Program for Friday May 14, 2021

Please Note: All events are listed in Eastern Time. 

Access PDFs for easy printing: Full Schedule at a Glance | Tues. Pre-Con & Wed. | Thurs. | Fri. | Sat. 

Symposia

BONING UP ON OSTEOPOROSIS MANAGEMENT: THE CLINICIAN’S ROLE IN 2021

  • Date:
  • Time: 2:45pm - 3:45pm
  • Track: Clinical Practice
  • CME/CE: 1.0

Sponsored by the Osteoporosis and Metabolic Bone Disease Special Interest Group
Moderator: Sarah D. Berry, MD, MPH
This session will improve knowledge of the current evidence and best practices for monitoring osteoporosis treatment.  Learning Objectives: (1) describe factors to consider when considering osteoporosis treatment for older adults with multimorbidity and limited life expectancy; (2) identify alternative non-bisphosphonate osteoporosis medications and recognize appropriate clinical situations where these drugs may be considered; and (3) discuss the substantial increase in risk for future fractures after an initial fracture has occurred and understand when and how preventative medications can be given and monitored.

Managing Osteoporosis in Older Adults: Is It Too Late To Do More?
Meredith A. Gilliam, MD, MPH

Beyond Bisphosphonates: What Else Can We Use?
Kenneth W. Lyles, MD
Secondary Fracture Prevention in 2021
Douglas P. Kiel, MD, MPH

 

Other Session

CLIN-STAR PAPER SESSION

  • Date:
  • Time: 2:45pm - 3:45pm
  • Track: Research
  • CME/CE: 1.0

Sponsored by the Research Committee
Moderator:  TBD
This session will present 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.  

P24-Prolonged Use of Gabapentin after Surgery in Older Adults
Tasce Bongiovanni, MD, MPP
P25-High Risk of Complications after a “Low Risk” Procedure: Nursing Home Residents at Increased Risk of Complications and Mortality after Hemorrhoid Surgery
Anne M. Suskind, MD, MS
P26-Changes in Older Adults’ Life-Space Mobility During Lung Cancer Treatment
Melisa L. Wong, MD, MAS
P27-Decisional Regret Among Older Adults Undergoing Corrective Surgery for Adult Spinal Deformity: A Single Institutional Study
Owoicho Adogwa, MD, MPH

Symposia

COGNITIVE SCREENING IN PRIMARY CARE: MAKING THE CASE AND CHOOSING THE TOOLS

  • Date:
  • Time: 2:45pm - 3:45pm
  • Track: Clinical Practice
  • CME/CE: 1.0

Sponsored by the Clinical Practice and Models of Care Committee
Moderator: Heidi K. White, MD
This session will provide practical guidance on cognitive screening in primary care with content specific to the available screening tools, and how to encourage more cognitive screening in primary care. Learning Objectives: (1) describe the reasons for cognitive screening; (2) review the strength and weaknesses of three primary tests: Minicog, MOCA, SLUMS; (3) outline examples of cognitive screening in relationship to care plan development, optimal functional status, and overall quality of life; and (4) inventory the opportunities for intervention in specific practice sites.  

Cognitive Screening Tools
Joshua Chodosh, MD, MSH

Encouraging More Cognitive Screening in Primary Care
Soo Borson, MD, FAPA, FGS

 

Symposia

FIREARMS & DEMENTIA

  • Date:
  • Time: 2:45pm - 3:45pm
  • Track: Clinical Practice
  • CME/CE: 1.0

Moderator: Caroline A. Vitale, MD, AGSF
Learning Objectives: (1) screen patients with dementia for firearms access and give recommendations regarding firearms “retirement” based on stages of dementia; and (2) counsel patients with dementia and their caregivers regarding safe disposal of firearms.

Geriatric Assessment
Quratulain Syed, MD 

Current State and Future Directions
Emmy Betz, MD, MPH

 

Symposia

INNOVATIVE AND CLINICALLY FEASIBLE TOOLS TO SCREEN FOR FRAILTY IN OLDER ADULTS WITH CANCER

  • Date:
  • Time: 2:45pm - 3:45pm
  • Track: Clinical Practice
  • CME/CE: 1.0

Sponsored by the Cancer and Aging Special Interest Group
Moderators: Jane A. Driver, MD, MPH & Imran Y. Ali, MD, MS, MPH
The primary outcome of our program will be to equip geriatricians and other clinicians caring for older adults with knowledge and tools to adapt their expertise in aging to efficiently identify frailty in older adults with cancer.  Learning Objectives: (1) describe current cancer-focused guidelines regarding the assessment of older patients with cancer; (2) identify the main tools studied in oncology to screen for vulnerability and frailty in older adults with cancer; (3) implement clinically feasible, evidence-based screening measures of frailty to identify vulnerable older patients with cancer at participants’ local institutions; and (4) help geriatricians and other providers effectively collaborate with oncologists to optimize the care of older adults with cancer.
 

Gait Speed as a Functional Vital Sign in Older Adults with Cancer
Clark DuMontier, MD
Electronic Rapid Fitness Assessment (eRFA): Empowering Geriatricians to Improve Outcomes of Older Cancer Patients Through Digital Health Technology
Armin Shahrokni, MD, MPH
Screening Older Adults with Cancer in an Outpatient Oncology Clinic: Implementation of the Geriatric 8 (G8) Questionnaire into an Electronic Medical Record (EMR)
Sukeshi Patel Arora, MD


 

Poster Session

POSTER SESSION D: STUDENTS & RESIDENTS

  • Date:
  • Time: 2:45pm - 3:45pm
  • Track: Research

Sponsored by the AGS Health in Aging Foundation
View the most current research in geriatrics. Authors will be available to discuss the presented findings and answer questions. 

Symposia

SEPSIS IN NURSING HOME RESIDENTS: RECOGNITION AND RESPONSE

  • Date:
  • Time: 2:45pm - 3:45pm
  • Track: Clinical Practice
  • CME/CE: 1.0

Sponsored by AMDA, the Society for Post-Acute and Long Term Care
Moderator:  Robin L.P. Jump, MD, PhD
This session will address the presentation of sepsis in older adults, early recognition of sepsis in nursing home residents, and strategies to optimize outcomes in this setting. It also will discuss realistic expectations for managing sepsis based on the staff, training, and resources available in most nursing home settings.  Learning Objective: (1) describe the clinical presentation of sepsis in older nursing home residents; (2) discuss initial assessment and principles of management in older adults with suspected sepsis including discussion on how to manage suspected sepsis in the context of antibiotic stewardship. In this objective we will also review common misconceptions related to antimicrobial stewardship and concerns related to rehospitalizations for severe infections; (3) discuss the benefits and limitations of currently available early recognition tools for sepsis in nursing homes and review currently available algorithms for diagnosis and management; and (4) recognize the risks and benefits of attempting to manage sepsis in nursing homes. 

Sepsis in Nursing Home Residents: Recognition and Early Response
Theresa Rowe, DO, MS
Identification of Sepsis
Bernardo J. Reyes, MD, CM
So You Have Sepsis on Your Hands
Swati Gaur, MD, MBA, CMD


 

Symposia

YOU CAN MAKE A DIFFERENCE: LEARN ABOUT AND GET INVOLVED IN AGS’ EFFORTS TO ADVANCE PAYMENT FOR CARE OF COMPLEX PATIENTS

  • Date:
  • Time: 2:45pm - 3:45pm
  • Track: Professional Development
  • CME/CE: 1.0

Presenters: Audrey K. Chun, MD & Robert A. Zorowitz, MD, MBA, FACP, AGSF, CMD

For over 20 years, the AGS has advocated for changes in how physicians and other health professionals are paid for providing services to older adults. We have focused attention on this issue because implementing new billing codes, which are used in the annual Medicare Physician Fee Schedule, can have a significant impact on care quality for frail, older patients by providing adequate reimbursement for practitioners who provide this complex, time-intensive care. Workshop attendees will learn about the AGS internal process to advance and improve payment for services that reflect the care and coordination necessary for complex older patients. Attendees will also learn about opportunities to participate in this work.  Learning Objectives: (1) discuss opportunities to align payment with the healthcare needs of older adults with multiple complex conditions, or co-morbidity; (2) review AGS’ advocacy work to improve healthcare provider reimbursement for services unique to older adults with multiple chronic conditions; (3) outline ongoing efforts to develop, value, and ultimately implement new payment codes that support quality care for this population; and (4) describe the work of the American Medical Association’s (AMA) Current Procedural Terminology (CPT) Editorial Panel and Advisory Committee and Relative Value Scale Update Committee (RUC).

Plenary Symposia

IT’S NOT JUST DIALYSIS OR DEATH: CONSIDERATIONS WHEN STARTING, STOPPING, AND FORGOING DIALYSIS

  • Date:
  • Time: 4:00pm - 5:30pm
  • Track: Clinical Practice
  • CME/CE: 1.5

Moderator: Elizabeth K. Vig, MD, MPH
Speakers: Susan Wong, MD, MS; Molly A. Feely, MD , FAAHPM, FACP; Christine Liu, MD, MS; Howard Russell, JD (patient)

This session will explore the challenges when deciding whether or not to initiate dialysis, ways to support those who forgo dialysis, when to consider stopping dialysis, and ways to enable patients on dialysis to receive hospice services.  It will include a videotaped interview by Dr. Liu with her patient Howard Russell, as they discuss his experience and decision-making process on starting dialysis. Learning Objectives: (1) identify dialysis outcomes for older patients, including patient characteristics that may affect those outcomes; (2) explain aspects of conservative care for those who elect not to initiate dialysis; (3) describe three indications to prompt a discussion of the option of discontinuing dialysis; and (4) discuss ways to promote concurrent dialysis and hospice services.

Special Interest Group

CARE TRANSITIONS

  • Date:
  • Time: 6:00pm - 7:00pm
  • Track: Networking

Co-Chairs: Timothy W. Farrell, MD, AGSF; Claire Davenport, MD, MS; Ugochi Ohuabunwa, MD

As the AGS’ main forum for discussion, collaboration, and advocacy on care transitions issues, the Care Transitions SIG will convene during the AGS 2021 Virtual Annual Scientific Meeting.  We will invite a guest speaker (TBD) to discuss a pressing care transitions issue, followed by a discussion of ideas for AGS symposia related to care transitions.  The meeting will conclude with an open form for networking and discussion.

Special Interest Group

CLINICIAN WELLNESS

  • Date:
  • Time: 6:00pm - 7:00pm
  • Track: Networking

Co-Chairs: Magdalena Bednarczyk, MD & Jeensoo Chang, MD

Open to anyone with an interest in improving physician well-being in order to address growing concerns related to physician burnout. The goal is to provide information, tools and resources for decreasing burnout utilizing a holistic approach pertaining to professional, personal, financial and physical wellbeing, with the ultimate goal of helping physicians rediscover meaningful, mission driven work within their organizations, and if necessary, provide tools to redefine success. 

Special Interest Group

ETHNOGERIATRICS

  • Date:
  • Time: 6:00pm - 7:00pm
  • Track: Networking

Co-Chairs: Jeffrey D. Mariano, MD & Olga Olivares-Herrera, 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.

Special Interest Group

GERIATRIC ACADEMIC CAREER AWARD (GACA)

  • Date:
  • Time: 6:00pm - 7:00pm
  • Track: Networking

Co-Chairs: Mamata Yanamadala; Laura Byerly; Lauren Hersh   
The GACA SIG seeks to promote the career development and longitudinal professional growth of GACA awardees.

Special Interest Group

HEALTH SYSTEMS LEADERSHIP (HSL) IN GERIATRICS

  • Date:
  • Time: 6:00pm - 7:00pm
  • Track: Networking

Co-Chairs: Anna Chodos, MD & Kellie L. Flood, MD

The mission of the HSL SIG is to explore principles of leadership, management and systems transformation as it applies to the growing need for geriatrics in health systems and to present strategies to accomplish this.  Our goals are to educate AGS members about these principles, highlight successful work in HSL, and present opportunities for training in HSL workshop leadership.

Special Interest Group

INFORMATION TECHNOLOGY ISSUES

  • Date:
  • Time: 6:00pm - 7:00pm
  • Track: Networking

Chair: Irene Hamrick, MD

The IT Issues Special Interest Group serves the AGS Membership by establishing a venue for members with an interest in Information Technology as it applies to Geriatrics.  These members see Electronic Health Records (EHR) as a means for improving medical care by reducing error rates, improving efficiency, augmenting communication, facilitating optimal reimbursement and decreasing expenses.  An important focus of this SIG is to provide information, support and an organized center for coordinating information and resources to optimize the use of EHR in a senior health care environment.  This includes ambulatory and long-term care senior health care settings and the transitions of care from one setting to another. Beyond health information exchange, this SIG also encompasses telemedicine and computerized assessment/biotechnology advancements including vital signs, laboratory testing, and imaging from remote locations. The current politics of health care reform, reimbursement and research as applicable to information technology are also areas of intense interest for this Group, as are security, privacy, costs, expansion, educational opportunities and future development of IT as societal demands on its role in geriatric medicine increase.

Special Interest Group

MAKE IT SAFE TO GROW OLD! ! THE POLICY NETWORKING GROUP

  • Date:
  • Time: 6:00pm - 7:00pm
  • Track: Networking

Chair: Joanne Lynn, MD

Finally, policymakers and the press are beginning to take notice of the serious shortcomings in providing for elderly people in need of personal care and support, but we are far from public action.  This session will share information among attendees as to the most important policy levers, how to take action, and what's happening in participants' localities.  We'll deal with food and housing, and personal care -- as well as geriatric medicine and how we fit into the various Medicare/Medicaid "innovations."

Special Interest Group

PATIENT PRIORITIES ALIGNED CARE FOR OLDER ADULTS WITH MULTIPLE CHRONIC CONDITIONS

  • Date:
  • Time: 6:00pm - 7:00pm
  • Track: Networking

Chair: Mary E. Tinetti, MD

This Special Interest Group aims to identify alternatives to disease guideline-based care, specifically ways to implement patient priorities aligned decision making. Patient priorities aligned decision making calls upon patients and caregivers to articulate their health priorities; communicate those priorities to all team members; patients, caregivers and clinicians then together choose the healthcare best aligned with these health priorities. 

Special Interest Group

POST-ACUTE AND LONG-TERM CARE

  • Date:
  • Time: 6:00pm - 7:00pm
  • Track: Networking

Co-Chairs: Verna R. Sellers, MD, MPH, CMD, AGSF; Laura Trice, MD, CMD, FACP, AGSF & Tsewang Ngodup, MD

This SIG focuses on issues related to Post- Acute and Long-Term Care Medicine.  There is an on-going emphasis on staff education, quality measures and reducing avoidable re-admission in PALTC.  Come prepared to share best practices and learn from your peers.