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Thursday, March 22
 

8:00am MST

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 Kevin O'Neil, MD, CMD

Kevin O'Neil, MD, CMD

Kevin O’Neil, MD, FACP, is the Chief Medical Officer for Ascension Senior Living. He was formerly the Chief Medical Officer at Brookdale Senior Living (BSL) from 2006 until October 2016. Dr. O’Neil is a Clinical Professor in the Department of Aging Studies at the University of... Read More →


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

1:30pm MST

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 MST
San Antonio 5-6
  Medical Direction

1:30pm MST

TH8 | Managing Quality Reporting in PA/LTC Medicine: Strategies for Selecting, Capturing, and Reporting Quality Metrics in Your Practice
Quality measures are the largest determinant of your 'value' under all Medicare/Medicaid programs. Beginning with 2017, they determine how all physicians, APNs, and PAs are 'rated'. Those ratings follow you across all employment settings. Understanding how to manage your quality scores is becoming professionally critical. Each practitioner can be enrolled in multiple programs with different reporting requirements. You'll learn about managing quality for different audiences, reporting for regulatory purposes (CMS), and how to improve shared-patient care. This program is designed for clinical and administrative leaders with responsibility for quality reporting and quality strategies.

Learning Objectives:
(1) Select a menu of MIPS Quality Measures that are likely to yield better scores in 2018.
(2) Describe the design of the quality metrics through the APM model, and how to participate.
(3) Discuss how do practices contribute to I-SNP quality?
(4) Identify how AMDA members can redefine PAC and LTC quality that's appropriate for patients, the practitioner, partners, and payors.

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 Kerry Weiner, MD, MPH

Kerry Weiner, MD, MPH

Kerry Weiner, MD, MPH, is currently the Chief Medical Officer for IPC-The Hospitalist Company, Inc. (Nasdaq:IPCM), a leading national physician group practice company. In his role, Dr. Weiner is responsible for the ongoing development of leadership skills for IPC's 1,400 hospital... 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 Rod Baird, MS

Rod Baird, MS

William “Rod” Baird, MS, has experience that includes 35+ years of LTC Physician and Provider management. He is currently President of GPM, the developer of gEHRiMed™, a Stage 2 ONC certified ambulatory EHR for LTPAC Physicians. Until 2014, he was the President of Extended Care... Read More →


Thursday March 22, 2018 1:30pm - 5:00pm MST
Texas D
  Practice Management
 
Friday, March 23
 

1:30pm MST

FR17 | New Approaches to Healthcare: How Society Plans to Facilitate Innovative Experimentation
Health care is changing fast and no setting is being affected more than the PA/LTC setting. Stakeholders are demanding high quality, and so are patients and their families. In the context of these changes and funding constraints, the value of innovation and implementation has been amplified. Last year, the Society conducted an Innovations Forum that provided members a platform to voice their ideas around the Society's role in PA/LTC innovations. The message was clear: the Society needs to be the leader in PA/LTC innovation and change. In response, the Board of Directors nominated the Innovations Platform Advisory Committee (IPAC) that consists of clinicians, entrepreneurs, and academicians to promote the Society as an innovations leader in the PA/LTC setting. In this session, IPAC leaders will provide an overview of the IPAC charter and initial projects undertaken by the group. The session will also invite several PA/LTC innovators to present their work to the audience who will then select the two winners of the first ever Society Innovations Challenge.

Learning Objectives:
(1) Describe the Innovations Platform Advisory Committee (IPAC) Charter for AMDA Innovations.
(2) Discuss next steps to incorporate Innovations in to AMDA's culture.
(3) Review finalists selected by the IPAC to compete in the Shark Tank competition.

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 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 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. In her role as Associate Director of the Denver-Seattle Center for Veteran-Centric and Value-Driven Care, she works with over 30 health services researchers... Read More →


Friday March 23, 2018 1:30pm - 3:00pm MST
San Antonio 5-6
  Models of Care

1:30pm MST

FR18 | Coming Soon to Your Town: Post-Acute Networks and APMs
This session will discuss the importance of Post-Acute Network formation, the processes involved in selection and maintenance and the impact it will have on post-acute care providers. The importance of networks to the value-based payment (VBP) concept will be reviewed, along with suggestions as to how to assist with positioning your facilities for participation. An integral part of these changes will be advanced alternative practice models (Advanced APMs), which are designed to move clinicians away from fee-for-service to value-based payment. Advanced APMs are APMs where providers must bear more than “nominal financial risk” for monetary losses and ensure quality, in addition to other criteria. Currently there are no specific PA/LTC APMs, but there are some that will involve these settings. There is a significant opportunity for the Society to not only participate effectively in pertinent APMs, but more importantly to create new models specific for the populations we serve.

Learning Objectives:
(1) Discuss Why Post-Acute Networks are being formed, and how participating Facilities are chosen.
(2) Compare the merits of MIPS and Advanced APMs.
(3) Review current Advanced APMs that include PA/LTC care sites.
(4) Describe the potential advantages of a PA/LTC specific Advanced APMs.

Speakers
avatar for Charles Crecelius, MD, PhD, CMD

Charles Crecelius, MD, PhD, CMD

Charles Crecelius, MD, CMD, PhD, is currently the medical director at Willowbrook Medical Center. He is the immediate past chair of AMDA’s Public Policy Committee and is a Past President of AMDA among his many other leadership positions within the organization.
avatar for Kerry Weiner, MD, MPH

Kerry Weiner, MD, MPH

Kerry Weiner, MD, MPH, is currently the Chief Medical Officer for IPC-The Hospitalist Company, Inc. (Nasdaq:IPCM), a leading national physician group practice company. In his role, Dr. Weiner is responsible for the ongoing development of leadership skills for IPC's 1,400 hospital... Read More →


Friday March 23, 2018 1:30pm - 3:00pm MST
Texas Ballroom C
  Practice Management

3:30pm MST

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 →


Friday March 23, 2018 3:30pm - 5:00pm MST
Texas 3-4
  Clinical Medicine

3:30pm MST

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 geriatrician in the Baltimore region and currently serves as Chair of the American Board of Post-Acute and Long-Term Care Medicine. He is president of MMDA--The Mid-Atlantic Society for Post-Acute and Long Term Care Medicine, and he serves on... Read More →


Friday March 23, 2018 3:30pm - 5:00pm MST
Dallas 5-6
  Medical Direction

3:30pm MST

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, CMD, FACP, 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 →


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

11:00am MST

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, CMD, FAAHPM, is an internist with subspecialty board certification in geriatrics and hospice and palliative medicine. She has provided primary geriatric care and hospice and palliative care across the care spectrum. Dr. Way  provides palliative care and end of life... Read More →


Saturday March 24, 2018 11:00am - 12:30pm MST
Grapevine B
  Medical Direction

11:00am MST

SA3 | To D/C or Not to D/C: Implementing Deprescribing Into Your Clinical Practice
By reviewing the quality improvement (QI) process, this session will offer the PA/LTC health care provider evidence-based and practical suggestions to implementing deprescribing, or more specifically a deprescribing initiative, into clinical practice. It will also review communication techniques for deprescribing utilizing case-based vignettes.

Learning Objectives:
(1) Review the role of deprescribing in management of polypharmacy or potentially inappropriate medications in PA/LTC residents.
(2) Explore and debate the elements of a successful PA/LTC deprescribing initiative within the QAPI format.
(3) Practice communication strategies for deprescribing with residents, family and caregivers, and other practitioners.

Speakers
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 →


Saturday March 24, 2018 11:00am - 12:30pm MST
Texas 1-2
  Models of Care