2017 AMDA Conference

The session will highlight the latest scientific evidence through a series of brief oral presentations from leading researchers in the field of PA/LTC medicine. 10 minute oral presentations will be followed by a 5 minute dialogue between the audience and speakers.

Learning Objectives:
(1) Describe recent research studies conducted in the PA/LTC settings.
(2) Disseminate research results and conclusions with peers in the PA/LTC field.
(3) Direct clarifying questions to researchers about studies performed in PA/LTC settings.

This session will provide participants with emerging information regarding urinary tract infection (UTI) management from national and international antimicrobial stewardship projects. The session will discuss implementation of new guidelines for the diagnosis of UTI, the development of new guidelines for the diagnosis and management of uncomplicated cystitis, and the presenter's experience in implementing a post-prescribing antibiotic time out as recommended by the Centers for Disease Control and Prevention (CDC).

Learning Objectives:
(1) Discuss facilitators and barriers with regard to implementation of a restrictive antibiotic prescription policy for UTI.
(2) Describe new guidelines for the diagnosis and treatment of uncomplicated cystitis in nursing home residents.
(3) Discuss factors to consider in the implementation of a post-prescribing antibiotic time out.

This session will focus on the collaborative and interdisciplinary nature of improving the quality of care and life for PA/LTC residents. It will feature presentations by the Foundation's 2017 Quality Improvement Award winner on the "Quality of Dementia End-of-Life (EOL) Care in Nursing Homes using Quality Data Collection Tool for Palliative Care (QDACT-PC) Registry," as well as presentation from the winners of the 2018 QI & Health Outcome (QIHO) Award. These awards are centered on programs that facilities have successfully implemented to improve the quality of life for their residents. These presentations will form the basis for discussion by Robert Kaplan, MD, CMD, Thomas Caprio, MD, CMD, and Dulce Maria Cruz Oliver, MD. The discussion will serve to highlight the relationship between individual QI initiatives and larger research projects and trends that strengthen the quality of life across the PA/LTC continuum.

Learning Objectives:
(1) Appreciate the diversity and impact of quality improvement and quality of life projects in the PA/LTC setting.
(2) Describe the difference in project design and implementation of quality of care and quality of life projects.
(3) Discuss the challenges in impacting the quality of care and life in the PA/LTC setting.

This session will present the methodologies and findings of a 3-year study that examined the effects of MUSIC and MEMORY on reducing antipsychotics and improving behaviors of residents with dementia in over 250 California nursing homes. Additionally, we will discuss in detail the experiences of nursing home staff in the implementation of this program as a quality assurance performance improvement (QAPI) initiative. Time will be spent with the audience members to discuss ways to improve QAPI implementation based on the findings from this study.

Learning Objectives:
(1) Discuss the impact of MUSIC and MEMORY as a non-pharmacological intervention for residents with dementia.
(2) Describe the collaboration between California Association of Health Facilities and UC Davis in conducting this study.
(3) Examine facilitators and challenges to the implementation of a QAPI initiative.
(4) Recognize how to adapt and apply the methodologies used in this program to other situations and topics.

The session will present updates and outcomes from research about antimicrobial stewardship in PA/LTC settings, including cultural facilitators and barriers to improving antibiotic use and ongoing work that promotes antimicrobial stewardship as part of a culture of safety. Outcomes, challenges, and lessons learned shared in this session can support attendees seeking to innovate antimicrobial stewardship in their buildings.

Learning Objectives:
(1) Recognize features of community PA/LTCs settings that appear to correlate with lower rates of overall antibiotic use.
(2) Discuss outcomes from research that supported PA/LTC settings in using their own data and forming collaborative antimicrobial stewardship teams.
(3) Explain the relevance of implementing antibiotic stewardship as a part a culture of safety that includes leadership, administration and front-line staff.