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SUMMARY:
This session will review pertinent definitions and categorizations of pneumonia. We will also discuss updates to the guidelines and review an example case.

TARGET AUDIENCE:
Infection Preventionists (IP), Nursing Home leadership, Clinical leadership.

IN THIS SERIES, ATTENDEES WILL LEARN:
New knowledge and tools surrounding the diagnosis, treatment, and prevention of facility associated infections including Urinary Tract Infections (UTI’s), Sepsis, Pneumonia, and COVID-19.

SUMMARY:
In this session, participants will learn how to use Alliant Health Solution’s Rehospitalization Risk Assessment Tool to identify patients’ risk factors for readmission. We will also review interventions and care planning for these risks. In addition, we will provide tips for implementation and discuss the impact of social determinants of health and implicit bias on readmission risk.

IN THIS SERIES, ATTENDEES WILL:
1. Learn strategies and resources for using a readmission risk tool.
2. Understand how social determinants of health can impact readmission risk.
3. Identify steps to effectively identify and manage acute changes in condition utilizing strategies for CHF and COPD that can be applied to other diagnoses, such as pneumonia and sepsis.

**NOW ON ZOOM**

*ANCC Contact Hours & NAB Credits Awarded*

SUMMARY:
Post-hospital contact with a primary care team is an established pillar of safe transitions. The prevailing model of telephone outreach is usually limited in scope and operationally burdensome. In this session, Eric Bressman, MD, MSHP, Fellow, National Clinician Scholars Program, University of Pennsylvania and Corporal Michael J. Crescenz VA Medical Center will share learnings from a study to evaluate use of an automated text message-based program to reduce hospitalizations and emergency department visits.

IN THIS SERIES, ATTENDEES WILL:
1. Learn how an automated hovering strategy can help taper the cliff drop in medical supervision when patients are discharged to home.
2. Understand how the availability of telemedicine after discharge can improve access to care and promote equity.

**NOW ON ZOOM**

*ANCC Contact Hours & NAB Credits Awarded*

SUMMARY:
Did you know more than 100,000 C. difficile infections developed among residents of U.S. nursing homes? Join us for the fifth in a series of six sessions to learn how to implement a plan to reduce the risk of C. difficile infections among residents at your nursing home. Throughout the series, we will provide Quality Assurance and Performance Improvement tools and infection prevention best practices.

THE LEARNER WILL BE ABLE TO:
1. Implement decision-making strategies to enhance early recognition of patients with C. difficile infections.
2. Understand C. difficile testing and ordering best practices.
3. Understand isolation precautions for patients with C. difficile infections and discontinuation of isolation.

SUMMARY:
Dr. Levenson chaired the workgroup responsible for writing the guidelines. He will be highlighting the guideline’s important questions and steps while incorporating real life patient cases. Additionally, Dr. Levenson will incorporate information from the newly released 2022 CDC Opioid Prescribing Guidelines.

THE LEARNER WILL BE ABLE TO:
1. Identify pain issues that arise in patients commonly seen in post-acute and long-term care settings.
2. Understand the different sections of the guideline and how the sections proceed along the steps of the clinical process.
3. Discuss challenging pain issues as responsibilities and capabilities of the staff and practitioners and how to best address expectations.

SUMMARY:
Dr. Levenson chaired the workgroup responsible for writing the guidelines. He will be highlighting the guideline’s important questions and steps while incorporating real life patient cases. Additionally, Dr. Levenson will incorporate information from the newly released 2022 CDC Opioid Prescribing Guidelines.

THE LEARNER WILL BE ABLE TO:
1. Identify pain issues that arise in patients commonly seen in post-acute and long-term care settings.
2. Understand the different sections of the guideline and how the sections proceed along the steps of the clinical process.
3. Discuss challenging pain issues as responsibilities and capabilities of the staff and practitioners and how to best address expectations.

SUMMARY:
Dr. Levenson chaired the workgroup responsible for writing the guidelines. He will be highlighting the guideline’s important questions and steps while incorporating real life patient cases. Additionally, Dr. Levenson will incorporate information from the newly released 2022 CDC Opioid Prescribing Guidelines.

THE LEARNER WILL BE ABLE TO:
1. Identify pain issues that arise in patients commonly seen in post-acute and long-term care settings.
2. Understand the different sections of the guideline and how the sections proceed along the steps of the clinical process.
3. Discuss challenging pain issues as responsibilities and capabilities of the staff and practitioners and how to best address expectations.

SUMMARY:
Did you know more than 100,000 C. difficile infections developed among residents of U.S. nursing homes? Join us for the fourth in a series of six sessions to learn how to implement a plan to reduce the risk of C. difficile infections among residents at your nursing home. Throughout the series, we will provide Quality Assurance and Performance Improvement tools and infection prevention best practices.

THE LEARNER WILL BE ABLE TO:
1. Understand C. difficile surveillance definitions and the importance of definition standardization.
2. Describe essential data collection strategies used to effectively monitor process and outcome measures for C. difficile reduction.
3. Utilize a C. difficile tracking tool.
4. Understand best practices for CDI reporting

OBJECTIVES:

1) Understand the difference between cleaning and disinfecting.

2) Identify the EPA List K cleaning agents that are effective against C. difficile.

3) Develop a guideline to describe who cleans what in the nursing facility.

SUMMARY:
This session will review the burden of sepsis in nursing home facilities, steps to prevent sepsis in nursing home residents, and tools and resources for the early recognition and management of sepsis.

TARGET AUDIENCE:
Infection Preventionists (IP), Nursing Home leadership, Clinical leadership.

SUMMARY:
Extreme weather events, natural disasters, and other emergency events are increasingly common in post-acute and long-term care. This session will review several practical strategies to help your team prepare for an emergency event. Best practices to mitigate the effects of trauma on residents and staff will also be discussed.

IN THIS SERIES, ATTENDEES WILL LEARN TO:
1. Identify at least two pre-planning strategies to prepare for an emergency in post-acute and long-term care.
2. Describe best practices to mitigate the effects of trauma during and after a natural disaster or emergency event in post-acute and long-term care.

The 2019 CDC Threat Report lists Clostridioides difficile (C. difficile) as an urgent threat. There were an estimated 12,800 deaths due to C. difficile in the US in 2017. C. difficile infection (CDI) affects thousands of people each year; and infections are more common and tend to be more severe in older people. Inappropriate antibiotic prescribing puts patients at risk for CDI. It is the most common healthcare-associated infection. This presentation will summarize the recent treatment updates and risk factors associated with C. difficile infection.

This session will review evidence-based interventions to prevent urinary tract infections (UTIs) in nursing home residents, appropriate tests and treatments for UTIs, and quality improvement resources to support UTI prevention activities in nursing homes.

SUMMARY:
Hear first-hand the real experiences of a patient and learn techniques from an ESRD expert that will improve the transition experience across health care settings and the continuum of care. Use what you hear in this session to analyze and improve your care transitions.

THE LEARNER WILL BE ABLE TO:
1. Know and understand mitigation strategies that will reduce readmission and ED visit rates.
2. Learn patient perspectives on tactics to improve the patient and care partner transfer experience.

USE TOMORROW:
Analyze your handoff process for dialysis patients across the continuum of care.

SUMMARY:
Recent flooding created a multitude of challenges for Kentucky nursing homes. Join our conversation as three administrators share their first-hand experience-based emergency preparedness plans (EPP) recommendations.

LEARNING OBJECTIVES:
1. Adopt emergency preparedness best practice recommendations from peers who successfully led their teams through a recent natural disaster.
2. Use Alliant Health Solution’s new Emergency Preparedness Self-Assessment to identify potential areas for enhancements to your plan and/or request additional resources and coaching support. It only takes five minutes or less to complete.

USE TOMORROW:
Review your EPP today to quickly find opportunities to incorporate the key takeaways and recommendations from experienced colleagues.

SUMMARY:

Patients transitioning from the nursing home back into the home is a critical shift in patient care. Join us for a presentation discussing best practices for this transition that focuses on the management of opioids. Nursing homes will learn the best steps for setting up these patients for success at home.

IN THIS SERIES, ATTENDEES WILL LEARN TO:

1. Describe the difference between Problematic Opioid Use vs. Opioid Use Disorder (OUD).
2. Recall the proper counseling points for opioid usage.
3. List the importance of co-prescribing naloxone and the proper counseling approach.
4. Describe the best practices for transitioning a patient from the rehabilitation setting to the home setting.

Dr. Swati Gaur, MD
Medical Director
New Horizons Long Term Care Facilities

Dr. Steve Levenson, MD

Pain in Transition: Appropriate and Effective Pain Management With Opioids

Opioid Use Disorder (OUD) has claimed nearly 500,000 lives in the last two decades. With accidental overdoses identified as the U.S. leading cause of death for people under age 50, the statistics are overwhelming.

Local communities are addressing the opioid crisis by filling the gaps related to an individual’s social determinants of health (SDoH) risks.  These determinants, which include socioeconomic and environmental factors, as well as individual health-related behaviors, are responsible for approximately 80% of health outcomes. Addressing the SDoH can help to prevent opioid addiction and decrease overall overdose deaths, while improving the lives of individuals with OUD.

This presentation will define key concept relationships, explore evidence-based practices and share how case managers can utilize SDoH to improve patient care related to opioid use disorder.

Learner Outcomes:

The learner will be able to:

  1. Understand the key terms of “social determinants of health” and “opioid epidemic” and their impact on healthcare.
  2. Explore the relationship between social determinants of health and the opioid epidemic
  3. Review current literature for evidence-based practices related to use of social determinants of health to address the opioid epidemic.

Identify the role of the professional case manager in managing patients with opioid use disorder.