. Louis University School of Medicine. She is the Associate Dean for Graduate Medical Education, past Program Director for the Geriatric Medicine Fellowship, and a Medical Director at a teaching nursing home. She is a member... Read More →
avatar for Angela Sanford, MD, CMD

Angela Sanford, MD, CMD

Angela Sanford, MD, CMD, is an Assistant Professor of Internal Medicine in the Division of Geriatrics at Saint Louis University School of Medicine.  She practices in a wide variety of care settings, including inpatient medicine and geriatric consults, outpatient geriatric clinic... Read More →
avatar for Patricia Abele, RN, MSN, FNP-BC

Patricia Abele, RN, MSN, FNP-BC

Patricia Abele, RN, MSN, FNP-BC, is a family nurse practitioner for the St. Louis University, Division of Geriatric Medicine, practicing predominantly in LTC facilities and geriatric clinics. She received both her undergraduate and graduate nursing degrees at the University of Missouri... Read More →


Friday March 23, 2018 3:30pm - 5:00pm
Texas Ballroom D

3:30pm

FR21 | Advancing Resident-Centered Care in LTC Facilities: The Value of Ethics Committees and Resources
This session, presented by an attorney, bioethicist, and a long time medical director, will detail and reinforce the use of the interprofessional bioethics committee format in skilled nursing facilities, with a specific eye toward promoting resident-centered care and autonomy, and taking into account risk management principles. The session will also review determination of decisional capacity, and includes content on working with incapacitated, unrepresented patients. In addition to didactic content, case presentations and small group discussion will be utilized.

Learning Objectives:
(1) Implement an interprofessional ethics evaluation framework to support resident-centered care decisions in PA/LTC, including the medical director as a vital participant.,
(2) Assess decision-making capacity for nursing home residents with respect to a variety of situations. ,
(3) Apply the principles of bioethics to direct resident-centered care in light of risk management concerns.,
(4) Formulate strategies to improve medical decision-making for incapacitated unbefriended (unrepresented) nursing home residents.

Speakers
avatar for Karl Steinberg, MD, HMDC, CMD

Karl Steinberg, MD, HMDC, CMD

Karl Steinberg, MD, HMDC, CMD, is Chief Medical Officer for Mariner Health Care Central and has served as a nursing facility and hospice medical director since 1995.  He has served on the Society's Board of Directors and currently chairs their Public Policy Committee.  Dr. Steinberg... Read More →
avatar for Christine Wilson, JD, RN

Christine Wilson, JD, RN

Chris Wilson, RN, JD, MS(HCE), received her nursing degree from the Los Angeles County Medical Center School of Nursing in 1980 and her Juris Doctorate from Whittier College, School of Law in 1986.  She also holds a Master of Science in Health Care Ethics from Creighton University... Read More →


Friday March 23, 2018 3:30pm - 5:00pm
Texas 5-6

3:30pm

FR24 | Managing Heart Failure Patients in Skilled Nursing Facilities: Addressing the Complex Cardiovascular Disease, and Knowing When and how to Incorporate Palliative Care (AGS/AMDA Joint Session)
This session will provide attendees with an in-depth understanding of the issues affecting the care of patients with heart failure in skilled nursing facilities (SNFs). It is intended to provide attendees with expert insight into improving quality of care provided to this complex subset of patients. The speakers will review the clinical factors contributing to poor outcomes among these patients, provide insight into optimizing the medical management, and developing algorithms of care for these patients within their goals of care and expected discharge status, and discuss the indications, importance, and emerging use of palliative care and hospice consultation to patients with advanced/end stage heart failure.

Learning Objectives:
(1) Describe the SNF patient with CVD as a distinct high-risk patient with significantly increased morbidity, mortality, and risk for hospital readmission, and the importance of providing high quality care to these patients in the current regulatory environment.
(2) Discuss principles of cardiovascular disease management within the context of multimorbidity and goal directed patient care in the skilled nursing facility setting.
(3) Explain the need and methods for developing algorithms of care for complex heart failure patients in the SNF setting to improve patient outcomes, quality, and value of care.
(4) Discuss the importance of utilizing palliative care in patients with advanced heart failure in the SNF setting.
(5) Review the principles guiding patient selection for palliative care consultation, and medical management for refractory symptoms related to cardiovascular disease.

Speakers
avatar for Verna Sellers, MD, MPH, CMD

Verna Sellers, MD, MPH, CMD

Verna Sellers, MD, MPH, CMD, AGSF, is Medical Director of Geriatrics Service and PACE (Program of All-Inclusive Care for the Elderly) for CentraHealth in Lynchburg, Virginia. Dr. Sellers is certified by the American Board of Internal Medicine in Geriatric Medicine and in Hospice and... Read More →
avatar for Keith Swetz, MD, MA, HMDC

Keith Swetz, MD, MA, HMDC

Keith Swetz, MD, MA, FACP, HMDC, is Associate Professor of Medicine at the University of Alabama School of Medicine. He is Section Chief of Palliative Care at the Birmingham VA Medical Center and Medical Director of its Safe Harbor Palliative Care Unit. Dr. Swetz completed a Hospice... Read More →
avatar for Rebecca Boxer, MD

Rebecca Boxer, MD

Rebecca Boxer, MD, is an Associate Professor of Medicine in the Divisions of Geriatric Medicine and Cardiology at the University of Colorado School of Medicine. She is presently the principal investigator of a randomized controlled trial of heart failure disease management in skilled... Read More →
avatar for Nicole Orr, MD

Nicole Orr, MD

Nicole Orr, MD, FACC, is an Assistant Professor of Medicine in the Division of Cardiology at Tufts University School of Medicine, and the founder and president of Post Acute Cardiology Care, LLC. She serves both as a staff cardiologist and consultant to several skilled nursing facilities... Read More →


Friday March 23, 2018 3:30pm - 5:00pm
Texas 3-4
 
Saturday, March 24
 

6:00am

SA1 | Meet the Expert Breakfast Session -- When the Benefits Outweigh the Risks: Managing Chronic Mental Illness in PA/LTC
This session will review a paradigm for treating two separate groups of people living in the PA/LTC setting. The session will focus on how to maintain stability for those who live with chronic mental illness who now live long enough to age into multiple comorbidities. There may be a history of homelessness, substance abuse, and intermittent institutionalization. Next, Maureen Nash, MD, MS, will review an evidence-based approach to managing dementia with behavior disturbance with an emphasis on treating aggression and sexual disinhibition.

Maureen Nash, MD, MS, is the medical director of the Providence ElderPlace Oregon Program of All-inclusive Care for the Elderly (PACE). As the medical director, she has increased the integration of behavioral health in the primary care clinics of the ElderPlace Oregon health care system, improving the quality of care while decreasing inappropriate utilization of health care services for dual eligible frail older adults. Prior to that she was the medical director of two different geriatric psychiatry inpatient units, one in upstate New York and one in Oregon. She is Board Certified in Internal Medicine and Psychiatry and is active in the American Association for Geriatric Psychiatry and the American Psychiatric Association Council on Geriatric Psychiatry. Dr. Nash is an affiliate assistant professor in psychiatry at Oregon Health and Sciences University School of Medicine.

Learning Objectives:
(1) Describe three reasons why those with chronic mental illness are likely to end up living in long-term care settings.
(2) Discuss the risks and benefits of behavioral and nonpharmacological interventions as part of the overall approach to working with people who have chronic mental illness.
(3) Explain an evidence based approach to considering risks and benefits of pharmacological interventions.
(4) Use an evidence based algorithm for treating those with behavior disturbance in the context of moderate to severe dementia.
(5) Discuss the evidence for treating sexual disinhibition and differentiate that from intimacy seeking behaviors.

There is an additional fee to participate in this session and pre-registration is required. Breakfast will be provided and will be served from 6:00 AM - 6:30 AM. The presentation will start promptly at 6:30 AM. To ensure an optimal learning experience, space is limited. Be sure to sign up as soon as possible by checking the session on the conference registration form.

Registration Fee:
Early Bird (11/1/17 - 1/17/18): $65
Regular (1/18/18 - 2/28/18): $75
Late/On-Site (3/1/8 - 3/21/18): $85

Speakers
avatar for Maureen Nash, MD, MS

Maureen Nash, MD, MS

Maureen Nash, MD, MS, is the medical director of the Providence ElderPlace Oregon Program of All-Inclusive Care for the Elderly (PACE). As the medical director, she has increased the integration of behavioral health in the primary care clinics of the ElderPlace Oregon health care... Read More →


Saturday March 24, 2018 6:00am - 7:45am
Texas Ballroom C

2:30pm

SA12 | Why is Mom Dying? A Communication Method for Helping Families and Nursing Home Staff Cope with Natural Dying Process of Dementia Diagnoses
In this session, participants will learn a practical approach to addressing the concerns that arise for families and staff members when a person with a dementia diagnoses stops eating or develops dysphagia. The presentation emphasizes an approach that alleviates guilt and grief of the caretakers, makes sense of the natural process occurring and allows informed decision making on options of alternate nutrition.

Learning Objectives:
(1) Review the science of aging/dementia and anorexia.
(2) List the stepwise progression of anorexia that occurs in dementia diagnoses in a manner that makes sense.
(3) Use communication techniques that alleviates guilt of caregivers.
(4) Allow informed decision making in regards to potential alternate nutritional methods.

Speakers
avatar for Lauren Templeton, DO

Lauren Templeton, DO

Lauren Templeton, DO, is a full-time medical director for Hendrick Hospice in Abilene, Texas. Dr. Templeton is a member of the American Osteopathic Association and the American Academy of Hospice and Palliative Medicine. She serves as a member of the ethics committee at Hendrick Medical... Read More →
avatar for Tommie Farrell, MD, HMDC

Tommie Farrell, MD, HMDC

Tommie Farrell, MD, FAAHPM, HMDC, has practiced in the field of hospice and palliative medicine full time for the past 15 years.  His passion is the care of patients and families at end of life.  He participates at the State and National level in the field as Board Member of the... Read More →


Saturday March 24, 2018 2:30pm - 3:30pm
Texas 1-2

2:30pm

SA13 | Innovative Approaches to Implement Evidence Based Deprescribing Practices in PA/LTC Setting
This session will address problems associated with polypharmacy in PA/LTC setting and provide strategies to address these problems. The speakers will offer practical tools that can be helpful in deprescribing in the PA/LTC setting.

Learning Objectives:
(1) Discuss current evidence from deprescribing interventions in PA/LTC.
(2) Explain how to overcome barriers to deprescribing in PA/LTC setting.
(3) Explore deprescribing strategies for antipsychotics and opiates in PA/LTC setting.
(4) Describe how to engage interprofessional team members in addressing deprescription in PA/LTC setting.

Speakers
avatar for Kamal Wagle, MD, MPH, CMD

Kamal Wagle, MD, MPH, CMD

Kamal Wagle, MD, MPH, CMD, is an Assistant Professor of Clinical Medicine in the Department of Medicine, Division of Geriatrics and General Internal Medicine at Indiana University. He did his geriatrics fellowship from Baylor College of Medicine, Houston, then he received The Estela... Read More →
avatar for Dheeraj Mahajan, MD, CMD

Dheeraj Mahajan, MD, CMD

Dheeraj Mahajan, MD, CMD, CIC, is currently the President and CEO of CIMPAR, S.C. (Chicago Internal Medicine Practice and Research). He also holds an academic appointment as the Clinical Assistant Professor of Medicine, University of Chicago, Illinois. In addition to being President... Read More →
avatar for John Derr, RPh

John Derr, RPh

John Derr, RPh, is a thought leader and advocate for PA/LTC having served on many federal and state committees, task forces, and CMS grants. He has also been a consultant to many providers and vendors of PA/LTC. He served as EVP of AHCA/NCAL and SVP/CIO for Golden Living. He was a... Read More →


Saturday March 24, 2018 2:30pm - 3:30pm
Texas Ballroom D

2:30pm

SA17 | Providing PA/LTC to Adults With Intellectual and Developmental Disabilities
This session will provide a clinical introduction to caring for adults with intellectual and developmental disabilities in PA/LTC settings, based on literature review and the presenter's 25 years of experience as a clinician, medical educator, and researcher in developmental disabilities medicine. The content material presented will be applied to four case scenarios which exemplify the breadth and complexity of health care in this population. Participants will develop and share proposals for a quality improvement initiative aiming to improve care of this population, tailored to the facilities where they practice.

Learning Objectives:
(1) Describe how the etiologic diagnosis for the developmental disability guides clinical care of this population.
(2) Apply a literature-based, culturally- sensitive model of health care to persons with IDD in PA/LTC.
(3) Outline key elements of a quality improvement initiative addressing the health care for persons with IDD in facilities where they practice.

Speakers
avatar for Carl Tyler, Jr., MD, MS, CMD

Carl Tyler, Jr., MD, MS, CMD

Carl Tyler, Jr, MD, MSc, CAQ-Geriatrics, CMD, is a clinician, medical educator and researcher whose focus for 25 years has been to improve the care of adults with intellectual and developmental disabilities. He is Director of Geriatric Education and Research at the Cleveland Clinic's... Read More →


Saturday March 24, 2018 2:30pm - 3:30pm
Grapevine 1-2

2:30pm

SA18 | Optimizing Function and Physical Activity Among Residents in AL Using a Dissemination and Implementation Approach
This session will describe the current functional and physical activity of assisted living (AL) residents and the importance of addressing function and activity among these individuals to prevent further decline. A theoretically based, practical approach using a four-step process will be shared as a way to implement a function focused care approach into any AL setting. The steps include: (1) Assessment of the environment and policies; (2) education of staff; (3) development of appropriate service plans based on resident capability; and (4) mentoring and motivating. Exemplars will be shared as well from real world implementation activities. Participants will receive the necessary tools and techniques to implement a function focused care approach into their settings as well as the ways in which to over the barriers commonly encountered.

Learning Objectives:
(1) Describe the current functional status of older adults in AL settings.
(2) Define Function Focused Care and provide examples of this type of care.
(3) State the four steps to implementing Function Focused Care in AL environments.
(4) Describe three challenges and the ways to overcome those challenges and successfully implement Function Focused Care in AL settings.

Speakers
avatar for Elizabeth Galik, PhD, CRNP

Elizabeth Galik, PhD, CRNP

Elizabeth Galik, PhD, CRNP, is an Associate Professor at the University of Maryland School of Nursing and combines teaching, research and clinical work within that role. Dr. Galik is a commonly sought after consultant in the care of older adults with behavioral and affective symptoms... Read More →
avatar for Barbara Resnick, PhD, CRNP

Barbara Resnick, PhD, CRNP

Barbara Resnick, PhD, CRNP, is a Professor at the University of Maryland School of Nursing and the Sonya Ziporkin Gershowitz Chair in Gerontology. In addition to teaching advanced practice nurses and engaging research activities, Dr. Resnick co-directs the Center for Biology and... Read More →


Saturday March 24, 2018 2:30pm - 3:30pm
Austin 4-6

2:30pm

SA16 | The Emergency Department Joins the Interdisciplinary Team: Strategies to Improve Acute Care Transitions and Reduce ED Capture
This session will explain how PA/LTC nurses, providers, and administrators can partner with receiving emergency departments (EDs) to improve the transitions between their sites, enhance resident safety in the ED, and reduce potentially avoidable hospitalizations.

Learning Objectives:
(1) Design a program to enhance collaboration with the emergency department.
(2) Evaluate their site's PA/LTC to ED transition process and identify areas of improvement.
(3) Explain the unique challenges of treating PA/LTC residents in the emergency department.
(4) Discuss the Geriatric ED Guidelines as they relate to the PA/LTC to ED transition.

Speakers
avatar for Firas Saidi, MD, CMD

Firas Saidi, MD, CMD

Firas Saidi, MD, CMD, is an internist and geriatrician working in the suburbs of Philadelphia, PA. He practices in the office setting as well as the post-acute long-term care setting.  He is a medical director for multiple facilities.  He also serves as the Geriatrics Section Chief... Read More →
avatar for Adam Perry, MD

Adam Perry, MD

Adam Perry, MD, is an emergency physician and fellowship trained geriatrician. He is Assistant Professor of Medicine at the Geisinger Commonwealth College of Medicine. He is also a faculty member of the Geriatric Emergency Department Collaborative, in which capacity he presents nationally... Read More →


Saturday March 24, 2018 2:30pm - 3:30pm
Texas 3-4

4:00pm

SA21 | Dementia Care Conversations
People with dementia lose expressive and receptive language ability and become verbally disabled over time. Clinicians and caregivers rely heavily on language and open-ended questions to connect with patients, assess their needs, and intervene. Without intact language skills, people with dementia have difficulty connecting with others and making their needs known. This session will introduce curricula developed to teach learners from multiple disciplines how to connect, develop a relationship, and communicate with people who have dementia using both verbal and nonverbal skills. These skills are useful in the office, hospital, and PA/LTC setting. And they could potentially help clinicians (from physicians and therapists to CNAs) coach and counsel families about 1) what to expect, 2) how to avoid, and 3) how to respond to challenging situations in dementia care. The speakers will present a brief overview of our curricula and role play learner-coach interactions and skill assessment in this interactive session.

Learning Objectives:
(1) Describe how to connect and develop a relationship with a cognitive-impaired older adult.
(2) Evaluate an individual’s ability to connect and develop a relationship with a cognitively-impaired older adult.
(3) Identify a need or opportunity to develop a dementia care conversations curriculum in their home institutions.

Speakers
avatar for Victoria Hornyak, DPT

Victoria Hornyak, DPT

Vicki Hornyak, DPT, is an Assistant Professor of Physical Therapy at the University of Pittsburgh School of Health and Rehabilitation Sciences. She is a geriatric subspecialty trained physical therapist. She is a former Geriatric Academic Career Award recipient. Ms. Hornyak is the... Read More →
avatar for Rollin Wright, MD, MS

Rollin Wright, MD, MS

Rollin Wright, MD, MPH, MS, is an Assistant Professor of Medicine at the University of Pittsburgh School of Medicine. She teaches medical students, residents and fellows in the long-term care setting. Dr. Wright is a former Geriatric Academic Career Award recipient, and she developed... Read More →


Saturday March 24, 2018 4:00pm - 5:30pm
Texas Ballroom D

4:00pm

SA22 | Urinary and Fecal Incontinence: What to do About it in PA/LTC
This session will discuss the epidemiology, classification, risk factors, and pathophysiology of urinary incontinence (UI) and fecal incontinence (FI) in persons living in the PA/LTC environment. The talk will cover evidence-based recommendations for assessment, treatment, and management of these conditions within the framework of patient-centered goals of care in PA/LTC. Pharmacologic and non-pharmacologic treatment strategies will be reviewed. Psychosocial implications of UI and FI and the importance of patient-provider communication will be highlighted. Interactive case-based scenarios will be utilized. Innovative and emerging treatment techniques such as tibial neuromodulation and a patient-learning community research project will also be presented. < br />
Learning Objectives:
(1) Describe the epidemiology, risk factors, classification, and pathophysiology of urinary and fecal incontinence in the PA/LTC environment.
(2) Discuss evidence-based recommendations for the assessment of urinary and fecal incontinence in the context of patient-centered care in PA/LTC.
(3) List pharmacologic and non-pharmacologic treatment strategies for urinary and fecal incontinence in older adults in the PA/LTC continuum.
(4) Describe patient-oriented goals of care for the interprofessional management and improvement of quality of life for persons with urinary and fecal incontinence in PA/LTC.

Speakers
avatar for Elizabeth Hames, DO, CMD

Elizabeth Hames, DO, CMD

Elizabeth Hames, DO, CMD, is an assistant professor in the Department of Geriatrics at Nova Southeastern University’s Kiran C. Patel College of Osteopathic Medicine. Dr. Hames is the Associate Program Director for the Geriatrics Fellowship at Broward Health Medical Center. Dr. Hames... Read More →
avatar for Kenya Rivas, MD, CMD

Kenya Rivas, MD, CMD

Kenya Rivas, MD, CMD, is an Assistant Professor and Vice Chair of the Department of Geriatrics at Nova Southeastern University College of Osteopathic Medicine in Fort Lauderdale, Florida. She completed her Family Medicine Residency and the Geriatric Fellowship at Florida Hospital... Read More →
avatar for Suzanne Nall, RN, LNHA

Suzanne Nall, RN, LNHA

Suzanne Nall, RN, LNHA, is the Executive Director of the Village at Marymount, a community facility offering skilled care, long-term care, and assisted living. She has been with the organization since 2001. Ms. Nall conceived the implementation plan for tibial neuromodulation at... Read More →
avatar for Michael Felver, MD

Michael Felver, MD

Michael Felver, MD, is an internist with a career focus and over twenty years of experience in post acute care settings.  He was the founding medical director for the Connected Care Program of Cleveland Clinic and has been the medical director for multiple nursing facilities.  He... Read More →


Saturday March 24, 2018 4:00pm - 5:30pm
Texas 5-6
 
Sunday, March 25
 

6:30am

SU2 | Red Eye Rounds: Clinical Quandaries
This breakfast panel is an opportunity for attendees to engage leaders in medical direction in a dialogue on best practices. The focus of this panel is on geriatric clinical care and management from a clinical perspective.

Learning Objectives:
(1) Discuss the newest trends and developments in clinical care of the frail elderly.
(2) Implement recommendations for best practices in clinical medicine for the frail elderly.

Speakers
avatar for Debra Bakerjian, PhD, APRN

Debra Bakerjian, PhD, APRN

Debra Bakerjian PhD, FNP, FAAN, FAANP, is associate clinical professor, at the Betty Irene Moore School of Nursing at UC Davis. She has over 25 years of nursing homes practice experience and has served as a consultant to many nursing homes in the area of quality of care and patient... Read More →
avatar for Timothy Gieseke, MD, CMD

Timothy Gieseke, MD, CMD

Timothy Gieseke, MD, CMD, is a past president of CALTCM, the state AMDA chapter, the immediate past chair of the CALTCM Education committee and a past member of the AMDA Public Policy Committee. He is an Associate Clinical Professor for UCSF and teaches nursing home medicine, palliative... Read More →
avatar for David Nace, MD, MPH, CMD

David Nace, MD, MPH, CMD

David Nace, MD, MPH, CMD, is an Associate Professor of Medicine in the Division of Geriatric Medicine at the University of Pittsburgh. He serves as the Director of LTC and Influenza Programs for the division and as Chief of Medical Affairs for UPMC Senior Communities. Dr. Nace chairs... Read More →
avatar for Verna Sellers, MD, MPH, CMD

Verna Sellers, MD, MPH, CMD

Verna Sellers, MD, MPH, CMD, AGSF, is Medical Director of Geriatrics Service and PACE (Program of All-Inclusive Care for the Elderly) for CentraHealth in Lynchburg, Virginia. Dr. Sellers is certified by the American Board of Internal Medicine in Geriatric Medicine and in Hospice and... Read More →
avatar for Peter Winn, MD, CMD

Peter Winn, MD, CMD

Peter Winn, MD, CMD, is a Professor at the University of Oklahoma College of Medicine, Department of Family Medicine, and Oklahoma regional medical director for VistaCare Hospice.
avatar for Christopher Patterson, MD, CMD

Christopher Patterson, MD, CMD

Chris Patterson, MD, CMD, is a Practice Group Leader for Team Health in South Carolina. He is medical director for six SNFs and the state medical director for Curo Hospice. He is a past South Carolina AMDA President, served on the AMDA Foundation Board, and is an Associate Professor... Read More →


Sunday March 25, 2018 6:30am - 8:00am
Texas Ballroom D