PALTC23 Conference Recordings SA03 The High Impact of Slow Stream Rehabilitation

SA03 The High Impact of Slow Stream Rehabilitation

This session will define the concept of slow stream rehabilitation (SSR) and discuss how it relates to the physical, functional, cognitive, and psychological needs of persons in the PALTC continuum. Examples of successful SSR programs will be described worldwide in single-payor systems, such as Canada and Australia. The concept of SSR will be related to current structured programs in the United States, and the effectiveness of less intensive, longer duration programs will be discussed. The session will use interactive cases and scenarios to engage audience discussion about perceived opportunities for and potential barriers to implementing SSR on a broad scale. A discussion about the importance of patient-centered realistic goals of rehabilitation within the in PALTC population will tie together the central concepts of the session.

Learning Objectives:

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

  • Understand the potential for slow stream rehabilitation (SSR) in frail geriatric patients within PALTC, with a focus on hospital deconditioning.
  • Describe examples of successful SSR programs worldwide.
  • Identify opportunities and barriers to implementing SSR within the current system of higher intensity rehabilitation programs.
  • Recognize ways to create individualized care plans using SSR to maximize quality of life in the PALTC continuum.

Kenya Rivas, MD, CMD, FAAFP

Kenya Rivas, MD, FAAFP, CMD, is the Medical Director for NaviHealth, United Health Group and Adjunct Faculty for the Geriatrics Department at the Dr. Kiran C. Patel College of Osteopathic Medicine in Fort Lauderdale, Florida. Dr. Rivas completed her Family Medicine Residency and the Geriatric Fellowship program at AdventHealth, Orlando, Florida in 2009, joining the Dr. Kiran C. Patel College of Osteopathic Medicine after completion of the training. During her tenure at the University, Dr. Rivas was instrumental in helping to establish various Geriatrics education training programs for Geriatrics Fellows, residents of Internal Medicine and Family Medicine, activity that involved the establishment of Geriatrics program as well for students rotating in the Department coming from the schools of Medicine, Pharmacy, Psychologist, and Optometrist respectively. Dr. Rivas participated in the development of Geriatrics Grants at the University setting and at FMDA- The Florida Society for PALTC, the Florida chapter of AMDA-The Society for PALTC. Dr. Rivas presented scientific posters with trainees in the field of Geriatrics, at local and national Geriatrics conferences. Dr. Rivas has published in different peer-reviewed journals and co- authored a chapter in the Primary Care: Clinics in Office Practice. Dr. Rivas was key in the successful implementation of two quality improvement projects both implemented in a Florida VA Nursing Home. Dr Rivas serves currently as the Program Director for the FMDA CME Education Committee, serves as a Chair for the Poster Committee and CME committee member for AMDA as well.

Elizabeth Hames, DO, CMD

Elizabeth Hames, DO, CMD, is a medical director for UnitedHealth Group and a clinical associate professor at Nova Southeastern University’s Kiran C. Patel College of Osteopathic Medicine. Dr. Hames completed her residency in Family Medicine at Palmetto Hospital in Miami, and her Geriatric Medicine Fellowship at Broward General Medical Center. She is the current secretary-treasurer for the Florida Society of Post-Acute and Long-Term Care (FMDA), and serves on the Board of Directors and Education Committee. Her research interests include applications of geographic information systems to populations of sociomedically vulnerable older adults and aging in place.

  • 1.0 CME
  • 1.0 CMD Clinical
  • 1.0 MOC

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 hours 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. Each physician should claim only those credit hours that he/she actually spent in the activity. For further information, contact ABPLM at 410-992-3117 or at cmd@paltmed.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.

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.