Design Your Deprescribing Intervention

Design Your Deprescribing Intervention

Course Overview

In the post-acute and long-term care (PALTC) setting, managing medications effectively is crucial for optimizing patient outcomes and minimizing harm. Despite the importance of deprescribing, many providers face challenges in this area. This interactive course is designed to equip you with the skills and knowledge necessary to implement effective deprescribing practices in your facility.

Areas of Focus

This module introduces the relationship between medication optimization and deprescribing, providing you with the tools to design an effective deprescribing intervention using the Institute for Healthcare Improvement's Plan-Do-Study-Act (PDSA) model. Future modules in this series will expand on these concepts by covering advanced communication strategies, including techniques for effectively engaging with residents and families, as well as tailored approaches for deprescribing specific classes of medication.

Background and Development

Since May 2021, the Post-Acute and Long-Term Care Medical Association (PALTmed) and the American Society of Consultant Pharmacists (ASCP) have been developing resources to optimize medication use in PALTC as part of the Drive to Deprescribe initiative. This course is one of these key resources, created to support health care professionals in providing safe, effective, and patient-centered care.

Learning Objectives

Upon completing this module, you will be able to:

  • Assess the impact of deprescribing on managing medication overload.
  • List the four steps of the PDSA model and apply them to a deprescribing intervention.
  • Develop a comprehensive deprescribing plan, considering key design components and strategies.

Judith L. Beizer, PharmD, BCGP, FASCP, AGSF

Dr. Judith Beizer is a tenured Clinical Professor at St. John's University College of Pharmacy and Health Sciences in Queens, NY.  As part of her duties, she practices as a Clinical Pharmacist at the Stern Family Center for Rehabilitation in the Northwell Health System.  At the Stern Center, she provides clinical pharmacy services for sub-acute rehabilitation patients, precepts pharmacy students and residents on rotation, and serves on the faculty of the geriatric medicine fellowship program.  Dr. Beizer is a board-certified geriatric pharmacist.

Dr. Beizer received her bachelor’s degree in pharmacy from the St. Louis College of Pharmacy and then earned a doctor of pharmacy degree from the University of Tennessee.  After pursuing a residency in clinical pharmacy at the Hospital of the University of Pennsylvania, she completed a fellowship in geriatric pharmacy at Montefiore Medical Center in the Bronx, NY.  

Dr. Beizer is a past president of the American Society of Consultant Pharmacists (ASCP).  She was the 2016 recipient of the George F. Archambault award, ASCP’s highest honor, and the 2001 recipient of the ASCP Richard S. Berman service award.   She is currently serving on the US Department of Veterans Affairs Geriatrics and Gerontology Advisory Committee.  Dr. Beizer is an active member of the American Geriatrics Society (AGS) and serves on their Nominations Committee.  She previously served 9 years on the AGS Public Policy Committee.  She was on the expert panel that developed the 2012, 2015, and 2019 AGS Updated Beers Criteria for Potentially Inappropriate Medication Use in Older Adults.  Dr. Beizer is the Consulting Editor for Pharmacotherapy for the AGS Geriatrics Review Syllabus.

Cheryl Huckins, MD, CMD

Cheryl Huckins MD, CMD is the president of the Michigan Medical Directors Association. She is retired from clinical and administrative practice, during which time she has been medical director of multiple extended care facilities, and corporate medical director for Evangelical Homes of Michigan.

Arif Nazir, MD, CMD

Arif Nazir, MD, CMD, currently serves as the Chief Medical Officer for BrightSpring Health Services, Primary Care, a large, value-based, geriatric practitioner organization, and the Chief Medical Officer for Signature HealthCARE. He is Past President for AMDA, founding member for the Society’s Innovation Council, and Co-chair of Society’s Drive to Deprescribe initiative. As a healthcare leader, researcher, entrepreneur, and an implementation champion, he continues to focus his efforts on finding practical solutions for solving care coordination gaps and on enhancing leadership and teamwork in the PALTC frontlines.

Jennifer A. Pruskowski, PharmD, MS, BCPS, BCGP

Assistant Professor and Director of Geriatric Pharmacy Research and Education

University of Pittsburgh

Dr. Pruskowski is an Assistant Professor at the University of Pittsburgh School of Pharmacy and the Director of Geriatric Pharmacy Research, Division of Geriatrics, in the School of Medicine, as well as the Associate Director for Education and Evaluation within the Pittsburgh Veteran Affairs Technology Enhancing Cognition and Health Geriatric Research Education and Clinical Center (TECH-GRECC).

Kim Ratliff, RN, CNDLTC

Kim Ratliff, RN, CNDLTC, is the Director of Nursing at Wesley Enhanced Living in West Chester, PA. 

Sabine Von Preyss-Friedman, MD, FACP, CMD

Sabine Von Preyss-Friedman, MD, FACP, CMD, is an Internist and Geriatric Medical Specialist and has practiced in Skilled Nursing Facilities since her fellowship at the University of Washington in 1988. She first became a certified Medical Director in 1992 and has since been enthusiastically engaged in Medical Direction of Skilled Nursing Facilities. In 2011, she was honored by AMDA/Society of Post-Acute and Long-Term Care Medicine as Medical Director of the Year. She is Associate clinical Professor Emerita at the University of Washington and Chief Medical Officer of Avalon Healthcare. As a Medical Director and Chief Medical Officer she is involved in Quality improvement, developing standards and outcomes measures in our facility and the successful translation of medical evidence into clinical care. Her mission is to support the best care possible medical care for all of our patients. Dr. von Preyss-Friedman currently serves as the president of the Washington State Society of Post-Acute and Long-Term Care Medicine.

Chad Worz, PharmD, BCGP, FASCP

Chad Worz, PharmD, BCGP, FASCP is Chief Executive of the American Society of Consultant Pharmacists (ASCP) in Alexandria, Virginia, the only international professional society devoted to optimal medication management and improved health outcomes for all older persons. ASCP's senior care consultant pharmacist members manage and improve quality of life for geriatric patients and other individuals residing in a variety of environments, including nursing facilities, subacute care and assisted living facilities, psychiatric hospitals, hospice programs, and home- and community-based care. Dr. Worz received his Doctor of Pharmacy degree from the University of Cincinnati College of Pharmacy in Ohio, and he is a board-certified geriatric pharmacist. His career has focused on the medication management of older adults. Dr. Worz developed an innovative clinical practice in a long-term care setting in Ohio and directed the pharmacy practice of a regional, independent pharmacy serving 10,000 long-term care residents. Dr. Worz established a nation-wide, geriatric-based consulting company to educate and serve nursing facility residents, nursing facility administration, long-term care pharmacies, and the public through a comprehensive knowledge of medication use. He is a national thought leader, presenting on pharmacy- and medication-related topics, and he has served on a number of national boards related to pharmacy and medication utilization.

  • 0.5 CME
  • 0.5 CMD Management

Release Date: 8/14/2024 | Expiration Date: 8/14/2026

Credit Statements

Accreditation: Post-Acute and Long-Term Care Medical Association is accredited by the ACCME to provide continuing medical education for physicians.

CME Designation: Post-Acute and Long-Term Care Medical Association designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

CMD Credit Hours: This CME activity has been pre-approved by the American Board of Post-Acute and Long-Term Care Medicine (ABPLM) for a total of 0.5 management hour(s) 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. For further information, contact ABPLM at 410-992-3117 or at cmd@paltmed.org.


Financial Disclosure

The Association 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 health care 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 Association's staff.

None of the planners, faculty, speakers, or anyone else in control of content disclosed a relevant financial relationship with an ineligible company. 

Components visible upon registration.