Opening Remarks Cari Levy, MD, Ph.D., CMD, Society President-Elect
Award Presentation Howard Guterman Best Poster Award
The Society’s Top Policy Issues 2018 Updates on the top Society activity on policy issues including the following: legislative advocacy, communications with government agencies, updates on the health care reform implementation efforts, and on proposed changes to PA/LTC facilities requirements for participation. Karl Steinberg, MD, HMDC, CMD, Chair, Public Policy Committee; David Nace, MD, MPH, CMD, Vice Chair, Public Policy Committee; Alex Bardakh, MPP, Director, Public Policy and Advocacy
Who Will Care for me When I am Old and Frail? Joan Teno, MD, MS Each day, 10,000 people turn 65. They are faced with a final phase of life that can include multimorbidity, prolonged period of functional impairment, and health care transitions from hospital to PA/LTC settings. Physicians have increasingly focused their practice on one setting of care much like the rapid growth of hospitalists, physicians who focus solely on the care of hospitalized patients. Similar trends are occurring in the PA/LTC sector. In this lecture, the temporal trends in the care of frail older people in the hospital and PA/LTC settings, such as nursing facilities, will be characterized. The implications of these temporal trends and need for future research will be discussed.
Joan Teno, MD, MS, is a health services researcher with more than 25 years of experience conducting research which has impacted end-of-life care in the U.S. She is a board-certified internist with Certificates of Added Qualifications in geriatrics and hospice & palliative medicine. Dr. Teno was a hospice medical director for 18 years and is currently working at the University of Washington on the Palliative Care Consult Service. She is also the project leader of a program project grant, recipient of a Robert Wood Johnson Foundation (RWJF) Health Policy Investigator Award, and an investigator on the Centers for Medicare& Medicaid Services (CMS) contract on creating the Consumer Assessment of Healthcare Providers and Systems (CAHPS) Hospice Survey and updating the hospice payment model. In recognition of this body of work, Dr. Teno was part of the study panel of the 2014 Institute of Medicine (IOM) report “Dying in America: Improving Quality and Honoring Individual Preferences Near the End of Life.”
Describe demographic changes of frail, older persons and who provides their care.
Examine the evidence of the effectiveness of physicians who specialize in hospital care or PA/LTC settings, such as nursing facilities.
Identify the future research agenda to address key questions regarding trends in who is providing care of frail, older people.
MD, PhD, CMD,
Denver Veterans Affairs Medical Center