PALTtalk

The latest policy news from Director of Policy and Advocacy Alex Bardakh.

 

 

Questions? Email Alex at [email protected]

 

* AMDA-On-The-Hill podcasts are not eligible for CMD credits

Joseph G. Ouslander, MD

Joseph G. Ouslander, M.D., is Professor and Senior Associate Dean for Geriatric Programs at the Charles E. Schmidt College of Medicine at Florida Atlantic University and Professor (Courtesy) at the Christine E. Lynn College of Nursing at FAU in Boca Raton, Florida. He is a graduate of Johns Hopkins University and the Case Western Reserve School of Medicine. Among Dr. Ouslanders' many achievements and contributions in the field of geriatric medicine and care is the creation and dissemination of Interventions to Reduce Acute Care Transfers (INTERACT), a quality improvement program that assists long-term care facilities and programs in improving care, and reducing unnecessary hospitalizations and their related complications and costs.

 

References:

J. Ouslander, et. al., "Evaluation of Nursing Facility Resident Safety During Implementation of the INTERACT Quality Improvement Program", JAMDA, 2018

Jencks, SF, et. al., "Rehospitalizations among Patients in the Medicare Fee-for-Service Program", NEJM, 2009

Gozalo, P, et. al., "End-of-Life Transitions among Nursing Home Residents with Cognitive Issues", NEJM, 2011

Ouslander, JG, et al, "Interventions to Reduce Hospitalizations from Nursing Homes: Evaluation of the INTERACT II Collaborative Quality Improvement Project", JAGS, 2011

Ouslander, JG, et al, "Hospital Transfers of Skilled Nursing Facility (SNF) Patients Within 48 Hours and 30 Days After SNF Admission", JAMDA, 2016

Flint, LA, et al, "Perspective: Rehabbed to Death", NEJM, 2019

Episode 24

Winston Liu, BS, Duke Univ.

Winston Liu, BS is an MD/PhD student at the Duke University School of Medicine. He graduated from the University of Maryland in 2015 with a degree in bioengineering. He recently joined the Bohórquez Laboratory for his PhD training, and he is dissecting a neural circuit that transduces sensory cues from gut luminal microbes to brain areas that control behavior. During his first two years of medical school, he helped to develop a personalized music listening program for assisted living residents with dementia. Winston aims to become an independent physician-scientist focused on the interactions between our mind and other organ systems.

 

References:

Kelly Murphy MD, Winston Liu BS, et al, "Implementation of personalized music listening for assisted living residents with dementia", Geriatric Nursing, 2018

Cohen, Dan MSW "More Music, Fewer Meds", AMDA 2016 Conference

CDC.gov

American Music Therapy Association

Linda Gerdner, Stanford geriatric education center

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 Medicine Fellowship. Her primary scholarly interest is interprofessional health education to improve the care of the frail geriatric patient. Dr. Little has been on the St. Louis Magazine Best Doctor list since 2013. She is a Certified Medical Director and as such, has been a medical director at a number of Skilled Nursing Facilities. She served AMDA on the board of directors from 2012-2016 and from 2017 to present.

 

References:

M. Little, "TREATING AND PREVENTING CLOSTRIDIUM DIFFICILE INFECTION IN LONG-TERM CARE FACILITIES", Managed Healthcare Connect, Nov, 2018

C. McDonald, et. al."Clinical Practice Guidelines for Clostridium difficile Infection in Adults and Children: 2017 Update by the Infectious Diseases Society of America (IDSA) and Society for Healthcare Epidemiology of America (SHEA)", Clinical Infectious Diseases, Volume 66, Issue 7, 19 March 2018

Leffler, DA and Lamont JT, "Clostridium difficile Infection”, New England Journal of Medicine, 2015

Lessa, FC, et. al., “Burden of Clostridium difficile Infection in the United States", New England Journal of Medicine, 2015

Ethics - SED by AD

James Wright, MD, PhD, CMD

James Wright, MD, PhD, CMD, is Vice Chair of AMDA-PALTC’s 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, medical and ethical implications of dementia, called “Love Endures”. He is medical director of three facilities in Richmond, Virginia.

References:

AMDA White Paper, "The Role of a Facility Ethics Committee in Decision-Making at the End of Life", March, 2008

Paula Span, "The VSED Exit: A Way to Speed Up Dying, Without Asking Permission", York Times, 2016

Ivanovic, N., et al, "Voluntary stopping of eating and drinking at the end of life - a 'systematic search and review' giving insight into an option of hastening death in capacitated adults at the end of life.”, BMC-Palliative Care, 2014

Wax, J. et al, "Voluntary Stopping Eating and Drinking”, Journal of the American Geriatrics Society, 2018

Episode 21: SNF/ER Transition Process

Dr. Adam Perry

 

Adam Perry, MD, is an emergency physician and fellowship trained geriatrician. He is Assistant Professor of Medicine at the Geisinger Commonwealth College of Medicine. He is also a faculty member of the Geriatric Emergency Department Collaborative, in which capacity he presents nationally on clinical and quality improvement topics at health systems implementing emergency department geriatric initiatives.

 

 

References:

Gettel et. al. The Impact of Incomplete Nursing Home Transfer Documentation on Emergency Department Care", JAMDA, October, 2018

Adam Perry, MD; Firas Saidi, MD, CMD "The Emergency Department Joins the Interdisciplinary Team: Strategies to Improve Acute Care Transitions and Reduce ED Capture", AMDA Annual Conference, Grapevine, TX

Robert Burke, et al. "Identifying Potentially Preventable Emergency Department Visits by Nursing Home Residents in the United States", JAMDA, 2015

The latest policy news from Director of Policy and Advocacy Alex Bardakh.

 

Questions? Email Alex at [email protected]

Episode 20: Physical Therapy in PALTC

Dr. Timothy Swenson PT, DPT, OCS, CMTPT

 Dr. Swenson holds a doctorate in Physical Therapy. He is a Board Certified Orthopedic Clinical Specialist, and certified to perform dry needling.

 

 

 

References:

Barbara Resnick, PhD, CRNP, FAAN, FAANP Interdisciplinary Interventions and Teams Are Good…Can We Move Beyond That? JAMDA, July, 2013

Physical Activity Guidelines Health.gov

The latest policy news from Director of Policy and Advocacy Alex Bardakh, including a look back at another successful Hill Day.

* AMDA-On-The-Hill podcasts are not eligible for CMD credits

Questions? Email Alex at [email protected]

Related Resources:

MACRA, MIPS and APMS: Current Requirements and Proposed Changes

Advanced Care Planning Series

Guide to PA/LTC Coding, Reimbursement, and Documentation

Dr. David Smith. M.D., FAAFP, CMD

Dr. Smith is President at Geriatric Consultants of Central Tx, P.A., an Area MHMR Board Member. He serves on various state committees and stakeholder taskforces. He is a Texas Medical Directors Assn. Board Member, and Past President of the American Medical Directors Assn.

 

 

References:

Dr. David Smith, Documented, Systematic and Individualized Communication With the Attending Physician for Fall Risk Reduction/Injury Mitigation Care Planning, JAMDA 8/18

Tinetti, ME, “Risk factors for serious injury during falls by older persons in the community”, JAGS, 1995

Soriano, TA, et al, “Falls in the community-dwelling older adult: a review for primary-care providers” Clin Interv Aging, 2007