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