How to Use Frailty Assessments in Clinical Practice to Help Residents and Facilities Thrive

1.00 CME / 1.00 CMD Clinical / 1.00 MOC

Frailty is a global standard of clinical risk, but the United States is about 10-15 years behind other countries incorporating frailty into clinical management strategies. This session will address ways to accurately assess frailty risk and use this information to enable the team to work with patients and families to create a realistic, proactive care plan that includes appropriate resource utilization and expenditures. It also will discuss how frailty assessment and management impact reimbursement and prevent problems such as avoidable readmissions and polypharmacy. Case studies will enable participants to assess sample residents’ frailty, have productive conversations with patients and families about goals of care, and identify appropriate treatments and interventions.

Presenters

1Steven Buslovich, MD, CMD, is co-founder and CEO of Patient Pattern, a health IT analytics software company founded in 2013 that specializes in frailty-based population care management and related technology to improve care for PALTC patients. The company won the Audience Choice award at the 2018 AMDA Shark Tank competition. He also is a partner in Partners Medical Group, PLS, where he practices PALTC medicine. During the pandemic, he helped set up a COVID unit in his area that helped control the spread of COVID-19.

1Matthew Wayne, MD, CMD, is an experienced Chief Medical Officer with a demonstrated history of working in the hospital & health care industry. He is currently Chief Medical Officer for CommuniCare Family of Companies and CEO of Personalized Health Partners. He has skills in Population Health, Disease Management, Medicare, Medicaid and Physician Relations. He is a long-time active AMDA member and served as president in 2012-2103. He also was president of the Ohio Medical Directors Association in 2007-2009.

 

Learning Objectives

  • Use the frailty index to assess patient frailty accurately and identify and address risk to avoid as much decline as possible.
  • Have productive care planning conversations with patients/families that enable the identification of priorities that involve a balance of patient wishes/choices with realistic possibilities/expectations.
  • Work with providers and care teams to identify ways to use frailty assessments to help prevent problems such as avoidable readmissions and medication-related problems and improve patient and family satisfaction.
  • Document and use codes in ways that enable selection of the correct Hierarchal Condition Categories (HCC) that match the care provided and factors impacting risk, as well as understand and use predictive analytics to forecast trends and future beneficiary needs.

 

Credit Information

Activity Created 3/2022

Credits Available Until 3/2025

Credit Statements:

CME: AMDA – The Society for Post-Acute and Long-Term Care Medicine designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit(s)TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

AMDA – The Society for Post-Acute and Long-Term Care Medicine for Post-Acute and Long-Term Care Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

CMD: This self-study activity has been pre-approved by the American Board of Post-Acute and Long-Term Care Medicine (ABPLM) for a total of 1.0 clinical  hours toward certification or recertification as a Certified Medical Director (CMD) in post-acute and long-term care medicine. The CMD program is administered by the ABPLM. Each physician should claim only those hours of credit actually spent on the activity.

ABIM Maintenance of Certification (MOC): Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.0 Medical Knowledge MOC points and patient safety credit in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program.

Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

Visit the Continuing Education page for information on if and how you can claim credit/hours for AMDA’s education.

Disclosure Information:

The Society requires the disclosure of all speaker/faculty/planner’s relevant financial relationships; presence of off-label use of a device or medication; and discussion of any experimental, new or evolving topic prior to each accredited education activity.

If the learner perceives any bias toward a commercial product or service, advocation of unscientific approaches to diagnosis or therapy, or recommendation, treatment, or manners of practicing healthcare that are determined to have risks or dangers that outweigh the benefits or are known to be ineffective in the treatment of patients please report this to the Society’s staff.

All relevant financial relationships have been identified, mitigated, and resolved.

 

  • The following AMDA Education Committee members have financial relationships to report: Diane Sanders-Cepeda, DO, CMD — UHC E&I Retiree Solutions: Full-Time Employee; all others have no relationships with ineligible companies.
  • The speakers have no relevant financial relationships.
  • AMDA staff have no relationships with ineligible companies.