AMDA

60 seconds with ... Leonard Gelman, M.D., CMD

60 seconds with ... Leonard Gelman, M.D., CMD

Q: What motivated the recent decision to extend AMDA membership to nurse practitioners? A: The last set of stats that I saw, about 25% of visits in nursing homes are done by nurse practitioners. This trend has been increasing over the last four to six years. We understand that in certain parts of the country, physicians might not be readily available. My take is it doesn't really matter who does the work, as long as someone qualified is providing the services.

AMDA to allow NPs, physician assistants as full members

AMDA to allow NPs, physician assistants as full members

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The American Medical Director's Association has a new name and will now allow nurse practitioners and physician's assistants full membership.

Adverse events and the culture of fear in long-term care

Adverse events and the culture of fear in long-term care

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The government report on adverse events in post-acute care that was released yesterday shines a light on issues of real concern. However, as long-term care stakeholders and regulators consider the implications of the report and ways to reduce the number of adverse events, I'd suggest a companion report to be read alongside it: "Is Excessive Paperwork in Care Homes Undermining Care for Older People?"

House bill proposes safe harbor from medical malpractice litigation, could remove LTC liability actions from state to federal court

House bill proposes safe harbor from medical malpractice litigation, could remove LTC liability actions from state to federal court

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A bill in the House of Representatives would create a safe harbor system to reduce malpractice lawsuits against Medicare and Medicaid providers, and it would give providers the right to request state-level suits move to federal court.

LTC medical directors to meet in Nashville

The American Medical Directors Association's annual conference takes place Thursday through March 2 in Nashville. Billed as the "premier" medicine conference for post-acute and long-term care, the theme this year is "Creating Harmony in Long Term Care."

Nursing home-hospice relations the focus of webinar

Long-term care providers will learn how to better collaborate with hospice staff and colleagues in a hospice setting during a special webcast on Thursday. Alva S. Baker III, M.D., CMD, and Jeffrey Burl, M.D., CMD, will present "The Ins and Outs of Hospice in the Nursing Home" from 7 p.m.-8:30 p.m. Eastern Time.

What's your load? How nurses can lighten med usage

What's your load? How nurses can lighten med usage

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The US Food and Drug Administration recently requested that practitioners stop prescribing combination prescription pain medications that have more than 325 mg of acetaminophen per tablet, capsule, etc., due to the risk of liver damage. This is a good thing.

Medical directors introduce program for improving dementia care

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Long-term care providers now can access a new interactive program for improving dementia care, developed by a prominent association of medical directors.

Medicare reform proposal needs fixes for long-term care physicians, AMDA says

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Prospective Medicare changes regarding physician payments might unfairly penalize doctors working in long-term care settings, according to a prominent medical directors association.

AMDA calls on long-term care providers to craft sexual behavior policies

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Staff and seniors both would benefit from clearer policies regarding sexual behavior among residents in long-term care facilities, according to a prominent physicians association.

AMDA issues list of competencies for long-term care physicians

AMDA issues list of competencies for long-term care physicians

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Doctors practicing in long-term care settings should hone certain skills identified by leading stakeholders in order to produce higher quality outcomes, according to a prominent physician association. The list of competencies for physicians in post-acute and long-term care medicine was released Monday by AMDA-Dedicated to Long-Term Care (formerly the American Medical Directors Association).

Medical directors raise concerns about quality reporting, health IT in long-term care settings

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Since the adoption of health information technology has varied between acute and long-term care settings, that fact should be reflected in quality reporting requirements for physicians, a prominent association of medical directors says.

AMDA joins campaign to reduce unnecessary tests

The American Medical Directors Association has joined with ABIM Foundation's Choosing Wisely® campaign to promote discussions between healthcare providers and patients for what medical tests or procedures may be unnecessary.

Medical directors push for LTC-specific physician training, quality measures

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Nursing facility medical directors should receive more training specific to long-term care, according to the American Medical Directors Association.

Young adults in long-term care: a new resource for caregivers

Young adults in long-term care: a new resource for caregivers

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Nearly one in seven nursing home residents is now under the age of 65, and the number could rise. That's creating challenges for caregiving staffs that could blossom into big problems — if caregivers don't adapt better. Luckily, there's help.

Every day learner, leader

Every day learner, leader

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For a man who describes himself as a "shy nerd" drawn to data and analytics, Christopher E. Laxton has mastered the role of leader.

Long-term care physicians respond to report on antipsychotic over-prescribing

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The top professional association of long-term care physicians and medical directors has reiterated its commitment to reducing the use of antipsychotics for dementia care. It did so Tuesday, in response to a recent report that criticized prescribing practices.

We need a meaningful flow of information

We need a meaningful flow of information

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"To reduce avoidable hospitalizations, you must have a meaningful flow of information." These are extremely wise words we need to really think about.

Long-term care providers dodge bullets in fiscal cliff deal, but CLASS (Act) is out

Long-term care providers dodge bullets in fiscal cliff deal, but CLASS (Act) is out

Long-term operators are cheering that Congress averted cutting Medicare payments through sequestration this week, and they're glad that another one-year postponement of physician pay cuts didn't come at their expense.

Proper evaluation documentation that supports nursing home billing the focus of webcast for clinicians

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In light of recent allegations of gross upcoding in therapy circles, an upcoming webcast on appropriate patient evaluation and management documentation could prove popular. Alva Baker, M.D., CMD, who has been a medical director for 29 years, will examine the relationships between E/M documentation and coding and billing. Topics within the webcast include a review of the billing codes for services provided to residents in the long-term care setting, as well as the E/M documentation system. The event will take place from 7 p.m. to 8:30 p.m. (Eastern Time) on Thursday. It is sponsored by the American Medical Directors Association.

Nursing home honored for reducing falls 53% in one year

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A New York nursing home that reduced falls by 53% in a year credits program planning, new safeguards and revised resident assessments.

AMDA announces interim executive director

The American Medical Directors Association has named Harvey Tillipman as its interim executive director.

Provider groups lobby for Medicare observation stay fix

Long-term care provider groups said at a congressional briefing Thursday that they want a Medicare policy on observation stays in hospitals to be changed.

Geriatrics conference to address long-term care issues for nurses, physicians and others

The Regional Geriatrics Medical Conference of the Year is being held through Sunday at Disney's Grand Floridian Resort & Spa in Lake Buena Vista, FL. Jointly sponsored by the American Medical Directors Association and local chapters of AMDA, ACHCA, NADONA and the Gerontological Advanced Practice Nurses Association, the conference features nearly two dozen educational sessions. Major geriatric diseases, illnesses and risks found in nursing home and assisted living residents will be targeted.

Inspector General report: 1 in 7 nursing home residents are incorrectly prescribed psychotropic medications

Inspector General report: 1 in 7 nursing home residents are incorrectly prescribed psychotropic medications

As many as one in seven elderly nursing home residents, most of whom have dementia, are being prescribed expensive, powerful antipsychotic medications that increase the risk of death, according to a report from the federal Office of the Inspector General. Providers counter that the research reflects outdated practices.

Medical directors continue annual meeting with look at key caregiving processes

The American Medical Director Association's annual conference, "Long Term Care Medicine—2011," continues through Sunday in Tampa with concurrent educational sessions highlighting some of the hottest topics in caregiving today. A highlight of Saturday's agenda will be a presentation by Professor David R. Thomas, MD, CMD, an expert in pressure ulcers and wound care.

Long-term care physicians have multiple roles in the sector, study finds

A majority of AMDA - Dedicated to Long Term Care Medicine members are pulling double duty, according to a survey by that group. A total of 79% said they work as part-time medical directors and 88% said they also serve as attending physicians.

Certified medical directors improve quality of care in nursing homes, analysis finds

Certified medical directors improve quality of care in nursing homes, analysis finds

Nursing homes that employ medical directors certified by the American Medical Directors Association show significant improvement in quality of care over facilities that don't, according to a new analysis.

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