Program for Saturday May 15, 2021

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Section

MEDICAL SPECIALTIES SECTION MEETING

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

Co-Chairs: Lauren Ferrante, MD, MHS & Una Makris, MD, MSc (Medical Specialties) and Chris Carpenter, MD, MSc (SEGUE)

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. 

This year's section meeting will feature a panel of medical and surgical subspecialty leaders discussing resilience/grit when pursuing an aging-focused agenda in one’s specialty and in one’s career. The multidisciplinary panel includes the following speakers:

Ula Hwang, MD, MPH (Emergency Medicine)
Heidi Klepin, MD (Hematology & Medical Oncology)
Sasha Adams, MD (Trauma Surgery)

The panel, together with the session co-chairs, will then lead breakout sessions to allow time for small group discussion. All medical and surgical subspecialists are encouraged to attend.  


 

Other Session

PREVENTING FALLS, FRACTURES, AND OTHER BAD OUTCOMES ACROSS THE HEALTHCARE CONTINUUM PAPER SESSION

  • Date:
  • Time: 11:00am - 12:00pm
  • Track: Research
  • CME/CE: 1.0 - AMA Credits, AAFP Prescribed Credits, CMD Clinical Credits, Nursing Credits, Pharmacy Credits

Sponsored by the Research Committee
Moderator: Caroline S. Blaum, MD, MS

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.

 P28-Implementing a Geriatric Fracture Program in a Mixed Practice Environment Reduces Total Cost and Length of Stay
Sonja L. Rosen, MD, FACP, AHSF
P29-Fall Prevention Among Veterans in a Skilled Nursing Facility
Kevin Donohue
P30-Analyzing a QI Expansion of Opioid Administration Practices on Adult Inpatient Medicine Units
Rebecca A. Spear, DO
P31-Initial Results from OPTIMIZE: A Pragmatic Deprescribing Trial in Primary Care for Older Adults with Cognitive Impairment and Multiple Chronic Conditions
Ariel R. Green, MD, MPH, PhD

 

Symposia

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

  • Date:
  • Time: 11:00am - 12:00pm
  • Track: Education
  • CME/CE: 1.0 - AMA Credits, AAFP Prescribed Credits, CMD Management Credits, Nursing Credits, Pharmacy Credits

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.

Symposia

USE OF NEUROIMAGING IN COGNITIVE IMPAIRMENT AND MILD COGNITIVE IMPAIRMENT

  • Date:
  • Time: 11:00am - 12:00pm
  • Track: Clinical Practice
  • CME/CE: 1.0 - AMA Credits, AAFP Prescribed Credits, CMD Clinical Credits, Nursing Credits, Pharmacy Credits

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

USING PATIENT-CENTERED OUTCOMES TO MEASURE AND IMPROVE THE QUALITY OF CARE FOR OLDER ADULTS WITH MULTIPLE CHRONIC CONDITIONS

  • Date:
  • Time: 11:00am - 12:00pm
  • Track: Professional Development
  • CME/CE: 1.0 - AMA Credits, AAFP Prescribed Credits, CMD Management Credits, Nursing Credits, Pharmacy Credits

Sponsored by the Quality and Performance Measurement Committee, Research Committee, Clinical Practice and Models of Care Committee, and the Junior Faculty Research Special Interest Group


Moderator: Sei J. Lee, MD, MAS
This session will highlight 3 examples of how patient-centered metrics can be used to measure and improve healthcare quality for older adults with multiple chronic conditions.  Learning Objectives: (1) recognize the potential benefits and challenges of using “off the shelf” patient-reported outcomes (e.g. PROMIS measures) versus eliciting personalized health goals; (2) describe the similarities and differences in determining patient-defined outcomes in cognitively intact and cognitively impaired older adults; and (3) compare and contrast 3 different frameworks for eliciting patient-defined outcomes and determining whether these outcomes were achieved.
 

The Promise of PROMIS, Past, Present, Future
Michael H. Perskin, MD
Patient Priorities Care: Linking Quality Metrics with Patient Goals and Preferences
Claire Davenport, MD, MS
Personalized Goal Setting in Dementia Care: Measuring what Matters Most
Lee A. Jennings, MD, MSHS

Symposia

UTI IN THE MICROBIOME ERA

  • Date:
  • Time: 11:00am - 12:00pm
  • 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: 2021

  • Date:
  • Time: 12:15pm - 1:45pm
  • Track: Clinical Practice
  • CME/CE: 1.5 - AMA Credits, AAFP Prescribed Credits, CMD Clinical Credits, Nursing Credits, Pharmacy Credits

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, 2020.

Symposia

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

  • Date:
  • Time: 2:00pm - 3:00pm
  • Track: Clinical Practice
  • CME/CE: 1.0 - AMA Credits, AAFP Prescribed Credits, CMD Clinical Credits, Nursing Credits, Pharmacy Credits

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: 2:00pm - 3:00pm
  • Track: Clinical Practice
  • CME/CE: 1.0 - AMA Credits, AAFP Prescribed Credits, CMD Clinical Credits, Nursing Credits, Pharmacy Credits

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

 

Workshop

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

  • Date:
  • Time: 2:00pm - 3:00pm
  • Track: Education
  • CME/CE: 1.0 - AMA Credits, AAFP Prescribed Credits, CMD Clinical Credits, Nursing Credits, Pharmacy Credits

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

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; Sheila C. Gencarelli, PharmD

Symposia

QUICK HITS: GERIATRICS SPECIALTY CARE DELIVERY MODELS AVAILABLE FOR IMPLEMENTATION

  • Date:
  • Time: 2:00pm - 3:00pm
  • Track: Clinical Practice
  • CME/CE: 1.0 - AMA Credits, AAFP Prescribed Credits, CMD Management Credits, Nursing Credits, Pharmacy Credits

Moderator:Vanessa Ho, 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 & Daniel Mendelson, MD
AGS CoCare: HELP™
Mark A. Supiano, MD & Sharon K. Inouye, MD, MPH

 

Other Session

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

  • Date:
  • Time: 2:00pm - 3:00pm
  • Track: Research
  • CME/CE: 1.0 - AMA Credits, AAFP Prescribed Credits, CMD Management Credits, Nursing Credits, Pharmacy Credits

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

 

Other Session

UNDERSTANDING THE HEALTH IMPACT OF GERIATRIC SYNDROMES PAPER SESSION

  • Date:
  • Time: 2:00pm - 3:00pm
  • Track: Research
  • CME/CE: 1.0 - AMA Credits, AAFP Prescribed Credits, CMD Clinical Credits, Nursing Credits, Pharmacy Credits

Moderator: Esther Oh, MD, PhD

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-Comparison of Frailty Index to CURB-65 and PSI in Predicting Mortality and Functional Outcome after Hospitalization with Pneumonia: A Prospective Cohort Study
Chan Mi Park, MD
P33-Impaired Standing Balance Predicts 29-Year Mortality in Older Japanese-American Men: The Kuakini Honolulu Heart Program
Kohei Hasebe, MD
P34-Depression and Stress Symptoms Accelerate 5-Year Decline in Physical Function in US Community-Dwelling Older Adults
Anabella Pinton, BA
P35-Resistiveness to Care and Pain in Hospitalized Persons with Dementia
Clarissa A. Shaw, MSN, RN

 

Symposia

COMPETENT CARE FOR IMMIGRANTS AND REFUGEES

  • Date:
  • Time: 3:15pm - 4:15pm
  • Track: Ethics
  • CME/CE: 1.0 - AMA Credits, AAFP Prescribed Credits, CMD Management Credits, Nursing Credits, Pharmacy Credits

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

CONTROVERSIES IN MANAGING ANTICOAGULANTS IN OLDER ADULTS

  • Date:
  • Time: 3:15pm - 4:15pm
  • Track: Clinical Practice
  • CME/CE: 1.0 - AMA Credits, AAFP Prescribed Credits, CMD Clinical Credits, Nursing Credits, Pharmacy Credits

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

Learning Objectives: (1) describe the diversity of anticoagulant agents in clinical use including indications, pharmacology, monitoring and prescribing considerations; (2) evaluate anticoagulant use and considerations for deprescribing; and (3) describe the indications and prescribing considerations for anticoagulant reversal in older adults, including circumstances of emergency surgery and severe bleeding.

Other Session

INNOVATIVE MODELS IN PRIMARY CARE PAPER SESSION

  • Date:
  • Time: 3:15pm - 4:15pm
  • Track: Research
  • CME/CE: 1.0 - AMA Credits, AAFP Prescribed Credits, CMD Clinical Credits, Nursing Credits, Pharmacy Credits

Moderator: Lorraine C. Mion, PhD, RN, FAAN 
 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-Program Evaluation of a Home-Based Primary Care Practice and Patients with Heart Failure
Anne R. Walsh, DNP, ANP-BC
P37-Development and Validation of a Caregiver Screening Tool for Primary Care
Catherine Riffin, PhD
P38-Implementation of the VIONE Deprescribing Tool in VA Home Based Primary Care (HBPC)
Michelle Vanderhoof, PharmD
P39-A New Tool for Frailty Screening in Primary Care
Abrar-Ahmad Zulfiqar, MD

Symposia

LEADERSHIP CURRICULUM: BRINGING VALUE TO THE VALUE-BASED EQUATION

  • Date:
  • Time: 3:15pm - 4:15pm
  • Track: Professional Development
  • CME/CE: 1.0 - AMA Credits, CMD Management Credits, Nursing Credits, Pharmacy Credits

Description coming soon.

Symposia

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

  • Date:
  • Time: 3:15pm - 4:15pm
  • Track: Education
  • CME/CE: 1.0 - AMA Credits, AAFP Prescribed Credits, CMD Management Credits, Nursing Credits, Pharmacy Credits

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 & Page Ulrey, JD

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

 

Symposia

SOCIAL ISOLATION: ITS RELATIONSHIP WITH SOCIAL DETERMINANTS OF HEALTH, BIDIRECTIONAL RELATIONSHIP TO HEALTH CONDITIONS, AND HOW IT IMPACTS ACCESS AND DELIVERY OF CARE

  • Date:
  • Time: 3:15pm - 4:15pm
  • Track: Clinical Practice
  • CME/CE: 1.0 - AMA Credits, AAFP Prescribed Credits, CMD Clinical Credits, Nursing Credits, Pharmacy Credits

Moderator:  Barbara Resnick, PhD, CRNP 
Clinicians, while often aware of social isolation as a problem, may lack organizational support to help them care for isolated patients, especially when preventive and chronic disease management are adversely affected.  Learning Objectives: (1) define social isolation, its risk factors, and tools for measuring social isolation; (2) review how new ICD-10 codes will capture social barriers to accessing proper care and how this can help improve care; (3) describe how behavioral health and cognitive decline are associated with social isolation; and (4) describe how clinicians can put this information into practice.

Geographic Variation of Social Isolation Risk Factors
Rhonda Randall, DO
Conceptualization and Measurement of Social Isolation
Kexin Yu, MSW
Mental Disorders and Social Suffering in Older People
Soo Borson, MD

Special Interest Group

AGING AND ORAL HEALTH

  • Date:
  • Time: 4:30pm - 5:30pm
  • Track: Networking
  • CME/CE: 0.0

Co-Chairs: Christie M. Hogue, DDS & Adina Jucan, DDS 
The purpose of this SIG is to provide an Inter-Professional forum where issues that impact the Oral Health of our aging patients can presented to discuss a team approach to efficiently coordinate needed treatment. The SIG is intended to be a resource for a diverse group of health professionals with a passion for aging patients to find and expand access to care and reduce barriers to care when it comes to Oral Health and Aging.