2019 AAHCM Annual Meeting - Schedule Information
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2019 American Academy of Home Care Medicine (AAHCM) Annual Meeting

Optimizing and Innovating: 

Shaping the Future of Home Care Medicine

*Please check back regularly as this schedule is subject to change as we continue to solidify session topics and speakers

Preconference Day: Thursday, October 17

Preconference Workshops presented by the Home Centered Care Institute (HCCI)

9 am - 12 pm | Clinical SessionHouse Calls: Achieving Clinical Excellence and Sustainability

You’ll leave this case-based session with insights into advanced dementia, addressing acute behavioral disturbances, transitions of care and care coordination, palliative/supportive care, and end-of-life in the care of homebound patients and their caregivers. Learn more about the Clinical Session.

1 pm - 4 pm | Practice Management SessionHouse Calls: Achieving Clinical Excellence and Sustainability

You’ll leave this session with tips for enhancing your revenue cycle through current fee-for-service billing opportunities, value-based contracting, and best practices for staffing models and workflow. Learn more about the Practice Management Session. 

 

Conference Day 1 - Friday, October 18

Registration

 Breakfast

 Welcome

Theresa Soriano, MD MPH, AAHCM Incoming President

Alex Binder, MBA, and Elizabeth McCormick, MD, AAHCM Program Committee Co-Chairs

8:20–9:30 am | Friday Opening Keynote: Home-Based Primary Care: An Essential Component of Age-Friendly Health Systems

Amy Berman, RN LHD FAAN,The John A. Hartford Foundation

This keynote panel will feature national efforts to move and scale Home-Based Primary Care. Panelists from Johns Hopkins University, the Home-Centered Care Institute (HCCI), and the American Academy of Home Care Medicine (AAHCM) will highlight work focused on quality, training, and advocacy. Amy Berman, RN LHD FAAN, senior program officer for The John A. Hartford Foundation will facilitate the panel discussion and will present on the Age-Friendly Health Systems movement. 

 Movement Break

 Concurrent Sessions

 
Quality Improvement in the Trenches of Home-Based Medical Care

Bruce Leff, MD, Johns Hopkins University School of Medicine

Christine S. Ritchie, MD MSPH, Massachusetts General Hospital

The National Home-Based Primary Care and Palliative Care Consortium is engaged in a quality improvement-focused Learning Collaborative (LC) with nine home-based medical care practices around the US. In this session, LC leaders will provide a brief overview of the importance of quality improvement (QI) and then moderate a panel discussion with representatives of the participating practices focusing on: the importance of engaging in QI, strategies used to lead culture change, strategies used to engage providers in QI, issues related to data collection, overcoming challenges to performing QI, and others. 

 
Overview of Home-Based Palliative Care: Foundations, Program Development, and Future Opportunities 

Barbara Sutton, MSN APRN-BC ACHPN, Housecall Providers

Julia M. Gallagher, MD, Division of Palliative Care and Geriatric Medicine, Massachusetts General Hospital

Helen Kao, MD, University of California San Francisco and Lumina Hospice & Palliative Care

Harriet Mather, MD MSc, Icahn School of Medicine at Mount Sinai

Interest in home-based palliative care and the development of home-based palliative care programs has accelerated. Patients with complex advanced illness are living longer, are less able to access care and have a range of unmet palliative care needs. The forces fueling the efforts to meet those needs are varied and include CMMI demonstration programs, the expansion of accountable care organizations and the shift to value based quality metrics. This session will review the foundations of primary palliative care practice, review the basics of palliative care program development, and look ahead at what this future landscape may hold including opportunities for collaboration.

 

Concurrent Sessions
 
State of the Science in Home Care Medicine

Katherine Ornstein, PhD MPH, Icahn School of Medicine at Mount Sinai

Orla C. Sheehan, MD MS PhD, Johns Hopkins University School of Medicine, Division of Geriatric Medicine and Gerontology

In this session we will provide a detailed overview of current research in the field of home care medicine. The presenters will share the evidence base related to home-based primary care, home-based palliative care, hospital at home and other clinical services, and highlight examples of how the research evidence impacts policy. The presenters will also share insights on current gaps in the field of home care medicine and new research opportunities. 

 
Integrating the Full Health Care Delivery System in the Home

Alan P. Abrams, MD, President & CMO, Perfect Health 

Doug Thompson, MPP CEO, Perfect Health

Michael Hughes, Vice President Strategic Development, Senior Helpers

Eliza (Pippa) Shulman, DO MPH, Medically Home

Superior care of the frail subsegment of the older adult population depends upon the ability of health care providers to distinguish individualized risks in order to lower total medical expense and improve clinical outcomes. This panel will inform the audience on the opportunity to incorporate the value added of home care assessment, successful primary care in the home, and hospital at home as important elements of a successful comprehensive geriatric care delivery system. 

Accurate Documentation in Risk Adjustment World leads to Accurate Payment

George W. Brett, MD, Senior Vice President for Consulting Services and Chief Medical Officer, Capstone Performance Systems

 

Lunch with Exhibits

Concurrent Sessions
 
How to Make Sense of Payment Model Options in HCM

Kris Smith, MD MPP, Northwell Health

Sean Cavanaugh, MPH, Chief Administrative and Performance Officer, Aledade

Rebecca Ramsay, BSN MPH, Housecall Providers

Moderator: Linda DeCherrie, MD, Icahn School of Medicine at Mount Sinai Visiting Doctors Program

 
Medication Optimization in Home Care Medicine 

Melissa Morgan-Gouveia, MD FACP, Christiana Health Care System

Nicole Brandt, PharmD MBA BCGP BCPP FASCP, The Peter Lamy Center on Drug Therapy and Aging and Pharmacy Practice and Science University of Maryland School of Pharmacy

Polypharmacy is common in homebound patients living with multiple chronic conditions and is associated with adverse health outcomes.  This session will focus on optimizing medications in the homebound population, taking into consideration an individual patient’s comorbidities, functional status, life expectancy, values and preferences.  We will review strategies and tools to engage our patients, their caregivers, and the interdisciplinary team in identifying medication-related issues, deprescribing, and medication optimization.

 

Concurrent Sessions
 
Bite-Sized Clinical Topics in Home Care Medicine

Mattan Schuchman, MD, Johns Hopkins Community Physicians

Linnea Pepper, MD, Medstar House Call Program

Melissa Dattalo, MD MPH, University of Wisconsin-Madison School of Medicine and Public Health

Rachel Miller, MD MSEd, University of Pennsylvania Division of Geriatrics

This session will provide an evidence-based, practical, "bite-sized" review of high-yield clinical topics specifically geared to the medical care of homebound older adults. We will discuss novel anticoagulants for atrial fibrillation, treatment of osteoporosis, treatment of insomnia, and diagnosis of depression. The session will benefit new and experienced home-based practitioners alike. Each topic is covered in a ten minute "bite-sized" presentation that is designed to maximize impact and engagement by emphasizing salient, take-home points that can be applied to improve your clinical practice. 

 
Compassionate Communication: Approaching Tough Patient Conversations with Courage and Empathy

J. Robert Parkey, MD MTS HMDC CMD, Healing Hands Homecare and Little Black Bag House Calls

In the post-acute care world, clinicians are often faced with the difficult task of the "tough conversation," especially in the context of advanced illness. With often little effective training in our professional educational process to prepare us for these discussions of prognosis and goals of care, we can struggle with initiating and effectively embracing these dialogues. In this session, we will explore the barriers to effective communication and define a philosophy and an effective practice for meaningful and empathetic discussion of the news that patients and families may not want to hear. If we are to truly honor a person-centered plan of care, we owe them this kindness.

 
Don't Just Do It, Talk About It! Communicating with Data

Edwin Zhao, Outcomes Analyst, MedStar House Call Program

Christine Patterson, MA, VCU Health System

Rebecca Ramsay, BSN MPH, Housecall Providers

Pamela Miner, MD, Housecall Providers

This session covers two can't-miss house call topics- how to merge process improvement with full-flight operations and the art of talking data to payers, funders, and sponsors. Housecall Providers will kick off with a rousing retrospective look on how they used Lean process improvement method to drive a 60 percent increase in productivity over the last year and a half. MedStar and VCU Health will follow with a model of information and three case studies on why it pays to control the narrative. 

  

3:30–3:50 pm | Movement Break

Concurrent Sessions
 
Optimizing and Innovating Educational Experiences for Trainees in Home Care

Rachel Miller, MD MSEd, University of Pennsylvania Division of Geriatrics

Melissa Morgan-Gouveia, MD FACP, Christiana Care Health System

Victoria M. Kopke, MD, Mount Sinai Visiting Doctors Program

Stephanie Nothelle, MD, Johns Hopkins University School of Medicine

Home based primary care programs for medically complex patients with multiple co-morbidities. House calls are an ideal venue for trainees to learn how to provide high value care to this high-risk, high-cost population and work in interdisciplinary teams. This session will highlight the core educational content and competencies that can be ideally taught in the home care setting, demonstrate existing home care curricula and education models, and provide an opportunity for educators to discuss their experiences and ideas. 

Know Your Value: How In-home Health Care Excels at Identifying and Addressing Social Determinants of Health

Taft Parsons III, MD, Humana, Inc. 

Christopher Dennis, MD MBA FAPA, Landmark Health

Social determinants of health have a major impact on health outcomes- especially for the most vulnerable and frail populations, including the elderly, polychronic, and those who are homebound or home-limited. Heightened collaboration between health plans, value-based providers, PCPs, specialists, caregivers, and community-based organizations to identify and meet the needs of these patients is critical to imporving timely access to care, patient satisfaction, and reduced utilization. 

Leveraging Skills of RNs, NPs, and CNAs to Support Triage and Facilitate Patient Consults via Telehealth

Michael Hughes, Vice President Strategic Development, Senior Helpers

Steven M. Handler, MD PhD LMD, Curavi Health and UPMC

Thomas L. Baker, BSN RN, UCSF Medical Center

Courtney Gordon, DNP, University of California San Francisco 

Home care medicine has proven to be an effective mechanism for managing high risk patient populations. As demand for home-based services continues to scale, technology like TeleHealth visits become increasingly important. This session will address innovations in utilizing non-providers in the provision of TeleHealth services in busy housecall practices. It will look at an innovative RN-driven process that works collaboratively with a multidisciplinary team and maximizes new communication technologies in the delivery of home based primary care. The session also reviews a demonstration pilot that used field-based certified nursing assistants as "telepresenters" to help manage TeleHeatlh visits. 

 

President's Message and Awards

Learn all about the latest Academy updates and developments. Plus, be there as the prestigious 2019 AAHCM Award Winners are announced. 

 
Reception in Exhibit Hall with Posters on Display in Foyer
 
7-8 pm 

Conference Day 2 - Saturday, October 19

Registration Open
 
Breakfast
 
Saturday Morning Keynote: Improving Function and Costs Through the CAPABLE Program: Opportunities to Integrate into HBPC
 

Sarah Szanton, PhD ANP FAAN, Johns Hopkins University

Home based primary care provides essential access to high quality care but could be strengthened by attention to improving physical function and altering the home environment in concert with patient and family goals.  Dr. Szanton will discuss how evidence from the CAPABLE program could be integrated into high quality, value based home based primary care.  CAPABLE decreases disability and high-cost medical utilization while increasing patient satisfaction, home care access and functional abilities.

 

Concurrent Sessions

Challenging Behaviors of Dementia and Caregiver Support

Mia Yang, MD, Wake Forest School of Medicine

Kimberly Martin Wilson, MSW LCSW, Wake Forest Baptist Health

Rachel Zimmer, DNP AGPCNP-C, Wake Forest Baptist Health

This session is focused on three fundamental and interacting domains of assessment and treatment: 1) psychological and relational context with attachment caregiving, 2) medical/pharmacologic treatments of neuropsychiatric symptoms, and 3) environmental/community resources to support patients with dementia and their care partners. Using two cases from real patients, learners will delve into how understanding and management of these three domains helps keep patients with dementia safely at home, in the community.

Overview of Telehealth

Michael Kurliand, RN, West Health 

Steven M. Handler, MD PhD LMD, Curavi Health and UPMC

Thomas L. Baker, BSN RN, UCSF Medical Center

Monica Chmielewski, JD, Foley & Lardner LLP

Home care medicine has proven to be an effective mechanism for managing high risk patient populations. As demand for home-based services continues to scale, technology like TeleHealth visits will become increasingly important. This session will address innovations in utilizing non-providers in the provision of TeleHealth services in busy HouseCalls practices. It will look at an innovative RN-driven process that works collaboratively with a multidisciplinary team and maximizes new communication technologies in the delivery of home based primary care. The session also reviews a demonstration pilot that used field-based certified nursing assistants as “telepresenters” to help manage TeleHealth visits.

 

EMS Across the Continuum: A Force Multiplier for Home-Based Primary Care

Karen Abrashkin, MD, Northwell Health

Christian Escobar, MD, Mount Sinai Health System and ICAHN School of Medicine

Emergency Medical Services (EMS) was once characterized by a "you call, we haul" mentality focusing on transport to the ED, but these ubiquitous services have the potential to provide a force multiplier in home-based primary care across the country. In these models, known as community paramedicine (CP), mobile integrated healthcare (MIH), or Emergency Triage, Treat, and Transport (ET3), EMS personnel work as primary care extenders to treat patients when and where it is needed most- in the home. Come learn about innovative programs across the country, including operations and results of two programs that have been utilizing these models since 2013. 

 

Poster & Paper Presentation

 

Movement Break

 

H. Stephen Lieber, CAE, Avisos Partners

Associations Advance America. This initiative by the American Society of Association Executives clearly captures why we join, volunteer, and engage with our professional societies. This session builds upon this concept of using our collective efforts to improve our world in a dialogue on how AAHCM and other associations are improving the America health care system. Our speaker, Steve Lieber, is the retired president and CEO of HIMSS (Healthcare Information and Management Systems Society), where he led this association to global prominence and impact through member efforts and engagement. 

  

 Lunch with AAHCM Leadership Town Hall

 

Register Now

 

Learn more about the CME available at the 2019 AAHCM Annual Meeting.