PALTC23 Conference Recordings FR19 Approaching the New AMDA 3Ds CPG using the Care Delivery Process

Approaching the New AMDA 3Ds CPG using the Care Delivery Process

This session will describe the new Delirium, Depression, and Dementia (3Ds) in Post-Acute and Long-Term Care Clinical Practice Guideline (CPG), which represents a major milestone by incorporating the care delivery process, critical thinking, and clinical decision making around these complex diagnosis. Our sessions aims to introduce the new CPG and to facilitate an interactive review of major sections of the CPG. First, we will begin with a case presentation to help generate questions. We will then focus on each of the major categories within the CPG – Recognition, Assessment, Treatment, and Monitoring – and elicit questions/answers from the audience as it relates to the next step they would take. Second, we will highlight some of the tools and resources that are available along with the new CPG to assist clinicians and medical directors in taking care of complex older adults.

Learning Objectives:

At the completion of this session, learners will be able to:

  • Review the current status of delirium, depression, and dementia in PALTC medicine
  • Explore the critical thinking process associated with the care delivery process specific to recognition and assessment
  • Discuss the treatment and monitoring options available to address each of the three conditions,”

Christian Bergman, MD, CMD

Christian Bergman, MD, CMD, is board-certified in Internal Medicine and Geriatric Medicine. He attended medical school at the University of Virginia in Charlottesville, VA and completed his internal medicine residency and geriatric medicine fellowship at Eastern Virginia Medical School in Norfolk, VA where he specialized in post-acute and long-term care medicine. His clinical practice focuses on post-acute and long-term care medicine with active medical directorship. He is assistant professor at Virginia Commonwealth University in Richmond, VA where he is focusing on improving transitions of care and is actively involved in teaching trainees at all levels. At AMDA – The Society for Post-Acute and Long-Term Care Medicine – he is chair of the State Based Policy and Advocacy Subcommittee and chair of the Transitions of Care Subcommittee. He lives in Richmond, VA with his wife and two kids and enjoys spending time on home improvement projects.

Nancy Overstreet, DNP, GNP-BC, CWOCN

Nancy Overstreet, DNP, GNP-BC, CWOCN, is a Geriatric Nurse Practitioner serving older adults in Assisted Living and skilled care in Central Virginia for over 20 years. Previously, an Associate Professor with Lynchburg College's Nursing Program, Dr. Overstreet returned to clinical practice with a focus on dementia care. An active member of AMDA - The Society for PALTC Medicine, she was Co-Chair of the Clinical Practice Guidelines for Urinary Incontinence and the recent Pressure Ulcer and Other Wound. She currently serves as Chair of the Clinical Practice Steering Committee.

  • 1.0 CME
  • 1.0 CMD Clinical
  • 1.0 MOC
  • 0.25 Pharmacology Hour


Release Date: 03/29/2023   |   Expiration: 03/01/2026

Credit Statements:

Accreditation: Post-Acute and Long-Term Care Medical Association is accredited by the Accreditation Council for Continuing Medical Education (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 1.0 AMA PRA Category 1 Credit(s)™. 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 up to 1.0 clinical hour(s) toward certification or recertification as a Certified Medical Director (CMD) in post-acute and long-term care medicine. Each physician should claim only those hours of credit actually spent on the activity.

The CMD Program is administered by the ABPLM. For further information, contact ABPLM at 410-992-3117 or at cmd@paltc.org.

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.

Pharmacology: This activity satisfies the requirements for 0.25 Pharmacology Hour(s) for Nurse Practitioners.

Financial Disclosure Statement:

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 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 Association's staff.


The following speaker(s) disclosed relevant financial relationship(s): 

  • Julie Gammack, MD, CMD (Planner & Speaker): Stockholder: Amarin
  • Kenya Rivas Velasquez, MD, CMD, FAAFP (Planner & Speaker): OptumRx: Stockholder
  • All other planners, speakers, and AMDA staff have no relationships with ineligible companies.

All relevant financial relationships have been identified and mitigated.

Components visible upon registration.