Charting the Course of Post-Acute and Long-Term Care Medicine

AMDA's annual meeting was a huge success.  We thank our speakers for their efforts in providing timely, quality information to our attendees.


OHCQ:  Clinical Alerts

To read the latest Clinical Alert from OHCQ, click the topic of interest for clinical pearls & tips  Transdermal Fentanyl

Do You Meet Maryland Regulations Regarding Medical Director's Education Eligibility Requirements?

Click here to learn more about the required course on medical direction.

Improving Dementia Care

CMS Update as of January 2015

CMS Announce New Goal for 2015 to reduce antipsychotic use by 25% by the end of 2015
Trend Update 2011-2014Antipsychotic Use by Facility updated 10/14

Both the long-stay and short-stay measures exclude residents with Schizophrenia, Tourette's syndrome, or Huntington's disease.

The Partnership to Improve Dementia Care is an initiative launched by CMS to ensure appropriate care and use of antipsychotic medications in nursing home patient.  The current goal is to reduce the use of antipsychotic drugs in nursing homes by 15% by the end of 2012.  The partnership is with industry and advocates including AMDA.  Efforts to achieve this goal include enhanced education to front line staff with a six hour training program entitled Hand in Hand that should be released and sent to all nursing homes shortly.  There will also be enhanced surveyor training at a state and federal level.  The importance of non-pharmacologic interventions in approaching patients with BPSD (Behavioral and Psychological Symptoms of Dementia) is being emphasized.  Increased transparency is being achieved by making data on individual facilities available through the Nursing Home Compare website that will be regularly updated

At a state level coalitions are under development. In Maryland the coalition lead is Dr. Susan Levy (current MMDA Past President and AMDA board member) along with Dr. Steve Levenson as co-leader (prior MMDA and AMDA President). The state coalition includes representatives from industry, advocacy groups, professional organizations, as well as local state and federal representatives. Individuals interested in state coalition activities may contact either Drs. Levy or Levenson.  Current state activities have included multiple educational sessions including the Friday evening presentations at our annual MMDA meeting in Frederick.  Facility medical directors and attending physicians are encouraged to look at their facility performance on the Nursing Home Compare website.  Successful interventions to improve dementia care include medical director led behavior rounds including medication reviews with the interdisciplinary team.  Support of staff education by the medical director and offering to educate staff about the initiative are also important.  Drs. Levy and Levenson provided a grand rounds presentation to CMS during September 2012.

Further tools, educational materials, and public policy information is also available through the AMDA website.

New AMDA Distance Learning Opportunities Now Available Online!

AMDA has expanded its online and distance learning offerings.  Adding live webinars, recorded webcasts and bringing back CME credits on revised CPGs, AMDA's education outreach continues to grow to meet the needs of practitioners in the long term care setting.  Participants can earn both CME credits and CMD credits for these educational activities which are now available to you at the click of a mouse.  This is a fantastic opportunity to get long term care specific education without the need to book flights or take time away from your busy practice.

Recently added CME activities include education on practice management, billing and coding in long term care and revised CPGs on COPD, Heart Failure and Parkinson's Disease in the long term care setting.  Whether you are new to the long term care setting, or if you have year's of long term care practice experience, AMDA has put together these CME activities to keep you up to date on clinical and management areas important to your long term care practice.

Visit AMDA's website today to learn about their expanding offerings in distance education.

Click Here To Learn More and Register