Ethical Medical Decision Making in Advanced Dementia

Effective Date: May 5, 2020
Expiration Date: December 31, 2021
Instructions to Receive CME credit: Once you have watched the entire presentation, click on the post-activity evaluation. Complete and return via email to or fax to 732-557-8935.
In order to receive CME credit you must return the evaluation form.
A Certificate of Completion will be emailed to you.
FACULTY: Vikranta Sharma, MD FAAHPM, VNA Health Group
Overview: New Jersey ranks the highest in the nation in healthcare 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 those 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 when patients have advanced dementia
  • Assess eligibility criteria for Medicare Hospice benefit patients with advanced dementia
  • Identify complications and disease trajectory and its role in shared medical decision-making

Disclosure: Vikranta Sharma, MD – No disclosures
All relevant financial relationships have been mitigated.
Accreditation Statement: 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 0.5 AMA PRA Category I Credits™.
Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Estimated completion time: 30 minutes of instruction
Target Audience: This program has been designed for Physicians, Physician Assistants, Nurse Practitioners, and other healthcare professionals who are involved with End of Life care.
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References: Aldridge M, PhD MBA, Epstein A, PhD, Brody A, RN PhD, Lee E, MPH, Morrison R, MD, Bradley E, PhD.
Association between Hospice Spending on Patient Care and Rates of Hospitalization and Medicare Expenditures of Hospice Enrollees. 2018
Carlson M, Barry C, Cherlin E, McCorkle R, Bradley E. Hospices’ Enrollment Policies May Contribute to
Underuse of Hospice Care in the U.S. 2012
Vleminck A, PhD, Morrison R, MD, Meier R, MD, Aldridge M, PhD MBA. Hospice Care for Patients With
Dementia in the United States: A Longitudinal Cohort Study. 2018

CME Post-Activity Evaluation (pdf)