CALTCM. April 28 & 29, 2017 Omni Los Angeles Hotel at California Plaza 251 South Olive Street, Los Angeles, CA rd Annual Meeting

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1 ! 1 of! 10 CALTCM 43rd Annual Meeting April 28 & 29, 2017 Omni Los Angeles Hotel at California Plaza 251 South Olive Street, Los Angeles, CA Pre-Conference CALTCM Best Practices Summit National Nursing Home Quality Care Collaborative (NHQCC) Collaborative II Learning Session 1 Friday, April 28th See page 3 & 4 for details

2 ! 2 of! 10 Special Acknowledgments Leadership Award About the CALTCM Leadership Award The CALTCM Leadership Award recognizes individuals that have demonstrated exceptional leadership and made outstanding contributions in the areas of education, practice, administration or policy in long-term care. Awardees are recognized for their exceptional leadership in their specific area that increases the visibility of important issues, creates solutions to significant problems, and positively impacts the overall quality of care in long-term care CALTCM Leadership Award Recipient KJ Page, RN-BC, LNHA KJ Page is a licensed nursing home administrator and a registered nurse board certified in gerontology. She has served as an Administrator since December KJ has led Chaparral House to become one of the few Skilled Nursing Facilities to be Joint Commission Accredited, Post-Acute and Memory care certified. Chaparral House focuses on innovative personcentered solutions to complex problems and communication concerns along the long-term health care spectrum. Sponsors and Partners This program is supported in part by: CALTCM Annual Meeting Co-Sponsors: Health Services Advisory Group SCAN Health Plan No commercial support has been received for this activity. A complete list of donors, sponsors, exhibitors, and educational grants (if received) will be provided in the program syllabus. For more information on how you can support CALTCM and its bold mission, please contact Barbara Hulz at ext 1 or via at: bhulz@caltcm.org.

3 ! 3 of 10! 2017 Pre-Conference CALTCM Best Practices Summit Pre-Conference Overview This conference serves as a platform for sharing and disseminating best practices in long-term care. In collaboration with Health Services Advisory Group (HSAG), the Medicare Quality Improvement Organization for California, five best practices on overcoming various long-term care challenges will be showcased to help spread innovation throughout the community. Attendees will have the opportunity to develop action plans supplemented with structured coaching to foster sustainable adoption of these practices. Target Audience Physicians, advanced practice nurses, gero-psychiatrists, pharmacists, licensed nurses, administrators, and other members of the interdisciplinary team who care for patients and residents in Post-Acute and Long-Term Care. Learning Objectives By participation in the pre-conference, participants will have the ability to: 1. Describe best practices on managing chronically ill patients; 2. Utilize Quality Assurance & Performance Improvement (QAPI) techniques for creating, modifying and sustaining implementation plans; 3. Identify barriers and develop contingency plans to overcome barriers for implementation; 4. Disseminate resources and tools for facility-wide performance improvement project (PIP) implementation plans. Accreditation This event is accredited for up to 4.75 continuing education credits. Complete accreditation details are available at:

4 ! 4 of! Pre-Conference Agenda CALTCM Best Practices Summit QAPI in Action 7:00 A.M. Registration 7:45 A.M. Welcome and Introduction Dan Osterweil, MD, FACP CEO and Past President, CALTCM 7:55 A.M. CA Quality Improvement Organization: Health Services Advisory Group (HSAG) Jennette Silao, MPH, MBA Director, Nursing Home, Health Services Advisory Group 8:00 A.M. Introduction of Best Practices Presentations Jennette Silao, MPH, MBA and Best Practice Presenters 8:10 A.M. Round-Robin Best Practices Presentation Session All attendees will have the opportunity to attend and vote on each Best Practice presentation: 8:15 A.M. Presentation 1 8:40 A.M. Presentation 2 9:05 A.M. Presentation 3 9:30 A.M. Presentation 4 9:55 A.M. Presentation 5 10:20 A.M. Break 10:35 A.M. QAPI In Action and Best Practice Resources Jennette Silao, MPH, MBA 11:05 A.M. Action Planning Activity Ezrah Lasola, RN Quality Improvement Specialist, Nursing Home, HSAG and HSAG Nursing Home Team Facilitators 11:35 A.M. Closing Remarks and Evaluations Jennette Silao, MPH, MBA 11:45 A.M. CALTCM Poster Session 12:45 P.M. Adjourn

5 ! 5 of! 10 43rd Annual Meeting Quality Through Best Practices Friday & Saturday, April 28-29, 2017 Program Overview The CALTCM 43rd Annual Meeting entitled Quality Through Best Practices is focused on an interdisciplinary approach to address common conditions seen in long-term care. From utilizing a QAPI approach to developing best practices, to interactive case studies, participants will review the latest in evidence-based care of frail, older adults. The 43rd Annual Meeting features three half-day sessions: Friday Afternoon: Management of Diabetes, Metabolic Syndrome and Obesity Saturday Morning: Managing Pain and Depression Saturday Afternoon: Just Culture and Patient Safety Target Audience Physicians, advanced practice nurses, gero-psychiatrists, pharmacists, licensed nurses, administrators, and other members of the interdisciplinary team who care for patients and residents in Post-Acute and Long-Term Care. Learning Objectives By participation in the annual meeting, participants will have the ability to: 1. Examine common conditions occurring in post-acute/long-term care residents from an interdisciplinary perspective; 2. Describe common nutrition-related issues in post-acute/long-term care residents; 3. Evaluate the risks and benefits of anticoagulation in the post-acute/long-term care setting; 4. Identify fall risk in nursing home residents from a person-centered perspective; 5. Explain the latest changes in the Nursing Home Requirements of Participation. Accreditation This event is accredited for up to 12.0 continuing education credits. Complete accreditation details are available at:

6 ! 6 of! 10 Program Schedule Friday, April 28, :00 A.M. Registration/Exhibits Open 11:45 A.M. Lunch Product Theater (No CME) 1:00 P.M. Welcome & Introductions 1:10 P.M. Opening Comments Managing Diabetes, Metabolic Syndrome and Obesity 1:15 P.M. Challenges in Diabetes Management Jane Weinreb, MD; Chief, Division of Endocrinology, Diabetes and Metabolism, VA Greater Los Angeles Healthcare System and Clinical Professor of Medicine, David Geffen School of Medicine at UCLA 2:00 P.M. Managing Metabolic Syndrome and Obesity Timothy Gieseke, MD, CMD; Multi-Facility Medical Director, Santa Rosa, CA; Associate Clinical Professor, University of California, San Francisco 2:20 P.M. Best Practices in Facility Bariatric Care Traci Clark, RN; Director of Nursing Creekside Rehabilitation & Behavioral Health and KJ Page; Administrator at Chaparral House 3:30 P.M. Case Studies: Best Practices in Bariatric Care Interactive Roundtable Session Timothy Gieseke, MD, CMD; KJ Page; Traci Clark, RN 4:15 P.M. Creating a Patient Safety Chain David Farrell, MSW, LNHA Senior Director, NCB Capital impact 4:45 P.M. PA/LTC Update #1: MACRA/FINANCE Kerry Weiner, MD; Member of the SHM Public Policy Committee and PAC Task Force for BOOST (National Program for Boosting Care Transitions.) 5:25 P.M. CALTCM Update: Today and Tomorrow 6:00 P.M. Exhibits Close 6:00 P.M. CALTCM Poster Session & Reception (CME Opportunity) 7:00 P.M. Dinner Product Theater (No CME)

7 ! 7 of! 10 Program Schedule Saturday, April 29, :45 A.M. Exhibits Open & Breakfast Product Theater (No CME) 8:00 A.M. Welcome 8:05 A.M. Presentation of 2017 CALTCM Leadership Award Managing Pain and Depression 8:15 A.M. Pain and Depression in the Nursing Home: Non- Medical Interventions; KJ Page; Administrator at Chaparral House 9:15 A.M. Diagnosis of Depression in Geriatrics and PA/LTC; Jay Luxenberg, MD; Chief Medical Officer, On Lok Lifeways; CALTCM Wave Editorin-Chief 8:45 A.M. Medication Strategies in Management of Pain in the PA/LTC Continuum; Debra Bakerjian, PhD, APRN, FAAN, FAANP; Senior Director for NP/ PA Clinical Education and Practice; Associate Adjunct Professor, Betty Irene Moore School of Nursing, University of California, Davis 9:45 A.M. Treatment Strategies for Depression in the PA/LTC Continuum; Glen Xiong, MD; Associate Clinical Profession at UC Davis; Medical Director of Mental Health, Doctor On Demand 10:45 A.M. Challenging Cases in Pain and Depression: Interactive Panel Discussion; Karl Steinberg, MD, CMD, HMDC; Medical Director, Village Square Nursing and Rehabilitation Center, San Marcos, CA; Medical Director, Life Care Center of Vista, Vista, CA; Medical Director, Hospice by the Sea, Solana Beach, CA; Editor-in-Chief, Caring for the Ages; Chair, AMDA Public Policy Committee; Immediate Past Chair, Coalition for Compassionate Care of California; President, Stone Mountain Medical Assoc., Inc. 11:30 A.M. PA/LTC Update #2: How to Survive in Post-Acute Care Terry Hill, MD, Vice President for Performance Strategy at Hill Physicians Medical Group, board chair of HealthImpact, and former president of CALTCM. 12:05 P.M. Readmission Roundtables***: Working Lunch/CME Event 1.) SNF-to-Hospital, 2.) SNF-to-Home, 3.) SNF-to-Assisted Living, 4.) Hospital-to- Home, 5.) Impact of Advance Care Planning & Palliative Care, 6.) Impact of Behavioral Health, 7.) New Readmissions Measures, 8.) SNF-to-Assisted Living: Medication Reconciliation & Management, 9.) Hospitalists-to-SNFist communication. ***Optional Event/Additional fee required.

8 ! 8 of 10! Program Schedule Saturday, April 29, 2017 (continued) 1:15 P.M. CALTCM Awards 2017 Best Practice Implementation Award 2017 Poster Session Awards Just Culture and Patient Safety 1:30 P.M. Cultural Conflicts and Keeping Patients Safe Gwen Yeo, PhD, AGSF; Senior Research Scholar Emerita, Director Emerita, Stanford Geriatric Education Center, Stanford University School of Medicine 2:10 P.M. Fall Reduction: Balancing Reality; Elizabeth Landsverk, MD; Adjunct Professor of Medicine, Stanford University, Geriatrician/ ElderConsult, Geriatric Medicine 3:30 P.M. Safety and Dementia Care Karen Wall, CNS; Behavioral Health Nurse, VA 1:50 P.M. Anticoagulation Use from a Patient Safety Perspective TBA 2:30 P.M. Let's Go!: Team Management of Constipation, Diarrhea and Patient-Centered Nutrition Denise Rettenmaier, DO; Medical Director at Veterans Home, State of California, Yountville 3:50 P.M. Patient Safety Case Studies Denise Rettenmaier, DO 4:25 P.M. PA/LTC Update #3: What CMS' New Nursing Home Requirements Mean to You? Karl Steinberg, MD, CMD, HMDC; Medical Director, Village Square Nursing and Rehabilitation Center, San Marcos, CA; Medical Director, Life Care Center of Vista, Vista, CA; Medical Director, Hospice by the Sea, Solana Beach, CA; Editor-in-Chief, Caring for the Ages; Chair, AMDA Public Policy Committee; Immediate Past Chair, Coalition for Compassionate Care of California; President, Stone Mountain Medical Assoc., Inc. 4:55 P.M. Closing Comments/Evaluations 5:00 P.M. Adjourn

9 ! 9 of! 10 Location Omni Los Angeles Hotel at California Plaza 251 South Olive Street, Los Angeles, CA The CALTCM Pre-Conference and the CALTCM 43rd Annual Meeting will be held on the second floor of the Omni Los Angeles Hotel at California Plaza. Hotel Accommodations A special conference rate of $209 per night for single or double occupancy plus applicable taxes is available to program participants. To make your reservation, please call Omni Hotel Reservations at Identify yourself as a participant of the CALTCM Annual Meeting and use reference code CALTCM2017 to receive this special conference rate. The reservation deadline is March 30, Reservations made after this date are subject to rate and space availability. Please review the hotel cancellation policy prior to making your reservation. It is your responsibility to understand the policy and be accountable for any fees that may be incurred. Please contact the Omni Los Angeles Hotel for parking fee details.

10 ! 10 of 10! Registration OPTION 1: (RECOMMENDED): For expedited processing and immediate confirmation, visit our convenient and secure website at to register for the Annual Meeting today! You can also renew your membership or become a new member and instantly save on registration fees. OPTION 2: Mail completed registration form to CALTCM Executive Office, P.O. Box , Santa Clarita, CA Make checks payable to CALTCM. OPTION 3: Fax registration form to (855) or call (888) to register by phone. Name: Degree(s): Organization: Discipline: Mailing Address: City/State/Zip: Phone: q Registrant is a current CALTCM member, please register at the discounted rate. q Sign Up Today: I want to become a CALTCM Member today and save! q Renew my CALTCM membership and register for the annual conference. Annual Meeting Rates Before 3/31 Annual Membership Rates Member/ Non-Member q Physician $329* / $529* q Physician: $150 per year q Clinical Affiliate: $259* / $434* q Clinical Affiliate: $125 per year Optional: q Pre-Conference**: $25 q Readmission Roundtables***: $20 Total Payment Due: Credit Card Number: Exp. Date: Name on Card: Signature: Paying by Check? Mail to CALTCM at P.O. Box Santa Clarita, CA *Rates expire 3/31/17; rates increase by $75.00 on 4/1/17.**Pre-Conference: $125 registration fee waived with the generous support of SCAN Health Plan and HSAG; nominal fee of $25 required for food and beverage. ***Additional fee of $20.00 required for the optional Readmission Roundtables session on Saturday, this is an optional (working lunch) CME event. CALTCM Executive Office - Phone: (888) Fax: (855) info@caltcm.org Website: