1. PMDA Public Policy Update – Part 1 October 24, 2008 Thomas Lawrence, MD Co-Chair, Public Policy Committee

2. Public Policy Committee David Nace, MD Thomas Lawrence, MD John Benner, MD Bernard Bernacki, MD Judith Black, MD James Hammett, MD Joan Weinryb, MD Kenneth Brubaker, MD Maryann Galietta, MD Daniel Haimowitz, MD David Fuchs, MD Barbara Reall, CRNP Louis Piccoli, MD

3. Public Policy: New Problems? Intersection of Competing Interests Government: Law Makers, Policy Makers Regulators: CMS, DOH, DPW, JCAHO Insurers: Medicare, Medicaid, HMOs Providers: Facility and Staff, Pharmacy Physicians / Medical Staff Medical Director

4. PMDA Medical Directors Forum Pilot program listserve for PMDA Members who currently serve as LTC Medical Directors Goals of program: enhance communication and collaboration among members and foster discussion and information sharing regarding administrative, clinical, and best practices issues related to LTC medicine Process: posting of discussion questions by PMDA Forum manager and email responses by members

5. Working Session Issues POLST Dissemination Update Comments to Proposed Regulations for DPW Assisted Living Residences September 2008 Comments to Act 52 Healthcare Associated Infections Reporting June 2008

6. Please send us your public policy concerns. lawrencet@mlhs.org naceda@upmc.edu