Healthy Kingsport 6 th Annual Regional Healthcare Symposium

Transcription

1 Healthy Kingsport 6 th Annual Regional Healthcare Symposium Friday, October 16, :15 AM - 11:45 AM Registration and Light Lunch 11:45 AM - 12:00 PM Welcome Learning Objectives: As a result of participating in this activity, the learner will be able to 12:00 PM - 12:50 PM Update on the Health Status in the East TN/SWVA Region What s The Problem? Randy Wykoff, MD, MPH & TM Dean of Public Health East Tennessee State University, Johnson City, TN 12:50 PM - 1:30 PM Healthier Tennessee How Are We Doing in the State of Tennessee and in our Communities? Rick Johnson President and Chief Executive Officer of The Governor s Foundation for Health and Wellness Nashville, TN 1:30 PM - 2:10 PM Achieving Value through Professionalism Scott Fowler, MD, FACOG Holston Medical Group Kingsport, TN Identify concrete steps necessary to improve health in the region Articulate the role of nonhealthcare related interventions to improve health Increase awareness about the Healthier Tennessee initiative Promote Small Work, Small Worship, and Healthier Tennessee Communities Name the 5 fundamental features of a professional care model Describe the source and objects of professional "duty" Recognize the critical component "professionalism" brings to value based care Identify the infrastructure and function of a professionally driven care model

2 2:10 PM - 2:25 PM Break 2:25 PM - 3:05 PM Population Health in our Region Health Care Management for the Patient with Multiple Chronic Conditions Transitional Care Services WANTED Samuel D. Breeding, MD Chief Medical Officer Holston Medical Group, PC 3:05 PM - 3:50 PM The Transitional Care Playbook Chris Neglia, DO Extensivist/Hospitalist Holston Medical Group Kingsport, TN 3:50 PM - 4:40 PM Healthcare Disparities in Appalachian Tennessee, The Perfect Storm Keith Gray, MD, MBA, FACS Medical Director Gastrointestinal Tumor Service The University of Tennessee Medical Center Cancer Institute Knoxville, TN Articulate why population health is important Describe how Patient Centered Medical Home relates to population health Understand how government programs such as Meaningful Use and Accountable Care Organizations relate to population health Identify the problems patients, providers and health care systems face with transitions of care Identify characteristics that place patients at high risk for transitional care breakdown Develop strategies to ameliorate transition of care problems Identify geographic, socioeconomic, and cultural characteristics of Appalachian Tennessee Describe disparate health outcomes in the Tennessee Appalachian region Discuss strategies to overcome regional healthcare disparities and describe successful initiatives to date

3 4:40 PM - 5:20 PM Now, LET S All TIE IT TOGETHER Compatible Health Care in the Region Patients First & Community Health Care Value Alan Levine Mountain States Health Alliance President and Chief Executive Officer Johnson City, TN Bart Hove Wellmont Health System President and CEO Kingsport, TN Question / Answer Session with MSHA and Wellmont Health System (please use microphone or pass/text question to moderator) Moderator: Jerry Miller, MD Retired Founder HMG 5:20 PM Closing Remarks Saturday, October 17, :15 AM - 7:00 AM Registration and Light Breakfast 7:00 AM - 7:15 AM Welcome 7:15 AM - 8:15 AM Chronic Pain Guidelines Mitchell Mutter, MD Medical Director of Special Projects Tennessee Department of Health Nashville, TN Review Tennessee Controlled Substances Monitoring Database (CSMD) entries made since January 1, 2013 Discuss Pain Clinic laws and any changes that have taken place Utilize CSMD Enhancements that have been made, such as adding push notifications or Electronic Health Record (EHR) plans Identify state overdose death and Neonatal Abstinence Syndrome (NAS) rates per capita Utilize Chronic Pain Guidelines in prescribing practices

4 8:15 AM - 9:15 AM Update on COPD Tom Roy, MD Professor, East Tennessee State University Pulmonary and Critical Care Medicine Fellowship Wellmont Medical Associates Johnson City, TN Recognize the criteria for diagnosing COPD Understand the classification of COPD Plan an effective strategy for treatment Understand the limitations of pharmaceutical agents Recognize the indications for surgical intervention 9:15 AM - 9:30 AM Break 9:30 AM - 10:25 AM Inflammatory Arthritis Chad Boomershine, MD, PhD Assistant Professor Vanderbilt University Division of Rheumatology and Immunology Franklin, TN 10:25 AM - 11:05 AM Overview of Spinal Surgery in the Elderly C. Glenn Trent, MD Associated Orthopedics of Kingsport Distinguish between degenerative and inflammatory arthritis Differentiate between the various causes of inflammatory arthritis Discuss various treatments for rheumatoid arthritis Discuss new treatment guidelines for gout Evaluate Compression Fractures and Need for Conservative vs Surgical Care When to Refer Differentiate Between Scoliosis and Stenosis when is too old for Surgery 11:05 AM - 11:15 PM Question and Answer Panel 11:15 AM - 11:35 PM Lunch 11:35 AM - 12:30 PM Traumatic Brain Injury(TBI)/Concussion Danny Smith, PT, DHSc, OCS, SCS, ATC Physical Therapy Services, P.A Elizabethton, TN Apply role of the physical therapist in the care of the concussed individual Discuss on the field evaluation and care of the concussed athlete Recognize emergency situations requiring

5 immediate transfer to a medical facility Assess signs and symptoms of a cervical spine injury associated with a concussion Illustrate sideline evaluation of the concussed athlete Describe the role of occulomotor function in the evaluation of the concussed individual Provide rehabilitation of the concussed athlete Communicate return to play decisions The history of concussions in sports 12:30 PM - 12:40 PM Break 12:40 PM - 1:30 PM Fall Prevention Strategies at a Level 1 Trauma Center George Testerman, MD Professor, East Tennessee State University Holston Valley Trauma Center Kingsport, TN Site incidence of Falls Determine risk factors for falls Explain Epidemiology of falls List strategies for fall preventions Discuss outreach efforts for trauma centers 1:30 PM - 2:25 PM Transitioning to the Final Stages of Life Care Gregory L. Phelps, MD, MPH, MAHCM Medical Director University of Tennessee Hospice Knoxville, TN Recognize the triggers that should prompt a change in Goal s of Care from curative to palliative Be able to script comments to prepare for advance care planning and transitions in care Enumerate some of the

6 barriers/ limits to delivering curative care in a population nearing the end of life. 2:25 PM - 2:35 PM Question and Answer Panel 2:35 PM - 2:50 PM Break 2:50 PM - 3:40 PM Chronic Pain in Pregnant Women Stephen Loyd, MD Chief of Medicine Veterans Affairs Mountain Home, TN 3:40 PM - 4:30 PM Heart Failure Management: Continuum of Care Robin Faust Harris, PhD, ANP-BC, ACNS-BC Clinical Assistant Professor University of Tennessee, College of Nursing, Knoxville, TN 4:30 PM - 4:40 PM Question and Answer/Closing Remarks Define guidelines to encourage compliance with chronic pain management or medical replacement, therapy plan, and prenatal care Determine when to do a risk assessment, UDT, and CSMD check before initializing any opiate or benzodiazepine during pregnancy Identify the need and when to refer to appropriate chronic pain management or replacement therapy specialists Identify if an infant is a risk for NAS Discuss guidelines for care of the patient with heart failure Discuss strategies to prevent acute CHF illness exacerbation Identify treatments for management of advanced heart failure

7 Accreditation: ACCME Accreditation: The Quillen College of Medicine, East Tennessee State University, is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. CME Credit: Quillen College of Medicine, East Tennessee State University designates this live activity for a maximum of 15.0 AMA PRA Category 1 Credits. Physicians should only claim credit commensurate with the extent of their participation in the activity. CNE Credit: Up to 15 continuing nursing education contact hours for this conference. East Tennessee State University College of Nursing is an approved provider of continuing nursing education by the Tennessee Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. This event is presented by the Quillen College of Medicine Office of Continuing Medical Education, the College of Nursing Office of Continuing Education at East Tennessee State University, and Healthy Kingsport. This educational event also contains nursing pharmacology credits and may be used to fulfill your pharmacology nursing CE requirement. *As of January 1, 2015, the ETSU College of Nursing implemented a $15 Nursing Contact Hour Fee for all conferences. If you would like to claim Nursing Contact Hours or you have any questions, please ETSUCNE@etsu.edu. AAFP: This Live activity, 6th Annual Regional Healthcare Symposium, with a beginning date of 10/16/2015, has been reviewed and is acceptable for up to Prescribed credit(s) by the American Academy of Family Physicians. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

8 Session #1 (10/16/15): Tennessee Pharmacists Consortium for Education is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. This seminar will provide up to 5 hours of continuing education credits to pharmacists who attend the sessions and complete the online activities (activity evaluations and post-tests) Required to claim credit. UAN: L04-P. Session #2 (10/17/15): Tennessee Pharmacists Consortium for Education is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. This seminar will provide up to 8.5 hours of continuing education credits to pharmacists who attend the sessions and complete the online activities (activity evaluations and post-tests) required to claim credit. UAN: L04-P. Physical Therapy Credit: This activity has been approved for a maximum of 15.0 credit hours. Conference Activity Director and Planning Committee Activity Director: Deborah Reiff, MD, Holston Medical Group (retired) Planning Committee: Alan Novak, Holston Valley Medical Center Physician Outreach Alan Meade, PhD, PT, Holston Medical Group Director of Rehab Services Susan LaGuardia, Past Executive Director, Kingsport Tomorrow Jerry Miller, MD (Retired) Founder of Holston Medical Group Lisa Williams, Indian Path Medical Center Heather Cook, Ed.D, Executive Director, Healthy Kingsport Martha Chill, Executive Vice President, Operations, Holston Valley Medical Center Danielle Krueger, Marketing and Communications Manager, Holston Medical Group Roger Mowen, Chairman of Healthy Kingsport

9 Conflict of Interest Participants with No Potential Conflicts of Interest Each of the following speakers and clinical planning committee members have completed a disclosure form indicating that they or members of their immediate family do not have a financial interest/arrangement or affiliation that could be perceived as a real or apparent conflict of interest related to the content or supporters involved with this activity. All presentations have been peer reviewed, any potential conflicts of interest resolved, and each presentation has been found to be balanced, evidence-based, and free of commercial bias. Activity Director Deborah Reiff, MD Planning Committee Alan Novak Alan Meade, PhD, PT Susan LaGuardia Jerry Miller, MD Lisa Williams Heather Cook, EdD Martha Chill Danielle Krueger Roger Mowen Marta Gouge Speakers Keith D. Gray, MD, MBA, FACS Rick Johnson, President and CEO Stephen Loyd, MD Mitchell Mutter, MD Thomas M. Roy, MD George M. Testerman, MD C. Glenn Trent, MD Scott Fowler, MD Sam Breeding, MD Bart Hove Alan Levine Danny Smith, PT, DHSc, OCS Greg L. Phelps, MD, MPH Robin Faust Harris, PhD, ANP,-BC, ACNS-BC

10 Disclosure Information: Each of the following speakers and clinical planning committee members have completed a disclosure form indicating that they or members of their immediate family do have a financial interest/arrangement or affiliation that could be perceived as a real or apparent conflict of interest related to the content or supporters involved with this activity. All presentations have been peer reviewed, any potential conflicts of interest resolved, and each presentation has been found to be balanced, evidence-based, and free of commercial bias. Speaker Chad Boomershine, MD, PhD Chris Neglia, DO Randy Wykoff, MD, MPH &TM Disclosures Speaker s Bureau Takeda, Pfizer Stock holder - OnePartner Grant/Research Support Conducting a needs assessment on behalf of Mountain States Health Alliance and Wellmont Health System C. Allen Musil, MD Speaker s Bureau Novartis Commercial Support Disclosure: It is the policy of the Office of Continuing Medical Education at Quillen College of Medicine, East Tennessee State University to disclose all Commercial Supporters of this educational activity from which educational grants were received. This activity has received no commercial support. Educational Planner, Marta Gouge, Office of continuing Medical Education, Quillen College of Medicine, East Tennessee State University, Johnson City, TN Mission Statement The mission of the Office of Continuing Medical Education at the James H. Quillen College of Medicine is to provide lifelong learning opportunities that meet the needs of faculty, community physicians and other health professionals. In addition, the Office of CME is committed to excellence and dedicated to the improvement of healthcare in Northeast Tennessee and the surrounding Appalachian Region.

11 Mark your calendar for these upcoming events: o When: October 16 17, 2015 o Where: MeadowView Conference Resort & Convention Center, 1901 MeadowView Parkway, Kingsport Tennessee o Target Audience: Primary Care Physicians (Including Internal, Family Medicine, OB-GYN Specialists, and Pediatricians), APNs and PAs, Nurses, Physical Therapists, Pharmacists, and Other Healthcare Providers. o Topics Include: Update on the Health status of the East TN/SW VA Region Population Health of the Region Transitional Health Care: Playbook for the Continuum of Care Chronic Pain Guidelines Updates on CHF and COPD TBI/Concussion Falls End of Life Issues Orthopedic Diagnosis & Treatment of Shoulder Problems Inflammatory Arthritis

12 o When: October 17, 2015 o Where: Southwest VA Higher Education Center, Abingdon, VA o Target Audience: Family Medicine Physicians, Internal Medicine Physicians, Advanced Practice Nurses, and Physician Assistants o Topics Include: Valvular Heart Disease, Arrhythmias, Anti-Coagulation & Anti-platelet Therapies, PV

13 o When: October 29, 2015 o Where: LewisGale Medical Center Education Center Auditorium, Salem, VA o Target Audience: Internal Medicine Physicians, Family Medicine Physicians, OB/GYN Physicians, Surgeons, Pediatricians, Psychiatrists, Emergency Medicine Physicians, Advanced Practice Nurses, Physician Assistants, Dentists, Pharmacists o Topics Include: Assessing Patients for Treatment with ER/LA Opioid Analgesic Therapy, Initiating Therapy, Modifying Dosing, and Discontinuing Use of ER/LA Opioid Analgesics, Managing Therapy with ER/LA Opioid Analgesics, Counseling Patients and Caregivers About the Sage Use of ER/LA Opioid Analgesics, General Drug Information for ER/LA Opioid Analgesic Products, Specific Drug Information for ER/LA Opioid Analgesic Products

14 Pediatric Echocardiography Conference For the Sonographer o When: November 7, 2015 o Where: Johnson City Medical Center, Niswongers Children s Hospital, Johnson City, TN o Target Audience: Sonographers, Physicians, Cardiologists, Nurses and students o Topics Include: Pediatric Echo Basics and Common Findings, Complex Congenital Heart Defects from Baby to Adults, PDA: What do we need to know?, Essentials to Fetal Echo, Sonographer Approach to Ultrasound Physics, Complex Congenital Cases, Hands-On Scanning

15 o When: November 10, 2015 o Where: Provision Learning and Innovation Center Knoxville, TN o Target Audience: OB/GYN Physicians, Advanced Practice Nurses, Physician Assistants, Nurses, and Practice Office Managers o Topics Include: Overview of the Disease of Addiction, Prevalence of Smoking, Alcohol and Drug Problems, What is SBIRT? SBIRT Screening, SBIRT Brief Intervention, SBIRT Referrals-Treatment Options, Implementation, Sustainability

16 o When: November 13, :15 a.m. 4:30 p.m. o Where: Millennium Centre, Johnson City, Tennessee o Target Audience: Family Medicine Physicians, Internal Medicine Physicians, OB/GYN Physicians, Pediatricians, Psychiatrists, Surgeons, Emergency Medicine Providers, Advanced Practice Nurses, Physician Assistants, Pharmacists, Psychologists, Nurses, Medical and Nursing Students, and Physical Therapists o Topics Include: Misconceptions in Prescribing for Chronic Pain Maximum dosages and De-escalating - How to Drug Screening Medical THC Adjuvant Medications and Co- Prescribing with Opioids

17 o When: March 3-4, 2016 o Where: Millennium Centre, Johnson City, Tennessee o Target Audience: Family Medicine Physicians, Internal Medicine Physicians, OB/GYN Physicians, Psychiatrists, Advanced Practice Nurses, Physician Assistants, Pharmacists, Psychologists, Nurses, and Medical and Nursing Students. o Topics Include: Revisiting Dementia, Mild Cognitive Impairment, Depression, Anxiety, Delirium, Symptom Control

18 FOR MORE INFORMATION on these or other upcoming CME programs, or to register for any activity, please contact our office at or visit our website at

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