Home Care Medicine Best in Care, Best in Business, Largest and Most Successful
The Academy held its largest and most successful Annual
Meeting, Home Care Medicine, Best in Care, Best in Business, May 2 and 3 in
The success of the meeting was due to the Academy members
who attended and to the efforts of the volunteer Planning Committee led by
Chair, Dr. Eric De Jonge and Co-Chair Dr. Mindy Fain.
Thank you to Planning Committee for its invaluable and
tireless service in programming and fundraising. Special thanks to Robert
Sowislo of U.S. Medical Management, LLC/Visiting Physicians Association for his
work on the annual meeting and generation of exhibitors and sponsorship.
The slides that accompanied presentations are posted to the
Academy site here.
Annual Meeting Presentation/Session Highlights
Attendees heard and enjoyed the opportunity to interact with
a stellar two day line-up of speakers. Keynote addresses that aptly framed the
meeting were provided by Jennie Chin Hansen, RN, CEO, of the American
Geriatrics Society and Dr. John Burton, Professor of Medicine, the Johns
Hopkins University School of Medicine. These speakers provided the historical
background for the services of attendees. These talks included both a
recounting of the history of the geriatrics and housecall fields in the country
and also a personal reflection on the needs, opportunities and professional
satisfaction provided to them personally through service in the field. Dr.
Burton and Ms. Hansen ended their remarks by emphasizing the importance of the
work of Academy members, and that interdisciplinary teams will have a strong
Presentations before and after these keynotes covered topics
including practice start-up, home care medicine as part of a service line, key
elements for success, care transitions and working with HHA partners. Also
covered were VA practice initiatives, CMS policy and shared savings including
Independence at Home, standards, and workforce development from a policy and
practice management standpoint. Clinical and educational presentations included
challenging cases, polypharmacy, behavioral and psychosocial needs, difficult
behavioral issues, pain management, wound care, telemonitoring, and technology
in the home.
Academy annual meeting has now become an international meeting. Advanced and
emerging housecall practices are occurring in other countries. Dr. Samir Sinha
presented on the Canadian model and financing of a housecall practice in the
province of Ontario. Clear from Dr. Sinha’s presentation is that there are
shared demographics including financial pressures on government and families
and that these issues and pressures do not recognize borders. Thus, there is
much to be learned through shared learning and review of international
developments of housecall practice.
Sheryl Cramer, MD, June Leland, MD and Ruth Shea, MSW
presented the three "Housecall Highlights” throughout the program.
Certain driving forces and overall themes that will
influence your housecall practice and also inform Academy programming over the
next year were heard at the annual meeting. These driving forces and themes
transition from fee for service, non-accountable, siloed, uncoordinated
care to coordinated care, bundled/global payments, population health
management and payment for outcomes/value and that of "shared
and patient tracking including transition into the hospital and back to
the community/home. Data and patient tracking would be enabled through
connectivity, electronic health records, and data development including
measures reported for certification and payment. Data development and
presentation is also critical to identify, understand and market the value
of one’s services and practice.
reconciliation as a critical service for practices to provide during each
transition of location of care from one location to another and also
during each encounter with one’s patient.
teams: The pressures for increased accountability and access will drive
the "raising of the bar” as relates to the practice hiring of clinical and
administrative staff. In short, the expectations and requirements of the
field of medicine in the home are increasing as are the professional
career, satisfaction and financial opportunities.
with other professionals and organizations in one’s community that are
non-acute care-based will grow in importance. Relationships with acute
care facilities particularly as relates to transitions of care and the
opportunity to demonstrate value and participate in shared savings will be
important as well.
acquisition and attribution to the practice will become critically
important. Thus the appropriate establishment of patient-primary care
provider relationship, assessment of patient condition, and accurate and
specific diagnostic coding of patient conditions will grow in importance,
as will risk stratification, HCC scouring, and other issues.
Other Meeting highlights include:
Setting Attendance – Preliminary figures produce attendance of 265
including speakers and sponsors. Final attendance figures will be received
in the next weeks from the American Geriatric Society. The Academy annual
meeting has grown by 20% in two years based on your support. This is in
contrast to the experience of other medical and professional societies.
Thank you for your participation. One attendee described the Successful
Transitions of Care panel presentation as "astounding.”
Number of Exhibits and Amount of Sponsorship - This year’s meeting
included the largest number and variety of exhibitors and largest amount
of sponsorship revenue for the Academy.
Innovations - More time than ever was provided by design for questions
during and after presentations. Presentations were limited in time
and kept timely to enhance attendee interaction and participation. Live
tweeting and emailing questions were added.
Discussions During Lunch – ten interactive wide ranging table discussions
were organized during lunch in the exhibit hall. Attendees made great use
of the opportunity to share questions and knowledge.
Reception in the Exhibit Hall – An evening reception in the exhibit hall
provided for great networking and development of camaraderie among
attendees. This reception, thanks to the generosity of Aprima Medical
Software Inc., added to the satisfaction of the exhibitors and sponsors of
Annual Meeting Features Awards and Re-Election of Board
Dr. Bruce Leff began his Annual Meeting address by
celebrating our Academy members, who are helping define and execute the models
of care that are gradually defining the field of home care medicine. Our
members were commended for the gradual growth in house calls despite a
challenging Medicare fee schedule, growing participation of nurse practitioners
and physician assistants, and for the growth of the VA Home-Based Primary Care
Dr. Leff highlighted a few of the Academy’s many
accomplishments during the past year, including the first year of the IAH
demonstration, a decade-long effort of the Academy! Dr. Leff thanked the
Alliance for Home Health Quality & Innovation whose grant permitted the
development of the Medical Director’s Training web-based course, and to Dr. Ed
Ratner who worked as volunteer course director and content developer. He went
on to thank The Retirement Research Foundation whose 2012 funding supported the
IAH Learning Collaborative. He also thanked Dr. Tom Cornwell, President-elect,
for spearheading the Academy $25,000 fundraising drive, and to Peter Whinfrey
for pledging to match dollar for dollar up to $25,000 to the Academy, as well
as making a similar gift to the IAH effort. We are gradually evolving toward a
broader definition of who we are, looking toward our name change to American
Academy of Home Care Medicine in 2014.
Dr. Leff encouraged members to get involved in any of our
committees: Annual Meeting, Public Policy, Education, Research or other Academy
work groups. Remember, volunteer are our lifeblood, so please let us know if
you are interested in getting involved!
Members were then asked to re-elect Board members Dr. Bruce
Leff, Dr. Thomas Cornwell, Brent Feorene, and Dr. Eric DeJonge. All were
re-elected to the Board.
Thomas Cornwell presented the House Call Awards in place of Awards Committee
Chair, Dr. Theresa Soriano. The 2013 Eric Baron House Call Doctor of the Year
was awarded to Dr. Cynthia Pinson, founder of Travel MD. Dr. Pinson was the
first female physician to start a medical practice devoted to making house
calls in the tri-state area, areas of West Virginia, Ohio and Kentucky. There
had been no such practice prior to Travel MD. "Dr. Pinson is a pioneer in this
domain,” said Dr. Rabah Boukhemis.
2013 House Call Clinician of the Year was awarded to Nurse Practitioner Barbara
Sutton. In her nomination Ms. Sutton’s collaborative physician Dr. Tracey
Hashemi wrote, "Barb is an innovator and pioneer. She is pioneering
partnerships with our hospital and physician partners to establish new and
innovative programs to help our partners keep their patients healthy and out of
the hospital.” Another colleague Jean Hansen wrote "Barb continually
inspires and motivates our palliative care team and is an inspiration to us
The 2013 Poster of the Year was awarded to Dr. Bruce
Kinosian for "Hospital at Home as an Inter-agency Collaborative in the
The 2013 Student Poster of the Year was awarded to Elizabeth
Pedowitz for "Time Spent Providing Care Outside of Home Visits in a Home Based
Primary Care Program.”
This year, the Academy also presented a few special awards.
Dr. Edward Ratner was awarded the President’s Award for Outstanding
Contributions to the American Academy of Home Care Physicians for his work in
public policy, education and as an Academy President and leader. Board members who
were rotating off the Board were honored. Dr. Michael Fleming and Dr. Steven
Phillips were each given awards for appreciation of their service. The Academy
congratulates all of this year’s winners!
Review of Annual Meeting Evaluations
Thank you to attendees for your completion of the annual
meeting evaluations. Comments from prior year annual meeting evaluations
informed the development and conduct of this year’s meeting. Your evaluations
will be reviewed carefully so that next year’s meeting continues to meet your
needs and interests.
2014 Annual Meeting Orlando, Florida - Mid-May
Support your Academy and volunteer to participate in the
2014 Annual Meeting Planning Committee to help us build on this year’s
incredible success. And building on this year’s Texas hospitality and
meeting success we already look forward to seeing you mid-May, 2014 in the
Thank you to Planning Committee members, exhibitors/sponsors
and to YOU for the 2013 Academy Annual Meeting success!