LTC Medical Directors, Medical Practitioners and Pharmacists Conference

West Des Moines, IA US
June 1, 2018 to June 2, 2018

This conference has been canceled. 


This one-of-a-kind educational conference 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, June 1, 2018
12:30 pm

The Role of the Medical Director and Consultant Pharmacists in Todays PA-LTC

David R. Gifford, MD, MPH, AHCA/NCAL 
Senior Vice President of Quality and Regulatory Affairs, American Health Care Association 

The world of post-acute medicine and the delivery of pharmacy services has become increasingly complex and increasingly intertwined. As acuity of residents increase and new payment models change how hospitals utilize SNFs, the role of the physician and pharmacist has increased. The new Medicare and Medicaid regulations also increase the involvement of both the physician and pharmacist in a number of areas. Adverse events in the post-acute care setting have been increasing with medications a leading cause. This session will discuss the increasing role physician and pharmacist play in medication prescribing in LTC with a focus on antibiotic stewardship and the use of medications that increase the risk of adverse events in the elderly. This session will help medical practitioners and consultant pharmacists understand their roles in today’s long term and post-acute environment that is demanded by regulators and third-party payors alike.

  • Identify the most recent revisions to the Requirements of Participation in relation to the roles of Medical Directors and Consultant Pharmacists.
  • Review the CDC guidance on antibiotic stewardship and monitoring antibiotic prescribing.
  • Describe the regulations regarding unnecessary drug use and the need to prevent rehospitalizations in rehab patients.
  • Discuss the Beer’s criteria for medications increasing the risk of adverse events in elderly and how the new regulations expect monitoring and limiting their use.
2 pmBreak
2:15 pm

Successful Non-Pharmaceutical Approaches in Dementia Care 

Marianne Smith, PhD, RN
Associate Professor at the University of Iowa College of Nursing; Director of the Csomay Center of Gerontological Excellence at the CON; Co-Director of the UI Center on Aging 

Challenging behaviors in dementia often result from unmet needs that the person can no longer communicate in spoken language. This program reviews a stepwise approach to problem-solving that focuses on underlying causes and contributing factors to dementia behaviors, evidence-based interventions to reduce distressed behaviors, and the importance of team approaches to change the culture of using medication interventions vs. spending time on person-centered approaches.

  • Describe how the two domains of the Need-driven Dementia-compromised Behavior (NDB) model interact.
  • Identify factors in the personal, social, and physical environment that may cause or contribute to behavioral symptoms.
  • Describe the importance of matching interventions to the person’s needs, preferences and abilities.
  • Discuss the importance of team approaches to change the culture of using medication interventions in dementia care.  
3:45 pmAnnual Meeting of IPALTC
4:45 pmAdjourn
Saturday, June 2, 2018
8:30 am

Role of Palliative Care in Person-Centered Care

Ann Broderick, MD, MS
Director of Hospice and Palliative Care, VA Medical Center, Iowa City, IA 

What palliative care principles do you use every day with patients in the care center? How can you hone those skills to provide health care that meets the goals of your patients and their families? In this interactive session, attendees will learn some techniques that attend to the complex emotions of patients and families and that align a treatment plan with the goals and values of the patient. In addition, we will address how palliative care addresses the symptoms of the patients without necessarily adding to pill burden. Finally, we will address how deprescribing can be achieved based on evidence and alignment with the patients and families. 

  • Recognize the palliative care principles that are utilized in care centers every day.
  • Demonstrate the ability to recognize grief and emotion in patients and families and respond.
  • Describe methods for establishing the goals of care and aligning the treatment plan to the goals.
  • Identify a systematic method of addressing symptoms in patients to fully recognize the symptom burden of your patients.
  • Provide evidence, prognostication, and patient goals to appropriately counsel on deprescribing of medications.  
10 amBreak
10:15 am

Managing Chronic Mental Illness in Older Adults 

Colleen S. Brems, ARNP, PMHCNS-BC
Psychiatric Nurse Practitioner at University of Iowa Hospitals and Clinics 

Mental and emotional distress is a common problem among older adults who live in long-term care settings. Late-life mental illness and threats to mental health too often trigger a downward spiral of disability. This presentation will review signs and symptoms of mental distress and illness, which is the first step in resolving problems. Discussion will focus on the role of interdisciplinary team to assess common disorders and adapt care approaches to help enhance comfort, function, and wellness.

  • Distinguish between threats to mental health and mental illness in later life.
  • Describe common mental disorders that occur in later life.
  • Discuss interdisciplinary care approaches that promote comfort and function and wellness.
  • Identify common medications and significant side effects used to treat older adults with mental illness.
  • Identify markers for Delirium, Dementia, and Depression.    
11:45 amLunch
12:15 pm

Reducing Re-Hospitalizations through Pharmacist-Physician Collaboration 

Diane Reist, PharmD, RPh
Clinical Pharmacy Specialist in Transitional Care, University of Iowa Hospitals & Clinics, Iowa City, IA 

The implementation of HRRP & SNFRM for SNF VBP has many of us asking WITW (what in the world?) As we deal with newly implemented rules and the threat of financial penalties for our patients making return trips to acute care how do we address these readmission issues? What are the issues? Who, what, and where are the stumbling blocks to a smooth transition across the post-acute care continuum and how can we improve this journey for our patients without adding time and work to an already overflowing workload? What is Transitional Care – another buzz word? This presentation will discuss local studies and projects that have looked at what the issues are and some methods for dealing with them.

  • Discuss typical roadblocks to smooth patient transitions as patient’s journey from one healthcare environment or provider to the next.
  • List strategies that can be used to prevent bad transitions.
  • Develop a plan to identify transitional roadblocks that exist in the participants own practice setting.
  • Identify the benefits of an Integrated Discipline Transition Team.
  • Develop at least one actionable plan to implement on return to practice.
1:45 pmAdjourn


The following speakers and planning committee members have no conflicts with commercial interests to disclosure.

  • Colleen S. Brems, ARNP, PMHCNS-BC, Speaker
  • Ann Broderick, MD, MS, Speaker
  • Mary Jane Carothers, Activity Director and Planning Committee Member
  • David R. Gifford, MD, MPH, AHCA/NCAL, Speaker and Planning Committee Member
  • Diane Reist, PharmD, RPh, Speaker
  • Marianne Smith, PhD, RN, Speaker
  • Dave Tomlin, Activity Director and Planning Committee Member

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.

Course summary
Available credit: 
  • 7.50 AMA PRA Category 1 Credits
  • 7.50 AOA Category 2­A
  • 7.50 CE Contact Hour(s)
Course opens: 
Course expires: 
Event starts: 
06/01/2018 - 1:00pm CDT
Event ends: 
06/02/2018 - 1:45pm CDT
Iowa Health Care Association
1775 90th Street
Education Center
West Des Moines, IA 50266
United States
+1 (515) 978-2204


Sleeping Room Information

Iowa Health Care Association has negotiated special sleeping room rates for its members at several West Des Moines area hotels. IHCA members can utilize these discounts whenever they are staying in the Des Moines area. All hotels are located within three miles of the IHCA office and education center.

To get the special room rate you must request the “Iowa Health Care Association room rate”.

Hampton Inn
7060 Lake Drive
West Des Moines, IA
(515) 223-4700
Room rate: $78 single/double

StayBridge Suites
6905 Lake Drive
West Des Moines, IA
(515) 223-0000
Room rate: $92 plus tax – King Studio Suite or $129 plus tax – 2 Queen Suite

For additional discounted hotels, please refer to EDUCATION section of our website.

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 7.5 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 (DMU) is accredited by the American Osteopathic Association (AOA) to provide osteopathic continuing medical education for physicians. DMU designates this program for a maximum of 7.5 AOA Category 2-A credits and will report CME and specialty credits commensurate with the extent of the physician’s participation in this activity.
  • Other: This live activity is designated for a maximum of 7.5 AMA PRA Category 1 Credit(s)™.

Educational Grants

No commercial interest company provided financial support for this continuing education activity.


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.

Available Credit

  • 7.50 AMA PRA Category 1 Credits
  • 7.50 AOA Category 2­A
  • 7.50 CE Contact Hour(s)


Please login or Create an Account to take this course.


Register on-line at Find the registration form under the “Upcoming Events” tab.

On-line registration is ONLY available for Physicians, Medical Directors, Doctors and Nurse Practitioners.

All others please register by completing the registration form on the back of this brochure.

  • Please complete the REGISTRATION FORM and FAX, MAIL, or SCAN and e-mail it by May 30, 2018.
  • Credit card payments are available.
  • A billing statement for the registration fee will be sent directly to your facility/company.
  • Cancellations will be accepted until 4:00 p.m. on Tuesday, May 29, 2018. Cancellations after this date, no-shows due to weather, acts of God or illness, will be charged the full registration fee. The Iowa Health Care Association reserves the right to cancel the education program; in the event of such a cancellation, all registration fees will be refunded.

Registration Fees

  • IPALTC or IHCA Members: $165 per person
  • Pharmacists: $165 per person
  • Non Members: $275 per person

Registration fee includes: handouts, continuing education credit, reception, breakfast, lunch and refreshment breaks on June 2.