PALTtalk

AMDA In-The-States Episode | A State Medical Directorship Registry: The How and Why | August 2022

Jane Winston, MD, AAFP, CMD is a native of Wahpeton ND, and a graduate of the University of North Dakota (UND) School of Medicine and Health Sciences.  She completed an internship at Hennepin County Medical Center in Minneapolis MN, a family medicine residency program at the UND Family Practice Center in Fargo ND, and a geriatric fellowship at Sun Health/St. Joseph’s in Phoenix AZ.
Dr. Winston is Board Certified in Family Medicine and holds a Certificate of Added Qualifications in Geriatric Medicine.  She is a Certified Medical Director, and a Clinical Assistant Professor in Geriatrics and Family and Community Medicine at UND School of Medicine and Health Sciences. Dr. Winston retired from her geriatric medicine practice at Sanford Health in Fargo in 2020 just before the Covid-19 pandemic began. 
As an advocate for age-friendly care for older adults, she volunteered and served on the North Dakota Medical Association Covid-19 Physician Advisory Group and the American Medical Directors Association (AMDA) Covid-19 State Task Force. In 2021 she was appointed to the AMDA State-Based Policy & Advocacy Subcommittee.  She is also a member of the Maricopa County Department of Public Health Medical Reserve Corp and serves as a volunteer vaccinator. She and her husband reside in Fargo ND and enjoy time away in the winter in Arizona. She has 3 stepdaughters and 4 grandchildren and one great-grandchild.  Dr. Winston also enjoys reading, cooking, walking, yoga, and traveling.
Recording Date: July 26, 2022
Host: Carl J. “Christian” Bergman, MD, CMD
Guest: Jane Winston, M.D., A.A.F.P., C.M.D
State: North Dakota
Affiliation: North Central Society for Post-Acute and Long-Term Care Medicine
Available Credit: The American Board of Post-Acute and Long-Term Care Medicine (ABPLM) issues CMD credits for AMDA On-The-Go and affiliate podcast episodes as follows:
Claim CMD Credit

Caring On-The-Go | August-September 2022

August-September 2022
In this episode Karl Steinberg and Elizabeth Galik discuss the unfolding research on long COVID in older adults and long-term care residents, a model for behavioral health integration, human-animal interactions and intergenerational programs in nursing homes, and the link between breakfast protein quality and sarcopenia.
Christine Kilgore, “Long COVID: The Pandemic’s Undocumented Long-Term Sequelae:” https://bit.ly/3psgEul
Leah Watson, “Behavioral Health Integration and Training – A Model to Extend the Reach of Psychiatry:” https://bit.ly/3A31Ffb
Elizabeth Galik, “Human-Animal Interaction and Intergenerational Programs: Little Moments of Joy Can Transform the Day:” https://bit.ly/3CdARvo
Milta Little, “Higher Breakfast Protein Quality Is Associated with Reduced Incidence of Sarcopenia:” https://bit.ly/3AsoFpt  
Host: Karl Steinberg, MD, HMDC, CMD
Guest(s): Elizabeth Galik, Ph.D., CRNP
Resources: Caring for the Ages
Recorded: August 9, 2022
Available Credit: The American Board of Post-Acute and Long-Term Care Medicine (ABPLM) issues CMD credits for AMDA On-The-Go and affiliate podcast episodes as follows:
Claim CMD Credit
 

JAMDA On-The-Go | July 2022 | Psychosocial Issues in Care of Older Persons

This podcast will spotlight articles from the July 2022 issue of JAMDA. JAMDA is the official journal of AMDA - The Society for Post-Acute and Long-Term Care Medicine.
Host:  Karl Steinberg MD, HMDC, CMD
Guests: Philip Sloane MD, MPH; Mallory Brown, MD 
References:
Estabrooks, C.A., PhD, et. al., “A Matter of Life and Death: Managing Psychological Trauma in Care Homes”, JAMDA, July/2022.
Lu, MPH, et. al., “Sleep Duration and Disability-Free Life Expectancy Among Japanese Older Adults: The Ohsaki Cohort 2006 Study”, JAMDA, July/2022.
Holmes, A.L., LLB, BBiomedSci, et. al., “Integrity in Guardianship and Decision-Making: Applying the Will and Preferences Paradigm”, JAMDA, July/2022.
Maffett, A.J., PhD, et. al., “Emotional Dysregulation and Workplace Satisfaction and Direct Care Worker Burnout and Abuse Risk”, JAMDA, July/2022.
Recorded: July 18, 2022
Available Credit: The American Board of Post-Acute and Long-Term Care Medicine (ABPLM) issues CMD credits for AMDA On-The-Go and affiliate podcast episodes as follows:
Claim CMD Credit

AMDA In-The-States | The Story Behind AB749 | July 2022

Title: “The The Story Behind AB749” 
Our Guest Michael R. Wasserman, MD, CMD is a geriatrician who has devoted his career to serving the needs of older adults. He has been a tireless advocate for vulnerable older adults during the COVID-19 pandemic, with multiple peer-reviewed publications and television appearances. He served as a member of the National Academy of Science’s “A Framework for Equitable Allocation of Vaccine for the Novel Coronavirus” Committee and was a member of California’s Community Vaccine Advisory Committee. He is Editor-in-Chief of Springer’s upcoming textbook, Geriatric Medicine: A Person-Centered Evidence-Based Approach.
Recording Date: July 5, 2022
Host: Carl J. “Christian” Bergman, MD, CMDGuest: Michael R. Wasserman, MD, CMDState: CaliforniaAffiliation: CALTCM
Available Credit: The American Board of Post-Acute and Long-Term Care Medicine (ABPLM) issues CMD credits for AMDA On-The-Go and affiliate podcast episodes as follows:
Claim CMD Credit

AMDA ON-THE-GO | Boosters, Vaccines, & More – COVID Update

We review and discuss all things new around COVID vaccinations and boosters, while addressing the questions that are often asked by PALTC clinicians and staff. In addition we tackle the ongoing challenge of vaccine & booster hesitancy and apathy.
Featuring: With Swati Gaur, MD, and Leslie Eber, MD. Hosted by Diane Sanders-Cepeda
Recording Date: 7/1/22
Available Credit
0.25 CMD-Clinical

AMDA On-The-Go | Breaking down Bias in Clinical decision making

This conversation raises the challenging issue of bias in clinical decision-making and provides strategies to overcome this in our day-to-day practice.
Featuring: Travis Neill & Hosted by Diane Sanders-Cepeda
Recording Date: 6/27/22
Available Credit
0.25 CMD-Clinical

AMDA In-The-States | The Why and How of Advocacy | June 2022

Daniel Haimowitz, MD, FACP, CMD, is a board-certified internist and geriatrician and has been in private practice in Levittown, PA, since 1986. Dr. Haimowitz is the medical director of several area nursing homes and assisted-living communities. He founded the Bucks County Long-Term Care Consortium and serves on the Bucks County Senior Task Force. He is also the medical adviser for the Bucks County Area Agency on Aging. A nationally recognized expert in long-term care and devoted advocate for older adults, he has participated in past White House Conferences on Aging, most recently in 2015. Dr. Haimowitz received the American Geriatrics Society Physician of the Year Award in 2001 and the William Dodd Founder’s Award for Distinguished Service from the American Medical Directors Association in 2009. He has served AMDA in many key roles over the years including as a member of the Board and on the public policy committee. He continuously assists AMDA in key initiatives and is very active in advocacy and public policy at the state and national levels.
Recording Date: June 23Title: “The Why and How of Advocacy” Interviewee: Daniel Haimowitz, MD, FACP, CMDState: PennsylvaniaAffiliation: PMDA

JAMDA On-The-Go | June 2022 | Drug Prescribing Dilemmas in Geriatric Medicine

This podcast will spotlight articles from the June 2022 issue of JAMDA. JAMDA is the official journal of AMDA - The Society for Post-Acute and Long-Term Care Medicine.
Host:  Karl Steinberg MD, HMDC, CMD
Guests: Philip Sloane MD, MPH; Mallory Brown, MD 
Special Guest: Josh Niznik, PharmD
References:
Sloane, P., MD, MPH, et. al., “The Ambiguous Reality of Prescribing in Geriatric Practice”, JAMDA, June/2022.
Lau, E., BPharmMgmt (Hons), et. al., “Prevalence and Risk Factors for Drug-Related Problems in People with Dementia Living in the Community: A Systematic Review and Meta-Analysis”, JAMDA, June/2022.
Mbazira, A., MRCPsych, et. al., “Sedation-Associated Medications at Dementia Diagnosis, Their Receptor Activity, and Associations With Adverse Outcomes in a Large Clinical Cohort”, JAMDA, June/2022.
Baier, R., MPH, et. al., “Feasibility of a Nursing Home Antibiotic Stewardship Intervention”, JAMDA, June/2022.
Jacob, , PharmD, et. al., “Antibiotic De-escalation Opportunities for Residents in Assisted Living Facilities”, JAMDA, June/2022.
Harris, D., MPH, et. al., “Potential Unintentional Consequences of Antipsychotic Reduction in Ontario Nursing Homes”, JAMDA, June/2022.
Recorded: May 25, 2022
Available Credit
0.25 CMD-Clinical

FMDA Journal Club | Achieving Quality Now

Join our host, Diane Sanders-Cepeda, DO, CMD, as she welcomed special guests, Lynn D’Avico, PharmD, CPh, and Amina Dubuisson, DNP, MSN, RN, PCNS-BC, to this episode of FMDA’s Journal Club, Achieving Quality Now.
 Our learning objectives for this session were:
Analyze the evolving healthcare landscape and the impact on our PALTC facilities.
Define the current state of our PALTC staffing challenges while discussing legislative initiatives that we are adopting in PALTC.
Describe how we are approaching infection control and prevention while addressing increased antibiotic usage in many PALTC facilities.
Revisit psychotropic stewardship and opioid use reduction efforts and explain what we are currently experiencing in our PALTC facilities.
Provide insight on the work that we are doing to decrease preventable hospitalizations and readmissions.
Special Guests: Lynn D’Avico, PharmD, CPh; and Amina Dubuisson, DNP, MBA/HCM, RN, LNHA, CDP
Hosted by: Diane Sanders-Cepeda, DO, CMD
Recorded: June 22, 2022

Caring On-The-Go | June-July 2022

June-July 2022 - The PALTC22 Conference Issue
In this episode Karl Steinberg and Elizabeth Galik reflect on the PALTC22 conference, including how to support nurses to ease the workforce crisis and formulating and communicating prognoses. We also discuss the power of social relationships in long-term care and a legal issues column on medication errors and homicide. Articles include:
Joanne Kaldy, “Supporting Nurses to Ease the Workforce Crisis” (https://www.caringfortheages.com/article/S1526-4114(22)00192-5/fulltext)
Alan C. Horowitz, Esq., RN, “Medication Errors and Homicide: When Law and Medicine Collide” (https://www.caringfortheages.com/article/S1526-4114(22)00195-0/fulltext)
Elizabeth Galik, PhD, CRNP, “The Power of Social Relationships With Peers and Staff in Post-Acute and Long-Term Care” (https://www.caringfortheages.com/article/S1526-4114(22)00187-1/fulltext)
Christine Kilgore, “Formulating and Communicating Prognoses: Tools and Techniques” (https://www.caringfortheages.com/article/S1526-4114(22)00190-1/fulltext)
Host: Karl Steinberg, MD, HMDC, CMD
Guest(s): Elizabeth Galik, Ph.D., CRNP
Resources: Caring for the Ages
Recorded: June 9, 2022
Available Credit: 0.25 CMD-Clinical