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Medical Direction [clear filter]
Thursday, March 22
 

8:00am

TH5 | The Practical Application of MDS (Minimum Data Set) and Other Available Data to Improve Site-Specific Quality Measure Performance
This session will present novel approaches to using a skilled nursing facility's own quality measure data to engage its medical director, unify its healthcare team, and improve quality measure performance.

Learning Objectives:
(1) Determine how to use their Quality Measure data to engage the leadership and accountability of their Medical Director.
(2) Describe novel methods for creating high impact presentations of Quality Measure data.
(3) Use a SNF's Quality Measure data to unify their healthcare team and motivate improved performance.
(4) DIcuss the value of trending, tracking, and visualizing their Quality Measure data as a means to improve Quality Measure scores.

Speakers
avatar for Ronald Crossno, MD, HMDC, CMD

Ronald Crossno, MD, HMDC, CMD

Ronald Crossno, MD, HMDC, CMD, is Vice President, Medical Affairs, and Chief Medical Officer for Kindred at Home (KAH), a division of Kindred Healthcare.  Dr. Crossno is board certified in Family Medicine, Geriatric Medicine, and Hospice & Palliative Medicine.  He is a Certified... Read More →
avatar for Emily Jaffe, MD

Emily Jaffe, MD

Emily Jaffe, MD, is the VP and Executive Medical Director for Highmark Home and Community Services with clinical expertise in nursing facilities, palliative and hospice care as well as the home.  She is a fellowship trained Geriatrician with board certification in Internal Medicine... Read More →
avatar for Richard Feifer, MD, MPH

Richard Feifer, MD, MPH

Richard Feifer, MD, MPH, FACP, is chief medical officer at Genesis HealthCare and leads a team of over 550 clinicians in helping Genesis to actively transition from volume-based fee-for-service, to value-based care and reimbursement. A graduate of Brown University and the University... Read More →
avatar for Steven Fuller, DO, PhD

Steven Fuller, DO, PhD

Steven Fuller, DO, PhD, MS, is the Vice President and Corporate Medical Director of Presbyterian Senior Living in Pennsylvania.  After practicing medicine as a triple board certified Pulmonary and Critical Care specialist for 25 years, he has redirected his professional focus towards... Read More →


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

1:30pm

TH12 | Unleash the Power of Performance Improvement in Your Facility by Stopping the Madness of Data Insanity
Never before have PA/LTC facilities been held more accountable or more scrutinized internally as well as publicly. Yet, many facilities have little or no experience in analyzing data. Using data to identify, and impact, areas of performance improvement is a major function of quality assurance and performance improved (QAPI) success. Unfortunately, staff get stuck wasting time, and money, comparing this month’s measures to numbers last month or last quarter, because they don’t know what to do differently. This session is going to be an eye-opening, no holds barred expose of what we are doing wrong with data and how to make it right. We will delve deeper into the data facets of QAPI using real facility examples to demonstrate how to use data for sustainable process improvement. This will be an interactive session with participation opportunities and clear guidance on strategies for change. It’s time we solve long-standing problems in our facilities for good, and for the greater good.

Learning Objectives:
(1) Recognize the futility and unintended misleading effects of common analyses like bar graphs, trend lines, rankings, and benchmarking and more importantly, what to do differently.
(2) Demonstrate how process-oriented thinking is crucial to every improvement effort.
(3) Explain common cause and special cause variation, and how this knowledge will transform improvement efforts.
(4) Discuss how to choose the right improvement strategy based on the type of variation identified.

Speakers
avatar for Leonard Gelman, MD, CMD

Leonard Gelman, MD, CMD

Leonard Gelman, MD, CMD, has been in private medical practice in the Capital District area of New York for 30 years. He has been an attending physician and medical director for many facilities over these years. He is a member of AMDA and has been on the AMDA Board of Directors most... Read More →
avatar for Paige Hector, LMSW

Paige Hector, LMSW

Paige Hector, LMSW, is a clinical educator with over 25 years’ health care experience. Ms. Hector gives workshops and seminars across the country on diverse topics related to post-acute and long-term care. Published in 2016, she authored two chapters for a textbook titled Managing... Read More →


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

1:30pm

TH13 | Thinking Right and Acting Right: How Medical Directors can Lead the way in Nursing Facility Improvement
This session will present a comprehensive approach to nursing home improvement based on key clinical and management principles, focusing on clinical reasoning. The presenters are jointly responsible for overseeing approximately 60 facilities across multiple states as regional medical directors. In collaboration with those of other key disciplines, they have conceived, developed, and implemented a program that cuts across all measures and topics. The “Thinking Right and Acting Right” program, based on clinical reasoning and across-the-board accountability, has been deployed successfully across multiple facilities and in multiple states. This session will show in detail how this common approach has led to multiple desirable outcomes including sustained improvement in care, improvement in diverse quality measures, better regulatory survey outcomes, more effective medical practitioner roles, and a general strengthening of facility processes and systems. The session will show in detail how medical directors can provide leadership for comprehensive, facility-wide improvement of care and performance in nursing homes. Actual cases and data will be presented to show how this common approach is sustainable and reproducible across settings, and can be understood and applied by those of all disciplines, not just medical practitioners.

Learning Objectives:
(1) Identify key clinical and management principles for meaningful and sustained improvement in a nursing home's care and performance.
(2) Discuss the critical role of medical directors in leading a nursing home to analyze and improve its entire approach to care.
(3) Identify and address in meaningful ways challenges to improvement including the major impact of cognitive biases on care quality.
(4) Implement meaningful, sustained improvement in a nursing facility using efficient and effective clinical and management strategies.

Speakers
avatar for Steven Levenson, MD, CMD

Steven Levenson, MD, CMD

Steven Levenson MD, CMD, is the Regional Medical Director for Kentucky and Tennessee for Genesis Healthcare, as well as a facility medical director and attending physician for several facilities in Maryland. He is the author of various publications on medical direction and has helped... Read More →
avatar for Jean Storm, DO

Jean Storm, DO

Jean Storm, DO, has worked for Genesis Healthcare since 2013 and is currently the Regional Medical Director for West Virginia for Genesis, as well as a facility medical director and attending physician for several facilities in the state. She is a 2001 graduate of the Erie College... Read More →


Thursday March 22, 2018 1:30pm - 5:00pm
San Antonio 5-6
 
Friday, March 23
 

11:00am

FR6 | Rural LTC: A Crossroads in Medical Director Management and Clinical Support
Rural LTC is a challenge for medical directors at a number of levels, including: coordinating regulation with practice, systems development and process, and staff mind set. Rural facilities that are community supported and single entities have a unique set of issues as do rural facilities that are part of corporate chains. Clinical outcomes and care delivered should be raised to acceptable levels. This session will discuss the challenges encountered in rural LTC facilities and provide successful strategies to overcome these challenges.

Learning Objectives:
(1) Discuss challenges that Medical Directors and PCPs encounter in rural LTC settings.
(2) Describe strategies successfully used in rural settings to remain current with new regulations and evolving practice principles in Geriatric Medicine.
(3) Explain approaches that have been successful in rural settings to keep staff focused on LTC initiatives and QAPI supervision.
(4) Utilize strategies to reach out to rural families to educate them on the aging process and LTC expectations.

Speakers
avatar for August Anneberg, MD, CMD

August Anneberg, MD, CMD

August Anneberg MD, CMD, Board Certified Internal Medicine and Geriatrics is a full time multi-facility Medical Director since 1980. Faculty in Geriatrics and Internal Medicine University of Colorado School of Medicine.
avatar for Fred Feinsod, MD, CMD

Fred Feinsod, MD, CMD

Fred Feinsod, MD, CMD, is Board Certified Internal Medicine and Geriatrics and full time LTC Medical Director at urban and rural facilities throughout Colorado and a Division Medical Director for SAVA Senior Care Administrative Services and Medical Director for Schryver Medical LLC... Read More →
avatar for Cynthia Works, MD, CMD

Cynthia Works, MD, CMD

Cynthia Works, MD, CMD, is a Board Certified Family Practitioner, with an emphasis in Geriatrics and has Certificate of Added Qualification in Hospice and Palliative Medicine. Her focus is on optimizing quality of life through appropriate treatment of multiple geriatric syndromes... Read More →


Friday March 23, 2018 11:00am - 12:00pm
Austin 4-6

3:30pm

FR22 | Medical Director Collaboration to Yield a More Meaningful Meeting (and Fun) for all Participants
While federal and state regulations require quality assurance performance improvement (QAPI) meetings, which are often led by the administrator or medical director, the full potential of the meetings is often limited by individuals’ contributions to the meetings, interprofessional relationships, and follow-up of identified issues. Interdisciplinary team (IDT) members may struggle with understanding the value of their roles during QAPI meetings and how to better participate in a productive manner. The collaborative relationship among the medical director, administrator, and director of nursing provides the foundation for leading productive and efficient QAPI meetings. In this session, sponsored by the American Board of Post-Acute and Long-Term Care Medicine (ABPLM), experienced IDT members build upon the previous years’ session to assist the triad of leadership in nursing facilities in their goals of improving QAPI meetings and subsequent care outcomes, resident experience, and the quadruple aim. Based on trends and past performance, create a vision and direction for your facility which guides QAPI meeting.

Learning Objectives:
(1) Build a foundation for a productive QAPI meeting and subsequent performance by developing and/or improving skills in collaboration among the Medical Director-Administrator-Director of Nursing leadership triad.
(2) Based on trends and past performance, create a vision and direction for your facility which guides QAPI meetings.
(3) Develop a plan to maximize the value of technology, such as an EMR, in a facility’s QAPI meeting.
Leverage value of each individual members’ participation in the QAPI meeting.

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 Richard Rethorst, MD, CMD

Richard Rethorst, MD, CMD

Richard Rethorst, MD, CMD, graduated from the University of Kansas School of Medicine in 1988. He works in Benton, Illinois and specializes in Family Medicine and Internal Medicine - Geriatrics.
avatar for Frank Caruso, LNHA

Frank Caruso, LNHA

Frank Caruso, LNHA, has served in the healthcare field in both post-acute/long-term care and acute care since the 1980’s in various roles including SNF accounting, SNF Administrator, Critical Access Hospital Executive roles (CFO, COO, CEO), and most recently in the role of Senior... Read More →
avatar for Eric Hutchins, LNHA, MBA

Eric Hutchins, LNHA, MBA

Eric Hutchins, LNHA, MBA, is currently the VP of Operations and Business Development for Certus Healthcare Management and a Licensed Nursing Home Administrator who has been in the long-term care industry for eight years. Eric has successfully operated nursing homes specializing in... Read More →
avatar for Denise Wassenaar, RN, MSN

Denise Wassenaar, RN, MSN

Denise Wassenaar, RN, MS, NHA, joined MatrixCare as Chief Clinical Officer in May 2013 and serves as Vice President, Clinical and Regulatory Affairs and CCO. A recognized leader in long-term care, Ms. Wassenaar brings innovative strategies and solutions to the changing environment... Read More →


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

3:30pm

FR26 | Stopping Eating and Drinking by Advance Directives: Choose Your Injustice
This session will discuss the ethical dilemmas involved in an advance directive that asks the provider to withhold food and fluid in patients with dementia. The presentation will focus on the dilemma of autonomy and the injustice inherent in a decision to implement or to refuse to implement the advance directive. A panel discussion by members of the Society Ethics Committee will follow.

Learning Objectives:
(1) Discuss the concepts of Voluntarily Stopping Eating and Drinking (VSED) and Stopping Eating and Drinking by Advance Directives (SED by AD).
(2) Describe the various ethical issues involved in implementing SED on a patient with advanced dementia.
(3) Explain the difference between critical and experiential interests and how they contribute towards ethical decision making.
(4) Appreciate the practical difficulties in implementing SED in the nursing home or assisted living setting.

Speakers
avatar for M. Rosina Finley, MD, BSN, CMD

M. Rosina Finley, MD, BSN, CMD

Margaret Finley, MD, CMD, is a Clinical Professor of Medicine with UTHSCSA in the Dept. of F&CM. She is the PA/LTC, Community Hospice & Palliative Care, and Home Health Care Medical Director. She serves on the AMDA: PA/LTC Ethics Committee, the UTHSCSA/UHS Bioethics Committee, and... Read More →
avatar for Timothy Holahan, DO, CMD

Timothy Holahan, DO, CMD

Timothy Holahan, DO, CMD, is a board certified geriatrician/palliative care physician and Certified Medical Director with the University of Rochester Medical Center. Dr. Holahan has diverse patient care duties including inpatient and SNF patient care responsibilities. He serves as... Read More →
avatar for Peter Jaggard, MD, CMD

Peter Jaggard, MD, CMD

Peter Jaggard MD, CMD, is Medical Director at Presbyterian Homes in Evanston, Illinois. He is Board-certified in Internal Medicine and Geriatrics. Dr. Jaggard has worked in Post-Acute and Long Term Care for 34 years. He currently chairs the AMDA-PA/LTC Ethics Subcommittee.
avatar for Fatima Naqvi, MD, CMD

Fatima Naqvi, MD, CMD

Fatima Naqvi, MD, CMD, is a Geriatrician and Certified Medical Director with a passion for Palliative Care and quality improvement projects. Dr. Naqvi is a Maryland MOLST (Life Sustaining Treatment Form) Master Trainer, teaches GW CRNP students, and works in CCRC, LTC, ALF, Independent... Read More →
avatar for James Wright, MD, PhD, CMD

James Wright, MD, PhD, CMD

James Wright, MD, PhD, CMD, is a member of AMDA Ethics committee. He holds a Masters of Arts in Theological Studies from Union Presbyterian Seminary and a Certificate in Bioethics from Loyola University, Chicago. Dr. Wright is currently writing a book addressing the theological... Read More →


Friday March 23, 2018 3:30pm - 5:00pm
San Antonio 4-6

3:30pm

FR27 | Leading Change in LTC
This session will discuss the need for medical leadership in LTC and the larger health care system. Effective leadership characteristics and behaviors will be reviewed. The participant will learn the process of leading organization change. The session will include a presentation followed by small group discussion.

Learning Objectives:
(1) Explain why the need for medical leadership in the LTC continuum has changed.
(2) List common characteristics of an effective leader.
(3) Outline the process of leading an organizational change.
(4) Explain the different skills needed for clinical practice versus change leadership.

Speakers
avatar for Dallas Nelson, MD, CMD

Dallas Nelson, MD, CMD

Dallas Nelson, MD, FACP, CMD, is an associate professor of Medicine at the University of the Rochester in the Division Geriatrics and Aging. She is medical director of the UR Medicine Geriatrics Group, a group that serves about 3000 patients across the spectrum of long term care in... Read More →
avatar for James Lett, II, MD, CMD

James Lett, II, MD, CMD

James Lett, II, MD, CMDR, is certified by the American Board of Family Practice with a Certificate in Added Qualifications in Geriatrics and is a Certified Medical Director (CMD). He is a past president in 2003-2004 of the American Medical Directors Association (AMDA), a 5,000-member... Read More →
avatar for Susan Levy, MD, CMD

Susan Levy, MD, CMD

Susan Levy, MD, CMD, earned her medical degree from the University of Maryland in 1979 and completed an Internal Medicine residency at the Medical University of South Carolina. She also completed a geriatric fellowship at the Mount Sinai Medical Center in New York in 1985. Dr. Levy... Read More →


Friday March 23, 2018 3:30pm - 5:00pm
Grapevine Ballroom B
 
Saturday, March 24
 

11:00am

SA10 | Disaster Preparedness 101
Serious weather-related or other types of disasters can severely impact our ability to safely care for our residents. The evaluation and decision process to shelter in place or to evacuate residents is critical to best care for our communities of residents. Last fall’s Hurricane Harvey posed a widespread risk to several nursing facilities in the Houston, Texas area. This session will cover case presentations and group discussion of the following aspects of responding to a disaster: ongoing baseline disaster preparedness for nursing facilities, the decision-making process when a substantial threat is identified, mobilizing resources to assist in facility evacuation, tracking the evacuation of individual residents, assuring that medications and other services remain available for residents throughout the process.

Learning Objectives:
(1) Discuss the physical and regulatory risks of hurricanes and other natural disasters.
(2) Demonstrate knowledge of the components of a comprehensive disaster response plan.
(3) Explain how effective coordination of the interdisciplinary team is crucial to a successful response.
(4) Describe how effective communication with the electronic medical record system is essential for coordination of pharmacy providers, administrators, directors of nursing, and medical directors in the facilities that are evacuating and receiving residents during a natural disaster.

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 Annaliese Impink, JD

Annaliese Impink, JD

Annaliese Impink, JD, is the EVP of Legal Operations and Regulatory Affairs at SavaSeniorCare Administrative Service, LLC. She coordinated the disaster response plan for five of nursing facilities affected by Hurricane Harvey in the Houston area in August 2017 and several other past... Read More →
avatar for Stacey Hallissey, PT

Stacey Hallissey, PT

Stacey Hallissey, PT, is the SVP of Rehabilitation Services at SavaSeniorCare Consulting, LLC. She coordinated the disaster response plan for Sava’s buildings affected by Hurricane Harvey and several other past natural disasters.


Saturday March 24, 2018 11:00am - 12:30pm
Austin 4-6

11:00am

SA11 | The “How To” Implementation of Pain Management, Pressure Ulcers and Other Wounds, and Heart Failure Clinical Practice Guidelines in PA/LTC
Clinical challenges such as pain, wounds, and heart failure are prevalent in the PA/LTC setting and managing these conditions effectively requires that the interprofessional team develop a plan of care that supports patient-centered goals that are both realistic and achievable while striving to provide optimal care to each patient. Pain in the PA/LTC setting affects rehabilitation and mood and pain management should be considered a patient’s right in the PA/LTC setting. However, with the opioid epidemic and new rules it is essential to follow the regulations, but also address pain effectively. Pressure ulcers and other wounds remain a major cause of morbidity and mortality, affecting an estimated 2.5 million patients per year and costing up to $11.6 billion dollars per year in the United States. Readmission after a hospitalization for heart failure is still common among PA/LTC patients, with almost half of the patients readmitted within 6 months. Furthermore, for each of these conditions, older adults almost always have multimorbidity that influences the treatment of the primary condition. The workshop will utilize the clinical practice guidelines and their accompanying pocket guides as a framework for discussion of common patient scenarios involving acute and chronic pain, wounds, and heart failure. During the workshop, there will be specific attention to strategies for utilization and implementation of the evidence-based guidelines in the real world.

Learning Objectives:
(1) Discuss best practice methods to promote the interprofessional implementation of clinical practice guidelines in their facilities.
(2) Incorporate the pain management, pressure ulcers and other wounds, and heart failure clinical practice guidelines in their facilities.

Speakers
avatar for Gwendolen Buhr, MD, MEd, CMD

Gwendolen Buhr, MD, MEd, CMD

Gwendolen Buhr, MD, MEd, CMD, is an Associate Professor in the Department of Medicine, Division of Geriatrics at Duke University Medical Center. She works as an educator and clinician teaching and practicing in the long‐term care setting. She earned her MD from the University of... Read More →
avatar for Robert Hogikyan, MD, MPH, CMD

Robert Hogikyan, MD, MPH, CMD

Robert Hogikyan, MD, MPH, CMD, is Clinical Associate Professor of Internal Medicine at the University of Michigan and the current Section Chief, Geriatric Medicine within Medicine Service at the VA Ann Arbor Healthcare System (VAAAHS). He is Program Director of the VA Fellowship in... Read More →
avatar for Deborah Way, MD, CMD

Deborah Way, MD, CMD

Deborah Way, MD, FAAHPM, CMD, serves as the Medical Director of Palliative Care Services at Corporal Michael J. Crescenz VA Medical Center in Philadelphia, PA.  She is an Assistant Professor of Medicine at the University of Pennsylvania School of Medicine. Her passions are providing... Read More →
avatar for Gabriel Brandeis, MD, CMD

Gabriel Brandeis, MD, CMD

Gabriel Brandeis, MD, CMD, is a graduate of the Mt. Sinai School of Medicine in New York City. He completed his Geriatric Fellowship training at the Harvard University program in Boston. He is currently the Senior Medical Director of The New Jewish Home in New York City. He is also... Read More →
MP

Manisha Parulekar, MD, CMD

Manisha Parulekar, MD, CMD, is the Interim Chief of Geriatrics and the Program Director of the Geriatrics Fellowship Program at Hackensack University Medical Center. Dr. Parulekar is board-certified in geriatrics, internal medicine, and palliative and hospice medicine. She completed... Read More →
avatar for Victoria Nalls, GNP

Victoria Nalls, GNP

Victoria Nalls, GNP, is a geriatric nurse practitioner and the Mid-Atlantic clinical educator for Optum CCM. She also has certifications as a wound specialist through the American Board of Wound Management and hospice/palliative care certification through HPCC. She has been a clinician... Read More →


Saturday March 24, 2018 11:00am - 12:30pm
Grapevine Ballroom B

11:00am

SA6 | Beyond 5-Star Quality Rating System, A Guide to Survive the New Changes
Centers for Medicare & Medicaid Services (CMS) has made several changes to the Quality Measure Domain (QM) of the 5- Star Quality Rating System, as well as the staffing data submission. The new quality measures are related to successful discharges to the community, emergency department visits, re-hospitalization, and improvement and maintenance of a resident’s function. This session will primarily focus on the impact of the new changes in the overall star rating and its effect on the facilities, with a particular emphasis on practical approaches, case studies, and QAPI interventions to improve on the new quality measures.

Learning Objectives:
(1) Describe the 5-star quality rating system and its three domains.
(2) Identify the new developments in staffing data submission- Payroll Based Journal (PBJ).
(3) Explain the five new quality measures (QM), QAPI interventions to successfully improve quality and the new QM Metrix.
(4)

Speakers
avatar for Sabine von Preyss-Friedman, MD, CMD

Sabine von Preyss-Friedman, MD, CMD

Sabine von Preyss-Friedman, MD, CMD, is Associate Clinical Professor of Medicine at the University of Washington. Currently, she serves as Medical Director for several Skilled Nursing Facilities in the Seattle, WA area. Dr. von Preyss-Friedman also holds a position as Chief Medical... Read More →
avatar for Ashkan Javaheri, MD, CMD

Ashkan Javaheri, MD, CMD

Ashkan Javaheri, MD, CMD, completed his family medicine residency at Eastern Virginia Medical School followed by a Geriatric Fellowship at Stanford University School of Medicine. He is Assistant Professor at UC Davis School of Medicine and the Head of Geriatric Division at Mercy Medical... Read More →
avatar for Irene Hamrick, MD

Irene Hamrick, MD

Irene Hamrick, MD, is a Professor and the medical director of the University of Wisconsin advanced practice provider in long-term care program, the Geriatric Services Director of the department of Family Medicine at the University of Wisconsin in Madison. She was previously the Chief... Read More →


Saturday March 24, 2018 11:00am - 12:30pm
Dallas 5-7

11:00am

SA8 | Lessons from Litigation: A Tool for Performance Improvement in PA/LTC Facilities
This session features two experienced medical directors of PA/LTC facilities with many years of experience in providing consulting and expert witness services to providers and attorneys involved in various types of litigation in the PA/LTC arena. They have distilled unique teaching points from many cases and will discuss how providers and facilities can learn from these and implement various interventions, policies, and process improvements pertinent to their own facilities to improve exposure to common areas of liability and potentially avoid litigation.

Learning Objectives:
(1) Describe the main areas of litigation commonly encountered in PA/LTC facilities.
(2) Discuss ways the medical director, attending physician, administrator and DON can glean lessons from PA/LTC litigation to use for performance improvement activities in their facilities that can serve to lessen the chance of being involved in litigation.
(3) Recognize the importance of recognition of 'near miss' events and subsequent implementation of follow-up action to prevent liability with adverse outcomes.
(4) Describe the importance of updated care plans that reflect appropriate goals of care for nursing facility residents in reducing the chance of litigation involving nursing facility residents.

Speakers
avatar for Randall Huss, MD, CMD

Randall Huss, MD, CMD

Randall Huss, MD, CMD, is medical director for Silverstone Place Skilled Nursing Facility in Rolla, MO, and is founder and current president of Missouri Association of Long Term Care Practitioners, as well as past AMDA Board member and House of Delegates Chair. His clinical practice... Read More →
avatar for David Smith, MD, CMD

David Smith, MD, CMD

David Smith, MD, CMD, is president of Geriatric Consultants of Central Texas, PA, and currently a medical director at two facilities and a regional medical director for a hospice organization. He is served a variety of posts in South Dakota and Texas state AMDA chapters and is past... Read More →


Saturday March 24, 2018 11:00am - 12:30pm
Texas 3-4

11:00am

SA4 | Billing and Coding in PA/LTC: How to do it Right!
This session will provide details about billing for services that have recently been approved by the Centers for Medicare & Medicaid Services. Participants will learn the peculiarities of the billing changes for these codes. The session will also review and explore the finer points of some classical billing and coding enigmas that continue to be challenging for many PA/LTC practitioners.

Learning Objectives:
(1) Discuss details of billing complexities for recently approved billing codes used in the geriatric care continuum.
(2) Review details of some recurrently perplexing PA/LTC coding and billing issues.

Speakers
avatar for Alva Baker, III, MD, HMDC, CMDR

Alva Baker, III, MD, HMDC, CMDR

Alva Baker, III, MD, HMDC, CMDR, began caring for frail elderly patients in the long-term care setting in 1972. He served as the Medical Director for Episcopal Ministries to the Aging (EMA) from 1980 until his retirement in June of 2009 as Vice President for Health and Wellness Services... Read More →


Saturday March 24, 2018 11:00am - 12:30pm
Texas Ballroom D

4:00pm

SA20 | Antibiotic Stewardship, Infection Prevention and Control: Three Perspectives on the Reform of Requirements from the Centers for Medicare and Medicaid Services
The Center for Medicare & Medicaid Services (CMS) issued a comprehensive reform of the requirement for LTC facilities to participate in Medicare and Medicaid programs. This session will review the changes relevant to infection prevention and control and antibiotic stewardship, from the perspectives of an infection preventionist, a consultant pharmacist, and an infectious disease physician.

Learning Objectives:
(1) Discuss the infection preventionist’s role and responsibilities indicated in the 2016 Reform of Requirements of Participation.
(2) Review the pharmacy services and the consultant pharmacists’ expanded role in infection prevention and control and antibiotic stewardship programs.
(3) Describe basic components of an antibiotic stewardship program, including an antibiotic stewardship policy and antibiotic use protocols appropriate for PA/LTC settings.

Speakers
avatar for Joseph Marek, RPh, CGP

Joseph Marek, RPh, CGP

Joseph Marek, RPh, BCGP, FASCP, is Corporate Director of Pharmacy Services for CommuniCare Health Services and is the Chairman of the Board of Directors for the American Society of Consultant Pharmacists (ASCP). He currently oversees the clinical, operational and financial aspects... 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 →
avatar for Deborah Burdsall, PhD, RN

Deborah Burdsall, PhD, RN

Deb Burdsall PhD, RN-BC, CIC, FAPIC, has worked in long term care since 1974. Dr. Burdsall is board certified in infection prevention and control (CIC), and ANCC certified in gerontological nursing. She was Infection Control Coordinator/Infection Preventionist at the Lutheran Home/Lutheran... Read More →


Saturday March 24, 2018 4:00pm - 5:30pm
Texas 1-2
 
Sunday, March 25
 

6:30am

SU1 | Red Eye Rounds: Medical Direction Challenges
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 the management aspect of medical direction.

Learning Objectives:
(1) Discuss the newest trends and developments in medical management.
(2) Implement recommendations for best practices in medical direction.

Speakers
avatar for Rebecca Ferrini, MD, MPH, CMD

Rebecca Ferrini, MD, MPH, CMD

Rebecca Ferrini, MD, MPH, CMD, is a full-time medical director for the County of San Diego 192-bed distinct part skilled nursing facility serving a younger, safety net population for 18 years. Her facility is 5 stars (CMS 20/20), has been named a top nursing home in US News and World... 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 Dallas Nelson, MD, CMD

Dallas Nelson, MD, CMD

Dallas Nelson, MD, FACP, CMD, is an associate professor of Medicine at the University of the Rochester in the Division Geriatrics and Aging. She is medical director of the UR Medicine Geriatrics Group, a group that serves about 3000 patients across the spectrum of long term care in... Read More →
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 Susan Levy, MD, CMD

Susan Levy, MD, CMD

Susan Levy, MD, CMD, earned her medical degree from the University of Maryland in 1979 and completed an Internal Medicine residency at the Medical University of South Carolina. She also completed a geriatric fellowship at the Mount Sinai Medical Center in New York in 1985. Dr. Levy... Read More →


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