PALTtalk

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

AMDA On-The-Go | Nutritional Concerns in PALTC

Dr. John Morley
John E. Morley, M.D., is known internationally as a gerontological researcher, clinician and educator,  and Professor of Gerontology at St. Louis University. In addition to extensive personal scientific achievements, Dr. Morley has directed the clinical training programs in both endocrinology and geriatrics and supervised research activities ranging from basic biomedical investigation to epidemiology and health services research. His major interests are frailty, nutrition, alzheimers's disease, diabetes and nursing homes.  He is the recipient of the Ipsen Foundation of Longevity Award in 2001, the American Geriatrics Society's Lascher/Manning Award for Lifetime Achievement in Geriatrics in 2002, the Gerontological Society of America's Freeman Award in 2004, and the AMDA Pattee Award for Educational Excellence in 2011. He has developed a number of educational games and has a special interest in continuous quality improvement (CQI).  
 
References:
John Morley, MB, BCh; "Nutritional Supplementation and Sarcopenia: The Evidence Grows", JAMDA, 2015.
John Morley, MB, BCh; "Nutrition and Aging Well", JAMDA, 2017.
John Morley, MB, BCh, et. al.; "Nutritional recommendations for the management of sarcopenia.", JAMDA, 2010.
John Morley, MB, BCh, et. al.; "Is It Time to Retire Santa Claus?.", JAMDA, 2016.
The Gateway Geriatric Education Center

AMDA ON-THE-HILL | VOLUME VIII

Questions? Email Alex at abardakh@paltc.org
Related Resources:
 
The Society's PDPM Page
Society Asks for Parity on E&M Coding in Comments to CMS
CMS Announces Plan to Address Medicare Program Integrity
November 14 House Ways and Means Committee Hearing on Elder Care Programs

AMDA On-The-Go | Antibiotic Stewardship

With Dr. Clay Watson, an infectious disease specialist in Denver, CO.and Travis Neill, Assistant Medical Director at VIVAGE 
 
References:
Daniella Meeker, PhD, et. al., "Effect of Behavioral Interventions on Inappropriate Antibiotic Prescribing Among Primary Care Practices:", JAMA, 2016.
Pranita D. Tamma, et. al., "What Is the More Effective Antibiotic Stewardship Intervention: Preprescription Authorization or Postprescription Review With Feedback?", IDSA, 2017.

AMDA On-The-Go | Hypertension in the Nursing Home

Michael W. Rich, M.D. is Professor of Medicine and Cardiology at the Washington University School of Medicine, and Director of the Cardiac Rapid Evaluation Unit at Barnes-Jewish Hospital in St. Louis.  Since completing his Cardiology Fellowship in 1984, Dr. Rich’s primary research focus has been the prevention and treatment of cardiovascular disease in the aging population.  Dr. Rich has participated in numerous investigator-initiated and multi-center clinical trials involving older cardiac patients, and he has published extensively on heart failure disease management, coronary heart disease, atrial fibrillation, and cardiovascular risk reduction in older adults.  He is an internationally recognized expert in geriatric cardiovascular disease, and he is past president of the Society of Geriatric Cardiology.  He currently serves on the Editorial Boards of numerous publications, and he is Senior Associate Editor for the Journal of Cardiac Failure, Associate Editor for the American Journal of Medicine, and Consulting Editor for the Journal of the American Geriatrics Society. Dr. Rich received the Edward Henderson Award from the American Geriatrics Society in 2014 and the Distinguished Service Award from the American College of Cardiology in 2015.
 
References:
Wilbert S. Aronow, MD, FACC, FAHA; "Hypertension Management in the Very Old", JAMDA, 2019.
"Michael W. Rich, MD, FACC: Navigating Geriatric Cardiology's Uncharted Territory", Cardiology Magazine, 2015.
Michael W. Rich, M.D., et. al.; "A Multidisciplinary Intervention to Prevent the Readmission of Elderly Patients with Congestive Heart Failure", NEJM, 1995.

CMDA Journal Club | Antibiotic Resistance

Topic:
Antibiotic Resistance  presented by Travis Neill, PA-C, MMS
References: 
Travis Neill, PA-C, "Antimicrobial Resistance", 2019.

AMDA On-The-Go | Trauma Informed Care in LTC

Dr. Nancy Kusmaul
Nancy Kusmaul, PhD, MSW, received her MSW from the University of Michigan and received her PhD from the University at Buffalo School of Social Work. She is an assistant professor in the Baccalaureate Social Work program at the University of Maryland Baltimore County. Dr. Kusmaul was social worker in health care settings for more than a decade. Her research focuses on organizational culture, trauma informed care, and the impacts of culture on care recipients and the workforce. She is particularly interested in the experience of direct care workers in organizations, particularly Certified Nursing Assistants in long term care settings. She is a member of the Baltimore County Elder Abuse Coalition and the Maryland Nursing Home Culture Change Coalition.
References:
Withers, M, Ph.D., "Trauma-Informed Care and Why It Matters", Psychology TodaY, 2017.
Bath, Howard, "The Three Pillars of Trauma-Informed Care", ResearchGate, 2008.
Kusmaul, N., Ph.D. "Putting Together Pieces of Trauma-Informed Care Puzzle", Caring for the Ages, 2019.
Hales, T., et. al., ""An Association Between Implementing Trauma-Informed Care and Staff Satisfaction", Advances in Social Work, 2017.
Hales, T., Kusmaul, N., Nochajski, T., & Sundborg, S. "The Trauma-Informed Climate Scale-10 (TICS-10): A Measure of Staff Perceptions of the Service Environment Human Service Organizations: Management, Leadership, and Governance" Advance Online Publication, doi: 10.1080/23303131.2019.1671928, 2019.
Episode 263 – Dr. Nancy Kusmaul: "Trauma Informed Care in Long Term Care". inSocialWork Podcast Series. Z. Noam (Interviewer), 2019, May 6.
Episode 208 – Dr. Nancy Kusmaul and Ms. Lisa Kendall: "Impacts of Trauma in Later Life". inSocialWork Podcast Series. J. McGinley (Interviewer). 2017, January 30.
"www.samhsa.gov" SAMHSA TIP 57: “Trauma Informed Care in Behavioral Health Services” SAMHSA’s Concept of Trauma and Guidance for a Trauma-Informed Approach
" The Institute on Trauma and Trauma-Informed Care" [Request their Trauma-Informed Organizational Change Manual!],