Course Overview


Education to optimize outcomes for patients with multiple comorbidities

For PHYSICIANS, NPs, PAs who care for patients in inpatient and rehabilitation settings

Whether you are a hospitalist or clinician who works in a post-acute or primary care setting, caring for patients with multiple comorbidities or “medically complex” patients is challenging, often requiring:

  • Coordination between multiple specialty consultants
  • More time and skill to avoid unplanned readmissions
  • Complicated medication regimens
  • Frequent high-cost imaging
  • Serious illness conversations
  • Effectively communicating goals of care with subspecialists

Recognizing these challenges, leading clinical faculty from Harvard Medical School, Massachusetts General Hospital, (MGH) and Spaulding Rehabilitation Network have come together to develop this new CME program.

360-degree education 

This new program is differentiated from other hospital, post-acute, and primary care courses in that it offers 360-degree education to manage patients with multiple comorbidities.

Specifically, it:

  • Delivers updates and state-of-the-art practices for examination, diagnosis, and management of the 20+ conditions most commonly seen in medically complex patients, including heart failure, diabetes, sepsis, cancer, neurologic and immune-modulated diseases.
  • Advances your understanding and ability to manage these conditions, not just as siloed diseases, but as interactive physiologic systems and in so doing, secure the best possible outcomes for your patients. We include comprehensive strategies for:
    • Risk mitigation
    • Avoiding unintended drug-drug interactions
    • Navigating competing treatment approaches and complications
    • Reducing unplanned hospital readmissions
  • Provides resources and best practices for cross-specialty collaboration and care coordination for medically complex patients.

Reasons to Attend in 2020

As a participant, you will advance your ability to:

  • Care for patients with multiple comorbidities and complex medical problems
  • Leverage new diagnosis and evaluation guidelines for these patients
  • Develop treatment plans when there are competing medical concerns and treatment options
  • Ensure that fixing one problem does not create or exacerbate others
  • Effectively manage dynamic interactions and complications of multiple systems: circulatory, renal, respiratory, neurologic, gastrointestinal, musculoskeletal, immune, endocrine, etc.
  • Improve patient satisfaction and outcomes
  • Avoid misdiagnosis in the patient with multiple, complicated medical issues
  • Recognize must-not-miss diagnoses in the medically complex patient
  • Expediently transition patients along the care continuum
  • Reduce the risk of readmissions and complications
  • Write shorter, clearer, more effective discharge summaries
  • Master complicated coordination and transitions of care
  • Expertly manage common medical problems that complicate and prolong hospitalizations in the medically complex patient 
  • Avoid functional consequences of critical illness, end-stage renal disease, malnutrition, and cardiopulmonary disease
  • Master effective communication skills with medically complex patients, their families and care team members (or consultants)

Coverage of the Most Common Comorbidities Seen in Medically Complex Patients

This program offers comprehensive education to manage the conditions that are often comorbid in patients with complex medical needs:

  • Chronically impaired renal function
  • Advanced heart failure
  • Liver disease
  • GI conditions and emergencies
  • Uncontrolled hypertension
  • Autoimmune disease
  • Neurogenic orthostasis
  • Sepsis and its sequalae
  • Stroke: treatment and chronic complications
  • COPD
  • Diabetes 
  • Thrombosis 
  • Malnutrition, metabolic derangement
  • Skin eruptions
  • Anemia
  • Calciphylaxis
  • Hyponatremia 
  • C. diff: advanced management
  • PTSD, depression, ICU psychosis after cardiac arrest
  • Bowel and bladder management
  • Skin ulcers
  • Delirium and sundowning
  • Urinary tract challenges 

Learning Objectives

Upon completion of this course, participants will be able to:

  • Identify emerging topics in the care of medically complex patients, including sepsis, renal failure, respiratory failure, cardiac arrest and failure, delirium, and ICU-rehabilitation
  • Implement evidence-based guidelines and best practices for common clinical conditions in the medically complex patient using an interactive, case-based format
  • Safely manage patients with complex medical and post-surgical care needs across the spectrum of care in a cost-effective manner
  • Employ studied and proven medical and technological options for diagnosis and treatment of illness during hospital stay
  • State methodology to prevent common complications of chronic hospitalization, including malnutrition and metabolic derangement, pressure ulcers, physical deconditioning, thromboembolic disease, bladder and bowel complications
  • Develop strategies for safe and efficient care transition for oncology, transplant heart failure, and other medically complex patients to reduce hospital readmission rates
  • Refine communication strategies to discuss medical and functional outcomes with patients and families, and to clarify goals of care
  • Identify common ethical dilemmas in the care of the medically complex patient, including chronic illness and debility, and associated mental health conditions
  • Explain strategies to manage risk in medically complex patients, and develop quality metrics to benchmark individual patient and hospital/system-wide outcomes
  • Utilize risk control and performance improvement methodologies across the continuum of care
  • Interpret evolving evidence-based protocols and best practices for prehabilitation interventions prior to elective major surgery
  • Expand their use of innovative diagnostic technology, such as point-of-care ultrasound and bedside procedures in medically complex patients