2013 Annual Meeting
Share |


Home Care Medicine Best in Care, Best in Business, Largest and Most Successful Annual Meeting!

The Academy held its largest and most successful Annual Meeting, Home Care Medicine, Best in Care, Best in Business, May 2 and 3 in Grapevine Texas.

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 impact.

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.

Your 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 include:

  • The 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 savings.”
  • Data 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.
  • Medication 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.
  • Interdisciplinary 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.
  • Partnerships 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.
  • Patient 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:

  • Record 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.”
  • Record 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.
  • Meeting 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.
  • Table 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.
  • Evening 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 the meeting.

Annual Meeting Features Awards and Re-Election of Board Members

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 Program.

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.

Dr. 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.

The 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 all.”

The 2013 Poster of the Year was awarded to Dr. Bruce Kinosian for "Hospital at Home as an Inter-agency Collaborative in the VA.”

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 Sunshine State!

Thank you to Planning Committee members, exhibitors/sponsors and to YOU for the 2013 Academy Annual Meeting success!