PALTC24 Clinical Recordings Bundle

This bundle includes a selection of three clinical session recordings from PALTC24. Recorded sessions include: 

  • Audio synced to slides 
  • Ability to download session handouts

 My Patient Is Still SOB in Therapy! What Else Can I Do?

Hospital readmission from a skilled nursing facility stay is a marker of poor prognosis and interrupts rehabilitation potential. Shortness of breath and hypoxia are a major driver of hospital readmissions and PAC providers need a better understanding of effective strategies for early intervention and management. This session will review both common and more nuanced pathophysiologic drivers of dyspnea in complex geriatric patients in SNFs. Attendees will hear recommendations on best practices for management of these complex patients from specialists in pulmonary medicine, cardiology and physical medicine & rehabilitation.

Learning Objectives:

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

  • Improve understanding of the complexities surrounding the diagnosis and etiology of dyspnea in older adults with multiple comorbidities with admitted to  post-acute care for rehabilitation.
  • Develop an strategy  for discerning and treating the most  common  causes of dyspnea in SNF patients, including those related to underling lung disease, cardiac disease in patients with heart failure and preserved ejection fraction, and physical deconditioning.
  • Understand the importance of applying the most up to date recommendations related to the management of  ILD/COPD, HFPEF and treatment of deconditioning to improve outcomes in PAC patients.

Current Challenges in Wound Care for Medical Directors and Practitioners in PALTC

This session is directed toward primary care practitioners in PALTC settings, and content will be relevant to physicians, nurses, nutritionists, physical therapists and anyone else who cares for chronic wounds.  We will go review basic functions of skin, skin care, documentation standards, differential diagnosis of wounds, common treatments and formulary decisions, risk-management concerns, and how to assess and manage third party consultants.

Learning Objectives:

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

  • Distinguish etiologies of common chronic wounds
  • Know basic standards of care for examination and documentation
  • Identify key treatment concepts
  • How to assess and manage third party wound care consultants

Atrial Fibrillation, Pulmonary Embolism, Deep Vein Thrombosis, Bleeding, Oh My!

This session will discuss how to evaluate combinations of oral anticoagulants and antiplatelets prescribed to an individual patient.  Algorithms will be utilized to demonstrate how and when to reduce (or add) medications. Four case-based scenarios (atrial fibrillation on anticoagulation requiring percutaneous coronary intervention; on antiplatelet with new atrial fibrillation; venous thromboembolism requiring percutaneous coronary intervention; on antiplatelet with new venous thromboembolism) will be utilized for an interactive session discussing best approaches to discussing medication optimization with patients, families, and specialists. A pharmacist will provide additional perspectives.

Learning Objectives:

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

  • Determine which antithrombotic medication to GDR first.
  • Discuss family/patient barriers to deprescribing.
  • Demonstrate a successful deprescribing conversation with cardiologist.
  • Utilize algorithms to determine appropriate duration of antithrombotic therapy.


Nicole Orr, MD, FACC

Nicole Orr, MD, FACC, is an Assistant Professor of Medicine in the Division of Cardiology at Tufts University School of Medicine, and the founder/president of Post-Acute Cardiology Care, LLC. Her work is dedicated to developing heart failure disease management programs in SNFs with a high burden of HF patients, with an emphasis on educating staff and residents about the complexity of treating this high risk demographic. She serves both as a staff cardiologist and consultant, and provides weekly bedside rounds to several facilities in the Northeast region. She speaks nationally about the need to optimize strategies for treating geriatric cardiology patients admitted to post-acute care, and has published her work and insights regarding best practices for post-acute HF management.

Matthew Griffith, MD, MPH

Matthew Griffith, MD, MPH, is a Pulmonary and Critical Care Medicine physician at the University of Colorado Anschutz Medical Campus and Rocky Mountain Regional VA Medical Center (RMR VAMC) in Aurora, Colorado. He is the Pulmonary Director for the RMR VAMC Spinal Cord Injury/Amyotrophic Lateral Sclerosis Multidisciplinary Clinic and the Deputy Director of the RMR VAMC Medical/Surgical Intensive Care Unit. He is also Senior Investigator at the Denver-Seattle VA Health Services Research and Development Center of Innovation. His research is focused on developing innovative methods to diagnose, monitor and treat chronic lung diseases among older adults with functional and cognitive limitations, particularly those who live in nursing homes.  He is currently funded by grants from the Department of Defense and National Institute on Aging to conduct this research.

Jennifer Stevens-Lapsley, PT, PhD, FAPTA

Jennifer Stevens-Lapsley, PT, PhD, FAPTA, is a Professor and Director of the Rehabilitation Science PhD Program as well as the PT Section Director for Research and Development in the Physical Therapy Program at the University of Colorado Anschutz Medical Center. She is also the Associate Director for Research for the Geriatric Research Education and Clinical Center within the Eastern Colorado Healthcare System. She is focused on identifying, integrating, and advancing innovative evidence-based medicine solutions for older adult rehabilitation through highly effective research methods and partnerships. She has 20 years of clinical research experience including patients after joint arthroplasty and medically complex patient populations, especially in skill nursing settings.  

Dr. Stevens-Lapsley is a Catherine Worthingham Fellow of the American Physical Therapy Association, and her clinical research has resulted in numerous publications (175+), national and international speaking invitations, and awards such as the Marian Williams Award for Research from the American Physical Therapy Association. Over the past 15 years, she has received over $20 million dollars to support her clinical research.

Jeffrey Levine, MD, CMD

Jeffrey Levine, MD, CMD, is Clinical Professor of Geriatrics and Palliative Medicine at the Icahn School of Medicine at Mount Sinai.  Dr. Levine’s 30 year experience in wound care includes the entire continuum of outpatient, hospital, and post-acute long-term care.  Dr. Levine is an alumnus of the National Pressure Injury Advisory Panel (NPIAP).  His many publications include the wound care chapter in the Geriatric Review Syllabus published by the American Geriatrics Society and explorations into the fascinating history of wound care.  He is also an accomplished artist and photographer whose images have appeared in numerous publications including The Gerontologist, the Journal of the American Medical Directors Association, and the Journal of the American Geriatrics Society.  Dr. Levine has been an AMDA Member since inception of the organization and has contributed to several educational programs on wound care.  He is currently a consultant with Advantage Surgical & Wound Care, and serves as wound consultant for the New Jewish Home in Manhattan.

Monica Ott, MD, CMD

Monica Ott, MD, CMD, currently serves as the market medical director for the Missouri/Illinois/Kansas market of Senior Community Care within Optum.  Dr. Ott currently leads the Medication OPTUMization initiative and works with the education team on clinical topics for the advance practice clinicians such as COVID-19.  She has been active in AMDA for many years and previously served as the Indiana chapter president.

Todd Sobol, MD, CMD

Todd Sobol, MD, CMD, has 26 years of private practice experience as a general internist specializing in geriatric medicine. During his tenure, he served as a medical director in long-term care facilities, assisted living, managed care, and hospice. Dr. Sobol served as an enthusiastic educator for students and residents, including recognition as a Preceptor All Star by The Ohio State University College of Medicine. He has supported the Ohio Medical Directors Association as Program Chairman for their annual conference, Board of Directors member, and President. Dr. Sobol is currently senior medical director for Optum Complex Population Management in Ohio.

Karl Dauphinais, MD, MSS, FACP, CMD

Karl Dauphinais, MD, MSS, FACP, CMD, has practiced in Long Term Acute Care, Short Term Rehab, Primary Care, Primary Care Sports Medicine and Long Term Care. Currently he is the CT and RI Medical Director for the Senior Community segment of Optum Home and Community. He is a community clinical instructor for the University of Connecticut School of Medicine and maintains a practice as a skilled nursing facility medical director and attending at a SNF in central CT.

Jaclyn Michelle Graham, PharmD BCPS

J. Michelle Graham, PharmD BCPS, is Director of Clinical Pharmacy Patient Care at Optum Home and Community.  She is Board Certified in Pharmacotherapy.  She completed a residency in Ambulatory Care in the VA HealthCare System. She leads a team of clinical pharmacists who specialize in implementing clinical initiatives that focus on optimizing our members medication regimens to reduce risk.  She has been employed at Optum for 8 years.  She resides in Franklin, Tennessee.

  • 4.0 CME
  • 4.0 MOC
  • 4.0 CMD Clinical

Release Date: 06/28/2024   |   Expiration: 06/27/2026

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 4.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

ABIM MOC: Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 4.0 Medical Knowledge MOC points and patient safety credit in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

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 4.0 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@paltmed.org


Financial Disclosure Statement:

The following speaker disclosed a relevant financial relationship: 

  • Todd Sobol, MD, FACP, CMD (Speaker): CareBand: Advisory Board (Ongoing), Board Member (Ongoing), Stockholder/Ownership Interest (Ongoing)

All relevant relationships have been mitigated by the Association. No one else in control of content disclosed any relevant financial relationships with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

 

Components visible upon registration.