PALTC23 Conference Recordings SA17 New Concepts in Antipsychotic Stewardship

New Concepts in Antipsychotic Stewardship

This session will present a recent study that demonstrates that the Antipsychotic Stewardship Program, which was developed in conjunction with Indiana's largest SNF operator, shows a highly material reduction in the antipsychotic rate. This was achieved through an active IDT approach between facility management, social service members, staff, and the primary care team. The core was an integrated behavioral health delivery system, encompassing neurology, psychiatry, consultative gerontology, and clinical psychology. We will present the key components, structurally and practically, to the program, with time for Q/A.

Learning Objectives:

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

  • List the two goals of the National Partnership to Improve Dementia Care in nursing homes.
  • List two barriers that contribute to lack of antipsychotic reduction in nursing homes.
  • Describe how accurate diagnosis is imperative to reducing antipsychotic rates in nursing homes.
  • Describe how the interdisciplinary team approach benefits antipsychotic rate reductions in nursing homes.

Anita Reid, MSN

Anita Reid, MSN, is the Senior VP of Nurse Practitioner Services at GuideStar Eldercare, a national leader in the neurology-forward approach to the behavioral care of neurocognitively impaired residents in long-term care. She is a past presenter and poster judge at PALTC, and has had joint research presented at AAIC. Current roles include incorporating and maintaining Age-Friendly Recognition, Joint Accreditation and working with Indiana University and Regenstrief Institute on groundbreaking LTC research for this marginalized population. Creating strong alliances with heatlhcare partners to advocate for the neruocognitively impared is a passion that is taking shape in a new co-developed Neurpsychiatric Doctoral program at St. Mary's of Notre Dame.

Steven Posar, MD

Steven Posar, MD, is the founder and CEO of the leading neurobehavioral LTC practice in the United States. He has built a career as a national expert in systems of care advantaging the frail elderly. As former Medical Director of Blue Cross of California, and Medical Director of Cigna Health Plans of Los Angeles, he has pioneered innovative approaches to improve the clinical status of these patients. Recently, he was appointed the Clinical Professor of Geriatric Neuropsychiatry at St. Mary's of Notre Dame, IN.

Daniel Heiser, PsyD

Daniel Heiser, PsyD, is the Senior VP of Behavioral Health for GuideStar Eldercare Medical Group. He has spent over 15 years specializing in the behavioral treatment of older adults diagnosed with Dementia who reside in long-term care settings. His current focus for GuideStar includes: • Education and Training for Long-term Care Facility staff regarding the management and treatment of behavioral issues in older adults with Dementia • Research and Publication regarding the treatment of older adults with Dementia residing in Nursing Homes • Development of new markets for GuideStar’s expansion into new markets

  • 1.75 CME
  • 1.75 CMD Management 
  • 1.75 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 1.75 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 1.75 management 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 1.75 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.