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|2019 AAHCM Annual Meeting - Schedule Information|
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 Session | House 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 Session | House 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
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.
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.
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
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.
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
Optimizing and Innovating Educational Experiences for Trainees in Home Care
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
Conference Day 2 - Saturday, October 19