Program for Friday May 19, 2017

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Symposia

CHANGING LANDSCAPE OF THE ALZHEIMER’S DISEASE DIAGNOSIS

  • Date:
  • Time: 7:30am - 9:00am
  • Track: Clinical Practice
  • Location: Room 221

CME/CE, CMD Clinical Credit: 1.5 
Sponsored by the Clinical Research in Dementia Special Interest Group
Co-Moderators: Esther S. Oh, MD, PhD & Noll L. Campbell, PharmD
This program is intended for health professionals who want to understand the evidence behind the National Institute on Aging (NIA)-Alzheimer’s Association’s (AA) recommendation to use biomarkers in strengthening the diagnosis of early stages of Alzheimer’s disease (AD) including the diagnosis of Mild Cognitive Impairment (MCI) due to AD. Learning Objectives: (1) describe the current understanding of AD pathogenesis and the evidence behind the use of biomarkers to diagnose early stages of AD; (2) review how to counsel people prior to ordering biomarker tests with attention to asking discerning questions that assess personal beliefs, values and attitudes about finding out AD biomarker results so that people understand the impact of disclosing AD biomarkers in various stages of AD; and (3) discuss the economic impact of the adding biomarkers to diagnosis of AD as well as diagnosing the disease in early stages.

  • Using Biomarkers of Alzheimer’s Disease in Clinical Practice
    Esther S. Oh, MD, PhD
  • Impact of Disclosing AD Biomarkers to Patients and Caregivers
    Jason H. Karlawish, MD
  • Role of Primary Care and Specialties in Identifying and Treating People with Alzheimer’s Disease
    Julie PW Bynum, MD, MPH

Workshop

CLINICAL SKILLS WORKSHOP IV: NEW BILLING CODES: OPPORTUNITIES TO IMPROVE CARE COORDINATION AND REVENUES THROUGH ACP, CCM, CPO AND HOME CARE CERTIFICATION

  • Date:
  • Time: 7:30am - 9:00am
  • Track: Clinical Practice
  • Location: Room 225 A

CME/CE, CMD Management Credit: 1.5
Sponsored by the Clinical Practice and Models of Care Committee
Moderator: Audrey K. Chun, MD
This interactive workshop session is designed to introduce practicing clinicians to the “cognitive codes” which include advance care planning, chronic care management, transitional care management, and care plan oversight. Learning Objectives: (1) identify the cognitive codes available for billing for services provided in addition to traditional E/M coding; (2) describe the basic requirements for billing and documentation of Advance Care Planning, Care Plan Oversight, Chronic Care Management, and Transitional Care Management and home care certification/recertification; and (3) map a workflow for implementing at least one cognitive code into their clinical practice.

  • Cognitive Codes- What You Need to Know to Implement These into your Clinical Practice
    Linda V. DeCherrie, MD
  • Interactive Workshop- Small Group
    Audrey Chun, MD; Linda V. DeCherrie, MD
 

Symposia

EPIDEMIOLOGY PAPER SESSION

  • Date:
  • Time: 7:30am - 9:00am
  • Track: Research
  • Location: Room 225

CME/CE, CMD Clinical Credit: 1.5
Developed by the Research Committee

Moderator: Shelly L. Gray, PharmD, MS, AGSF This session presents the latest peer-reviewed geriatrics research with questions and answers to follow.  Learning Objectives: (1) discuss new and original research in geriatrics; (2) describe an emerging concept or new scientific focus in aging research; and (3) summarize the key findings of projects with relevance to care of older adults.

  • P16 - Intensity of Physical Activity and Fatigability in High Functioning Older Adults 
    Ashley R. Peterson
  • P17 - Chronic Pain Predicts Accelerated Memory Decline and Dementia in a Longitudinal Cohort of Elders   
    Elizabeth L. Whitlock, MD, MSc
  • P18 - Comparative Safety of Dipeptidyl Peptidase-4 Inhibitors and Sulfonylureas in Older Nursing Home Residents
    Andrew R. Zullo, PharmD, ScM
  • P19 - Falls and Traumatic Brain Injuries in Older Adults: A Worsening Trend 
    Robin Lee, PhD, MPH
  • P20 - A Risk Model for Falls in Older Patients after Hospitalization for Acute Myocardial Infarction: the SILVER-AMI Study        
    David Goldstein, BS
  • P21 - Low Ankle-Brachial Index and Risk of Cognitive Decline in Elderly Japanese-American Men: The Kuakini Honolulu-Asia Aging Study     
    James R. Templeman, MD

Symposia

INFECTIONS, ANTIBIOTIC THERAPY, QUALITY AND COST AS DETERMINANTS OF SITE OF SERVICE IN PA-LTC

  • Date:
  • Time: 7:30am - 9:00am
  • Track: Clinical Practice
  • Location: Room 301

CME/CE, CMD Management Credit: 1.5
Sponsored by AMDA, the Society for Post- Acute and Long Term Care Medicine & the Post-Acute and Long Term Care Special Interest Group
Moderator: Verna R. Sellers, MD, MPH, AGSF
This session will review the importance of antibiotic stewardship as part of Quality Assurance Process Improvement Program in Post- Acute and Long Term Care. Learning Objectives: (1) describe the types of infections managed across the spectrum of PA-LTC: LTACH, ARF, SNF, PACE and home health; (2) identify the key components of antibiotic stewardship program across the spectrum of post-acute care; (3) review the impact of infections on Skilled Nursing Facility Readmission Measures; (4) discuss treatment options for infections in PA-LTC and choose appropriate antibiotic therapy when indicated for PA-LTC patients with infections; and (5) focus on strategies to decrease infection related hospital re-admission.

  • Infections across the Spectrum of Post-Acute and LTC
    Verna R. Sellers, MD, MPH, AGSF
  • Impact of Infections on SNF Readmission Measures
    Laura M. Trice, MD, FACP, AGSF, CMD
  • The Impact of Appropriate Antibiotic use in the Management of Patients with Infections
    Christopher Crnich, MD, PhD, MS

Section

JUNIOR FACULTY RESEARCH CAREER DEVELOPMENT BREAKFAST

  • Date:
  • Time: 7:30am - 9:00am
  • Track: Networking
  • Location: Room 305

Chair: Lee Jennings, MD
This session will provide the opportunity for junior faculty, fellows, and students to informally meet over breakfast with senior faculty and leaders in aging to discuss research interests, academic career development, career choices, job opportunities, and/or other topics pertinent to junior faculty development.

Symposia

LIGHTNING SCIENCE: BRIEF PRESENTATIONS OF TOP-RATED ABSTRACTS

  • Date:
  • Time: 7:30am - 9:00am
  • Track: Research
  • Location: Room 302

CME/CE, CMD Clinical Credit: 1.5 
Sponsored by the Research Committee
Co-Moderators: Heather E. Whitson, MD, MHS; Camille P. Vaughan, MD, MHS; Peter Abadir, MD, PhD This fast-paced, interactive session will showcase some of the Meeting’s best new research and innovation. Several highly rated abstracts were selected for inclusion. Presenters will present the highlights of their projects in 4 or fewer slides and the audience will have an opportunity to discuss and ask questions. Learning Objectives: (1) describe at least 1 emerging concept or new scientific focus in aging research; (2) summarize the key findings of at least 3 projects with relevance to care of older adults; and (3) identify at least 3 AGS-affiliated individuals conducting exciting research in aging.

  • Ageism in the Medical Media
    Danielle Howard, MD Candidate & Rose Maria H. van Zulien, PhD
  • TNF-α Receptor 1 as a Biomarker of Risk and Late Life Decline in Older Adults
    Marcela Davalos Bichara, MD
  • Making Function Part of the Conversation: Clinician Perspectives on Measuring Functional Status in Primary Care
    Rebecca T. Brown, MD, MPH & Francesca M. Nicosia, PhD
  • Reduction in Potentially Inappropriate Medication Use in Elderly Inpatients: A Pragmatic Randomized Controlled Trial
    Benoit Cossette, BPharm, PhD
  • Prioritizing Outcomes for Advance Care Planning Research: Consensus from a Multidisciplinary Delphi Panel
    Rebecca Sudore, MD
  • Frailty Assessment and 6-Month Functional Status and Mortality After Aortic Valve Replacement
    Dae Kim, MD, ScD
  • Exploring the Complexity of “Avoidable” Hospital Transfers from Nursing Facilities: Findings from the OPTIMISTIC Demonstration Project
    Kathleen T. Unroe, MD, MHA
  • Opiate Prescribing in Hospitalized Older Adults: Patterns and Outcomes
    Sutapa Maiti, MD
  • Home Based Primary Care (HBPC) in Independence at Home (IAH) Demonstration Practices Reduces Hospitalizations and Readmissions
    Bruce Kinosian, MD

Section Meeting

MEDICAL SUBSPECIALTIES SECTION MEETING BREAKFAST

  • Date:
  • Time: 7:30am - 9:00am
  • Track: Networking
  • Location: Hyatt Regency Hotel - Bowie Room

Co-Chairs: Kevin P. High, MD, MS; Lona Mody, MD, MSc; Arti Hurria, MD
Developed by the Association of Specialty Professors project “Integrating Geriatrics into the Specialties of Internal Medicine: Moving Forward from Awareness to Action,” which is funded by The John A. Hartford Foundation and Atlantic Philanthropies, Inc.
Members of the AGS Medical Subspecialties Section will provide updates on activities within their disciplines, thereby showcasing opportunities for scholars to advance the geriatrics agenda within their specialty societies and their institutions. In addition we will discuss career development topics relevant to junior faculty pursuing aging research.

Workshop

MODEL GERIATRIC PROGRAMS: GERIATRIC EDUCATION MATERIALS AND METHODS SWAP II: NOVEL EDUCATIONAL PROGRAMS

  • Date:
  • Time: 7:30am - 9:00am
  • Track: Education
  • Location: Room 225 D

CME/CE, CMD Clinical Credit: 1.5 
Sponsored by the Teachers Section and the Education Committee

Moderator: Brooke Salzman MD
This workshop presents a forum for teachers of geriatric education to share topics and materials of common interest, such as program development, curriculum, educational process and research in teaching and evaluation. Learning Objective: (1) describe and exchange geriatric education and teaching materials.

  • Novelty Interprofessional Geriatric Skills Bootcamp: “Booster Session” and “Flipped Classroom”
    Priya Mendiratta, MD, MPH
  • Project ECHO- Geriatrics: Training the Next Generation of Primary Care Workforce to Care for Older Adults
    Katherine A. Bennett, MD
  • Empowering Social Workers in Community Health Centers to Improve Medication Safety for Older Adults
    Kamal C. Wagle, MD, MPH
  • Training Medical Students as Patient Educators
    Priya Mendiratta, MD, MPH
  • ECHO Chicago Geriatrics: An Innovative Model to Address the Geriatrics Workforce Shortage
    Katherine Thompson, MD
  • Twitter Poll for Geriatric Education
    Donald A. Jurivich, DO

 

Section Meeting

RESIDENTS SECTION BREAKFAST & FELLOWSHIP FAIR

  • Date:
  • Time: 7:30am - 9:00am
  • Track: Networking
  • Location: Room 303

Chair: Christian Bergman, MD
All Residents and 4th year Medical Students are encouraged to attend this section meeting. Come and meet others and discuss your own ideas about the field and ways to get more involved in AGS. Geriatricians will be present to discuss geriatrics as a career and opportunities in the field. Fellowship Directors will be representing their programs at the fellowship fair portion of the section meeting. Breakfast will be served.

Plenary Symposia

AGS AWARDS CEREMONY

  • Date:
  • Time: 9:15am - 10:00am
  • Track: Professional Development
  • Location: Room Stars at Night 1/2

Please join us as we honor and celebrate this year’s prestigious award winners. The following awards will be presented:

  • Edward J. Henderson Student Award 
    Thom Ringer, JD, MPhil, MD Candidate
  • Clinical Student Research Awards
    Laura E. Hatchman, BA, MD Candidate
    Jessica Rizzuto, BA, MPP
  • Scientist-in-Training Research Award
    Andrea E. Daddato, MS
  • Outstanding Junior Investigator of the Year Award
    Dae Kim, MD, MPH, MSc
  • Outstanding Junior Research Manuscript Award
    Halima Amjad, MD, MPH
  • Outstanding Junior Clinician Educator of the Year Award
    Kristen L. Thornton, MD
  • Outstanding Mid-career Clinician Educator of the Year Award  
    Lisa M. Walke, MD
  • Presidential Poster Awardees
  • Jeffrey H. Silverstein Memorial Award for Emerging Investigators in the Surgical and Related Medical Specialties that are Focused on the Care of Older Adults
    Anne M. Suskind, MD, MS
  • Clinician of the Year Award
    Fatima Sheikh, MD, CMD, MPH
  • Dennis W. Jahnigen Memorial Award
    Maura J. Brennan, MD

 

Symposia

THOMAS AND CATHERINE YOSHIKAWA OUTSTANDING SCIENTIFIC ACHIEVEMENT FOR CLINICAL INVESTIGATION AWARD LECTURE

  • Date:
  • Time: 10:00am - 10:45am
  • Track: Research
  • Location: Room Stars at Night 1/2

CME/CE, CMD Clinical Credit: .75     

Sei J. Lee, MD, MS
Sei J. Lee, MD, MAS

Speaker: Sei J. Lee, MD, MAS
Learning Objectives: (1) identify common geriatric interventions which are preventive in nature rather than treatments; and (2) use life expectancy prediction and time to benefit to prioritize interventions in older adults.

Symposia

NAVIGATING THROUGH UNCERTAIN TIMES IN PUBLIC POLICY

  • Date:
  • Time: 10:45am - 12:00pm
  • Track: Public Policy
  • Location: Room Stars at Night 1/2

CME/CE, CMD Management Credit: 1.25

Developed by the Public Policy Committee
Speakers: Peter A. Hollmann, MD; Michael L. Malone, MD; Paul M. Rudolf, MD, JD; Kathleen T. Unroe, MD, MHA
Learning Objectives: (1) describe important policy updates regarding Medicaid programs and the potential implications for older Americans; (2) describe public policy updates to Medicare programs and implications for older Americans; and (3) describe the framework for AGS’s approach to public policy issues in 2017 and beyond.

Other Session

EDUCATION PRODUCT SHOWCASE

  • Date:
  • Time: 12:00pm - 1:00pm
  • Track: Education
  • Location: Exhibit Hall 1

The Education Product Showcase will provide attendees an opportunity to examine education products focusing on classroom teaching, small group activities, web-based modules, handouts and guides, "bedside" teaching tools, self-studies, and others.

Other Session

EXHIBIT HALL OPEN AND POSTERS AVAILABLE FOR VIEWING

  • Date:
  • Time: 12:00pm - 4:30pm
  • Track: Research
  • Location: Exhibit Hall 1

View the most current research in geriatrics. Authors will be available to discuss the presented findings and answer questions.

Other Session

LUNCH BREAK & POSTER SESSION C

  • Date:
  • Time: 12:00pm - 1:00pm
  • Track: Networking Research
  • Location: Exhibit Hall 1

Complimentary lunch available in the exhibit hall.
View the most current research in geriatrics. Authors will be available to discuss the presented findings and answer questions.

Special Interest Group

STUDENT SPECIAL INTEREST GROUP

  • Date:
  • Time: 12:00pm - 3:00pm
  • Track: Networking
  • Location: Room 303

Join the Student Community for networking and learning about the latest student news. Open to all trainees interested in attending.

Workshop

CLINICAL SKILLS WORKSHOP V: JOINT INJECTIONS

  • Date:
  • Time: 1:00pm - 2:30pm
  • Track: Clinical Practice
  • Location: 225 A

CME/CE, CMD Clinical Credit: 1.5
Speakers: Shobhana A. Chaudhari, MD, FACP, AGSF; Ashok P. Chaudhari, MD; Estrella Roffe, MD, AGSF; Julio A. Martinez-Silvestrini, MD

After a brief demonstration of joint injection techniques by faculty, participants will practice the injections on joint models with faculty support. Learning Objectives: (1) demonstrate ability to inject the knee; (2) demonstrate ability to inject the shoulder; and 3) demonstrate ability to inject Trochanteric Bursa.

 

Symposia

DETAILING DEMENTIA: NEUROLOGIC & BEHAVIORAL SCIENCE PAPER SESSION

  • Date:
  • Time: 1:00pm - 2:30pm
  • Track: Research
  • Location: 225 B/C

CME/CE: 1.5
Developed by the Research Committee
This session presents the latest peer-reviewed geriatrics research with questions and answers to follow. Learning Objective: (1) discuss new and original geriatrics research.

  • P22 - Under-Recognition and Misclassification of Delirium Superimposed on Dementia in the Emergency Department     
    Aileen M. Ochoa, MPH
  • P23 - Anxiety in Alzheimer's Disease is Related to Atrophy in Regions of the Default Mode and Salience Networks           
    Rachel A. Agubosim, BS
  • P24 - Brain Amyloid Positivity and Influence of Working Memory Load on Dual-task Gait in Cognitively Normal, Mobility Unimpaired Older Adults       
    Alisha Hemraj, MD, MSc
  • P25 - Home-based Exercise Program Improves Balance and Fear of Falling in Community Dwelling Older Adults with Mild Alzheimer’s Disease
    Kalpana P. Padala, MD, MS
  • P26 - Dual-Task Gait Predicts Incident Dementia in Mild Cognitive Impairment: Results from the Gait & Brain Study  
    Manuel Montero-Odasso, MD, PhD
  • P27 - Before Hospice: Symptom Burden, Dementia and Social Participation in the Final Years           
    Halima Amjad, MD, MPH

Symposia

DRUG THERAPY CONTROVERSIES: CLINICAL PEARLS FOR YOUR PRACTICE

  • Date:
  • Time: 1:00pm - 2:30pm
  • Track: Clinical Practice
  • Location: Stars at Night 1/2

CME/CE, CMD Clinical Credit, Pharmacy Credit: 1.5
Sponsored by the Pharmacists Section and the Polypharmacy Special Interest Group
Moderator: Sunny A. Linnebur, PharmD, BCPS, CGP
The program will consist of 3 clinical pearls regarding controversial topics related to managing medications in older adults. Learning Objectives: (1) interpret literature surrounding drug-related controversies for older adults; (2) implement strategies to manage certain drug-related controversies in older adults; (3) communicate and discuss pros/cons of different management options for drug-related controversies; and (4) involve patients and/or caregivers in shared decision making to support treatment plan.

  • Which Antipsychotic is Best/Least Harmful in an Older Adult with Delirium?
    J. Ronald Davis, Jr., PharmD, BCPS
  • What is the Preferred Dyspepsia Treatment in a Patient at Risk for or with Memory Impairment?
    Crystal D. Burkhardt, PharmD, MBA, BCPS
  • Pharmacogenomic Testing in Clinical Practice: Which Patients Fit the Profile and who Foots the Bill?
    Christina L. Aquilante, PharmD, FCCP
 

Symposia

FROM PHYSICAL EXAMINATION TO CROSS EXAMINATION: AN INTERPROFESSIONAL APPROACH TO DECISIONALLY IMPAIRED OLDER ADULTS

  • Date:
  • Time: 1:00pm - 2:30pm
  • Track: Ethics
  • Location: Room 301

CME/CE, CMD Management Credit: 1.5 
Sponsored by the Clinical Practice and Models of Care; Education; Ethics; and Public Policy Committees and the Teachers Section
Moderator: Kevin T. Foley, MD, FACP, AGSF
This symposium will be of interest to providers who care for older adults with impaired decisional capacity. Learning Objectives: (1) determine when vulnerable older adults would benefit from a decisional capacity evaluation to balance their rights to self-determination and protection under the law; (2) apply effective documentation strategies to create appropriate and unambiguous capacity evaluations; (3) identify means to assist the court and other administrative agencies in matters requiring a health professional’s advocacy and/or expertise regarding decisionally impaired older adults; and (4) demonstrate procedural skills and behaviors expected of fact and expert.

  • Vulnerable Groups at Risk for Decisional Incapacity: Balancing Autonomy and Beneficence
    Timothy W. Farrell, MD, AGSF
  • An Attorney’s Perspective on Physicians’ Decisional Capacity Assessments and Documentation
    Maureen Henry, JD, PhD
  • A Judge’s Perspective on Measures Clinicians Can Take to Best Assist the Court in Protecting Older Adults
    David M. Murkowski, JD
  • Doc in the Box: A Guide for Expert Witness Success in the Courtroom
    Kevin T. Foley, MD, FACP, AGSF