Welcome to the
Industry Portal Page. This page is designed to give our industry
supporters all the information that they need to know about FMDA in
one convenient location. It is updated regularly. If you have any
questions or constructive comments, please e-mail them to Ian
Cordes, executive director, at
Florida Medical Directors Association is the state chapter of the
American Medical Directors Association. It is also a “Specialty
Society” of the Florida Medical Association. The mission of FMDA is
to promote the highest quality care in the post-acute care continuum
by providing leadership, professional education, and advocacy.
As of October
2009, membership was about 325. Most of our members are medical
directors and attending physicians of Florida’s skilled nursing
facilities or nursing homes. The IMS Data tracking system does not
track the prescribing activities of these physicians as accurately
as it does through retail pharmacies. Many of our members are “flat
liners” on the IMS system, even though they may have hundreds of
nursing home patients taking on average, 8 medicines at any one
time. Financially FMDA is probably one of the more successful AMDA
state chapters. We are in Florida (that helps) but also we have been
able to anticipate change and plan accordingly.
Florida's Agency for Health Care Administration (AHCA), there are
approximately 667 licensed skilled nursing facilities in Florida
with a total number of 82,510 beds. With an average occupancy
statewide of 90% or 74,259 patients and an average of 8 daily
medications each, Florida is providing 594,072 prescriptions per
day, or an average of 44,709,264,648 per year (or 44.71 billion).
And that is just in nursing homes. There are also 2,852 licensed
assisted living facilities (ALFs) with 81,008 residents. Plus there
are 41 free standing hospices and nearly 2,500 licensed home health
Here for the
Long Term Care Review: Florida Nursing Homes
Regulation, Quality, Ownership, and Reimbursement
Prepared by the Florida Agency for Health Care
Symeonides, MD, FAAFP, CMD of Palm Coast, Florida is the president.
The chairman of the board is John Potomski Jr., DO, CMD of
Melbourne, Florida. The directors are all elected. There are two
ex-officio members: 1. A nurse practitioner/physician assistant
representative; and 2. The chairman of the Industry Advisory Board.
FMDA is managed
by Corecare Associates, Inc. of West Palm Beach. The owner of
Corecare, Ian Cordes, serves as executive director of FMDA. Corecare
also provides association management services to the Florida Health
Social Workers Association and Florida Association Directors of
Nursing Administration (FADONA). Corecare also provides a host of
marketing, public relations and publishing services.
Back to top
John G. Symeonides, MD,
John Potomski Jr., DO, CMD
Town Hall Meetings
FMDA Town Meetings are held around the state several times a year.
To date, we have visited Jacksonville, West Palm Beach, Miami,
Sarasota, St. Petersburg, Tampa, Orlando and Pensacola. There is usually a
Board of Directors meeting during the day and a pharma-supported
dinner that evening with the local long-term care provider community
invited. Attendance is usually between 30 and 60.
Our first Town Meeting &
Dinner of 2012 was held in Palm Beach Gardens on Jan. 14 and it was
sponsored by Lundbeck. Our guest facilitator, Gilda Osborn, a former
DON, and now a SNF administrator, did a great job discussing how her
facility is coping with reimbursement
cuts. The Town Meeting was followed by the CME/Education
Committee and Board meetings the next morning.
For more information,
contact Matt Reese at the
Industry can support us by
sponsoring the Town Meeting Dinners.
Back to top
The main meeting of FMDA is the annual meeting, which is held on the
third weekend of October in Orlando. At the 12th Annual IAB Meeting,
Steve Selznick, DO, CMD, Chair of the Industry Advisory Board (IAB)
and Co-Chair Jaynie Christenson, Regional Account Manager for Abbott
Laboratories, were thrilled with the level of discussion and quality
of this year’s meeting. Many pertinent topics were discussed that
directly affect the long-term care industry such as, unintended
consequences of the “Pill Mill Bill”, the Sunshine Act and its
effect on pharma, healthcare professionals, and health care
organizations, new requirements for reimbursement for Hospice and
Home Care, and other challenges facing long-term care organizations,
pharma companies, and companies with ties to long-term care.
Click here for more
information about this exciting event.
Paid registration in 2009 was
333. The first meeting was in 1990. In 1997 we added a nurse
practitioner/physician’s assistant (NP/PA) to the Board of Directors
and we have had an increasing number of NP/PA attendees (75 in
In 2000, Florida Chapter of
the American Society of Consultant Pharmacists (CPs) agreed to join
the meeting and since then we have had an increasing number of CPs
attend the meeting (90 in 2006).
2006 was an important year
for FMDA in that we rebranded the meeting as the “Best Care
Practices in the Geriatrics Continuum” conference. It now has its
own website at www.bestcarepractices.com. It was in 2006 that we
also invited the Florida Geriatrics Society and American Academy of
Home Care Physicians to participate on a 3-year trial basis.
In 2008, we invited the
American College of Health Care Administrators to participate on a
trial basis and now we look forward to their support and for years
In 2009, the American
Association for Long Term Care Nursing joined our conference for a
2-year trial basis.
Attendance numbers for the last
5 years have been:
ATTENDEE NUMBERS BY PROFESSION
|Other (Speakers etc)
* The attendee numbers in 2006 are higher for two reasons: 1. We
hosted a 3-hour stand-alone “Basic Training” program for new health
practitioners and those new to long-term care, and 2. We offered all
three mandatory licensure update courses for health care licensees.
In both cases, attendees were able to register to attend these
sessions individually. This may have added up to 65 registrants –
some who did not attend the entire conference.
Sponsorship opportunities for the Best Care Practices conferences
are posted on the website about six months before the meeting.
Back to top
FMDA owns and manages two websites:
www.fmda.org is our main
association website and it includes a password-protected
members-only section, and
traffic for the annual conference is directed to
www.bestcarepractices.org. Both are supported by
industry on an annual basis.
We have an award-winning newsletter, Progress Report,
which is published 2-4 times per year. A printed copy is sent to all
members and other interested parties, and it has a total circulation
of 1100. It is also posted on
our web site
and can be downloaded in PDF file format. In 2006, FMDA started
accepting paid advertising.
Back to top
Industry Advisory Board
The IAB was established in 1999 as a way for the Florida Medical
Directors Association and other interested organizations to enhance
lines of communication and to work together to become part of the
process to develop solutions for our common problems. Members have
provided valuable input into planning the annual program and trade
show and in supporting FMDA in other areas of mutual interest.
2012 Industry Advisory Board in Orlando
The IAB meets once a year in
Orlando and is by invitation only. There are no
fees to be a member of the IAB, there are no solicitations made at
the meeting, and no promises are made to the members.
Members of the IAB are also
likely to be contacted during the year for informal advice and their
Membership is on an annual basis and is limited to a select few
pharma and non-pharma companies. We try to invite a variety of
companies – some well-established in LTC, some small and some new to
LTC. For example, in 2006, we invited a company that had just exited
the LTC market because we wanted to better understand why they made
Attendees include the physician leadership of FMDA and we also
invite special guests. In 2007, we invited a representative of FL-ASCP,
a physician from Orlando who was starting a
foundation to support NP training, and the head of LTC for one of
the large Medicare Part D plans. Meetings typically last no more
than four hours.
As a token of recognition, they also receive the following benefits:
- Advance notice of all
- Invitation to a private
reception at the annual meeting which is attended by FMDA
- Special recognition at
the annual meeting
The IAB is headed by a
chairman and co-chairman. The founding chairman is Malcolm Fraser,
MD, CMD, of St. Petersburg. The co-chair for 2007 was David Reis of Boehringer Ingelheim, for 2008 it
was Al Henry of Watson Pharma, Wayne Morrow with Novartis for 2009
and John Maddox, Corporate Director – LTC, Astellas Pharma was the
co-chair for 2010 and 2011. Jaynie Christenson from Abbott
Laboratories was the co-chair for the 2012 meeting.
Back to top
These are held around the state and each “series” is usually funded
by one company.
Back to top
There are numerous sponsorship opportunities some of which are
listed below. Many organizations “Beta test” new ideas with FMDA
before going nationwide. If it works in Florida, it will work
Here is a partial listing:
Back to top
We welcome your feedback. If you have any comments, please
this link and send an email.
It will be personally answered by Dr