PALTtalk

AMDA On-The-Go | Management of Sepsis

Episode 12: Sepsis with Dr. Bernardo Reyes Fernandez / Coming Soon!
Bernardo Reyes, MD., is a board-certified internist and geriatrician, he serves as Assistant Director of the Internal Medicine Residency Program and Associate Director of the Geriatric and Palliative Rotations and Assistant Professor of Clinical Biomedical Science in the Charles E. Schmidt College of Medicine at Florida Atlantic University (FAU).
References:
Fernandez, "Early Identification and Management of Sepsis", JAMDA, June 2018
Sloane, P, et al, “Can sepsis be detected in the Nursing Home Prior to the Need for Hospital Transfer?”, JAMDA, June, 2018
Dantes R and Epstein L, “Combatting Sepsis: A Public Health Perspective”, Clinical Infectious Diseases, May, 2018

AMDA On-The-Go | Predictive Models of Care

 
Dr. Burke is the first Director of Research for the Hospital Medicine Section at the University of Pennsylvania and an Assistant Professor of Medicine at the Perelman School of Medicine. Dr. Burke's research seeks to improve the outcomes associated with transitions from the hospital to post-acute care in vulnerable populations. 
 
References:
Burke et. al., "Predicting Potential Adverse Events During a Skilled Nursing Facility Stay: A Skilled Nursing Facility Prognosis Score" JAGS, 2018
Jencks, M.D., M.P.H., Williams, M.D., and Coleman, M.D., M.P.H., "Rehospitalizations among Patients in the Medicare Fee-for-Service Program" NEJM, April 2009
Burke et. al., "Hospital Readmission From Post-Acute Care Facilities: Risk Factors, Timing, and Outcomes", JAMDA, March 2016

AMDA On-The-Go | Innovation

AMDA On-The-Go launched in March of 2018. Since March, we have released ten episodes and would love to hear your feedback. Even if you haven't listened, please fill out this brief survey so we can improve this free benefit.
Innovations with Dr. Steven Buslovich and Adam Sobol
 
Dr. Steven Buslovich is Geriatrician and Medical Director for several post-acute/LTC facilities in Western NY and co-founder, CEO of Patient Pattern. Also, on faculty at University of Buffalo, School of Medicine. 
Learn more by visiting Patient Pattern’s website: patientpattern.com/
 
 
 
Adam Sobol is founder and CEO of CareBand, an innovative, patent-pending wearable technology for senior citizens that are experiencing a decline in their mental and physical health. CareBand aims to increase the safety and independence of senior citizens giving caregivers and family members peace of mind. 
Learn more by visiting Careband’s website: https://carebandremembers.com/

AMDA On-The-Go | Core Competencies

AMDA On-The-Go launched in March of 2018. Since March, we have released nine episodes and would love to hear your feedback. Even if you haven't listened, please fill out this brief survey so we can improve this free benefit.
Paul Katz, MD, CMD, is Professor of Medicine and Director of the Department of Geriatric Medicine, Florida State University, and a Past President of the American Medical Director's Association. He is the lead physician of the Working Committee of the Seniors Quality Leap Initiative, representing Baycrest Centre for Geriatric Care.
Reference:
Katz, “A Call to Action” JAMDA, 2010
Katz and Pfell, “Nursing home physicians and the credibility gap”, JAMDA, 2012
Katz, et. al., “Examining the rationale and processes behind the development of AMDA’s competencies for post-acute and long-term care", Annals of Long Term Care, 2014

AMDA On-The-Go | Public Policy

Dr. Karl Steinberg currently chairs AMDA's Public Policy Committee, serves on the AAHPM's Public Policy Committee, and is also immediate past chair of the Coalition for Compassionate Care of California. Dr. Steinberg has worked as a geriatrician, family physician and hospice physician in San Diego County since 1992. He is a Past President and current President-Elect of the California Association of Long Term Care Medicine (CALTCM), which is the state chapter of AMDA--The Society for Post-Acute and Long-Term Care Medicine (formerly the American Medical Directors Association). He also is editor-in-chief of AMDA's periodical, Caring for the Ages.
References:
 
“Why Health Care Policy is so Hard”, New York Times, 7/28/17
“The future of US health care”, RAND Health, 2017
"Nursing home reform act of 2017"

AMDA On-The-Go | Frailty

Frailty with Philip D. Sloane, MD, MPH
 
Dr. Sloane is the Elizabeth and Oscar Goodwin Distinguished Professor of Family Medicine at the University of North Carolina at Chapel Hill. Recently selected as Co-Editor in Chief of JAMDA, Dr. Sloane has authored over 200 peer-reviewed publications and co-authored two popular text books. He is particularly noted for his work around the management of behavioral symptoms in Alzheimer’s disease, for which he received the prestigious Pioneer Award from the US Alzheimer’s Association. An advocate for change and improvement in primary care medical practice, he founded the North Carolina Family Medicine Research Network and the North Carolina Network Consortium, which conduct research statewide.
References:
Philip Sloane, MD, MPH; Matteo Cesari, MD, PHD "Research on Frailty: Continued Progress, Continued Challenges" JAMDA, 2018
Philip Sloan et. al., "Nutritional, Physical, Cognitive, and Combination Interventions and Frailty Reversal Among Older Adults: A Randomized Controlled Trial" The Amereican Journal of Medicine, 2015
Llibre Rodriguez et. al. "The Prevalence and Correlates of Frailty in Urban and Rural Populations in Latin America, China, and India: A 10/66 Population-Based Survey"JAMDA, 2018
Liu et. al., "Joint Trajectories of Cognition and Frailty and Associated Burden of Patient-Reported Outcomes"JAMDA, 2018
Alegre et. al. "An Easy Assessment of Frailty at Baseline Independently Predicts Prognosis in Very Elderly Patients With Acute Coronary Syndromes" JAMDA, 2018
Ntanasi et. al. "Adherence to Mediterranean Diet and Frailty", JAMDA, 2018
Fried, et. al., "Frailty in older adults: evidence for a phenotype", Journal of Gerontology, 2001
Jones, et. al., "Evaluation of a Frailty Index based on a comprehensive geriatric assessment in a population based study of elderly Canadians", Aging Clinical and Experimental Research, 2005
Rockwood, et. al., "A Global Clinical Measure of Fitness and Frailty in Elderly People", CMAJ, 2005

AMDA On-The-Go | Telemedicine in PALTC

Thomas Edmondson, MD, CMD
Tom Edmondson, MD, CMD, AGSF, FACP, is a native Texan who graduated from the University of Texas Medical School at Houston, and he completed his residency training in internal medicine at the University of Texas Southwestern Medical Center and Parkland Memorial Hospital.
 
 
Suzanne Gillespie, MD, RD, CMD
Suzanne Gillespie MD, RD, CMD, is Associate Professor of Medicine in the Division of Geriatrics/Aging and Associate Professor of Emergency Medicine at the University of Rochester School of Medicine and Dentistry. She is board-certified in Internal Medicine, Geriatric Medicine and Hospice & Palliative Medicine.
 
 
 
Murthy Gokula, MD, CMD
Murthy Gokula, MD, CMD, is CEO of STAYHOME IWILL PC and Clinical Associate Professor of Family Medicine at the University of Toledo, College of Medicine. He teaches medical students, residents and fellows in the long term care setting. Dr. Gokula is the current president of Ohio Medical Directors Association (OMDA), former board member of OMDA, former program director of Geriatrics Fellowship Program at University of Toledo. He serves on the editorial board for Journal of American Medical Directors Association (JAMDA).
 
 
Steven Handler, MD, PhD, CMD
Steven Handler, MD, PhD, CMD, is an Associate Professor with a primary appointment in the Division of Geriatric Medicine, where he serves as the Director of Geriatric Telemedicine Programs. He has secondary appointments in the Department of Biomedical Informatics, and Clinical and Translational Research.

AMDA On-The-Go | Deprescribing

  Kamal Wagle, MD, MPH, CMD; Dheeraj Mahajan, MD, CMD; John Derr, RPh
Papanicolas, et. al., “Health care spending in the United States and other high-income countries”, Special Communication, JAMA, 2018
Ezekiel Emanuel, “The real cost of the US health care system”, Editorial, JAMA, 2018
Monane, et. al., “Optimal medication use in elders. Key to successful aging”, Western Journal of Medicine, 1997
Loganathan, et. al., “Interventions to optimise prescribing in care homes: systematic review”, Age Ageing, 2011

AMDA On-The-Go | Breaking Science in Antibiotic Stewardship

Roundtable discussion with University of Maryland Nurse Practitoner Doctoral candidates: Nadia Khan, MPH, BSN, RN, Lauren Meekins, RN, and Venessa Ohakam, NP.
Template for an Antibiotic Stewardship Policy for PA/LTC Settings
Daneman, et. al., “Variability in antibiotic use across nursing homes and the risk of antibiotic-related adverse outcomes for individual residents”, JAMA Int Med, 2015
“Nursing homes need improved antibiotic stewardship”, News from the Centers for Disease control and prevention, JAMA, 2015
Jump, et. al., “Template for an antibiotic stewardship policy for post-acute and long-term care settings, JAMDA, 2017
Castle, et. al., “Hand hygiene deficiency citations in nursing homes”, Journal of Applied Gerontology, 2012
Harris, et. al., “Appropriate antibiotic use of acute respiratory tract infection in adults: advice for high-value care from the American college of physicians and the centers for disease control and prevention”, Annals of Internal Medicine, 2016

AMDA On-The-Go | Home Based Primary Care

Suzanne M. Gillespie MD, RD, CMD, FACP, AGSF is Associate Professor of Medicine in the Division of Geriatrics/Aging and Associate Professor of Emergency Medicine at the University of Rochester School of Medicine and Dentistry. Dr. Gillespie is Associate Chief of Staff for Geriatric Extended Care – Rehabilitation and Medical Director of the Community Living Center at the Canandaigua VA Medical Center. 
"The views expressed in this article are those of the speakers and do not necessarily reflect the position or policy of the Department of Veterans Affairs or the United States government."
National Structural Survey of Veterans Affairs Home-Based Primary Care Programs
Poster Abstracts: 
Measuring Team Effectiveness in the Veterans Health Administration's Home-Based Primary Care Program
A Comparison of Rural and Urban Veterans Health Administration's Home Based Primary Care
JAMDA article referenced by Dr. Saltsman:
Systematic Review of Interdisciplinary Interventions in Nursing Homes
References:
Papanicolas, et. al., “Health care spending in the United States and other high-income countries”, Special Communication, JAMA, 2018
Ezekiel Emanuel, “The real cost of the US health care system”, Editorial, JAMA, 2018
Monane, et. al., “Optimal medication use in elders. Key to successful aging”, Western Journal of Medicine, 1997
Loganathan, et. al., “Interventions to optimise prescribing in care homes: systematic review”, Age Ageing, 2011