PALTtalk

AMDA On-The-Go | COVID-19 in PALTC

 
Dr. Swati Gaur is Chair of AMDA's Infection Advisory Committee. She is the Medical Director of New Horizons Nursing Facilities with the Northeast Georgia Health System. She is also the CEO of Care Advances Through Technology, a technology innovation company. In addition, she is on the EMR transition and implementation team for the Health System, providing direction to EMR entity adapt to LTC environment. She has also consulted with post acute LTC companies to optimize medical services into PALTC facilities, integration of medical directors and clinicians into the QAPI framework and create frameworks of interdisciplinary work in the organization. 
References:
AMDA Update on COVID-19 (Novel Coronavirus)
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JAMDA On-The-Go | February 2020

This podcast will spotlight articles from the February 2020 issue of JAMDA. JAMDA is the official journal of AMDA - The Society for Post-Acute and Long-Term Care Medicine.
Host: Wayne Saltsman MD, PhD, CMD
Guests: Philip Sloane MD, MPH; Mallory Brown, MD
References:
Shekinah A. Fashaw, MSPH et. al.; "Thirty Year Trends in Nursing Homes"
Yeon-Hee Baek, et. al; "Uncertain Association Between Benzodiazepine Use and the Risk of Dementia: A Cohort Study".
Melanie Hafdi, et. al.; "Association of Benzodiazepine and Anticholinergic Drug Usage With Incident Dementia: A Prospective Cohort Study of Community-Dwelling Older Adults".
Erika Sirsch et. al.; "Pain Assessment for Older Persons in Nursing Home Care: An Evidence-Based Practice Guideline".
Adam Dyer, et. al.; "Cognitive Outcomes of Long-term Benzodiazepine and Related Drug (BDZR) Use in People Living With Mild to Moderate Alzheimer's Disease: Results From NILVAD".
Randall Espinoza, et. al. ;"Clarifying the Relationship Between Benzodiazepines and Dementia"
0.25 CMD-Clinical

FMDA Journal Club | Frailty

Moderator: Marianne Novelli, MD, FACP, FHM
References:
Predictive Accuracy of Frailty Tools for Adverse Outcomes in a Cohort of Adults 80 Years and Older: A Decision Curve Analysis
A New Functional Classification Based on Frailty and Disability Stratifies the Risk for Mortality Among Older Adults: The FRADEA Study
Translating Frailty Research Into Clinical Practice: Insights From the Successful Aging and Frailty Evaluation Clinic

AMDA On-The-Hill | Episode X / January 30, 2020

Questions? Email Alex at abardakh@paltc.org
References:
Practice Group Network
Billing and Coding Webinar
Use of Antipsychotics Podcast
Navigating PALTC: The Need for Trained and Engaged Medical Directors
ONC Annual Meeting Focuses on Patient Access to Health Records
CMS to Revamp Medicare Compare Websites

AMDA On-The-Go | Gerontology and Caregiving

 
Dr. Julie Masters holds the Terry Haney Chair of Gerontology and is Professor and Chair of the Department of Gerontology at the University of Nebraska, Omaha. 
References:
Marla Berg-Weger, PhD, et. al.; "Caregiver Well-Being: Is it on Your Radar", JAMDA, 2015.
Julie Masters, PhD; "The Grace and Dignity of Caregiving", Caring, 2019.
Available Credit
0.25 CMD-Clinical

FMDA Journal Club | Revisiting Sepsis

Presentation from November 21 Florida Journal Club
With Diane Sanders-Cepeda, DO, CMD
Post-acute and Long-term Care Settings as First Responders for the Surviving Sepsis Campaign, Robin L.P. Jump MD, PhD, Susan M. Levy MD, CMD, Wayne S. Saltsman MD, PhD, CMD
Can Sepsis Be Detected in the Nursing Home Prior to the Need for Hospital Transfer?, Philip D. Sloane MD, MPH, Kimberly Ward BA, David J. Weber MD, MPH, Christine E. Kistler MD, MASc, Benjamin Brown BS, Katherine Davis BS, Sheryl Zimmerman PhD
Early Identification and Management of Sepsis in Nursing Facilities: Challenges and Opportunities, Bernardo J. Reyes MD, Joseph Chang MD, Lena Vaynberg MD, Sanya Diaz NP, Joseph G. Ouslander MD

JAMDA On-The-Go | January 2020

This podcast will spotlight articles from the January 2020 issue of JAMDA. JAMDA is the official journal of AMDA - The Society for Post-Acute and Long-Term Care Medicine.
Host: Wayne Saltsman MD, PhD, CMD
Guests: Philip Sloane MD, MPH; Mallory Brown, MD
References:
Zerbib, et. al., "Copper for the Prevention of Outbreaks of Health Care–Associated Infections in a Long-term Care Facility for Older Adults"
Chicovic, et. al., "Evaluation of Viruses Associated With Acute Respiratory Infections in Long-Term Care Facilities Using a Novel Method: Wisconsin, 2016‒2019"
Thompson, et. al., "Epidemiology of Antibiotic Use for Urinary Tract Infection in Nursing Home Residents"
Hughes, et. al., "Antibiograms Cannot Be Used Interchangeably Between Acute Care Medical Centers and Affiliated Nursing Homes"
Lee, et. al., "Combining Procalcitonin and Rapid Multiplex Respiratory Virus Testing for Antibiotic Stewardship in Older Adult Patients With Severe Acute Respiratory Infection”
Felsen, et. al., "Reducing Fluoroquinolone Use and Clostridioides difficile Infections in Community Nursing Homes Through Hospital–Nursing Home Collaboration"
Frentzel, et. al., "Recommendations for Mandatory Influenza Vaccinations for Health Care Personnel From AMDA's Infection Advisory Subcommittee"
Ashraf, et. al., "Diagnosis, Treatment, and Prevention of Urinary Tract Infections in Post-Acute and Long-Term Care Settings: A Consensus Statement From AMDA's Infection Advisory Subcommittee"
Nace, et. al., "Are Antibiograms Ready for Prime Time in the Nursing Home?"
Slifka, et. al., "Prioritizing Prevention to Combat Multidrug Resistance in Nursing Homes: A Call to Action"

AMDA On-The-Go | Palliative Care in PALTC

Dr. Joan Carpenter, PhD, CRNP, ACHPN, FPCN
Dr. Carpenter is a Research Associate faculty member at the University of Pennsylvania School of Nursing, and Health Scientist at the Corporal Michael J. Crescenz Veterans Affairs Medical Center, and geriatric and palliative nurse practitioner whose practice focuses on the post acute and long term care setting. Educated and trained as an advance practice nurse and scientist, she has over twenty years of experience working with persons with serious and complex illness. Dr. Carpenter collaborates with nursing homes and interdisciplinary health professionals to implement evidence-based practices and test complex interventions that support high quality palliative care in nursing homes.
 
References:
Carpenter, J., CRNP, NP-C, GNP-BC, et. al.; "Nutritional Supplementation and Sarcopenia: The Evidence Grows", JPM, 2013.
Carpenter, J., CRNP, NP-C, GNP-BC, et. al.; "Associations between Timing of Palliative Care Consults and Family Evaluation of Care for Veterans Who Die in a Hospice/Palliative Care Unit", JPM, 2017.
Carpenter, J., MN CRNP ACHPN; "Lost in Transition: Palliative Care after Hospitalization.", JPSM, 2013.
Carpenter, J. (2017). Hospital Palliative Care Teams and Post-Acute Care in Nursing Facilities: An Integrative Review. Research in Gerontological Nursing, 10(1), 25-34. PMID:28112355; PMCID: PMC5360155
Carpenter, J., Berry, P., Ersek, M. (2017). Nursing Home Care Trajectories for Older Adults Following In-Hospital Palliative Care Consultation. Geriatric Nursing, 38(6), 531-536. PMID: 28457493; PMCID; PMC5659976
Carpenter, J., Berry, P.B., Ersek, M. (2018). Care in Nursing Facilities after Palliative Consult. Journal of Hospice and Palliative Nursing, 20, 153-159. PMID: 29657556; PMCID: PMC5894112

FMDA Journal Club | Antibiotic Stewardship Q&A

December 5th, 2019
Topic:
Antibiotic stewardship with Gregory Gahm, MD
References:
FDA Fluoroquinolone Box Warning

AMDA ON-THE-HILL | Volume IX

Questions? Email Alex at abardakh@paltc.org
Related Resources:
Model Medical Director Agreement
AMDA’s PDPM Page
Chris Laxton’s Navigating PALTC Video on the CMS Red Hand Icon
AMDA’s Clinical Practice Guidelines
Press Release on AMDA/AdVault Partnership