SNF thru STD Mgmt Protocol

1.00 CME / 1.00 CMD Clinical / 1.00 MOC

This session will review a quality improvement initiative between an academic community hospital system and a partner skilled nursing facility to standardize the management of patients with congestive heart failure and improve patient outcomes and reduce avoidable readmissions. Topics to be covered include patient co-production, interdisciplinary care, flexible diuretic dosing, and evidence-based congestive heart failure management in skilled nursing facilities.

Presenters

Michelle Johnson, MD, is a Clinical Instructor of Medicine at Harvard Medical School. She teaches geriatric medicine to residents, medical students and geriatric fellows in both the outpatient and skilled nursing facility settings. She is the Director of Quality of Improvement for the Cambridge Health Alliance Skilled Nursing Facility Program. She serves as the Medical Director for Cambridge Rehab and Nursing Facility, one of Cambridge Health Alliance’s partner skilled nursing facilities.

Jennifer Thiesen DNP, APRN, FNP-BC; ACNP-BC; CMAC, NEA-BC is currently the Senior Director of Population Health Management - Clinical Design for the Cambridge Health Alliance. In this role, she collaborates with multi-disciplinary colleagues on the development of chronic disease programs as well as internal and external stakeholders to ensure programmatic needs and outcomes are achieved through evidence-based care models informed by organizational requirements and population characteristics and needs. She is responsible for clinical redesign efforts that will address clinical performance improvement, care workflows, and care standardization that improves clinical outcomes reduces clinical variation and inappropriate utilization across the continuum. She currently serves on several boards including Secretary of the Organization of Nurse Leaders, MA, NH, CT, VT and RI; and President of the Ocean State Chapter of the American Association of Critical Care Nurses.

Learning Objectives

• Describe patient stories and experiences of congestive heart failure management and care during admission to a skilled nursing facility.
• List the challenges that exist in managing congestive heart failure in skilled nursing facilities.
• Describe evidence-based approaches to managing congestive heart failure exacerbations in non-acute clinical settings.
• Discuss an interdisciplinary intervention to standardize the management of congestive heart failure and its impact on patient outcomes and SNF 30-day readmission rates.

Credit Information

 Activity Created 3/2022

 Credits Available Until 3/2025

 Credit Statements:

 CME: AMDA – The Society for Post-Acute and Long-Term Care Medicine designates this enduring material 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 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.

CMD: This self-study activity has been pre-approved by the American Board of Post-Acute and Long-Term Care Medicine (ABPLM) for a total of 1.0 clinical 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.

ABIM 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 and patient safety credit in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (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.

Visit the Continuing Education page for information on if and how you can claim credit/hours for AMDA’s education.

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 relevant financial relationships have been identified, mitigated, and resolved.

• The following AMDA Education Committee members have financial relationships to report: Diane Sanders-Cepeda, DO, CMD — UHC E&I Retiree Solutions: Full-Time Employee; all others have no relationships with ineligible companies.
• The speakers have no relevant financial relationships.
• AMDA staff have no relationships with ineligible companies.