Introducing the Society's Podcast: AMDA On-The-Go*

 

"A world in which all practitioners can learn about post acute and long term care effortlessly as they live"

These podcasts are eligible for ABPLM medical director credits. If you are a physician and interested in obtaining ABPLM pre-approved certified medical director credits for certification or re-certification, please email cmd@paltc.org with your name and the podcast title.

 

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Hosted by Dr. Wayne Saltsman

Explore the field of post-acute and long-term care, with expert interviews, journal article reviews, innovations news, and more.

 


 

Episode 20: Physical Therapy / Coming Soon!

Dr. Timothy Swenson PT, DPT, OCS, CMTPT

 

Dr. Swenson holds a doctorate in Physical Therapy. He is a Board Certified Orthopedic Clinical Specialist, and certified to perform dry needling.

 

 

References:

 

Episode 19: Fall Risk Reduction

Dr. David Smith. M.D., FAAFP, CMD

 

Dr. Smith is President at Geriatric Consultants of Central Tx, P.A., an Area MHMR Board Member. He serves on various state committees and stakeholder taskforces. He is a Texas Medical Directors Assn. Board Member, and Past President of the American Medical Directors Assn.

 

 

References:

 

 

Episode 18: The Care of LGBT Persons in PALTC Setting

Tim Johnston, PhD

Tim R. Johnston, PhD is the Director of National Projects at Services and Advocacy for GLBT Elders (SAGE) and the National Resource Center on LGBT Aging. He is responsible for directing SAGE’s national training initiatives, developing training curricula, and providing consulting services to both aging and LGBT service providers. Before coming to SAGE Tim taught Philosophy and Women’s and Gender Studies at Stony Brook University. He has written scholarly and popular articles on gender and LGBT identity, and his first book Affirmation, Care Ethics and LGBT Identity will be published by Palgrave Macmillan in 2016. In addition to facilitating LGBT cultural competency trainings, Tim is a frequent speaker at national and international conferences.

References:

  1. In The Care of LGBT Persons in The Long-Term Care Setting", AMDA White Paper

Episode 17: An Approach to UTI Prevention, Management, and Treatment

David A. Nace, MD, MPH, CMD

Dr. Nace is an Associate Professor whose research focuses primarily on infectious disease in long-term care. His interest in antibiotic stewardship is funded by three AHRQ studies: two, for which he serves as co-investigator, are designing and testing a national antimicrobial stewardship toolkit for nursing facilities; the third, for which he serves as PI, will update guidelines for urinary tract infection (UTI) management and then implement a program to improve its management in 40 nursing homes in four states.

 

 

References:

  1. Dr. Theresa Rowe, 2018 NHSN LTCF Training - Epidemiology and Prevention of UTI
  2. Cohen CC, Choi YJ, Stone PW., Costs of Infection Prevention Practices in Long-Term Care Settings: A Systematic Review., Nursing Economics, 2016
  3. Dr. David A. Nace, et. al. The Improving Outcomes of UTI Management in Long-Term Care..., JAMDA, 2018

Episode 16: Opioids and Pain Management in PALTC

Jeffrey Nichols, MD, CMD

Dr. Jeffrey Nichols, CMD, is Chief Medical Officer of the Gouverneur Skilled Nursing Facility, a division of New York City Health + Hospitals. Dr. Nichols teaches both Geriatrics and Palliative Care fellows and is an Associate Professor at the NYU Langone Medical School as well as the Icahn Mount Sinai School of Medicine. Dr. Nichols is Board Certified in Hospice and Palliative Care as well as Geriatrics. A long time AMDA leader, he currently serves as AMDA's Treasurer and Finance Committee Chair and writes the Dear Dr. Jeff column for Caring for the Ages.

 

References:

  1. M C Reid, et al. "Pain Management in Long-Term Care Communities: A Quality Improvement Initiative”, Annals of Long Term Care, 2015
  2. Laura B. Farless, MD; Christine S. Ritchie, MD, MSPH / ”Challenges of Pain Management in Long-Term Care”, Annals of Long Term Care, 2012
  3. Brat, GA, et al, “Postsurgical prescriptions for opioid naive patients and association with overdose and misuse: retrospective cohort study”, British Medical Journal, 2018
  4. “Aging and Addicted”: The Opioid Epidemic Affects Older Adults, Too”, Kaiser Health News, 2016
  5. CMS Roadmap to Address the Opioid Epidemic, CMS.gov, June, 2018

Episode 15: Optimistic Project

Kathleen Unroe, MD, MHA

Research Scientist, Regenstrief Institute
Assistant Professor of Medicine, Indiana University School of Medicine
Center Scientist, Indiana University Center for Aging Research
Dr. Unroe is focused on health policy relevant research in long term care, including the use of palliative care and hospice in this setting, transitions of care, quality of medical care in nursing homes, and staffing models in long term care. She is co-PI of the Optimistic model project

 

References:

  1. Unroe KT, Nazir A, Holtz LR et al. The Optimizing Patient Transfers, Impacting Medical Quality, and Improving Symptoms: Transforming Institutional Care approach: preliminary data from the implementation of a Centers for Medicare and Medicaid Services nursing facility demonstration project. J Am Geriatr Soc 2015;63:165-169.
  2. Hickman, S. E., Unroe, K. T., Ersek, M. T., Buente, B., Nazir, A., & Sachs, G. A. (2016). An Interim Analysis of an Advance Care Planning Intervention in the Nursing Home Setting. Journal of the American Geriatrics Society, 64(11), 2385–2392.
  3. Unroe, et. al., “Improving Nursing Facility Care Through an Innovative Payment Demonstration Project: Optimizing Patient Transfers, Impacting Medical Quality, and Improving Symptoms: Transforming Institutional Care Phase 2”, Journal of the American Geriatrics Association, 2018

 

 

Episode 14: Management of LTC Residents with Diabetes

Naushira Pandya, MD, CMD

Dr. Pandya is board certified in internal Medicine, Geriatrics, and Endocrinology. She is also a certified medical director of long-term care facilities, and a recognized authority in diabetes management in the elderly. In addition, she oversees the training of medical students, residents and fellows in Geriatrics, and is a research mentor students, residents and faculty. She has over 20 publications and is a national and international speaker. Dr.Pandya has held several state and national leadership positions, including the presidency of AMDA, Society for Post-Acute and Long-Term Care Medicine. She holds the distinction of being a Fulbright Senior Specialist Scholar in Geriatrics in Slovakia in 2009. 

 

References:

  1. Centers for Disease Control Diabetes Data, cdc.org
  2. Munshi, M., et. al., Management of Diabetes in Long-term Care and Skilled Nursing Facilities: A Position Statement of the American Diabetes Association, Diabetes Care 2016 Feb; 39(2): 308-318.
  3. Haas, Linda, Special Considerations for Older Adults With Diabetes Residing in Skilled Nursing Facilities, Diabetes Spectrum 2014 Feb; 27 (1): 37
  4. McKnight’s Long Term Care News, August 5, 2015, profile on Naushira Pandya MD
  5. Pandya N, et. al., Optimizing insulin delivery for patients with diabetes, Geriatric Nursing, 2018, 39:138

 

Episode 13: Through the Eyes of an Administrator

Richard Bane

 

“The world of long-term care is changing very quickly,” says Richard Bane, president of BaneCare Management. "We are not what people typically associate with a nursing home". This episode looks at the past, present, and future of Skilled Nursing Facilities through the eyes of an administrator with 35 years of experience.

 

 

References:

  1. Code of Federal Regulations on Administration:  42 CFR 483.7, cms.gov
  2. Code of Massachusetts regulations on Administration: 105 CMR 150, mass.gov
  3. McKnights Long Term Care News, August, 2018–5 Star ratings and readmissions
  4. “The Five-Star Rating System for Skilled Nursing: Perceptions and Effects”, www.lancasterpollard.com, June 10, 2017
  5. “Skilled Nursing Facility Star Rating, Patient Outcomes, and Readmission Risk After Total Joint Arthroplasty”, Journal of Arthroplasty, June, 2018
  6. American Health Care Association, ‘Quality Initiatives’, www.ahcancal.org

 

Episode 12: Management of Sepsis

Dr. Bernardo Reyes Fernandez

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:

  1. Fernandez, "Early Identification and Management of Sepsis", JAMDA, June 2018
  2. Sloane, P, et al, “Can sepsis be detected in the Nursing Home Prior to the Need for Hospital Transfer?”, JAMDA, June, 2018
  3. Dantes R and Epstein L, “Combatting Sepsis: A Public Health Perspective”, Clinical Infectious Diseases, May, 2018

Episode 11:  Predictive Models of Care

   Dr. Robert Burke, MD, MS, FHM

 

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:

  1. Burke et. al., "Predicting Potential Adverse Events During a Skilled Nursing Facility Stay: A Skilled Nursing Facility Prognosis Score" JAGS, 2018
  2. 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
  3. Burke et. al., "Hospital Readmission From Post-Acute Care Facilities: Risk Factors, Timing, and Outcomes", JAMDA, March 2016

 

Episode 10: Innovations

   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. 

 

 

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.

 

 

 Episode 9: Core Competencies

   Paul Katz, MD, CMD

 

Dr. Katz 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.

 

References:

  1. Katz, “A Call to Action” JAMDA, 2010
  2. Katz and Pfell, “Nursing home physicians and the credibility gap”, JAMDA, 2012
  3. 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

 

 Episode 8: Public Policy

   Dr. Karl Steinberg, MD, CMD, HMDC

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:

  1. “Why Health Care Policy is so Hard”, New York Times, 7/28/17
  2. “The future of US health care”, RAND Health, 2017
  3. "Nursing home reform act of 2017"

 

 

Episode 7: Frailty

  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:

  1. Philip Sloane, MD, MPH; Matteo Cesari, MD, PHD "Research on Frailty: Continued Progress, Continued Challenges" JAMDA, 2018
  2. 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
  3. 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
  4. Liu et. al., "Joint Trajectories of Cognition and Frailty and Associated Burden of Patient-Reported Outcomes"JAMDA, 2018
  5. Alegre et. al. "An Easy Assessment of Frailty at Baseline Independently Predicts Prognosis in Very Elderly Patients With Acute Coronary Syndromes" JAMDA, 2018
  6. Ntanasi et. al. "Adherence to Mediterranean Diet and Frailty", JAMDA, 2018
  7. Fried, et. al., "Frailty in older adults: evidence for a phenotype", Journal of Gerontology, 2001
  8. 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
  9. Rockwood, et. al., "A Global Clinical Measure of Fitness and Frailty in Elderly People", CMAJ, 2005

 

Episode 6: Telemedicine

avatar for Thomas Edmondson, MD, CMD

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 followed... Read More →
 
avatar for Suzanne Gillespie, MD, RD, CMD

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... Read More →
 
avatar for Murthy Gokula, MD, CMD

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... Read More →
 
avatar for Steven Handler, MD, PhD, CMD

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 an... Read More →

 

 

Episode 5: Deprescribing

  Kamal Wagle, MD, MPH, CMD; Dheeraj Mahajan, MD, CMD; John Derr, RPh

References:

  1. Papanicolas, et. al., “Health care spending in the United States and other high-income countries”, Special Communication, JAMA, 2018
  2. Ezekiel Emanuel, “The real cost of the US health care system”, Editorial, JAMA, 2018
  3. Monane, et. al., “Optimal medication use in elders. Key to successful aging”, Western Journal of Medicine, 1997
  4. Loganathan, et. al., “Interventions to optimise prescribing in care homes: systematic review”, Age Ageing, 2011

 

Episode 4: Antibiotic Stewardship

  University of Maryland Nurse Practitioner Doctoral candidates: Nadia Khan, MPH, BSN, RN, Lauren Meekins, RN, and Venessa Ohakam, NP

References:

  1. 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
  2. “Nursing homes need improved antibiotic stewardship”, News from the Centers for Disease control and prevention, JAMA, 2015
  3. Jump, et. al., “Template for an antibiotic stewardship policy for post-acute and long-term care settings, JAMDA, 2017
  4. Castle, et. al., “Hand hygiene deficiency citations in nursing homes”, Journal of Applied Gerontology, 2012
  5. 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

 

Episode 3: Home Based Primary Care

  Suzanne M. Gillespie MD, RD, CMD, FACP, AGSF

References:

  1. Papanicolas, et. al., “Health care spending in the United States and other high-income countries”, Special Communication, JAMA, 2018
  2. Ezekiel Emanuel, “The real cost of the US health care system”, Editorial, JAMA, 2018
  3. Monane, et. al., “Optimal medication use in elders. Key to successful aging”, Western Journal of Medicine, 1997
  4. Loganathan, et. al., “Interventions to optimise prescribing in care homes: systematic review”, Age Ageing, 2011

 

 

Episode 2: The Prevalence of Burnout Among Nursing Home Physicians

  Arif Nazir, MD, FACP, CMD, AGSF

References:

  1. Schaufeli, et. al., “Burnout: 35 years of research and practice”, Career Development International, 2009
  2. Shanafelt, et. al., “Burnout and Satisfaction with work-life balance among US physicians relative to the general US population”, Archives of Internal Medicine, 2012
  3. Nazir, et. al., “The prevalence of burnout among nursing home physicians: an international perspective”, JAMDA, January 2018
  4. Shanafelt, et. al., “addressing physician burnout—the way forward”, Viewpoint in JAMA, March, 2017

 

Episode 1: Effects of Legal Access to Cannabis on Scheduled II-V Drug Prescriptions

  Cari Levy, MD, PhD, CMD

References:

  1. Stith, et. al., “Effects of legal access to cannabis on Scheduled II-V Drug prescriptions”, JAMDA, January, 2018

*An AMDA Innovation Project

AMDA-on-the-Go Editorial Board