Caring for the Frail Elderly

August 17-18, 2018
Holiday Inn Executive Center • Columbia, MO


To provide a forum for updating health professionals caring for the elderly in the areas of medical management, interdisciplinary care, and system change.

Learning Outcomes:

  1. Describe evidence-based recommendations which can enhance health-care discussions and decisions made with patients and caregivers.
  2. Discuss how to appraise and appropriately manage health problems including urinary incontinence and dermatological changes in the aging population.
  3. Recognize best clinical practices in the management of hyperlipidemia, chronic pain, and behavioral health.
  4. Review the most up-to-date information about optimal care for frail elderly patients.
  5. Identify key strategies for making traditional Emergency Rooms and newer Urgent Care centers more suitable for geriatric patients.

Pre-Conference Session

  • Health Care Professional Burnout: Recognition, Prevention, Recovery

Featured Speakers:

Cari Levy, MD, PhD, CMD, Professor of Medicine, is a board certified internist, geriatrician and health services researcher. Her research focuses on end-of-life care in nursing homes. Dr. Levy graduated from Pepperdine University with a degree in biology in 1993. She then attended medical school at the University of Colorado Denver. Dr. Levy began her internal medicine residency at Vanderbilt University in 1997 and served as Chief Resident in 2001. She then returned to Colorado for a fellowship in geriatrics. Following fellowship she became an assistant professor in the Division of Health Care Policy and Research. She has published research regarding end of life care in nursing homes and physician practice patterns in nursing homes. In November 2006 she was awarded a VA Career Development Award in Health Services Research and Development.

Thomas Edes, MD, MS, is director of Geriatrics and Extended Care for Clinical Operations for the Department of Veterans Affairs (VA). He has national responsibility for operations and management of VA’s spectrum of services, providing care to our nation’s veterans with complex, chronic disabling diseases in all settings, including geriatric clinics, adult day health care, home-based primary care, purchased skilled home care, veteran-directed home care, homemaker/home health aide, respite care, dementia care, and various residential care settings, among others.

Under his leadership since 2000, the number of veterans receiving home-based primary care has tripled, palliative care has become an established program in every VA medical center, and medical foster home care has grown from a pilot to a national program in 33 states. Prior to taking this position at VA Headquarters, he was chief of geriatrics and extended care at the Harry S. Truman Memorial VA Medical Center and associate professor of medicine at the University of Missouri in Columbia. There he was instrumental in developing geriatric evaluation and management inpatient and outpatient programs, subacute care and hospice units, a geriatric fellowship program, and the advanced disease planning initiative. He was medical director of the VA Nursing Home Care Unit and the Home-Based Primary Care program.

Dr. Edes served as associate director of the 1995 White House Conference on Aging Office, and served for the secretary on the Policy Committee for the 2005 White House Conference on Aging. He was instrumental in the VA End of Life Care initiative, and was a project manager for the Institute for Healthcare Improvement MediCaring collaborative on improving care for persons with advanced chronic disease.

Dr. Edes received his MD degree and MS degree in nutrition from the University of Illinois in 1981. He holds board certification in internal medicine and in geriatric medicine, and is a fellow of the American College of Physicians and the American College of Nutrition. In 2010, Dr. Edes was elected as president of the American Academy of Home Care Physicians.

Erin Robinson, PhD, MPH, MSW, is an Assistant Professor in the School of Social Work at the University of Missouri.  She received Bachelors’ Degrees in Social Work and Psychology from the University of Iowa, A Master’s of Social Work from Washington University in St. Louis, a Master’s of Public Health and her PhD in Social Work from the University of Iowa.  Dr. Robinson’s research has focused on preparation and advance care planning in a variety of populations, from college students to prison settings to older persons in rural settings.

Randy Huss, MD, CMD, is medical director for Silverstone Place Skilled Nursing Facility in Rolla, MO, and is founder and current president of Missouri Association of Long Term Care Practitioners, as well as past AMDA Board member and House of Delegates Chair. His clinical practice is as a geriatrician and long-term care physician with Mercy Clinic-Rolla. Dr. Huss has previously served as the President of Mercy Clinic-Rolla. Dr. Huss is board certified in Family Medicine and holds the Certificate of Added Qualifications in Geriatric Medicine, as well as certification as a Certified Medical Director by the American Board of Post-Acute and Long Term Care Medicine. Dr. Huss was past member and president of the Missouri State Board of Registration for the Healing Arts, during which time he chaired the committee that wrote Missouri’s Intractable Pain Treatment Act passed unanimously by the Missouri Legislature in 1995. He earned his medical degree from Vanderbilt University and completed his residency in Family Medicine at the University of Florida.

George Grossberg, MD, treats geriatric patients who suffer from a range of neurocognitive disorders, including Alzheimer’s disease. His areas of expertise include late-life depression, delirium, psychiatry in the nursing home setting, and geriatric psychopharmacology. He provides outpatient evaluation and treatment, long-term care consultation/treatment, and inpatient care. Dr. Grossberg approaches treatment with consideration of biological, psychological and social factors affecting the patient.

His research interests include behavioral symptoms in Alzheimer’s disease and new treatments for neurocognitive disorders. Dr. Grossberg is the Samuel W. Fordyce professor and director of Geriatric Psychiatry in the Department of Psychiatry at Saint Louis University School of Medicine. He is a past president of the American Association for Geriatric Psychiatry and of the International Psychogeriatric Association. He is a member of the American Medical Directors Association.

Dr. Grossberg was born in Hungary.

Sponsored by:

University of Missouri School of Medicine
University of Missouri Health Care
University of Missouri Sinclair School of Nursing
University of Missouri School of Social Work
University of Missouri School of Health Professions
Continuing Medical Education & Physician Lifelong Learning
University of Missouri Extension