Learn on Demand
Presenter: Masil George, MD Assistant Professor, UAMS Department of Geriatrics Assistant Professor, UAMS Division of Medical Humanities Director, Geriatric Palliative Care Program, UAMS Medical Director, Baptist Hospice
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Knowledge Gap: 
The purpose of this activity is to educate healthcare providers with the most up-to-date information on 
Advanced Care Planning (ACP)- Clinical Practice & Dementia Billing Codes.

Target Audience
The target audience includes all healthcare professionals such as physicians, nurses, pharmacists and allied health professionals who would like to learn about 
Advanced Care Planning (ACP)- Clinical Practice & Dementia Billing Codes and how it pertains to their respective profession.

 Release and Expiration Dates
12/5/2017 -12/5/2020


  1. Describe need for Advance Care Planning (ACP), challenges to initiating and continuing ACP discussions
  2. Discuss tools and techniques available to assist in conversation regarding ACP
  3. Explain Alzheimer's and dementia billing procedure and Codes


  1. Source: http://iom.nationalacademies.org/Reports/2014/Dying-In-America-Improving-Quality-and-Honoring-Individual-Preferences-Near-the-End-of-Life.aspx 
  2. Committee on Approaching Death: Addressing Key End of Life Issues 
  3. Institute of Medicine. “Dying in America: Improving Quality and Honoring Individual Preferences Near the End of Life” (2014) (citing Teno et al 2013)
  4. Approaching death report, 1997
  5. AR Code § 20-6-102 (2014)
  6. McLawhorn JM, George M. Advance Care Planning in Hospice. Journal of the Arkansas Medical Society. (Accepted, Awaiting Publication)
  7. National Hospice and Palliative Care Organization
  8. Advance care planning: concise evidence-based guidelines. Conroy et al. Clin Med 2009;9:76–79
  9. Dow LA et al, Paradoxes in Advance Care Planning. J clin oncol 2009
  10. Physician-related barriers to communication and patient- and family-centred decision-making towards the end of life in intensive care: a systematic review. Visser et al, Critical care, 2014
  11. National POLST Paradigm: Amy Vandenbroucke, JD, Susan Nelson, MD, Patricia A. Bomba, MD, FACP, Alvin H. Moss, MD

Biographical Info

Dr. George is an assistant professor in the department of Geriatrics with a secondary appointment in the Division of medical humanities. She is board certified in Family medicine, Geriatrics and Hospice and palliative care. She is the director of the geriatric palliative care program at UAMS, and the medical director of Baptist Hospice Agency.

Speaker Disclosures:
The planners, speakers, moderators, peer reviewers and /or panelists of this CE activity have no relevant financial relationships with commercial interests to disclose.

Priya Mendiratta, MD
Paula Podrazik, MD
Gohar Azhar, MD
SusanSmithwick, MD 

Masil George, MD

Peer Reviewers: 
Kim Miller, MCHES

Instructions to obtain credit:

1.       Launch the activity 
2.       View the entire activity online 
3.       Complete the post-test 
           (must pass the post-test with a score of 65% to receive credit)
           You may retake the post-test if you do not receive a passing score.
4.       Complete Evaluation 
Print certificate or transcript (Available in the “My Profile” tab).

Direct Provider Statement
In support of improving patient care, University of Arkansas for Medical Sciences is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.

Designation Statement 
The University of Arkansas for Medical Science Office of Continuing Education designates this live activity for a maximum of 1.00 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Disclosure Policy statement

It is the policy of the University of Arkansas for Medical Sciences Office of Continuing Education to ensure balance, independence, objectivity and scientific rigor in all provided and jointly provided educational activities.  All individuals who are in a position to control the content of the educational activity (course/activity, directors, planning committee members, staff, teachers, or authors of CE) must disclose all relevant financial relationships they have with any commercial interest(s) as well as the nature of the relationship.  Financial relationships of immediate family members must also be disclosed, if the nature of the relationship(s) could influence the objectivity of the individual in a position to control the content.  The ACCME describes relevant financial relationships as those in any amount occurring within the past 12 months that create a conflict of interest.  Individuals who refuse to disclose are disqualified from participation in the development, management, presentation, or evaluation of the CE activity.

UAMS Office of Continuing Education

4301 W. Markham #525
Little Rock, AR 72205
Phone: 501-661-7962 Fax: 501-661-7968

Learn On Demand Contact Us:
For information regarding this educational activity or website, please contact

Center for Distance Health
4301 W. Markham #519
Little Rock, AR 72205
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Email: cdheducation@uams.edu

Type:  Internet Activity (Enduring Material)
9 Registered Users
1 Hours> Non-Accredited

1 Credits> Accreditation Council for Continuing Medical Education> AMA PRA Category 1 Credit