FMDA – The Florida Society for Post-Acute and Long-Term Care Medicine



FMDA MISSION STATEMENT: We promote the highest quality care as patients transition through the long-term care continuum. We are dedicated to providing leadership, education, and advocacy for the inter-professional team.


FMDA VISION STATEMENT: We will provide professional leadership to disseminate information and provide access to resources and experts.

We will further advance as the professional hub for education on best care practices, evidence-based medicine, regulatory compliance, and practice management.

We will continue to be the model organization that collaborates with related organizations to promote the highest quality patient care and outcomes in the post-acute and long-term care continuum


MEMBERSHIP: FMDA has close to 200 members, including medical directors, attending physicians, advanced practice nurses, consultant pharmacists, physician assistants, director of nursing, and nursing home administrators of Florida skilled nursing facilities or nursing homes, hospices, CCRCs, etc.


BACKGROUND: FMDA was originally established in 1990, as the Florida Medical Directors Association. In 2015, following the lead of AMDA, its national affiliate, it changed its name to FMDA – The Florida Society for Post-Acute and Long-Term Care Medicine. It was founded to help medical directors, attending physicians, physician assistants (PAs), advanced practice nurses, pharmacists, and other health care practitioners in post-acute and long-term care navigate their way through the continuum. FMDA is a 501(c)(3), non-profit medical society.


GOVERNANCE: The Board of Directors consists of the Chairman of the Board, Immediate Past-President, President, Vice President, Secretary-Treasurer, and seven other FMDA members. Each is elected for a two-year term and can be re-elected for another two-year term, except for the Immediate Past-President, President-Elect, and Chairman, who are not elected. All candidates for position as an officer must have been a physician board member within the last three years.


AFFILIATIONS: FMDA is the official state affiliate and the largest chapter of the Columbia, Maryland-based, AMDA – The Society for Post-Acute and Long-Term Care Medicine. We are also a Specialty Society of the Florida Medical Association (FMA), and liaise with the Florida Osteopathic Medical Association (FOMA).

Through the American Board of Post-Acute and Long-Term Care Medicine (ABPLM), AMDA’s credentialing body, it sponsors a certification program in PA/LTC medical direction and offers a competency curriculum for attending physicians / ARNPs / PAs to enhance knowledge and skills in this ever-changing environment.


ANNUAL MEETING: FMDA’s 33rd Annual Conference is to be held Oct. 31-Nov. 3, 2024, at Signia by Hilton Orlando Bonnet Creek.



There are multiple classes of membership in the Association: general membership, honorary membership, student, retired, lifetime, and affiliate membership. All members of this organization are also encouraged to be members of the national association, AMDA – The Society for Post-Acute & Long-Term Care Medicine.


  1. General: Membership in FMDA may be granted to any physician who holds the position of medical director, or a physician, advanced practice nurse, or physician assistant who has an interest in or who provides medical services in full or in part in postacute and long-term care. Members in this classification shall be entitled to a vote and the eligibility to be a member of the Board of Directors.
    1. Retired: Includes physicians, advanced practice nurses, and physician assistants who are fully retired.

    2. Lifetime: Includes physicians, advanced practice nurses, and physician assistants who continue to work and are not retired.

  2. Organizational Affiliates: Are organizations in the medical, regulatory, or political fields of long-term care wishing to promote the affairs of FMDA. They include vendors, other professionals, and organizations.

  3. Honorary members can be proposed by any FMDA member and can be admitted by a vote of the Board of Directors during an annual meeting or by the executive committee at any time. Honorary members shall not be eligible to vote or hold office.

  4. Students: Student membership is available to physicians-in-training, including interns, residents, fellows, and students enrolled in or on leave of absence from any LCME- or AOA-accredited or provisionally accredited North American allopathic or osteopathic training program. This category is also available to all American and foreign students who are in training at foreign medical institutions listed in the International Medical Education Directory (IMED) of the Educational Commission for Foreign Medical Graduates (ECFMG). It is also open to premedical students and any person engaged in graduate medical education in the U.S. Student members shall have all FMDA privileges except they shall not be eligible to vote or hold office.


ANNUAL DUES: General membership dues are $100 annually; Organizational Affiliate member dues are $325 annually. Corporate membership packages are available for groups of 5 or more. In 2012, we started offering multi-year memberships, including 2-year, 3-year, and Lifetime. We currently have 43 Lifetime members.



  • FMDA promotes the education of its membership in issues pertaining to post-acute and long-term care (PA/LTC), with a special emphasis on scientific, legislative, regulatory, and Medicare and Medicaid reimbursement.

  • Membership in FMDA links you to physicians, advanced practice nurses, and PAs and opens dialogues for problem-solving and information sharing. Networking opens opportunities to become familiar with the activities of Florida practitioners and helps you build relationships with and gain support from our members.

  • FMDA hosts a highly successful and nationally-recognized annual conference and trade show every October, which features the newest trends and challenges from some of the top long-term care experts in the country.
    • This annual educational program was one of the first conferences of its kind in the country to offers continuing education contact hours for physicians (MDs and DOs), physician assistants, advance practice nurses, clinical and consultant

    • Due to its reputation for high-caliber conference programming, each year it attracts attendees from dozens of other states, Puerto Rica, and Canada.

    • Convenient, online registration is available at www.bestcarepractices.org.

  • FMDA has a Hospice Section and other special interest groups for rehabilitation, hospital medicine, home care, and assisted living

  • FMDA’s New Journal Club :As of March 2023, the Journal Club’s free weekly COVID-19 specific webinars have hadm almost 50,000 views since March 25, 2020. These recordings are available online at www.fmda.org.

  • FMDA publishes a dynamic, statewide newsletter titled Progress Report.

  • The official FMDA website is www.fmda.org with a dedicated conference website at www.bestcarepractices.org/.

  • FMDA has its own online “CareerCenter” job board.

  • Annual update on Medicare billing strategies provided at each annual conference.

  • Discounted member registration fee for educational programs — including the annual conference.



  • Networking with acute, post-acute, and long-term care trade and professional associations.

  • Advocacy in Tallahassee on behalf of FMDA members.

  • Representation in the House of Delegates of AMDA.

  • Representation in the Houses of Delegates of AMDA and the Florida Medical Association.

  • Providing testimony at public hearings, in front of the Florida Legislature, and in developing position statements regarding issues important to clinicians such as POLST (Physician Orders for Life Sustaining Treatments), CMS’ rules of participation for SNFs, accountable care organizations, bundled payments, value based purchasing, and other hot-button issues.

  • Designated liaisons with Florida Health Care Association and LeadingAge Florida on issues of mutual importance

  • FMDA Quality Advocacy Coalition (FQAC): This is a coalition of key statewide organizations hosted by FMDA and includes representation from major Florida-based stakeholders from provider, regulatory, academic, and professional organizations.


Mission Statement: The mission of the FMDA Quality Advocacy Coalition (FQAC) is to develop strategies with likeminded thought leaders to inspire innovation and proactive policies that enhance the quality of care and quality of life for residents in the post-acute and long-term care continuum. FQAC desires to build a vital statewide network of Coalition stakeholders to support this initiative.


For the past three years, the FQAC and its coalition has played a leading role in a statewide collaborative focused on ways to reduce avoidable hospital readmissions.



FMDA takes an active role in outreach efforts to residents, interns, fellows, and young-career physicians with an interest in longterm care. It offers opportunities for eligible medical students, interns, and residents in geriatrics, internal medicine, and family practice. In addition, advanced practice nurses, pharmacists, and physician-assistant students who are interested in practicing in postacute and long-term care are eligible to apply.



FMDA takes an active role in outreach efforts to residents, interns, fellows, and young-career physicians with an interest in post-acute and long-term care. It offers opportunities for medical students, interns, and residents in geriatrics, internal medicine, and family practice. In addition, advanced practice nurses, pharmacists, and physician-assistant students who are interested in practicing in post-acute and long-term care are eligible to participate.



Just as we have co-sponsored geriatric symposia with Nova Southeastern University, College of Medicine’s Department of Geriatrics, we have been co-sponsoring Florida State University, College of Medicine’s Department of Geriatrics’ Annual PA/LTC Symposium, and we are exploring collaborative projects with other colleges of medicine and organizations.



Providers in Florida are familiar with the DNRO (the yellow) form. This order directs EMTs, hospital or nursing home personnel, and others not to attempt resuscitating a patient if he or she experiences a cardiopulmonary arrest. It is appropriately ordered when a patient expresses a desire to forgo CPR, or when it is clear that CPR would not provide benefits to the patient. The Physician Orders for Life-Sustaining Treatment (POLST) form goes beyond that to include orders for a level of medical interventions and whether and how artificial nutrition will be used.

POLST was created to foster high-quality, patient-directed care across health care sites. Patients in the long-term-care (LTC) system are among the highest risk for experiencing transitions in care, and care being provided by multiple different providers. LTC providers nationally are among the best at providing advance care planning, since it is a fundamental part of our care. However, all too often we have seen how a deep and repeated conversation about the care plan is lost when our patients go to the hospital or another setting. Hence, the need for an effective method to communicate the patient’s wishes for medical interventions across sites of care is particularly important to us.

Since December 2017, FMDA has been the official home of Florida POLST – as recognized by the National POLST Paradigm. FMDA is now in the perfect position to engage stakeholders and move the process forward. It has a dedicated website at www.polstfl.org.



Florida nursing homes are serving an increasingly diverse patient base and providing a greater variety of acute care and rehabilitative and convalescent services that cannot be delivered elsewhere. According to Florida’s Agency for Health Care Administration (AHCA), there are approximately 684 licensed skilled nursing facilities in Florida with a total number of 83,229 beds. With an average statewide occupancy of 85 percent — 70,700 patients — and an average of eight (8) daily medications each, Florida is providing 565,957 prescriptions per day, or an average of 206,574,378 per year — and that is just in nursing homes. There are also 3,042 licensed assisted living facilities (ALFs) with 85,000 residents. Plus, there are 41 free-standing hospices and nearly 2,500 licensed home health care agencies.


Other Key Facts:

  • The median annual cost for a private room in a nursing home is $91,615.

  • The median annual cost for a semi-private room in a nursing home is $81,395.

  • The median annual cost for assisted living amounts to $36,000.

  • Nearly 40 percent of long-term care spending is paid for by private funds.

  • Medicare, which covers rehabilitation services after an individual is discharged from a hospital, pays for 19 percent of all long-term care spending.

  • Medicaid, which covers health care costs for low-income individuals, pays for 60 percent of all long-term care spending.

  • Accounting for about 40 percent of total expenditures of nursing facilities, Medicaid’s payments cover the care of more than half of all nursing home residents.

  • Medicare patients have short rehabilitative stays — 33 days average.

  • Medicaid and private-pay patients have long lengths of stay — 386 days average.


Economic Role of Long-Term Care Facilities in Florida:

  • Support an estimated $20.2 billion of Florida’s economy

  • Contribute to nearly 259,250 jobs and support $9.1 billion in labor income through employment of both direct caregivers and support staff (i.e., food service, maintenance, social workers)

  • Generate $2.3 billion in state and federal tax revenue

  • Long-term care facilities contribute to other businesses through a ripple effect, with each nursing home job resulting in two additional jobs of added economic activity within a local community.


Future Needs for Long-Term Care:

  • By 2026, the population of Americans ages 65 and older will double to 71.5 million.

  • By 2030, 57% of new residents will be ages 65 and older.

  • There is a 50% projected increase in Alzheimer’s cases by 2025.

  • Among people turning 65 today, 69 percent will need some form of long-term care, whether in the community or in a residential care facility.


Source: Some of these demographics come from the Agency for Health Care Administration and Florida Health Care Association (www.fhca.org).


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The only organization in the state of Florida devoted to inter-professional practitioners in all specialties practicing in skilled nursing units through subacute, hospice, home care, traditional long-term care, and hospital-based care.

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