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Texas 3-4 [clear filter]
Thursday, March 22
 

8:00am MST

TH3 | Latest Approaches to Difficult Medical Issues in PA/LTC
This popular session, by four experienced speakers from Saint Louis University and the University of North Carolina, will present an intensive session covering current and difficult clinical topic in the care of frail elders in the continuum of care. Topics will reflect best recent medical evidence, evidence-based guidelines, and current health care best practices.

Learning Objectives:
(1) Consider a multi-faceted approach to manage lower extremity mobility and polysubstance abuse in PA/LTC.
(2) Discuss treatment options for epilepsy and hepatitis management in PA/LTC.
(3) Use guidelines for management of anemia and vaccination in PA/LTC.
(4) Choose appropriate medications for joint pain and osteoporosis in PA/LTC.

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 →



Thursday March 22, 2018 8:00am - 11:30am MST
Texas 3-4
  Clinical Medicine

1:30pm MST

TH10 | An Evolution in Transitions: Improving the Skilled Nursing Facility and Emergency Department Relationship
This session will lay the foundation for understanding, appreciating, and improving the compromised relationship that has existed between the emergency room and the skilled nursing facility. Experts from the American College of Emergency Physicians (ACEP) and AMDA – The Society for Post-Acute and Long-Term Care Medicine will describe the current state of affairs and how these two institutions can begin to work together in a meaningful and collaborative way as advocates for their mutual patients, based on enhanced communication, education, and the recognition of common goals.

Learning Objectives:
(1) Describe the challenges that exist in the transitions of care environment that act to compromise a purposeful relationship between the skilled nursing facility (SNF) and emergency department (ED).
(2) Realize how the ED, through the work of ACEP, is understanding how it needs to re-define itself in it's care of patients and it's relationship to PA/LTC providers,
(3) Consider how "best practices" in transitioning patients between the ED and SNF can be implemented in both locales
(4) Appreciate how the "geriatric" emergency room can augment the care of patients and positively impact Population Health programs and the Triple Aim.

Speakers
avatar for Wayne Saltsman, MD, PhD, CMD

Wayne Saltsman, MD, PhD, CMD

Wayne Saltsman, MD, CMD, PhD, completed a clinical fellowship in Geriatric medicine at Harvard Medical School and is board-certified in Internal Medicine, Geriatric medicine, and Hospice and Palliative medicine. He is an assistant professor of Medicine at Tufts medical school, and... Read More →


Thursday March 22, 2018 1:30pm - 5:00pm MST
Texas 3-4
  Models of Care
 
Friday, March 23
 

11:00am MST

FR3 | Care of the Actively Dying
This session will discuss the special care needs of the actively dying resident, the special care needs of those in the last few hours to days of life, and review the barriers to meeting those needs. An interdisciplinary protocol developed at the Gouverneur Skilled Nursing Facility will be presented as an example of a successful model to overcome these barriers.

Learning Objectives:
(1) Identify four common physical findings associated with active dying.
(2) Recognize five common institutional barriers to provision of optimal care for the actively dying.
(3) Strategize solutions to overcome these barriers in their institutions.
(4) Recognize how the actively dying phase may affect the care planning for different members of the interdisciplinary team.

Friday March 23, 2018 11:00am - 12:00pm MST
Texas 3-4
  Models of Care

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

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
 
Saturday, March 24
 

11:00am MST

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.

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

2:30pm MST

SA13 | Innovative Approaches to Implement Evidence Based Deprescribing Practices in PA/LTC Setting
This session will address problems associated with polypharmacy in PA/LTC setting and provide strategies to address these problems. The speakers will offer practical tools that can be helpful in deprescribing in the PA/LTC setting.

Learning Objectives:
(1) Discuss current evidence from deprescribing interventions in PA/LTC.
(2) Explain how to overcome barriers to deprescribing in PA/LTC setting.
(3) Explore deprescribing strategies for antipsychotics and opiates in PA/LTC setting.
(4) Describe how to engage interprofessional team members in addressing deprescription in PA/LTC setting.

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 John Derr, RPh

John Derr, RPh

John Derr, RPh, is a thought leader and advocate for PA/LTC having served on many federal and state committees, task forces, and CMS grants. He has also been a consultant to many providers and vendors of PA/LTC. He served as EVP of AHCA/NCAL and SVP/CIO for Golden Living. He was a... Read More →


Saturday March 24, 2018 2:30pm - 3:30pm MST
Texas 3-4
  Clinical Medicine

4:00pm MST

SA21 | Dementia Care Conversations
People with dementia lose expressive and receptive language ability and become verbally disabled over time. Clinicians and caregivers rely heavily on language and open-ended questions to connect with patients, assess their needs, and intervene. Without intact language skills, people with dementia have difficulty connecting with others and making their needs known. This session will introduce curricula developed to teach learners from multiple disciplines how to connect, develop a relationship, and communicate with people who have dementia using both verbal and nonverbal skills. These skills are useful in the office, hospital, and PA/LTC setting. And they could potentially help clinicians (from physicians and therapists to CNAs) coach and counsel families about 1) what to expect, 2) how to avoid, and 3) how to respond to challenging situations in dementia care. The speakers will present a brief overview of our curricula and role play learner-coach interactions and skill assessment in this interactive session.

Learning Objectives:
(1) Describe how to connect and develop a relationship with a cognitive-impaired older adult.
(2) Evaluate an individual’s ability to connect and develop a relationship with a cognitively-impaired older adult.
(3) Identify a need or opportunity to develop a dementia care conversations curriculum in their home institutions.


Saturday March 24, 2018 4:00pm - 5:30pm MST
Texas 3-4
  Clinical Medicine
 
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