Agenda | Twenty-Seventh Annual Scientific Meeting



12:00 – 6:00 p.m. Registration, Exhibitors

1:00 – 5:00 p.m. Bootcamp for New Providers in PALTC

Iris Boettcher MD, CMD
Michelle Barton MD,
Laura Schipper DNP, AGOCNP-BC, RN

Learning Objective

  • Describe the CMS rules in SNFs for providers (Physicians and APPs)
  • Summarize geriatric syndromes as applied to the population of frail elderly living in SNFs
  • Summarize the basic pharmacologic principles of drug management in SNFs

6:00 – 7:00 p.m. Public Policy Update

Alex Bardakh MPP, CAE

Learning Objective

  • Summarize the latest regulatory developments in PALTC medicine
  • Effectively advocate for patients and residents
  • Meaningfully participate in the policy development process

7:00 – 8:30 p.m. Avoiding Readmissions: 3 Approaches:

Clinical Admission Reviews to Reduce Readmissions
Kathleen Unroe, MD, MHA, MS and Russell Evans, RN, MHA

Learning Objective

  • Describe proven care models that reduce hospitalizations of nursing home residents
  • Identify common discrepancies in hospital vs. nursing home admission orders
  • Summarize systems needed to improve transitional care

Reducing 30-day Readmission Rates After Hospital Discharge to SNF
Nancylee Stier MD , CMD

Learning Objective

  • Identify tools to implement measures discussed, r/t calls and appointments
  • Integrate an effective model to reduce readmissions at their own facilities
  • Discuss the value of each component in contributing to reduced readmissions

Care Settings After A Bridging House Calls Program
Carlos Weiss, MD, MHS

Learning Objective

  • Discuss what proportion of older adults who are hospitalized and at high risk of hospital readmission after return to office-based care
  • Describe the range of care settings and each setting’s role in the post-hospitalization care of older adults


7:00 – 8:00 a.m. Placeholder – breakfast presentation

8:00 – 9:00 a.m. Optimizing the Medication Pass in Nursing Homes

Brian Smith PharmD

Learning Objective

  • Identify medications for deprescribing
  • Identify anticholinergics
  • Identify opportunities to consolidate the medication regimen in practice

9:00 – 10:00 a.m. Wound care and pressure injury management

Sarah Baumgart NP

Learning Objective

  • Recognize the risk factors for pressure injury development
  • Identify the pressure injury stages
  • Review interventions for pressure injury prevention and management
  • Identify the principles of wound bed preparation
  • Summarize the different categories of topical wound dressing selection

10:15 – 11:15 a.m. Importance of diagnostic imaging for dysphagia management: Improved health outcomes and financial benefits

Kailey Riker, MA CCC-SLP, Amanda Redeker CCC-SLP

Learning Objective

  • Identify the weaknesses present in the traditional bedside swallow evaluation.
  • Review the importance of determining accurate diet levels and the positive health outcomes associated with them.
  • Compare the two types of imaging tests performed for dysphagia evaluation, VFSS and FEES.
  • Discuss how imaging diagnostics can lead rehabilitative interventions for patients with dysphagia.

11:15 – 12:15 p.m. Clinical Update I: Managing acute and chronic kidney disease in post-acute & long-term care

Markus Bitzer MD

Learning Objective

  • Demonstrate understanding of most current standard of care for acute and chronic renal failure in the post-acute and long-term care setting
  • Demonstrate understanding of the importance and limitations of GFR-based medication dosing
  • Demonstrate understanding of management of patients with decreased GFR and diabetes mellitus or heart failure
  • Demonstrate knowledge of interventions for prevention of renal failure in the elderly population

12:15 – 1:00 p.m. MIMDA Business Meeting

1:00 – 2:00 p.m. Clinical Update II: Managing diabetes in post-acute & long-term care

Pearl Lee MD

Learning Objective

  • Discuss diabetes care goals and challenges in post-acute and assisted living settings.
  • Identify and discuss risk factors (medications and comorbidities) for hypo- and hyper-glycemia in post-acute and assisted living settings.
  • Discuss recent expert recommendations to improve diabetes management in post-acute and assisted living settings.

2:00 – 3:00 p.m. Clinical Update III: Managing heart failure in post-acute & long-term care

Rachel Denny DO

Learning Objective

  • Describe the challenges of heart failure in older adults, mainly when concurrent geriatric syndromes exist.
  • Review prognostication, palliative care, and when to consider addressing goals of care in this patient population.
  • Summarize tools and resources that can be helpful to providers working in both post-acute and long-term care.

3:15 – 4:15 p.m. Guardianship and Surrogate Decision-Making

Kahli Zietlow MD

Learning Objective

  • Summarize four components of capacity evaluations
  • Define advanced directives available in the state of Michigan
  • Define guardianship and compare appropriate alternatives
  • Summarize the limitations of guardianship
  • Demonstrate advocacy for cognitively impaired patients at risk of or who have lost decisional capacity, encouraging least restrictive options.

4:15 – 5:15 p.m. Dementia training for caregivers-Michigan County Medical Care Facilities Council grant program

Renee Beniak, Cheryl Huckins MD, CMD

Learning Objective

  • Describe the objectives of the Dementia Grant.
  • Recognize that behaviors in dementia residents indicate an unmet need
  • Discuss the importance of managing stress for frontline caregivers

5:15 – 5:45 p.m. ABIM review

Learning Objective

  • Discuss takeaways from this conference
  • Discuss next steps for implementing strategies learned
  • Describe solutions to personal practice problems