Medical Directors and Pharmacists Senior Care Conference
If you have questions regarding the conference or need assistance completing the online registration process, call 800-422-3106. All attendees must register and pay applicable fees. Walk-in registrations are accepted only if space permits. Pre-registration is strongly recommended. If you require any special aides or services identified by the ADA, please contact IHCA prior to the program.
Nursing facility medical directors, consultant pharmacists, administrators, directors of nurses.
This one‐of‐a‐kind educational retreat is for nursing facility administrators, nurses, medical directors, nurse practitioners, physician assistants, and pharmacists. The education will focus on bringing medical professionals and facility leadership together to discuss ways to improve the quality of care for nursing facility residents. Today’s rapidly changing healthcare environment includes new payment methodology tied to quality performance metrics and increased regulatory requirements to participate in federally funded health care programs. These changes require all members of the professional interdisciplinary team to be knowledgeable and engaged to facilitate the successful realignment of post‐acute and long term care delivery systems to meet these pressing needs.
|Friday, July 15|
|Saturday, July 16|
Registration and Breakfast
Welcome and Introductions
|8:45 am||State of Quality in Iowa SNF’s and NF’s |
Mary Jane Carothers, RN, BA, LNHA, ALMC
Keynote: The Changing Role of the Medical Director and Consultant Pharmacist in the Delivery of Quality Care
At last year’s conference both the medical provider and pharmacy provider round table discussions both yielded the same question: How can facilities help prepare their medical directors and consultant pharmacists, who often are in facilities a few short hours monthly or quarterly, to engage as effective members of the professional care team given all the pressing issues of today? There is an immediate need to provide comprehensive care planning to avoid unnecessary hospital transfers and to reduce medication errors and untoward side effects and drug interactions. This session will look at how long term care providers can best help prepare these two important practitioners on the care team to be more effective in their roles as medical directors and consultant pharmacists and help facilities elevate the quality of care and quality of life for their rehab patients and long stay residents.
Chronic Disease Management in Long Term Care
CMS identifies chronic disease issues such as diabetes, COPD, congestive heart failure, pneumonia and urinary tract infections as some of the most frequent causes of re‐hospitalizations within 30 days of hospital discharge or as the cause of unnecessary hospitalizations for those suffering from these conditions. Medical Directors, Consultant Pharmacists and nursing staff members will have to work much more cooperatively to manage these chronic disease issues that affect many elderly people. Improved nursing clinical skills at the facility level, highly effective transitions of care and discharge planning will be crucial for facilities to be successful. Participants in this session will have the opportunity to hear best practices in the team management of these chronic conditions.
The Shifting World of Reimbursement
The advent of managed Medicaid in Iowa on April 1, 2016 has required virtually all federally certified nursing facilities in the state to make the switch from a traditional fee for service model to insurance plans that will emphasize quality patient care outcomes and cost containment through case management. Often referred to as Value Based Models of Care (VBM), long term and post‐acute care have been slower to integrate these models than have other sites of service. The next several years will see a rapid evolution to various types of value based models of care including accountable care organizations (ACO’s), increased use of Medicare MCO’s (managed care plans), or Medicare Advantage Plans (MA’s) and bundled payment models. This presentation will review the evolution of these payment models and how they will affect post‐acute and long term care delivery for nursing facilities, physicians and pharmacists and the residents that they serve.
Engaging the Entire Team in Quality Improvement
CMS intends to release the final rule on the implementation of quality assurance performance improvement programs (QAPI) in nursing facilities before year’s end. The regulations will require a much more active role for many medical directors and consultant pharmacists as a part of the QAPI team than in previous practice. Participants will hear how they can become effective members of the QI team who focus on and create improved systems for the delivery of quality care.
|Sunday, July 17|
Understanding the Practice Implications of the Revised CoP’s
In the fall of 2016 CMS intends to release the most sweeping changes in the nursing facility Requirements of Participation since OBRA ’87. The four hundred plus pages of rule revisions will require changes for physicians and pharmacists who serve long term care facilities. This session highlights the proposed changes and the impact for facilities and their professional consultants.
Using INTERACT to Prevent Hospitalizations
INTERACT (Interventions to Avoid Acute Care Transfers), developed in 2012 by Florida Atlantic University using CMS grant funds, has been used successfully by many long term care facilities to keep residents from unnecessary hospital admissions. Today many ACO’s require the use of the INTERACT program by providers in their networks. This collection of early assessment and documentation tools has been integrated in the many of the electronic health care
Antibiotic Stewardship and Improved Long Term Care Infection Control
While hospitals have been focused on infection control improvement for years, this effort is relatively new to many long term care providers. The revised RoP’s mandate a much expanded role for an infection control professional in the QI program including requirements for expanded training and data collection, incorporation of infection control efforts in the QAPI plan for the facility and the establishment of an antibiotic stewardship program. This session will focus on the program used at the Iowa Veterans Home and give guidance how facilities will be able with the help of medical directors and pharmacists to meet the new regulations regarding infection control practices.
Lunch and Breakout Round Table Discussions
This session will focus on best practices and strategies that long term care facility medical directors and medical providers can employ to assist facilities to improve the delivery of medical care to those they serve. How do the revised RoP’s impact the part time medical director in Iowa facilities? How do medical directors lead the efforts to reduce hospitalizations of nursing facility residents, including the increased need for care coordination efforts across the care spectrum? What are some best practices to coordinate the efforts of medical directors and pharmacists to work to reduce medication errors and untoward side effects in LTC facilities? Participants will be encouraged to share experiences and problem solve around challenges that face medical directors and the entire multidisciplinary team in regard to these issues.
Pharmacists - Led by Ryan Carnahan, PharmD and Justin Rash, PharmD, CGP
This session will focus on best practices and strategies that long term care facility consultant pharmacists may employ to assist facilities to improve the delivery of quality long term care. How will pharmacists effectively engage with facility QI teams when implementing the new RoP’s? How do pharmacists lead efforts for effective and thoughtful pharmacologic treatment of seniors that emphasizes quality of life and safety? What is the role of the pharmacist in care coordination efforts that may include palliative or hospice care or successful return to the community? Participants will be encouraged to share their experiences and problem solve around the new challenges facing consultant pharmacists and the entire long term care multidisciplinary team.
The following speakers and planning committee members have no conflicts with commercial interests to disclosure.
- Ryan Carnahan, PharmD
- Chris Barton, RN
- Mary Jane Carothers, RN, BA, LNHA, ALMC
- Erin Foti, PharmD, CGP
- Patrick Hogan, PharmD
- Kate LaFollette, RN
- Mark Levy, MD
- Sheryl Marshal, RN
- Paul Mulhausen, MD
- Justin Rash, PharmD
- Dave Tomlin
- Victoria Walker, MD, CMD
The following speakers and planning committee members have a conflict(s) with commercial interests to disclosure.
- Susan Levy, MD, Consultant for Linked Senior
The speakers will disclose if any pharmaceuticals or medical procedures and devices discussed are investigational or unapproved for use by the U.S. Food and Drug Administration. Determination of educational content for this program and the selection of speakers are responsibilities of the activity director. Firms providing financial support did not have input in these areas.
Bridges Bay Resort
630 Linden Dr.
Arnolds Park, IA
Iowa Health Care Association has a room block with discounted room rates the nights of July 15 - 16, 2016. Room rate: $189.00 plus tax - Single/Double. There are a limited number of rooms in the room block. Rooms in the block are sold on a first-come, first-serve basis. Rooms will be available at the discounted rate until June 14, 2016 or until the room block is sold out.
Cancellation and Refunds
If a registrant cannot attend, an alternate registrant may attend in his/her place. Refunds will be granted only to those who cancel in writing to the IHCA∙ICAL office by 4 pm three business days prior to the program date. Cancellations after this time/date, no-shows due to weather, acts of God or illness, will be charged the full registration fee. This cancellation and refund policy does not apply to online courses. Refer to the course online brochure on the IHCA ICAL website for the specific cancellation and refund policy.
Continuing Education Credit
- MD: This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Iowa Medical Society (IMS) through the joint providership of Des Moines University (DMU) and the Iowa Health Care Association. DMU is accredited by IMS to provide continuing medical education for physicians. DMU designates this live activity for a maximum of 9.0 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
- DO: Des Moines University is accredited by the American Osteopathic Association (AOA) and approves this live activity for a maximum of 9.0 AOA Category 2-A credit(s).
- Other: This live activity is designated for a maximum of 9.0 AMA PRA Category 1 Credit(s)™.
The information provided at this CME activity is for continuing education purposes only and is not meant to substitute for the independent medical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition. The content of each presentation does not necessarily reflect the views of Des Moines University.
- 9.00 AOA Category 2A
- 9.00 AMA PRA Category 1 Credits™
- 9.00 CE Contact Hours