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PALTC25 Annual Conference Recordings

PALTC25 Annual Conference Recordings

Recorded sessions include:

  • Audio synced to slides for most 60 and 90-minute sessions delivered during the conference
  • Ability to download session handouts

Please note that the following sessions were not recorded: 

  • CME100 Therapeutic Joint Injections: Workshop for Practitioners
  • CME111 Optimizing Care Transitions Involving Behavioral and Psychological Symptoms of Dementia
  • CME116 Sepsis in Long-Term Care Facilities: From Public Health to Bedside
  • CME132 Leading with Purpose: A Framework to Grow and Strengthen the PALTC Careforce
  • CME152 Build Your Own Machine Learning Models Without Coding: Hands-on Workshop
  • 60.00 CME
  • 36.5 CMD Management
  • 23.5 CMD Clinical
  • 51.00 MOC
  • 3.0 NP Pharmacology Hours


Release Date: 04/01/2025   |   Expiration: 03/31/2028

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 60.00 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 51.0 Medical Knowledge MOC points and patient safety MOC 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 for up to 36.5 management hours and up to 23.5 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 PALTmed. For further information, contact PALTmed at 410-992-3115 or at certification@paltmed.org 


Financial Disclosure Information:

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 speakers disclosed a relevant financial relationship with an ineligible company:

  • Muhammad Ashraf (Speaker): Merck & Co. Inc: Grant Research (ended)
  • Susan Huang (Speaker): Xttrium Laboratories: Other (in-kind product contribution for research study) (ongoing)
  • Rebecca O'Dwyer (Speaker): UCB Pharma: Advisory Board (ongoing); SK Life Sciences: Consultant (ongoing)
  • Sandeep Pagali (Speaker): Humana: Stock shareholder (ongoing); Pfizer: Stock shareholder (ongoing)
  • Daniel Parker (Speaker): Eisai: Advisory Board (ongoing)
  • Elizabeth Sobczyk (Speaker): Sanofi, Moderna, GSK: Advisory Board (ongoing)
  • Todd Sobol (Speaker): CareBand Inc: Advisory Board (ongoing)
  • Karl Steinberg (Speaker): Enanta: Consultant (ended)
  • Barbara Zarowitz (Speaker): Merck Inc: Consultant (ended); Merck Inc: Honorarium (ended); Eli Lily & Co: Consultant (ended); Eli Lily & Co: Honorarium (ended)

No one else in control of content disclosed a relevant financial relationship with an ineligible company.  All relevant relationships have been mitigated.

  • Contains 7 Component(s), Includes Credits

    Recent data indicate that healthcare is experiencing a compassion crisis. But a pivotal question is this: Does compassion really matter? Compassion has always been a cornerstone of the "art" of medicine, but are there also evidence-based effects of compassion belonging in the science of medicine? And what is the evidence? In this keynote presentation, Dr. Stephen Trzeciak will share the findings of his journey through the scientific literature to test the hypothesis that compassion matters - for patients, for patient care, and for those who care for patients.

    Session Summary: Recent data indicate that healthcare is experiencing a compassion crisis. But a pivotal question is this: Does compassion really matter? Compassion has always been a cornerstone of the "art" of medicine, but are there also evidence-based effects of compassion belonging in the science of medicine? And what is the evidence? In this keynote presentation, Dr. Stephen Trzeciak will share the findings of his journey through the scientific literature to test the hypothesis that compassion matters - for patients, for patient care, and for those who care for patients. Compelling research shows that compassion has measurable beneficial effects on patients across a wide variety of conditions and moves patients to take better care of themselves. Importantly, research also supports that compassion can be a powerful beneficial therapy for the giver, too. In fact, science supports that compassion - and the deeper relationships that flow from that - can be an antidote to burnout. Dr. Trzeciak will also share a story of where the science meets the personal: his experience of going through burnout himself, and how compassion was a key to his recovery. Participants in this educational activity will learn that compassion matters - not only in meaningful ways, but also in measurable ways.


    Learning Objectives: 

    • Understand the evidence for a compassion crisis in healthcare.
    • Describe the evidence that compassionate care is associated with measurable benefits for patients, healthcare systems, and healthcare workers.

    Stephen Trzeciak, MD, MPH

    Stephen Trzeciak, MD, MPH is a physician scientist, the Edward D. Viner Endowed Chief of Medicine at Cooper University Health Care, and Professor and Chair of Medicine at Cooper Medical School of Rowan University in Camden, New Jersey. Dr. Trzeciak is a practicing intensivist (specialist in intensive care medicine), and a clinical researcher with more than 100 publications in the scientific literature. Dr. Trzeciak's publications have been featured in prominent medical journals, such as JAMA, Circulation, and The New England Journal of Medicine. His scientific program has been supported by research grants from the National Institutes of Health and Agency for Healthcare Research and Quality, with Dr. Trzeciak serving as Principal Investigator. Dr. Trzeciak is the co-author of Compassionomics: The Revolutionary Scientific Evidence that Caring Makes a Difference (2019), and Wonder Drug: 7 Scientifically Proven Ways That Serving Others Is the Best Medicine for Yourself (2022). His work has been featured in numerous media outlets including CNN, NPR, USA TODAY, The Washington Post, Harvard Business Review, and Freakonomics. For this work, he was awarded the Influencers of Healthcare Award by The Philadelphia Inquirer. Broadly, Dr. Trzeciak’s mission is to raise compassion and kindness globally, through science. Dr. Trzeciak is a graduate of the University of Notre Dame. He earned his medical degree at the University of Wisconsin-Madison, and his Master’s of Public Health at the University of Illinois at Chicago. He completed his residency training at the University of Illinois at Chicago, and his fellowship in critical care medicine at Rush University Medical Center. He is board certified in internal medicine, critical care medicine, and neurocritical care.

  • Contains 8 Component(s), Includes Credits

    Provider stories have become increasingly popular (think: "Being Mortal," "That Good Night," "When Breath Becomes Air," etc.) for good reason: we need to tell our stories, and we need to hear the stories of others. Narrative medicine is a powerful tool that allows us to engage in the integration work that is critical to mitigating against burnout and keeping us connected to the humanity in those we serve, and in ourselves. We will present the available research related to narrative medicine, provide chances for our audience to engage in some reflective exercises in real time, and share about some of the presenters' foray into podcasting.

    Session Summary: Provider stories have become increasingly popular (think: "Being Mortal," "That Good Night," "When Breath Becomes Air," etc.) for good reason: we need to tell our stories, and we need to hear the stories of others. Narrative medicine is a powerful tool that allows us to engage in the integration work that is critical to mitigating against burnout and keeping us connected to the humanity in those we serve, and in ourselves. We will present the available research related to narrative medicine, provide chances for our audience to engage in some reflective exercises in real time, and share about some of the presenters' foray into podcasting. Finally, our session will also discuss potential ways to bring this work back to interdisciplinary teams and entire staff teams.


    Learning Objectives:

    • Describe the concept of narrative medicine and connect the dots between personal reflective practices and health equity
    • Access a handful of storytelling questions/prompts that they can use for personal practice and/or group sharing in order to continue to integrate both the difficult and the inspiring elements of the practice of medicine
    • Distinguish between self-care, decompression, and integration as distinct movements necessary for healthcare worker wellbeing and the mitigation of burnout.

    Alexandra Donovan, MFA; BCC (Board Certified Chaplain)

    Associate Director, Employee Well-Being & Spiritual Health

    Optum Health

    Alex Donovan is a board certified chaplain who has worked in settings including hospice, hospital, correctional, and behavioral health. She currently works for Optum Health as the Associate Director of Employee Wellbeing and Spiritual Health in a role of staff support and patient-care consultation. She lives in Fort Collins, Colorado with her husband, 3 year old son, and 1 year old daughter.
  • Contains 7 Component(s), Includes Credits

    This session will review the diagnosis and treatment of opioid use disorder (OUD), the use of medications for OUD (MOUD) like buprenorphine and methadone, how to treat pain in patients on MOUD, and medication management at the end-of-life for patients on MOUD residing in nursing homes. Specific clinical scenarios like post-operative management of MOUD and transition to hospice care will be addressed.

    Session Summary: This session will review the diagnosis and treatment of opioid use disorder (OUD), the use of medications for OUD (MOUD) like buprenorphine and methadone, how to treat pain in patients on MOUD, and medication management at the end-of-life for patients on MOUD residing in nursing homes. Specific clinical scenarios like post-operative management of MOUD and transition to hospice care will be addressed. This session will address patient-centered approaches (e.g. co-production cycle and Patient Priorities Care) that include the patient-clinician-caregiver triad to facilitate decision making and value-based goals of care in these cases. This session will also review policy changes expanding MOUD prescribing and can count towards the 8-hour training requirement for DEA licensure (MATE Act).


    Learning Objectives:

    • Review special considerations for a patient-centered and culturally competent approach to the diagnosis and management of OUD in medically-complex populations residing in skilled nursing facilities.
    • Integrate the management of acute and chronic pain with treatment of opioid use disorder using medications for opioid use disorder (MOUD), including considerations for safe opioid prescribing.
    • Discuss the care of patients receiving MOUD at the end of life, including considerations for common hospice medications in conjunction with MOUD.

    Kimberly Beiting, MD

    Assistant Professor of Medicine

    Vanderbilt University Medical Center, Division of Geriatrics

    Kimberly J. Beiting, MD, is an Assistant Professor in the Division of Geriatric Medicine in the Department of Medicine at Vanderbilt University Medical Center. She is medical director of the geriatric medicine consult service. Her primary clinical and research interests center around the care of older adults with substance use disorders. She is a current recipient of a HRSA Geriatric Academic Career Award, a four-year career development award through which she is developing interprofessional education in the principles of age-friendly care for those caring for older adults with substance use disorders in a variety of care settings.

    Justine Landi, MD

    Justine Landi, MD, is an Assistant Professor of Medicine and faculty at the MacLean Center for Clinical Medical Ethics at University of Chicago. Her scholarly interests are focused on care of older adults with Opioid Use Disorder, specifically focused on the clinical and ethical challenges of managing OUD with co-occurring dementia in the outpatient, inpatient, and PALTC settings. She is a medical educator, specifically teaching medical students, residents, and fellows the principles of geriatric and palliative medicine, clinical medical ethics, and serious illness communication.

    Rossana Lau-Ng, MD, MBA, CMD

    Rossana Lau-Ng, MD, MBA, CMD, is a geriatrician and clinician educator who practices in post-acute and long-term care. She has a scholarly interest in interprofessional collaboration, addressing health inequities and the care of older adults with substance use disorder through education in skilled nursing facilities. She was awarded the HRSA-funded Geriatric Academic Career Award in 2019, and despite the pandemic, has successfully promoted and taught geriatric principles to interprofessional learners in nursing homes on the care of patients with opioid use disorder. She is the Medical Director of the Nursing Home Program at the Section of Geriatrics, Boston Medical Center and Boston University Chobanian & Avedisian School of Medicine. She is one of the founding members of the Decanter Program at Boston Medical Center, working with an interprofessional team addressing social determinants of health by identifying uninsured or underinsured patients in the hospital with skilled nursing and therapy needs, and transitioning them to post-acute care facilities.

    Stacie Levine, MD

    Stacie Levine, MD, is Professor and Chief of Geriatrics and Palliative Medicine at University of Chicago Medicine (UCM) and serves as the regional Medical Director of the Symphony Post Acute Network, a nursing home (NH) chain that owns 29 facilities operating in Illinois, Indiana, Michigan. Her academic interests focus on education and program development to improve care for vulnerable older adults and other patients with complex comorbid illnesses. She is an experienced mentor of physicians and allied health professionals and a national leader in geriatrics and palliative medicine with extensive experience in creation and dissemination of competency-based educational programs. Dr. Levine has extensive experience in NH care and have been conducting research on opioid and substance use disorders in persons transitioning to NHs. She is currently Co-PI of a large-scale, multi-centered project that involves longitudinal training in clinical and teaching skills, program development, leadership engagement, and patient advocacy for physicians, advanced practice practitioners, psychologists, social workers, and chaplains across the United States and internationally. Dr. Levine has served on various national scientific boards and committees. More recently, she is the Director-at-Large of the American Academy of Hospice and Palliative Medicine (AAHPM) Board of Directors, member of the AAHPM Governance Committee, and Chair of the AAHPM Workforce and Leadership Development Strategic Coordinating Committee. Dr.Levine has been the Bucksbaum Institute Faculty Scholar since 2012 and has been awarded Chicago's Top Doctors in 2013, 2018-2022.

  • Contains 7 Component(s), Includes Credits

    The goal of this presentation is to provide participants information about the PALTC grant program to facilitate submission of proposals that fulfill the Foundation's vision for advancing research, training, and practice initiatives. Results of award-winning research grant on frailty in the post-acute setting and a special project to evaluate the the role of Medical Directors in the delivery of high-quality nursing home care and early impact of California Law AB749 will be presented and open for discussion.

    Session Summary: The goal of this presentation is to provide participants information about the PALTC grant program to facilitate submission of proposals that fulfill the Foundation's vision for advancing research, training, and practice initiatives. Participants will learn about the process for submission, review, and critique of submitted grants. The session will outline how to satisfy funding criteria and show how to differentiate between submissions likely to be funded and those that do not fulfill criteria for funding. Primary topics of interest for potential funding as well as features of successful collaboration will be highlighted. Results of award-winning research grant on frailty in the post-acute setting and a special project to evaluate the the role of Medical Directors in the delivery of high-quality nursing home care and early impact of California Law AB749 will be presented and open for discussion.

    Learning Objectives: 

    • Differentiate between approaches to clinical research that fulfill funding criteria and those that do not.
    • Outline the importance of frailty assessment of older adults in guiding rehabilitation strategies and barriers encountered to the process.
    • Identify innovation and strengths of the scientific approach used to evaluate the current landscape of the role of certified medical directors in nursing homes and their relationship to nursing home quality.

    Barbara Zarowitz, PharmD, MSW

    Senior Advisor and Affiliate Professor

    University of Maryland School of Pharmacy

    Dr. Zarowitz (PharmD, MSW) is an Affiliate Professor at the University of Maryland School of Pharmacy who teaches interprofessional students from medicine, nursing, pharmacy, social work. She mentors fellows and residents in geriatric pharmacotherapy research at the Peter Lamy Center on Drug Therapy and Aging. Dr. Zarowitz serves as a Board member of the Foundation for PALTC , Chairperson of the Grant Committee, and a reviewer for JAMDA.

    Brian McGarry, PT, PhD

    Assistant Professor, Division of Geriatrics and Aging

    University of Rochester Medical Center

    After receiving his PhD in Health Services Research, Dr. McGarry completed post-doctoral training in health and economics policy at Harvard University. He is an Assistant Professor, Division of Geriatrics and Aging, Department of Medicine and Department of Public Health Sciences, University of Rochester Medical Center, Rochester, NY. Brian is funded by the National Institute on Aging to study The Impact of Alzheimer’s Disease and Related Dementias on Older Adults’ Medicare Coverage Choices. He was the Foundation for PALTC 2023 grant awardee for his work on The Impact of Ventilation and Indoor Air Quality on COVID-19 Outcomes in U.S. Nursing Homes.

    Charles Semelka, MD, MS

    Assistant Professor of Geriatric Medicine

    Wake Forest School of Medicine

    Dr. Semelka is an Assistant Professor of Geriatric Medicine at Wake Forest University School of Medicine whose research is focused on clinical health outcomes in frail older adults. He serves as a nursing home medical director supervising the care of patients undergoing rehabilitative post-acute care and residential long-term care. Since completion of a T32 research post-doctoral fellowship and master's degree in translational science, Dr. Semelka has received numerous awards and made critical contributions to science.

  • Contains 5 Component(s), Includes Credits

    The goal of this session is to develop a better understanding of the dynamics and intersection of power, privilege, and vulnerability among teachers and learners and providers and staff commonly subjected to microaggressions by people with dementia (PWD) in LTC. Using real cases, we will start with a brief overview of microaggressions and implicit bias and unpack some of the underlying neuropsychology behind these behaviors.

    Session Summary: The goal of this session is to develop a better understanding of the dynamics and intersection of power, privilege, and vulnerability among teachers and learners and providers and staff commonly subjected to microaggressions by people with dementia (PWD) in LTC. Using real cases, we will start with a brief overview of microaggressions and implicit bias and unpack some of the underlying neuropsychology behind these behaviors. We will peer into the brain of the PWD to gain a better understanding of what else might be triggering the microaggression and other nonverbal stress reactions besides loss of filters. Through scripted role play, attendees will practice skills and a process to help them become advocates for BOTH vulnerable parties and address the microaggression in a way that attempts to prevent, acknowledge and mitigate the moral harm incurred while preserving the dignity of both the PWD and the receiver of the microaggression.

    Learning Objectives: 

    • By the end of this session, participants will be able to: 1. Define and understand microaggressions.
    • Name 1 or 2 strategies for responding to microaggressions by people with dementia in the moment.
    • Plan for how to protect and debrief with vulnerable persons such as learners, aides, people of color when they encounter a microaggression by a person with dementia.

    Jamehl Demons, MD

    Jamehl Demons, MD, is an associate professor of Internal Medicine/Geriatrics at Wake Forest University School of Medicine. She is a graduate of the Emory University School of Medicine and the internal medicine residency and geriatrics fellowship of Wake Forest. She states as her reason for entering geriatrics is to provide care to post-acute and long-term care nursing home residents. Dr. Demons is a past president of the North Carolina Medical Directors Association (now CPALTC) and is excited to begin her fourth year as the Co-Director of the Society’s Futures Program. She serves on the DEI taskforce and has helped plan its annual symposia.

    Rollin Wright, MD, MS, MPH

    Associate Professor

    Penn State Health Milton S. Hershey Medical Center/Penn State College of Medicine

    Rollin Wright, MD, MS, MPH is an Associate Professor of Medicine at Penn State Health Milton S. Hershey Medical Center. She is a geriatrician and clinician educator who develops curricula for and teaches health professions students, residents, and fellows in post-acute care, hospital, and memory clinic settings. She is passionate about teaching how to work with and improve the quality of life of people living with dementia.

  • Contains 7 Component(s), Includes Credits

    This panel discussion will focus on the currently available literature and data regarding urine polymerase chain reaction (PCR) testing in the context of a resident case. The audience will learn about the current literature and evidence gaps surrounding the role of this testing in both diagnostic and antibiotic stewardship.

    Session Summary: This panel discussion will focus on the currently available literature and data regarding urine polymerase chain reaction (PCR) testing in the context of a resident case. The audience will learn about the current literature and evidence gaps surrounding the role of this testing in both diagnostic and antibiotic stewardship. Data related to the current landscape of urine PCR ordering practices in the United States will also be reviewed and evidence-based conclusions for this testing will be shared. Audience members will be given the opportunity to ask questions of this expert panel and poll questions will be utilized to engage throughout the presentation.


    Learning Objectives:

    • Summarize the literature currently available regarding urine polymerase chain reaction tests
    • Describe the current landscape of urine polymerase chain reaction ordering practices throughout the United States using claims data
    • List the drawbacks of this testing method in post-acute and long-term care antibiotic stewardship programs

    Jessica Zering, PharmD, BCIDP, BCPS, CAPM

    Antimicrobial Stewardship Pharmacist

    Washington State Department of Health

    Jessica Zering serves as the antimicrobial stewardship pharmacist at the Washington State Department of Health, bringing over a decade of experience across various roles and settings. She is dual board certified in infectious diseases & pharmacotherapy. Currently, Dr. Zering co-hosts an antimicrobial stewardship collaborative for skilled nursing facilities across Washington State and serves as vice president for WA-PALTC. Additionally, she is a member of the Infection Advisory Subcommittee for PALTC.

    Kelly Hatfield, DrPH

    Epidemiologist

    Centers for Disease Control and Prevention

    Kelly M. Hatfield, DrPH, MSPH is an epidemiologist and team lead in the Office of Prevention Research and Evaluation in the Division of Healthcare Quality Promotion at CDC. She leads several innovative research and surveillance projects related to the understanding and preventing antimicrobial resistance and healthcare-associated infections in various healthcare settings, including nursing homes.

    Sing T. Palat, MD, CMD

    Sing T. Palat, MD, CMD, is a medical director for Optum Senior Community Care. She works with advance practice clinicians in long-term care settings and precepts medical students, residents and fellows. Dr. Palat is the President of the Colorado chapter of PALTmed and a House of Delegates Representative to the PALTmed Board.

    Laurent Adler, MD, CMD

    Laurent Adler, MD, CMD is a Senior Medical Director for Optum’s ISNP Nursing Home Plan in Georgia, Alabama and Mississippi.  He is responsible for quality care by serving as a resource to field-based clinicians, drives critical thinking at the senior leadership team level and coordinates solutions to clinical challenges.  He is vice-president of the Georgia chapter of AMDA.

  • Contains 7 Component(s), Includes Credits

    Medical Director Agreements are critical to establishing obligations and boundaries between the provider and the physician. A line-by-line review is crucial to understanding possible pitfalls. There are several key provisions that Medical Director Agreements should have, including (a) the duties of the medical director; (b) compensation; (c) the licensure, criminal history, and exclusion status of the medical director; and (d) insurance and indemnity.

    Session Summary: Medical Director Agreements are critical to establishing obligations and boundaries between the provider and the physician. A line-by-line review is crucial to understanding possible pitfalls. There are several key provisions that Medical Director Agreements should have, including (a) the duties of the medical director; (b) compensation; (c) the licensure, criminal history, and exclusion status of the medical director; and (d) insurance and indemnity. Recently the Department of Justice has investigated False Claims Act violations arising from the alleged payment of kickbacks in the form of sham medical director agreements and payments to the spouses of referring physicians. Session will review the nuances of key agreement terms and address Medical Director experiences in creating and negotiating an agreement.


    Learning Objectives:

    • Session will review the nuances of key medical director agreement terms and address Medical Director experiences in creating and negotiating an agreement.
    • Session will review one physician's experience with a Medical Director Agreement.
    • Attendees will understand key provisions of an agreement that impact them.

    Sean Fahey, JD

    Sean Fahey, JD, is a health attorney who helps skilled nursing facilities, assisted living facilities, home health providers, and hospice providers navigate regulatory and compliance matters. Sean represents physicians and providers in designing, negotiating, and drafting medical director agreements. Sean represents health care clients in all areas of health care compliance, governance, transactions, Medicare enrollment, administrative appeals, and agreements. Sean counsels nonprofit clients on charitable operations and governance. 

    Arif Nazir, MD, CMD

    Arif Nazir, MD, CMD, currently serves as the Chief Medical Officer for BrightSpring Health Services, Primary Care, a large, value-based, geriatric practitioner organization, and the Chief Medical Officer for Signature HealthCARE. He is Past President for AMDA, founding member for the Society’s Innovation Council, and Co-chair of Society’s Drive to Deprescribe initiative. As a healthcare leader, researcher, entrepreneur, and an implementation champion, he continues to focus his efforts on finding practical solutions for solving care coordination gaps and on enhancing leadership and teamwork in the PALTC frontlines.

  • Contains 7 Component(s), Includes Credits

    Medical aid in dying (MAID) is allowed in eleven jurisdictions with many additional states considering legislation. AMDA recently altered its 1997 position (P97) on "assisted suicide" and the issue remains controversial in the medical community. Studies reveal that more patients are likely to request MAID which presents medical, legal and ethical issues. This presentation addresses changes in the law from our last presentation and perspectives from both side of the issue.

    Session Summary: Medical aid in dying (MAID) is allowed in eleven jurisdictions with many additional states considering legislation. PALTmed recently altered its 1997 position (P97) on "assisted suicide" and the issue remains controversial in the medical community. Studies reveal that more patients are likely to request MAID which presents medical, legal and ethical issues. This presentation addresses changes in the law from our last presentation and perspectives from both side of the issue.

    Learning Objectives:

    • Explore the physician's discretionary role in counseling and providing MAID to terminally ill patients
    • Define the controversial aspects of MAID with an examination of the pros and cons from a medical, ethical and legal perspective
    • Explore recent court cases that have dealt with the issue of MAID - often with divergent court decisions

    Alan Horowitz, Esq., RN

    Alan Horowitz, Esq., RN, is of counsel in the Healthcare practice and a member of the Post-Acute & Long-Term Care team at Arnall Golden Gregory LLP.. He is an innovative healthcare lawyer handling complex regulatory issues concerning Medicare providers such as skilled nursing facilities. Alan serves as vice chair of education for AHLA's Post-Acute and Long-Term Care practice group. Alan also held clinical, faculty and management positions at major medical centers where he utilized his background as a registered respiratory therapist and registered nurse. Alan served as Assistant Regional Counsel at the United States Department of Health and Human Services’ Office of the General Counsel. He worked closely with and litigated cases for the Centers for Medicare and Medicaid Services (CMS) before the HHS Departmental Appeal Board and the federal courts involving enforcement actions taken by CMS. Currently, as counsel to providers, Alan has successfully negotiated and litigated significant cases against CMS. Alan was the Acting Director of ECRI Institute’s National Center for Independent Medical Review and also served as the Director of Clinical and Legal Affairs for the Institute for Safe Medication Practices. Alan also served as in-house counsel and program director for the pilot SNF-based ventilator-dependent program in New Jersey. Alan has co-authored and co-edited the AHLA publication, Post-Acute Care Handbook: Regulatory, Risk and Compliance Issues as well as having written dozens of articles regarding various aspects of health law. Additionally, Alan has been a frequent presenter at national and state forums on topics regarding health law.

    Karl Steinberg, MD, CMD, HMDC, HEC-C

    Karl Steinberg, MD, CMD, HMDC, HEC-C, is chief medical officer for Mariner Health Care and Beecan Health, and medical director for two skilled nursing facilities (Life Care Center of Vista and Carlsbad by the Sea Care Center), for Hospice by the Sea, and for Scripps Seaport Home Health in the San Diego area. He is the president of AMDA, editor-in-chief emeritus of Caring for the Ages, and an Associate Editor of JAMDA. Dr. Steinberg has served as a nursing home and hospice medical director, attending physician and educator in San Diego for over 25 years and has served on AMDA's Board of Directors, multiple committees, and a variety of Clinical Practice Guidelines and other Society publications and products. He is an AMDA delegate to the AMA House of Delegates.

    Peter Jaggard, MD, CMD, FACP

    Peter Jaggard, MD, CMD, FACP, is in his 40th year of PALTC practice, with over 20 years of experience as a Medical Director. He is Board Certified in Internal Medicine and Geriatrics. He has an extensive background in education and teaching at AMDA-SPALTC, presenting at the state and national level on reducing rehospitalizations, Advance Care Planning, and other topics. He has served as a Chair of the AMDA-SPALTC Ethics Committee and has earned an MA focusing on Bioethics from Trinity International University. He was the recipient of AMDA's James Pattee Award for Excellence in Education in 2022.

  • Contains 7 Component(s), Includes Credits

    Compassion fatigue is a profound problem among healthcare professionals. It is characterized by emotional and physical exhaustion that diminishes the ability to empathize or feel compassion for others. This presentation aims to identify and evaluate effective strategies for reducing compassion fatigue among healthcare professionals. The goal is to develop a comprehensive approach that promotes sustainable well-being to enhance the ability to provide compassionate care.

    Session Summary: Compassion fatigue is a profound problem among healthcare professionals. It is characterized by emotional and physical exhaustion that diminishes the ability to empathize or feel compassion for others. Compassion fatigue is often a result of prolonged exposure to patient suffering and can significantly impact the well-being of healthcare workers and the quality of patient care. Addressing compassion fatigue is crucial for maintaining a healthy and effective healthcare workforce. This presentation aims to identify and evaluate effective strategies for reducing compassion fatigue among healthcare professionals. The goal is to develop a comprehensive approach that promotes sustainable well-being to enhance the ability to provide compassionate care.


    Learning Objectives:

    • Describe what compassion fatigue is and define the population at risk for compassion fatigue.
    • List and describe techniques to prevent and heal compassion fatigue.
    • Demonstrate self-care methods that participants can utilize daily and during times of stress.

    Reenu Varghese, DNP, APRN, FNP-C

    Nurse Practitioner

    The University of Texas Medical Branch

    Reenu Varghese, DNP, APRN, FNP-C, is a nurse practitioner at the University of Texas Medical Branch and an adjunct professor at the Houston Christian University. She has been a nurse practitioner for the past fifteen years and precepts medical, nurse practitioner, and physician assistant students.

  • Contains 7 Component(s), Includes Credits

    The presentation will educate learners on the efficacy of the Virginia Long-Term Care Clinician Network (VA LTC-CN). The VA LTC-CN, a peer provider network consisting of a target audience of physicians and advanced practice clinicians, grew from the need to problem solve quickly during the COVID-19 pandemic. Speakers will describe how the VA LTC-CN may serve as a model for others.

    Session Summary: The presentation will educate learners on the efficacy of the Virginia Long-Term Care Clinician Network (VA LTC-CN). The VA LTC-CN, a peer provider network consisting of a target audience of physicians and advanced practice clinicians, grew from the need to problem solve quickly during the COVID-19 pandemic. Speakers will demonstrate how the VA LTC-CN coordinates communication of vital information, supplies resources, including a website and regular newsletter, provides educational opportunities with CME credit to members through a virtual monthly forum, facilitates robust discussion on timely topics affecting LTC clinicians throughout Virginia, and has served as a platform for initial inquiry into clinician well-being and satisfaction with areas of work-life. Composition and dynamics of the project team and steering committee will be discussed. Speakers will describe how the VA LTC-CN may serve as a model for others.


    Learning Objectives:

    • Describe the need for a statewide central mode of communication for vital information, including infection control practices and regulatory updates, especially in the event of a public health emergency (e.g., COVID-19 pandemic).
    • Identify how a statewide peer provider network can provide virtual resources and educational opportunities for long-term care clinicians.
    • Explain the role of the steering committee and project team in establishing and developing the Virginia Long-Term Care Clinician Network.

    Kristin MacDonald, PhD, MS, RD

    Assistant Professor

    Virginia Commonwealth University

    Kristin M. MacDonald, PhD, MS, RD, is an Assistant Professor of Health Administration at Virginia Commonwealth University. She researches experienced compassion at work and well-being among nurisng home direct care workers. Kristin teaches person-centered care, health care management and performance, and service learning. She has worked as a nursing home administrator, and a clinical dietitian in various settings. As an administrator Kristin's organization was featured among U.S. News and World Reports’ “Best Nursing Homes." She guided this facility through a ‘zero-deficiency’ state survey, and her organization received state-level recognition for adoption of person-centered care. Kristin is a proud Tillman Scholar.

    Jamie Smith, FNP-C, CPMA

    Clinician Development Specialist

    Eventus Wholehealth

    Jamie Smith, FNP-C, is a Clinician Training Specialist for Eventus Wholehealth. She has served as an educator and nurse practitioner for a total of eleven years. Her passion for educating extends beyond just to those in the organization. She is an advocate for education to all those involved in the care of patients. She has served as an author of Geriatric Notes alongside Dr. Brad Goad with Premier Geriatric Solutions (now a part of Eventus WholeHealth), and served at PGS in the capacity of Chief Education Officer.