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General Session [clear filter]
Friday, March 23
 

8:00am

FR1 | General Session I
Opening of the Society’s 2018 Annual Conference
Mary Evans, MD, CMD, Annual Conference Planning Subcommittee Chair; Christopher Laxton, CAE, Society Executive Director; Heidi White, MD, MPH, MEd, CMD, Society President

Award Presentations
Medical Director of the Year Award
James Pattee Excellence in Education Award
William Dodd Founder’s Award

AMDA Foundation Update and Quality Improvement Awards
Barbara Resnick, PhD, CRNP, Society’s Foundation Chair

American Board of Post-Acute and Long-Term Care Medicine (ABPLM) Update
Robert Kaplan, MD, CMD, ABPLM Chair

Keynote Address
We are the Ones: The Future of PA/LTC and our Role in Leading the Change
Cheryl Phillips, MD, CMDR

Throughout the course of the Society, much has been said about the changes in post-acute and long-term care (PA/LTC). But never have we faced such transformative shifts; in payment, in regulations; in public policy and in delivery models. This session will provide a current state of affairs for each of these focus areas, and address both challenges and opportunities for clinicians in PA/LTC. We will discuss the role and power of data that is translated into information. We will address new settings for services, new payment vehicles, and the role of technology in driving these changes. Lastly, we will address how each of us can, and must, help shape PA/LTC with our expertise and with our commitment to improve the care for the individuals we serve. “We are the ones we have been waiting for.”

Cheryl Phillips, MD, CMDR, is the President and CEO of the Special Needs Plans Alliance, a national leadership organization focused on special needs and Medicare-Medicaid plans for vulnerable adults. Prior to this, she served as the Senior Vice President for Public Policy at LeadingAge. She has extensive public policy experience in PA/LTC, including nursing homes, home health, hospice, and PACE. She is a past president of AMDA – The Society for Post-Acute and Long-Term Care Medicine and American Geriatrics Society. She is a fellowship-trained geriatrician with years of hands on clinical and medical director experience.

Learning objectives:
(1) Review current federal legislation and regulatory policy and its impact on PA/LTC.
(2) Discuss the role of “data as our currency” and how to leverage its use for greatest impact.
(3) Describe how new models of services are arising in a variety of settings, including homes, assisted living and post-acute rehab.
(4) Describe three ways we must drive the changes needed to improve quality, access and efficiency across PA/LTC.

Speakers
avatar for Christopher Laxton, CAE

Christopher Laxton, CAE

Christopher Laxton, CAE, is a career association professional with over 30 years of experience in nonprofit leadership, governance and operations and has been the Executive Director of AMDA since February 2013.
avatar for Mary Evans, MD, CMD

Mary Evans, MD, CMD

Mary Evans, MD, CMD, started a LTC practice eleven years ago, has worked as an attending physician and medical director for several years before being recruited by Golden Living as a Regional Medical Director. Her current position is as Compliance Executive Physician at Golden Living... Read More →
avatar for Robert Kaplan, MD, CMD

Robert Kaplan, MD, CMD

Robert Kaplan, MD, CMD, FACP, has an extensive background in Long-Term Care, and serves as a Multi-Facility Medical Director and Attending Physician. He is a Past President of the Florida Medical Directors Association and for several years, he has been an AMDA Faculty member teaching... Read More →
avatar for Heidi White, MD, MHS, MEd, CMD

Heidi White, MD, MHS, MEd, CMD

Heidi White, MD, MHS, MEd, CMD, is Associate Professor of Medicine with tenure at Duke University School of Medicine in the Division of Geriatrics and a senior fellow in the Duke Center for the Study of Aging and Human Development. She has nearly 20 years of experience serving as... Read More →
avatar for Cheryl Phillips, MD, CMDR

Cheryl Phillips, MD, CMDR

Cheryl Phillips, MD, CMDR, is the President and CEO of the special needs Plans Alliance, a national leadership organization focused on Special Needs and Medicare-Medicaid plans for vulnerable adults. Prior to this, she served as the Senior Vice President for Public Policy at LeadingAge... 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 →


Friday March 23, 2018 8:00am - 10:30am
Texas Ballroom A-B
 
Saturday, March 24
 

8:00am

SA2 | General Session II
Opening Remarks
Cari Levy, MD, PhD, CMD, Society President-Elect

Award Presentation
Howard Guterman Best Poster Award

Job Task Analysis for Attending Physicians and Medical Directors
Robert Kaplan, MD, CMD

The Society’s Top Policy Issues 2018
Karl Steinberg, MD, CMD, Chair, Public Policy Committee; David Nace, MD, MPH, CMD, Vice Chair, Public Policy Committee; Alex Bardakh, MPP, Director, Public Policy and Advocacy

Updates on the top Society activity on policy issues including the following: legislative advocacy, communications with government agencies, updates on the health care reform implementation efforts, and on proposed changes to PA/LTC facilities requirements for participation.

Learning Objectives:
(1) Updates on the top Society activity on policy issues including the following: legislative advocacy, communications with government agencies, updates on the health care reform implementation efforts, and on proposed changes to PA/LTC facilities requirements for participation.
(2) List the Society’s top policy issues in 2018.
(3) Discuss the Society’s advocacy on legislative initiatives, health care reform, and payment policy.
(4) Anticipate upcoming changes in skilled nursing facility regulations.

Who Will Care for me When I am Old and Frail?
Joan Teno, MD, MS

Each day, 10,000 people turn 65. They are faced with a final phase of life that can include multimorbidity, prolonged period of functional impairment, and health care transitions from hospital to PA/LTC settings. Physicians have increasingly focused their practice on one setting of care much like the rapid growth of hospitalists, physicians who focus solely on the care of hospitalized patients. Similar trends are occurring in the PA/LTC sector. In this lecture, the temporal trends in the care of frail older people in the hospital and PA/LTC settings, such as nursing facilities, will be characterized. The implications of these temporal trends and need for future research will be discussed.

Joan Teno, MD, MS, is a health services researcher with more than 25 years of experience conducting research which has impacted end-of-life care in the U.S. She is a board-certified internist with Certificates of Added Qualifications in geriatrics and hospice & palliative medicine. Dr. Teno was a hospice medical director for 18 years and is currently working at the University of Washington on the Palliative Care Consult Service. She is also the project leader of a program project grant, recipient of a Robert Wood Johnson Foundation (RWJF) Health Policy Investigator Award, and an investigator on the Centers for Medicare& Medicaid Services (CMS) contract on creating the Consumer Assessment of Healthcare Providers and Systems (CAHPS) Hospice Survey and updating the hospice payment model. In recognition of this body of work, Dr. Teno was part of the study panel of the 2014 Institute of Medicine (IOM) report “Dying in America: Improving Quality and Honoring Individual Preferences Near the End of Life.”

Learning Objectives:
(1) Describe demographic changes of frail, older persons and who provides their care.
(2) Examine the evidence of the effectiveness of physicians who specialize in hospital care or PA/LTC settings, such as nursing facilities.
(3) Identify the future research agenda to address key questions regarding trends in who is providing care of frail, older people.

Speakers
avatar for Robert Kaplan, MD, CMD

Robert Kaplan, MD, CMD

Robert Kaplan, MD, CMD, FACP, has an extensive background in Long-Term Care, and serves as a Multi-Facility Medical Director and Attending Physician. He is a Past President of the Florida Medical Directors Association and for several years, he has been an AMDA Faculty member teaching... Read More →
avatar for Cari Levy, MD, PhD, CMD

Cari Levy, MD, PhD, CMD

Cari Levy, MD, PhD, CMD, is a geriatrician and Certified Medical Director with board certification in Hospice and Palliative Medicine. She began serving as a nursing home medical director in 2003 and as Director of Palliative Care at the Denver Veterans Affairs (VA) Medical Center... 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 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 Alan Abrams, MD, CMD

Alan Abrams, MD, CMD

Alan Abrams, MD, CMD, is a board certified internist and geriatrician. He is Assistant Director of the Harvard Multi-Campus Geriatric Medicine Fellowship Program and serves as the Medical Director of the Beth Israel Deaconess Care Organization Pioneer Accountable Care Program. He... Read More →
avatar for Alex Bardakh, MPP

Alex Bardakh, MPP

Alex Bardakh, MPP, PLC, is the Director of Public Policy & Advocacy for AMDA – The Society for Post-Acute and Long-Term Care Medicine. Alex is a tireless worker for the Society’s extensive Public Policy agenda through Advocacy in Congress and numerous Federal Agencies. A graduate... Read More →
avatar for Joan Teno, MD, MS

Joan Teno, MD, MS

Joan Teno, MD, MS, is a health services researcher with more than 25 years of experience conducting research which has impacted end-of-life care in the U.S. She is a board-certified internist with Certificates of Added Qualifications in geriatrics and hospice & palliative medicine... Read More →


Saturday March 24, 2018 8:00am - 10:30am
Texas Ballroom A-B
 
Sunday, March 25
 

8:30am

SU3 | General Session III
Anne-Marie Filkin Lecture
Thriving Amidst Frailty and Decline
Eleanor McConnell, PhD, RN
Much of the discussion regarding frailty among older adults focuses on how to prevent decline through more targeted assessment and biomedical interventions. This session will present perspectives from European literature on thriving among frail older adults as a means of enhancing outcomes for residents in PA/LTC. Eleanor McConnell, PhD, RN, will emphasize how a thriving perspective aligns with ongoing trends in health care, such as those emphasizing person-centered approaches and increased focus on social determinants of health. Challenges and opportunities faced by PA/LTC staff and their leaders seeking to promote resident thriving will be highlighted, such as balancing biomedical and person-centered approaches to care, and reconsidering quality indicators and leadership models.

Dr. McConnell is Associate Professor and Director of the Geriatric Nursing Center of Excellence in the School of Nursing at Duke University, a Senior Fellow of the Duke Center for the Study of Aging and Human Development, and a Core Investigator at the Department of Veterans Affairs Geriatric Research, Education and Clinical Center (GRECC) in Durham, NC. Her research and clinical scholarship focuses on improving quality of life among older adults with complex chronic illnesses, particularly among those who are frail, and those who suffer from major neurocognitive disorders. She has devoted her career to improving quality of life and quality of care among those residing in LTC, and her work has been recognized through the Ewald Busse Award from the NC Department of Health and Human Services for her impact on state-level LTC policy. Her work is published in leading medical and nursing journals, and is co-editor of the pioneering textbook “Matteson and McConnell’s Gerontological Nursing: Concepts and Practice,” first published by Elsevier in 1988.

Learning Objectives:
(1) Define thriving as it pertains to frail older adults living PA/LTC settings.
(2) Analyze how various long-term care staff members can affect core elements of thriving in their daily work.
(3) Contrast quality indicators currently used in PA/LTC, and how they support or interfere with thriving.
(4) Apply the adaptive leadership model to promoting thriving in PA/LTC.

Closing Keynote
The Future is Not What it Used to Be! Innovating for an Unpredictable Tomorrow
Arif Nazir, MD, CMD
Successful innovation requires leadership’s commitment to a culture of rapid experimentation, failure, and iteration. In the words of Louis Gerstner, the iconic retired IBM CEO, “culture isn’t just one aspect of the game – it is the game.” Health care organizations that have historically excelled in now outdated physician-centric culture, are faced with the challenge of implementing technological solutions for patient-centered care delivery. Are we, the members of the PA/LTC community, ready to embrace a new culture? Arif Nazir, MD, CMD, relied on innovation to address a real challenge in his facility. Confronted by a dissatisfied patient who described the health care system as worse than the local burger joint, his team transformed the traditional care-delivery model to a new approach: Patients as the CEO of their health. The success of this approach convinced Dr. Nazir of the value of inventive problem solving, not only at work but also in daily life. Dr. Nazir will highlight his experiences that shaped his perspectives on the power of innovation. As the Chair of the Innovations Platform Advisory Council for the Society, he will share his vision to transform the Society culture to lead meaningful health care innovations.

Arif Nazir, MD, CMD, is a Geriatrician and an Associate Professor of Clinical Medicine in University of Louisville. In his current role as the Chief Medical Officer for Signature HealthCare he oversees delivery of innovative clinical programs in more than 125 skilled facilities across ten states. Among many other previous roles, Dr. Nazir provided leadership as the medical director of a unique CMS Innovations project, OPTIMISTIC, that significantly reduced the avoidable hospitalizations of long-stay nursing home patients in 19 Indiana facilities. Dr. Nazir is the Vice President of the Society and also Chairs the Innovation Platform Advisory Committee for the Society.

Learning Objectives:
(1) Recognize the importance of a culture of innovation for organizations.
(2) Describe key innovations that are re-defining health care delivery.
(3) Strategize on how they can promote innovative thinking in their work environments.
(4) Envision Society’s future promotion of innovation in the PA/LTC setting.

Closing Remarks
Mary Evans, MD, CMD, Annual Conference Planning Subcommittee Chair

Speakers
avatar for Mary Evans, MD, CMD

Mary Evans, MD, CMD

Mary Evans, MD, CMD, started a LTC practice eleven years ago, has worked as an attending physician and medical director for several years before being recruited by Golden Living as a Regional Medical Director. Her current position is as Compliance Executive Physician at Golden Living... Read More →
avatar for Arif Nazir, MD, CMD

Arif Nazir, MD, CMD

Arif Nazir, MD, CMD, is a geriatrician and the Chief Medical Officer for Signature HealthCare and in that capacity oversees delivery of innovative clinical programs in more than 130 skilled facilities across ten different states. Among many other previous roles, Dr. Nazir provided... Read More →
avatar for Eleanor McConnell, PhD, RN

Eleanor McConnell, PhD, RN

Eleanor McConnell, PhD, RN, is Associate Professor and Director of the Geriatric Nursing Center of Excellence in the School of Nursing at Duke University, a Senior Fellow of the Duke Center for the Study of Aging and Human Development, and a Core Investigator at the Department of... Read More →


Sunday March 25, 2018 8:30am - 11:00am
Texas Ballroom A-B