For Health Care ProfessionalsFor ProvidersCME VideosBurdensome Transitions of Care for ...

Burdensome Transitions of Care for Patients with Advanced Illness

*This video will fulfill two (2) hour credits for End of Life education for license renewal.

Instructions to Receive CME credit

After you have viewed the entire presentation, click on the post-activity evaluation. Complete and return via email: or fax: 732-557-8935.
*In order to receive CME credit you must return the evaluation form.
A Certificate of Completion will be emailed to you.


Marianne Holler, DO, FACOI, FAAHPM
Chief Medical Officer
VNA Health Group


New Jersey ranks the highest in the nation in health care dollars spent on Medicare beneficiaries. The amount of time spent in the hospital and the intensity of physician services delivered in the hospital to the elderly are higher in NJ than any other state. According to the Dartmouth Atlas, health outcomes for New Jersey seniors are no better, and perhaps worse, than for other states. This high level of service can have a negative impact on older citizen’s quality of life. Without a discussion of “GOALS OF CARE”, physicians often deliver unwanted services to older patients or withhold wanted services.


  • Recognize the issues surrounding medically fragile patient
  • Help patients make decisions based on goals


Marianne Holler, DO – No disclosures
All financial relationships have been mitigated.

Accreditation Statement

RWJBH Community Medical Center is accredited by the Medical Society of New Jersey to provide continuing medical education for physicians.

Designation Statement

Community Medical Center designates this enduring material for a maximum of 2 AMA PRA Category I Credits™.
Physicians should only claim the credit commensurate with the extent of their participation in the activity.

Estimated completion time

2 hours of instruction

Target Audience

This program has been designed for Physicians, Physician Assistants, Nurse Practitioners, and other health care professionals who are involved with End of Life care.

Computer System Requirements

Internet Explorer, Google, FireFox(version 9.0 and above) is the minimum supported browser for CME activities. Your internet settings should be set to accept cookies and JavaScript. If cookies and/or JavaScript are disabled, the site may not function properly. A high-speed internet connection (DSL, cable modem, or LAN-based) is not required: however, it is recommended for faster download times.

Post-Activity Evaluation