Table of Contents Welcome and Introduction 1 Meeting Information 2 CME/CE Information 3 Acknowledgements 7 State-of-the-Art Clinical Updates Session 11 Clinical Skills Workshops 12 AAHCP Meetings 14 Schedule-at-a-Glance 16 Schedule of Events 22 Wednesday, May 2 25 Thursday, May 3 37 Friday, May 4 50 Saturday, May 5 Exhibitors 60 62 AGS Marketplace 63 Technology Pavilion 63 Technical Exhibitors 66 Non-for-Profit Exhibitors Exhibit Floor Plan 69 Convention Center Floor Plan 70 Hotel Floor Plan 72 Faculty Disclosures of Financial Interest 73 Program Committee Disclosures of Financial Interest 76 AGS/FHA 2011 Corporate and Foundation Contributors 77 Presenters Index 78 Welcome & Introduction Welcome to the 2012 American Geriatrics Society Annual Scientific Meeting in Seattle, WA! The AGS Annual Meeting is the premier forum for the latest information on clinical geriatrics, research on aging, and innovative models of care delivery. The meeting will address the professional and educational needs of geriatrics professionals from all disciplines through state-of-the-art educational sessions and research presentations about emerging clinical issues, current research in geriatrics, education, health policy, and delivery of geriatric health care. Highlights include: Henderson State-of-the-Art Lecture: Quality, Safety, and Cost: What Health Care Can Learn from Geriatrics Thursday, May 3, 10:00 – 11:00 A.m. David B. Reuben, MD will highlight some seminal innovations that have been developed in geriatrics and that can provide solutions for the problems that health care reform needs to solve to be successful. Dr. Reuben will also identify strategies that attendees can use to influence health care and bring geriatrics into a leadership role in redesigning care for all Americans, and will identify future challenges that US health care will face and stimulate the audience to think about how these can be met. AGS Updated 2011 Beers Criteria for Potentially Inappropriate Medication Use in Older Adults Friday, May 4, 4:30 to 6:00 P.m. The American Geriatrics Society recently published the AGS Updated Beers Criteria for Potentially Inappropriate Medication Use in Older Adults. The Beers Criteria serve as a critical tool in in preventing adverse drug events in older adults and are an important tool for systems and individuals who seek to ensure high quality healthcare for older adults. This program will present an overview of the updated criteria, as well as it’s application in today’s health system. Guiding Principles for the Care of Older Adults with Multimorbidity: An Approach For Clinicians Saturday, May 5, 9:00 to 10:30 A.m. In 2011, the AGS convened an interdisciplinary panel to develop an approach by which clinicians can interpret clinical practice guidelines when caring for older adults with multimorbidity. After a thorough literature review, the panel agreed upon a set of guiding principles for the clinical management of multimorbid patients. This program will present an overview of the guiding principles, strategies for their clinical application, and recommendations for a future research agenda. We hope you find the 2012 AGS Annual Scientific Meeting to be a rewarding experience. Please take a moment to complete an evaluation form after the meeting. Your comments will be greatly appreciated since they will help make future annual meetings of even greater benefit to our attendees. Belinda Vicioso, MD 2012 Annual Meeting Program Chair Barbara Resnick, PhD, CRNP, FAAN, FAANP President 1 Meeting Information GENERAL INFORMATION Meeting Location* The Washington State Convention & Trade Center 800 Convention Place Seattle, WA 98101 The Sheraton Seattle Hotel 1400 Sixth Avenue Seattle, WA 98101 (across the street from Convention Center) * Unless specified otherwise, all sessions will take place in the Convention Center Annual Meeting Registration Registration is located in the South Lobby of the Washington State Convention Center and is open during the following times: Wednesday, May 2 Thursday, May 3 Friday, May 4 Saturday, May 5 6:00 A.m. – 7:00 P.m. 6:30 A.m. – 6:00 P.m. 6:30 A.m. – 6:00 P.m. 6:30 A.m. – 4:00 P.m. Name Badge Room (604). Presentations will be downloaded from the speaker ready room and sent to the respective meeting room on a secured intranet circuit approximately 45 minutes prior to the start of each session. Presenters are encouraged to bring their own CD-ROM or memory stick to the Speaker Ready Room, where they will have the opportunity to review their presentations or make any changes. Please check in at the Speaker Ready Room the day BEFORE your presentation, if possible. Speakers may preview their audiovisual presentation in room 604 during the following hours: Wednesday, May 2 Thursday, May 3 Friday, May 4 Saturday, May 5 7:30 A.m. – 6:00 P.m. 6:00 A.m. – 5:00 P.m. 6:00 A.m. – 5:00 P.m. 6:00 A.m. – 4:00 P.m. Press Room: 309 The Press Room is located in room 309 and is open during the following hours: Wednesday, May 2 Thursday, May 3 Friday, May 4 Saturday, May 5 9:00 A.m. – 5:00 P.m. 8:00 A.m. – 5:00 P.m. 8:00 A.m. – 5:00 P.m. 8:00 A.m. – 5:00 P.m. Your name badge is your admission ticket to all annual meeting events, including entrance to the exhibit/poster hall. Please be sure to wear your name badge each day. Your name badge has been encoded with your mailing address. This card will allow you to sign into sessions that use the “Tap and Go” system for CME/CE tracking and is also an easy way to give exhibiting companies your mailing info. Messages Admission to Pre‑conference Sessions In an effort to strengthen our online geriatrics community, we invite all 2012 AGS Annual Meeting attendees to highlight meeting events using Twitter. We highly encourage all attendees to utilize the #AGS12 hashtag while tweeting during the meeting, to showcase research presentations, clinical updates, networking functions, and other topics relevant to your areas of interest. The hashtag makes it possible to form an instant community of colleagues who are following each other’s impressions and observations. If you purchased tickets for an additional fee pre-conference session, the ticket was included with your name badge. Tickets for sessions that are not sold out can be purchased at the registration desk. Only attendees holding tickets for these sessions will be admitted. Exhibits The exhibits program is an extension of the meeting’s educational sessions. Exhibitors from educational institutions, non-profit organizations and product manufacturers will provide information on products and services designed to assist geriatrics professionals. Exhibits will be on display during the following hours: Thursday, May 3 Friday, May 4 12:00 – 6:00 P.m. 12:00 – 4:30 P.m. Lunch Complimentary lunch is available in the exhibit hall on Thursday and Friday at 12:00 p.m.! Speaker Ready Room: 604 All meeting rooms will have presentation computers that will be networked to a central computer located in the Speaker Ready 2 Messages for meeting participants may be posted on the bulletin board in the meeting registration area. Incoming messages for participants that are received at the meeting registration desk will also be posted here. Twitter Photography Policy A professional photographer and/or videographer may be present at the AGS annual meeting. By registering for meeting, you understand that your image may appear in photographs and/or videos and grant AGS and their representatives and employees the right to take photographs and/or videos of you and your property in connection with the above-identified event as well as to copyright, use, and publish the same pictures in print and/or electronically. You agree that AGS may use such photographs and/or videos of you with or without your name and for any lawful purpose, including publicity, illustration, advertising, and Web content, without your express written or verbal permission. Smoking Policy Smoking is not permitted at any AGS function. CME/CE Information CONTINUING EDUCATION INFORMATION Target Audience Learning Formats The AGS Annual Scientific Meeting is the premier educational event in geriatrics, providing the latest information on clinical care, research on aging, and innovative models of care delivery. The Annual Meeting Program Committee has worked hard to create an exciting program that will present high quality clinical and scientific content to our diverse audience. The 2012 Annual Meeting will address the educational needs of geriatrics professionals from all disciplines. Physicians, nurses, pharmacists, physician assistants, social workers, long-term care and managed care providers, health care administrators, and others can update their knowledge and skills through state-of-the-art educational sessions and research presentations. Clinical Skills: Hands-on experience in a small-group interactive learning environment to develop clinical skills relevant to the care of older adults. Meet-the-Expert: Allows attendees to discuss important topics in geriatrics with a renowned faculty in a small group setting. The audience size is limited to 50 attendees. Paper Session: 6 oral presentations of research abstracts grouped around a common theme or topic. Poster Session: Posters of original research displayed for informal browsing with opportunities for individual discussion with authors. Pre-conference Session: Expanded sessions that cover current topics that impact how we care for the older adult population. Attendees pay an additional fee to attend these sessions on the day before the official start of the meeting. Symposia: A symposium typically involves 3 presentations on a subject of vital importance to a broad segment of annual meeting attendees. Workshop: An interactive session that emphasizes the exchange of ideas and the demonstration and application of techniques and skills. The audience size may be limited. Learning Objectives • A nalyze current research in geriatrics and describe its clinical and educational implications • I nterpret information on the prevention, diagnosis, treatment, and management of clinical disorders in older adults • I dentify prevalent psychosocial problems in older people • D escribe medical, psychological, social, and rehabilitative interventions to improve independence and quality of life of older people • D escribe the problems of comorbidity, multiple morbidity, and burden of illness and their relation to normal aging, frailty, disability and adverse outcomes of care • T each geriatrics effectively to interdisciplinary healthcare professionals, students, and trainees • I dentify ethical issues in healthcare delivery, medical treatment, and decision-making • D iscuss the impact of different cultural/ethnic/language backgrounds & health literacy/numeracy on the care of older adults • I nform current health policy relating to financing and delivery of geriatric care • D escribe effective delivery of geriatric health care in acute, sub-acute, long-term care, and other settings • A nalyze results of geriatric and risk assessment of older patients, specify appropriate interventions, and identify anticipated outcomes Speaker Slides In response to requests from past annual meeting attendees, the 2012 Annual Meeting PowerPoint™ presentations from our educational sessions will be available on the AGS website at the end of each day. We hope that you will find the slide resource useful following the meeting. Disclosures As an accredited provider of Continuing Medical Education, the American Geriatrics Society continuously strives to ensure that the education activities planned and conducted by our faculty meet generally accepted ethical standards as codified by the ACCME, the Food and Drug Administration, and the American Medical Association’s Guide for Gifts to Physicians. To this end, we have implemented a process wherein everyone who is in a position to control the content of an education activity has disclosed to us all relevant financial relationships with any commercial interests within the past 12 months as related to the content of their presentations. Disclosure documents are reviewed for potential conflicts of interest, and if identified, such conflicts are resolved prior to final confirmation of participation. Faculty and Program Committee disclosures can be found at the back of this book. The material presented in this activity represents the opinion of the speakers and not necessarily the views of the AGS. Accreditation The American Geriatrics Society is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. 3 CME/CE Information Continuing Medical Education AMA/AAFP Equivalency: The American Geriatrics Society designates this live educational activity for a maximum of 30 AMA PRA Category 1 Credit(s)™ Physicians should claim only credit commensurate with the extent of their participation in the activity. AAFP Prescribed credit is accepted by the American Medical Association as equivalent to AMA PRA Category 1 Credit™ toward the AMA Physician’s Recognition Award. When applying for the AMA PRA, Prescribed credit earned must be reported as Prescribed, not as Category 1. Category II Continuing Education Credit The American Geriatrics Society is authorized to award a maximum of 30 hours of pre-approved Category II (nonACHE) continuing education credit for this program towards advancement or recertification in the American College of Healthcare Executives. Participants in this program wishing to have the continuing education hours applied towards Category II credit should list their attendance when submitting an application to the American College of Healthcare Executives for advancement or recertification. American Academy of Family Physicians Prescribed Credit This Live activity, American Geriatrics Society 2012 Annual Scientific Meeting, with a beginning date of May 2, 2012, has been reviewed and is acceptable for up to 31.25 Prescribed credits by the American Academy of Family Physicians. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 4 American Osteopathic Association: Since the AGS is an approved ACCME accredited provider, the 2012 AGS Annual Scientific Meeting will be recognized by the American Osteopathic Association as equivalent to AOA Category 2 credit. Certified Medical Director This course has been approved for up to 23.25 credit hours of clinical education and 20 credit hours of management education toward certification as a Certified Medical Director in Long Term Care (AMDA CMD). The AMDA CMD program is administered by the American Medical Directors Certification Program. Each physician should claim only those hours actually spent on the activity. CME/CE Information AMDCP APPROVED MANAGEMENT CREDITS: WEDNESDAY, MAY 2, 2012 Leadership Development Boot Camp (1.75 credit hours) 2:00 – 2:45 p.m. 3:00 – 4:00 p.m. Plenary Session: Defining Success in Academic Careers in Geriatrics Surviving: Balance and Fulfillment THURSDAY, MAY 3, 2012 7:30 – 9:00 a.m. Fall Prevention in Hospitals: Implementing Tailored Fall Prevention Interventions Using an Interdisciplinary Approach (1.5 credit hours) 7:30 – 9:00 a.m. Enhancing Quality and Safety in Acute Care Through Partnerships with Hospitalists (1.5 credit hours) 7:30 – 9:00 a.m. Don’t Get Lost in Translation – A Practical Approach to Cultural Competency (1.5 credit hours) 7:30 – 9:00 a.m. CPT Coding: Basic Principles and Practice (1.5 credit hours) 10:00 – 11:00 a.m. Henderson Lecture: Quality, Safety, and Cost: What Health Care Can Learn from Geriatrics (1.0 credit hours) 1:00 – 2:30 p.m. Patient Safety Across the Care Continuum: AHRQ Tools and Research (1.5 credit hours) 2:45 – 4:15 p.m. Data Sanity – Quality Improvement in the Nursing Home Using Statistical Process Control (1.5 credit hours) 2:45 – 4:15 p.m. Facebook, Blogs, and Twitter: Using Social Media to Advance Geriatrics (1.5 credit hours) FRIDAY, MAY 4, 2012 7:30 – 9:00 a.m. 10:45 – 11:00 a.m. 11:00 a.m. – 12:00 p.m. 12:30 – 2:00 p.m. 2:15 – 3:45 p.m. Current and Emerging Wireless Health Technologies: Building the Wireless Health Network (1.5 credit hours) AGS Washington Update (.25 credit hours) Public Policy Lecture (1.0 credit hours) Reducing Hospital Readmissions and All-Cause Harm (1.5 credit hours) Partnerships to Enhance Research Related to the Care of Older Adults (1.5 credit hours) SATURDAY, MAY 5, 2012 10:45 a.m. – 12:15 p.m. 10:45 a.m. – 12:15 p.m. 12:30 – 2:00 p.m. Update in Smart Home Technologies: “Getting Smarter as We Age” (1.5 credit hours) Coding and Reimbursement: Stump the Professor (1.5 credit hours) Effective Care Transitions: The Call for Geriatric Leadership (1.5 credit hours) Continuing Nursing Education Continuing Pharmacy Education Credit The American Geriatrics Society has been approved by the California Board of Registered Nursing (Provider No. CEP 10299) to provide continuing education. The 2012 AGS Annual Meeting program is eligible for up to 30 nursing contact hours. The American Society of Consultant Pharmacists is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing ® pharmacy education. Attendees can earn up to 23.25 pharmacy contact hours (CEUs) for participation in the educational programming at the AGS 2012 Annual Scientific Meeting. The program number and amount of continuing pharmacy education credit that will be awarded for each qualifying session are indicated in the Continuing Pharmacy Education Credit Application. To receive CE credit, participants must attend the program in its entirety and evaluate the program. Statements of credit will be mailed within 6-8 weeks after the meeting. Continuing Pharmacy Education Session Evaluation/Attendance Forms can be picked up at the AGS Information desk located in the registration area. The evaluation form can be returned to the registration desk by the close of the meeting, or mailed or faxed by June 30, 2012 to: AGS Meetings Department, 40 Fulton Street, 18th Floor, New York, NY 10038, Fax: 212-832-8646. AC PE 5 CME/CE Information Geriatrics Recognition Award Nurses, physician assistants, and physicians can apply continuing education credits earned at this meeting towards the Geriatrics Recognition Award (GRA) of the AGS, which recognizes individuals who are committed to advancing their continuing education in geriatrics/gerontological nursing. For more information about continuing education credits and the GRA, please visit the AGS website: www.americangeriatrics.org or call the AGS office at (212) 308-1414. CME/CE Certificates & Evaluations At this year’s annual meeting, AGS will be using RFID technology for session tracking. Simply hold your name badge in front of the CE station at the entrance of each session and collect your printed receipt. 6 There will be a link on the AGS website to the online CME/CE session evaluation and certificate service. The site will be available beginning on Thursday morning. Sessions will be posted to the site the day after the live session occurs, so you will be able to log in and evaluate the sessions you attended within 24 hours of attending them. You will be required to provide course evaluation information, in order to successfully complete the educational requirements and produce your CE Certificate listing the sessions you attended. Your impressions of the annual meeting are important to us, and we appreciate your ideas and suggestions. Please take a moment to complete the evaluation section for the sessions you attended at the meeting. ACKNOWLEDGEMENTS Acknowledgements The AGS wishes to thank the following individuals and organizations for their participation in and support of the 2012 AGS Annual Meeting: 2012 Annual Scientific Meeting Program Committee Belinda Vicioso, MD, 2012 AGS Annual Scientific Meeting Chair & AGS-AMDA Program Liaison Barbara Resnick, PhD, CRNP, AGS President Members: Sandra Bellantonio, MD, Education Committee Representative Sally L. Brooks, MD, Professional Education Executive Committee Representative Ellen Flaherty, PhD, APRN, BC, Professional Education Executive Committee Representative Jerry Gurwitz, MD, Research Committee Representative Irene Hamrick, MD, CMD, Health Systems Innovations-Economics and Technology Committee Representative John Heath, MD, 2011 AGS Annual Scientific Meeting Chair Donald Jurivich, DO, COSAR Representative Sunny Linnebur, PharmD, Public Education Committee Representative Michael Malone, MD, Public Policy Committee Representative Annette Medina-Walpole, MD Paul Mulhausen, MD, Clinical Practice and Models of Care Committee Representative James T. Pacala, MD, AGS President-elect Arun Rao, MD, Ethnogeriatrics Committee Representative Kenneth Schmader, MD, 2013 AGS Annual Scientific Meeting Chair-elect Joel Streim, MD, AGS-AAGP Program Liaison Bruce R. Troen, MD Caroline Vitale, MD, Ethics Committee Representative 2012 Annual Meeting Proposal Reviewers Giridhar Adiga Ali Ahmed Kannayiram Alagiakrishnan Cathy Alessi Demetra Antimisiaris Christine Arenson M. Javed Ashraf Dale Avers Lisa C. Barry Steve Bartz Brad Bobrin Sagar Borker Lisa Boyle Christine Bradway Ursula Braun Chris J. Bula Marc Cantillon Cynthia M. Carlsson Pierrette J. Cazeau Diane Chau Yen-Ching Chen Huai Cheng Toni Chiara Barbara Cochrane Gabriela Cohen Tien Dam Maria V. Danilychev Margaret Dean O. David Dellinger, III Priyanka Duggal Ahmad Farooq Suzanne Fields Christine Fordyce Ana Tuya Fulton Carmen Castillo Gallego Jen-Tzer Gau Lisa Gibbs Andrea Giusti Maria R. Gonzalez Karen Hall Raza Haque Michael Harper S. Nicole Hastings Arthur D. Hayward Farrah Ibrahim Abid Iraqi Laurie Jacobs James Judge Donald Jurivich Khurram Jehangir Khan Rita Khoury Mary B. King Sei Lee Kathye E. Ligh Lyn Lindpaintner David L. Marcus James R. McCormick Lynn McNicoll Coles Mercier Vandenbroucke Michel Arvind Modawal Zahra Modjarrad Lona Mody Ahmed Mohammedin M. Jane Mohler Mohammad Mehdi Namaee Birju B. Patel Robert Pearlman Sandra Petersen James Powers Mindy Oxman Renfro Shayna Rich Karlene Richardson Marco Ruiz Cheryl Sadowski Cathy C. Schubert Beata Skudlarska Rebecca Sleeper Soryal Soryal Michael Steinman Niharika Suchak Theodore T. Suh Hany Tadres Marcia Da Luz Lima Tancredi M. V. Tanur Mihai Teodorescu Babak Tousi Eleni Tsiantouli Renuka Tunuguntla Jessie VanSwearingen Barbara Vogel Jeng Wang Glenda Westmoreland Heidi White Sevil Yasar Carolyn Zhu Kwang-il 7 Acknowledgements ABSTRACT REVIEW 2012 Abstract Review Committee Jerry Gurwitz, MD, Chair 2012 Abstract Review Category Chairs Sanjay Asthana, MD Daniel R. Berlowitz, MD, MPH Cathleen S. Colon-Emeric, MD, MHS Luigi Ferrucci, MD, PhD Susan M. Friedman, MD, MPH Joseph T. Hanlon, PharmD, MS Susan Hardy, MD Kevin High, MD, MS Reena Karani, MD Robert M. Palmer, MD, MPH Sandra Sanchez-Reilly, MD Catherine A. Sarkisian, MD, MSPH Ronald I. Shorr, MD, MS Jeffrey Silverstein, MD George E. Taffet, MD Elizabeth K. Vig, MD, MPH Louise C. Walter, MD 2012 Abstract Reviewers Dawn Alley, PhD Christine Arenson, MD Wilbert Aronow, MD Byron Bair, MD Christina Bell, MD Simon Bergman, MD Rebecca Beyth, MD Arline Bohannon, MD Kenneth Boockvar, MD, MS Cynthia Boyd, MD, MPH Jennifer Brach, PT, PhD Sara Bradley, MD Katherine Callahan, MD Cynthia Carlsson, MD, MS Charles Cefalu, MD Sarwat Chaudry, MD Jane Driver, MD Edmund Duthie, MD Ronan Factora, MD Andrea Fox, MD Angela Gentili, MD Lauren Gleason, MD Tanya Gure, MD S. Nicole Hastings, MD, MHS Beth Hungate, ARNP Christopher Janowski, MD Manisha Juthani-Mehta, MD Amy S. Kelley, MD, MSHS Heidi Klepin, MD Kathy Kemle, PA Ariba Khan, MD Sei Lee, MD Bruce Leff, MD Sharon A. Levine, MD Cari Levy, MD Hannah Lipman, MD Kenneth W. Lyles, MD Una Makris, MD Alayne Markland, MD 8 Sameer Mathur, MD Simon Mears, MD Isaura Menzies, MD Yuri Milaneschi, MD Lona Mody, MD Lynn O’Neill, MD Esther Oh, MD Pamela Parsons, ARNP Kushang Patel, PhD Melissa Perkal, MD Barbara Resnick, PhD, CRNP Michael W. Rich, MD Jeanette Ross, MD Joseph Ross, MD Martine Sanon, MD Pushpendra Sharma, MD Al Shaw, MD Kenneth Shay, DDS Kaycee Sink, MD Michael A. Steinman, MD Mark A. Supiano, MD Stephen Thielke, MD Kathleen Unroe, MD Camille Vaughan, MD Lisa Walke, MD Carlos Weiss, MD Heather E. Whitson, MD, MHS Eric W. Widera, MD G. Darryl Wieland, MD Jo Wiggins, MD Consuelo Wilkins, MD Michi Yukawa, MD Acknowledgements Organizations participating in programs at the 2012 AGS Annual Meeting: American Academy of Home Care Physicians American Academy of Hospice and Palliative Medicine American Academy of Neurology AGS Foundation for Health in Aging American Federation for Aging Research AMDA Association of Directors of Geriatric Academic Programs Association of Subspecialty Professors Centers for Medicare and Medicaid Services National Institute on Aging The John A. Hartford Foundation Thanks to the following organizations for their support and assistance in conference management: Talley Management Group, Inc. Meeting and Exhibit Management ScholarOne Abstract Management Fry Communications Program Design and Production PRG-Denver Audiovisual Services Showcare Event Solutions Registration Management 9 Acknowledgements AGS FELLOWSHIP Congratulations to our new AGS Fellows! AGS Fellowship is a special honor that recognizes members’ professionalism, scholarship and contributions to the profession of geriatrics and to the Society. Please join us at the AGS Members Business Meeting on Thursday, May 3 from 9:15 to 10:00 A.m. as we recognize our new Fellows! Peter H. Cheng, MD, AGSF, CMD Palo Alto Medical Foundation Kathryn M. Daniel, PhD, RN, ANP-BC, GNP-BC University of Texas at Arlington, College of Nursing Michael John Dolamore, MD, CMD, FAAFP, AGSF NYMED, Inc George W. Drach MD FACS, FCPP, AGSF Universities of Arizona and Pennsylvania Ellen Flaherty, PhD, APRN, BC, AGSF Dartmouth Hitchcock Medical Center Marissa C. Galicia-Castillo, MD, MSEd, CMD, FACP, AGSF Eastern Virginia Medical School Monica Horton, MD, MSc, AGSF South Texas Veterans Healthcare System Lynn McNicoll, MD, FRCPC, AGSF Alpert Medical School of Brown University Adrienne Mims, MD, MPH, AGSF Medicare Quality Improvement at Alliant/GMCF Sandra Y. Moody, MD, BSN, AGSF University of California, San Francisco 10 Ann Marie Nye, PharmD, FASCP, AGSF, CGP Campbell University Donna I. Regenstreif, PhD, AGSF GeroConcepts, Inc. Barbara Resnick, PhD, CRNP, FAAN, FAANP, AGSF University of Maryland School of Nursing Vivyenne Roche MD, AGSF UT Southwestern at Dallas Debra Saliba, MD, MPH, AGSF VA GRECC & UCLA/JH Borun Center Cathy C. Schubert, MD, AGSF Indiana University Inna Sheyner MD, CMD, AGSF University of South Florida College of Medicine Laurence M. Solberg, MD Vanderbilt University School of Medicine Caroline A. Vitale, MD, AGSF University of Michigan Workshops STATE-OF-THE-ART CLINICAL Clinical UPDATESSkills SESSION SATURDAY, MAY 5 10:45 A.m. – 2:00 P.m. The State-of-the-Art Clinical Updates Session is a special two-part session dedicated to providing relevant clinical information for the practicing geriatrics clinician, and a comprehensive update about the latest advances and critical issues from faculty who are at the forefront of geriatrics. PART I — 10:45 A.m. – 12:15 P.m. PART II — 12:30 – 2:00 P.m. Room: 6A CME/CE Credit: 1.5Track: Clinical Practice Moderator: Kenneth E. Schmader, MD, Duke University Medical Center This session will present cutting-edge clinical material, and offer pragmatic advice on how to put this information into practice. Learning objectives: (1) discuss clinical impact/outcomes related to hypertension; (2) discuss clinical impact/outcomes related to nosocomial infections; (3) discuss clinical impact/outcomes related to dermatology. Room: 6A CME/CE Credit: 1.5Track: Clinical Practice Moderator: Kenneth E. Schmader, MD, Duke University Medical Center This session will present cutting-edge clinical material, and offer pragmatic advice on how to put this information into practice. Learning objectives: (1) discuss clinical impact/outcomes related to urinary incontinence; (2) discuss clinical impact/outcomes related to osteoporosis; (3) discuss clinical impact/outcomes related to pressure ulcers. Hypertension Mark A. Supiano, MD, University of Utah Urinary Incontinence Patricia S. Goode, MSN, MD, University of Alabama at Birmingham Nosocomial Infections Suzanne F. Bradley, MD, University of Michigan Medical School Dermatology Wendy E. Roberts, MD, Generational and Cosmetic Dermatology Osteoporosis Kenneth W. Lyles, MD, Duke University Pressure Ulcers Barbara M. Bates-Jensen, PhD, RN, FAAN, University of California, Los Angeles 11 State-of-the-Art Clinical Updates CLINICAL SKILLSSession STATIONS Gain hands-on experience from expert faculty in a small-group interactive learning environment. Learn about and practice developing your clinical skills relevant to the care of older adults. There are a total of ten skills stations available. Skills stations are 30 or 45 minute sessions and are offered multiple times. The Clinical Skills Stations are located in the Exhibit Hall on Thursday and Friday from 12:00 to 4:30 P.m. (complete schedule below). Ankle-Brachial Index (ABI) Thursday: 3:00 P.m., 3:45 P.m. This station will briefly review the importance and calculation of the ABI for patients with peripheral arterial disease, focusing on identifying the arteries, measuring the systolic blood pressure and calculating ABI and result interpretation. Participants will practice performing the measurement on each other. Faculty: Yin Ping Liew, MD; Sikkim Ang, MD, Armida Parala, MD Assistive Devices Thursday: 12:00 P.m., 12:30 P.m. This station will demonstrate appropriate walker (2 wheeled and 4 wheeled) and cane technique (straight came and 4-prong cane), how to measure for height, how to select the device, etc. Faculty: Gregory E. Hicks, PT, PhD; Jaime Gerber, MD Breaking Bad News Thursday: 1:30 P.m., 2:00 P.m. This station will briefly review the SPIKES protocol for breaking bad news and involve participants in a role-play and debriefing to try out the new skills. They will be supplied with handouts and references to take with them to reinforce the approach after their return home. Faculty: Caroline Harada, MD Falls/Gait/Balance Assessment Friday: 1:30 P.m., 2:00 P.m. Basic tests of gait and balance will be reviewed. These will include the Get Up and Go Test, the Functional Reach Test and the POMA. Learners will also be taught the standard nomenclature and components of a gait evaluation and will practice assessments on each other. Faculty will ‘’act out’’ some common abnormal gaits. Learners will be given a handout that reviews basic terminology and how to best use each of the tests. Faculty: Shahla Baharlou, MD; Christine Chang, MD; Florida Olivieri, MD Incontinence Thursday: 1:30 P.m., 2:00 P.m. This station will review screening questions for incontinence and rapid, practical means of assessing the various types of incontinence thru case studies which stress a realistic approach for a busy office setting. Faculty: Qing Cao, MD; Tae Lee, MD Joint Injections Thursday: 3:00 P.m.; 3:30 P.m., 4:30 P.m. Friday: 12:00 P.m., 12:30 P.m. After a brief demonstration of joint injection techniques by faculty, participants will practice the injections on joint models with faculty support. They will be given detailed, illustrated handouts to review at home. Faculty: Julio Martinez Silvestri, MD; Mohamed Elarabi, MD 12 Musculoskeletal Exam Friday: 3:00 P.m.; 3:45 P.m. This station will feature an introduction to the Peyton technique of teaching procedures/clinical skills. Thereafter, participants will rotate among several stations and apply the method to learn several new musculoskeletal exam techniques which will include a shoulder exam, a get up and go test, and a slump test. This session will combine both an approach to teaching clinical skills with the mastery of several physical exam techniques. Faculty: Maura J. Brennan, MD; Reham Shaaban, MD; Laura Iglesias, MD; Mohamed Elarabi, MD; Julio Martinez Silvestri, MD Screening for Older Driver Safety Thursday: 12:00 P.m., 12:30 P.m. This station will feature an office-based assessment of medical fitness to drive, focusing on appropriate screening questions to ask both older adults and their companions regarding driving safety; assessments with a strong evidence base with which to further evaluate individuals; and when referrals to Occupational Therapy or to the DMV are appropriate for rehabilitation or further testing. Faculty: N. Wilson Holland MD, FACP; Lisa Rosenberg, MD; Sarah Hallen, MD Toenail Removal Friday: 12:00 P.m., 12:30 P.m. Participants will learn indications for toenail removal and which procedures are appropriate for geriatrics practitioners. Get hands-on experience with digital blocks, wedge resection and removal of ingrown toenails. Follow up care and complication guidelines will also be discussed. Faculty: Jodie Sengstock, DPM; David M. Sengstock, MD, MS Vertigo Friday: 3:00 P.m., 3:30 P.m., 4:00 P.m. This station will review the prevalence and impact of BPV and will teach participants how to perform a Dix Halpike, lateral roll and canalith repositioning maneuvers to diagnose and resolve vertiginous symptoms and avoid the side effects that commonly occur with use of anticholinergic drugs. Faculty: James O. Judge, MD; Beata Skudlarska, MD; Mithill Choksey, MD Welcome to Medicare Friday: 1:30 P.m., 2:00 P.m. This station will review how to conduct and get paid for a “Welcome to Medicare” visit, including the seven required elements of the exam and billing requirements. Faculty: Shobhana Chaudhari, MD & Daniel L. Swagerty, MD Updates Session CLINICALState-of-the-Art SKILLS STATIONSClinical SCHEDULE: The Clinical Skills Stations are located in the Exhibit Hall. THURSDAY Time Skill Station 1 Time Skill Station 2 12:00 – 12:30 P.m. Assistive Devices 12:00 – 12:30 P.m. Screening for Older Driver Safety 12:30 – 1:00 P.m. Assistive Devices 12:30 – 1:00 P.m. Screening for Older Driver Safety 1:30 – 2:00 P.m. Breaking Bad News 1:30 – 2:00 P.m. Incontinence 2:00 – 2:30 P.m. Breaking Bad News 2:00 – 2:30 P.m. Incontinence 3:00 – 3:30 P.m. Joint Injections 3:00 – 3:45 P.m. Ankle-Brachial Index (ABI) 3:30 – 4:00 P.m. Joint Injections 3:45 – 4:30 P.m. Ankle-Brachial Index (ABI) 4:00 – 4:30 P.m. Joint Injections FRIDAY Time Skill Station 1 Time Skill Station 2 12:00 – 12:30 P.m. Toenail Removal 12:00 – 12:30 P.m. Joint Injections 12:30 – 1:00 P.m. Toenail Removal 12:30 – 1:00 P.m. Joint Injections 1:30 – 2:00 P.m. Falls/Gait/Balance Assessment 1:30 – 2:00 P.m. Welcome to Medicare 2:00 – 2:30 P.m. Falls/Gait/Balance Assessment 2:00 – 2:30 P.m. Welcome to Medicare 3:00 – 3:30 P.m. Vertigo 3:00 – 3:45 P.m. Musculoskeletal Exam 3:30 – 4:00 P.m. Vertigo 3:45 – 4:30 P.m. Musculoskeletal Exam 4:00 – 4:30 P.m. Vertigo 13 AAHCP Meetings AAHCP ANNUAL SCIENTIFIC AND PRACTICE MANAGEMENT MEETING BRINGING HOME THE CARE CONTINUUM: HARNESSING HIGH TECH, HIGH TOUCH HOME CARE MEDICINE May 3–4, 2012 This program highlights the benefits of bringing medical care into the home. Exploring key issues in practice management, this meeting presents applicable emerging technologies and innovations in home care and reviews clinical practice standards. The conference will also include an update on the Independence at Home demonstration, scheduled to begin in 2012. Learning objectives: (1) describe the health policy, health economic, epidemiologic, and demographic trends that impact home medical care; (2) successfully manage a home medical care practice from the logistical, quality, and financial perspectives; (3) review “state of the art” diagnosis and treatment of commonly encountered clinical scenarios in home medical care; and (4) discuss focused learning in “niche” areas such as home care education, research, and alternative practice settings. DAY 1 THURSDAY MAY 3, 2012 Room: Sheraton Hotel: Grand Ballroom CME/CE Credit: 7Track: Clinical Practice Supported by grants from.Amedisys and Cleveland Clinic. 7:30 – 8:00 8:00 – 9:30 Continental Breakfast Opening Remarks and Moderated Panel Discussion: Independence at Home Act Policy and Implementation Update for Medicare, Medicaid and Managed Care Peter A. Boling, MD; James C. Pyles, JD; Mike N. Tudeen; Bruce Kinosian, MD 9:30 – 10:30 Special Update on Medicare Payment Policy, the Accountable Care Act and What it Means for Home Care Medicine Providers James C. Pyles, JD; Barbara Resnick, PhD, CRNP, AGS President; Kathy A. Kemle, MS, PA-C, DFAAPA 10:30 – 10:40 Break 10:40 – 11:30 Moderated Panel Discussion: Measuring Success in Home Care Medicine: Tracking, Benchmarking and Improving Productivity, Efficiency, Quality and Patient Experience Adam C. Groff, MD, MBA; William J. Zafirau, MD; Karl Eric DeJonge, MD; Gary H. Swartz, JD, MPA; Steven Landers, MD, MPH (moderator) 11:30 – 11:40 Break 11:40 – 12:30 Focused Breakout Sessions •Breakout A – Employer/Managed Care Contracting For Small/Medium Home Care Medical Groups Brent Thomas Feorene, MBA; Steven L. Phillips, MD •Breakout B – The Concierge Medicine Option and Stating Your Case for Getting Capital for New Care Models Thomas W. Reed; Chip Measells 12:30 – 1:30 Lunch & Exhibits 1:30 – 2:30 Practice Management Keynote: The Health Consumer Perspective and What it Means for Medical Care at Home Mike Magee, MD 2:30 – 3:20 Focused Breakout Sessions •Breakout A – Integration of Ancillary Diagnostic Services C. Gresham Bayne, MD; Thomas S. Parker, MD •Breakout B – Key Topics in Elder Law Edward R. Ratner, MD (moderator); Marie-Therese Connolly 3:20 – 3:30Break 3:30 – 4:20 Focused Breakout Sessions: Assuring the Delivery, Relationships and Payment Services and Quality •Breakout A – Starting My Home Care Medicine Practice Gary Swartz, JD, MPA; Brent Feorene; C. Gresham Bayne, MD •Breakout B – Medical Director and Community Relations: The intersection of house call practices and 1) skilled home care, 2) private duty home care and 3) hospice Edward Ratner, MD; Rebecca E. Conant, MD; Cindy Pinson, MD; George E. Kikano, MD 4:20 – 5:00 Practice Management Wrap-up 6:30 – 8:30 Optional Social/Networking Reception 14 AAHCP Meetings DAY 2 FRIDAY MAY 4, 2012 Room: Sheraton Hotel: Grand Ballroom CME/CE Credit: 6Track: Clinical Practice 7:30 – 8:00 Continental Breakfast 8:00 – 9:20 Opening Remarks Bruce A. Leff, MD, President, AAHCP; Steven Landers, MD, MPH, 2012 Program Chair Moderated Panel Discussion: The State of Mobile Communications Technology for Home Care Medicine Arthur Lane; C. Gresham Bayne, MD 9:20 – 9:30Break 9:30 – 10:30 Focused Breakout Sessions •Breakout A – Teaching the Next Generation: Precepting and Teaching During House Calls Rebecca E. Conant, MD; Jennifer Hayashi, MD; Robert L. Jayes, MD; Robert M. Kaiser, MD, MHSc, FACP •Breakout B – Clinical Topics Geriatric Pharmacology – Practical Pearls Thomas Parker, MD 10:30 – 10:45 10:45 – 11:30 11:30 – 12:20 12:30 – 1:30 1:30 – 2:20 2:20 – 2:30 2:30 – 4:00 4:00 – 4:15 Clinical Needs of Assisted Living Residents William R. Mills, MD Break Academy Annual Meeting, Annual Report & Awards Keynote Address: Why Coordinated Care Matters to Patients and Families Jonathan Rauch Lunch & Exhibits Focused Breakout Sessions •Breakout A – Hospital at Home: The Clinically Home Approach Richard R. Rakowski •Breakout B – Home Care Policy & Management: Washington Legislative and Policy Update Home Care Agency Perspective Mara Benner; Kelly Jalowiec, RN Break Moderated Panel Discussion: New Care Models and their Intersection with Home Care Medicine, How Academy Members Capitalize on the Transitional Care, Hospital Readmission Reduction, Medical Home and Other Care Management Models John Mach, MD; Allen Dobson, MD; Brad Stuart, MD; James C. Pyles, JD; D. Yale Sage President’s Closing Remarks Bruce A. Leff, MD 15 Schedule-at-a-Glance AGS 2012 SCHEDULE-AT-A-GLANCE *Unless otherwise noted, all sessions will take place in the Convention Center WEDNESDAY, MAY 2, 2012 Time Session Room Track Page 6:45 A.m. – 1:00 P.m. Fellowship Directors Pre-Conference Session (additional fee) 4C 1/2 Education 22 9:00 A.m. – 12:00 P.m. Healthcare Changes Reach Main Street: QIOs and Hospital CEOs Need Geriatrics Healthcare Professionals 611/612 Clinical Practice 22 PRE-CONFERENCE SESSIONS (additional fee) 1:00 P.m. – 5:30 P.m. Increasing Practice Opportunities: Co-managed Care of the Geriatric Fracture Patient 606/607 Clinical Practice 23 1:00 P.m. – 5:30 P.m. Share the Care of Older Adults: Providing Quality Palliative Care Across the Continuum 4C 3/4 Clinical Practice 23 1:00 P.m. – 5:30 P.m. ABIM Maintenance of Certification Learning Session – Updates in Geriatric Medicine 611/612 Professional Development 23 2:00 P.m. – 6:00 P.m. Leadership Development Boot Camp 4C 1/2 Professional Development 24 5:45 P.m. – 7:00 P.m. RECEPTIONS New Members & New AGS Fellows Reception Sheraton Hotel: Cedar A/B Networking 24 International Attendee Reception & Poster Session 4 A/B Networking 24 COSAR Reception Sheraton Hotel: Juniper Networking 24 THURSDAY, MAY 3, 2012 7:00 A.m. – 9:00 A.m. SECTIONS Fellows-In-Training Breakfast Sheraton Hotel: Cirrus Ballroom Networking 25 Nurses Breakfast Sheraton Hotel: Aspen Networking 25 Pharmacists Breakfast Sheraton Hotel: Cedar A Networking 25 Social Workers Breakfast Sheraton Hotel: Cedar B Networking 25 Aging and Money: Geriatric Assessment and Preventing Financial Exploitation 6A Clinical Practice 25 Fall Prevention in Hospitals: Implementing Tailored Fall Prevention Interventions Using an Interdisciplinary Approach 6E Clinical Practice 26 Enhancing Quality and Safety in Acute Care through Partnerships with Hospitalists 4C 3/4 Models of Care 26 7:30 A.m. – 9:00 A.m. CLINICAL DECISION-MAKING PAPER SESSION 616/617 Research 26 7:30 A.m. – 9:00 A.m. WORKSHOPS Don’t Get Lost in Translation- A Practical Approach to Cultural Competency 608/609 Ethnogeriatrics 27 Model Geriatric Programs: Geriatric Education Materials and Methods Swap 3A/B Education 27 7:30 A.m. – 9:00 A.m. 16 SYMPOSIA Schedule-at-a-Glance Time Session Room Track 7:30 A.m. – 9:00 A.m., continued Time Management: How to be a Happier and More Productive Geriatrics Clinician-Researcher 606/607 Research 27 7:30 A.m. – 9:00 A.m. MEET-THE-EXPERT 613 Clinical Practice 28 International Activities 620 Networking 28 Palliative Care 614 Networking 28 Veterans Health Administration 611/612 Networking 28 CPT Coding: Basic Principles and Practice 7:30 A.m. – 9:00 A.m. Page SPECIAL INTEREST GROUPS PLENARIES 9:15 A.m. – 10:00 A.m. AGS Members Meeting 6 B/C 28 10:00 A.m. – 11:00 A.m. Henderson State-of-the-Art Lecture 6 B/C Clinical Practice 28 11:00 A.m. –12:00 P.m. Plenary Paper Session 6 B/C Research 29 12:00 P.m.– 1:30 P.m. Poster Session A Exhibit Hall, 4 A/B Research 29 12:00 P.m.– 4:30 P.m. Clinical Skills Workshops Exhibit Hall, 4 A/B Clinical Practice 29 12:00 P.m.– 4:30 P.m. The Third T. Franklin Williams Scholars Alumni Meeting and Medical Subspecialties Section Meeting Sheraton Hotel: Cedar Networking 29 1:00 P.m. – 2:30 P.m. SYMPOSIA Best Practices to Manage Behavioral Manifestations of Dementia: Addressing the Overuse of Antipsychotics 6A Clinical Practice 29 Neurological Gait Disorders in Older Adults 6E Clinical Practice 30 Patient Safety Across the Care Continuum: AHRQ Tools and Research 4C 3/4 Models of Care 30 Scholarship Skills Boot Camp – Part I 3 A/B Education 31 1:00 P.m. – 4:00 P.m. Geriatric SimWars 608/609 Clinical Practice 31 1:00 P.m. – 2:30 P.m. MODELS OF GERIATRIC CARE PAPER SESSION 616/617 Research 31 1:00 P.m. – 2:30 P.m. MEET-THE-EXPERT 613 Research 32 Cancer and Aging 614 Networking 32 Healthcare for Low-Income Seniors 620 Networking 32 Private Practice Providers in Geriatrics 615 Networking 32 2:30 P.m. – 4:30 P.m. ADGAP Business Meeting 618/619 2:45 P.m. – 4:15 P.m. SYMPOSIA NIA Symposium for Senior Researchers – What is New on the Horizon? 1:00 P.m. – 2:30 P.m. SPECIAL INTEREST GROUPS 33 Do Neurohormonal Antagonists Improve Outcomes 6A in Diastolic Heart Failure? Insights from Propensity Matched Studies of Medicare-Linked OPTIMIZE-HF Clinical Practice 33 Medication Safety: Patient and Systems Levels Approaches to Reduce Medication Errors and Adverse Drug Reactions 6E Clinical Practice 33 Getting to Know the National Institute on Aging: A Symposium for Go-Getters in Aging Research 4C 3/4 Research 34 17 Schedule-at-a-Glance Time Session Room Track 2:45 P.m. – 4:15 P.m., continued Data Sanity — Quality Improvement in the Nursing Home Using Statistical Process Control 606/607 Models of Care 34 2:45 P.m. – 4:15 P.m. WORKSHOPS Aging and HIV:AGS / AAHIVM Consensus Panel Treatment Strategies 616/617 Clinical Practice 35 Facebook, Blogs, and Twitter: Using Social Media to Advance Geriatrics 4C 1/2 Education 35 613 Education 35 615 Networking 35 DOs in Geriatrics 614 Networking 36 Needs of Older Gay and Lesbian, Bisexual and Transgender Persons 620 Networking 36 4:30 P.m. – 6:00 P.m. Presidential Poster Session B Exhibit Hall: 4 A/B Research 36 6:00 P.m. – 7:00 P.m. Poster Walking Tour on Communication Strategies Exhibit Hall: 4 A/B Research 36 6:30 P.m. – 8:00 P.m. SPECIAL INTEREST GROUPS SGIM 614 Networking 36 Book Club 613 Networking 36 2:45 P.m. – 4:15 P.m. MEET-THE-EXPERT Crafting and Writing Your Educational Projects for Publication 2:45 P.m. – 4:15 P.m. SECTION Physical Therapist and Rehabilitation Specialist 2:45 P.m. – 4:15 P.m. 7:00 – 8:00 P.m. Page SPECIAL INTEREST GROUPS & SECTIONS FRIDAY, MAY 4, 2012 7:30 A.m. – 9:00 A.m. SYMPOSIA Are Men Really from Mars? The Challenge of Preventing Falls and Fractures in Older Men 6A Clinical Practice 37 Meeting the Oral Health Needs of Vulnerable Older Adults — Geriatric Dentistry, Special Care Dentistry, and Models of Oral Health Care 6E Clinical Practice 37 Acute Care for Elders (ACE) as a Geriatrics Safety and Quality Improvement Program 4C 3/4 Models of Care 37 7:30 A.m. – 9:00 A.m. GERIATRIC BIOSCIENCE PAPER SESSION 616/617 Research 38 7:30 A.m. – 9:00 A.m. WORKSHOPS Model Geriatric Programs: Geriatric Education Materials and Methods Swap 3 A/B Education 39 Caring for our Complex Patients: a VA GRECC Symposium about Integrating Health Care with Health Information Technology Innovations 606/607 Research 39 Clinical Practice 40 7:30 A.m. – 9:00 A.m. MEET THE EXPERT Current and Emerging Wireless Healthcare 613 Technologies: Building the Wireless Health Network 7:30 A.m. – 9:00 A.m. 18 SPECIAL INTEREST GROUPS E-Learning 615 Networking 40 Ethnogeriatrics 620 Networking 40 Junior Faculty Research Career Development 614 Networking 40 Schedule-at-a-Glance Time Session Room Track Page PLENARIES 9:15 A.m. – 10:00 A.m. AGS Awards Ceremony 6 B/C 10:00 A.m. – 10:45 A.m. Outstanding Scientific Achievement for Clinical Investigation Award Presentation and Lecture 6 B/C Research 41 10:45 A.m. – 11:00 A.m. AGS Washington Update 6 B/C Public Policy 41 11:00 A.m.–12:00 P.m. Public Policy Lecture 6 B/C Public Policy 41 12:00 P.m. –1:30 P.m. Poster Session C Exhibit Hall: 4 A/B Research 42 12:00 P.m. – 4:30 P.m. Clinical Skills Workshops Exhibit Hall: 4 A/B Clinical Practice 42 12:30 P.m. – 2:00 P.m. SYMPOSIA Assessing the Safety of Older Drivers: Screening and Assessment, Rehabilitation and Community Stakeholders 6A Clinical Practice 42 Geriatric Psychiatry Updates 6E Clinical Practice 42 Scholarship Skills Boot Camp – Part II 3 A/B Education 42 Pre-Clinical Testing for Alzheimer’s Disease 608/609 Clinical Practice 43 CLINICAL INTERVENTIONS PAPER SESSION 616/617 Research 43 Screening and Preventive Care in Older AdultsOptimizing Quality by Individualizing Decisions 4C 3/4 Clinical Practice 44 Reducing Hospital Readmissions and All-Cause Harm 606/607 Models of Care 44 Acute Hospital Care 620 Networking 44 Care Transitions 613 Networking 44 Family Physicians in Geriatrics 615 Networking 45 Hospital Elder Life Program (HELP) 614 Networking 45 Simpler but Safe? New Oral Anticoagulant Therapies versus Warfarin to Reduce Stroke Risk in Older Atrial Fibrillation Patients 6A Clinical Practice 45 Improving the Quality of Care of Gravely Ill Older Patients: Re-Imagining Care at the Boundary 6E Ethics 45 Partnerships to Enhance Research Related to the Care of Older Adults 611/612 Research 46 New Frontiers in Geriatrics: The Jahnigen and Williams Awardees Report on Research Leading to Improved Care by Surgical and Medical Subspecialists 618/619 Research 46 When Patients Insist on Going Home: How to Best Care for Challenging Patients 4C 3/4 Clinical Practice/ Ethnogeriatrics 47 Pearls on Publishing 606/607 Research 46 608/609 Clinical Practice 47 12:30 P.m. – 2:00 P.m. 12:30 P.m. – 2:00 P.m. 2:15 P.m. – 3:45 P.m. 2:15 P.m. – 3:45 P.m. 41 WORKSHOPS SPECIAL INTEREST GROUPS SYMPOSIA WORKSHOP MEET-THE-EXPERT Clinical Challenges in Dementia Management 19 Schedule-at-a-Glance Time Session Room Track 2:15 P.m. – 3:45 P.m. SECTION MEETING 3 A/B Networking 47 Disaster Planning and Preparedness 614 Networking 48 PACE 615 Networking 48 Polypharmacy 613 Networking 48 Wound Prevention and Management 620 Networking 48 3:00 P.m. – 4:30 P.m. Poster Session D Exhibit Hall, 4 A/B Research 48 3:45 P.m. Coffee Break Exhibit Hall Networking 48 4:30 P.m. – 6:00 P.m. PLENARY 6 B/C Clinical Practice 48 Clinical Research in Dementia 613 Networking 49 Elder Abuse and Neglect 620 Networking 49 Interprofessional Education and Practice in Geriatrics 615 Networking 49 Students 614 Networking 49 Residents Welcome Session 3 A/B Networking 49 Sheraton Hotel: Grand Ballroom Clinical Practice 50 6 B/C Clinical Practice 50 6 B/C Clinical Practice 51 Clinical Practice 51 Teachers Networking Section 2:15 P.m. – 3:45 P.m. SPECIAL INTEREST GROUP AGS Updated Beers Criteria for Potentially Inappropriate Medication Use in Older Adults 6:30 P.m. – 8:00 P.m. 7:00 P.m. – 8:00 P.m. Page SPECIAL INTEREST GROUPS SATURDAY, MAY 5, 2012 7:00 A.m. – 12:30 P.m. Section for Enhancing Geriatric Understanding and Expertise among Surgical and Medical Specialists (SEGUE) Program 7:30 A.m.–9:00 A.m. PLENARY Geriatrics Literature Update: 2012 9:00 A.m.-10:30 A.m. PLENARY Guiding Principles for the Care of Older Adults with Multimorbidity: An Approach for Clinicians 10:45 A.m. – 12:15 P.m. State-of-the-Art Clinical Updates Session – Part 1 6A 10:45 A.m. – 12:15 P.m. SYMPOSIA Controversies in Drug Treatment of Alzheimer's Disease: What is Meaningful Benefit? 6E Clinical Practice 51 Update in Smart Home Technologies: “Getting Smarter as We Age” 4C 3/4 Clinical Practice 52 Gold Mine or Mine Field: Practical Issues for Investigators Choosing and Using Secondary Data 608/609 Research 52 10:45 A.m. – 12:15 P.m. EPIDEMIOLOGY PAPER SESSION 616/617 Research 52 10:45 A.m. – 12:15 P.m. WORKSHOPS Model Geriatric Programs: Geriatric Education Materials and Methods Swap 3 A/B Education 53 Coding and Reimbursement: Stump the Professor 606/607 Clinical Practice 53 20 Schedule-at-a-Glance Time Session Room Track 10:45 A.m. – 12:15 P.m. SPECIAL INTEREST GROUPS Page Geriatric Consultative Services 620 Networking 53 Information Technology Issues 613 Networking 53 Long Term Care 615 Networking 54 Osteoporosis and Metabolic Bone Disease 614 Networking 54 11:00 A.m. – 12:30 P.m. Resident & Other Postgraduate Trainee/Student Poster Sessions Exhibit Hall, 4 A/B Research 54 12:30 P.m. – 2:00 P.m. Residents Lunch & Special Interest Group 4C 1/2 Networking 54 12:30 P.m. – 2:00 P.m. Student Poster Session Lunch 4 A/B Networking 54 12:30 P.m. – 2:00 P.m. State-of-the-Art Clinical Updates Session – Part 2 6A Clinical Practice 54 12:30 P.m. – 2:00 P.m. SYMPOSIA Effective Care Transitions and Models to Decrease Hospital Re-Admissions: The Call for Geriatric Leadership 6E Models of Care 55 Survival, Decision-making and Palliative Care Options for End-stage Kidney Disease 4C 3/4 Clinical Practice 55 12:30 P.m. – 2:00 P.m. GERIATRIC EDUCATION PAPER SESSION 616/617 Research 55 12:30 P.m. – 2:00 P.m. WORKSHOPS Educational Product Development Peer Review Workshop 3 A/B Education 56 Cancer in Long Term Care 606/607 Clinical Practice 56 Genetics of Longevity 611/612 Research 56 Hearing Impairment: Strategies to Promote Safety and Quality of Care 608/609 Clinical Practice 57 12:30 P.m. – 2:00 P.m. 2:15 P.m. – 3:45 P.m. 57 SPECIAL INTEREST GROUP & SECTION MEETINGS Medical Humanities 613 Networking 57 Physician Assistants Luncheon 304 Networking 57 Pharmacotherapy Update: 2012 6A Clinical Practice 57 H.E.L.P. to Prevent Hospital Complications 6E Models of Care 58 Feeding Tube Use in Persons with Advanced Dementia: Where are We Now? 606/607 Clinical Practice 58 AGS Expert Panel Recommendations for Vitamin D 608/609 to Reduce Falls and Injuries in Older Adults Clinical Practice 58 616/617 Research 59 4C 3/4 Education 59 SYMPOSIA 2:15 P.m. – 3:45 P.m. HEALTH SERVICES & POLICY RESEARCH PAPER SESSION 2:15 P.m. – 3:45 P.m. WORKSHOP Competency Certification in Cognitive and Behavioral Disorders for Medical Students, Residents, and Other Health Care Practitioners 21 Schedule—Wednesday, May 2, 2012 WEDNESDAY, MAY 2, 2012 PRE-CONFERENCE SESSIONS 6:45 a.m. – 1:00 p.m. 9:00 A.m. – 12:00 P.m. FELLOWSHIP DIRECTORS PRE‑CONFERENCE SESSION HEALTHCARE CHANGES REACH MAIN STREET: QIOS AND HOSPITAL CEOS NEED GERIATRICS HEALTHCARE PROFESSIONALS Additional fee session: $75 Room: 4C 1/2 CME/CE Credit: 4Track: Education Moderator: Susan M. Parks, MD, Thomas Jefferson University Developed by the Association of Directors of Geriatric Academic Programs (ADGAP) and the Teachers Section The role of the geriatrics fellowship director is complex and involves a variety of activities and responsibilities. This session will present practical instruction for both new and seasoned fellowship directors. Learning objectives: (1) describe ACGME fellowship program requirements; (2) discuss the revised RRC requirements; and; (3) discuss challenging fellowship training issues with colleagues. 6:45 A.m. Breakfast available for all preconference participants 7:00 A.m. Peer Networking 7:30 A.m. Nuts and Bolts of Being a Fellowship Director 8:00 A.m. Update on the ACGME Fellowship Program Requirements: Perspectives from the Family Medicine and Internal Medicine RRCs Peter J. Carek, MD, MS RRC-FM, Chair Lynne M. Kirk, MD, RRC-IM, Representative 9:50 A.m. Round Table Discussions I (Topics will include: ACGME Survey; Recruitment; Keeping it Fresh- Avoiding Burnout; Technology — Bandwidth, Geripal, POGOe, Online Journal Club) Facilitators: Steven Barczi, MD; Amy M. Corcoran, MD, CMD; Amy R. Ehrlich, MD; Susan M. Parks, MD; Vivyenne M. Roche, MD; Eric W. Widera, MD 10:50 A.m. Break 11:00 A.m. Round Table Discussions II (see above) 12:00 P.m. ADGAP Fellowship Program Directors Business Meeting Susan M. Parks, MD, Chair Room: 611/612 Track: Professional Development Developed by the Council of State Affiliate Representatives (COSAR) Co-Moderators: James S. Powers, MD, Vanderbilt University, Co-Chair, COSAR & Jeffrey E. Escher, MD, New York College of Medicine, Co-Chair, COSAR This year’s AGS Council of State Affiliate Representatives Leadership Development Session will focus on how geriatricians and other geriatrics professionals can be engaged in responding to the roll-out of the Affordable Care Act in their communities, and through this engagement assume leadership roles in local hospitals, healthcare organizations, and medical societies to advance quality improvement and new models of care for older adults. Geriatrics healthcare professionals have led the way in areas such as care coordination, care transitions, efforts to reduce hospital readmissions, the patient-centered medical home, working in interdisciplinary teams, and other approaches that support new national initiatives to improve care quality and reduce unnecessary healthcare costs. Don’t miss this important opportunity to learn techniques to utilize your expertise to frame questions and positively influence healthcare decisionmakers at the local level. Learning objectives: (1) review current patient safety and quality initiatives; (2) review successful approaches to care transitions; (3) describe ways that geriatrics healthcare professionals can offer added value to hospitals and health systems in our current payment environment, through improving transitional care and other approaches to care that employ geriatrics principles. Local Leadership Opportunities in Care Safety and Quality Improvement Programs Adrienne Mims MD, MPH, Alliant-Georgia Medical Care Foundation Leadership Roles for Geriatrics Healthcare Professionals in Transitions of Care for Older Adults Kyle Allen, MD, Riverside Health System How New Medicare Changes Impact Care Delivery and Quality for Older Adults Ariel A. González, Esq., AARP Opportunities for Geriatrics Healthcare Professionals in Advancing Medicare and Medicaid Innovations Paul McGann, MD, Center for Medicare and Medicaid Innovation Panelist Q&A 22 Schedule—Wednesday, May 2, 2012 1:00 – 5:30 P.m. 1:00 – 5:30 P.m. INCREASING PRACTICE OPPORTUNITIES: CO-MANAGED CARE OF THE GERIATRIC FRACTURE PATIENT SHARE THE CARE OF OLDER ADULTS: PROVIDING QUALITY PALLIATIVE CARE ACROSS THE CONTINUUM Additional fee session: $95 Room: 606/607 CME/CE Credit: 4Track: Clinical Practice Developed by the Acute Hospital Care Special Interest Group Moderator: Daniel A. Mendelson, MS, MD, FACP, AGSF, University of Rochester This course addresses areas where medical providers have self-identified a need to improve including initial diagnosis and management, medical comanagement, anesthetic considerations, balancing risks, designing a system of care, and matching care to the patient’s goals for elders with fragility fractures. Learning objectives: (1) construct, implement, and measure a system of interdisciplinary care for older adults with fragility fractures; (2) perform comanaged care including facilitating communication and managing transitions in care of fragility fractures; (3) assess and manage secondary prevention including understanding the basic biology of aging and how this affects bone health and metabolism and the importance of recognizing and managing complications; and (4) describe the importance of early surgery and weight bearing and facilitate early optimization and restoration of function. Fragility Fractures for Geriatrics Providers Simon C. Mears, MD, PhD, Johns Hopkins University Principles of Comanagement Daniel A. Mendelson, MS, MD, FACP, AGSF, University of Rochester Anesthesia and Pain Management of the Fragility Fracture Patient Frederick E. Sieber, MD, Johns Hopkins University Managing Comorbidity and Risk Joseph A. Nicholas, MD, MPH, University of Rochester Post-operative Medical Management and Secondary Prevention in the Fragility Fracture Patient Robert M. McCann, MD, FACP, AGSF, University of Rochester Outcomes in Geriatric Fracture Management Susan M. Friedman, MD, MPH, AGSF, University of Rochester Implementing a Geriatric Fracture Center and Lean Processes Stephen L. Kates, MD, University of Rochester Interactive Case Discussions Additional fee session: $95 Room: 4C 3/4 CME/CE Credit: 4Track: Clinical Practice Developed by the AGS Education and Ethnogeriatrics Committees in collaboration with the American Academy of Hospice and Palliative Medicine (AAHPM) Moderator: VJ Periyakoil, MD, Stanford University Nationally renowned experts from a variety of venues (ICU, acute care, long term care and psychiatric care) identify the opportunities and challenges inherent in integrating palliative care into the care of seriously ill older adults and offer practical tips to improve quality of care. Learning objectives: (1) discuss how to integrate palliative care into care across a variety of venues; (2) describe barriers inherent in this process; and (3) utilize practical tips to improve the quality of care across a variety of venues. Intensive Care of the Seriously Ill Older Adult Erin K. Kross, MD, University of Washington Acute Care of the Seriously Ill Older Adult Roger W. Bush MD, Virginia Mason Medical Center Nursing Home Care of the Seriously Ill Older Adult Laura C. Hanson, MD, MPH, University of North Carolina Chapel Hill Psychiatric Care of the Seriously Ill Older Adult Scott Irwin, MD, The Institute for Palliative Medicine at San Diego Hospice Home Hospice Care of the Seriously Ill Older Adult VJ Periyakoil, MD, Stanford University 1:00 – 5:30 P.m. ABIM MAINTENANCE OF CERTIFICATION LEARNING SESSION: 2010 & 2011 UPDATES IN GERIATRIC MEDICINE Additional fee session: $105 Room: 611/612 CME/CE Credit: 4Track: Clinical Practice Co-Moderators: Gail M. Sullivan, MD, MPH, University of Connecticut School of Medicine & Hollis D. Day, MD, MS, University of Pittsburgh School of Medicine This live, self-study session is intended to help physicians complete the American Board of Internal Medicine (ABIM) Self-Evaluation of Medical Knowledge modules through group discussion. This session will cover the 2010 and 2011 Update modules in Geriatric Medicine. Each of the two Update 23 Schedule—Wednesday, May 2, 2012 modules contains 25 multiple-choice questions and qualifies for 10 Maintenance of Certification points in the Self-Evaluation of Medical Knowledge category. Learning objectives: (1) recognize useful question-answering strategies; and (2) complete two modules toward fulfillment of ABIM’s Maintenance of Certification requirements. 2:00 – 6:00 P.m. LEADERSHIP DEVELOPMENT BOOT CAMP Additional fee session: $95 Room: 4C 1/2 CME/CE Credit: 4Track: Professional Development Moderator: Mitchell T. Heflin, MD, MHS, Duke University Medical Center This course is designed for junior and mid-level faculty as they prepare to assume leadership positions at academic institutions. Participants will develop conflict resolution and negotiation skills, and effectively advocate the value of their programs, and build their confidence as a leader. Learning formats include large-group presentations, interactive exercises, and discussion in large and small groups. Learning objectives: (1) evaluate personal leadership strengths and weaknesses and apply them to everyday leadership and management challenges; (2) develop strategies to successfully find a work-life balance; (3) improve time management, communication, team building, and negotiation skills; (4) utilize strategies to achieve academic achievement and promotion. 2:00 – 3:00 p.m. Plenary Session: Defining Success in Academic Careers in Geriatrics David B. Reuben, MD, University of California, Los Angeles 3:10 – 4:10 p.m. Surviving: Balance and Fulfillment Facilitators: Colleen Christmas, MD, Johns Hopkins University; Laurence M. Solberg, MD, AGSF, Vanderbilt University •Work-life Balance G. Paul Eleazer, MD, Veterans Health Administration •Work-Work Balance aka Time Management Lynn McNicoll, MD, FRCPC, Warren Alpert Medical School of Brown University •Communication and Team Building Cherie P. Brunker, MD, FACP, University of Utah School of Medicine •Negotiation Harvey Jay Cohen, MD, Duke University 4:15 – 5:15 p.m. Thriving: Academic Achievement and Promotion Facilitators: Mitchell T. Heflin, MD, MHS, Duke University Medical Center 24 5:30 – 6:00 p.m. and Heather E. Whitson, MD, MHS, Duke University Medical Center •Goal Setting Mark A. Supiano, MD, University of Utah •Mentoring: Giving and Getting Sharon A. Levine, MD, Boston University School of Medicine •Promotion: Fostering Relationship Outside Your Institution G. Michael Harper, MD, San Francisco VA Medical Center •Messaging/Branding/Self-promotion Rosanne M. Leipzig, MD, PhD, Mount Sinai School of Medicine Wrap-up RECEPTIONS 5:45 – 7:00 P.m. NEW AGS MEMBERS AND NEW AGS FELLOWS RECEPTION Room: Sheraton Hotel: Cedar A/B Track: Networking New members and AGS Fellows will be welcomed by AGS Board members and leaders at this special reception. Come and ask questions about AGS programs and learn how you can get the most from the meeting and your membership. 5:45 – 7:00 P.m. INTERNATIONAL ATTENDEE RECEPTION AND POSTER SESSION Room: 4 A/B Track: Networking Join AGS leaders at this networking session for international members and meeting attendees. This session will feature posters focusing on clinical and educational geriatrics programs in the poster presenter’s country/region. 5:45 – 7:00 P.m. COUNCIL OF STATE AFFILIATE REPRESENTATIVES (COSAR) RECEPTION Room: Sheraton Hotel: Juniper Track: Networking Join leaders from the Council of State Affiliate Representatives at this special networking reception. THURSDAY, MAYSchedule—Thursday, 3 SECTION MEETINGS 7:00 – 9:00 A.m. FELLOWS-IN-TRAINING BREAKFAST Room: Sheraton Hotel: Cirrus Ballroom Track: Networking Chair: Susan Nathan, MD Supported in part by a donation from the Cleveland Clinic The annual Fellows-in-Training Breakfast provides attendees an opportunity to meet with leaders in geriatrics on a variety of topics such as job selection and balancing your personal and professional life. 7:00 – 9:00 A.m. 7:00 – 9:00 A.m. SOCIAL WORKERS BREAKFAST Room: Sheraton Hotel: Cedar B Track: Networking Chair: Irene Moore, MSW, LISW Professional social workers and social work students in geriatrics are invited to join AGS leaders at the Social Workers Breakfast Meeting and Lecture. Lynn Friss Feinberg, Senior Strategic Policy Advisor, Independent Living/Long-Term Care, AARP Public Policy Institute and Nancy Hooyman, Professor of Gerontology, Co-PI, CSWE National Center for Gerontological Social Work Education,University of Washington School of Social Work will present on “How Social Workers Can Better Support Family Caregivers.” SYMPOSIA NURSES BREAKFAST Room: Sheraton Hotel: Aspen Track: Networking Chair: Mary Jane (MJ) Henderson, MS, RN, GNP-BC Join other Nurses, Nursing Students, and AGS Leaders at this special Nurses Section Breakfast. The Nurses breakfast provides a forum for networking and discussion of opportunities for involvement in interdisciplinary and leadership roles within AGS as well as opportunities in the field of Gerontological Nursing. Donna M. Fick, PhD, GCNS-BC, Co-Chair of the AGS 2012 Beers Criteria Update Expert Panel and Kathryn Daniel, MS, APRN-BC, ANP, GNP, Member, AGS Panel on the Clinical Management of People with Multiple Morbidities, will briefly present their work on the above AGS projects. Following that, Barbara Resnick, PhD, CRNP, AGS President and Keela A. Herr, PhD, RN, AGS Secretary, will provide some examples of ways nurses can take leadership roles within AGS. 7:00 – 9:00 A.m. PHARMACISTS BREAKFAST Room: Sheraton Hotel: Cedar A Track: Networking Chair: Todd P. Semla, MS, PharmD Pharmacists who attend AGS Annual Scientific Meetings come from academia, university or community hospitals, clinics, longterm care facilities, industry, and professional organizations. All are dedicated to improving pharmacotherapy for older adults. This networking session offers a setting to learn about the AGS, how you can get involved, and to develop programs for future meetings. May 3 7:30 – 9:00 A.m. AGING AND MONEY: GERIATRIC ASSESSMENT AND PREVENTING FINANCIAL EXPLOITATION Developed by the Elder Abuse Special Interest Group and the Ethics Committee Room: 6A CME/CE Credit: 1.5Track: Clinical Practice Moderator: Ronan M. Factora, MD, Cleveland Clinic The purpose of this symposium is to increase recognition of risk factors for financial exploitation in the clinical setting utilizing already accepted standards for geriatric assessment; improve the quality of documentation of these risk factors; and realize the benefits of implementing such standards of documentation in the investigation and prosecution of cases of financial exploitation. Learning objectives: (1) recognize risk factors and clinical clues associated with financial exploitation; (2) integrate identification of such indicators of abuse into the geriatric assessment; (3) perform an assessment of an individuals’ financial decision making capacity when appropriate; and (4) realize the value of a quality assessment and documentation in the legal investigation of financial exploitation. Preventing Elder Investment Fraud: Assessing for Vulnerability to Financial Exploitation Robert E. Roush, EdD, MPH, Huffington Center on Aging Aanand D. Naik, MD, Michael E DeBakey VAMC Elder Financial Exploitation: A Prosecutor’s Perspective Page B. Ulrey, JD, King County Prosecutor’s Office 25 Schedule—Thursday, May 3 7:30 – 9:00 A.m. FALL PREVENTION IN HOSPITALS: IMPLEMENTING TAILORED FALL PREVENTION INTERVENTIONS USING AN INTERDISCIPLINARY APPROACH Room: 6E CME/CE Credit: 1.5Track: Clinical Practice Moderator: Elizabeth A. Phelan, MD, MS, University of Washington This symposium will focus on implementing innovative, evidence-based approaches to fall prevention in hospital settings. Learning objectives: (1) describe what factors contribute to falls in the inpatient setting; (2) name at least two structured assessment tools that can be used to assess a patient’s risk of falling while hospitalized; (3) explain the rationale for an interdisciplinary team approach to implementing fall prevention in the hospital; and (4) describe the importance of implementing interventions targeting patient-specific risk factors for all patients determined to be at risk for falling while hospitalized. partnerships with Geriatric Nurse Practitioners and Resource Nurses by combining two geriatric care models (NICHE and BOOST) to improve clinical outcomes. New Twists on the ACE Unit: A Hospitalist-run ACE Unit as a Model for a Hospital Quality Improvement Program Lisa K. Price, MD, University of Colorado Delivering Geriatric-appropriate Care to all Hospitalized Patients Melissa L.P. Mattison, MD, SFHM, Harvard Medical School Teaching Geriatric Principles to Hospitalists Paula M. Podrazik, MD, University of Arkansas The NICHE-BOOST Project: Fostering Partnerships between Nurses and Hospitalists Elizabeth Capezuti, PhD, RN, New York University College of Nursing PAPER SESSION 7:30 – 9:00 A.m. CLINICAL DECISION-MAKING Fall TIPS (Tailoring Interventions for Patient Safety) Patricia C. Dykes, DNSc, RN, FAAN, Brigham & Women’s Hospital Room: 616/617 CME/CE Credit: 1.5Track: Research A Team Approach to Preventing Falls in Hospitalized Persons: Experience of a Public Safety-Net Hospital Alexandra Papaioannou, BScN, MD, MSc, McMaster University Co-Moderators: Sandra Sanchez-Reilly, MD, University of Texas Health Science Center at San Antonio & Elizabeth K. Vig, MD, MPH, University of Washington This session presents the latest peer-reviewed research focused on clinical-decision-making with questions and answers to follow. Learning objective: (1) discuss new and original research related to clinical decision-making. Fall Prevention Interventions: Implementing Evidence-based Interventions that Target Patient-Specific Fall Risk Factors Marita G. Titler, PhD, FAAN, University of Michigan 7:30 – 9:00 A.m. ENHANCING QUALITY AND SAFETY IN ACUTE CARE THROUGH PARTNERSHIPS WITH HOSPITALISTS Room: 4C 3/4 CME/CE Credit: 1.5Track: Models of Care Moderator: Heidi L. Wald, MD, MSPH, University of Colorado The session explores the intersection of geriatric medicine and hospital medicine, highlighting collaborative partnerships to provide safe and effective care to the acutely ill older patient. Learning objectives: (1) discuss how modifications of the ACE unit model can be implemented in diverse settings with limited resources to leverage the expertise of both geriatricians and hospitalists and improve quality and patient safety; (2) identify opportunities to identify all hospitalized frail elders for targeted patient safety and quality improvement initiatives; (3) employ educational programs to train hospitalists in geriatric principles and improve geriatric teaching; and (4) engage hospitalists in 26 Developed by the Research Committee p1 — Lagtime to Benefit for Colorectal Cancer Screening: A Survival Meta-Analysis Sei J. Lee, MD, University of California, San Francisco p2 — Preferences for Deactivation of Implantable Cardioverter Defibrillators in the Setting of Advanced Illness John A. Dodson, MD, Yale University School of Medicine p3 — Self-rated Health and Walking Ability Predict 10-year Mortality in Older Women with Breast Cancer Jessica A. Eng, MD, Boston Medical Center p4 — Relationship between Components of the Comprehensive Geriatric Assessment (CGA), Chemotherapy Dose Intensity and Overall Survival in a Colorectal Cancer (CRC) Cohort Age 65 and Over Erika Ramsdale, MD, University of Chicago Medical Center Schedule—Thursday, May 3 p5 — Preparing for Decision Making Beyond Advance Directives: Perspectives from Patients and Surrogates Rebecca L. Sudore, MD, University of California, San Francisco p6 — CRASH: A Brief Screening Tool to Identify High-Risk Older Drivers Marian E. Betz, MD, MPH, University of Colorado School of Medicine WORKSHOPS 7:30 – 9:00 A.m. DON’T GET LOST IN TRANSLATIONA PRACTICAL APPROACH TO CULTURAL COMPETENCY Room: 608/609 CME/CE Credit: 1.5Track: Ethnogeriatrics Developed by the Ethnogeriatrics and Clinical Practice & Models of Care Committees Moderator: Vivyenne M. Roche, MD, UT Southwestern at Dallas This workshop focuses on how cultural competency contributes to safe and effective care for frail ethnically diverse elderly patients. Learning objectives: (1) describe cultural competency at a micro and macro level; (2) review and practice strategies to determine the cultural backgrounds of health providers, interdisciplinary team members, patients and caregivers and their impact on clinical care; (3) identify and examine cultural factors that impact chronic disease management including health disparities, demographics, etiologies, evaluation and disease management; and (4) recognize and reduce barriers to optimal care: effective use of a medical interpreter and the calendar year. “Lost in Translation”-Cultural Competency from a Microand Macro-Perspective Vivyenne M. Roche, MD, UT Southwestern at Dallas Ethnogeriatrics Issues in Research M. Jane Mohler, MSN, MPH, PhD, FNP, University of Arizona Cultural Issues in Dementia Care Timothy Howell, MD, MA, University of Wisconsin Madison Somos los Cuidadoras – We are the Care Givers Suzanna M. Waters Castillo, PhD, MSSW, University of Wisconsin Madison Ethnogeriatric Issues with Chronic Illness Cynthia X. Pan, MD, AGSF, FACP, New York Hospitals-Queens The Optimal Use of the Medical Interpreter Carmel B. Dyer, MD, University of Texas How Cultural Dates May Positively and Negatively Affect Clinical Care Vivyenne M. Roche, MD, UT Southwestern at Dallas 7:30 – 9:00 A.m. MODEL GERIATRIC PROGRAMS: MEDICAL STUDENT GERIATRIC EDUCATION MATERIALS AND METHODS SWAP Room: 3 A/B CME/CE Credit: 1.5Track: Education Developed by the Teachers Section and sponsored by the Education Committee Moderator: Amit A. Shah, MD, UT Southwestern Medical Center This workshop presents a forum for teachers of geriatrics education to share topics and materials of common interest, such as program development, curriculum, and educational process and research in teaching and evaluation. Learning objective: (1) describe and exchange geriatrics education and teaching materials. Geriatrics and Aging through Transitional Environments (GATE) MS1 Curriculum: Obtaining a Functional History Seema S. Limaye, MD, University of Chicago An Alternative to the Geriatric Physical Diagnosis Lab for Second Year Medical Students Natalie A. Kayani, MD, Summa Health System Teaching Fall Risk Assessment to Medical Students Using Meals on Wheels Swapna V. Chenna, MD, Wake Forest University Geriatrics and Aging through Transitional Environments (GATE) MS2 Curriculum: Introduction to Geriatric Assessments Shellie Nicole Williams, MD, University of Chicago Use of Student-Generated Videos to Teach Geriatrics to Fourth-Year Medical Students Andrew N. Dentino, MD, Texas Tech University Health Sciences Center Inadequate Understanding of Code Status Improved by CaseBased Learning Aroonsiri (June) Sangarlangkarn, MD, MPH, Yale School of Medicine 7:30 – 9:00 A.m. TIME MANAGEMENT: HOW TO BE A HAPPIER AND MORE PRODUCTIVE GERIATRICS CLINICIAN-RESEARCHER Room: 606/607 CME/CE Credit: 1.5Track: Education Developed by the Research Committee Moderator: Wendolyn S. Gozansky, MD, MPH 27 Schedule—Thursday, May 3 Effective time management skills are crucial for success as a clinician-researcher in the field of Geriatrics. In the setting of multiple competing demands, explicit prioritization of goals and tasks is required to achieve professional effectiveness and personal fulfillment. Learning objectives: (1) document where time is currently being spent; (2) describe the central importance of prioritization in time management; and (3) identify specific tools and techniques for improving efficiency. Where Does All the Time Go? Tba Time Management Models Tba Panel Discussion – Time Management Tips and Tricks Tba MEET-THE-EXPERT 7:30 – 9:00 A.m. CPT CODING: BASIC PRINCIPLES AND PRACTICE Room: 613 CME/CE Credit: 1.5Track: Clinical Practice Speaker: Peter Hollmann, MD, Blue Cross & Blue Shield of Rhode Island This session will help the attendee become aware of some potential coding options that are especially relevant to geriatricians. Specific topics that will be addressed include: how coding relates to compliance programs and documentation guidelines, understanding physician and member appeal rights (knowing when to appeal a claims denial, what is a provider appeal vs. a beneficiary appeal) and the role of the Carrier Medical Director. Learning objectives: (1) describe basic coding principles; (2) discuss key Medicare payment rules; and (3) interpret how to relate these to practice management. SPECIAL INTEREST GROUPS “Geriatrics Pedagogy: a tool for improving Quality of Care for older adults across the world- a global Interchange”. 7:30 – 9:00 A.m. PALLIATIVE CARE Room: 614 Track: Networking Co-Chairs: Rachelle Bernacki, MD, MS & Eric W. Widera, MD The Palliative Care SIG promotes awareness of palliative care issues in the Geriatrics community and identifies and builds on synergies that exist between geriatrics and palliative care. 7:30 – 9:00 A.m. VETERANS HEALTH ADMINISTRATION Room: 611/612 Track: Networking Chair: Kenneth Shay, DDS, MS The Special Interest Group consists of AGS members who also devote some or all of their professional activities to the Department of Veterans Affairs. The session will consist of presentations and discussion with top VA leaders in Geriatrics and Extended Care, regarding current and future programming and issues. All interested persons are welcome to attend. PLENARY SESSIONS 9:15 – 10:00 A.m. AGS MEMBERS BUSINESS MEETING Room: 6 B/C Meeting of the AGS membership. Reports on status of AGS, 2011 highlights and introduction of the new President, Board members, and new AGS Fellows. 10:00 – 11:00 A.m. HENDERSON STATE-OFTHE-ART LECTURE INTERNATIONAL ACTIVITIES QUALITY, SAFETY, AND COST: WHAT HEALTH CARE CAN LEARN FROM GERIATRICS Room: 620 Track: Networking Co-Chairs: Liliana Oakes, MD & Neela K. Patel MD, MPH Any member with an interest in the development of international activities within the AGS should attend this meeting. More than 100 million people will be over 60 years old by 2025, the vast majority in the developing world, and this figure is expected to double by 2050, which will lead to increasing demands on health and social-service systems worldwide. A symposium will be held from different countries: Room: 6 B/C CME/CE Credit: 1.0Track: Clinical Practice Speaker: David B. Reuben, MD, University of California, Los Angeles The Henderson lecture will highlight some seminal innovations that have been developed in geriatrics and that can provide solutions for the problems that health care reform needs to solve to be successful. It will also identify strategies that attendees can use to influence health care and bring geriatrics into a leadership role in redesigning care for all Americans. Finally, the lecture 7:30 – 9:00 A.m. 28 Schedule—Thursday, May 3 will identify future challenges that US health care will face and stimulate the audience to think about how these can be met. Learning objectives: (1) discuss why the current health care system is untenable; (2) review seminal quality, safety, and cost innovations that have been developed in geriatrics; (3) suggest strategies how to integrate geriatrics innovations into health care; and (4) identify future challenges to US health care that geriatrics can take a lead role in meeting. 11:00 A.m. – 12:00 P.m. PLENARY PAPER SESSION Room: 6 B/C CME/CE Credit: 1.0Track: Research Developed by the Research Committee Moderator: James T. Pacala, MD, MS, AGS President This session will present the top three abstracts based on average score, quality, originality and methodology of research. Learning objectives: (1) discuss the financial risks faced by Medicare beneficiaries related to the death of a household head or spouse; (2) review whether time-consuming geriatric conditions differ from general medical conditions in their effect on quality; and (3) describe the efficacy of the Steps-to-Health system, which used a computer animated coach to promote walking in older adults. p8 — Geriatric versus General Medical Conditions have Opposite Effects on Overall Quality of Ambulatory Care Lillian Min, MD, MSHS, Naples Health Care Associates p9 — Efficacy of a Computer-based Intervention to Promote Walking in Older Adults Michael Paasche-Orlow, MD, MA, MPH, Boston University School of Medicine 12:00 – 4:30 P.m. CLINICAL SKILLS STATIONS See page 12. 12:00 – 4:30 P.m. THE THIRD T. FRANKLIN WILLIAMS SCHOLARS ALUMNI MEETING AND MEDICAL SUBSPECIALTIES SECTION MEETING Room: Sheraton Hotel: Cedar Co-Chairs: Kevin High, MD, MS, Keith Kaye, MD, MPH & Lona Mody, MD, MSc 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. This Alumni Meeting will focus on emerging research and leadership challenges facing junior and mid-career researchers and foster an environment for scholars to establish crossspecialty and cross-institution bonds. 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. SYMPOSIA 1:00 – 2:30 P.m. 12:00 – 6:00 P.m. BEST PRACTICES TO MANAGE BEHAVIORAL MANIFESTATIONS OF DEMENTIA: ADDRESSING THE OVERUSE OF ANTIPSYCHOTICS EXHIBIT HALL OPEN AND POSTERS AVAILABLE FOR VIEWING Developed by the Public Policy and Ethnogeriatrics Committees p7 — Out of Pocket Spending in the Last 5 Years of Life Amy S. Kelley, MD, MSHS, Mount Sinai School of Medicine Complimentary lunch available at 12:00 P.m.! 12:00 – 1:30 P.m. POSTER SESSION A: ABSTRACTS A1–A166 Room: Exhibit Hall, 4 A/B View the most current research in geriatrics. Authors will be available to discuss the presented findings and answer questions. Room: 6A CME/CE Credit: 1.5Track: Clinical Practice Moderator: Marie-Luz Villa, MD, AGSF, University of Washington This session will provide substantive alternatives to antipsychotic use for management of dementia-related symptoms in older adults, including behavioral, complementary/alternative medicine (CAM) and staff training techniques. Learning objectives: (1) describe appropriate and inappropriate uses of antipsychotics in older adults, including safety and potential side effects in patients with multi-morbidity; (2) identify alternative treatments for dementia related behaviors that often elicit requests for antipsychotics; (3) develop strategies for training nursing home and home care staff and caregivers in managing behaviors associated with dementia; and (4) discuss how to assess caregiving issues in care of patients with 29 Schedule—Thursday, May 3 dementia-associated behaviors in light of cultural and ethnic settings. How Do I Deal with Calls from Overwhelmed Nursing Staff Demanding Action? Marie-Luz Villa, MD, AGSF, University of Washington Alternatives to Antipsychotic Medications for Behaviors Associated with Dementia Lori A. Daiello, PharmD, BCPP, Brown University Non Drug Aids to Symptom & Behavior Problems Using CAM (Herbs, Diet, Light, Touch, etc) In Diverse Patients with Dementia Lisa Meserole, ND, Sage Healing/L2TD Communication Techniques for Dementia Care Training in Home and Institutional Long-term Care Settings Lené Levy-Storms, PhD, MPH, University of California, Los Angeles 1:00 – 2:30 P.m. NEUROLOGICAL GAIT DISORDERS IN OLDER ADULTS Room: 6E CME/CE Credit: 1.5Track: Clinical Practice Moderator: Babak Tousi, MD, CMD, FACP, Cleveland Clinic This interactive session will include a mixture of clinically oriented presentations and the latest research developments, including video clips of different types of neurological gait disorders and innovative rehabilitation approaches to improve gait caused by mental dysfunction. Learning objectives: (1) recognize recent findings on correlation between gait disturbance and disorders affecting cognition; (2) describe how to approach and evaluate gait disorders; (3) comprehend the characteristics of different types of neurological gait disorders; and (4) improve gait disorders with different rehabilitation and medical strategies. Geriatric Epidemic of Gait and Cognitive Impairment Stephanie A. Studenski, MD, MPH, University of Pittsburgh School of Medicine Clinical Review of Neurological Gait Disorders Babak Tousi, MD, CMD, FACP, Cleveland Clinic Improving Gait: Evidence-based Joe Verghese, MBBS, MS, Albert Einstein College of Medicine 30 1:00 – 2:30 P.m. PATIENT SAFETY ACROSS THE CARE CONTINUUM: AHRQ TOOLS AND RESEARCH Room: 4C 3/4 CME/CE Credit: 1.5Track: Models of Care Moderator: Debra Saliba, MD, MPH, UCLA/JH Borun Center AHRQ leaders and representative investigators will highlight existing evidence-based approaches developed by AHRQ’s national Patient Safety Initiative, providing useful and adaptable information on how to improve safety in the home and in institutions. Learning objectives: (1) discuss the current status of research in patient safety models of care with an emphasis on AHRQ’s role with respect to patient safety efforts nationally; (2) use a recently completed AHRQ study of home health care safety to learn how human factors and systems models help clarify the complex patient, provider, technological, cultural and environmental interactions and challenges that exist in home health; (3) apply an evidence-based household safety checklist that categorizes commonplace household hazards that could adversely impact health, safety and quality of care in the home; and (4) discuss communication challenges that can impede fall prevention and detection of condition change in nursing homes and learn about interdisciplinary training and tools that address these communication challenges. AHRQ’s Patient Safety Portfolio & Resources Jeff Brady, MD, MPH, Agency for Healthcare Research and Quality The Role of Human Factors in Home Health Care Kerm Henriksen, PhD, Agency for Healthcare Research & Quality Home Health Care Patient Safety: Development and Implementation of a New Household Safety Checklist Robyn R. Gershon, MHS, DrPH, University of California, San Francisco Nursing Home Patient Safety: Improving Communication across the Interdisciplinary Team Victoria Shier, MPA, Pardee RAND Graduate School Schedule—Thursday, May 3 1:00 – 2:30 P.m. SCHOLARSHIP SKILLS BOOT CAMP, PART I: SUCCESS AT SCHOLARSHIP Room: 3 A/B CME/CE Credit: 1.5Track: Education Developed by the Education Committee and the Teachers Section Moderator: Louise Aronson, MD, MFA, University of California, San Francisco The primary outcome of this workshop is to increase participants’ understanding of scholarship and improve their scholarly skills. They will learn a conceptual framework for scholarship, rotate to 3 of the 6 active learning stations below, and identify two next steps to ensure the workshop learning is applied to their work in a timely and meaningful way. Learning objectives: (1) define the four types of scholarship and the essential elements of scholarly work; (2) develop three scholarly skills important for success in academics; (3) identify grant opportunities in geriatrics and health professions education to advance your career; and (4) list two next steps for applying your new scholarly skills after the AGS meeting. Abstract Writing 101 Michi Yukawa, MD, MPH, University of California, San Francisco & Thuan D. Ong, MD, MPH, University of Washington Supported by an in-kind donation (loaned equipment) by Laerdal Medical. The Geriatric SimWars session is an elimination competition in which two teams of fellows are presented with a simulated geriatric medical emergency using a high-tech, computerized mannequin that mimics a real patient and is able to talk and respond. Each team’s performance will be reviewed by an expert panel examining the areas of teamwork, communication, and clinical decision making. Feedback will be given in the form of a mini-debriefing. The finale consists of a competition between the winners of the first two rounds to determine which team is the winner of the 2012 AGS Geriatric SimWars. Learning objectives: (1) list and describe the types of simulation-based andragogies used in medical education; (2) describe and demonstrate how to develop and execute a didactic session using the SimWars format/design; (3) explore and describe how simulation is currently being used and may be used to promote safe patient care-related behaviors across disciplines, specialties, environments, and practitioner types; and (4) describe how simulation, including simulation-based competitions, promote knowledge and acquisition of geriatricspecific competencies in specialty residents. PAPER SESSION 1:00 – 2:30 P.m. Scholarly Posters: A Strategic Approach John P. Beilenson, MA, Strategic Communications and Planning MODELS OF GERIATRIC CARE PowerPoint Presentations: Essentials for Excellence Elizabeth K. Vig, MD, MPH, University of Washington & Katherine A. Bennett, MD, University of Washington Developed by the Research Committee Preparing Grants for the NIA Chyren Hunter, PhD, National Institute on Aging Education Focused Grants Margaret Wallhagen, PhD, AAPRN, BC, GNP, University of California, San Francisco & Josette A. Rivera, MD, University of California, San Francisco Writing Winning Project Proposals Lisa Granville, MD, AGSF, FACP, Florida State University College of Medicine & Niharika N. Suchak, MBBS, MHS, FACP, Florida State University College of Medicine 1:00 – 4:00 P.m. GERIATRIC SIMWARS Room: 608/609 CME/CE Credit: 3.0Track: Education Facilitators: Gisele P. Wolf-Klein, MD, LIJMC; Michael Cassara, DO, North Shore University Hospital Expert Panel: Sally L. Brooks, MD, AGSF, Kindred Healthcare; Harvey Jay Cohen, MD, Duke University; Joseph G. Ouslander, MD, Florida Atlantic University Room: 616/617 CME/CE Credit: 1.5Track: Research Moderator: Susan M. Friedman, MD, MPH, AGSF, University of Rochester This session presents the latest peer-reviewed research focused on models of geriatric care with questions and answers to follow. Learning objective: (1) discuss new and original research related to models of geriatric care. p10 — Veterans Using Primary Care Housecalls Outside the VA: Still Better than Expected Bruce Kinosian, MD, University of Pennsylvania p11 — Growth of Nurse Practitioners as Primary Care Providers For The Elderly James S. Goodwin, MD, University of Texas Medical Branch p12 — Factors Associated with the Timing of Hospice Referral for Patients with Cancer Sheila Rustgi, BA p13 — Impact of a Hospital Mobility Program on Function after Discharge Cynthia J. Brown, MD, MSPH, University of Alabama at Birmingham 31 Schedule—Thursday, May 3 p14 — Impact of GRACE Team Care on Hospital Readmissions at a VAMC Cathy C. Schubert, MD, AGSF, Indiana University p15 — The Falls and Fractures Clinic: Testing an Integrated Model of Secondary Prevention in a High-Risk Older Population Gustavo Duque, MD, PhD, FRACP, Sydney Medical School Nepean MEET-THE-EXPERT 1:00 – 2:30 P.m. NIA SYMPOSIUM FOR SENIOR RESEARCHERS – WHAT IS NEW ON THE HORIZON? Room: 613 CME/CE Credit: 1.5Track: Research Developed by the National Institute on Aging in cooperation with the AGS Research Committee for funded senior researchers Moderator: Marie A. Bernard, MD, Deputy Director, National Institute on Aging This symposium targets the needs of senior investigators by providing an update from NIA’s senior extramural division staff on their research programs and initiatives. There will also be an opportunity to query these leaders regarding future directions in NIA research. Learning objectives: (1) describe the current and future research foci of the NIA extramural divisions supporting clinical, neuroscience, behavioral and social research; (2) discuss recent policy changes which affect the funding environment; and (3) provide a forum for discussion between the funded research community and NIA extramural staff. Overview of NIA Budget and Payline Marie A. Bernard, MD, Deputy Director, National Institute on Aging NIA Division Research Highlights: Division of Geriatrics and Clinical Gerontology Evan C. Hadley, MD, Director, Division of Geriatrics and Clinical Gerontology Division of Neuroscience Molly V. Wagster, PhD, Chief, Behavioral & Systems Neuroscience Branch, Division of Neuroscience Questions and Answers – NIA Extramural Division Panel: Panel Moderators: Marie A. Bernard, MD, NIA & Rebecca A. Silliman, MD, PhD, Boston University 32 SPECIAL INTEREST GROUPS 1:00 – 2:30 P.m. CANCER AND AGING Room: 614 Track: Networking Co-Chairs: Arash Naeim, MD, PhD, & Arti Hurria, MD The Cancer and Aging Special Interest Group is an interdisciplinary assemblage of geriatric, gerontologic, and oncologic professionals whose collective mission is to: (1) promote multidisciplinary-centered cancer prevention, diagnosis, treatment and survivorship management of older adults with cancer; (2) promote education and training in geriatric oncology concepts; (3) promote research in geriatric oncology; (4) facilitate linkages among those organizations and institutions which serve or focus upon geriatric and/or oncologic causes; and (5) champion and advocate for those elders and their families who are impacted by cancer. 1:00 – 2:30 P.m. HEALTHCARE FOR LOWINCOME SENIORS Room: 620 Track: Networking Chair: Steven R. Counsell, MD, AGSF The mission of the Health Care for Low-Income Seniors AGS Special Interest Group is to improve the quality and outcomes of health care and maximize independence among low-income seniors by bringing together geriatrics professionals dedicated to the care of the poor, disseminating practical solutions and innovative geriatrics team care models, and advocating for public policy change to better address the needs of this population. The Healthcare for Low-Income Seniors SIG is open to all AGS meeting participants. 1:00 – 2:30 P.m. PRIVATE PRACTICE PROVIDERS IN GERIATRICS Room: 615 Track: Networking Chair: Joel Bolen, MD Discuss challenges and share success strategies with other geriatricians who have chosen to serve seniors through private practice. Topics will include: patient flow and practice management, billing and reimbursement, staffing, alternate revenue streams, marketing, institutional LTC or not, and comprehensive geriatrics assessment. Please feel free to bring other issues to discuss. Schedule—Thursday, May 3 2:30 – 4:30 P.m. 2:45 – 4:15 P.m. ADGAP BUSINESS MEETING MEDICATION SAFETY: PATIENT AND SYSTEMS LEVELS APPROACHES TO REDUCE MEDICATION ERRORS AND ADVERSE DRUG REACTIONS Room: 618/619 SYMPOSIA 2:45 – 4:15 P.m. DO NEUROHORMONAL ANTAGONISTS IMPROVE OUTCOMES IN DIASTOLIC HEART FAILURE? INSIGHTS FROM PROPENSITY MATCHED STUDIES OF MEDICARELINKED OPTIMIZE-HF Room: 6A CME/CE Credit: 1.5Track: Clinical Practice Moderator: Michael W. Rich, MD, Washington University School of Medicine Findings from 4 propensity-matched studies on the longterm association of 4 neurohormonal antagonists, namely, angiotensin-converting enzyme inhibitors (ACEIs), angiotensin receptor blockers (ARBs), beta-blockers (BBs), and aldosterone antagonists (AldoAs) in diastolic HF (DHF) patients or HF with preserved ejection fraction (HF-PEF) patients will be presented and discussed. Learning objectives: (1) describe clinical effectiveness of ACEIs in older HF-PEF patients; (2) discuss clinical effectiveness of ARBs in older HF-PEF patients; (3) review clinical effectiveness of BBs in older HF-PEF patients; and (4) describe clinical effectiveness of AldoAs in older HF-PEF patients. Study Patients and Methods Ali Ahmed, MD, MPH, University of Alabama at Birmingham ACE Inhibitors and Outcomes in Older HF-PEF Patients Marjan UI Mujib, MD, MPH, University of Alabama at Birmingham Room: 6E CME/CE Credit: 1.5Track: Clinical Practice Developed by the Clinical Practice and Models of Care Committee Moderator: G. Michael Harper, MD, San Francisco VA Medical Center This session will describe the magnitude and scope of the problem of medication errors and adverse drug reactions (ADRs) in older adults and to provide clinicians with strategies to improve medication safety. Learning objectives: (1) identify the most common problems with medication safety during health care transitions, and utilize tools to correct medication errors and their consequences through the care continuum; (2) describe strategies to maximize medication safety in patients with multi-morbidity; and (3) describe system-based approaches to medication management that lead to improved individual patient-level outcomes. Medication Safety during Transitions of Care Beata A. Skudlarska, MD, CMD, Bridgeport Hospital Yale New Haven System Medication Safety in the Care of Patients with Multiple Co-morbidities Kathryn M. Daniel, PhD, RN, ANP-BC, GNP-BC, University of Texas at Arlington Patient-Centered Medication Management for Elderly Veterans: Report of the VA Geriatrics-Pharmacy National Collaborative Theodore M. Johnson, MD, MPH, Emory School of Medicine Discussant Joseph T. Hanlon, PharmD, MS, University of Pittsburgh Angiotensin Receptor Blockers and Outcomes in Older HF-PEF Patients Richard M. Allman, MD, University of Alabama at Birmingham Beta-blockers and Outcomes in Older HF-PEF Patients O. James Ekundayo, MD, DrPH, Meharry Medical College Aldosterone Antagonists and Outcomes in Older HF-PEF Patients Ali Ahmed, MD, MPH, University of Alabama at Birmingham Discussants Wilbert S. Aronow, MD, New York Medical College & Jerome L. Fleg, MD, National Heart, Lung, and Blood Institute Panel Discussion with Audience Participation 33 Schedule—Thursday, May 3 2:45 – 4:15 P.m. 2:45 – 4:15 P.m. GETTING TO KNOW THE NATIONAL INSTITUTE ON AGING: A SYMPOSIUM FOR GOGETTERS IN AGING RESEARCH DATA SANITY — QUALITY IMPROVEMENT IN THE NURSING HOME USING STATISTICAL PROCESS CONTROL Room: 4C 3/4 CME/CE Credit: 1.5Track: Research Room: 606/607 CME/CE Credit: 1.5Track: Models of Care Developed by the National Institute on Aging for new and early stage researchers Developed by AMDA Moderator: Marie A. Bernard, MD, National Institute on Aging This symposium targets the needs of new and early-stage investigators by providing an overview of NIA’s extramural research programs and initiatives, funding and training opportunities and the Center for Scientific Review grants review process. An opportunity is provided to meet and consult with representatives from the Office of the Director and extramural staff from the divisions of Extramural Activities, Geriatrics and Clinical Gerontology (GCG), and Neuroscience (DN). Learning objectives: (1) describe the mission and extramural divisions supporting clinical, biomedical, behavioral and social research at the National Institute on Aging at the National Institutes of Health; (2) discuss recent policy changes which affect the funding environment; (3) identify NIA’s resources for research training and grant application; and (4) meet with representatives of NIA. Introduction/ Overview of NIA and NIA Research Priorities Marie A. Bernard, MD, Deputy Director, National Institute on Aging How to Get an NIA Grant Robin A. Barr, DrPhil, Division Director, Division of Extramural Activities The CSR Study Section Perspective George A. Kuchel, MD, University of Connecticut Meet with NIA Representatives Division of Geriatrics and Clinical Gerontology Evan C. Hadley, MD, Director Division of Neuroscience Molly V. Wagster, PhD, Chief, Behavioral & Systems Neuroscience Branch Division of Extramural Activities Robin Barr, D Phil, Director, Chyren Hunter, PhD, Deputy Director/Training Officer Special Populations Initiatives J. Taylor Harden, PhD, RN, Assistant to the Director for Special Populations 34 Presenters: Leonard Gelman, MD, CMD, Capital Care Family Medicine and Matthew S. Wayne, MD, CMD, CommuniCare Health Services This session will provide attendees with an in-depth look at how to start to work towards a better quality improvement process in their facility, including examples of actual data analysis with audience participation. The session will cover the basics of variation and statistical process control, then advance to how this mechanism can be used to improve care at your site, wherever it may be. Learning objectives: (1) provide an in-depth evaluation of current data analysis processes and how they can be improved to improve the quality of care in your nursing home; (2) utilize run charts and control charts to analyze data in your nursing home; (3) discuss variation as a component in improving performance through statistical thinking; and (4) distinguish the difference between process-oriented thinking (Quality Improvement) vs. results oriented thinking (Quality Assurance). Schedule—Thursday, May 3 WORKSHOPS 2:45 – 4:15 P.m. AGING AND HIV: AGS / AAHIVM CONSENSUS PANEL TREATMENT STRATEGIES Room: 616/617 CME/CE Credit: 1.5Track: Clinical Practice Moderator: Wayne C. McCormick, MD, MPH, University of Washington This activity is supported by an independent educational grant from Boehringer Ingelheim Pharmaceuticals, Inc. This workshop will present the Consensus Panel suggested treatment strategies in the context of clinical cases that we present or those presented by other attendees. Learning objectives: (1) describe the epidemiology and pathophysiology of aging relevant to the care of older patients with HIV; (2) discuss the clinical treatment strategies representing the consensus of experts in the field in order to enhance the competence of participants in the care of older patients with HIV; (3) take on the care of complex patients with HIV when they appreciate the substantial overlap between the common approaches of geriatrics and the care of older patients with HIV; and (4) describe how aging acceleration and immunosenscence conspire to make HIV+ patients age 50-60 similar to a geriatrician’s patients age 70-90. Epidemiologic and Clinical Phenomena of the HIV Epidemic in Older Individuals Kelly A. Gebo, MD, MPH, Johns Hopkins University Co-Morbidities and Multi-Morbidity in HIV and Aging Kevin P. High, MD, MS, Wake Forest School of Medicine Case Discussions Wayne C. McCormick, MD, MPH, University of Washington 2:45 – 4:15 P.m. FACEBOOK, BLOGS, AND TWITTER: USING SOCIAL MEDIA TO ADVANCE GERIATRICS Room: 4C 1/2 CME/CE Credit: 1.5Track: Education Sponsored by the Public Education Committee Moderator: Alexander K. Smith, MD, MS, MPH, University of California, San Francisco The interactive workshop will provide participants with information about the uses of social media to advance the geriatrics agenda, both in terms of clinical practice improvement and health policy change. Learning objectives: (1) define social media and the venues that health care providers can use to advance geriatrics; (2) describe ways in which social media can be used as a tool for medical education, caregiver and patient education/advocacy, and clinical practice change; (3) discuss examples of how social media had an impact on public policy; and (4) counter common misconceptions and fears about social media. Introduction to Social Media Alexander K. Smith, MD, MS, MPH, University of California, San Francisco Health AGEnda — The John A. Hartford Foundation Blog Christopher A. Langston, PhD, The John A. Hartford Foundation New York Times New Old Age Paula Span, The New York Times Caring.com Leslie P. Kernisan, MD, MPH, Lifelong Medical Care GeriPal Eric W. Widera, MD, University of California, San Francisco 2:45 – 4:15 P.m. CRAFTING AND WRITING YOUR EDUCATIONAL PROJECTS FOR PUBLICATION Room: 613 CME/CE Credit: 1.5Track: Education Moderator: Gail M. Sullivan, MD, MPH, University of Connecticut School of Medicine This program will review the problems most frequently found in education projects and discuss effective strategies to produce high quality education research and papers. Learning objectives: (1) describe the problems commonly found in education projects and manuscripts; (2) design education research projects that are more likely to produce valid results; and (3) develop writing skills that enhance their publication success. SECTION MEETING 2:45 – 4:15 P.m. PHYSICAL THERAPIST AND REHABILITATION SPECIALIST Room: 615 Track: Networking Chair: Dale Avers, DPT, PhD All physical therapists and rehabilitation specialists are invited to attend this new Section, which recognizes the important role that physical therapists and rehabilitation specialists play on the geriatric team and in the proper assessment and care of an older patient. The Section Meeting will provide a forum for networking and discussion of opportunities for involvement in interdisciplinary and leadership roles within AGS. Please join us! 35 Schedule—Thursday, May 3 SPECIAL INTEREST GROUPS 2:45 – 4:15 P.m. DOS IN GERIATRICS Room: 614 Track: Networking Chair: Janice Knebl, DO This special interest group of osteopathic geriatricians provides a forum for networking and discussion about the opportunities in geriatric medicine within the osteopathic profession and at the osteopathic medical schools. Come meet and engage in conversation with your osteopathic geriatrician colleagues for a lively discussion. collaborators, potential funders, etc). Poster presenters will have an opportunity to receive professional and peer feedback on the design and communication aspects of their poster. Everyone is welcome to join the walking tour to learn about messaging strategies. SPECIAL INTEREST GROUPS 6:30 – 8:00 P.m. SOCIETY FOR GENERAL INTERNAL MEDICINE GERIATRICS (SGIM) Room: 620 Track: Networking Chair: David O. Staats, MD, AGSF Geriatrics has not yet fully considered the needs of older gay and lesbian, bisexual and transgender persons. This interest group centers around a more formal analysis and observation of these needs. This SIG meeting is open to all AGS participants. Room: 614 Track: Networking Chair: Danelle Cayea, MD The Society for General Internal Medicine Geriatrics Special Interest Group has traditionally been a source of collaborative activity between AGS and SGIM. Collaborative efforts between geriatricians and general internists who frequently provide most of the care for older adults provide benefits in patient care to all participants. This interest group will focus on ways to collaborate on developing workshops for the annual meetings of societies as well as fostering ongoing collaborative efforts and communication between the two groups. We welcome researchers, clinicians, and educators at all levels of training and expertise to our meeting. 4:30 – 6:00 P.m. 7:00 – 8:00 P.m. PRESIDENTIAL POSTER SESSION & RECEPTION: ABSTRACTS B1 – B164 BOOK CLUB 2:45 – 4:15 P.m. NEEDS OF OLDER GAY AND LESBIAN, BISEXUAL AND TRANSGENDER PERSONS Room: Exhibit Hall, 4 A/B Track: Research The Presidential Poster Session and Reception features posters that received the highest rankings from abstract reviewers. Posters will be judged and one poster in each category will be chosen to receive a “Best Poster” award. Poster award winners will be announced at the Awards Ceremony on Friday morning at 9:15 am. Light refreshments will be served. 6:00 – 7:00 P.m. POSTER WALKING TOUR ON COMMUNICATION STRATEGIES Room: Exhibit Hall, 4 A/B/ Track: Research The walking tour will be conducted by John P. Beilenson, MA, a longtime Hartford Foundation grantee and President of Strategic Communications and Planning (SCP), a socially responsible communication consulting firm with a special focus on aging research. Learn strategies for creating a scientific poster that functions as a messaging tool to effectively communicate your research findings to your target audience (colleagues, potential 36 Room: 613 Track: Networking Still Alice by Lisa Genova Join us for a lively and engaging book club where we will discuss Still Alice by Lisa Genova. This novel crafts a realistic portrait of early onset Alzheimer’s disease told through Alice’s lens; the protagonist walks us vividly through her challenges on living with the disease. Get to know your fellow attendees in small group format and share your observations, insights, and personal thoughts about the book. FRIDAY, MAY 4 Schedule—Friday, May 4 SYMPOSIA 7:30 – 9:00 A.m. ARE MEN REALLY FROM MARS? THE CHALLENGE OF PREVENTING FALLS AND FRACTURES IN OLDER MEN Room: 6A CME/CE Credit: 1.5Track: Clinical Practice Developed by the Osteoporosis and Metabolic Bone Disease Special Interest Group This activity is supported by an educational donation provided by Amgen Moderator: Gustavo Duque, MD, PhD, FRACP, Sydney Medical School Nepean Despite the high prevalence of falls and fractures in older men, osteoporosis and falls risk remain largely undiagnosed and undertreated. In addition, the evidence on the effectiveness of osteoporosis treatment in men is limited. Learning objectives: (1) review the age-related changes in bone and muscle cells in men as compared with those seen in postmenopausal women; (2) discuss the role of androgens in muscle and bone and the effect of declining levels of androgens with aging and the potential effect of androgens supplementation on falls and fracture prevention in older men; (3) review the current evidence on the diagnosis and pharmacological treatment of osteoporosis in older men; and (4) discuss current protocols on the non-pharmacological prevention of falls and fractures in older men. The Aging Muscle and Bone in Men: From Bench to Bedside Gustavo Duque, MD, PhD, FRACP, Sydney Medical School Nepean that optimize quality dental care for older patients. Initiatives of the American Dental Association to improve oral health care for vulnerable older adults by promoting best practices and improving access to high quality oral health care will be presented. Learning objectives: (1) recognize oral diseases and conditions commonly encountered among vulnerable older adults that cause discomfort, impact quality of life, function, and/or general health; (2) work more effectively with oral health professionals to overcome the barriers experienced by vulnerable older adults in their access to quality oral health care; (3) work more effectively with oral health professionals in the promotion and utilization of innovative models of oral health care that meet the unique needs of vulnerable older adults; and (4) articulate the initiatives of the dental profession to improve the provision of high quality oral health care services to vulnerable older adults. Oral Health Disparities among Older Adults — Manifestations and Health Consequences Judith A. Jones, DDS, MPH, DScD, Boston University Geriatrics and Special Care Dentistry: Models to Deliver Care and Improve Quality of Oral Health Care for Vulnerable Older Adults Michael J. Helgeson, DDS, Apple Tree Dental Improving the Oral Health Care of Vulnerable Older Adults, Professional and Policy Initiatives to Meet the Challenge Barbara J. Smith, MPH, PhD, American Dental Association Questions and Answers with Panel Discussion 7:30 – 9:00 A.m. The Role of Androgens in Falls and Fractures: From Diagnosis to Treatment John E. Morley, MBBCh, Saint Louis University Medical Center ACUTE CARE FOR ELDERS (ACE) AS A GERIATRICS SAFETY AND QUALITY IMPROVEMENT PROGRAM Treatment of Osteoporosis in Older Men: An Update Susan M. Ott, MD, University of Washington Room: 4C 3/4 CME/CE Credit: 1.5Track: Models of Care Non-pharmacological Interventions for Falls and Fractures Prevention in Older Men Robin M. Daly, PhD, FASMF, Deakin University Developed by the Clinical Practice & Models of Care Committee & the Acute Hospital Care Special Interest Group 7:30 – 9:00 A.m. MEETING THE ORAL HEALTH NEEDS OF VULNERABLE OLDER ADULTS — GERIATRIC DENTISTRY, SPECIAL CARE DENTISTRY, AND MODELS OF ORAL HEALTH CARE Room: 6E CME/CE Credit: 1.5Track: Clinical Practice Moderator: Paul L. Mulhausen, MD, MHS, University of Iowa This symposium will review the crisis of poor oral health among vulnerable older adults and the models of dental care delivery Moderator: Michael L. Malone, MD, University of Wisconsin School of Medicine & Public Health This session will describe the ACE model, followed by a description of how ACE principles can be integrated into a realtime quality improvement checklist (ACE Tracker). A description of a successful ACE consult service will be followed by a description of an innovative, hospital-wide, delirium prevention protocol. Each presentation will be followed by expert “Critique and Take Home Points”. Learning objectives: (1) describe the components of the original ACE unit model as a program to improve hospital safety for older adults; describe the use of an electronic medical record tool to produce real-time reports on quality/ safety for vulnerable older patients; (3) describe the use of an ACE consult service to address the needs of the most vulnerable of acutely ill 37 Schedule—Friday, May 4 older persons; and (4) describe a hospital-wide, geriatric safety protocol which focuses on the prevention and treatment of delirium. An Overview of the ACE Unit Model S. Liliana Oakes, MD, CMD, UT Health Science Center San Antonio A Real-time, Quality Improvement Checklist: The ACE Tracker Michael L. Malone, MD, University of Wisconsin The ACE Consult Service Ella H. Bowman, MD, PhD, Indiana University School of Medicine A Hospital-wide Delirium Prevention Protocol Kyle R. Allen, DO, AGSF, Riverside Health System Critique and Take Home Points Albert L. Siu, MD, MSPH, Mount Sinai School of Medicine & Elizabeth Capezuti, PhD, RN, New York University College of Nursing PAPER SESSION 7:30 –9:00 A.m. GERIATRIC BIOSCIENCE Room: 616/617 CME/CE Credit: 1.5Track: Research Developed by the Research Committee Moderator: George E. Taffet, MD, Baylor College of Medicine This session presents the latest peer-reviewed research focused on geriatric bioscience with questions and answers to follow. Learning objective: (1) discuss new original research related to geriatric bioscience. p16 — Investigation into the Effects of Resveratrol on Aging in the Colon: Implications for Colon Cancer Prevention Dana L. Turker, BA, Mount Sinai School of Medicine p17 — The Role of SIRT3-dependent Autophagy in AgeRelated Hearing Loss Israel Pena, Jr., MS-4, Baylor College of Medicine p18 — Lipid-depleted Apolipoproteins and Amyloid Peptides are Influenced by APOE Genotype and Cognitive Diagnosis Angela J. Hanson, MD, University of Washington p19 — Collagen Extracted from Aged Mice Exposed to Short-term Caloric Restriction and Rapamycin Display Unique Properties Marnonette J. Marallag, BS, University of Washington p20 — Platelet and Monocyte Responses are Impaired in Older Septic Patients Matthew T. Rondina, MD, University of Utah p21 — Identification of Differentially Expressed MicroRNAs in a Progeroid Mouse Model Lolita S. Nidadavolu, BA, University of Pittsburgh 38 Schedule—Friday, May 4 WORKSHOPS 7:30 – 9:00 A.m. 7:30 –9:00 A.m. MODEL GERIATRIC PROGRAMS: RESIDENT & FELLOW GERIATRIC EDUCATION MATERIALS AND METHODS SWAP CARING FOR OUR COMPLEX PATIENTS: A VA GRECC SYMPOSIUM ABOUT INTEGRATING HEALTH CARE WITH HEALTH INFORMATION TECHNOLOGY INNOVATIONS Room: 3 A/B CME/CE Credit: 1.5Track: Education Developed by the Teachers Section and sponsored by the Education Committee Moderator: Niharika N. Suchak, MBBS, MHS, FACP, Florida State University College of Medicine This workshop presents a forum for teachers of geriatrics education to share topics and materials of common interest, such as program development, curriculum, and educational process and research in teaching and evaluation. Learning objective: (1) describe and exchange geriatrics education and teaching materials. A Comprehensive Curriculum to Train Internal Medicine Residents on Care Transitions Manuel Eskildsen, MD, MPH, Emory University School of Medicine Targeting the ACGME Core Competencies of Professionalism, System Based Practice, and Interpersonal and Communication Skills with an Online Discussion Board that Fosters Optimal Adult Learning Jeffrey D. Schlaudecker, MD, University of Cincinnati “You’re Being Paged”: Outcomes of a Nursing Home On-Call Role-Playing Curriculum Misuzu Yuasa, MD, University of Hawaii Implementing the Objective Structured Clinical Examination (OSCE) in a Geriatrics Fellowship Program – A Three-year Experience Thiago J. Avelino-Silva, MD, University of Sao Paulo Medical School G-FACTS — Point of Care Geriatric Resources with a Basic Science Twist Judith Rehm, Medical College of Wisconsin Room: 606/607 CME/CE Credit: 1.5Track: Research Developed by the Health Systems Innovation – Economics and Technology; AGS/ADGAP Education; and Research Committees Moderator: Randall W. Rupper, MD, MPH; Salt Lake VA GRECC This program will highlight current developments and future plans for using informatics technologies to incorporate decision support and care-management principles in the care of geriatric patients with chronic diseases such as dementia and with complex care in the context of comorbid diseases and conditions. Learning objectives: (1) describe how video technology integrated with the Electronic Health Record (EHR) can be applied to a trial-tested dementia care management program for Veterans who live in remote areas; (2) discuss cognitive psychology principles key to integrated views of data in EHRs; (3) consider general principles for care of multimorbidity patients and consider specifics of how guidelines interact with each other when invoked for the same patient; and (4) develop skills in thinking about how multiple guidelines for patient care can be coordinated in managing patients’ multiple problems concurrently. Dementia Care Management for Hard to Reach Veterans and Their Family Caregivers Joshua Chodosh, MD, MSHS, UCLA Integrated Interactive Shared Care Plan Jonathan R. Nebeker MD, MS, Department of Veterans Affairs Clinical Decision Support that Addresses Multiple Co-Morbidities Mary K. Goldstein, MD, MSc, Stanford University Teaching Safe Transitions of Care: An Interdisciplinary Case Based Approach Rachel K. Miller, MD, University of Pennsylvania 39 Schedule—Friday, May 4 MEET THE EXPERT 7:30 –9:00 A.m. CURRENT AND EMERGING WIRELESS HEALTHCARE TECHNOLOGIES: BUILDING THE WIRELESS HEALTH NETWORK Room: 613 CME/CE Credit: 1.5Track: Models of Care Presenter: Donald Jones, JD, MBA, Qualcomm Inc., Qualcomm Life This presentation will present an overview of advancements in digital health technology and the industry’s current state of affairs. Mr. Jones will discuss how this connectivity can enable easier and more efficient health information to be more readily available to consumers and their doctors. He will also discuss challenges the health care industry and the networked digital industry face in integrating such devices. Learning objective: (1) describe advancements in digital health technology and challenges the health care industry faces as a result of these advances. SPECIAL INTEREST GROUPS 7:30 –9:00 A.m. E-LEARNING Room: 615 Track: Networking Co-Chairs: Amit A. Shah, MD, & Alice Pomidor MD, MPH The e-learning special interest group (el-SIG) of geriatric educators from multiple disciplines is dedicated to developing, standardizing, sharing, using or evaluating e-learning resources and other educational technologies in support of geriatrics blended learning instruction and assessment of health care professionals. The goals of the group are to understand the current state of e-learning resources and how members use them. Furthermore, it reviews materials to establish benchmark examples of e-learning content. If you have e-learning materials you are working on or new advances to share, please bring them to our meeting. 7:30 –9:00 A.m. ETHNOGERIATRICS Room: 620 Track: Networking Co-Chairs: Marisol Sanchez-Lance, DO & Lenise A. CummingsVaughn, MD This meeting is open to anyone with an interest in the relationship between aging, ethnicity and community research teams. Participants will find out what projects are being developed by the Ethnogeriatrics Committee and offer suggestions for future AGS symposia, and are welcome to bring 40 any new ideas to this meeting. The group endeavors to explore challenges and practical solutions to providing appropriate care to and exploring research projects that include different cultures and ethnicities. Members are encouraged to share educational materials, research ideas and communicate over the upcoming year regarding focusing on key issues affecting ethnic minorities in the 21st century. 7:30 –9:00 A.m. JUNIOR FACULTY RESEARCH CAREER DEVELOPMENT BREAKFAST & WORKSHOP Room: 614 Moderator: Amy S. Kelley, MD, MSHS 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. Schedule—Friday, May 4 9:15 –10:00 A.m. 10:00 – 10:45 A.m. AGS AWARDS CEREMONY OUTSTANDING SCIENTIFIC ACHIEVEMENT FOR CLINICAL INVESTIGATION AWARD LECTURE Room: 6 B/C Moderator: James T. Pacala, MD, MS, AGS President 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 Vivien K. Sun, BA, MPH, MS-3, University of California, San Francisco Clinical Student Research Award Israel Pena, Jr., MS-4, Baylor College of Medicine Scientist-in-Training Research Award Jillian W. Wong, MS-4, University of California, San Francisco AGS/Merck New Investigator Awards Christina L. Bell, MD, MSc, University of Hawaii Noll L. Campbell, PharmD, Indiana University Center for Senior Health Sandy S. Chang, MD, MHS, Yale School of Medicine Oddom Demontiero, MBSS, PhD, Nepean Hospital Mieke Deschodt, MS, PhD, Katholieke Universiteit Leuven Constance H. Fung, MD, MS, Stanford University Sei J. Lee, MD, MAS, University of California, San Francisco Matthew T. Rondina, MD, MS, University of Utah Presidential Poster Awardees To be announced at the session Clinician of the Year Award Niharika N. Suchak, MBBS, MHS, FACP, Florida State University College of Medicine Dennis W. Jahnigen Memorial Award Leo M. Cooney, Jr., MD, Yale School of Medicine Nascher Manning Award Joseph G. Ouslander, MD, Florida Atlantic University Room: 6 B/C CME/CE Credit: .75Track: Research Speaker: Malaz A. Boustani, MD, MPH, Indiana University School of Medicine Over the past decade, Dr. Boustani conducted multiple research projects to evaluate the benefit and harms of dementia screening in primary care. This presentation will review the results of his work including the systematic review of dementia screening for the USPSTF recommendations; The Indianapolis Dementia Screening and Diagnosis study that recognized the barriers and facilitators of dementia screening in primary care; the PRISM study that identified depression and anxiety as common perceived harms of dementia screening reported by patients attending primary care; and finally the PREVENT study that demonstrated the efficacy of the Collaborative Dementia Care model in improving the behavioral and psychological symptoms related to dementia and enhancing the quality of dementia care in primary care. Learning objectives: (1) evaluate the benefit and harms of dementia screening in primary care; (2) describe how collaborative dementia care improves the behavioral and psychological symptoms related to dementia; and (3) discuss how dementia screening without subsequent counseling may lead to anxiety and depression; and discuss the next steps in dementia screening research. 10:45 – 11:00 A.m. AGS WASHINGTON UPDATE Room: 6 B/C CME/CE Credit: .25Track: Public Policy Speakers: Peter Hollmann, MD, Blue Cross & Blue Shield of Rhode Island Developed by the Public Policy Committee This 15-minute session will include the latest information on what’s going on in the policy world as it relates to geriatrics health care professionals and their patients. Learning objective: (1) describe the work the Society is doing now in Washington to ensure quality care for older Americans. 11:00 A.m. – 12:00 P.m. PUBLIC POLICY LECTURE Room: 6 B/C CME/CE Credit: 1.0Track: Public Policy Speaker: Robert Berenson, MD, Urban Institute Robert Berenson, MD, is an Institute Fellow at the Urban Institute. He is an expert in health care policy, particularly 41 Schedule—Friday, May 4 Medicare, with experience practicing medicine, serving in senior positions in two Administrations, and helping organize and manage a successful preferred provider organization. From 1998-2000, he was in charge of Medicare payment policy and private health plan contracting in the Centers for Medicare and Medicaid Services. Effective July 2009, Dr. Berenson became a Commissioner of the Medicare Payment Advisory Commission (MedPAC). In July 2010, he became vice chair of MedPAC. 12:00 – 4:30 P.m. EXHIBIT HALL OPEN AND POSTERS AVAILABLE FOR VIEWING Complimentary lunch available at 12:00 P.m.! 12:00 – 1:30 P.m. POSTER SESSION C: ABSTRACTS C1 – C165 Room: Exhibit Hall: 4 A/B View the most current research in geriatrics. Authors will be available to discuss the presented findings and answer questions. 12:00 – 4:30 P.m. CLINICAL SKILLS STATIONS See page 12. SYMPOSIA 12:30 – 2:00 P.m. ASSESSING THE SAFETY OF OLDER DRIVERS: SCREENING AND ASSESSMENT, REHABILITATION AND COMMUNITY STAKEHOLDERS Room: 6A CME/CE Credit: 1.5Track: Clinical Practice Moderator: Lisa J. Rosenberg, MD, Touro University Nevada This program will provide a brief review of the literature that addresses how often and how well screening for older driver safety occurs; present rehabilitation options, and correlate these options with deficits most amenable to rehabilitation, contrasted with those not likely to respond. Community resources to assist older adults in maintaining driving ability, as well as those that assist older adults when driving must cease, will be presented. Finally, the National Highway and Traffic Safety Administration’s goals for and progress in addressing this critical issue will be presented. Learning objectives: (1) identify the current optimal practices for screening and assessing older adults for driver safety, and to distinguish those instruments which have an evidence base from those that do not; (2) identify rehabilitation options 42 and distinguish among those patients whose deficits may be amenable to rehabilitation from those requiring formal assessment and determination of driving safety; (3) identify community resources available to older adults to assist in maintaining driving ability, as well as resources for those who are no longer able to drive safely; and (4) identify progress made at the national level in addressing older driver safety. Screening Older Drivers’ Road Safety: How Are We Doing? Lisa J. Rosenberg, MD, Touro University Nevada Driver Rehabilitation Teresa A. Valois, OTR/L, ATP, CDRS, CHCServices Staying on the Road: Strategies and Alternatives Gordon C. Olson, AARP Driver Safety, Car Fit and We Need To Talk Programs A National Perspective on Older Driver Safety Essie K. Wagner, MA, National Highway Traffic Safety Administration 12:30 – 2:00 P.m. GERIATRIC PSYCHIATRY UPDATES Room: 6E CME/CE Credit: 1.5Track: Clinical Practice Moderator: Joel E. Streim, MD, University of Pennsylvania This session will update participants in numerous aspects of geriatric psychiatry, including recent advances in the understanding and treatment of depression and dementia. Learning objectives: (1) describe the efficacy of antidepressants in older depressed adults; (2) describe common barriers to implementing the PEARLS program and several adaptations to address these barriers; and (3) discuss how to integrate the four key dimensions of care, using a conceptual framework that can be adapted to different clinical settings. The Efficacy of Antidepressants in Late Life Depression and Depressed Elders with Dementia J. Craig Nelson, MD, University of California, San Francisco Program to Encourage Active and Rewarding Lives for Seniors: Implementing an Evidence Based Practice Mark B. Snowden, MD, MPH, University of Washington Confronting Complexity: Delivering Comprehensive Care for Dementia Patients and Family Care Partners Soo Borson, MD, University of Washington 12:30 – 2:00 P.m. SCHOLARSHIP SKILLS BOOT CAMP, PART II: SCHOLARSHIP AS A MEANS TO PROMOTION Room: 3 A/B CME/CE Credit: 1.5Track: Education Schedule—Friday, May 4 Developed by the Education Committee and the Teachers Section Moderator: Annette Medina-Walpole, MD, AGSF, University of Rochester The primary outcome of this workshop is to increase participants’ understanding of scholarship and improve their scholarly skills. They will learn a conceptual framework for scholarship, rotate to 3 of the 6 active learning stations below, and identify two next steps to ensure the workshop learning is applied to their work in a timely and meaningful way. Learning objectives: (1) define the four types of scholarship and the essential elements of scholarly work; (2) develop three scholarly skills important for success in academics; (3) identify grant opportunities in geriatrics and health professions education to advance your career; and (4) list two next steps for applying your new scholarly skills after the AGS meeting. Creating a Promotion Ready CV Jonathan M. Flacker, MD, AGSF, The Emory Clinic at Wesley Woods & Christine Bradway, PhD, CRNP, FAAN, University of Pennsylvania School of Nursing biomarkers for AD including a discussion of resting state networks; and current and emerging blood and CSF biomarkers for AD including screening criteria. Learning objectives: (1) review the new NIA and the Alzheimer’s Association criteria; (2) discuss current and emerging advances in neuroimaging biomarkers; and (3) discuss current and emerging advances in blood and CSF biomarkers. Overview of the New NIA/Alzheimer’s Association Diagnostic Criteria and Guidelines Alexander P. Auchus, MD, AGSF, FAAN, University of Mississippi Medical Center Current and Emerging Neuroimaging Biomarkers Tiffany W. Chow, MD, MS, Baycrest Brain Health Current and Emerging Blood and CSF Biomarkers Anil K. Nair MD, Quincy Medical Center PAPER SESSION Academic Portfolio Development Helen Fernandez, MD, Mount Sinai School of Medicine & Rainier P. Soriano, MD, Mount Sinai School of Medicine 12:30 – 2:00 P.m. How to be a Great Mentee Suzanne M. Gillespie, MD, RD, CMD, University of Rochester & Thomas V. Caprio, MD, MPH, CMD, FACP, University of Rochester Room: 616/617 CME/CE Credit: 1.5Track: Research Leadership and Continuing Professional Development Programs Reena Karani, MD, Mount Sinai School of Medicine & Sara M. Bradley, MD, Mount Sinai School of Medicine Manuscript Acceptance Tips and Tools Aanand D. Naik, MD, Houston & S. Nicole Hastings, MD, MHS, Duke University Medical Center How to Get Involved with a National Professional Organization Annette Medina-Walpole, MD, AGSF, University of Rochester & Ellen Flaherty, PhD, APRN, Dartmouth Hitchcock Medical Center 12:30 – 2:00 P.m. PRE-CLINICAL TESTING FOR ALZHEIMER’S DISEASE CLINICAL INTERVENTIONS Developed by the Research Committee Co-Moderators: Luigi Ferrucci, MD, PhD, National Institute on Aging & Rebecca A. Silliman, MD, PhD, Boston University This session presents the latest peer-reviewed research focused on clinical interventions with questions and answers to follow. Learning objective: (1) discuss new, original research related to clinical interventions. p22 — A Randomized Controlled Trial of High Dose Vitamin D3 in Older Adults with Heart Failure Rebecca S. Boxer, MD, MS, Case Western Reserve University p23 — Improving 25-hydroxyvitamin D Status in Homebound Elders and its Effect on Falls Denise K. Houston, PhD, RD, Wake Forest Health Sciences p24 — Motor Skill versus Standard Exercise in Older Adults with Subclinical Gait Dysfunction Jennifer S. Brach, PT, PhD, University of Pittsburgh Room: 608/609 CME/CE Credit: 1.5Track: Clinical Practice p25 — Simple Diagnosis and Pharmacologic Treatment for Urgency Incontinence in Women Alison Huang, MD, MAS, University of California, San Francisco Developed by the American Academy of Neurology’s Geriatric Neurology Section p26 — Withdrawn Moderator: Alexander P. Auchus, MD, AGSF, FAAN, University of Mississippi Medical Center This session will discuss of the new National Institute on Aging – Alzheimer’s Association diagnostic criteria and guidelines for: asymptomatic preclinical stage of AD; MCI due to AD; and dementia due to AD; current and emerging neuroimaging p27 — Propofol Induction and Aging: Are We Routinely Overdosing our Patients, and With What Effect? Adam T. Phillips, Mount Sinai School of Medicine 43 Schedule—Friday, May 4 WORKSHOPS 12:30 – 2:00 P.m. SCREENING AND PREVENTIVE CARE IN OLDER ADULTSOPTIMIZING QUALITY BY INDIVIDUALIZING DECISIONS Room: 4C 3/4 CME/CE Credit: 1.5Track: Clinical Practice Moderator: Elizabeth N. Eckstrom, MD, MPH, Oregon Health & Science University The workshop will provide participants with information and resources to improve decision making and patient centered communication about the risks and benefits of screening in older adults. After introductory content overviews, participants will break into small groups to discuss challenging cases and practice using the new tools that have been presented. Learning objectives: (1) describe the USPSTF approach to screening in older adults; (2) demonstrate improved skills in discussing screening decisions with their patients; (3) gain practical tools to help them make screening decisions with their older adult patients; and (4) increase understanding of the role of prognostication in making clinical decisions about screening. of older adult patients. This symposium shares lessons learned through quality improvement and invites the community dedicated to the care of older adult patients to play a key role in the national “Partnership for Patients” campaign to reduce hospital readmissions by 20%, and all-cause harm by 40%. Learning objectives: (1) describe successful communityoriented models and provider tools to improve care transitions from the hospital perspective; (2) describe effective tools and strategies to reduce unnecessary hospital transfers from postacute and nursing home facilities; (3) review and engage in the “Partnership for Patients” national campaign to reduce hospital readmissions and all-cause harm. Experiences and Lessons Learned through the Community Based Care Transitions Program Select Communities Traci Archibald, OTR/L, MBA, CMS Tools and Strategies to Reduce Preventable Harm in Postacute and Nursing Home Facilities Alice Bonner, PhD, RN, CMS The Partnership for Patients Campaign: Springing into Action Paul McGann, MD, CMS SPECIAL INTEREST GROUPS The USPSTF Approach to Screening in Older Adults Rosanne M. Leipzig, MD, PhD, Mount Sinai School of Medicine 12:30 – 2:00 P.m. Prognostication Louise C. Walter, MD, University of California, San Francisco Room: 620 Track: Networking Chair: Robert M. Palmer, MD, MPH The mission of the Acute Hospital Care SIG is to improve the outcomes of hospitalization of elderly patients through improvements in clinical care, dissemination of research findings and promotion of health professional education. The SIG meeting is open to all AGS participants. On-Line Tools to Assist Clinicians in Prognostication Sei J. Lee, MD, MAS, University of California, San Francisco & Alexander K. Smith, MD, MS, MPH, University of California, San Francisco Small Group Discussion All faculty and Bruce Kinosian, MD, University of Pennsylvania; Gail M. Sullivan, MD, MPH, University of Connecticut School of Medicine; Peter A. Boling, MD, Virginia Commonwealth University; and Hollis D. Day, MD, MS, University of Pittsburgh School of Medicine 12:30 – 2:00 P.m. REDUCING HOSPITAL READMISSIONS AND ALL-CAUSE HARM Room: 606/607 CME/CE Credit: 1.5Track: Models of Care Developed by the Centers for Medicare and Medicaid Services (CMS) Co-Moderators: Shari M. Ling, MD, Center for Medicare and Medicaid Services (CMS) & Joseph G. Ouslander, MD, Florida Atlantic University This symposium provides an overview of community and provider-based strategies for effectively reducing hospital readmissions and unnecessary hospital transfers and admissions 44 ACUTE HOSPITAL CARE 12:30 – 2:00 P.m. CARE TRANSITIONS Room: 613 Track: Networking Chair: Manuel A. Eskildsen, MD, MPH The mission of the Care Transitions SIG is to improve outcomes for vulnerable elders moving across different healthcare settings through the better execution of care transitions. The SIG will assemble geriatricians and other geriatrics professionals with a common interest in improving care transitions through education, quality improvement, and research. The group will strive to serve as a resource to develop educational sessions at AGS annual meetings, and serve as AGS’s main forum for discussion and collaboration on care transitions issues. Schedule—Friday, May 4 12:30 – 2:00 P.m. HOSPITAL ELDER LIFE PROGRAM (HELP) Room: 614 Track: Networking Chair: Heidi Wierman, MD HELP is proven to decrease incidence of delirium and maintain physical functioning in hospitalized older adults. The program function will be reviewed. The new free, open access model and the role of HELP Centers of Excellence will be discussed. We encourage longstanding, new and contemplative program representatives to attend. Please come with your questions. 12:30 – 2:00 P.m. FAMILY PHYSICIANS IN GERIATRICS Room: 615 Track: Networking Chair: Erik J. Lindbloom, MD, MSPH This Special Interest Group is devoted to discussing and acting on issues of concern to family physicians caring for older adults. Issues pertinent to family medicine fellows and residents are also of interest. This group works in collaboration with the Society of Teachers of Family Medicine (STFM) Group on Geriatrics. SYMPOSIA 2:15 – 3:45 P.m. SIMPLER BUT SAFE? NEW ORAL ANTICOAGULANT THERAPIES VERSUS WARFARIN TO REDUCE STROKE RISK IN OLDER ATRIAL FIBRILLATION PATIENTS Room: 6A CME/CE Credit: 1.5Track: Clinical Practice Moderator: Susan Zieman, MD, PhD, FACC, National Institute on Aging/National Institutes of Health Atrial fibrillation markedly increases in incidence, prevalence and associated poor outcomes with advancing age. This casebased symposium revisits the risks and benefits of chronic anticoagulation in older adults with non-valvular atrial fibrillation, including new oral therapies (direct thrombin and factor Xa inhibitors) which do not require monitoring. The objectives of this symposium are 1) to emphasize the age-specific stroke vs. bleeding risk in chronic non-valvular atrial fibrillation patients 2) to reveal misconceptions on anticoagulation risk in older patients and introduce strategies to reduce poor outcomes in this cohort 3) to review the evidence and age-specific use of warfarin in chronic afib and 4) to review efficacy and safety data for new oral anticoagulation therapies including dabigatran, rivaroxaban and apixaban in seniors. Mantras and Myths: Clarifying the Challenges of Anticoagulation in Older Adults with Chronic Atrial Fibrillation Michael A. Chen, MD, PhD, FACC, University of Washington Warfarin in Seniors: When and How Gregory Piazza, MD, MS, Brigham and Women’s Hospital Dabigatran, Rivaroxaban, Apixaban: Better than Warfarin in Older Afib Patients? Susan Cheng, MD, Brigham and Women’s Hospital 2:15 – 3:45 P.m. IMPROVING THE QUALITY OF CARE OF GRAVELY ILL OLDER PATIENTS: REIMAGINING CARE AT THE BOUNDARY Room: 6E CME/CE Credit: 1.5Track: Ethics Developed by the Ethics Committee Moderator: Daniel J. Brauner, MD, University of Chicago As geriatrics matures and becomes more explicitly engaged in care of gravely ill and dying patients it becomes increasingly important for us to be more proactive in improving this care for our older patients. This symposium will present an historically sensitive portrayal of the evolution of contemporary rhetoric and ethos of care for gravely ill patients with the ultimate goal of developing a Post-Advance Directive Model. Learning objectives: (1) appreciate how the history of cardiac arrest, a condition contingent on its therapy and the procedure for negotiating this therapy continue to impact on the care of gravely ill and dying older patients through the Advance Directive; (2) discuss the ramifications of the practice of obtaining and administering Advance Directives especially the Do Not Resuscitate Order and develop competence in the ability to criticize the current rhetoric and customs of care for gravely ill and dying patients; (3) consider altering current practice of Advance Directive to remove the focus on Code Status; and (4) perform conversations with these patients and their families concerning therapy in the future which honors the uncertainty of the future but also recognizes the physiological limits of therapies and that provides meaningful choices when they exist. The Problem: A Presentation and Analysis of Contemporary Cases of the Enactment of Advance Directives Thomas E. Finucane, MD, Johns Hopkins University Where Did It All Come From? An Historical Analysis of Cardiac Arrest, the Therapy From Which it Materialized and the Confluence of Forces That Helped Create the Advance Directive Caitjan Gainty, MA, MPH, University of Chicago Identifying the Core Issues: How Do We Improve the Situation? Daniel J. Brauner, MD, University of Chicago 45 Schedule—Friday, May 4 2:15 – 3:45 P.m. PARTNERSHIPS TO ENHANCE RESEARCH RELATED TO THE CARE OF OLDER ADULTS Room: 611/612 CME/CE Credit: 1.5Track: Research Developed by the Research Committee and the Junior Faculty Research Special Interest Group Moderator: S. Nicole Hastings, MD, MHS, Duke University Medical Center This symposium will bring together nationally-renowned experts with experience building effective partnerships between researchers and community groups, health systems, non-profits, or other governmental agencies that enhance research related to the care of older adults. Learning objectives: (1) describe the rationale for developing partnerships between researchers and community groups, health providers, hospitals/health systems, and other governmental agencies; (2) identify steps for building effective partnerships and enhancing their impact; (3) list strategies for anticipating and overcoming challenges related to partnerships in research. What Is a Research Partner and Why Do You Need One? Aanand D. Naik, MD, Michael E. DeBakey VAMC Partnering with the City of Los Angeles Department of Aging Catherine A. Sarkisian, MD, MSPH, University of California, Los Angeles Partnerships to Advance Implementation Malaz A. Boustani, MD, MPH, Indiana University School of Medicine Translating Science to Help Older Adults Maintain their Health and Independence in the Community—Research and Community Partnerships Michelle Washko, PhD, U.S. Department of Health and Human Services, Administration on Aging 2:15 – 3:45 P.m. NEW FRONTIERS IN GERIATRICS: THE JAHNIGEN AND WILLIAMS AWARDEES REPORT ON RESEARCH LEADING TO IMPROVED CARE BY SURGICAL AND MEDICAL SUBSPECIALISTS Room: 618/619 CME/CE Credit: 1.5Track: Research Co-Moderators: Lisa J. Gould, MD, University of South Florida & William R. Hazzard, MD, VA Puget Sound Health Care System This symposium will highlight the research supported by the Dennis W. Jahnigen and T. Franklin Williams Career Development Awards Programs. Both programs support research on older patients who are cared for by the targeted disciplines, with the Jahnigen Awards program supporting faculty in the surgical and 46 related medical specialties and the Williams Award program supporting faculty in the sub-specialties of internal medicine. Learning objective: (1) describe current research which will lead to improved care of older persons by surgical and medical subspecialists. Regeneration of Skeletal and Smooth Muscles by MuscleDerived Stem Cells for the Treatment of Aging Female Pelvic Disorders Mathew H. Ho, MD, PhD, University of California, Los Angeles Geriatric Assessment and Pre-Operative Risk Stratification Thomas N. Robinson, MD, FACS, University of Colorado Interaction between Presbycusis and Cisplatin Ototoxicity Kourosh Parham, MD, PhD, University of Connecticut Health Center Identification and Characterization of a Mitochondrial Angiotensin System Peter M. Abadir, MD, Johns Hopkins University Epidemiology of Restricting Back Pain in Older Persons Una E. Makris, MD, UT Southwestern Medical Center The Role of Aging and Endoplasmic Reticulum Stress in the Pathogenesis of Pulmonary Fibrosis Jessica Chia, MD, Duke University WORKSHOP 2:15 – 3:45 P.m. PEARLS ON PUBLISHING AND REVIEWING PAPERS Room: 606/607 CME/CE Credit: 1.5Track: Research Supported by an educational grant from Wiley/Blackwell Publishing. Moderator: Thomas T. Yoshikawa, MD, VA Greater Los Angeles Healthcare System This session will describe what types of papers are most appropriate for the Journal of the American Geriatrics Society and how articles should be submitted. Discussants will provide information on how reviews are performed, what factors determine a “good” or “bad” paper, and how editors examine manuscripts to determine if they should be accepted or rejected. Learning objectives: (1) explain how manuscripts are processed in an editorial office; (2) describe elements or aspects of a paper that determine it to be rejected or accepted; and (3) discuss the approach to reviewing a scientific article. Editor-in-Chief’s Perspective Thomas T. Yoshikawa, MD, VA Greater Los Angeles Healthcare System An Associate Editor’s Perspective on the Review Process Bruce E. Robinson, MD, MPH, Sarasota Memorial Hospital Schedule—Friday, May 4 Writing Up Your Research for JAGS Joseph G. Ouslander, MD, Florida Atlantic University The Reviewer’s Perspective Robert L. Kane, MD, University of Minnesota School of Public Health 2:15 – 3:45 P.m. WHEN PATIENTS INSIST ON GOING HOME: HOW TO BEST CARE FOR CHALLENGING PATIENTS Room: 4C 3/4 CME/CE Credit: 1.5Track: Clinical Practice/Ethnogeriatrics Developed by the Ethnogeriatrics Committee Moderator: Marie-Luz Villa, MD, AGSF, University of Washington The multidisciplinary panel presentation and discussion centers on case-based presentations of ethnically diverse older adults transitioning to community following hospitalization. Each expert discusses how culture and health beliefs affect their discipline’s approach to delivering effective healthcare. Panelists will present evidence based information or best practices on using assessment tools, implementing an effective care plan, and establishing rapport with recently hospitalized, ethnic older adults. Learning objectives: (1) review demographics of older adults who use home care and the providers within home care; (2) identify the impact of ethnic, racial, and/or religious/spiritual background in the home setting on medical, functional, and psychosocial needs; (3) differentiate how an older adult’s ethnic, racial, and/or religious/spiritual background may affect the care provided by different healthcare disciplines; and (4) outline approaches in discussing medically and socially complex topics, including end of life care, in a culturally sensitive manner in home care. MEET-THE-EXPERT 2:15 – 3:45 P.m. CLINICAL CHALLENGES IN DEMENTIA MANAGEMENT Room: 608/609 CME/CE Credit: 1.5Track: Clinical Practice Speaker: Valisa C. Saunders, MN, APRN, GNP-BC, University of Hawaii Where does evidence-based medicine meet rational, focused functional care for older adults with dementia? This session will define a “Stepped” approach to guide the journey in caring for dementia patients across the continuum, who often have chronic illnesses in addition to mood or behavioral symptoms. The “Stepped” approach considers level of cognitive and functional impairment and can provide a team and family a roadmap for care issues. Learning objective: (1) describe a stepped approach to dementia care. SECTION MEETING 2:15 – 3:45 P.m. TEACHERS NETWORKING SECTION Room: 3 A/B Track: Networking Chair: Jonathan M. Flacker, MD, AGSF, The Emory Clinic at Wesley Woods Current and new members of the AGS with an interest in teaching and/or education scholarship are invited to attend this meeting, which provides a forum for teachers of geriatric medicine to network, exchange ideas, plan new initiatives, and create opportunities for involvement to promote faculty development as educators. Case Presentation: The Vietnamese Elder Thuan D. Ong, MD, MPH, University of Washington Case Presentation: The Mexican American Elder Marie-Luz Villa, MD, AGSF, University of Washington Expert Analysis of Cases: The Nursing Perspective Sandy E. Maloof, RN Expert Analysis of Cases: The Social Work Perspective Karen L. Clay, MSW, Providence Hospice of Seattle Expert Analysis of Cases: The Therapist’s Perspective Patricia N. Matsuda, PT, PhD, DPT, University of Washington 47 Schedule—Friday, May 4 SPECIAL INTEREST GROUP 2:15 – 3:45 P.m. 2:15 – 3:45 P.m. DISASTER PLANNING AND PREPAREDNESS WOUND PREVENTION AND MANAGEMENT Room: 614 Track: Networking Chair: Charles A. Cefalu, MD, MS The AGS Disaster SIG’s purpose is to promote education of geriatric healthcare professionals as it relates to Disaster Preparedness in the US and Internationally. The meeting and membership is open to all geriatric healthcare professionals and guests. The SIG meets annually during the American Geriatrics Society Annual Meeting. Presentations by guests and members of the American Geriatrics Society are welcome. For more information about presenting, please contact Charles A. Cefalu MD, MS, Disaster SIG Chair at [email protected] or by mobile 504-495-2461. Room: 620 Track: Networking Chair: Foy White-Chu, MD The wound prevention and management SIG is an interdisciplinary group of healthcare professionals who strive to improve outcomes in skin and wound health in vulnerable older adults through supporting education, research, and quality improvement initiatives. Target conditions include chronic wounds, such as pressure ulcers, venous leg ulcers, diabetic foot ulcers, and malignant wounds. Acute wounds, for example non-healing post-operative wounds and skin tears, are also a focus. This group also addresses complex skin conditions, such as stomas and fistulas. This initial meeting with focus on future directions within AGS in education, research, and quality improvement. 2:15 – 3:45 P.m. PROGRAM OF ALL INCLUSIVE CARE FOR THE ELDERLY (PACE) Room: 615 Track: Networking Chair: Verna Reynolds Sellers, MD, MPH, CMD, AGSF PACE (Program for All-Inclusive Care of the Elderly) is a comprehensive, fully integrated model which provides community-based care for nursing home eligible frail elders. This session has two goals: 1. provide information to those who may be considering the establishment of a PACE program, are in the early phase of PACE development, or have an interest in the provision of primary care within the PACE model, and 2. offer a networking opportunity for individuals already involved in PACE and those who are interested. We encourage anyone with questions to come and explore why this model has become so successful. 2:15 – 3:45 P.m. POLYPHARMACY Room: 613 Track: Networking Co-Chairs: Murthy Gokula, MD & Holly Holmes, MD The AGS Polypharmacy SIG is dedicated to issues related to medication use in older adults. Our goal is to facilitate education and discussion on this topic, both within the group and for a wider audience. The SIG accomplishes this by encouraging open dialogue during AGS annual meetings and through the participation of our members on a listserv, in addition to generating and sponsoring symposia at the AGS Annual Meeting. The SIG also exists to promote networking and contacts for people interested in medication use in older persons. 48 3:00 – 4:30 P.m. POSTER SESSION D: ABSTRACTS D1 – D164 Room: Exhibit Hall: 4 A/B View the most current research in geriatrics. Authors will be available to discuss the presented findings and answer questions. 3:45 P.M. COFFEE BREAK IN THE EXHIBIT HALL (complimentary beverages available) PLENARY SYMPOSIUM 4:30 – 6:00 P.m. AGS UPDATED 2011 BEERS CRITERIA FOR POTENTIALLY INAPPROPRIATE MEDICATION USE IN OLDER ADULTS Room: 6 B/C CME/CE Credit: 1.5Track: Clinical Practice Moderator: Todd P. Semla, MS, PharmD, BCPS, FCCP, AGSF, Department of Veteran Affairs The American Geriatrics Society recently published the AGS Updated Beers Criteria for Potentially Inappropriate Medication Use in Older Adults. The Beers Criteria serve as a critical tool in in preventing adverse drug events in older adults and are an important tool for systems and individuals who seek to ensure high quality healthcare for older adults. Originally conceived of by the late Mark Beers, MD (a geriatrician), the Beers Criteria Schedule—Friday, May 4 catalogue medications that place older patients at an elevated risk for adverse drug events (ADEs) due to the physiologic changes of aging and concurrent conditions. This program will present an overview of the updated criteria, as well as it’s application in today’s health system. Learning objectives: (1) identify drugs to be avoided or used with caution in older adults; (2) describe the differences between the 2012 Beers Criteria, the 2003 Criteria, and other Criteria (i.e. STOPP/START); and (3) integrate the Beers Criteria into their own health system. Introduction & Process Todd P. Semla, MS, PharmD, BCPS, FCCP, AGSF, Department of Veteran Affairs What is Different in this Update Compared to Last Criteria Joseph Hanlon, PharmD, MS, AGSF, University of Pittsburgh What You Can Do with the Updated Criteria at Your Health System Catherine E. DuBeau, MD, University of Massachusetts Looking Forward/ Next Steps Donna M. Fick, PhD, RN, FGSA, FAAN, The Pennsylvania State University SPECIAL INTEREST GROUPS 6:30 – 8:00 P.m. CLINICAL RESEARCH IN DEMENTIA Room: 613 Track: Networking Chair: Malaz A. Boustani, MD, MPH, Indiana University School of Medicine The aim of the Special Interest Group on Clinical Research in Dementia (SIG-CRD) is to bring together AGS members who are dedicated to advancing the health care of older adults suffering from dementia by advancing clinical research in geriatrics, across disciplines and care settings. In addition the SIG-CRD aims to disseminate interdisciplinary, evidence-based clinical knowledge about the management of dementia in older adults. 6:30 – 8:00 P.m. ELDER ABUSE AND NEGLECT Room: 620 Track: Networking Chair: Lisa Gibbs, MD The Elder Abuse and Neglect SIG is a growing interdisciplinary group of gerontologic/geriatric medicine professionals whose interests lie in the prevention and intervention of elder mistreatment. The group’s agenda includes the advancement of clinical, education and research issues. Group members collaborate throughout the year to enhance elder abuse objectives locally and nationally. Proposals for next year’s AGS meeting will be discussed as well as ways to advance SIG objectives throughout the year. This SIG meeting is open to all AGS attendees. 6:30 – 8:00 P.m. STUDENTS Room: 614 Track: Networking Co-Chairs: Charlene Neu & Li-Wen Huang Meet other students and discuss your own ideas about the field and ways to get more involved in AGS! All students are encouraged to join. 6:30 – 8:00 P.m. INTERPROFESSIONAL EDUCATION AND PRACTICE IN GERIATRICS Room: 615 Track: Networking Chair: Josette A. Rivera, MD The Interprofessional Education and Practice (IPE/P) Special Interest Group welcomes all AGS members to explore how broad health professional interest in teamwork is changing health education and practice. While geriatrics has long recognized the importance of teams, this has not been a widely recognized focus of health education or practice until recently. Interprofessional education now refers to when “two or more professionals learn about, from and with each other to enable collaboration” (WHO, 2010). Please join us to explore opportunities to advance geriatric care and collaborative practice with new educational initiatives, curricula, and models of care. At our inaugural meeting, Christine Arenson will share experiences from her role as Co-Director of the Jefferson InterProfessional Education Center, Thomas Jefferson University. Please join our listserv; email [email protected] and place “Subscribe AGS_IPE_SIG-L” in the body of the email. 7:00 – 8:00 P.m. RESIDENTS WELCOME SESSION Room: 3 A/B Track: Networking Teams of students and residents will work in groups to solve a variety of diagnostic and therapeutic challenges presented in images by faculty from all over the US. This will provide residents with geriatric pearls as well as opportunities to socialize with their peers while interacting with faculty from all over the US on important and interesting topics in geriatrics. All residents are encouraged to attend this educational and social session. 49 Schedule—Saturday, May 5 SATURDAY, 6:30 A.m. – 12:30 P.m. GERIATRIC SURGERY: WE CAN CUT, BUT CAN WE CARE? The Eleventh Annual Meeting of the Section for Enhancing Geriatric Understanding and Expertise among Surgical and Medical Specialists (SEGUE) Room: Sheraton Hotel: Grand Ballroom CME/CE Credit: 4Track: Clinical Practice Developed and supported by The John A. Hartford Foundation supported Geriatrics-for-Specialists project, Increasing Geriatrics Expertise in Surgical and Related Medical Specialties. This session will focus on two cases: hospitalization of the geriatric patient and the effect on the caretaker and the family; and the peri-operative management of the “Do Not Resuscitate” order. Learning objectives: (1) identify time and financial constraints for the caretaker of an older adult; (2) discuss issues surrounding transitions of care and identify strategies to implement them; and (3) describe and discuss ethical and legal considerations for do not resuscitate orders. 6:30 Breakfast 7:00 Multi-Morbidity Update Jerome Epplin, MD, Litchfield Family Practice Center & Joseph Shega, MD, University of Chicago Medical Center 7:45 Hospitalization of the Geriatric Patient: The Ripple Effect for the Caregiver Moderator: Arvind D. Nana, MD, UNT Health Bone and Joint Institute •Caregiver Burden for the Acutely Hospitalized Geriatric Patient Barbara Muntz, RN, Visiting Nurse Association of Texas •Transitions of Care – Options and Issues Amit A. Shah, MD, UT Southwestern Medical Center •Case discussion with audience participation Moderator and panelists 9:30 Re-Inventing Risk: Classification and Its Consequences for Surgery in the Elderly Mark D. Neuman, MD, MSc, University of Pennsylvania 10:15 Break 50 MAY 5 10:30 The Peri-Operative Management of the “Do Not Resuscitate” Order Moderator: Thomas N. Robinson, MD, FACS, University of Colorado •Nursing Home Patients Undergoing Abdominal Operations — What Outcomes Can We Expect? Emily Finlayson, MD, MS, University of California, San Francisco •Why Do Patients Request “Do Not Resuscitate”? Robert A. Pearlman, MD, MPH, University of Washington •Ethical Issues for Withdrawing Do Not Resuscitate Orders around An Operation Margaret L. Schwarze, MD, MPP, University of Wisconsin •Legal Implications of Withdrawing Do Not Resuscitate Orders Cindy Jacobs, RN, JD, University of Washington •Revocation of Do Not Resuscitate Orders — What’s a Reasonable PeriOperative Strategy? Geoffrey P. Dunn, MD, FACS, Hamot Medical Center PLENARY SYMPOSIUM 7:30 – 9:00 A.m. GERIATRICS LITERATURE UPDATE 2012 Room: 6 B/C CME/CE Credit: 1.5Track: Clinical Practice Speakers: William J. Hall, MD, University of Rochester & Robert M. McCann, MD, FACP, AGSF, University of Rochester Drs. Hall and McCann will review 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; and (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 peerreviewed journals January-December, 2011. Schedule—Saturday, May 5 PLENARY SYMPOSIUM SYMPOSIA 9:00 – 10:30 A.m. 10:45 A.m. – 12:15 P.m. GUIDING PRINCIPLES FOR THE CARE OF OLDER ADULTS WITH MULTIMORBIDITY: AN APPROACH FOR CLINICIANS STATE-OF-THE-ART CLINICAL UPDATES SESSION – PART 1 Room: 6 B/C CME/CE Credit: 1.5Track: Clinical Practice Co-Moderators: Cynthia M. Boyd, MD, Johns Hopkins University & Matthew K. McNabney, MD, Johns Hopkins University In 2011, the AGS convened an interdisciplinary panel to develop an approach by which clinicians can interpret clinical practice guidelines when caring for older adults with multimorbidity. After a thorough literature review, the panel agreed upon a set of guiding principles for the clinical management of multimorbid patients. This program will present an overview of the guiding principles, strategies for their clinical application, and recommendations for a future research agenda. Learning objectives: (1) describe principles in applying clinical guidelines to multimorbid patients; (2) discuss strategies for applying these principles in a clinical setting; (3) identify barriers to the clinical application of these guiding principles and discuss solutions for overcoming these barriers. Background and Process of the Interdisciplinary Panel Matthew K. McNabney, MD, Johns Hopkins University Guiding Principles for the Care of Older Adults with Multimorbidity Cynthia M. Boyd, MD, MPH, Johns Hopkins University Implementing the Principles in Your Practice Holly M. Holmes, MD, UT MD Anderson Cancer Center Controversies and Challenges Nicole J. Brandt, PharmD, CGP, BCPP, FASCP, University of Maryland Takeaways & Future Research Agenda Christine S. Ritchie, MD, MSPH, University of California, San Francisco Question and Answer Room: 6A CME/CE Credit: 1.5Track: Clinical Practice Moderator: Kenneth E. Schmader, MD, Duke University Medical Center This session will present cutting-edge clinical material, and offer pragmatic advice on how to put this information into practice. Learning objectives: (1) discuss clinical impact/outcomes related to hypertension; (2) discuss clinical impact/outcomes related to nosocomial infections; (3) discuss clinical impact/ outcomes related to dermatology. Hypertension Mark A. Supiano, MD, University of Utah Nosocomial Infections Suzanne F. Bradley, MD, University of Michigan Medical School Dermatology Wendy E. Roberts, MD, Generational and Cosmetic Dermatology 10:45 A.m. – 12:15 P.m. CONTROVERSIES IN DRUG TREATMENT OF ALZHEIMER’S DISEASE: WHAT IS MEANINGFUL BENEFIT? Room: 6E CME/CE Credit: 1.5Track: Clinical Practice Moderator: G. Michael Harper, MD, San Francisco VA Medical Center Two expert faculty will engage in a point/counterpoint debate about whether cholinesterase inhibitors provide meaningful benefit. The session will focus on 3 clinical scenarios: To start or not? To stop or not? What about the 23 mg formulation? Learning objectives: (1) review randomized clinical trial data with an emphasis on outcomes that are meaningful to patient or caregiver; (2) discuss potential benefits, harms, and burden of cholinesterase inhibitors. Pro Jacobo E. Mintzer, MD, MBA, Medical University of South Carolina Con Thomas E. Finucane, MD, Johns Hopkins University 51 Schedule—Saturday, May 5 10:45 A.m. – 12:15 P.m. UPDATE IN SMART HOME TECHNOLOGIES: “GETTING SMARTER AS WE AGE” Room: 4C 3/4 CME/CE Credit: 1.5Track: Clinical Practice Moderator: Lee D. Burnside, MD, MBA, University of Washington This session will provide the audience with an up to date picture of current, cutting edge, home monitoring (smart home) and tele-health technology for older adults. The presenters will describe application of technology being used to promote independence and safety in older adults who are living independently. The discussion will include how this technology will bridge the gap between data gathering and extrapolation to clinical application. Learning objectives: (1) describe current state of research in smart home technology and understand how improved use of smart home technology can provide an increased level of clinical information; (2) discuss how application of home technologies can improve safety, cost and quality of care for older independent individuals; (3) review future trends, challenges, and directions in technology development for older adults and their implications for various demographics; and (4) describe barriers to use including costs, clinical limitations, current legislative framework, patient and family acceptance, technological limitations and societal acceptance. Smart Home Technology – Current Application and Data Extrapolation Maureen Schmitter-Edgecombe, PhD, Washington State University Gauging Health and Independence: Ambient Independence Measurement with Home-based Pervasive Computing Systems Jeffrey A. Kaye, MD, Oregon Health and Science University Using Telehealth in the Home George Demiris, PhD, FACMI, University of Washington 10:45 A.m. – 12:15 P.m. GOLD MINE OR MINE FIELD: PRACTICAL ISSUES FOR INVESTIGATORS CHOOSING AND USING SECONDARY DATA Room: 608/609 CME/CE Credit: 1.5Track: Research Co-Moderators: Amy S. Kelley, MD, MSHS, Mount Sinai School of Medicine; Stephen Thielke, MD, MSPH, University of Washington; and Dae Hyun Kim, MD, MPH, Beth Israel Deaconess Medical Center 52 Developed by the Research Committee and the Junior Faculty Research Special Interest Group Geared toward investigators in aging research who are interested in, intending to use, or currently using secondary data, this session will discuss some of the common opportunities and challenges in using secondary data for grant applications and papers. Learning objectives: (1) determine if existing data sources (investigator-initiated and/or administrative) are adequate to answer the research questions of interest; (2) describe ways to develop an appropriate study design for studies using secondary data and avoid common analytical pitfalls; (3) utilize tips for effective and efficient use of existing investigatorinitiated and administrative databases for scientific papers and grant applications; and (4) recognize common technical and administrative challenges in using existing databases including access, cost, and IRB review for human subject research. Using Secondary Data from Investigator-Initiated Studies: From Research Question to Publication Jay Magaziner, PhD, MSHyg, University of Maryland Building a Relationship with Your Data: First Introduction to Funded Research Kenneth E. Covinsky, MD, MPH, University of California, San Francisco Practical Considerations When Working with Administrative and Federal Data Ellen P. McCarthy, PhD, MPH, Harvard Medical School PAPER SESSION 10:45 A.m. – 12:15 P.m. EPIDEMIOLOGY Room: 616/617 CME/CE Credit: 1.5Track: Research Developed by the Research Committee Moderator: Susan E. Hardy, MD, PhD, University of Pittsburgh School of Medicine This session presents the latest peer-reviewed research focused on epidemiology with questions and answers to follow. Learning objective: (1) discuss new original research related to epidemiology. p28 — Risk Factors for Restricting Back Pain in Community-Living Older Persons Una E. Makris, MD, Yale University p29 — Falls and Orthostatic Hypotension: Re-examining Limits Alycia A. Cleinman, MD, University of Mississippi Medical Center Schedule—Saturday, May 5 p30 — Sensory and Motor Nerve Function Differentially Relate to Gait Parameters: The Health ABC Study Elizabeth S. Hile, PhD, PT, NCS, University of Pittsburgh An Intervention to Improve Medical Students’ Interprofessional Acumen Rollin M. Wright, MD, MPH, University of Pittsburgh p31 — Anticholinergic Medication Use, Falls and Fracture in Postmenopausal Women: Results from the Women’s Health Initiative Heidi S. Wirtz, MS, PharmD, University of Washington Community Based Advance Care Planning Education for Older Adults Charles W. Johnston RN, BSN, UC Davis School of Nursing p32 — Falls among Adult Patients Hospitalized in the United States: Prevalence and Trends Erin LD Bouldin, MPH, VA Puget Sound Health Care System p33 — Psychotropic Drug Changes and Falls in the Nursing Home Murray Echt, SUNY Downstate Medical Center College of Medicine WORKSHOPS 10:45 A.m. – 12:15 P.m. MODEL GERIATRIC PROGRAMS: INTERDISCIPLINARY GERIATRIC EDUCATION MATERIALS AND METHODS SWAP Room: 3 A/B CME/CE Credit: 1.5Track: Education Developed by the Teachers Section and sponsored by the Education Committee Moderator: Channing R. Ford, MPA, MA, University of Alabama at Birmingham This workshop presents a forum for teachers of geriatrics education to share topics and materials of common interest, such as program development, curriculum, and educational process and research in teaching and evaluation. Learning objective: (1) describe and exchange geriatrics education and teaching materials. STEADI—A Fall Prevention Tool kit for Healthcare Providers Judy Stevens, PhD, National Center for Injury Prevention & Control, Centers for Disease Control & Prevention & Elizabeth A. Phelan, MD, MS, University of Washington Interprofessional Geriatric Clinical Skills Fair Brooke E. Salzman, MD, Thomas Jefferson University Improving Uptake of a Falls Educational Program by Focusing on Staff Interactions Cathleen Colon-Emeric, MD, MHS, GRECC, Duke University, Durham VA Medical Center Simulation Fosters Interprofessional Skills among Nursing, Pharmacy and Medical Students Lisa C. Hutchison, PharmD, MPH, BCPS, University of Arkansas for Medical Sciences 10:45 A.m. – 12:15 P.m. CODING AND REIMBURSEMENT: STUMP THE PROFESSOR Room: 606/607 CME/CE Credit: 1.5Track: Clinical Practice Speaker: Peter Hollmann, MD, Blue Cross & Blue Shield of Rhode Island This open workshop will focus on answering your questions about CPT coding and billing, reimbursement rules and related practice management issues. Learning objectives: (1) discuss CPT coding and billing; and (2) describe the PQRI and how this can affect your practice. SPECIAL INTEREST GROUPS 10:45 A.m. – 12:15 P.m. GERIATRICS CONSULTATIVE SERVICES Room: 620 Track: Networking Chair: Taryn Lee, MD This meeting is open to anyone who provides or is interested in providing geriatric medicine consultative services. Participants will have an opportunity to learn from other practitioners how geriatrics consultative services are provided in various clinical settings. Discussion topics will include the extent to which our services are in demand; types of patients whom we are asked to see; various collaborative efforts with other services; billing processes and concerns; incorporating geriatrics teaching within the consultative setting; and types of problems we encounter. 10:45 A.m. – 12:15 P.m. INFORMATION TECHNOLOGY ISSUES Room: 613 Track: Networking Chair: F. Michael Gloth, III, MD, AGSF The AGS IT Issues SIG looks to bring members of the AGS with an interest in information technology together to improve IT communication, exchange ideas, and provide direction for areas of interest in upcoming AGS Annual meetings. Recognizing the potential for IT to reduce medical errors, improve transitions of care and improve quality of geriatric medicine and communication, members of the IT Issues SIG foster innovative technology and work to communicate advances to the membership of the American Geriatrics Society. The IT Issues SIG also works to promote IT advances that will positively impact 53 Schedule—Saturday, May 5 our aging society. Finally, members of the IT Issues SIG serve as a resource for the Society when such expertise is needed to review legislation, render policy assessment, and provide collaborative guidance in the arena of information technology. 10:45 A.m. – 12:15 P.m. LONG TERM CARE Room: 615 Track: Networking Chair: Lynn Chrismer, MD SIG for Long Term Care is intended for those attendees involved or interested in long term care. It is intended to be a forum to discuss and share information pertaining to current issues in long term care. 10:45 A.m. – 12:15 P.m. 12:30 – 2:00 P.m. AGS/AFAR/JOHN A. HARTFORD FOUNDATION STUDENT POSTER SESSION LUNCH Room: Exhibit Hall, 4 A/B Track: Networking Supported by the AGS Foundation for Health in Aging Student Researcher Fund. The Student Poster Session enables students who participated in the Hartford/AFAR Student Geriatric Scholars Program and other students from all health professional disciplines who are presenting research at the AGS Annual Meeting to discuss their research findings with peers and with leaders in geriatrics and aging research. Lunch will be served. OSTEOPOROSIS AND METABOLIC BONE DISEASE Room: 614 Track: Networking Chair: Kenneth W. Lyles, MD AGS members with interest in metabolic bone diseases meet informally to discuss interesting cases and plan for programs that we submit to the Program Committee for the next year’s annual meeting. Almost every year our group has one or two sessions on the program. We have spirited discussions and share ideas about clinical care, research and educational programs. Anyone with an interest in the area is invited to attend and share ideas. 11:00 A.m. – 12:30 P.m. RESIDENT & OTHER POSTGRADUATE TRAINEE/ STUDENT POSTER SESSIONS SYMPOSIA 12:30 – 2:00 P.m. STATE-OF-THE-ART CLINICAL UPDATES SESSION – PART II Room: 6A CME/CE Credit: 1.5Track: Clinical Practice Moderator: Kenneth E. Schmader, MD, Duke University Medical Center This session will present cutting-edge clinical material, and offer pragmatic advice on how to put this information into practice. Learning objectives: (1) discuss clinical impact/outcomes related to urinary incontinence; (2) discuss clinical impact/ outcomes related to osteoporosis; (3) discuss clinical impact/ outcomes related to pressure ulcers. Room: Exhibit Hall: 4 A/B Track: Research Urinary Incontinence Patricia S. Goode, MSN, MD, University of Alabama at Birmingham 12:30 – 2:00 P.m. Osteoporosis Kenneth W. Lyles, MD, Duke University RESIDENTS LUNCH AND SPECIAL INTEREST GROUP Pressure Ulcers Barbara M. Bates-Jensen, PhD, RN, FAAN, University of California, Los Angeles Room: 4C 1/2 Track: Networking Co-Chairs: Lauren Gleason MD; Masoumeh Kiamanesh, MD; Lauren Massaro, MD; Victoria Tang, MD; Beck Brott, MD; Yee Chuan, MD & Alison Tucker, MD All residents and other postgraduate trainees are encouraged to attend this special interest group 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. Lunch will be served. 54 Schedule—Saturday, May 5 12:30 – 2:00 P.m. EFFECTIVE CARE TRANSITIONS AND MODELS TO DECREASE HOSPITAL RE-ADMISSIONS: THE CALL FOR GERIATRIC LEADERSHIP Room: 6E CME/CE Credit: 1.5Track: Clinical Practice Moderator: Sally L. Brooks, MD, AGSF, Kindred Healthcare This session will create the “business case” for Geriatric Medicine and Inter-disciplinary Teams by targeting resources in improving Care Transitions and decreasing avoidable re-hospitalizations. The call for action is now as Hospital and Healthcare Systems respond to the Affordable Care Act and Payers and Physician leaders prepare for an ACO future. Our Society membership created the foundation for these principles of right care, right time, and right place. Learning objectives: (1) describe the array of interdisciplinary team care management strategies to improve hospital-to-home care management for a variety of specific conditions; (2) utilize strategies to create the business case with principles that are scalable and replicable in older adult care sites. The Urgency for Geriatric Care Leadership Given the Current Healthcare Trends and Environment Sally L. Brooks, MD, AGSF, Kindred Healthcare Successful Hospital-to-Home Care Management for Heart Failure: A Historical Perspective Michael W. Rich, MD, AGSF, Washington University School of Medicine Post-acute Care Models: A Value Proposition for your Practice and Healthcare Systems Jerome Wilborn, MD, IPC A Business Case and Systems Approach for Replicable Care Transitions Models Kyle R. Allen, DO, AGSF, Riverside Health System 12:30 – 2:00 P.m. SURVIVAL, DECISION-MAKING AND PALLIATIVE CARE OPTIONS FOR END-STAGE KIDNEY DISEASE Room: 4C 3/4 CME/CE Credit: 1.5Track: Clinical Practice Developed by the Ethics Committee Moderator: Elizabeth K. Vig, MD, MPH, University of Washington This session will present the benefits and burdens of dialysis in older patients; the Renal Physicians Association’s newly revised guidelines on Shared Decision-Making in the Appropriate Initiation of and Withdrawal from Dialysis; and management of bothersome symptoms in older patients with kidney disease. Learning objectives: (1) identify risk factors for longer and shorter survival after dialysis initiation in the older population; (2) describe elements of informed consent and shared decisionmaking around dialysis initiation in older patients; (3) assess and manage physical and psychological symptoms in older patients with advanced kidney disease; and (4) describe hospice eligibility criteria for patients with advanced kidney disease. Helping Older Patients Make Informed Decisions About Dialysis Initiation Ann M. O’Hare, MD, VA Puget Sound Healthcare System Dialysis Decisions in Older Individuals Elizabeth K. Vig, MD, MPH, University of Washington Identifying and Managing the Palliative Care Needs of Older Patients with Kidney Disease Darrell A. Owens, DNP, PhD, Harborview Medical Center Discussion of Cases PAPER SESSION 12:30 – 2:00 P.m. GERIATRIC EDUCATION Room: 616/617 CME/CE Credit: 1.5Track: Research Developed by the Research Committee Moderator: Reena Karani, MD, Mount Sinai School of Medicine This session presents the latest peer-reviewed research focused on geriatric education with questions and answers to follow. Learning objective: (1) discuss new original research related to geriatric education. p34 — Impact of a Multi-modal Education Intervention on Urinary Catheter Utilization in Older Adult Inpatients Richard E. Norman, BSc, MASc, University of Toronto p35 — A Geriatrics Rotation as a Medicine Elective: A Smart Option for Medical Students? Annie L. Nguyen, MPH, Medical College of Wisconsin p36 — Case Presentation as a Direct Observation Method to Evaluate Internal Medicine Residents’ Systems-Based Practice Competency Karin M. Ouchida, MD, Weill Cornell Medical Center p37 — Replicating a Chief Resident Immersion Training in Geriatrics (CRIT) Sharon A. Levine, MD, Boston University School of Medicine p38 — Development and Validation of a Geriatrics Knowledge Test to Evaluate Geriatrics Fellowship Programs Alia T. Tuqan, MD, University of California, Los Angeles p39 — The UCSF Interprofessional Aging and Palliative Care Elective Josette A.Rivera, MD, University of California, San Francisco 55 Schedule—Saturday, May 5 WORKSHOP 12:30 – 2:00 P.m. EDUCATIONAL PRODUCT DEVELOPMENT PEER REVIEW WORKSHOP Room: 3 A/B CME/CE Credit: 1.5Track: Education Facilitators: Anne Fabiny, MD, Cambridge Health Alliance; Jonathan M. Flacker, MD, AGSF, The Emory Clinic at Wesley Woods; G. Michael Harper, MD, San Francisco VA Medical Center This session is intended to be a group peer review/ problemsolving process, where each participant has the opportunity to present an educational product they are developing to the group and get feedback about challenges they are experiencing from both their peers and an expert facilitator. Participants will also be expected to serve as peer reviewers and provide feedback to the other participants in their group. A facilitator will be assigned to each group to provide “expert” advice to supplement and enrich the conversation. Learning objectives: (1) utilize feedback received from peer review of an educational product in development; (2) clarify goals and develop action plans for the future; and (3) assess and evaluate challenges experienced by their peers. 12:30 – 2:00 P.m. CANCER IN LONG TERM CARE Room: 606/607 CME/CE Credit: 1.5Track: Clinical Practice prognosis and life expectancy with long-term-care residents and their families. Long-Term Care and Its Resident. Estimating Life Expectancy Miriam B. Rodin, MD, PhD, CMD, St. Louis University Medical School Should this Patient be Screened for Cancer? James A. Wallace, MD, Monroe Medical Associates How to Discuss Cancer in the Nursing Home with Patients and Families Rachelle Bernacki, MD, MS, Dana Farber Cancer Institute 12:30 – 2:00 P.m. GENETICS OF LONGEVITY Room: 611/612 CME/CE Credit: 1.5Track: Research Developed by the Research Committee Moderator: Luigi Ferrucci, MD, PhD, National Institute on Aging Research suggests that human longevity is partly heritable. Longevity genes might slow down the rate of age-related changes in cells, increase resistance to environmental stresses and prevent major chronic diseases and aging phenotypes. This symposium will summarize the state of the art evidence on the genetic component of longevity and start thinking about possible new direction for the future. Learning objectives: (1) review what genes, combination of genes or gene expression profiles are associated with extreme longevity; (2) summarize the state of the art evidence on the genetic component of longevity; and (3) discuss possible new direction for the future. Developed by the Cancer and Aging Special Interest Group & Long Term Care Special Interest Group The Genetics of Longevity in Human Studies Anne B. Newman, MD, MPH, University of Pittsburgh Moderator: Beatriz Korc-Grodzicki, MD, PhD, Memorial Sloan Kettering Cancer Center The purpose of this workshop is to describe the types of cancer patients in long term care and to provide a framework for clinical decision making. This workshop will discuss some of the challenges in caring for older cancer patients that are residents of nursing homes (NH) including 1) understanding the benefits and risks of providing standard therapy to a vulnerable population 2) presenting best estimates of the current burden of cancer in the long-term-care population, 3) providing a review of the current screening guidelines as they apply to older long-termcare patients, and 4) offering experienced-based suggestions for clinicians to help them respond to patient and family concerns about the limitations of cancer care. Learning objectives: (1) describe the types of cancer patients and the range of acuity in the NH; (2) develop skills for interpreting cancer survival data for patients with other life limiting geriatric conditions; (3) discuss benefits and burdens of cancer screening in the NH; and (4) talk clearly and openly about The Genetics Centenarians Thomas T. Perls, MD, MPH, FACP, Boston University Medical Center 56 Gene Expression and Aging Phenotypes David Melzer, MBBCh, PhD, University of Exeter Schedule—Saturday, May 5 12:30 – 2:00 P.m. HEARING IMPAIRMENT: STRATEGIES TO PROMOTE SAFETY AND QUALITY OF CARE Room: 608/609 CME/CE Credit: 1.5Track: Clinical Practice Moderator: Margaret I. Wallhagen, PhD, GNP-BC, AGSF, University of California, San Francisco Designed for practitioners across settings who work with older adults at risk for hearing loss (HL), this workshop provides an update on age related HL; its psychosocial, physiological, and cognitive consequences; its assessment; and strategies promoting safety and quality of care. Hands on experience with technologies that facilitate hearing, including both hearing aids and assistive listening devices, and that promote safety in the home will be provided. Learning objectives: (1) delineate current understandings regarding the pathophysiology and consequences of age related hearing loss, including its impact on quality of life, safe care, and cognitive status; (2) differentiate between peripheral, cognitive, and central problems impacting hearing; (3) discuss available technologies and resources that facilitate hearing and speech understanding; and (4) describe approaches to effectively and efficiently integrate assessment and treatment into practice routines. Setting the Stage: Hearing Loss as a Health Issue with Implications for Quality of Life and Safe Care Margaret I. Wallhagen, PhD, GNP-BC, AGSF, UCSF Age-Related Hearing Loss: Epidemiology and Impact on Cognitive Function Frank R. Lin, MD, PhD, Johns Hopkins University Technologies to Promote Hearing Health Barbara E. Weinstein, PhD, City University of New York SECTION MEETING 12:30 – 2:00 P.m. PHYSICIAN ASSISTANTS LUNCHEON Room: 304 Chair: Kathy Kemle, MS, PA-C All physician assistants are invited to attend this new Section Luncheon. The mission of the PA Section is to increase access to medical services for older adults by promoting participation of physician assistants, in partnership with geriatricians and other physicians who care for older adults throughout the medical and health care delivery system. SPECIAL INTEREST GROUP MEETING 12:30 – 2:00 P.m. MEDICAL HUMANITIES Room: 613 Track: Networking Chair: Louise Aronson, MD Medical Humanities Special Interest Group: Focus on Public Medical Communication to impact policy, advocate for patients, and educate peers, policymakers, and the public in order to improve the care of older adults. Public Medical Communication (PMC) is an emerging field which trains and recognizes health professionals who engage in clear and compelling public communication about health and health care. Traditionally, health professionals have been but minor participants in most public discourse about health and medicine. As a result, medical issues often have been misinterpreted and distorted in the public sector, and opportunities have been missed to affect policy and care by accurately portraying the facts of science, the needs of the voiceless, and the realities of health care. By broadening the view of communication in medicine beyond individual patientprovider interactions and providing training in the skills and lexicon of twenty-first century communication, PMC can help geriatricians and others who care for older adults advocate for the reforms, research, teaching, care needed by elderly patients. A brief MH SIG meeting will follow the presentation. SYMPOSIA 2:15 – 3:45 P.m. PHARMACOTHERAPY UPDATE: 2012 Room: 6A CME/CE Credit: 1.5Track: Clinical Practice Developed by the Pharmacists Section Moderator: Sunny A. Linnebur, PharmD, BCPS, CGP, University of Colorado Each year, several new medications are approved by the FDA and hundreds of clinical trials are published on existing medications. This new information has an impact on decisions made by health care professionals caring for older adults. The purpose of this symposium is to summarize the changes over the past year in pharmacotherapy. The speakers will examine new information on current medications commonly prescribed to older adults and newly approved medications that may be prescribed for older adults. Learning objectives: (1) for recently or soon to be approved medications, review the indication for use, mechanism of action, pharmacokinetics, dosing, safety and drug interactions; (2) for recently or soon to be approved medications, compare potential advantages and disadvantages of the newer medications to existing therapies; (3) provide a clinical perspective on FDA 57 Schedule—Saturday, May 5 updates regarding drugs that are commonly prescribed or important to the care of older adults; and (4) integrate into clinical practice important information from black-box warnings for drugs utilized in older adults. New Medications: Recent Releases and Coming Attractions Joseph P. Vande Griend, PharmD, University of Colorado Clinical Perspectives on FDA Updates and Black-Box Warnings Zachary A. Marcum, PharmD, MS, University of Pittsburgh 2:15 – 3:45 P.m. H.E.L.P. TO PREVENT HOSPITAL COMPLICATIONS Room: 6E CME/CE Credit: 1.5Track: Models of Care Developed by the Hospital Elder Life Program Special Interest Group Moderator: Sharon K. Inouye, MD, MPH, Harvard Medical School This symposium will review the HELP model, present clinical results including challenges as well as review the financial/cost implications and benefits of implementing HELP in the hospital. Resources to facilitate individuals starting their own program will be reviewed. Learning objectives: (1) recognize modifiable risks for delirium and ways to prevent delirium; (2) describe other benefits of HELP/Delirium Prevention, including potential clinical and financial benefits; (3) anticipate barriers/challenges to starting and maintaining a HELP program; and (4) utilize available tools and resources to support implementation of HELP at your own hospital. This educational program aims to discuss the role of the health care provider in the medical decision-making process, alternatives means of nutritional support and feeding techniques in persons with advanced dementia, and current research that is being conducted in this area. Learning objectives: (1) identify the current landscape surrounding feeding tube insertions in persons with advanced dementia, including racial/ethnic differences in feeding tube insertion patterns; (2) examine the role of decision-support tools in tube feeding decisions in persons with advanced dementia including alternatives to oral feeding; (3) examine the role of the speech-language pathologist in evaluation and treatment of persons with advanced dementia as well as recommendations for nutritional support in this population; and (4) integrate clinical practice guidelines for feeding tube placement decisions in persons with advanced dementia and discuss culturally competent communication to assess preferences in care. Feeding Tube Insertion among Persons with Advanced Cognitive Impairment: An Overview Ramona L. Rhodes, MD, MPH, UT Southwestern Medical Center Oral Feeding Options in Dementia Care and Decision-Making Tools: A Review of the Literature and Current Research Laura C. Hanson, MD, MPH, University of North Carolina – Chapel Hill Feeding Tube Placement in Advanced Dementia: The SpeechLanguage Pathologist’s Perspective Helen M. Sharp, PhD, CCC-SLP, Western Michigan University Development of Community Guidelines on Long Term Feeding Tube Placement Patricia A. Bomba, MD, FACP, Excellus Blue Cross Blue Shield What is HELP? Heidi R. Wierman, MD, Maine Medical Center 2:15 – 3:45 P.m. HELP as a Model for Quality Improvement in Patient Safety for Elderly Inpatients Fred H. Rubin, MD, AGSF, University of Pittsburgh School of Medicine AGS EXPERT PANEL RECOMMENDATIONS FOR VITAMIN D TO REDUCE FALLS AND INJURIES IN OLDER ADULTS HELP...How to Get Started and Where to go from There Anne Pizzacalla, BScN, MHSc, Hospital Elder Life Program Hamilton Health Sciences 2:15 – 3:45 P.m. FEEDING TUBE USE IN PERSONS WITH ADVANCED DEMENTIA: WHERE ARE WE NOW? Room: 606/607 CME/CE Credit: 1.5Track: Clinical Practice Developed by the Ethics, Ethnogeriatrics, and Clinical Practice & Models of Care Committees Moderator: Ramona L. Rhodes, MD, MPH, UT Southwestern Medical Center 58 Room: 608/609 CME/CE Credit: 1.5Track: Clinical Practice Moderator: James E. Judge, MD, Evercare This session will review the recommendations of the AGS Expert Panel on Vitamin D supplementation to prevent falls and injuries. Learning objectives: (1) articulate the rationale that reduction in falls and fractures in older adults will require higher supplementation than recommended by the IOM report; (2) assess patients total intake of Vitamin D from all sources; (3) recommend supplementation doses –frequency and IU per dose that will enhance adherence, and achieve serum levels of about 30 ng/ml (75 nMol/l); and (4) determine when serum levels of 25 (OH) Vitamin D should be monitored. Schedule—Saturday, May 5 Goals of AGS Expert Panel Convened by CDC James E. Judge, MD, Evercare Evidence that Geriatricians Should have a Goal of Achieving a Serum Level of 30 ng/ml (25)OH Vitamin D to Reduce Falls and Injuries in Older Adults Douglas P. Kiel, MD, MPH, Harvard Medical School Strategies to Achieve Vitamin D Levels that Will Reduce Falls and Fractures in Many Ways F. Michael Gloth, III, MD, Johns Hopkins University PAPER SESSION WORKSHOP 2:15 – 3:45 P.m. COMPETENCY IN COGNITIVE AND BEHAVIORAL DISORDERS FOR MEDICAL STUDENTS, RESIDENTS, AND OTHER HEALTH CARE PRACTITIONERS Room: 4C 3/4 CME/CE Credit: 1.5Track: Education Developed by the Education Committee and the Teachers Section 2:15 – 3:45 P.m. HEALTH SERVICES & POLICY RESEARCH Room: 616/617 CME/CE Credit: 1.5Track: Research Developed by the Research Committee Moderator: Cathleen Colon-Emeric, MD, MHS, GRECC, Duke University, Durham VA Medical Center This session presents the latest peer-reviewed research focused on health services and policy research with questions and answers to follow. Learning objective: (1) discuss new original research related to health services and policy research. p40 — Hospitalizations in Pace Bruce Kinosian, MD, University of Pennsylvania p41 — Evaluation of a National Care Transition Program Shiou-Liang Wee, PhD, Agency for Integrated Care (Singapore) Moderator: Lisa J. Granville, MD, Florida State University In the workshop, participants will learn and demonstrate ability to screen and evaluate older patients with dementia, delirium and depression; and will also demonstrate competency in formulating a treatment plan for a patient with abnormal cognitive function, with special attention to patient safety. Learning objectives: (1) demonstrate competency in administration of validated screening or assessment tools; (2) formulate a differential diagnosis and recommend an evaluation and treatment plan for an older adult with a cognitive/ behavioral problem; and (3) utilize an educational tool kit to promote or implement a competency assessment project in the participant’s home institution. Orientation and Introduction to Cognitive and Behavioral Disorders Competency Zaldy S. Tan, MD, MPH, Harvard Medical School Competency in Cognitive and Behavioral Disorders Lisa J. Granville, MD, Florida State University Taking Your Competency Home Hal H. Atkinson, MD, MS, Wake Forest School of Medicine p42 — The Epidemiology of Physically and Verbally Aggressive Behaviors of Nursing Home Residents Directed at Staff Mark S. Lachs, MD, MPH, Weill Medical College of Cornell University p43 — Defining Medically Complex Patients Using Chronic Conditions, Healthcare Utilization and Functional Status William W. Hung, MD, MPH, Mount Sinai School of Medicine p44 — Risk Factors for Early Hospital Readmission among Low Income Seniors Tochukwu C. Iloabuchi, MBBS, Indiana University School of Medicine p45 — Cost-Effectiveness Analysis of Screening for Vitamin D Insufficiency to Prevent Falls and Fractures among Community-Dwelling Older Adults Richard H. Lee, MD, MPH, Duke University 59 EXHIBITS PROGRAM EXHIBITS PROGRAM The exhibits program is an extension of the meeting’s educational sessions. Exhibitors from educational institutions, non-profit organizations and product manufacturers will provide information on products and services designed to assist geriatrics professionals. Exhibits will be on display during the following hours: EXHIBIT HALL SCHEDULE: THURSDAY, MAY 3 Exhibit Hall Open 12:00 – 6:00 p.m. Posters Available for Viewing 12:00 – 6:00 P.m. Complimentary Lunch Available 12:00 P.m. Clinical Skills Workshops 12:00 – 4:30 P.m. Poster Session A (authors present) 12:00 – 1:30 P.m. Lilly USA Product Theater 12:30 – 1:30 P.m. Transcatheter Aortic Valve Replacement (TAVR) Edwards Lifesciences Product Theater 2:00 – 3:00 P.m. Pradaxa Clinical Open Gallery Boehringer Ingelheim Product Theater 3:30 – 4:30 P.m. Presidential Poster Session B (authors present) 4:30 – 6:00 P.m. Poster Walking Tour 6:00 – 7:00 P.m. FRIDAY, MAY 4 Exhibit Hall Open 12:00 – 4:30 P.m. Posters Available for Viewing 12:00 – 4:30 P.m. Complimentary Lunch Available 12:00 P.m. Clinical Skills Workshops 12:00 – 4:30 P.m. Poster Session C (authors present) 12:00 – 1:30 P.m. Poster Session D (authors present) 3:00 – 4:30 P.m. Coffee Break 3:45 P.M. FREE LUNCH! Complimentary lunch is available in the exhibit hall on Thursday and Friday at 12:00 p.m.! 60 EXHIBITS PROGRAM PRODUCT THEATERS THURSDAY, MAY 3 12:30 – 1:00 P.m. 3:30 – 4:30 P.m. LILLY USA LLC PRADAXA CLINICAL OPEN GALLERY See description in the final program addendum Supported by Boehringer Ingelheim 2:00 – 3:00 P.m. Presenter: Eugene Yang, MD, FACC, University of Washington Medical Center The Pradaxa Clinical Open Gallery will feature a dynamic poster discussion lead by Dr. Eugene Yang regarding the management of stroke risk reduction in patients with non-valvuar atrial fibrillation (NVAF). TRANSCATHETER AORTIC VALVE REPLACEMENT (TAVR) – A NEW OPTION FOR INOPERABLE SEVERE AORTIC STENOSIS PATIENTS Supported by Edward Lifesciences Presenters: Bruce S. Bowers, MD, FACC, Medical City Dallas Hospital & Todd M. Dewey, MD, FACC, Medical City Dallas Hospital Severe symptomatic aortic valve stenosis affects ~250,000 elderly patients in the US. Though ACC/AHA guidelines indicate prompt aortic valve replacement for these patients, the vast majority go untreated. Many of these patients suffer co-morbidities that preclude them from surgery, however Transcatheter Aortic Valve Replacement (TAVR) offers a new treatment option for inoperable SSAS patients. Come and learn about severe aortic stenosis, TAVR and two year data from the landmark PARTNER Trial including quality of life benefits. 61 AGS Marketplace AGS MARKETPLACE See it all under one banner! Drop by the AGS Marketplace, booth # 401, to find out about new services and products! AGS CAREER CONNECTION AGS Career Connection is an interactive and integrated online job bank for geriatrics health care professionals. Whether you are looking for a job opportunity or searching for a top professional to become an important member of your team, AGS Career Connection provides a one-stop place for finding the perfect match. Stop by the AGS Marketplace where you can post a resume or a job or speak to a representative. AGS FOUNDATION FOR HEALTH IN AGING (FHA) The AGS Foundation for Health in Aging (FHA) was established by the American Geriatrics Society in 1999 to build a bridge between research and geriatrics health care professionals and the public, and to advocate on behalf of older adults and their special needs through public education, clinical research, and public policy. Visit our booth to learn more about our free Public Education Resources. HEALTH RESOURCES AND SERVICES ADMINISTRATION: BUREAU OF HEALTH PROFESSIONS Representatives from Title VII and Title VIII Geriatric Programs at HRSA, Bureau of Health Professions will be available to answer any questions you may have throughout the conference. HMP COMMUNICATIONS HMP Communications publishes two of AGS’ journals – Annals of Long Term Care and Clinical Geriatrics. Stop by to chat with the HMP team and to preview its other journals important in the care of older adults. PORTAL OF ONLINE GERIATRICS EDUCATION (POGOE) Developed by ADGAP, and funded by the Reynolds Foundation, POGOe is an online clearinghouse that provides a single source for high-quality peer-reviewed educational products. POGOe can help you find the educational product you are looking for. Stop by to preview the site and learn about how to submit products for consideration! AGS MEMBERSHIP WILEY-BLACKWELL PUBLISHING AGS membership staff welcomes the opportunity to help you with your member needs and answer any questions you may have regarding membership and benefits, as well as provide you with up-to-date news on AGS initiatives. Get the information you need or just stop by and print you AGS Annual Meeting Certificate of Attendance. Wiley-Blackwell Publishing is a leading international publisher in the area of science and medicine. Take this chance to preview some of our outstanding Geriatrics publications, including the Journal of the American Geriatrics Society (JAGS). AGS PRODUCTS STORE Preview and purchase AGS Educational products including our three newest products: the brand new 2012 Edition of Geriatrics at Your Fingertips, the 3rd Edition of the Geriatrics Nursing Review Syllabus and the GRS7 Audio Companion. You’ll also be able to preview and purchase our many other products including the expanded 7th Edition of Geriatrics Review Syllabus, The GRS Teaching Slides Website, and Doorway Thoughts (Volume I, II & III). AMERICAN BOARD OF INTERNAL MEDICINE (ABIM) Representatives from the American Board of Internal Medicine’s Contact Center will be available at the AGS Marketplace booth throughout the conference to answer any program-related questions you may have and can help you get the most from your ABIM Maintenance of Certification experience. ELSEVIER Elsevier publishes the American Journal of Geriatric Pharmacotherapy, providing original reports on recent developments in drug therapy, pharmacoepidemiology, clinical pharmacology, health services research related to drug therapy, and pharmaceutical outcomes research in older patients. 62 EXHIBITORS Exhibitors NEW! TECHNOLOGY PAVILION It’s Never 2 LateBooth C 7330 S. Alton Way, Suite O Centennial, CO 80112 Ph: (303) 806-0797 Fax: (303) 789-1533 E-mail: [email protected] Website: www.iN2L.com It’s Never 2 Late builds computers residents enjoy! These intuitive systems inspire potential at any age – regardless of physical or cognitive disabilities. Our unique combination of adaptive hardware and software delivers person-centered therapy and engagement activities only today’s technology can provide; empowering individuals to connect, engage and enjoy life more fully. MacPracticeBooth B 233 N. 8th Street, Suite 300 Lincoln, NE 68508 Ph: (402) 420-2430 Fax: (402) 420-2466 E-mail: [email protected] Website: www.macpractice.com MacPractice MD is a best-of-class medical practice management and clinical application for all practitioners, and features electronic health records, automated reminders, eClaims, eStatements and iPhone and iPad Interfaces. MacPractice MD 4.1 has been certified by CCHIT®, an ONC-ATCB. MicrosoftBooth D One Microsoft Way Redmond, WA 98052 Website: www.microsoft.com Microsoft’s mission is to help people and businesses throughout the world realize their full potential. For specific, product-related information, please go to: http://www.microsoft.com Summit Doppler Systems, Inc.Booth A 4680 Table Mountain Drive, #150 Golden, CO 80403 Ph: (303) 423-7572 Fax: (303) 940-7165 E-mail: [email protected] Website: www.summitdoppler.com Summit Doppler Systems is a leading manufacturer of highquality ultrasound Doppler systems for monitoring blood flow & performing reimbursable arterial exams, such as the anklebrachial index (ABI) exam to diagnose peripheral arterial disease (P.A.D.). All Summit Doppler products are made in the U.S.A. Superior quality, superior performance. TECHNICAL EXHIBITORS Accera, Inc.Booth #708 380 Interlocken Crescent, Suite 780 Broomfield, CO 80021 Ph: (303) 999-3700 Fax: (303) 999-3799 E-mail: [email protected] Website: www.accerapharma.com Accera, Inc. is a privately held biotechnology company focused on the discovery and development of novel therapeutic products for neurodegenerative diseases. The company has developed a breakthrough approach for the treatment of Alzheimer’s disease (AD) and other memory and cognition disorders based on its neuron energetics technology platform. Aging Well Browse Table 3801 Schuylkill Road Spring City, PA 19475 Ph: (610) 948-9500 Fax: (610) 948-4202 E-mail: [email protected] Website: www.agingwellmag.com With a practical approach to clinical issues and solid scientific content, Aging Well offers geriatric medicine providers, including geriatricians, physician assistants, and nurse practitioners, a unique perspective on trends, treatments, diagnostic advances, and practice management essentials related to the care of aging patients. AdisBooth # 501 Chowley Oak Business Park, Tattenhall Chester , CH3 9GA UK Ph: (44) 1829 772 798 Fax: (44) 1829 770 330 Website: www.adisonline.com Drugs & Aging Promoting optimum drug therapy in older adults by providing a programme of review articles covering the most important aspects of clinical pharmacology and patient management in this unique group. Age related physiological changes with clinical implications for drug therapy also fall within the scope of the journal. Visit AdisOnline.com. Amedisys: Home Health & Hospice CareBooth # 614 5959 S. Sherwood Forest Boulevard Baton Rouge, LA 70816 Ph: (225) 292-2031 Fax: (225) 299-9690 E-mail: [email protected] Website: www.amedisys.com The world of health care is changing. The medical community is collaborating in ways never seen before. Amedisys is a part of that collaboration. We provide communication, education and health care for your patients with post-acute care and chronic disease management needs. We are a leading partner in the continuum of care for hospitals and for physicians. 63 Exhibitors AmgenBooth # 615 One Amgen Center Drive Thousand Oaks, CA 91320 Ph: (805) 447-1000 Website: www.amgen.com Amgen, a biotechnology pioneer, discovers, develops, and delivers innovative human therapeutics. Our medicines help millions of patients in the fight against cancer, kidney disease, rheumatoid arthritis, bone disease, and other serious illnesses. With a deep and broad pipeline of potential new medicines, we continue to advance science to serve patients. AmgenBooth # 702 One Amgen Center Drive Thousand Oaks, CA 91320 Ph: (805) 447-1000 Fax: (206) 432-9293 E-mail: [email protected] Website: www.amgen.com Amgen, a biotechnology pioneer, discovers, develops, and delivers innovative human therapeutics. Our medicines help millions of patients in the fight against cancer, kidney disease, rheumatoid arthritis, bone disease, and other serious illnesses. With a deep and broad pipeline of potential new medicines, we continue to advance science to serve patients. Avanir PharmaceuticalsBooth # 601 20 Enterprise, Suite 200 Aliso Viejo, CA 92656 Ph: (949) 389-6700 Website: www.avanir.com Avanir Pharmaceuticals recently launched NUEDEXTA®, the first FDA-approved treatment for pseudobulbar affect (PBA). PBA is characterized by involuntary, sudden, and frequent episodes of crying and/or laughing. PBA occurs in approximately 10% to 20% of patients with certain neurologic conditions, including dementia, MS, Parkinson’s disease, stroke, and traumatic brain injury. www.NUEDEXTA.com Calmoseptine, Inc.Booth # 414 16602 Burke Lane Huntington Beach, CA 92647 Ph: (714) 840-3405 Fax: (714) 840-9810 E-mail: [email protected] Website: www.calmoseptine.com Calmoseptine Ointment protects and helps heal skin irritations from moisture such as urinary and fecal incontinence. It is also effective for irritations from perspiration, wound drainage, fecal & vaginal fistulas and feeding tube site leakage. Calmoseptine temporarily relieves discomfort and itching. Free samples at our booth! Centers for Medicare & Medicaid Services-Booth # 303 7500 Security Blvd. C4-12-25 Baltimore, MD 21244 Ph: (410) 786-7423 Fax: (410) 786-0330 Website: www.cms.hhs.gov The Medicare Learning Network® (MLN) is the home for official information for Medicare Fee-For-Service providers. 64 It offers a variety of education resources that break down Medicare policy into plain language. The MLN is located on the Centers for Medicare & Medicaid Services (CMS) Website at www.cms.gov/MLNGenInfo CerefolinNAC/Pamlab, LLCBooth # 400 P.O. Box 8950 Mandeville, LA 70470 Ph: (985) 893-4097 Fax: (985) 867-5772 E-mail: [email protected] Website: www.CerefolinNAC.com CerefolinNAC® is a prescription medical food for the metabolic management of mild cognitive impairment that helps patients to improve cognitive function and delay progression to dementia safely. Dept. of Veterans Affairs (HRRO)Booth # 503 1250 Poydras Street, Suite 1000 New Orleans, LA 70113 Ph: (504) 565-4900 Fax: (504) 525-4794 E-mail: [email protected] Website: www.vacareers.va.gov The Department of Veterans Affairs focuses on recruiting healthcare professionals and students throughout the US to provide the best care for our veterans. Promoting a diverse workforce and offering a wide array of employment benefits, scholarships and retention initiatives, the VA is a leader in our nation’s health care industry. Gensavis Pharmaceuticals, LLCBooth # 507 6114 Angelique Court Corpus Christi, TX 78415 Ph: (361) 779-5226 Fax: (817) 345-3707 E-mail: [email protected] Website: www.Gensavis.com NovaFerrum Liquid Iron is intended for the use in improving the nutritional status for the prevention and treatment of Iron Deficiency Anemia. Home PhysiciansBooth # 412 1340 South Damen Avenue, Suite 210 Chicago, IL 60608 Ph: (773) 292-4800 Fax: (773) 486-3548 Website: www.homephysicians.com Home Physicians is a premier physician health services organization dedicated to serving the diverse needs of patients, health plans and healthcare systems in patient residences. We deliver cost effective specialized services, from direct patient care, to transitional care programs, to targeted chronic care management programs and comprehensive health assessment services. IPC-The Hospitalist CompanyBooth # 602 4605 Lankershim Blvd., Suite 617 North Hollywood, CA 91602 Ph: (888) 456-2472 Fax: (800) 718-9149 E-mail: [email protected] Website: www.hospitalist.com Exhibitors IPC is the nation’s leading physician group practice company focused on the delivery of hospitalist and related facility-based services. IPC’s physicians and affiliated providers practice in hospitals and other inpatient facilities, including acute, sub-acute and long-term care settings. Kaiser Permanente- ColoradoBooth # 408 10350 E. Dakota Avenue Denver, CO 80247 Ph: (303) 344-7246 Fax: (303) 344-7818 E-mail: [email protected] Website: http://physiciancareers.kp.org/co/ Patient-Centered Care. Compassion. Ownership. Collaboration. Kaiser Permanente in Colorado seeks physicians who want to work in a skilled long-term & assisted living facility environment. Excellent benefits & work-life-balance! KP Colorado has received a five-star Medicare rating by CMS for the last two years. Our opportunities are in the Denver area. MerckBooth # 406 One Merck Drive Whitehouse Station, NJ 08889 Ph: (908) 423-6868 Fax: (908) 735-1685 E-mail: [email protected] Website: www.merck.com Today’s Merck is working to help the world be well. Through our medicines, vaccines, biologic therapies, and consumer and animal products, we work with customers and operate in more than 140 countries to deliver innovative health solutions. For more information, visit www.merck.com. Mom’s MealsBooth # 305 718 SE Shurfine Drive Ankeny, IA 50021 Ph: (515) 963-0641 Fax: (515) 963-0671 E-mail: [email protected] Website: www.momsmeals.com Mom’s Meals is the #1 fresh home-delivered meal service, providing nutritionally balanced meals to seniors and patients nationwide. Only Mom’s Meals offers dietician-developed, chefprepared meals and over 70 fresh meal choices, including hearthealthy, diabetic-friendly, gluten-free and vegetarian menus. Family-owned Mom’s Meals has been nourishing independence for over 10 years. National Institute on AgingBooth # 301 Building 31, Room 5C27, 31 Center Drive Bethesda, MD 20892 Ph: (301) 496-1752 E-mail: [email protected] Website: www.nia.nih.gov The National Institute on Aging, one of the U.S. National Institutes of Health, is the lead federal agency supporting and conducting medical, social, and behavioral research related to aging and the special needs of older people. NIA offers free publications and resources for seniors and health care professionals. 1-800-222-2225 www.nia.nih.gov National Library of MedicineBooth # 600 Univ. of Washginton, Box 357155 Seattle, WA 98195 Ph: (206) 543-8262 Fax: (206) 543-2469 E-mail: [email protected] Website: http://nlm.nih.gov National Library of Medicine (NLM) is the world’s largest biomedical library and the producer of MEDLINE, the primary component of PubMed. NLM also produces MedlinePlus (patient and consumer information), and many other resources for senior health. Visit our booth to consult with expert librarians or to test-drive these systems. Ocean Media Group, LtdBooth # 402 19th Floor, One Canada Square Canary Wharf, London E14 5AP UK Ph: (44) 207 772 8467 Fax: (44) 207 772 8597 E-mail: [email protected] Website: www.gerimed.co.uk GM – The journal of Mid-Life and Beyond is a monthly, peer reviewed journal distributed to appropriate healthcare professionals in both primary and secondary care. Having been published for more than 40 years we are firmly established as a credible, independent and valued journal and a source of knowledge. The extension of our portfolio to include GM2 allows us to dedicate issues to select therapy areas such as Cardiology, Diabetes, Neurology, Oncology and Palliative Care. Our expertise extends beyond the written word with our Website: www.gerimed.co.uk, full conferencing opportunities, peer reviewed educational material and consultancy. Oxford University PressBooth # 511 2001 Evans Road Cary, NC 27513 Ph: (919) 677-0977 Fax: (919) 677-1714 E-mail: [email protected] Website: www.oup.com Oxford University Press is proud to publish The Gerontologist and The Journals of Gerontology, Series A: Biological Sciences and Medical Sciences and The Journals of Gerontology, Series B: Psychological Sciences and Social Sciences on behalf of The Gerontological Society of America. Browse OUP books and sample journals at our booth. Sanofi PasteurBooth # 515 Discovery Drive Swiftwater, PA 18370 Ph: (800)-822-2463 Website: www.sanofipasteur.us Sanofi Pasteur Inc., the vaccines division of the Sanofi Group, provides pediatric, adult, and travel vaccines for diseases such as diphtheria, tetanus, pertussis, polio, Haemophilus influenzae type b, influenza, rabies, Japanese encephalitis, typhoid fever, yellow fever, and meningococcal disease. To learn more about our products, visit our exhibit. 65 Exhibitors Sound PhysiciansBooth # 315 1123 Pacific Avenue Tacoma, WA 98402 Ph: (253) 682-1710 Fax: (253) 682-1714 Website: www.soundphysicians.com Sound Physicians is committed to providing real solutions to today’s challenges in health care. Our Post-Acute Care Services are designed to deliver efficiency and satisfaction to patients, their families and the locations we serve by partnering to increase physician onsite availability. VITAS Innovative Hospice CareBooth # 714 100 S. Biscayne Blvd. Suite 1300 Miami, FL 33131 Ph: (305) 374-4143 Fax: (305) 350-6970 E-mail: [email protected] Website: www.vitas.com VITAS Innovative Hospice Care®, the nation’s leading hospice provider, delivers comprehensive care for patients facing lifelimiting illness. Services include Intensive Comfort Care™; afterhours Telecare with immediate access to clinicians; specialized offerings for veterans and AL/LTC residents; educational in-services; and more. For information, please visit us at VITAS. com or call 800.93.VITAS. VQ OrthoCareBooth # 700 18011 Mitchell South Irvine, CA 92614 Ph: (949) 261-3814 Fax: (949) 477-9670 E-mail: [email protected] Website: www.vqorthocare.com VQ OrthoCare’s Patient-Centered business model is differentiated by non-invasive, non-pharmacological, and proprietary smart-technology products for bone, joint, and soft tissue diagnoses. We advocate the best products and services for each patient we serve, attested by one of the highest Customer Satisfaction Patient Survey ratings in the healthcare industry. Some of our brand names include: BioniCare®, SurgiStim4™, OrthoStim4™, and OActive™. Wenatchee Valley Medical CenterBooth # 410 820 N. Chelan Wenatchee, WA 98807-0489 Ph: (509) 663-8711 Fax: (509) 664-3404 E-mail: [email protected] Website: www.WVMedical.com Seeking 2nd Geriatrician for multidisciplinary team. Primary care in multiple senior settings, including office, care facilities, and homes. Physician owned/led multi-specialty since 1940 known for high quality care, collegiality, and stability. Located between Seattle and Spokane in Cascades foothills, where rivers converge. Mild 4-seasons with 300+ days of sunshine. NON-PROFIT EXHIBITORS American Academy of Hospice & Palliative Medicine Booth # 509 4700 W. Lake Avenue Glenview, IL 60025 Ph: (847) 375-4712 Fax: (847) 375-6433 E-mail: [email protected] Website: www.aahpm.org AAHPM is the professional organization for physicians and healthcare providers committed to improving the quality of life for those living with serious illness. Peruse the latest educational resources, especially as you prepare for board certification in hospice and palliative medicine and learn about the upcoming Hospice Medical Director Certification. American Medical AssociationBooth # 711 515 North State Street Chicago, IL 60654 Ph: (312) 464-4179 Fax: (312) 464-4111 Email: [email protected] Website: www.ama-assn.org/go/olderdrivers The AMA is on a mission to promote the art and science of medicine and the betterment of public health. Our booth features our on-line course, Medical Fitness to Drive: Is Your Patient at Risk? and other products/programs focusing on the aging population including our book, Geriatric Care by Design. 66 Cleveland ClinicBooth # 302 1950 Richmond Road Lyndhurst, OH 44124 Ph: (216) 448-8203 Fax: (216) 274-9300 E-mail: [email protected] Website: www.clevelandclinic.org Cleveland Clinic has been delivering innovative healthcare since 1921. In over 90 years we have done some remarkable things. From performing the world’s first coronary artery bypass in the 1950s to assisting in America’s first facial transplant a few short years ago, we are proud that our remarkable care has always been reflected by monumental firsts. FDA/CDERBooth # 213 10001 New Hampshire Avenue Silver Spring, MD 20993 Ph: (301) 796-3400 Website: www.fda.gov “The FDA’s Center for Drug Evaluation and Research (CDER) makes sure that safe and effective drugs are available to improve the health of the American people. CDER ensures that prescription and over-the-counter drugs, both brand name and generic, work correctly and that the health benefits outweigh known risks.” Exhibitors Gerontological Advanced Practice Nurses AssocationBooth # 505 PO Box 56 Pitman, NJ 08071 Ph: (866) 355-1392 Fax: (856) 589-7463 Email: [email protected] Website: www.GAPNA.org GAPNA is the organization of choice for advanced practice nurses caring for older adults, representing the interests of advanced practice nurses providing care in a wide variety of practice settings. GAPNA leads the way to excellence in eldercare through national and international leadership, practice, education, and research. GAPNA’s goals are to advocate for quality care of older adults; promote professional development; provide continuing gerontological education; enhance communication and professional collaboration among healthcare providers; and educate consumers regarding issues of aging. Group Health CooperativeBooth # 701 320 Westlake Ave N, Suite 100 WS2-HR Seattle, WA 98109 Ph: (206) 448-6081 Fax: (206) 877-0662 Email: [email protected] Website: www.ghc.org Group Health provides medical coverage and care to more than 660,000 residents in Washington state and North Idaho. Our mission is to design, finance, and deliver high-quality health care. We demonstrate these core values: respect, scientific discipline, integrity, pioneering spirit, and stewardship. Group Health promotes patient-centered care and innovation. Indiana University GeriatricsBooth # 312 1001 West 10th, OPW-M200 Indianapolis, IN 46102 Ph: (317) 630-8183 Fax: (317) 630-7066 Email: [email protected] Website: http://geriatrics.indiana.edu IU Geriatrics has grown to become one of the top academic geriatrics programs in the country by establishing excellence in clinical care, education, and research. As a John A. Hartford Foundation Center of Excellence in Geriatric Medicine, we strive to prepare academic faculty to teach geriatrics and develop aging-relevant research. Johns Hopkins University School of Medicine Booth # 308 Division of Geriatric Medicine and Gerontology c/o Carolyn Robinson, Medical Education Office John R. Burton Pavilion, 5505 Hopkins Bayview Circle Baltimore, MD 21224 Ph: (410) 550-7146 Fax: (410) 550-2116 Email: [email protected] Website: http://www.hopkinsmedicine.org/geriatric_ Medicine_gerontology/ The mission of the Johns Hopkins University Department of Geriatric Medicine and Gerontology is to provide the highest quality clinical care to improve the health of older adults and society by creating, translating, and disseminating knowledge through education and research. Mayo ClinicBooth # 205 200 First Street SW Rochester, MN 55905 Ph: (507) 266-9151 E-mail: [email protected] Website: www.mayoclinic.org Please visit the Mayo Clinic booth, sponsored by the Mayo Clinic Robert and Arlene Kogod Center on Aging, to meet leading Mayo experts in the fields of geriatric research, practice and education. Mayo Clinic looks forward to sharing the recent research achievements of our team and to meeting potential collaborators. Mount Sinai School of Medicine Brookdale Booth # 314 Department of Geriatrics and Palliative Medicine One Gustave L, Levy Place, Box 1070 New York, NY 10029-6574 Ph: (212) 241-6353 Fax: (212) 987-0793 Email: [email protected] Website: www.mssm.edu Established in 1982, Brookdale Department of Geriatrics and Palliative Medicine was the first Department of Geriatrics in an American medical school. We provide expert clinical care for the most frail and complex patients, promote research in aging while teaching geriatric medicine to students, residents, physicians and other health care professionals. National Stroke AssociationBooth # 300 9707 E. Easter Lane Centennial, CO 80112 Ph: 1-800-STROKES Fax: (303) 649-1328 Email: [email protected] Website: www.stroke.org National Stoke Association’s mission is to reduce the incidence and impact of stroke by developing compelling education and programs focused on prevention, treatment, rehabilitation and support for all impacted by stroke. Visit www.stroke.org for more information. PeaceHealth Medical GroupBooth # 306 4545 Cordata Parkway Bellingham, WA 98226 Ph: (360) 752-5177 Fax: (360)752-5301 Email: [email protected] Website: www.PeaceHealth.org PeaceHealth is an award winning, financially strong, 8-hospital regional healthcare delivery system in Washington, Oregon, and Alaska. PeaceHealth employs 700+ physicians in self-governed, collegial multi-specialty medical groups. If you’re looking for a career in health care that engages your heart and spirit as well as your mind, apply at PeaceHealth. 67 Exhibitors Riverside Health SystemBooth # 201 701 Town Center Drive Newport News, VA 23606 Ph: (757) 876-6802 Fax: (757) 645-2438 Email: [email protected] Website: www.riversideonline.com Riverside’s Health System’s Lifelong Health and Aging Related Services Division in beautiful coastal Virginia has one of the largest and most diverse multi-specialty group practices in Virginia, and has a unique array of opportunities in post-acute, long-term care, and specialized geriatric care. Lead by Dr. Kyle Allen, a nationally recognized geriatrician. The Gerontological Society of AmericaBooth # 404 1220 L Street NW, Suite 901 Washington, DC 20005 Ph: (917) 710-3627 Fax: (202) 587-5883 Website: www.geron.org The Gerontological Society of America is the oldest and largest multidisciplinary scientific organization devoted to the advancement of aging research. Its membership includes more than 5,400 researchers, educators, practitioners, and other professionals. The Society’s principal mission is to promote research and education in aging and to encourage their dissemination to others. The Gideons InternationalBooth # 304 P.O. Box 140800 Nashville, TN 37214-0800 Ph: (615) 564-5000 Fax: (615) 564-6000 Email: [email protected] Website: www.gideons.org The Gideons International distributes New Testaments with Psalms and Proverbs to all medical and dental personnel free of charge. 68 UCLA Multicampus Program in Geriatric Medicine and GerontologyBooth # 310 10945 LeConte Avenue, Suite 2339 Los Angeles, CA 90095 Ph: (310) 312-0531 Fax: (310) 312-0546 Email: [email protected] Website: http://geronet.ucla.edu The UCLA Multicampus Program in Geriatric Medicine and Gerontology (MPGMG) is recognized as a national leader in providing clinical care for older persons, teaching physicians and other health professionals how to better care for older persons, and conducting research aimed at improving the health and independence of older persons. University of Michigan Geriatrics Center Booth # 713 300 N. Ingalls Ann Arbor, MI 48109-2007 Ph: (734) 764-2263 Fax: (734) 936-2116 Email: [email protected] Website: www.med.umich.edu/geriatrics The University of Michigan Geriatrics Center is dedicated to providing outstanding educational opportunities, advancing research on the healthcare issues of older adults and providing exemplary multidisciplinary care and services for the older population. The Geriatrics Center’s multi-disciplinary faculty of nearly 250 physicians and scientists from 12 U-M schools and institutes, including 23 departments in the Medical School, conduct $79 million in nationally-sponsored research each year. We’re ranked among the top programs in the country for both academic geriatrics programs and hospital care for older adults by U.S. News and World Report. University of Oklahoma-Donald W. Reynolds Department of Geriatric Medicine Booth # 215 921 NE 13th Street, VA11G Oklahoma City, OK 73104 Ph: (405) 271-8195 Fax: (405) 271-3887 Contact: Thomas Teasdale, DrPH Email: [email protected] Website: www.oumedicine.com/geriatrics Faculty recruitment, education, research, and service. May 3–4 2012 Washington State Convention Center Seattle, Washington American Geriatrics Society Annual Meeting Exhibit Floor Plan 69 Exhibit Floor Plan 8th Avenue Level Three: Meeting Rooms Open To South Galleri a North Galleria To/F rom Level 2 FLOOR PLANS, CAPACITIES AND DIMENSIONS To/F rom Level 4 W 3A Pike Street M 3B ance ce Entran Entranc e i FE Entrance Entr FE Business Center Levels 1-4 and to North Lobby To Convention Center Parking Garage Entrance FE Main Entrance to Parking Garage 10 FE To North Lobby 306 307 305 FE E ntrance 308 F ountai n Open FE Retail Office Tower FE 10 304 309 329 FE South Galleria FE 310 Retail 303 tle ) FE En 301 * e un ro 302 (G tra Open N nv N e nc Co Levels 1-4 and to South Lobby dT ntio ra n ns P po la rta c tio e n an d Sh ut $ TDD Retail ACT Theatre South Galleria To/From ACT FE Level Six: Ballrooms & Meeting Rooms Service Service FE 6E Service FE 6C Entrance FE To Garages Service 6B FE FE 6A Plenary Sessions FE 10 Union Street 610 M 619 FE (6F) 616 M W FE 614 606 Speaker Ready Room M 604 (6D) 608 603 607 602 657 613 FE Suite C Suite A East Lobby 601 To/From Level 4 South Galleria (Below) 70 To/From Level 4 FE 609 612 FE West Lobby W W 611 615 620 605 Terrace evel One: Entrances,618Shops and617Services South Lobby (Below) To/From Levels 4 & 5 N Convention Center Floor Plan Level Four: Meeting Rooms M FE FE D el i WSCC Use W North Service Corridor Deli FE FE 4E DOW N UP To/Fr om The Conference Center North Loading Dock 4F M W T ruck B ri dg e FE FE FE Pike Street (Below) 4D Skybridge To South Galleria South Service Corridor Open To/F rom Level 3 FE FE 4C-2 South Loading Dock North Lobby 4C-1 ce Pla ell p To Hu 4A 4B 416 bb 4C 401 FE WSCC Use W M UP FE 454 439 W $ To/Fr om Level 6 South Galleria Open N FE DOW N Levels 1 to 4 To/F ro m 6 FE FE Exhibit Hall/Poster Sessions W M To Nort h Lobby am FE kR M uc FE 4C-4 10 Tr W 4C-3 FE D el i 400 Deli FE FE FE FE 438 M M W DOW N UP FE FE FE South Lobby To/Fr om Levels 5&6 FE FE GRAND ST AIRCASE FE Waterfall Suite Ellis Plaza 71 Hotel Hotel Floor Floor Plan Plan Sheraton Seattle Second Floor Grand A Grand B Grand C Grand D Women Men Aspen Prefunction Loading Dock Spruce Men Willow A Cedar Elevator Lobby Willow B Women Douglas Prefunction Juniper Madrona 72 Elevator Lobby Business Center Faculty Disclosures of Financial Interest DISCLOSURE OF FINANCIAL INTERESTS As an accredited provider of Continuing Medical Education, the American Geriatrics Society continuously strives to ensure that the education activities planned and conducted by our faculty meet generally accepted ethical standards as codified by the ACCME, the Food and Drug Administration, and the American Medical Association’s Guide for Gifts to Physicians and the AMA CEJA: Council on Medical Education (CME) Conflict of Interest and Bias In Continuing Medical Education. To this end, we have implemented a process wherein everyone who is in a position to control the content of an education activity has disclosed to us all relevant financial relationships with any commercial interests within the past 12 months as related to the content of their presentations. Disclosure documents are reviewed for potential conflicts of interest, and if identified, such conflicts are resolved prior to final confirmation of participation. The ACCME defines a “commercial interest” as any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients. Financial relationships are those relationships in which the individual benefits by receiving a salary, royalty, intellectual property rights, consulting fee, honoraria, ownership interest (e.g., stocks, stock options or other ownership interest, excluding diversified mutual funds), or other financial benefit. Financial benefits are usually associated with roles such as employment, management position, independent contractor (including contracted research, which includes research funding where the institution gets the grant and manages the funds and the person is the principal or named investigator on the grant), consulting, speaking and teaching, membership on advisory committees or review panels, board membership, and other activities from which remuneration is received, or expected. ACCME considers relationships of the person involved in the CME activity to include financial relationships of a spouse or partner. Faculty conflicts of interest in this particular CME activity have been resolved by having the presentation content independently peer reviewed by members of the Annual Meeting Program Committee with no conflicts of interest and, in some instances, an additional content expert. The existence of commercial or financial interests of speakers related to the subject matter of their presentations should not be construed as implying bias or decreasing the value of their presentations. However, disclosure should help participants form their own judgments. All speakers were independently selected by the organizing committee. Those speakers who disclosed affiliations or financial interests with commercial interests involved with the products or services to which they may refer are listed below. The following faculty (and/or their spouses/partners) have reported real or apparent conflicts of interest that have been resolved through a peer review content validation process. Barbara M. Bates-Jensen, PhD, RN, FAAN Research Grant Support: Bruin Biometrics Malaz A. Boustani, MD, MPH Research grant recipient: Novartis, Forest; Speakers’ bureau: Pfizer Suzanne F. Bradley, MD Editor-in-Chief of Infection Control and Hospital Sally L. Brooks, MD Employee: Kindred Healthcare Patricia S. Goode, MSN, MD Research grant:Pfizer (ended in 2010). Consultant:Astellas for a single meeting in 2010 Adam C. Groff, MD, MBA Employee: Bayada Home Health Care Susan M. Friedman, MD, MPH Research grant: Synthes, USA Alison Huang, MD, MAS Research grant: Pfizer Donald J. Jones, JD, MBA Employee and stockholder:Qualcomm and Qualcomm Life Leslie P. Kernisan, MD, MPH Paid consultant: Caring.com Bruce A. Leff, MD Strategic advisory board: Amedisys, Inc. Under institutional consulting agreements between the Johns Hopkins University, the Johns Hopkins Health System and Clinically Home, LLC, the University and Health System is entitled to fees for consulting services related to the Hospital at Home care model. The terms of the above arrangements are managed by the Johns Hopkins University in accordance with its conflict of interest policies. Under agreements between the Johns Hopkins University and Mobile Doctors 24/7 International, the University is entitled to fees for licensing and consulting services related to the Hospital at Home care model. The terms of the above arrangements are managed by the Johns Hopkins University in accordance with its conflict of interest policies. Kenneth W. Lyles, MD Research Support: Novartis, Alliance for Better Bone Health, Amgen; Consultant: Novartis, Procter & Gamble, Merck, Amgen, Kirin Pharmaceutical, GTx, Lilly, GSK, Bone Medical Ltd., Wyeth, Osteologix; Co-Inventor of US Patent Application: “Methods for preventing or reducing secondary fractures after hip fracture”, Number 20050272707 Inventor of US Patent Application: “Medication Kits and Formulations for Preventing, Treating or Reducing Secondary Fractures After Previous Fracture” Number 12532285; Co-Inventor of US Patent Application: “Bisphosphonate Compositions and Methods for Treating Heart Failure” Mike Magee, MD Medical Advisory Board: Amedisys Inc. Jacobo E. Mintzer, MD, MBA Grant support: Pfizer, Janssen, Genentech; Significant shareholder: BioPharma Connex John E. Morley, MBBCh Consultant: Sanofi-Aventis, Takeda Pharmaceuticals; Stock Holder: Mattern 73 Faculty Disclosures of Financial Interest J. Craig Nelson, MD International lecture honoraria: Eli Lilly, Lundbeck, Otsuka, Merck; Consultant: Bristol Myers Squibb, Cenestra Health, Corcept, Eli Lilly, Forest, Lundbeck, Medtronic, Merck, Otsuka, Pfizer; Advisory Board: Avanir, Bristol Myers Squibb, Dey Pharma, Eli Lilly, Labopharm, Otsuka Richard R. Rakowski Founder, chairman, shareholder: Clinically Home, LLC Thomas W. Reed Chairman, stockholder: Naples Health Care Associates Todd P. Semla, MS, PharmD, BCPS, FCCP, AGSF Spouse is an employee and stock holder: Abbott Laboratories The following faculty have returned disclosure forms indicating that they (and/or their spouses/partners) have no affiliation with, or financial interest in, any commercial interest that may have direct interest in the subject matter of their presentation(s): Peter M. Abadir, MD Ali Ahmed, MD, MPH Kyle R. Allen, DO Richard M. Allman, MD Traci Archibald, OTR/L, MBA Wilbert S. Aronow, MD Louise Aronson, MD, MFA Hal H. Atkinson, MD, MS Alexander P. Auchus, MD, AGSF, FAAN Thiago J. Avelino-Silva, MD Steven Barczi, MD Robin A. Barr, DrPhil C. Gresham Bayne, MD John P. Beilenson, MA Robert Berenson, MD Mara Benner, BA Katherine A. Bennett, MD Rachelle Bernacki, MD, MS Marie A. Bernard, MD Marian E. Betz, MD, MPH Peter A. Boling, MD Patricia A. Bomba, MD, FACP Alice Bonner, PhD, RN Soo Borson, MD Erin LD Bouldin, MPH Ella H. Bowman, MD, PhD Rebecca S. Boxer, MD, MS Cynthia M. Boyd, MD Jennifer S. Brach, PhD, PT Sara M. Bradley, MD Christine Bradway, PhD, CRNP, FAAN Jeff Brady Nicole J. Brandt, PharmD, CGP, BCPP, FASCP Daniel J. Brauner, MD Cynthia J. Brown, MD, MSPH Cherie P. Brunker, MD, FACP Lee D. Burnside, MD, MBA, Elizabeth Capezuti, PhD, RN Thomas V. Caprio, MD, MPH, CMD, FACP Peter J. Carek, MD, MS Michael Cassara, DO Michael A. Chen, MD, PhD, FACC Susan Cheng, MD Swapna. V. Chenna, MD Jessica Chia, MD Joshua Chodosh, MD, MSHS Tiffany W. Chow, MD, MS 74 Colleen Christmas, MD Karen L. Clay, MSW Harvey Jay Cohen, MD Alycia A. Cleinman, MD Harvey Jay Cohen, MD Cathleen Colon-Emeric, MD, MHS Rebecca E. Conant, MD Marie-Therese Connolly Amy M. Corcoran, MD, CMD Kenneth E. Covinsky, MD, MPH Lenise A. Cummngs-Vaughn, MD Lori A. Daiello, PharmD, BCPP Robin M. Daly, PhD, FASMF Hollis D. Day, MD, MS Karl Eric DeJonge, MD George Demiris, PhD, FACM Andrew N. Dentino, MD, AGSF Allen Dobson, MD John A. Dodson, MD Catherine E. DuBeau, MD Geoffrey P. Dunn, MD, FACS Gustavo Duque, MD, PhD, FRACP Carmel B. Dyer, MD Patricia C. Dykes, DNSc, RN, FAAN Murray Echt Elizabeth N. Eckstrom, MD, MPH Amy R. Ehrlich, MD O. James Ekundayo, MD, DrPH G. Paul Eleazer, MD Jessica A. Eng, MD Jerome Epplin, MD Manuel Eskildsen, MD, MPH Anne Fabiny, MD Ronan M. Factora, MD Brent Thomas Feorene, MBA Helen Fernandez, MD Luigi Ferrucci, MD, PhD Donna M. Fick, PhD, RN, FGSA, FAAN Emily Finlayson, MD, MS Thomas E. Finucane, MD Jonathan M. Flacker, MD, AGSF Ellen Flaherty, PhD, APRN Jerome L. Fleg, MD Channing R. Ford, MPA, MA Caitjan Gainty, MA, MPH Kelly A. Gebo, MD, MPH Leonard Gelman, MD, MPH Robyn R. Gershon, MHS, DrPH Suzanne M. Gillespie, MD, RD, CMD F. Michael Gloth, MD Mary K. Goldstein, MD, MSc James S. Goodwin, MD Lisa Gould, MD Wendolyn S. Gozansky, MD, MPH Lisa J. Granville, MD, AGSF, FACP Evan C. Hadley, MD William J. Hall, MD Joseph T. Hanlon, PharmD, MS Angela J. Hanson, MD Laura C. Hanson, MD, MPH J. Taylor Harden, PhD Susan E. Hardy, MD, PhD G. Michael Harper, MD S. Nicole Hastings, MD, MHS Jennifer Hayashi, MD William R. Hazzard, MD Mitchell T. Heflin, MD Michael J. Helgeson, DDS Kerm Henriksen, PhD Kevin P. High, MD, MS Elizabeth S. Hile, PhD, PT, NCS Matthew H. Ho, MD, PhD Peter Hollmann, MD Holly M. Holmes, MD Denise K. Houston, PhD, RD Timothy Howell, MD, MA William W. Hung, MD, MPH Chyren Hunter, PhD Lisa C. Hutchinson, PharmD, MPH, BCPS Tochukwu C. Iloabuchi, MBBS Sharon K. Inouye, MD, MPH Cindy Jacobs, RN, JD Kelly Jalowiec, RN Robert L. Jayes, MD Theodore M. Johnson, MD, MPH Charles W. Johnston, RN, BSN Judith A. Jones, DDS, MPH, DScD James E. Judge, MD Robert M. Kaiser, MD, MHSc, FACP Robert L. Kane, MD Reena Karani, MD Stephen L. Kates, MD Natalie A. Kayani, MD Jeffrey A. Kaye, MD Amy S. Kelley, MD, MSHS Douglas P. Kiel, MD, MPH Faculty Disclosures of Financial Interest George E. Kikano, MD Bruce Kinosian, MD Lynne M. Kirk, MD Beatriz Korc-Grodzicki, MD, PhD George A. Kuchel, MD Mark S. Lachs, MD, MPH Steven Landers, MD, MPH Arthur Lane Christopher A. Langston, PhD Richard H. Lee, MD, MPH Sei J. Lee, MD, MAS Rosanne M. Leipzig, MD, PhD Sharon A. Levine, MD Lene Levy-Storms, PhD, MPH Seema S. Limaye, MD Frank R. Lin, MD, PhD Shari M. Ling, MD Sunny A. Linnebur, PharmD, BCPS, CGP John Mach, MD Jay Magaziner, PhD, MSHyg Una E. Makris, MD Michael L. Malone, MD Sandra E. Maloof, RN Marnonette J. Marallag, BS Zachary A. Marcum, PharmD, MS Patricia N. Matsuda, PT, PhD, DPT Melissa L. P. Mattison, MD, SFHM Robert M. McCann, MD Ellen P. McCarthy, PhD, MPH Wayne C. McCormick, MD Paul McGann, MD Matthew K. McNabney, MD Lynn McNicoll, MD FRCPC Simon C. Mears, MD, PhD Chip Measells Annette M. Medina-Walpole, MD David Melzer, MBBCh, PhD Daniel A. Mendelson, MS, MD, FACP, AGSF Lisa Meserole, ND Rachel K. Miller, MD William R. Mills, MD Lillian Min, MD, MSHS M. Jane Mohler, MSN, MPH, PhD, FNP Marjan U. Mujib, MD, MPH Paul L. Mulhausen, MD, MHS Barbara Muntz, RN Aanand D. Naik, MD Anil K. Nair, MD Arvind D. Nana, MD Jonathan R. Nebeker, MD, MS Mark D. Neuman, MD, MSc Anne B. Newman, MD, MPH Annie L. Nguyen, MPH Joseph A. Nicholas, MD, MPH Lolita S. Nidadavolu, BS Richard E. Norman, BSc, MASc S. Liliana Oakes, MD, CMD Ann M. O’Hare, MD Gordon C. Olson Thuan D. Ong, MD, MPH Susan M. Ott, MD Karin M. Ouchida, MD Joseph G. Ouslander, MD Darrell A. Owens, DNP, PhD Michael Paasche-Orlow, MD, MA, MPH James T. Pacala, MD, MS Cynthia X. Pan, MD, AGSF, FACP Alexandra Papaioannou, BScN MD MSc Kourosh Parham, MD, PhD Thomas S. Parker, MD Susan M. Parks, MD Robert A. Pearlman, MD, MPH Israel Pena, Jr. VJ Periyakoil, MD Thomas T. Perls, MD,MPH, FACP Elizabeth A. Phelan, MD, MS Adam T. Phillips Steven L. Phillips, MD Gregory Piazza, MD, MS Cindy Pinson, MD Anne Pizzacalla, BScN, MHSc Paula M. Podrazik, MD Lisa K. Price, MD James C. Pyles, JD Erika Ramsdale, MD Edward R. Ratner, MD Jonathan Rauch Judith Rehm Barbara Resnick, PhD, CRNP David B. Reuben, MD Ramona L. Rhodes, MD, MPH Michael W. Rich, MD, AGSF Christine S. Ritchie, MD, MSPH Josette A. Rivera, MD Wendy E. Roberts, MD Bruce E. Robinson, MD, MPH Thomas N. Robinson, MD FACS Vivyenne M. Roche, MD Miriam B. Rodin, MD, PhD, CMD Matthew T. Rondina, MD Lisa J. Rosenberg, MD Robert E. Roush, EdD, MPH Fred H. Rubin, MD, AGSF Randall W. Rupper, MD, MPH Sheila Rustgi, BA D. Yale Sage Debra Saliba, MD, MPH Brooke E. Salzman, MD Sandra Sanchez-Reilly, MD Aroonsiri Sangarlangkarn, MD, MPH Catherine A. Sarkisian, MD, MSPH Valisa C. Saunders, MD Jeffrey D. Schlaudecker, MD Kenneth E. Schmader, MD Maureen Schmitter-Edgecombe, PhD Cathy C. Schubert, MD, AGSF Margaret L. Schwarze, MD, MPP Amit A. Shah, MD Helen M. Sharp, PhD, CCC-SLP Joseph Shega, MD Victoria Shier, MPA Frederick E. Sieber, MD Rebecca A. Silliman, MD, PhD Albert L. Siu, MD, MSPH Beata A. Skudlarska, MD, CMD Alexander K. Smith Barbara J. Smith, MPH, PhD Mark B. Snowden, MD Laurence M. Solberg, MD, AGSF Rainier P. Soriano, MD Paula Span Judy Stevens, PhD Joel E. Streim, MD Brad Stuart, MD Stephanie A. Studenski, MD, MPH Niharika N. Suchak, MBBS, MHS, FACP Rebecca L. Sudore, MD Gail M. Sullivan, MD, MPH Mark A. Supiano, MD Gary H. Swartz, JD, MPA George E. Taffet Zaldy S. Tan, MD, MPH Marita G. Titler, PhD, FAAN Babak Tousi, MD, CMD, FACP Mike N. Tudeen Alia T. Tuqan, MD Dana L. Turker, BA Page B. Ulrey, JD Teresa A. Valois, OTR/L, ATP, CDRS Joseph P. Vande Griend, PharmD Joe Verghese, MBBS, MS Elizabeth K. Vig, MD, MPH Marie-Luz Villa, MD Essie K. Wagner, MA Molly V. Wagster, MD Heidi L. Wald, MD, MSPH James A. Wallace, MD Margaret I. Wallhagen, PhD, GNP-BC, AGSF Louise C. Walter, MD Michelle Washko, PhD Suzanna M. Waters Castillo, PhD, MSSW Matthew S. Wayne, MD, CMD Shiou-Liang Wee, PhD Barbara E. Weinstein, PhD Heather E. Whitson, MD, MHS Eric W. Widera, MD Heidi R. Wierman, MD Jerome Wilborn, MD Shellie Nicole Williams, MD Heidi S. Wirtz, MD, PharmD Gisele P. Wolf-Klein, MD Rollin M. Wright, MD, MPH Thomas T. Yoshikawa, MD Misuzu Yuasa, MD Michi Yukawa, MD, MPH William J. Zafirau, MD Susan Zieman, MD, PhD, FACC 75 Faculty Disclosures of Financial Interest 2012 ANNUAL MEETING PROGRAM COMMITTEE CONFLICT OF INTEREST DISCLOSURES Committee Member Disclosure Sandra Bellantonio, MD No relevant financial interests or affiliations. Sally L. Brooks, MD Employee of Kindred Healthcare. Ellen Flaherty, PhD, APRN, BC No relevant financial interests or affiliations. Jerry Gurwitz, MD No relevant financial interests or affiliations. Irene Hamrick, MD, CMD No relevant financial interests or affiliations. John Heath, MDResearch funding through his academic department (no direct funding) from BMS, Merck, & Novartis related to clinical trials @ his medical school. Donald Jurivich, DO Novartis & Merck Speakers Bureau. Sunny Linnebur, PharmD No relevant financial interests or affiliations. Michael Malone, MD No relevant financial interests or affiliations. Annette Medina-Walpole, MD No relevant financial interests or affiliations. Paul Mulhausen, MD No relevant financial interests or affiliations. James T. Pacala, MD No relevant financial interests or affiliations. Arun Rao, MD Medco Health Solutions- Member of the Medicare Part D P&T Committee Barbara Resnick, PhD, CRNP No relevant financial interests or affiliations. Kenneth Schmader, MD No relevant financial interests or affiliations. Joel Streim, MD No relevant financial interests or affiliations. Bruce R. Troen, MD No relevant financial interests or affiliations. Belinda Vicioso, MD No relevant financial interests or affiliations. Caroline Vitale, MD No relevant financial interests or affiliations. 76 AGS/FHA 2011 Corporate Foundation Contributors AGS/FHA 2011 CORPORATE AND and FOUNDATION CONTRIBUTORS The following organizations supported the AGS and the AGS Foundation for Health in Aging in 2011: FOUNDATION FUNDERS The Atlantic Philanthropies The John A. Hartford Foundation CORPORATE FUNDERS Abbott Laboratories Amgen Boehringer Ingelheim Gilead Sciences, Inc. Janssen Pharmaceuticals, Inc. Pfizer Inc. Purdue Pharma L.P. Sanofi Tercica/Ipsen, US. United Health Group Wiley/Blackwell Publishing 77 Presenters Index Abadir, Peter M. 46 Ahmed, Ali 33 Allen, Kyle R. 22, 38, 55 Allman, Richard M. 33 Ang, Sikkim 12 Archibald, Traci 44 Arenson, Christine 49 A.Rivera, Josette 55 Aronow, Wilbert S. 33 Aronson, Louise 31, 57 Atkinson, Hal H. 59 Auchus, Alexander P. 43 Avelino-Silva, Thiago J. 39 Avers, Dale 35 Baharlou, Shahla 12 Barczi, Steven 22 Barr, Robin A. 34 Bates-Jensen, Barbara M. 11, 54 Bayne, C. Gresham 14, 15 Beilenson, John P. 31, 36 Bell, Christina L. 41 Benner, Mara 15 Bennett, Katherine A. 31 Berenson, Robert 41 Bernacki, Rachelle 28, 56 Bernard, Marie A. 32, 34 Betz, Marian E. 27 Bolen, Joel 32 Boling, Peter A. 14, 44 Bomba, Patricia A. 58 Bonner, Alice 44 Borson, Soo 42 Bouldin, Erin LD 53 Boustani, Malaz A. 41, 46, 49 Bowers, Bruce S. 61 Bowman, Ella H. 38 Boxer, Rebecca S. 43 Boyd, Cynthia M. 51 Brach, Jennifer S. 43 Bradley, Sara M. 43 Bradley, Suzanne F. 11, 51 Bradway, Christine 43 Brady, Jeff 30 Brandt, Nicole J. 51 Brauner, Daniel J. 45 Brennan, Maura J. 12 Brooks, Sally L. 31, 55 Brott, Beck 54 Brown, Cynthia J. 31 Brunker, Cherie P. 24 Burnside, Lee D. 52 Bush, Roger W. 23 Campbell, Noll L. 41 Cao, Qing 12 Capezuti, Elizabeth 26, 38 Caprio, Thomas V. 43 Carek, Peter J. 22 Cassara, Michael 31 78 PRESENTERS INDEX Castillo, Suzanna M. Waters 27 Cayea, Danelle 36 Cefalu, Charles A. 48 Chang, Christine 12 Chang, Sandy S. 41 Chaudhari, Shobhana 12 Cheng, Peter H. 10 Cheng, Susan 45 Chen, Michael A. 45 Chenna, Swapna V. 27 Chia, Jessica 46 Chodosh, Joshua 39 Choksey, Mithill 12 Chow, Tiffany W. 43 Chrismer, Lynn 54 Christmas, Colleen 24 Chuan, Yee 54 Clay, Karen L. 47 Cleinman, Alycia A. 52 Cohen, Harvey Jay 24, 31 Colon-Emeric, Cathleen 53, 59 Conant, Rebecca E. 14, 15 Connolly, Marie-Therese 14 Cooney, Leo M. 41 Corcoran, Amy M. 22 Counsell, Steven R. 32 Covinsky, Kenneth E. 52 Cummings-Vaughn, Lenise A. 40 Daiello, Lori A. 30 Daly, Robin M. 37 Daniel, Kathryn M. 10, 33 Day, Hollis D. 23, 44 DeJonge, Karl Eric 14 Demiris, George 52 Demontiero, Oddom 41 Dentino, Andrew N. 27 Deschodt, Mieke 41 Dewey, Todd M. 61 Dobson, Allen 15 Dodson, John A. 26 Dolamore, Michael John 10 Drach, George W. 10 DuBeau, Catherine E. 49 Dunn, Geoffrey P. 50 Duque, Gustavo 32, 37 Dyer, Carmel B. 27 Dykes, Patricia C. 26 Echt, Murray 53 Eckstrom, Elizabeth N. 44 Ehrlich, Amy R. 22 Ekundayo, O. James 33 Elarabi, Mohamed 12 Eleazer, G. Paul 24 Eng, Jessica A. 26 Epplin, Jerome 50 Escher, Jeffrey E. 22 Eskildsen, Manuel A. 39, 44 Fabiny, Anne 56 Factora, Ronan M. 25 Feorene, Brent 14 Feorene, Brent Thomas 14 Fernandez, Helen 43 Ferrucci, Luigi 43, 56 Fick, Donna M. 49 Finlayson, Emily 50 Finucane, Thomas E. 45, 51 Flacker, Jonathan M. 43, 47, 56 Flaherty, Ellen 10, 43 Fleg, Jerome L. 33 Ford, Channing R. 53 Friedman, Susan M. 23, 31 Fung, Constance H. 41 Gainty, Caitjan 45 Galicia-Castillo, Marissa C. 10 Gebo, Kelly A. 35 Gelman, Leonard 34 Genova, Lisa 36 Gerber, Jaime 12 Gershon, Robyn R. 30 Gibbs, Lisa 49 Gillespie, Suzanne M. 43 Gleason, Lauren 54 Gloth, F. Michael, III 53, 59 Gokula, Murthy 48 Goldstein, Mary K. 39 González, Ariel A. 22 Goode, Patricia S. 11, 54 Goodwin, James S. 31 Gould, Lisa J. 46 Gozansky, Wendolyn S. 27 Granville, Lisa J. 31, 59 Groff, Adam C. 14 Hadley, Evan C. 32, 34 Hallen, Sarah 12 Hall, William J. 50 Hanlon, Joseph T. 33, 49 Hanson, Angela J. 38 Hanson, Laura C. 23, 58 Harada, Caroline 12 Harden, J. Taylor 34 Hardy, Susan E. 52 Harper, G. Michael 24, 33, 51, 56 Hastings, S. Nicole 43, 46 Hayashi, Jennifer 15 Hazzard, William R. 46 Heflin, Mitchell T. 24 Helgeson, Michael J. 37 Henderson, Mary Jane (MJ) 25 Henriksen, Kerm 30 Hicks, Gregory E. 12 High, Kevin P. 29, 35 Hile, Elizabeth S. 53 Holland, N. Wilson 12 Hollmann, Peter 28, 41, 53 Holmes, Holly M. 48, 51 Ho, Mathew H. 46 Presenters Index Horton, Monica 10 Houston, Denise K. 43 Howell, Timothy 27 Huang, Alison 43 Huang, Li-Wen 49 Hung, William W. 59 Hunter, Chyren 31 Hurria, Arti 32 Hutchison, Lisa C. 53 Iglesias, Laura 12 Iloabuchi, Tochukwu C. 59 Inouye, Sharon K. 58 Irwin, Scott 23 Jacobs, Cindy 50 Jalowiec, Kelly 15 Jayes, Robert L. 15 Johnson, Theodore M. 33 Johnston, Charles W. 53 Jones, Donald 40 Jones, Judith A. 37 Judge, James E. 58, 59 Judge, James O. 12 Kaiser, Robert M. 15 Kane, Robert L. 47 Karani, Reena 43, 55 Kates, Stephen L. 23 Kayani, Natalie A. 27 Kaye, Jeffrey A. 52 Kaye, Keith 29 Kelley, Amy S. 29, 40, 52 Kemle, Kathy A. 14, 57 Kernisan, Leslie P. 35 Kiamanesh, Masoumeh 54 Kiel, Douglas P. 59 Kikano, George E. 14 Kim, Dae Hyun 52 Kinosian, Bruce 14, 31, 44, 59 Kirk, Lynne M. 22 Knebl, Janice 36 Korc-Grodzicki, Beatriz 56 Kross, Erin K. 23 Kuchel, George A. 34 Lachs, Mark S. 59 Landers, Steven 14, 15 Lane, Arthur 15 Langston, Christopher A. 35 Lee, Richard H. 59 Lee, Sei J. 26, 41, 44 Lee, Tae 12 Lee, Taryn 53 Leff, Bruce A. 15 Leipzig, Rosanne M. 24, 44 Levine, Sharon A. 24, 55 Levy-Storms, Lené 30 Liew, Yin Ping 12 Limaye, Seema S. 27 Lindbloom, Erik J. 45 Lin, Frank R. 57 Ling, Shari M. 44 Linnebur, Sunny A. 57 Lyles, Kenneth W. 11, 54 Mach, John 15 Magaziner, Jay 52 Magee, Mike 14 Makris, Una E. 46, 52 Malone, Michael L. 37, 38 Maloof, Sandy E. 47 Marallag, Marnonette J. 38 Marcum, Zachary A. 58 Massaro, Lauren 54 Matsuda, Patricia N. 47 Mattison, Melissa L.P. 26 McCann, Robert M. 23, 50 McCarthy, Ellen P. 52 McCormick, Wayne C. 35 McGann, Paul 22, 44 McNabney, Matthew K. 51 McNicoll, Lynn 10, 24 Mears, Simon C. 23 Measells, Chip 14 Medina-Walpole, Annette 43 Melzer, David 56 Mendelson, Daniel A. 23 Meserole, Lisa 30 Miller, Rachel K. 39 Mills, William R. 15 Mims, Adrienne 10, 22 Min, Lillian 29 Mintzer, Jacobo E. 51 Mody, Lona 29 Mohler, M. Jane 27 Moody, Sandra Y. 10 Moore, Irene 25 Morley, John E. 37 Mujib, Marjan UI 33 Mulhausen, Paul L. 37 Muntz, Barbara 50 Naeim, Arash 32 Naik, Aanand D. 25, 43, 46 Nair, Anil K. 43 Nana, Arvind D. 50 Nathan, Susan 25 Nebeker, Jonathan R. 39 Nelson, J. Craig 42 Neu, Charlene 49 Neuman, Mark D. 50 Newman, Anne B. 56 Nguyen, Annie L. 55 Nicholas, Joseph A. 23 Nidadavolu, Lolita S. 38 Norman, Richard E. 55 Nye, Ann Marie 10 Oakes, S. Liliana 28, 38 O’Hare, Ann M. 55 Olivieri, Florida 12 Olson, Gordon C. 42 Ong, Thuan D. 31, 47 Ott, Susan M. 37 Ouchida, Karin M. 55 Ouslander, Joseph G. 31, 41, 44, 47 Owens, Darrell A. 55 Paasche-Orlow, Michael 29 Pacala, James T. 29, 41 Palmer, Robert M. 44 Pan, Cynthia X. 27 Papaioannou, Alexandra 26 Parala, Armida 12 Parham, Kourosh 46 Parker, Thomas S. 14, 15 Parks, Susan M. 22 Patel, Neela K. 28 Pearlman, Robert A. 50 Pena, Israel, Jr. 38, 41 Periyakoil, VJ 23 Perls, Thomas T. 56 Phelan, Elizabeth A. 26, 53 Phillips, Adam T. 43 Phillips, Steven L. 14 Piazza, Gregory 45 Pinson, Cindy 14 Pizzacalla, Anne 58 Podrazik, Paula M. 26 Pomidor, Alice 40 Powers, James S. 22 Price, Lisa K. 26 Pyles, James C. 14, 15 Rakowski, Richard R. 15 Ramsdale, Erika 26 Ratner, Edward R. 14 Rauch, Jonathan 15 Reed, Thomas W. 14 Regenstreif, Donna I. 10 Rehm, Judith 39 Resnick, Barbara 10, 14 Reuben, David B. 24, 28 Reynolds, Verna 48 Rhodes, Ramona L. 58 Rich, Michael W. 33, 55 Ritchie, Christine S. 51 Rivera, Josette A. 31, 49 Roberts, Wendy E. 11, 51 Robinson, Bruce E. 46 Robinson, Thomas N. 46, 50 Roche, Vivyenne M. 10, 22, 27 Rodin, Miriam B. 56 Rondina, Matthew T. 38, 41 Rosenberg, Lisa J. 12, 42 Roush, Robert E. 25 Rubin, Fred H. 58 Rupper, Randall W. 39 Rustgi, Sheila 31 79 Presenters Index Sage, D. Yale 15 Saliba, Debra 10, 30 Salzman, Brooke E. 53 Sanchez-Lance, Marisol 40 Sanchez-Reilly, Sandra 26 Sangarlangkarn, Aroonsiri (June) 27 Sarkisian, Catherine A. 46 Saunders, C. Valisa 47 Schlaudecker, Jeffrey D. 39 Schmader, Kenneth E. 11, 51, 54 Schmitter-Edgecombe, Maureen 52 Schubert, Cathy C. 10, 32 Schwarze, Margaret L. 50 Semla, Todd P. 25, 48, 49 Sengstock, David M. 12 Sengstock, Jodie 12 Shaaban, Reham 12 Shah, Amit A. 27, 40, 50 Sharp, Helen M. 58 Shay, Kenneth 28 Shega, Joseph 50 Sheyner, Inna 10 Shier, Victoria 30 Sieber, Frederick E. 23 Silliman, Rebecca A. 32, 43 Silvestri, Julio Martinez 12 Skudlarska, Beata A. 12, 33 Smith, Alexander K. 35, 44 Smith, Barbara J. 37 Snowden, Mark B. 42 80 Solberg, Laurence M. 10, 24 Soriano, Rainier P. 43 Span, Paula 35 Staats, David O. 36 Stevens, Judy 53 Streim, Joel E. 42 Stuart, Brad 15 Studenski, Stephanie A. 30 Suchak, Niharika N. 31, 39, 41 Sudore, Rebecca L. 27 Sullivan, Gail M. 23, 35, 44 Sun, Vivien K. 41 Supiano, Mark A. 11, 24, 51 Swagerty, Daniel L. 12 Swartz, Gary H. 14 Taffet, George E. 38 Tang, Victoria 54 Tan, Zaldy S. 59 Thielke, Stephen 52 Titler, Marita G. 26 Tousi, Babak 30 Tucker, Alison 54 Tudeen, Mike N. 14 Tuqan, Alia T. 55 Turker, Dana L. 38 Ulrey, Page B. 25 Valois, Teresa A. 42 Vande, Joseph P. 58 Verghese, Joe 30 Vig, Elizabeth K. 26, 31, 55 Villa, Marie-Luz 29, 30, 47 Vitale, Caroline A. 10 Wagner, Essie K. 42 Wagster, Molly V. 32, 34 Wald, Heidi L. 26 Wallace, James A. 56 Wallhagen, Margaret I. 31, 57 Walter, Louise C. 44 Washko, Michelle 46 Wayne, Matthew S. 34 Wee, Shiou-Liang 59 Weinstein, Barbara E. 57 White-Chu, Foy 48 Whitson, Heather E. 24 Widera, Eric W. 22, 28, 35 Wierman, Heidi R. 45, 58 Wilborn, Jerome 55 Williams, Shellie Nicole 27 Wirtz, Heidi S. 53 Wolf-Klein, Gisele P. 31 Wong, Jillian W. 41 Wright, Rollin M. 53 Yang, Eugene 61 Yoshikawa, Thomas T. 46 Yuasa, Misuzu 39 Yukawa, Michi 31 Zafirau, William J. 14 Zieman, Susan 45 Presenters Index GUIDELINES FOR CORPORATE RELATIONSHIPS AMERICAN GERIATRICS SOCIETY The American Geriatrics Society (AGS) is a nationwide, not-for profit association of geriatrics health care professionals, research scientists, and other concerned individuals dedicated to improving the health, independence and quality of life for all older persons. The AGS promotes high quality, comprehensive and accessible care for America’s older population, including those who are chronically ill and disabled. The organization provides leadership to health care professionals, policy makers and the public by developing, implementing and advocating programs in patient care, research, professional and public education, and public policy.1 The Society develops programs, products and services to advance its mission. These activities are funded through 1) revenues generated from membership dues and other Society programs and publications, 2) foundation grants, and 3) grants from corporate sponsors. The following guidelines are intended to ensure a clear, consistent and ethical policy governing the Society’s corporate arrangements. The AGS Board of Directors is responsible for establishing the principles and guidelines governing AGS’s relationships with commercial organizations. The AGS Executive Vice President is responsible for the review and recommendation for approval by the Board of Directors of each specific arrangement against the above principles and appropriate guidelines. For the purposes of these guidelines, corporate arrangements shall mean transactions in which the AGS receives funds from a commercial organization and the AGS’s name and logo are used in connection with a company, product, or service. 1. When appropriate and desirable, the AGS participates in nonexclusive corporate arrangements to support activities that advance the AGS’s mission. Any proposed arrangements must be reviewed and approved by the AGS Board of Directors to ensure that acceptance of such funds would have no potential influence on AGS’s programs or policies or conflict with the association’s goals. 2. The AGS will align only with commercial organizations that manufacture and/or distribute high quality products and/or services through sound business and ethical practices. 3. The AGS prohibits corporate influence over Society products, policies and/or positions. 4. The AGS will accept funds or royalties from corporate sponsors only when such acceptance does not pose a conflict of interest and has no negative impact on the objectivity of the AGS’s activities, its members, programs, or employees. 5. Participation in a specific corporate arrangement does not in any way imply the AGS’s approval or endorsement of any corporate policies, nor does it imply that the AGS will advocate on behalf of any corporate entity. The AGS’s name and logo may not be used in a manner that would express or imply an AGS endorsement of the corporation or its policies. 6. The AGS will provide recognition of corporate support in AGS publications and other appropriate forums, and AGS corporate arrangements will be disclosed regularly as part of organization’s financial reporting to the Board of Directors. No product endorsements may be made part of such recognition. 7. The AGS reserves the right to review and approve all marketing materials bearing the AGS’s name and/or corporate identity in compliance with these guidelines. 8. The AGS retains editorial control over any information produced as part of a corporate arrangement. In every case, all materials in print, broadcast, or electronic media prepared by the corporate entity must be submitted to the AGS for approval in writing prior to release. 9. Whenever possible and feasible, the AGS seeks funding for programs from a variety of sources. It is understood, however, that occasions may arise when support of a specific event, publication, or service from a single source is appropriate. The AGS will exercise special caution so that in circumstances when single support is granted, the AGS avoids conflicts of interest and guards against any perception of conflict of interest. 1 Mission and Goals Statement of the American Geriatrics Society. 81
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