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Thursday, March 22
 

8:00am MST

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.


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

8:00am MST

TH1 | Basics of Value-Based Practice (VBP), Program Models, and Clinical Strategies for Success
In this session readmissions, length of stay (LOS), advance care planning, and patient/family education will be presented with strategies for positive individual clinician and group practice outcomes/performance. The speakers will discuss provider actions that “influence a good discharge” and the concept of “discharge planning beginning on admission.” This session will explore use of facility resources and home health nursing and provider/practice behaviors that influence positive partnerships with facilities and partners.

Learning Objectives:
(1) Describe general concepts of Value Based Purchasing Models and alterations in clinical practice and workflow to ensure success in participation.
(2) Explain the concepts of risk-bearing within VBP models, as well as metrics utilized, data collection, and reporting options.
(3) Discuss the role and Management of Readmission Rates, Advance Directives, and Length of Stay in VBP strategies.
(4) Recognize the importance of Medication Optimization, Facility Partnering, and use of Available Resources in VBP Strategies.

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.


Thursday March 22, 2018 8:00am - 11:30am MST
Texas D
  Practice Management
 
Friday, March 23
 

1:30pm MST

FR12 | Demonstrating Improvement in Pain Management Through a Novel, International Collaborative Approach to QI
This session will present the results of a 2-year improvement project to improve pain management for LTC residents among 12 senior care organizations in Canada and the United States. Beginning in January 2014, the Seniors Quality Leap Initiative (SQLI) initiated an improvement project to improve site and average performance on a number of quality improvement measures related to pain in LTC. Using the evidence-based InterRAI Clinical Assessment Protocol (CAP) for pain as well as the Registered Nurses Association of Ontario (RNAO) best practice guideline for pain, the SQLI developed a method to conduct an in-depth gap analysis based on best practice to develop an improvement plan based on individual gaps. This novel, collaborative approach is the first of its kind in the long-term care sector.

Learning Objectives:
(1) Define the organizational based interventions that have shown to lead to significant improvement in quality measures related to pain in LTC in both Canada and the US.
(2) Describe the best practice approaches to pain management in post-acute and LTC,
(3) Describe the elements of the gap analysis and how it can be applied other quality improvement projects in the LTC sector.
(4) Identify strategies, resources and supports necessary to drive change and success and the impact of this quality improvement approach on LTC policy.

Speakers
avatar for Paul Katz, MD, CMD

Paul Katz, MD, CMD

Paul Katz, MD, CMD, is Professor of Medicine and Director of the Department of Geriatric Medicine, Florida State University, and a Past President of the American Medical Director's Association. He is the lead physician of the Working Committee of the Seniors Quality Leap Initiative... Read More →


Friday March 23, 2018 1:30pm - 3:00pm MST
Texas 3-4
  Models of Care

3:30pm MST

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.


Friday March 23, 2018 3:30pm - 5:00pm MST
Texas 5-6
  Clinical Medicine
 
Saturday, March 24
 

2:30pm MST

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.

Saturday March 24, 2018 2:30pm - 3:30pm MST
Ft. Worth 5-7
  Clinical Medicine

4:00pm MST

SA23 | Addressing the Needs and Challenges of Younger Adults in LTC
This session will examine differing needs and risks associated with younger residents in LTC. Speakers will discuss reasons for the growth of this population, and associated challenges as LTC facilities and staff adapt to individuals who may be very long-term residents whom are tech savvy, may retain considerable physical or cognitive capacity, and also may retain interests or personality traits that can be very difficult to manage in a traditional SNF setting.

Learning Objectives:
(1) Describe common medical conditions affecting younger residents and psychosocial correlates of these conditions.
(2) Identify risks that may be associated with younger residents and a strategy to mitigate them.
(3) Develop a care plan to address psychosocial issues of younger residents including activity and risk management components.

Speakers
avatar for Rebecca Ferrini, MD, MPH, CMD

Rebecca Ferrini, MD, MPH, CMD

Rebecca Ferrini, MD, MPH, CMD is the full-time medical director of Edgemoor Hospital DP SNF in Santee, California, a government run 192-bed facility which cares for a younger long-term care population with extensive physical, psychosocial and psychiatric challenges. She was honored... Read More →


Saturday March 24, 2018 4:00pm - 5:30pm MST
Dallas 5-6
  Models of Care
 
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