Activity ID



May 22, 2023

Format Type


CME Credit



CME Provider

Louisiana Medical Mutual Insurance Company (LAMMICO)


Nursing home patients today are older, sicker, and more frail than ever before. Multiple chronic conditions, reduced mobility, and cognition put them at risk for polypharmacy, falls, malnutrition, and pressure ulcers. Primary care physicians not based in the nursing home have the disadvantage of practicing remote medicine. If end-of-life wishes have not been discussed, patients are at increased risk for aggressive and futile care in the final weeks and months of life. These situations create pain and anguish for the patient and family, and increased liability risk for the physician. This on-line activity seeks to arm the physician with specific strategies and resources that will assist in making the care of nursing home patients a reasonable and manageable risk.

Diplomate Engagement

Pre-and Post-test results are provided to diplomate and an evaluation survey is issued upon completion of the course. A follow-up post-activity survey is also issued 3-4 months after completion that asks what practice changes have been made.

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NOTE: If a Member Board has not deemed this activity for MOC approval as an accredited CME activity, this activity may count toward an ABMS Member Board’s general CME requirement. Please refer directly to your Member Board’s MOC Part II Lifelong Learning and Self-Assessment Program Requirements.

Educational Objectives

State three things you can educate patient/family prior to nursing home admission that will reduce risk (e.g., advise families to make a plan for long-term care, teach how to select a nursing home, proactively manage unrealistic expectations, discuss end of life wishes, POLST).
Describe three strategies that can reduce communication errors in the care of nursing home patients (advise nursing home to notify MD of all test results; maintain an off-site record of all communications between MD and nursing home; medication reconciliation).
Differentiate palliative care and hospice care and state how these services may benefit nursing home patients.(hospice/palliative services are vastly under-used; practitioners unaware these services are available in the nursing home; palliative and hospice care are associated with greater patient and family satisfaction).


Nursing Home, Geriatrics, Skilled Nursing Unit, Long Term Care, Advanced Directives, Brain Injury, Neuromuscular Development, Spinal Cord


Medical Knowledge, Systems-based Practice

CME Credit Type

AMA PRA Category 1 Credit

Practice Setting

Academic Medicine, Outpatient, Rural, Urban, VA/Military

National Quality Strategies and/or Quadruple Aim Care Processes

Assessment, Patient Safety/Medical Errors, End of Life Care

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