PALTC23 Conference Recordings TH11 International Perspectives on Long-Term Care, Quality Assessment and Inspections: What Works?

International Perspectives on Long-Term Care, Quality Assessment and Inspections: What Works?

This workshop will bring together LTC leaders from Asia, Canada, Europe and the USA to look at PALTC organizational models including legislative frameworks, funding, quality assessments, improvement activities and inspections. This session will examine quality assessment matrix and related regulatory interventions present in different countries. We will place special emphasis on evidence of outcomes of assessments and regulatory interventions to further quality care in PALTC. The goal of this session is to enrich understanding on best practice models of measuring and enhancing quality are in PALTC and start building an international framework on how to optimally measure and drive quality in PALTC. While our goal is for all panel members to attend in person, due to uncertainty of the global pandemic we will include brief pre-recorded videos in addition to the in person panelists.

Learning Objectives:

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

  • Compare international approaches to models of PALTC – organization , legislative framework, population cared for, and funding (government funding and cost paid by residents).
  • Identify international approaches to quality metrics reporting and quality improvement.
  • Describe the varying approaches to inspection and compliance internationally (inspection framework,focus, internal vs external, improvement vs punishment.
  • Examine the intended and unintended consequences of quality reporting and inspection processes in different countries and what evidence shows possible best practices.

Andrea Moser, MD, MSc, CMD

Andrea Moser, MD, MSc, CMD, is as family physician with a focus practice in care of the elderly and is the Corporate Medical Director for the City of Toronto Seniors Services and LTC Homes Division. She is an Associate Professor, DFCM, University of Toronto, VP of the Canadian Society for Long Term Care Medicine (CSLTCM), board member of American Board of Post Acute and LTC (ABPLM) and a member of AMDA’s education, membership and telemedicine committees. She is former president of OLTCP and has been involved in numerous educational activities most significant as the co-developer of the Ontario Medical Director Curriculum which is now mandatory for all Medical Directors in Ontario Long Term Care Homes.

Cari Levy, MD, PhD, CMD

Cari Levy, MD, PhD, CMD is a Professor of Medicine at the University of Colorado Denver with board certification in Internal Medicine, Geriatrics and Palliative Medicine. She graduated from Pepperdine University, received her Medical Degree and PhD in health services research from the University of Colorado Medical School and completed residency and a chief resident year at Vanderbilt University. Dr. Levy is currently Director of the Denver–Seattle Center for Veteran Centered and Value Driven Research and Section Chief of Palliative Medicine at the Rocky Mountain Regional VA Medical Center. As a health services researcher, she focuses her research on innovative models of long-term care such. Dr. Levy has over 120 publications in peer-reviewed journals based on this work.

Christopher Lien, MBBS, FRCP, MPA

Christopher Lien, MBBS, FRCP, MPA, is a Senior Consultant Geriatrician and Director of Community Geriatrics at Changi General Hospital. His main area of interest is in the delivery and development of post acute, intermediate and long term care services in older people. He also has a clinical interest in Falls, Frailty and Parkinson's Disease.

Martin Smalbrugge, MD, PhD

Martin Smalbrugge, MD, PhD, is an assistant Professor of Medicine for Older People at Amsterdam UMC. He is head of the training center for residents in Elderly Care Medicine and a researcher. Research focusses on end of life care, dementia care in LTC, depression and quality of care in LTC. He serves as associate editor of JAMDA.

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.

  • 1.5 CME
  • 1.5 CMD Management
  • 1.5 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 1.5 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 1.5 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. 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 1.5 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.