The History of Long-Term Care: Insights of a Nursing Home Medical Director Pre and Post Covid

The History of Long-Term Care: Insights of a Nursing Home Medical Director Pre and Post Covid

Wednesday, July 14, 2021

7:00 – 8:00 PM ET


This webinar will provide a historical context for the development of nursing homes from earlier almshouses, review payment mechanisms that helped exponentially increase the number of homes from the 1960’s to the present and explain OBRA ’87 and the role of the medical director. Dr. Schor will also share his experiences during the COVID-19 pandemic and discuss possible future scenarios for long-term care. Finally, he will share some long-term care clinical curiosities that he has captured in photographs.

Learning Objectives:

By the end of the webinar, participants should be able to:

  • Discuss the historical context for the development of nursing homes and specialized nursing facilities.
  • Review the origins of government financial support for long-term care.
  • Explain the role of the medical director in the nursing home/skilled nursing facility.
  • Describe the treatment of marginalized communities in the United States vis-à-vis long-term care.
  • Discuss subacute care, as opposed to long-term care, in both historical and financial contexts.

Speaker: Joshua Schor, MD, FACP, CMD
Discussant: Diane Sanders-Cepeda, DO, CMD

 Joshua Schor, MD, CMD, FACP, is an internist and geriatrician and a senior medical director for Optum, a Medicare-recognized special needs program for frail elderly that reside in nursing homes. After serving as medical director for 28 years at Daughters of Israel in West Orange, NJ, he recently became medical director emeritus and has won many awards for professionalism and humanism in medicine as well as being named AMDA Medical Director of the Year in 2017. Dr. Schor lives in north central New Jersey with his family and is a birding enthusiast.

Diane Sanders-Cepeda, DO, CMD, is a geriatrician and certified medical director who has focused her career on geriatric care across the post-acute and long-term care continuum. Currently, Dr. Sanders-Cepeda works with United Health Group as a senior medical director for United Retiree Solutions. She remains active in AMDA as a member of the Board of Directors. She is also on the Program Planning Subcommittee, the Education Committee, and serves as chair of the Online Education Subcommittee. In addition, she  is an active member of the Florida Medical Directors Association (FMDA), serving as vice president of the organization and as chair of FMDA’s Journal Club.

Credit Information:

  • 1.0 CME
  • 1.0 CMD Management
  • 1.0 MOC

Credit Statements:

AMDA - The Society for Post-Acute and Long-Term Care Medicine designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)TM. Physicians should only claim credit commensurate with the extent of their participation in the activity. 

AMDA – The Society for Post-Acute and Long-Term Care Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

This live activity has been pre-approved by the American Board of Post-Acute and Long-Term Care Medicine (ABPLM) for a total of 1.0 Management hours toward certification or recertification as a Certified Medical Director (CMD) in post-acute and long-term care medicine. The CMD program is administered by the ABPLM. Each physician should claim only those hours of credit actually spent on the activity.

Maintenance of Certification (MOC): 
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.0 Medical Knowledge MOC points in the American Board of Internal Medicine’s (ABIM) MOC program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

Disclosure Information: 

The Society requires the disclosure of all speaker/faculty/planner’s relevant financial relationships; presence of off-label use of a device or medication; and discussion of any experimental, new or evolving topic prior to each accredited education activity.

If the learner perceives any bias toward a commercial product or service, advocation of unscientific approaches to diagnosis or therapy, or recommendation, treatment, or manners of practicing healthcare that are determined to have risks or dangers that outweigh the benefits or are known to be ineffective in the treatment of patients please report this to the Society’s staff.

All relationships have been identified, mitigated, and resolved.

The speakers have no financial relationships to disclose.

The following AMDA Online Education Committee members have financial relationships to report: Robert Zorowitz, MD, MBA, CMD – United Health Group: Stock Shareholder; all others have no relationships to disclose.

AMDA staff have no financial relationships to disclose.