1. Looking at Frailty Through a New Lens John Strandmark, M.D. ©AAHCM

2.  Increased risk for multiple adverse health- related outcomes including: ◦ Disability ◦ Morbidity ◦ Falls ◦ Hospitalization ◦ Institutionalization ◦ Death ◦ Increased likelihood of lower quality of life ◦ Economic burden on patient and family www.ghospice.com

3.  Opportunity to give right care at right time and improve quality of life at the end of life: ◦ Comprehensive medication review ◦ Fall risk assessment and intervention ◦ Advance care planning ◦ Case conferencing for challenging frail patients ◦ Palliative care or hospice if appropriate ◦ Home care including nutritional and physical fitness review and Rx support ◦ Evaluation of caregiver needs and support ◦ Engagement community resources www.ghospice.com

4.  Integrated intuitive consideration of: ◦ Trigger events such as new diagnosis, hospital admission or change in condition ◦ Clinical Findings and therapeutic response ◦ Co-morbidities/Secondary Conditions ◦ Pathology ◦ Psychosocial Factors ◦ Rate of Decline ◦ Complexity and uncertainty of mortality risk prediction www.ghospice.com