ABOUT FMDA

FMDA’s new “virtual” Journal Club is a means for busy clinicians to maintain proficiency with ever-evolving medical science. Today, more than 5,000 biomedical publications appear every day and, as a result, keeping current has not become any easier. Developing a skill set to find, appraise, and implement practice-changing advancements in the medical literature is fundamental.

This virtual Journal Club is designed to develop a learner-based community of those seeking to improve health care and health through enhanced care in the post-acute and long-term care continuum (PA/LTC). It is a forum where people who care can meet, share, learn, and create change.

FMDA’s Journal Club helps you stay current with the latest evidence-based clinical information relevant to PA/LTC medicine. Journal Club participants will share in reviewing articles that are interesting, provide relevant takeaways, and highlight best practices. It will be an effective way to gain new knowledge.

The Journal Club will be scheduled for 30-minutes, once a month, via conference call, and could be hosted by rotating club members. During these meetings the group will critically analyze recent literature using evidence-based medicine principles including: patient preferences, clinician expertise, and scientific findings, each weighted equally.

We will quickly review two to three papers and present highlights and takeaways in a concise, high-yield manner. Each paper will be reviewed in 10-15 minutes, and discussion will be encouraged. We look forward to your interest and participation.

The Co-chairs of this exciting new committee are Marianne Novelli, MD, FACP, FHM and Diane Sanders-Cepeda, DO, both with OPTUMCare. Dr. Novelli can be reached at mnovelli@optum.com and Dr. Sanders-Cepeda at diane.l.sanders@optum.com.

We will quickly review two to three papers and present highlights and takeaways in a concise, high-yield manner. Each paper will be reviewed in 10-15 minutes, and discussion will be encouraged. We look forward to your interest and participation.

The Co-chairs of this exciting new committee are Marianne Novelli, MD, FACP, FHM and Diane Sanders-Cepeda, DO, both with OPTUMCare. Dr. Novelli can be reached at mnovelli@optum.com and Dr. Sanders-Cepeda at diane.l.sanders@optum.com.

Please join us for the next scheduled meeting on Wednesday, August 5, 2020, 12:00 p.m. ET

Join from PC, Mac, Linux, iOS or Android: Click here to register!


COVID-19 Impact: Addressing the Public Health Challenge

Welcome special guest, Sean Cannone, DO, CMD, as he joins Diane Sanders-Cepeda, DO, CMD, on the next edition of FMDA’s Journal Club. This session will cover: the development of a population health strategy to meet the demands of this pandemic, the unique challenges presented by Nursing Homes and ALF’s, advocating for your health system at the local and state level, the steps required to meet the needs of a diverse population, and how Dr. Cannone’s team addressed social determinants of health and healthcare disparities.

YOU MUST REGISTER TO ATTEND THIS MEETING! Click here to register.


Journal Club Vault

COVID-19 Impact: Clinical Trends, Advances, and Healthcare Disparities

    Join Diane Sanders-Cepeda, DO, CMD, for this edition of FMDA’s Journal Club where we reviewed all relevant updates and research around COVID-19, clinical advances and emerging best care recommendations, and discussed healthcare disparities related to COVID-19 and the impacts across the PALTC Continuum.


    Click here to view the July 29, 2020 Edition of the Journal Club
    Click here to access the PowerPoint Slides

COVID-19 Impact: Post COVID Sequelae and the Long Road to Recovery

    Special guest panelists Elaine Healy, MD, CMD, and Elizabeth Vandevelde, ARNP, join host Diane Sanders-Cepeda, DO, CMD, in their return to FMDA's Journal Club to discuss what conditions we're seeing s/p recovery from COVID-19, rehabilitation changes following this condition, and how we prepare to treat and manage patients who have persistent symptoms following recovery.


    Click here to view the July 21, 2020 Edition of the Journal Club
    Click here to access the PowerPoint Slides

COVID-19 Impact: Clinical & Regulatory Updates, July 15, 2020

    This session, hosted by Diane Sanders-Cepeda, DO, CMD, featured special guest Kimberly Smoak, MSH, QIDP, Chief of Field Operations, Health Quality Assurance, Florida's Agency for Health Care Administration.


    Click here to view the July 15, 2020 Edition of the Journal Club
    Click here to access the PowerPoint Slides

COVID-19: Leading the Battle, July 8, 2020

    This session includes: operationalizing the response in skilled nursing facilities; the impact on the morale of nurses and staff, and the difficulties of maintaining a workforce through this pandemic; managing a SNF through an outbreak and addressing the possibility of achieving and maintaining “COVID-free” status; the role of the Medical Director during this pandemic and the responsibility of PALTC clinicians; how SNFs should be managing visitation and vendors; the evolution of Telehealth in facilities; and the variability and variance from county-to-county and state-to-state.

    Hosted by: Diane Sanders-Cepeda, DO, CMD
    Special Guest: Elizabeth Borer, RN


    Click here to view the July 8, 2020 Edition of the Journal Club
    Click here to access the PowerPoint Slides

Journal Club Vault

COVID-19: In the Trenches, June 24, 2020

    This session looks at the opportunities and challenges of providing primary/geriatric care to patients in the outpatient and LTC setting during this pandemic – including practice limitations, the evolving roles and responsibilities of a medical director in PALTC, and practice management insights and strategies.

    Hosted by: Diane Sanders-Cepeda, DO, CMD
    Special Guest Panelists: Dr. Thomas Edwards, Dr. Elizabeth Hames, Dr. Brian Kiedrowski, and Dr. Dan Kaplan


    Click here to view the June 24, 2020 Edition of the Journal Club
    Click here to access the PowerPoint Slides

COVID-19 Overview: Current State, Challenges, and Opportunities, June 17, 2020

    This session, hosted by Diane Sanders-Cepeda, DO, CMD, features special guest Bernardo J. Reyes, MD, CMD, Assistant Professor of Integrated Medical Science, Charles E. Schmidt College of Medicine, Florida Atlantic University. .


    Click here to view the June 17, 2020 Edition of the Journal Club
    Click here to access the PowerPoint Slides

COVID-19: Telehealth in the Time of Pandemic in PALTC, June 10, 2020

    This session, hosted by Diane Sanders-Cepeda, DO, CMD, features special guest Robert A. Zorowitz, MD, MBA, FACP, AGSF, CMD, as he discusses telehealth in post-acute and long-term care during the COVID-19 pandemic.


    Click here to view the June 10, 2020 Edition of the Journal Club
    Click here to access the PowerPoint Slides

COVID-19: Evolving Our Infection Control Policies and Response, June 3, 2020

    This session, hosted by Diane Sanders-Cepeda, DO, CMD, features special guest Joseph Mylotte, MD, Professor Emeritus of Medicine, Jacobs School of Medicine and Biomedical Science, State University of New York at Buffalo, Buffalo, NY.


    Click here to view the June 3, 2020 Edition of the Journal Club
    Click here to access the PowerPoint Slides

COVID-19: Behavioral Health Impact, May 27, 2020

    This session, hosted by Diane Sanders-Cepeda, DO, CMD, features special guest Marc Agronin, MD, as the Journal Club addresses the behavioral health impacts of the COVID-19 pandemic.


    Click here to view the May 27, 2020 Edition of the Journal Club
    Click here to access the PowerPoint Slides

COVID-19: Clinical Deep Dive into the Research – Part II, May 20, 2020


  1. Review all relevant updates and literature around COVID-19
  2. Discuss data and revelations from ongoing clinical trials
  3. Review emerging best practices

  4. Click here to view the May 20, 2020 Edition of the Journal Club
    Click here to access the PowerPoint Slides

COVID-19: Stories from the Front Lines, May 13, 2020

    Hosted by Diane Sanders-Cepeda, DO, CMD, this session features special guests: Gregory James, DO, MPH, CMD; Renee Lebon, RN, NHA; Elizabeth VandeVelde, RN, MSN, ANP-CRN, MSN, ANP-C; and Bertha Carrion, ARNP, DNP, FNP.

    Topics include challenges around obtaining PPE, successes and barriers to treating in place and delivering care via telehealth, and the uphill battle of unnecessary hospitalizations.


    Click here to view the May 13, 2020 Edition of the Journal Club
    Click here to access the PowerPoint Slides

COVID-19: Advance Care Planning, April 29, 2020

    This session, hosted by Diane Sanders-Cepeda, DO, CMD, features an expert panel discussion with Maria Gonzalez, MD, FAAFP, CMD, and Naushira Pandya, MD, CMD, FACP.


    Click here to view the April 29, 2020 Edition of the Journal Club
    Click here to access the PowerPoint Slides

Treating COVID-19+ Patients in Place: Clinical Deep Dive into the Research, April 22, 2020

    This session reviews all relevant updates and literature around COVID-19 with emphasis on typical and atypical clinical presentation, innovations around testing, evolving pharmaceutical landscape, and of course, practical implications.


    Click here to view the April 22, 2020 Edition of the Journal Club
    Click here to access the PowerPoint Slides

Treating COVID-19+ Patients in Place in PA/LTC: Part III – Facility Readiness, April 16, 2020


  1. Cohorting Patients
  2. Reducing Transmission
  3. Safely Using and Conserving PPE

  4. Click here to view the April 16, 2020 Edition of the Journal Club

Treating COVID-19+ Patients in Place in PA/LTC: Part II – Pharmaceutical Management, April 8, 2020


    Click here to view the April 8, 2020 Edition of the Journal Club
    Click here to access the PowerPoint Slides

The Opportunities and Challenges of Treating COVID-19 Positive PALTC Residents in Place, April 1, 2020


    Click here to view the April 1, 2020 Edition of the Journal Club
    Click here to access the PowerPoint Slides

COVID-19 Update: Guidance from the State and Teleheatlh Coding, March 25, 2020


    Click here to view the March 25, 2020 Edition of the Journal Club
    Click here to access the PowerPoint Slides

These are the 3 articles we reviewed on Wednesday, February 19, 2020


  1. Deprescribing as a Clinical Improvement Focus
  2. Physician Perspectives on Deprescribing Cardiovascular Medications for Older Adults
  3. Older Adults’ Awareness of Deprescribing: A Population-Based Survey

  4. Click here to view the February 19, 2020 Edition of the Journal Club

These are the 3 articles we reviewed on Wednesday, January 22, 2020


  1. Predictive Accuracy of Frailty Tools for Adverse Outcomes in a Cohort of Adults 80 Years and Older: A Decision Curve Analysis
  2. A New Functional Classification Based on Frailty and Disability Stratifies the Risk for Mortality Among Older Adults: The FRADEA Study
  3. Translating Frailty Research Into Clinical Practice: Insights From the Successful Aging and Frailty Evaluation Clinic

  4. Click here to view the January 22, 2020 Edition of the Journal Club

These are the 3 articles we reviewed on Thursday, November 21st, 2019


  1. Post-acute and Long-term Care Settings as First Responders for the Surviving Sepsis Campaign
  2. Can Sepsis Be Detected in the Nursing Home Prior to the Need for Hospital Transfer
  3. Early Identification and Management of Sepsis in Nursing Facilities: Challenges and Opportunities

  4. Click here to view the November 21, 2019 Edition of the Journal Club

These are the 2 articles we reviewed on Wednesday, August 28th, 2019


  1. Cross-Country Validation of the Association Between Oral Health and General Health in Community-Dwelling Older Adults
  2. Oral Health, Disability and Physical Function
  3. Improving Nursing Home Residents’ Oral Hygiene NH Residents

These are the 2 articles we reviewed on Wednesday, July 31th, 2019


  1. Quality of Life and Pain Medication Use in Persons With Advanced Dementia Living...
  2. Managing Paratonia in Persons With Dementia

These are the 2 articles we reviewed on Wednesday, June 19th, 2019


  1. Visit-to-Visit Blood Pressure Variability and Progression of White Matter Hyperintensities Among Older People With Hypertension
  2. Treatment of Hypertension in People With Dementia: A Multicenter Prospective Observational Cohort Study
  3. Predicting Future Health Transitions Among Newly Admitted Nursing Home Residents With Heart Failure
  4. Risk of Readmission After Discharge From Skilled Nursing Facilities Following Heart Failure Hospitalization: A Retrospective Cohort Study

  5. Click here to view the June 12th, 2019 Edition of the Journal Club

These are the 2 articles we reviewed on Wednesday, May 30th, 2019


  1. Treatment of Hypertension in People With Dementia
  2. Visit-to-Visit Blood Pressure Variability and Progression of White Matter Hyperintensities Among Older People With Hypertension

These are the 2 articles we reviewed on Wednesday, March 27th, 2019


  1. Thirty-Day Postdischarge Mortality Among Black and White Patients 65 Years
  2. Patient Outcomes After Hospital Discharge to Home With Home Health Care vs to a Skilled Nursing Facility

These are the 2 articles we reviewed on Wednesday, February 27th, 2019


  1. Assessing the Scope and Appropriateness of Prescribing Cascades
  2. American Geriatrics Society 2019 Updated AGS Beers Criteria® for Potentially Inappropriate Medication Use in Older Adults

These are the 3 articles we reviewed on Wednesday, January 29th, 2019


  1. The Underappreciated Role of Low Muscle Mass in the Management of Malnutrition
  2. Association of Body Mass Index With Disability
  3. Association of Frailty and Malnutrition With Long-term Functional and Mortality Outcomes

These are the 2 articles we reviewed on Wednesday, November 28, 2018


  1. Impact of Atrial Fibrillation on Falls in Older Patients
  2. Dabigatran, Rivaroxaban, and Warfarin in the Oldest Adults with Atrial Fibrillation in Taiwan

  3. Click here to view to the November 28th, 2018 Edition of the Journal Club

This is the the 1 article we reviewed on Wednesday, September 19, 2018


  1. Screening for Osteoporosis to Prevent Fractures

These are 2 published articles we reviewed on Wednesday, August 22, 2018


  1. Obesity Paradox

  2. Effect of Obesity on Postacute Outcomes of Skilled Nursing Facility Residents with Hip Fracture

These are 2 published articles we reviewed on Wednesday, July 25th, 2018


  1. Randomized Trial of Verubecestat for Mild-to-Moderate Alzheimer’s Disease

  2. Anticholinergic drugs and risk of dementia: case-control study

These are 7 published articles we reviewed on Wednesday, April 18th, 2018


  1. 2017 Summary Hypertension Guideline

  2. 2017 Summary Hypertension Guideline

  3. HTN Guideline Resource for Practicing Clinicians

  4. Highlights From The 2017 Guideline HTN Guidlines Too Much Too Little

  5. 2017 High Blood Pressure Clinical Practice Guideline

  6. 2017 Blood Pressure Guideline Slides

  7. Highlight Reel -ACC/AHA HTN Guideline 2017

This is the 1 published article that we reviewed on Wednesday, March 14th, 2018


  1. 2017 ACC Expert Consensus Decision Pathway for Optimization of Heart Failure Treatment

These are 2 published articles that we reviewed on February 21st, 2017


  1. Diabetes Care and Dementia Among Older Adults: A Nationwide 3-Year Longitudinal Study

  2. Prevalence of Long-Term Opioid Use in Long-Stay Nursing Home Residents

These are 2 published articles that we reviewed on January 17th, 2017


  1. Discontinuing Inappropriate Medication Use in Nursing Home Residents A Cluster Randomized

  2. An Even Distribution of Protein Intake Daily Promotes Protein Adequacy but Does Not Influence Nutritional Status in Institutionalized Elderly

These are 3 published articles that we reviewed on November 15th, 2017


  1. Surveillance Definitions of Infections in Long-Term Care Facilities

  2. Template for an Antibiotic Stewardship Policy for Post-Acute and Long-Term Care Settings

  3. Colorectal Cancer Screening and Surveillance in the Elderly: Updates and Controversies

These are 3 published articles that we reviewed on October 14th, 2017


  1. Choosing Wisely? Measuring the Burden of Medications in Older Adults near the End of Life:Nationwide, Longitudinal Cohort Study

  2. Antipsychotics to Treat Agitation or Psychosis in Patients With Dementia

  3. Colorectal Cancer Screening and Surveillance in the Elderly: Updates and Controversies

These are 3 published articles that we reviewed on August 23, 2017



  1. Temporal Trends in the Numbers of Skilled Nursing Facility Specialists From 2007 Through 2014

  2. Growth of Skilled Nursing Facility Specialists: Navigating Between What Is Ideal and What Is Practical

  3. Reducing Excessive Use of Antipsychotic Agents in Nursing Homes

These were the two published articles that we reviewed on June 2017. The titles include,

  1. Deprescribing proton pump inhibitors
  2. Systematic Review of Interventions to Reduce Urinary Tract Infection in Nursing Home Residents

These were the four published articles that we reviewed on April 2017. The titles include,

  1. Introduction for the FDA Blueprint for Prescriber Education for Extended-Release and Long-Acting Opioid Analgesics
  2. CDC GUIDELINE FOR PRESCRIBING OPIOIDS FOR CHRONIC PAIN
  3. CDC Guideline for Prescribing Opioids for Chronic Pain — United States, 2016
  4. Association of Opioids with Falls, Fractures, and Physical Performance among Older Men with Persistent Musculoskeletal Pain

These were the four published articles that we reviewed on February 2017. The titles include,

  1. Stopping antibiotics after 5 days in clinically stable community-acquired pneumonia was noninferior to usual care
  2. Duration of Antibiotic Treatment in Community-Acquired Pneumonia A Multicenter Randomized Clinical Trial
  3. Duration of Antibiotic Treatment in Community-Acquired Pneumonia A Multicenter Randomized Clinical Trial
  4. Management of Adults With Hospital-acquired and Ventilator-associated Pneumonia: 2016 Clinical Practice Guidelines by the Infectious Diseases Society of America and the American Thoracic Society

These were the three published articles that we reviewed on January 2017. The titles include,

  1. Association of β-Blockers With Functional Outcomes, Death, and Rehospitalization in Older Nursing Home Residents After Acute Myocardial Infarction
  2. Supplementary Online Content
  3. Appropriate use of serum troponin testing in general practice: a narrative review

These were the five published articles that we reviewed on November 15th 2016. The titles include,

  1. Cranberry for Prevention of Urinary Tract Infection?
  2. Effect of Cranberry Capsules on Bacteriuria Plus Pyuria Among Older Women in Nursing Homes
  3. Medications Associated with Geriatric Syndrome (MAGS) and their Prevalence in Older Hospitalized Adults Discharged to Skilled Nursing Facilities
  4. Medications Associated with Geriatric Syndrome (MAGS) and their Prevalence in Older Hospitalized Adults Discharged to Skilled Nursing Facilities
  5. Medications Associated With Geriatric Syndromes and Their Prevalence in Older Hospitalized Adults Discharged to Skilled Nursing Facilities

These were the five published articles that we reviewed on October 15th 2016. The titles include,

  1. Elder Abuse in Nursing Homes: How Do We Advance the Field of Elder Justice?
  2. Preoperative Frailty Assessment and Outcomes at 6 Months or Later in Older Adults Undergoing Cardiac Surgical Procedures
  3. Frailty and Surgical Decision Making
  4. Journal Club
  5. The Prevalence of Resident-to-Resident Elder Mistreatment inNursing Homes

These were the three published articles that we reviewed on August 24th 2016. The titles include,

  1. 6-PACK programme to decrease fall injuries in acute hospitals: cluster randomised controlled trial
  2. Comparative Survival among Older Adults with Advanced Kidney Disease Managed Conservatively Versus with Dialysis
  3. Does the Evidence Support Conservative Management as an Alternative to Dialysis for Older Patients with Advanced Kidney Disease?

These were the 2 published articles that we reviewed on July 13th 2016. The titles include,

  1. Efficacy and Harms of Direct Oral Anticoagulants in the Elderly for Stroke Prevention in Atrial Fibrillation and Secondary Prevention of Venous Thromboembolism
  2. Intensive vs Standard Blood Pressure Control and Cardiovascular Disease Outcomes in Adults Aged ≥75 Years

These were the three published articles that we reviewed on June 15th 2016. The titles include,

  1. Importation, Antibiotics, and Clostridium difficile Infection in Veteran Long-Term Care
  2. Effect of Dextromethorphan-Quinidine on Agitation in Patients With Alzheimer Disease Dementia A Randomized Clinical Trial
  3. Dextromethorphan and Quinidine for Treating Agitation in Patients With Alzheimer Disease Dementia

These are the three published articles that we reviewed on May 16 2014 and they are all from JAMA Internal Medicine. The titles include,

  1. Safety and Benefit of Discontinuing Statin Therapy in the Setting of Advanced, Life-Limiting Illness: A Randomized Clinical Trial
  2. Hip Fracture: A Trigger for Palliative Care in Vulnerable Older Adults
  3. Survival and Functional Outcomes After Hip Fracture: Among Nursing Home Residents

FMDA's Capital Campaign

FMDA's Council of Presidents invites you to participate – FMDA needs your financial support to continue offering exceptional FMDA services. Click here to read about the Capital Campaign or click Donate at the top of the page now to make a contribution.


Save the Date!

FMDA's Virtual 29th Annual Conferece, Best Care Practices in the Post-Acute & Long-Term Care Continuum 2020, is Oct. 22-25, 2020!


Library of Sepsis-Related Resources

We created a library of Sepsis-Related Resources ranging from published journal articles and reports, PowerPoint presentations, sepsis tools, and Sepsis Summit PowerPoint Presentations.


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