Program for Saturday May 15, 2021

Section

MEDICAL SPECIALTIES SECTION MEETING

  • Date:
  • Time: 7:00am - 8:30am
  • Track: Networking

Co-Chairs: Lauren Ferrante, MD, MHS & Una Makris, MD, MSc 

Speakers: Ula Hwang, MD, MPH; Eleni Linos, MD, MPH, DrPH; Heidi Klepin, MD; Tom Robinson, MD; Thomas Gill, MD; Sue Zieman, MD, PhD

The Medical Specialties Section was developed in 2002 by the Association of Specialty Professors project “Integrating Geriatrics into the Specialties of Internal Medicine:  Moving Forward from Awareness to Action,” funded by The John A. Hartford Foundation and Atlantic Philanthropies, Inc. 

Medical and surgical subspecialists will provide updates on activities within their disciplines, thereby showcasing opportunities for specialists to advance a geriatrics agenda within their specialty societies and their institutions. In addition, we will discuss career development topics relevant to junior faculty pursuing aging research.  This year's session will feature a panel of medical and surgical subspecialty leaders discussing resilience/grit when pursuing an aging-focused agenda in one’s specialty. All medical and surgical subspecialists are encouraged to attend.  Breakfast will be served.
 

Workshop

CODING AND REIMBURSEMENT: STUMP THE PROFESSOR

  • Date:
  • Time: 7:30am - 8:30am
  • Track: Clinical Practice
  • Location: C123
  • CME/CE: 1.0

Speaker: Peter A. Hollmann, MD

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

Symposia

STAYING IN THE GREEN—OPTIMIZING YOUR EFFECTIVENESS BY REGULATING YOUR REACTIVITY

  • Date:
  • Time: 7:30am - 8:30am
  • Track: Education
  • CME/CE: 1.0

Sponsored by the Teachers Section and the Education Committee   

Speaker: Christine S. Ritchie, MD, MSPH

Working effectively in teams is critical for leaders in geriatric care. This workshop will offer participants the opportunity to gain insights on their and their colleagues’ reactivity and defensiveness. It will offer guidance and tips on how to modulate one’s own reactivity and navigate the reactivity and defensiveness of others.  Learning Objectives: (1) describe behavioral indicators of reactivity in ourselves in others; (2) identify strategies to modulate our own reactivity; and (3) review approaches to foster an environment that mitigates against reactivity and supports positive and effective interactions in team settings.

Other Session

TELEHEALTH PAPER SESSION

  • Date:
  • Time: 7:30am - 8:30am
  • Track: Research
  • CME/CE: 1.0

Sponsored by the Research Committee

Moderator:  Susan M. Friedman, MD, MPH

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.  

P32 – Utilizing Telehealth to Address Changes in Condition in a Home-based Primary Care Practice
Jill C. Slaboda, PhD
P33 – Using Telehealth to Improving Delirium Assessment by Critical Care Nurses
Liron Sinvani, MD
P34 – Improving Palliative Care Access Through Technology (ImPAcTT) in Nursing Homes:   Preliminary Pilot Study Findings
Caroline E. Stephens, PhD, RN, GNP, FAAN
P35 – Uncovering Errors in Transitions from Hospital to Nursing Home: A Video Telehealth Transitions Conference
Elspeth A. Clark, DO

 

Symposia

USE OF NEUROIMAGING IN COGNITIVE IMPAIRMENT AND MILD COGNITIVE IMPAIRMENT

  • Date:
  • Time: 7:30am - 8:30am
  • Track: Clinical Practice
  • CME/CE: 1.0

Sponsored by the American Academy of Neurology

Speakers: Alexander P. Auchus, MD & Juebin Huang, MD, PhD

This case-based symposium will illustrate the utility of neuroimaging in the evaluation of patients with cognitive impairment and mild cognitive impairment.  Learning Objectives: (1) describe neuroimaging tests available to the geriatrics healthcare provider; (2) discuss the application of these tests in evaluating patients; (3) review when each test might be helpful; and (4) appreciate the interpretations of neuroimaging results.

Symposia

UTI IN THE MICROBIOME ERA

  • Date:
  • Time: 7:30am - 8:30am
  • Track: Clinical Practice

Moderator: Kathleen Drago, MD
This symposium will highlight the latest clinical research in "UTI" / asymptomatic bacteriuria diagnosis & treatment, how it is reflected in the latest clinical guidelines and establish a call to action in adopting this information into clinical practice.  Learning Objectives: (1) incorporate the latest clinical research and professional society guidelines on "UTI" and asymptomatic bacteriuria into their existing “when to test, when to treat” framework; (2) describe the female urinary microbiome and its relationship to "UTI" and asymptomatic bacteriuria in older women; and (3) incorporate knowledge of the urinary microbiome to improve usual care for "UTI" and asymptomatic bacteriuria.

What’s New with Asymptomatic Bacteriuria: IDSA Guidelines and Clinical Recommendations
Manisha Juthani, MD

Treating Acute Cystitis: How Necessary is That?
Thomas E. Finucane, MD

Urine is Not Sterile: What's Next?
Alan J. Wolfe, PhD

 

Plenary Symposia

GERIATRICS LITERATURE UPDATE: 2020

  • Date:
  • Time: 8:45am - 10:15am
  • Track: Clinical Practice
  • CME/CE: 1.5

Speakers: Kenneth Covinsky, MD, MPH; Eric W. Widera, MD & Alexander K. Smith, MD, MS, MPH   

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, 2019.

Symposia

DISRUPTIVE BEHAVIORS IN DEMENTIA AND DELIRIUM IN DEMENTIA: BEST TREATMENTS AND BEST PRACTICE

  • Date:
  • Time: 10:30am - 11:30am
  • Track: Clinical Practice
  • CME/CE: 1.0

Moderator: Laurence M. Solberg, MD, AGSF

Sponsored by the Clinical Practice and Models of Care Committee, Geriatrics Consultative Services Special Interest Group, Acute Hospital Care Special Interest Group

Learning Objectives: (1) define dementia related behaviors & differentiate from delirium; (2) describe & implement non-pharmacological interventions for the treatment of delirium & dementia related behaviors; (3) discuss various pharmacological regimens and potential side effects that have been trialed for dementia associated with disruptive behaviors or hypersexual behaviors; (4) recognize the limitations and barriers regarding evaluation and management as well as the ethical and social concerns; (5) discuss and list best practices for caring for hospitalized persons with delirium-superimposed on dementia (DSD) and discuss the barriers and facilitators to management of DSD; (6) recognize that sleep, pain, anxiety and bipolar disorders are common but treatable contributors to agitated delirium in dementia patients; (7) discuss the efficacy and safety profile of antipsychotics in treating agitated delirium; and (8) discuss the evidence for efficacy and toxicity of Cannabinoids, anti-epileptics, and central alpha-2 adrenoreceptor agonists in patients with delirium superimposed on dementia.

Non-Pharmacologic Treatments of Disruptive Behaviors in Dementia
Belinda K. Setters, MD, FACP, AGSF

Pharmacologic Treatments for Disruptive Behaviors Including Hyper-Sexual Behaviors in Dementia
​​​​​​Mariam A. Mufti, MD

Person-Centered Care for Older Adults with Delirium-Superimposed on Dementia: Tips for Best Practice in Recognition, Prevention and Management
​​​​​​Donna Marie Fick, RN, GCNS-BC, PhD, FAAN

Pharmacologic Treatments of Delirium in Dementia Setting: The Facts, the Myths & the Known Unknowns
Mukaila A. Raji, MD, MS (Pharm), FACP

 

Symposia

IMMUNIZATIONS IN OLDER ADULTS

  • Date:
  • Time: 10:30am - 11:30am
  • Track: Clinical Practice
  • CME/CE: 1.0

Moderator: Kevin P. High, MD, MS

This session will feature brief TED talks 7-minutes long with no more than 3 slides for each talk. Learning Objectives: (1) discuss the epidemiology of vaccine-preventable illness in older adults; (2) identify the current immunization recommendations for influenza, pneumococcal, herpes zoster, and pertussis vaccination for adults 65 years or older; and (3) evaluate the role of the pharmacist in improving vaccination rates in the older adult population.

Brief Intro: Epidemiology of Vaccine Preventable Illnesses in Older Adults
Kevin P. High, MD, MS

Influenza Vaccines: Current Status and Outlook for the Future
H. Keipp Talbot, MD, MPH

Zoster Vaccines: Why Is the New Subunit Vaccine More Effective?
Kenneth Schmader, MD

Pneumococcal and Pertussis Vaccines: Direct and Indirect Effects
Carlos G. Grijalva, MD, MPH, FIDSA 

Pharmacist-Based Strategies to Enhance Immunization in Older Adults
Jennifer L. Bacci, PharmD, MPH, BCACP

Vaccines in Long-term Care
Robin L.P. Jump, MD, PhD

Group Panel Q & A

 

Workshop

MEDICATION MANAGEMENT TO PROMOTE WHAT MATTERS MOST ACROSS THE PROGNOSTIC SPECTRUM: AN INTERPROFESSIONAL CLINICAL SKILLS WORKSHOP USING THE 5MS FRAMEWORK

  • Date:
  • Time: 10:30am - 11:30am
  • Track: Education
  • CME/CE: 1.0

Moderator: Lisa J. Granville, MD, AGSF

Sponsored by the Pharmacists Section, Polypharmacy Special Interest Group, Nurses Section, Fellows-In-Training Section, Residents Section, Teachers Section, and the Education Committee

Learning Objectives: (1) using the framework of the geriatric 5Ms (medications, mind, mobility, multicomplexity and matters most), implement a strategy to optimize medication management in older patients with different prognoses; and (2) Compare and contrast decision support tools and approaches to optimizing drug regimens for older adults across the spectrum of function and prognosis, including identifying potentially inappropriate medications and deprescribing.

Optimizing Prescribing for the Robust Older Adult
​​​​​​Zaldy S. Tan, MD, MPH, FACP; Sean M. Jeffery, PharmD, CGP, PASCP, AGSF; Margaret I. Wallhagen, PhD, GNP-BC, AGSF, FAAN

Optimizing Prescribing for the Vulnerable Older Adult
Hal H. Atkinson, MD, MS; Demetra E. Antimisiaris, Pharm D, CGP, FASCP; Barbara Resnick, PhD, CRNP; Sheila C. Gencarelli, PharmD

Case of a Frail Older Adult with Advanced Disease and Polypharmacy
Maura J. Brennan, MD; Sharon Leigh, PharmD, BCPS; Pamela Z. Cacchione, PhD, CRNP, BC, FGSA, FAA

 

Symposia

QUICK HITS: GERIATRICS SPECIALTY CARE DELIVERY MODELS AVAILABLE FOR IMPLEMENTATION

  • Date:
  • Time: 10:30am - 11:30am
  • Track: Clinical Practice
  • CME/CE: 1.0

Moderator: Christopher Carpenter, MD

Learning Objectives: (1) review the different care delivery models and programs offered by the AGS and other organizations; (2) discuss the importance of adopting evidence-based program models; and (3) assess which model is a possibility for implementation.

American College of Surgeons (ACS) Geriatric Surgery Verification (GSV) Program 
Meixi Ma, MD, MS
Geriatrics Emergency Department Accreditation (GEDA)
Kevin Biese, MD
AGS CoCare: Ortho™ 
Lynn McNicoll, MD
AGS CoCare: HELP™
Mark A. Supiano, MD

 

Other Session

SURVIVE AND THRIVE: THE ROLE OF PERSISTENCE AND RESILIENCE IN TURNING FAILURE INTO SUCCESS IN AGING RESEARCH

  • Date:
  • Time: 10:30am - 11:30am
  • Track: Research
  • CME/CE: 1.0

Sponsored by the Research Committee, Junior Faculty Research Career Development Special Interest Group, Medical Subspecialities Section, Tideswell Leaders in Aging Program Special Interest Group

Moderator: Melisa L. Wong, MD, MAS

The goal of this symposium is to openly share stories of failures in aging research and lessons learned to build resilience and promote an ongoing culture of mutual support through AGS. Learning Objectives: (1) adopt a growth mindset to recognize that scientific progress is built on failures and setbacks and to see them as opportunities for growth; (2) connect with researchers in aging through personal stories of persistence with embarking on new research questions, obtaining research funding, and adapting in response to disappointing research results; (3) identify strategies to build persistence and resilience in response to failure; and (4) find the courage to show vulnerability and share your own stories of failure and resilience with colleagues and mentees.

Persistence and Resilience in Embarking on New Research Questions
Cynthia J. Brown, MD, MSPH, AGSF

Persistence and Resilience in Obtaining Research Funding
Supriya G. Mohile, MD, MS, FASCO

Persistence and Resilience in Adapting after Unexpected Research Results
Dalane W. Kitzman, MD

 

Symposia

CONTROVERSIES IN MANAGING ANTICOAGULANTS IN OLDER ADULTS

  • Date:
  • Time: 11:45am - 12:45pm
  • Track: Clinical Practice
  • CME/CE: 1.0

Presenters: Laurie G. Jacobs, MD, AGSF, FACP & Danielle M. Tompkins, PharmD

Description coming soon.

Other Session

HEALTH SERVICES & POLICY RESEARCH PAPER SESSION

  • Date:
  • Time: 11:45am - 12:45pm
  • Track: Research
  • CME/CE: 1.0

Moderator: Joshua Chodosh, MD, MSHS

 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.  

P36 – Independence at Home (IAH) at 5: $103 Million in Savings, and 2.9 Million Unserved
James Rotenberg, MD
P37 – Home Health Services Following a Skilled Nursing Facility Discharge: Impact on Home Time, Readmissions, and Mortality
Adam Simning, MD, PhD
P38 – Geographic Variation in Statin Pharmacotherapy Use among Nursing Home Residents with Life-Limiting Illness
Deborah S. Mack, MPH, PhD Candidate
P39 – How Did Adding Antipsychotic Drug Quality to the CMS 5-Star Rating System Impact Minority Nursing Home Residents with Dementia
Shekinah A. Fashaw, MSPH

 

Symposia

LEADERSHIP CURRICULUM

  • Date:
  • Time: 11:45am - 12:45pm
  • Track: Professional Development
  • CME/CE: 1.0

Description coming soon.

Symposia

MAKING THE BUSINESS CASE FOR IMPLEMENTING GERIATRICS SPECIALTY CARE DELIVERY MODELS

  • Date:
  • Time: 11:45am - 12:45pm
  • Track: Clinical Practice
  • CME/CE: 1.0

Moderator: Richard Besdine, MD

Learning Objectives: (1) review the importance of making a business case to prepare for successful program implementation; (2) discuss the major components needed to build a business case; and (3) obtain techniques for approaching leadership with the business case.

Welcome and Introductions
G. Michael Harper, MD
Making the Business Case – How to do it and Why it’s Important
Lynn H. Spragens, MBA

Round Table Presentations 
Presentations from institutions who have implemented each care delivery model. They will share lessons learned, what to do, what not to do, and how they made the business case to their leadership to adopt/implement. Participants can rotate to different tables.

  • Table 1 – ACS & GSV
    • Moderator: Meixi Ma, MD
    • Presenter: Sandhya A. Lagoo-Deenadayalan, MD, PhD
  • Table 2 – AGS CoCare: Ortho™ 
    • Moderator: Lynn McNicoll, MD
    • Presenter: Jenny Y. Shen, MD 
  • Table 3 – AGS CoCare: HELP™
    • Moderator: Mark A. Supiano, MD
    • Presenter: Heidi R. Wierman, MD
  • Table 4 – GEDA 
    • Moderator: Kevin Biese, MD
    • Presenter: MIchael L. Malone, MD

 

Symposia

NEW FRONTIERS IN GERIATRICS INTERPROFESSIONAL EDUCATION (IPE): EXTENDING THE REACH BEYOND ACADEMIA

  • Date:
  • Time: 11:45am - 12:45pm
  • Track: Education
  • CME/CE: 1.0

Sponsored by the Teachers Section; Education Committee; and the IPE Special Interest Group

Moderator: Cheryl A. Sadowski, PharmD, BCGP, FCSHP

Learning Objectives: (1) identify areas of collaboration and development for IPE; (2) explain how academic institutions can collaborate with community-based providers from local services to create and implement geriatrics IP curricula in rural communities; (3) create a process to develop a focused IPE activity, such as an IPE week embedded within an existing curriculum; and (4) describe a model of geriatrics learning community and its impact on patient care in an academic ambulatory care setting.

Interprofessional Collaboration as an Emerging National Model for Responding to Elder Abuse
Carrie Rubenstein, MD & Amanda S. Froh

Interprofessional Curriculum for the Care of Older Adults (iCCOA): Extending the Reach to Community-Based Organizations
​​​​​​Christian D. Furman, MD, MSPH, AGSF & Anna C. Faul, PhD

“IPE Week” – How to Incorporate an Interprofessional Education Experience into a Core Geriatric Medicine Rotation
Ella H. Bowman, MD, PhD, AGSF, FAAHPM

A Geriatrics Interprofessional Learning Community in an Ambulatory Care Setting
Pei Chen, MD

Mobility and Geriatrics
Philip Choe, DO

 

Symposia

NON-PHARMACOLOGIC PAIN MANAGEMENT STRATEGIES: USE OF SUPPLEMENTS, CANNABIDIOL (CBD) AND MIND-BODY THERAPIES

  • Date:
  • Time: 11:45am - 12:45pm
  • Track: Clinical Practice
  • CME/CE: 1.0

Sponsored by the Public Education Committee, Healthy Aging Special Interest Group, Pharmacy Section, Polypharmacy Special Interest Group

Moderator: Jeannie K. Lee, PharmD, BCPS, BCGP, FASHP

This interprofessional symposium will present three unique non-pharmacologic areas of pain management (supplements, CBD, and integrative therapies) and explore culturally relevant communication strategies for patient interview and education.  Learning Objectives: (1) recognize common supplements and herbals used for pain management, and be able to assess for adverse effects and drug-disease and drug-drug interactions; (2) describe the data behind the current CBD craze, and be able to clearly advise older patients about risks and benefits in pain management; (3) utilize integrative approaches for pain management, including mindfulness and yoga, and know when to recommend these in clinical practice; and (4) develop neutral communication techniques when interviewing about the use of CIM in pain, and providing culturally-competent advice on risks and benefits to older patients.

Use of Supplements in Pain Management
Kobi T. Nathan, PharmD, MEd, BA, BCGP

Use of CBD in Pain Management
Lianne (“Annie”) Hirano, MD

Use of Integrative Therapies in Pain Management
Natalia E. Morone, MD

 

Symposia

COMPETENT CARE FOR IMMIGRANTS AND REFUGEES

  • Date:
  • Time: 1:00pm - 2:00pm
  • Track: Ethics
  • CME/CE: 1.0

Sponsored by the Ethnogeriatrics Committee
Moderator: Lenise A. Cummings-Vaughn, MD, CMD
This session will provide an overview of the magnitude of older adult immigrants and refugees population, challenges specific to immigrations status, and accessing health care for cognitive impairment and depression. It will highlight current national standards, relevance and applicability of culturally appropriate approaches and interventions; and possible plans for integration into clinical practice.  Learning Objectives: (1) review health care coverage, programs, and services, available to immigrants including updates to related Medicaid programs, National Standards on Culturally and Linguistically Appropriate Services (CLAS) and the Health and Human Services (HHS) strategic plan on language access; (2) describe common legal issues related to advance planning and immigration and their potential impact on the care of older adult immigrants; and (3) identify evaluation strategies for depression and cognitive impairment in immigrants and refugees with Limited English Proficiency.

Health Services Advocacy for Immigrants and Refugees
Marta Pereyra, MSW, LCPC
Intersection of Law and Health Care for Older Immigrants and Refugees
Yvonne Troya, JD
Health Disparities in Depression and Cognition in Multinational Populations
Hanzhang Xu, PhD

 

Symposia

PHARMACOTHERAPY UPDATE: 2020

  • Date:
  • Time: 1:00pm - 2:00pm
  • Track: Clinical Practice
  • CME/CE: 1.0

Developed by the Pharmacists Section and the Polypharmacy Special Interest Group
Moderator: Jeannie K. Lee, PharmD, BCPS, BCGP, FASHP
The purpose of this symposium is to educate the audience and summarize the changes over the past year in pharmacotherapy. The speakers will examine information regarding newly approved medications, as well as dietary and herbal supplements. Learning Objectives: (1) communicate the indication for use, mechanism of action, pharmacokinetics, dosing, safety, and drug interactions for newly approved medications; (2) compare potential advantages and disadvantages of incorporating new medications into clinical practice; (3) explain the potential uses, mechanism of action, dosing, safety, and drug/supplement interactions for select dietary and herbal supplements; and (4) evaluate the potential risks and benefits of dietary supplement use in older adults.

Newly Approved Medications and Place in Therapy for Older Adults 
Laura A. Hart, PharmD, MS, BCPS, BCGP
Dietary Supplements Commonly Used by Older Adults 
Carla J. Bouwmeester, PharmD, MS, BCPS, BCGP