Program for Saturday May 20, 2017

Click below to download 2017 Program schedules:
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Symposia

BIOMARKERS AND FRAILTY PAPER SESSION

  • Date:
  • Time: 7:30am - 9:00am
  • Track: Research
  • Location: 225 B/C

CME/CE, CMD Clinical Credit: 1.5 
Sponsored by the Research Committee
Moderator: Lona Mody, MD, MSc

This session presents the latest peer-reviewed geriatrics research with questions and answers to follow. Learning Objective: (1) discuss new and original geriatrics research; (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.

  • P34 - Unobtrusive Gait Velocity Measurement in a Geriatrics Outpatient Clinic           
    Laura E. Hatchman, BA, MD Candidate
  • P35 - The Combined Effects of Frailty and Cognitive Impairment on the Course of Disability after a Critical Illness among Older Persons 
    Lauren E. Ferrante, MD, MHS
  • P36 - Inflammation as a Predictor of Disease Course in PTSD and Depression in Older Veterans: A Prospective Cohort Study   
    Meghana S. Eswarappa, BA
  • P37 - Contributions of Symptomatic Osteoarthritis and Physical Function to Incident Cardiovascular Disease
    Michela L. Corsi, BS, MD Candidate
  • P38 -  Withdrawn
  • P39 - Frailty, Function, and Sarcopenia – Predictors of Outcomes in Vascular Surgery          
    Lorena Gonzalez, MD

Workshop

CODING AND REIMBURSEMENT: STUMP THE PROFESSOR

  • Date:
  • Time: 7:30am - 9:00am
  • Track: Clinical Practice
  • Location: 305

CME/CE, CMD Management Credit: 1.5  
Speaker: Peter A. Hollmann, MD

This open workshop will focus on answering your questions about CPT coding and billing, ICD-10, Medicare incentive and penalty programs (e.g. PQRS), reimbursement rules and related practice management issues. Learning Objectives: (1) discuss CPT/HCPCS coding and billing; and (2) describe how Medicare policy can affect your practice.

Symposia

GETTING STARTED IN TELEHEALTH: LEVERAGING TECHNOLOGY FOR GERIATRIC PRACTICE

  • Date:
  • Time: 7:30am - 9:00am
  • Track: Models of Care
  • Location: 302

CME/CE, CMD Management Credit: 1.5
Sponsored by the Health Systems Innovation – Economics and Technology Committee
Moderator: Swati Gaur, MD, MBA, CMD & Irene Hamrick, MD

Telemedicine can be a powerful tool in a geriatrician's toolbox to address the supply and demand imbalance, to manage geriatric syndromes, and to limit costs of care through more efficient care delivery. Learning Objectives: (1) describe use of telehealth from conception to practice in a consultative/collaborative cognitive care model as an example through which applications of this approach to other geriatric conditions can be identified; (2) gain additional knowledge about regulations and payment models that are relevant to the use of telehealth in a long-term care setting; (3) identify opportunities within rural settings where geriatric scarcity can be addressed through a peer-to-peer model of telehealth, focusing on the value based purchasing environment of ACO, MACRA, IMPACT and bundled payments; and (4) identify barriers and facilitators of telehealth technology suitable for geriatric practice. Discuss specific but generic attributes of hardware and software in selecting the right tools for telemedicine.

  • Spreading Geriatric Expertise through Telehealth: Implementation and Sustainability of a Cognitive Assessment and Care Management Program
    Josh Chodosh, MD, MSHS
  • Regulatory and Payment Landscape for Using Telehealth in Long-Term and Ambulatory Care
    Steven M. Handler, MD, PhD
  • E-Geriatrician: A Consultative Model for a Remote Hospital Without a Geriatrician
    Ariba Khan, MD, MPH

Symposia

HEALTHY AGING - WHAT IS IT? HOW CAN IT BE BEST SUPPORTED? WHAT SHOULD GERIATRICIANS DO TO PROMOTE IT?

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

CME/CE, CMS Clinical Credit: 1.5
Sponsored by the Clinical Practice and Models of Care Committee
Moderator: Patrick Coll, MD, AGSF, CMD

Learning Objectives: (1) discuss what our patients’ goals are for healthy aging; (2) describe the potential impact of health promotion across the lifespan; and (3) describe what geriatrics healthcare professionals and AGS can do to foster, support, and scale those strategies that support healthy aging.

  • Healthy Aging: What is it, How Should it be Conceptualized, and What do our Patients Want for a Healthy Old Age?
    Susan Friedman, MD, MPH
  • Health Promotion Across the Lifespan: What Is Its Potential Impact on Wellness, Happiness, Morbidity, and Mortality in Old Age.
    Krupa N. Shah, MD, MPH
  • What Should Geriatricians and the American Geriatrics Society be Doing to Support Our Patients in Their Goal to Experience Healthy Aging
    Heidi White, MD, MHS, MEd

Symposia

MANAGING SEIZURES – WHAT THE GERIATRICIAN NEEDS TO KNOW

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

CME/CE, CMD Clinical Credit, Pharmacy Credit: 1.5 
Sponsored by the American Academy of Neurologists 
Moderator: Alexander P. Auchus, MD

This session will focus on managing seizures in your older patients and the complex pharmacopeia/multiple medications.  Learning Objectives: (1) describe the epidemiology and clinical features of seizures in older adults; (2) develop management plans for geriatric patients with seizures; (3) discuss physiologic changes with aging that affect medication use; and (4) review the selection of anticonvulsants in geriatric practice.

  • Seizures in Older Adults
    Abuhuziefa Abubakr, MB, FRCP, FRCP-I
  • Shake it Up: Anticonvulsant Use in Older Adults
    Joel R. Pittman, PharmD

Symposia

MODEL GERIATRIC PROGRAMS: GERIATRIC EDUCATION MATERIALS AND METHODS SWAP III: PRACTICAL MAKES PERFECT

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

CME/CE, CMD Clinical Credit: 1.5
Developed by the Teachers Section and endorsed by the Education Committee
Moderator: Angela G. Catic, 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.

  • Palliative Care Team-Based Learning in a Geriatrics Clerkship
    Priya Mendiratta, MD, MPH
  • Novel Geriatric Clinical Skills Workshop for First Year Medical Students
    Pei Chen, MD
  • Are Residents Prepared to Work with People Living with Dementia?
    Priya Murali, MD
  • Patient Advocate Liaison-Student (PAL-S) Program
    Eileen M. Russell, BA
  • Practice Makes Perfect: Optimizing Students’ Geriatric Assessment Skills
    Rachel E. Jantea, MD
  • Implementing a Chronic Wound Care Curriculum for Internal Medicine Residents
    Elizabeth F. White-Chu, MD, CWSP

Symposia

REPORT AND RESEARCH AGENDA OF THE AGS AND NIA BEDSIDE-TO-BENCH CONFERENCE ON URINARY INCONTINENCE IN THE ELDERLY: A TRANSLATIONAL RESEARCH AGENDA FOR A COMPLEX GERIATRIC SYNDROME

  • Date:
  • Time: 7:30am - 9:00am
  • Track: Research
  • Location: 304

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

Speakers will report on conclusions of the AGS-NIA Consensus Conference on Research Priorities for Urinary Incontinence in the Elderly held October 16 - 18, 2016, in Bethesda, Maryland. This will be followed by a general discussion with questions and answers. Learning Objectives: (1) describe risk factors that may influence urgency or the ability to respond when challenged; (2) discuss of mechanisms through which incontinence may be linked to fluid balance, mobility, frailty, cognition, behaviors, motivation and depression; and (3) discuss how such considerations could help influence the design and validation of potential intervention.

  • Risk Factors and Epidemiology 
    Catherine E. DuBeau, MD
  • Pathophysiology
    George A. Kuchel, MD
  • Management
    Camille P. Vaughan, MD, MS
  • Future Research Priorities
    Kathryn L. Burgio, PhD and George A. Kuchel, MD

Plenary Symposia

GERIATRICS LITERATURE UPDATE 2017

  • Date:
  • Time: 9:15am - 10:45am
  • Track: Clinical Practice
  • Location: Stars at Night 1/2

CME/CE, CMD Clinical Credit, Pharmacy Credit: 1.5
Speakers: Kenneth E. Covinsky, MD, MPH & Eric W. Widera, MD

The Geriatric Literature Update is always one of the most popular sessions at the annual meeting. The session will focus on the year's most important published papers. Discussion includes the significance of findings and application to patient care. Learning Objectives: (1) identify areas in clinical medicine where new strong evidence has been uncovered that should affect geriatric practice; (2) describe the results of a critical appraisal of this evidence; and (3) discuss clinical advances in caring for older adults from a review of approximately 30 peer-reviewed journals January-December, 2016.

Symposia

DEVELOPING A GERIATRIC SURGICAL PROGRAM AT YOUR HOSPITAL

  • Date:
  • Time: 11:00am - 12:30pm
  • Track: Clinical Practice
  • Location: 304

CME/CE, CMD Clinical Credit: 1.5
Moderators:  Ronnie A. Rosenthal, MD, MS & Mark R. Katlic, MD, MMM, FACS 
Developed by the Geriatrics-for-Specialists Initiative (GSI) Section for Enhancing Geriatric Understanding and Expertise among Surgical and Medical Specialists (SEGUE)  

There is a growing and significant demand for high-quality older adult surgical services.  The American College of Surgeons (ACS), in partnership with The John A. Hartford Foundation, the American Geriatrics Society and 50+ national stakeholders, is aiming to support hospitals in meeting this demand.  Learning Objectives: (1) discuss the ACS NSQIP geriatric surgery collaborative, which has already collected geriatric-specific variables on more than 25,000 patients; (2) describe how the Coalition for Quality in Geriatric Surgery Project is developing verifiable interdisciplinary standards and developing outcome measures that matter to older adults, families and caregivers; (3) review how standards are currently in practice and how they are improving care for this population; and (4) discuss developing best practice guidelines and standards for older adult trauma patients.

  • Three Years of NSQIP Pilot Data – What We Learned
    Thomas N. Robinson, MD, MS, FACS
  • The Coalition for Quality in Geriatric Surgery – Building a Standards and Verification Program for Older Adults
    Melissa A. Hornor, MD
  • Standards Already in Practice
    • Sinai Center for Geriatric Surgery - JoAnn Coleman, DNP, ACNP, AOCN, GCN
    • UCSF Center for Surgery in Older Adults - Victoria L. Tang, MD, MAS
    • Duke and Durham VA POSH Clinic - Sandhya Lagoo-Deenadayalan, MD, PhD
  • GeriTrac – Creating Best Practice Guidelines and Standards for Older Adult Trauma Patients
    Cathy A. Maxwell, PhD, RN

Symposia

EMERGING TRENDS IN CARDIAC DEVICES: WHAT GERIATRICIANS SHOULD KNOW

  • Date:
  • Time: 11:00am - 12:30pm
  • Track: Clinical Practice
  • Location: 221

CME/CE. CMD Clinical Credit: 1.5
Moderator: Michael W. Rich, MD

This session will consist of four 15-minute presentations from national experts, all focusing on what geriatricians need to know, followed by a panel discussion/questions from attendees. Learning Objectives: (1) discuss evolving interventional therapies in congestive heart failure; and (2) discuss evolving interventional therapies in aortic stenosis.

  • ICDs/CRT in Older Adults with Heart Failure
    Paul Varosy, MD
  • Mechanical Circulatory Support in Older Adults with Heart Failure
    Susan M. Joseph, MD
  • TAVR/SAVR for Older Adults with Aortic Stenosis
    Jonathan Afilalo, MD, MSc
  • Device Management in Patients Approaching the End of Life
    Daniel D. Matlock, MD, MPH

Special Interest Group

ETHNOGERIATRICS SPECIAL INTEREST GROUP MEETING

  • Date:
  • Time: 11:00am - 12:30pm
  • Track: Networking
  • Location: 305

Co-Chairs: Natasha Harrison, MD & Jeffrey D. Mariano, MD
The Ethnogeriatrics SIG is open to anyone with an interest in the relationship between aging, ethnicity, clinical practice and research. Participants will discover what projects are being developed by the SIG and Committee and offer suggestions for future AGS symposia and sessions. New ideas are welcome. The group’s endeavors include recognizing challenges and developing practical solutions to providing appropriate care to different cultures and ethnicities in our diverse country. Members are encouraged to share and participate in the development of new educational materials focusing on key issues affecting ethnic minorities in the 21st century.

Symposia

INTEGRATING GERIATRICS INTO PRIMARY CARE: LEARNING FROM FOUR MODEL GWEP PROGRAMS

  • Date:
  • Time: 11:00am - 12:30pm
  • Track: Education
  • Location: 302

CME/CE, CMD Management Credit: 1.5
Moderator: Zaldy S. Tan, MD, MPH

One of the GWEP’s primary focus areas is the transformation of clinical training environments into integrated geriatrics and primary care delivery systems. We present the practice change innovations instituted by 4 GWEP programs in response to this focus area. Learning Objectives: (1) discuss different models of geriatrics primary care integration with emphasis on the provider and trainee experience and community engagement; (2) share novel educational and clinical practice resources that can be adapted to integrate geriatrics in primary care settings; (3) describe the role of interprofessional trainees and practitioners in the successful and sustainable integration of geriatrics into primary care; and (4) discuss the Geriatric Workforce Enhancement Program (GWEP) through the experiences of 4 representative grantees.

  • The Alzheimer's Engagement Program - University of Arizona GWEP
    Mindy J. Fain, MD
  • The Cognition and Mobility Care Management Program - University of California Los Angeles GWEP
    Zaldy S. Tan, MD, MPH
  • Connecticut Older Adult Collaboration for Health (COACH), Yale University GWEP
    Lisa M. Walke, MD, MSHA, AGSF
  • Collaborative Action Team Training for Community Health – Older Adult Network (CATCH- ON), Rush University GWEP
    Robyn L. Golden, MA, LCSW & Erin Emery-Tiburcio, PhD, ABPP
  • Small Group Breakout
    All Faculty

Symposia

INTERDISCIPLINARY TEAM MANAGEMENT SKILLS

  • Date:
  • Time: 11:00am - 12:30am
  • Track: Professional Development
  • Location: 301

CME/CE, CMD Management Credits: 1.5 
Moderator: Adrienne Mims, MD, MPH

All geriatrics healthcare professionals should be adept at managing teams. Yet as healthcare providers, we don’t often realize that other staff may be reticent to participate in management out of deference to others in “leadership” positions.  Learning Objectives: (1) utilize tools and techniques developed with funding from The John A. Hartford Foundation and embedded in the Geriatrics Interprofessional Team Transformation in Primary Care (GITT-PC) toolkit, which is being updated by the Dartmouth-Hitchcock Geriatrics Workforce Program with a specific focus on primary care practices; (2) effectively engage all team members in endeavoring to provide person-centered care; and (3) review some of the fundamentals of conflict management skills in a variety of contexts.

  • Geriatricizing Your Primary Care Team
    Ellen Flaherty, PhD, APRN, AGSF
  • Engaging the Entire Team
    Kellie L. Flood, MD
  • Conflict Management Skills  
    Michael L. Malone, MD

Symposia

TRANSLATING TODAY’S RESEARCH INTO TOMORROW’S PRACTICE: STRATEGIES TO MAXIMIZE THE REACH AND IMPACT OF OUR WORK POST-PUBLICATION

  • Date:
  • Time: 11:00am - 12:30pm
  • Track: Research
  • Location: 225D

CME/CE, CMD Management Credit: 1.5 
Sponsored by the Research Committee 
Moderator: Eric W. Widera, MD

In this session we will describe practical strategies to maximize the reach and impact of our work through both traditional and non-traditional media. Learning Objectives: (1) describe ways to engage audiences through the use of stories and anecdotes, while balancing the need to stay objective in our research findings; (2) discuss tips to work with traditional media (newspapers, TV) to disseminate our work products; and (3) describe ways to promote our projects via social media (blogs, twitter, Facebook).

  • Developing a Media Strategy before Publication
    Preeti N. Malani, MD, MSJ & Daniel E. Trucil, MA, MPH
  • A Primer in Working with the Press
    Preeti N. Malani, MD, MSJ & Daniel E. Trucil, MA, MPH
  • Using Social Media to Disseminating Work
    Eric W. Widera, MD
  • Q/A and Panel Discussion
    Heather E. Whitson, MD, MHS; Preeti N. Malani, MD, MSJ; Lousie Aronson, MD, MFA

Workshop

IMPROVING HEALTH CARE NOW FOR OLDER ADULTS: A HOW-TO WORKSHOP FOR PRACTICE CHANGE

  • Date:
  • Time: 12:45pm - 2:15pm
  • Track: Clinical Practice
  • Location: 302

CME/CE, CMD Management Credit: 1.5
Sponsored by the Research Committee
Co-Moderators: Camille P. Vaughan, MD, MS & Ronald I. Shorr, MD, MS

This session will offer attendees concrete tools and resources enabling health care transformation. Learning Objectives: (1) identify evidence-based quality improvement and implementation tools such as confidential feedback and replicating effective programs in order to implement successful practice change; (2) name at least three resources and potential barriers to the execution and “scale up” an intervention through group interaction; and (3) demonstrate the elements of the “Sell” to administrative stakeholders.

  • Confidential Feedback Reports to Change Clinician Behavior: Evidence and Practical Tips
    Melissa B. Stevens, MD & George L. Jackson, PhD, MHA
  • Replicating Effective Programs: A Model for Adaptation and Dissemination
    S. Nicole Hastings, MD, MHS
  • Building a Successful Business Case
    Joshua Chodosh, MD, MSHS

Symposia

INNOVATIONS IN ACUTE CARE MODELS PAPER SESSION

  • Date:
  • Time: 12:45pm - 2:15pm
  • Track: Research
  • Location: 225 B/C

CME/CE, CMD Clinical Credit: 1.5  
Sponsored by the Research Committee
Moderator: Susan M. Friedman, MD, MPH

This session presents the latest peer-reviewed geriatrics research with questions and answers to follow.  Learning Objectives: (1) discuss new and original geriatrics research; (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.

  • P40 - Improving the Transition of Care Process for Veterans Hospitalized at Non-VA Facilities           
    James V. Libbon, MD
  • P41 - Evaluation of Physician and Paramedic Perspectives on the Mount Sinai Community Paramedicine Program
    Deepa K. Chellappa, BS
  • P42 - Evaluation of the Virtual ACE Intervention for Geriatric Care Dissemination       
    Kellie L. Flood, MD
  • P43 - Hospital in Home: An Alternative to Prolonged Hospital Care and Reduction in Hospital Readmission Rates in Geriatric Patients    
    Renee W. Dunn, MD
  • P44 - The Impact of a Bundled Hospital Elder Life Program© (HELP and HELP at Home) on Outcomes of Care - Preliminary Data         
    Michelle R. Simpson, PhD, RN
  • P45 - Impact on 30-Day Hospital Readmissions of Post-Discharge Medication Reconciliation in a Medicare Advantage Patient Population 
    Nicha Tantipinichwong, PharmD, BCGP, MPH

Symposia

PHARMACOTHERAPY UPDATE: 2017

  • Date:
  • Time: 12:45pm - 2:15pm
  • Track: Clinical Practice
  • Location: 221

CME/CE, CMD Clinical Credit, Pharmacy Credit: 1.5
Developed by the Polypharmacy Special Interest Group 
Moderator: Christine Eisenhower, PharmD

The purpose of this symposium is to educate the audience about access to medications for older adults, and to summarize the changes over the past year in pharmacotherapy. Learning Objectives: (1) describe current prescription drug coverage available to older adults; (2) identify prescription assistance resources and other cost-savings strategies for older adults; (3) communicate the indication for use, mechanism of action, pharmacokinetics, dosing, safety, and drug interactions for newly approved medications; and (4) compare potential advantages and disadvantages of incorporating new medications into clinical practice.

  • Access to Medicines for Medicare Beneficiaries
    Gina Upchurch, MPH
  • Newly Approved Medications and Place in Therapy for Older Adults
    Danielle R. Fixen, PharmD, BCPS

Symposia

SELF-MANAGEMENT OF PAIN IN OLDER ADULTS: ADDRESSING THE NATIONAL PAIN STRATEGY THROUGH SCIENCE AND APPLICATION

  • Date:
  • Time: 12:45pm - 2:15pm
  • Track: Clinical Practice Research
  • Location: 301

CME/CE, CMD Clinical Credit: 1.5  
Moderator: Keela Herr, PhD, RN, AGSF, FAAN

This session will address the contextual influences, including incentives and barriers to self-management approaches for musculoskeletal pain, considering the uniqueness of older adults and frame these interventions within a comprehensive pain management plan. NIA’s overall funding situation, Alzheimer’s-related policies, and updates on pain-initiatives and interest in nonpharmacologic approaches as they relate to pain and other common conditions that affect older adults will be shared. Learning Objectives: (1) discuss contextual factors surrounding the growing emphasis on self-management approaches for managing chronic pain in older adults; (2) review evidence supporting cognitive behavioral self-management pain interventions in older adults and present unique strategies and applications in this population that enhance intervention effectiveness; and (3) present evidence supporting physical self-management pain interventions in older adults and present unique strategies and applications in this population that enhance intervention effectiveness.

  • Self-Management of Pain in Older Adults: Contextual Factors
    Keela Herr, PhD, AGSF, FAAN, FGSA
  • Cognitive-Behavioral Self-Management Interventions for Pain in Older Adults
    M. Cary Reid, MD, PhD
  • Physical Self-Management Interventions for Pain in Older Adults
    M. Cary Reid, MD, PhD