September 2020
President's Message
Brian B. Kimmel, DO, CMD
Every so often in American history a year comes along that is just out of place with the right path of our country and the world:

  • 1918-1920 Spanish Pandemic and WW I
  • 1929 The Great Depression
  • 1941 Pearl Harbor and the US entrance to WW II
  • 1968 Multitude of events with the assassinations, protests, and the Hong Kong Flu
  • 1986-87 The Challenger disaster, Chernobyl, and stock market crash
  • 2001 9/11 disasters with follow-up events

And now 2019-2020, COVID-19 and Lantern flies.

This year we have faced amazing challenges that have altered not only the world, our country, our profession, but also PMDA. Our traditional ways of medical management and learning have been altered and our medical landscape has changed forever. Prior to the pandemic, telemedicine was a new concept mentioned only by companies that “specialized” in the concept. Now everyone at all levels, patients included, are sharing telemedicine care. We have seen our regional meetings go virtual and our 2020 Annual Symposium has gone virtual as well. Our organization has made major adjustments to accommodate these changes. We have had wonderful cooperation from PA Med as well as Penn State to assist us with functional programming. Unfortunately, with the pandemic events, PMDA has taken some financial hits as well.

Throughout all these challenges, PMDA has maintained its goal of being the source of leadership in post-acute skilled care and long-term care. PMDA’s educational programs continue to be a primary resource for answers, solutions, and assistance. Through the remarkable work of our Public Policy Committee, PMDA has advocated on behalf of our members and our patients, raising our collective voices to champion best practices across the full LTC continuum. And with the reactivation of the Practitioners’ Forum, the listserv designed to foster discussion and information sharing regarding administrative, clinical, and best practices issues related to LTC medicine, PMDA members are able to tap the expertise of colleagues across the state to assist with the topics of the day.

I bring this information to the forefront as now is the time for all who are part of PMDA to step up to the plate and be counted. Without the usual motivation of our annual face-to-face meeting, dues renewal payments are behind where they need to be to fund all the initiatives PMDA wishes to pursue. I graciously request of all to check to make sure that you are up to date in your 2020 dues and going forward to 2021 dues. 

We are looking forward to a wonderful Fall Annual Symposium on November 6.

Joshua Uy, MD leads off with a discussion on “Multimorbidity: Considerations in LTC.” Alexander Nesbitt, MD discussing “Delirium and Designing a Comfort Care Med Set for LTC,” will follow. We then jump over to “Late Pulmonary Complications of COVID-19 and Obesity Hypoventilation Syndrome” presented by Pulmonologist Brian Burlew, MD. Next, Yukari C. Manabe, MD, FIDSA from Johns Hopkins University will give us an “Update on COVID-19 Diagnostics and Antibodies.” During the lunch hour we will have our first-time virtual annual business meeting (should be a blast), and an industry sponsored symposium from Sunovion Pharmaceuticals, Inc. Since no lunch is being served there are no academic restrictions on attendance.

In the afternoon we start with a lecture on the hot topic of “Opioid De-prescribing and Documentation” given by Emily Hajjar, Pharm MS. After a break, we will finish the day with our most treasured and home grown AMDA President Dave Nace, MD, MPH, CMD, who will give his powerful presentation on “Five Articles That Could Affect Your LTC Practice,” followed by his highly anticipated talk on public policy and AMDA highlights. Don’t miss it!!

We also encourage you to attend the industry sponsored symposium scheduled for Thursday November 5, 7:30-8:30. The virtual program will be hosted by UCB, Inc. 
With all the challenges, PMDA continues to surge forward. Education and collaboration continue to be a priority. Our goal is to have a great turn out virtually this year and hope that next year, in a healthy environment, we can return to our annual symposium as an in-person event.

Now more than ever, we must remain strong together, maintaining our team and unit to keep PMDA a quality, strong organization, well recognized not only to our members, but throughout the nursing home, assisted living, and personal care consortium. 

As an historical thought, America has always rebounded after tough times. The “Roaring Twenties” followed the 1918-1920 pandemic. After the 1929 depression, the New Deal put America back to work. After Pearl Harbor, the sleeping giant awoke to survive the dark days of WWII. From 1968, the country learned acceptance. Peace prospered in the 1970’s. After 1986-1987, the space program continued, and the stock market corrected and grew. And yes, the Iron Curtain came down. Following 2001, America came together to unite to resolve and avenge the terror. Now in 2020, together we can and will survive the pandemic challenge. In long-term care, we are the centerpiece of “doing the right thing” for our patients. We must continue to be the leaders to all that need our support. Just maybe the result, like the “Roaring Twenties” a hundred years ago, will be restorative.

I encourage you to continue your membership and to align with PMDA for years into the future. As health care workers we care about healing and helping all humans all the time. PMDA is an association for everyone and our diverse and inclusive organization is made strong by our members.

Stay strong. Be safe. I am looking forward to seeing all of you virtually at our November 6 symposium. 
The PMDA Trainee Education Fund supports PMDA’s efforts to educate, recognize and inspire post-acute and long-term care clinicians in training in the benefits and rewards of a career in the PALTC continuum. Your contribution will allow us to continue to offer complimentary registration to the Annual Symposium for fellows, residents and students and support PMDA’s contribution to AMDA’s Futures Program. Help us invest in the future of practice in PALTC medicine.

Upon completion of the conference, learners should be able to:

  1. Develop a framework and strategy to assess risk, benefit and prognosis of patients with multimorbidity in the long term care setting.
  2. Compare and contrast delirium from other neurological disorders and order palliative medicine appropriately
  3. Review current reports of post-COVID pulmonary complications
  4. Discuss the 2019 guidelines for diagnosing and treating obesity hypoventilation syndrome
  5. Discuss current literature on COVID 19 diagnostics and antibodies
  6. Develop a strategy for documenting and de-prescribing opioids of long term care patients
  7. Discuss professional issues related to current and future public policy and publications impacting long term care

Multimorbidity: Considerations for LTC

Delirium and Designing a Comfort Care Med Set for LTC

Late Pulmonary Complications of COVID-19 and Obesity Hypoventilation Syndrome

Update on COVID-19 Diagnostics and Antibodies

Opioid De-prescribing and Documentation (P, R, O: Pharmacology Risk and Opioid Credit)

Five Articles That Could Affect Your LTC Practice

Public Policy Update & AMDA Highlights

Upcoming PMDA Events

  • Fall Board Meeting - 11/5/20 - Virtual
  • 2020 Annual Business Meeting - 11/6/20 - Virtual
  • 28th Annual Symposium - 11/6/20 - Virtual
PMDA's Spring Conference on Post-Acute and Long-term Care Issues in the Era of COVID-19 Now Available
PMDA has packaged the conference presentations and PowerPoints for easy access to the important topics covered during the 2020 virtual spring conference, including:

  • Advanced Care Planning and Breaking Bad News presented by Alexander Nesbitt, MD
  • Transitions of Care in the Era CO of VID-19 presented by Firas Saidi, MD, CMD
  • Telemedicine, New COVID Codes and Modifiers presented by Michael Owen, PA-C
  • Outbreak Management in the LTC Setting/PPE/ Lessons Learned presented by Joshua Uy, MD
Each recording is $15 plus 6% sales tax. 
Register Now for AMDA's Fall Virtual Symposium

Registration is now open for AMDA’s Fall Leadership, Ethics & PALTC Virtual Symposium. A special early bird rate of $225 for AMDA members and $295 for non-members will be available through September 24 and session recordings will be included with registration.
Check out the schedule featuring hot topics and great speakers. Don’t miss the chance to talk with your colleagues about the important issues that have emerged as a result of the COVID-19 pandemic while earning up to 10 CME credits, CMD management credits, and MOC points. We can’t wait to see you there!
Improving Education & Awareness of Enhanced Influenza Vaccine Products in the LTC Settings
The Gerontological Society of America (GSA), in collaboration with Gerontological Advanced Practice Nurses Association (GAPNA) and AMDA, have launched a new project focused on improving education and awareness of enhanced influenza vaccine products.

Free Webinar: Understanding the Value of Enhanced Influenza Vaccine Products in Long-Term Care Settings
Thursday, September 17, 2020
1:00 – 2:00 PM ET
Cost: Free for everyone

Fall Online Core Registration Deadline Extended

The Society's Core Curriculum on Medical Direction in PALTC offers comprehensive instruction on management and leadership within the PALTC setting—as well as CME, ABIM MOC, and CMD management credits. You now have until September 15 to register for the Fall Online Core. The second part of the program—the Fall Synthesis—will be held online October 16-18 due to the ongoing situation with COVID-19. 
Upcoming Webinars
Inside Look at PAC Clinical Operations and the Impacts on Patients and Providers
Date: September 23, 2020
Time: 7:00PM – 8:00PM ET

Unifying Risk Assessment Strategies Across the PALTC Care Continuum
Date: September 30, 2020
Time: 2:00PM – 3:00PM ET
Recently Archived Webinars
AMDA On-The-Go
Podcast Series