The Geriatric Prescriber’s Reality: Clinical Decision Making, Cost Navigation, and Safer Medication Use in Adults 65+
- Speaker:
- Kiplee Bell, MD, PA
- Duration:
- 3 Hours
- Format:
- Audio and Video
- Copyright:
-
Jun 09, 2026
- Product Code:
- POS078992
- Media Type:
- Digital Seminar
Description
- Apply Beers Criteria and STOPP/START to real-world prescribing decisions
- Reduce polypharmacy, falls, and cognitive decline with actionable frameworks
- Translate deprescribing into billable workflows (CCM, TCM, MTM)
- Navigate Medicare Part D cost barriers using practical substitution strategies
- Integrate ADA, ACC/AHA, and CDC updates into everyday primary care
Primary care clinicians are managing increasingly complex older adults, often without a practical framework for medication decision-making. While 30–60% of patient panels are age 65+, most providers are not trained geriatricians and must reconcile multiple guidelines, comorbidities, and medication risks in real time.
This 3-hour session provides a clinically grounded, evidence-based framework for prescribing and deprescribing in older adults. Rather than presenting pharmacology in isolation, this training integrates guideline updates, medication safety, cost navigation, and billing strategies into real-world clinical decision-making.
Leave with immediately applicable tools to reduce medication-related harm, improve patient outcomes, and confidently manage complex older adults in primary care settings.
Credit
Speaker
Kiplee Bell, MD, PA Related seminars and products
Kiplee Bell MD, PA, is a practicing physician, international keynote speaker, author, and founder of a multi-brand healthcare enterprise built at the intersection of clinical medicine, caregiving, and care leadership. She is the Founder and CEO of Impactful Care®, an innovative primary care and house-call practice, and the companion brands Impactful Caregiving® and Impactful Concierge, which together serve older adults, medically complex patients, and the caregivers who stand beside them.
Dr. Bell practices in parallel across two clinical environments rarely held by one clinician: emergency medicine within a major regional health system and longitudinal primary care in her own practice. That dual vantage point - seeing both the decisions primary care clinicians make for older adults, and the acute needs that surface in the emergency department - shape every piece of clinical education she delivers. Her teaching is not theoretical. It is drawn from what happens at 3:00 AM in the ED and the office visit that took place at 3:00 PM.
She is the host of CAREPOD, a podcast focusing on the care economy, caregiving, and clinical leadership, and the author of The Work of My Mother's Hands: A Caregiver's Journey, a widely read book that reframes caregiving to shift the experience away from that of a private burden. Additionally, Dr. Bell is the founder of the philanthropic entity, Kevin John McAleese Foundation, and the architect of CareCab®, a medical-model nonprofit transport initiative serving older adults and children.
Speaker Disclosures:
Financial: Dr. Kiplee Bell has employment relationships with Impactful Care/Impactful Caregiving, Jefferson University, and Virtua Hospital. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Dr. Kiplee Bell has no relevant non-financial relationships.
Additional Info
Access for Self-Study (Non-Interactive)Access never expires for this product.
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Objectives
- Analyze current evidence-based guidelines (Beers Criteria, ADA, ACC/AHA, CDC) to optimize pharmacologic management in older adults with complex comorbidities.
- Implement structured prescribing and deprescribing strategies that reduce medication-related risk while aligning with clinical, financial, and functional patient outcomes.
- Evaluate patient-specific risk-benefit trade-offs, including cost, functional status, and goals of care, to guide shared decision-making with older adults and caregivers around treatment intensity and deprescribing decisions.
Outline
Reframing the Older Adult in Primary Care
- Functional status, frailty, and life expectancy in prescribing decisions
- Clinical decision framework for multi-morbid patients
- Aligning treatment with patient goals and aging-in-place priorities
Pharmacology and Prescribing Safety in Older Adults
- Beers Criteria updates and clinical implications
- STOPP/START criteria in medication optimization
- Anticholinergic burden and cognitive risk
- High-risk medication classes (benzodiazepines, PPIs, sedatives)
- Polypharmacy and falls risk pathways
- Diabetes, hypertension, anticoagulation, and pain management updates
Deprescribing, Cost Navigation, and Clinical Workflow
- Deprescribing as a structured clinical intervention
- Billing integration: CCM, TCM, MTM workflows
- Medicare Part D cost counseling strategies
- Low-cost therapeutic substitutions
- Caregiver integration in medication management
Limitations and Risks
- Limitations of guideline-based prescribing in complex populations
- Risks of deprescribing (withdrawal, destabilization, symptom recurrence)
- Limited evidence in frail, multi-morbid older adults
- Variability in patient response and need for individualized care
- Areas requiring further research and evolving clinical guidance
Target Audience
- Physicians
- Physician Assistants
- Nurses
- Nurse Practitioners
Reviews
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