Daily Summit Conferences* Stroke Conference $100 Thursday, April 26, :00AM 4:30PM. Post-Conference Workshop*

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1 2018 APRIL 23-27, 2018 HILTON GARDEN INN CRABTREE VALLEY 3912 ARROW DR RALEIGH, NC REGISTER NOW! Daily Summit Conferences* Heart Failure & Atrial Fibrillation Conference Tuesday, April 24, :00PM The maximum number of hours awarded for this CE activity is 5.75 Time Sensitive Cardiac Emergencies Conference Wednesday, April 25, :30PM The maximum number of hours awarded for this CE activity is 5.75 $100 $100 Stroke Conference $100 Thursday, April 26, :30PM The maximum number of hours awarded for this CE activity is 6.75 Post-Conference Workshop* Stroke Certification Preparation Workshop $50 Friday, April 27, :30PM The maximum number of hours awarded for this CE activity is 4.75 The 2018 Mid-Atlantic Heart & Stroke Quality Summit is presented by Chiesi. Also Sponsored by Medtronic. * A discounted rate will be available to hospitals participating in Get With The Guidelines programs(afib, Heart Failure, CAD, Resuscitation, Stroke) Contact your local quality director or maa.gwtg@heart.org for more information.

2 The 2018 Mid-Atlantic Heart & Stroke Quality Summit will be held in Raleigh, NC the week of April 23-27, 2018 at the Hilton Garden Inn Crabtree Valley hotel. The Summit is a week-long event that will include educational opportunities in the areas of Heart Failure, Acute Coronary Syndrome, Cardiac Arrest, Atrial Fibrillation, and Stroke. In addition, the Summit will provide day and evening events to network and celebrate achievements with peers from across the region, featuring an EMS Recognition Luncheon and a Quality & Systems Improvement Awards Dinner. Participants will leave with increased knowledge and resources to assist them in their quest to provide the very best guideline-based care for every heart and stroke patient. Attendees are required to register for the Summit events individually. Please contact maa.gwtg@heart.org for assistance if you have difficulty. HOTEL ACCOMODATIONS ADA/DIETARY REQUIREMENTS If you have any special dietary requirements, or if you require auxiliary aids as identified in the Americans with Disabilities Act, please notify AHA of your needs at maa.gwtg@heart.org. We encourage participation by all individuals. If you have a disability, advance notification of any special needs will help us serve you better. TARGET AUDIENCE The target audience for the conferences and workshops of the Summit include physicians, nurses, coordinators, EMS, and all other clinicians and health care providers working in the areas of cardiovascular disease and stroke. REGISTRATION Registration is now open. Click here to register. Registration for this event will close at 12:00am on April 18th or when the event reaches capacity, whichever occurs first. PLEASE NOTE ON-LINE PRE-REGISTRATION AND CREDIT CARD PAYMENT WILL BE REQUIRED, NO WALK-INS ACCEPTED. We suggest that you register early to insure a seat! SCHEDULE OF EVENTS/PRICING Hilton Garden Inn Crabtree Valley A room block has been arranged for the nights of April 22 26, 2018 at the conference hotel location and an adjacent sister property that is within walking distance (Hampton Inn Crabtree Valley). The rooms in this inventory will be held until 11:59 PM on April 2, 2018 (or until the rooms are all allocated, whichever comes first). All guests are responsible for individual reservation guaranty and payment of their own room, tax and incidental charges. To make a reservation, individuals can either call the hotel directly ( ) and reference the American Heart Association group block, or book online using the link below: Hilton Garden Inn Crabtree Valley in Raleigh, NC DISCLOSURE POLICY All persons who develop and/or control educational content in CME/CE activities provided by the American Heart Association will disclose to the audience all financial relationships with any commercial supporters of this activity as well as with other commercial interests whose lines of business are related to the CME/CE-certified content of this activity. In addition, presenters will disclose unlabeled/unapproved uses of drugs or devices discussed in their presentations. Such disclosures will be made in writing in course presentation materials. CROWD NOTICE PHOTO/FILM RELEASE Please understand that photographs and videos will be taken throughout the event. These photos and videos will be used for a variety of purposes by the discretion of the American Heart Association/American Stroke Association. Potential examples include use in collateral, presentations, online use and all types of media. No compensation will be given. If you have any concerns, please speak with an American Heart Association/American Stroke Association staff member prior to the conference. Tuesday 4/24 Heart Failure & Atrial Fibrillation Conference $100 The Summit opens with topics around heart failure and atrial fibrillation including preventing readmissions, data and technology, and concurrent breakout sessions with topics tailored to best practices and strategies to improve HF and AFib patient outcomes. Wednesday 4/25 Time Sensitive Cardiac Emergencies Conference $100 Day 3 of the Summit includes presentations to improve the quality of care for STEMI, nstemi and Cardiac Arrest patients. Thursday 4/26 Stroke Conference $100 Day 4 of the Summit continues with stroke-focused topics including best practices for endovascular treatment, systems of care, telestroke, in-patient stroke response, post-acute transitions of care and more. Friday 4/27 Stroke Certification Preparation Workshop $50 REGISTRATION CANCELLATION POLICY Please note that advanced on-line registration and credit card payment is required. No walk-ins will be admitted. In the event that you need to cancel your registration, we encourage you to send a substitute in your place. Please notify our support team of your substitution at maa.gwtg@heart.org. REFUND OF REGISTRATION FEE, LESS A $50 ADMINISTRATION FEE WILL BE GIVEN IF NOTICE OF CANCELLATION IS RECEIVED and CONFIRMED VIA BY April 16, 2018 at maa.gwtg@heart.org. Refunds will not be issued after April 16, 2018.

3 HEART FAILURE & ATRIAL FIBRILLATION CONFERENCE AGENDA 2018 Heart & Stroke Quality Summit Day 2 Tuesday, April 24, :00PM TIME SENSITIVE CARDIAC EMERGENCIES CONFERENCE AGENDA 2018 Heart & Stroke Quality Summit Day 3 Wednesday, April 25, :00PM Check-In & fast Check-In & fast Preventing Readmissions in Patients with AFib and HF The 3 Most Important Cardiovascular Clinical Trials of the Past Year Catherine Clark, BSN, RN-BC, CHFN Novant Health Forsyth Medical Center Shon Chakrabarti, MD, MPH, FACC Cardiovascular Associates 9:30AM Kimberly Nelson, DNP, RN-BC MSN ACNS-BC, CHFN Virginia Commonwealth University Medical Center The Atrial Fibrillation Transitions of Care Network 9:15AM Coordinated Emergency Care Improves Survival for Patients with Heart Attacks: Findings from the Accelerator II Project Anil Gehi, MD James Jollis, MD Duke Clinical Research Institute 10:00AM Technology & Healthcare: The Road Ahead 10:15AM Scott D. Jerome, DO, FACC, FASNC, FSCCT University of Maryland Medical Center 10:30AM Heart Failure and EP Devices 10:45AM Zayd Eldadah, MD MedStar Washington Hospital Center 11:00AM Quality of Resuscitation Cindy Fuller, PhD Appalachian Regional Healthcare System 11:30AM Lunch 11:45AM Ways to Improve STEMI in the Hospitalized Patient 12:45PM How to Use Data to Drive Program Success George A. Stouffer, MD 1:30PM 2:15PM 2:30PM Amber Seiler, RN, NP Cone Health Hybrid Surgical and Catheter Based Ablation of Atrial Fibrillation: Strategies and Outcomes Adam Berman, MD, MPH Medical College of Georgia New technology in AFib and HF Brian Powell, MD, FACC, FHRS Carolinas Healthcare System 12:30PM Time Sensitive Cardiac Emergencies Concurrent 2:00PM 3:00PM EMS Recognition Luncheon EMS Luncheon to recognize Mission: Lifeline EMS Awardees Extra-Corporeal Cardiopulmonary Resuscitation (ECPR) James Lantry, MD University of Maryland Medical Center Deciphering the Code using Simulation and Teamwork Developing and Sustaining a Patient & Family Advisory Council Janelle Willis, MHA Shari Alston Carolinas HealthCare System Out of Hospital Cardiac Arrest: CARES and Improvements for EMS 3:15PM 4:00PM Stroke Prevention in Atrial Fibrillation: A Paradigm Shift Venkat Iyer, MD Chesapeake Regional Medical Center Susan Henderson, BSN, CQIA, RN Patricia Denton, BSN, CEN, RN Tracy Langston, MSN, RNC-NIC, RN-BC Kevin Seaman, MD, FACEP, FAEMS Charles County Department of Emergency Forrest Winslow Chesapeake Fire EMS Steve Vandeventer, EMT-P Mecklenburg EMS Agency Tom Bouthillet, NRP Hilton Head Fire and Rescue 4:00PM

4 STROKE CONFERENCE AGENDA 2018 Heart & Stroke Quality Summit Day 4 Thursday, April 26, :30PM STROKE CERTIFICATION PREPARATION WORKSHOP AGENDA 2018 Heart & Stroke Quality Summit Day 5 Friday, April 27, :30PM 9:15AM Check-In & fast Hot Topics from the 2018 International Stroke Conference Edward Jauch, MD, MS Medical University of South Carolina Adapting Stroke Systems of Care (PANEL) Check-In & fast Implementation of Stroke Care Process Model Across An Integrated System Robin Jones, MSN, RN, CNRN, SCRN Ameran Tooley, BSN, RN Erika Prezas, BSN, RN, CEN Mission Hospitals 10:15AM 10:30AM 11:15AM 12:00PM 1:15PM 2:00PM 2:45PM 3:00PM 3:45PM 4:30PM Marcella A. Wozniak MD, PhD University of Maryland Medical Center Kathleen Burger, DO The George Washington University Hospital Warren Felton, MD VCU Medical Center David Huang, MD Anil Yallapragada, MD Palmetto Health Building the Quality Bridge from Primary to Comprehensive Stroke Centers: Caring for Patients Undergoing Endovascular Stroke Treatment Nicole Burnett, BSN, RN, CNRN, SCRN, CCRN-K Jackie Thompson, RN UNC REX Health Care Telestroke: Best Practices for a Robust System of Care Amy Guzik, MD Wake Forest Baptist Medical Center Christine Holmstedt, DO, FAHA Medical University of South Carolina Lunch Inpatient Stroke Alert and Response Sarah Cullen, DNP Sentara Norfolk General Lee Hicks, MSN Sentara Virginia Beach General Implementation and Evaluation of a Post- Stroke Depression Improvement Program Susan E. Wilson RN, DNP, MSN, ANP-BC Cardiac Device Technology for Stroke Prevention / Role of implantable loop recorders in Cryptogenic Stroke James Allred, MD Cone Health Implementation of a Post- Acute Comprehensive Transitional Care Model for Stroke Survivors Wayne Rosamond, PhD, MS Sylvia Coleman, RN, BSN, MPH, CLNC Wake Forest Baptist Health Screening and Treatment of Obstructive Sleep Apnea in Stroke Patients Jordan Sheets, BSN, RN, SCRN Improving Stroke Care through Community Partnerships and Bridging the Gap Between Hospital Units Danika Davis, BSN, RN, CCRN, CEN WakeMed Health & Hospitals Stroke Mimics and other neurological disorders Kathryn Funk, MSN, RN, SCRN Bon Secours Maryview Medical Center Stroke Care: Legal Considerations for Documentation Pamela Collins, MSN, CMSRN, RN-BC Carolinas HealthCare System 9:15AM 9:45AM 10:00AM 10:30AM 11:30AM 12:30PM 2:30PM Reducing Door to Needle Time through a Virtual Stroke Program Laura Williams, MSN, RN, CEN Chelsea Cardona, MSN, RN, CCRN-K Carolinas HealthCare System Developing a Manual of Operations for Regional Stroke Care Improvement Matthew Ehrlich, MD, MPH Duke Regional Hospital Essentials for Developing and Enhancing Certified Stroke Center Programs Kimberly S. Warren, RN, BSN, MSHA, FACNA, SCRN Kenny Barajas, DNP, RN, CEN The Joint Commission Lunch Essentials for Development and Enhancing the Acute Stroke Ready Hospital & Primary Stroke Center Programs Kimberly S. Warren, RN, BSN, MSHA, FACNA, SCRN The Joint Commission Essentials for Development and Sustainability of Thrombectomy Capable & Comprehensive Stroke Programs Kenny Barajas, DNP, RN, CEN The Joint Commission Panelist discussion at the 2017 Mid-Atlantic Heart & Stroke Quality Summit

5 HEART & STROKE QUALITY SUMMIT LEARNING OJECTIVES HEART FAILURE & ATRIAL FIBRILLATION CONFERENCE 4/24/18 1. Discover opportunities to incorporate best practices to prevent readmissions in patients with heart failure and/or atrial fibrillation. 2. Identify limitations of current atrial fibrillation management processes and current gaps in care which can be addressed with a coordinated care model for atrial fibrillation. 3. Recognize the importance of using data for improving quality of care and patient outcomes. 4. Discuss best practices and strategies for determining appropriateness of EP devices for the heart failure patient, enhancing clinician and patient decision making for improved care and health outcomes. 5. Identify current procedural strategies, outcomes, and patient selection criteria of "hybrid" atrial fibrillation ablation procedures. 6. Recall unique aspects of the peri-operative management of patients undergoing hybrid atrial fibrillation ablation procedures. 7. Discuss the emerging technologies in supporting care and management of patients with heart failure and/or atrial fibrillation. 8. Demonstrate knowledge to identify patients at risk for stroke and those who are appropriate candidates for anticoagulation. TIME SENSITIVE CARDIAC EMERGENCIES CONFERENCE 4/25/18 1. List at least two recent advancements in cardiology of value to you in your role as a healthcare provider. 2. Identify three components to a coordinated approach to improve survival for patients with heart attacks. 3. Describe new technology and big data collaborations to impact patient care and outcomes through precision medicine and other innovations. 4. Explain the need and techniques for implementing high performance CPR for cardiac arrest patients. 5. Identify how an innovative resuscitation training program improves quality of CPR and survival for cardiac arrest patients. 6. Discuss prevalence of in-hospital STEMIs and the difference in patient outcomes. 7. Identify key components of a successful in-hospital STEMI protocol. 8. Compile strategies to set up a system for the use of Extra- Corporeal Cardiopulmonary Resuscitation (ECPR) 9. Identify best practices to develop and sustain a Patient & Family Advisory Council. 10. Demonstrate how to utilize a resuscitation quality improvement database to review cardiopulmonary arrest events and drive educational needs. 11. Evaluate the impact of a robust simulation program on the quality of response to in-hospital cardiopulmonary arrest events. 12. Determine two strategies to improve your system for out-ofhospital cardiac arrest. STROKE CONFERENCE 4/26/18 1. Apply new research topics presented at the International Stroke Conference and the latest news, discuss the relevance of at least two new practices that may influence their own program/practice. 2. Identify strategies for improving the rapid care of patients eligible for endovascular treatment in various regions and across levels of stroke certification. 3. Determine two new strategies for assessment and routing of stroke patients between EMS and the hospitals in your region to enhance your stroke system of care. 4. Identify three novel strategies to reduce door-to-groin puncture times and door-in-door out times for adult patients undergoing endovascular therapy for acute ischemic stroke. 5. Identify how a structured quality improvement methodology improves quality of patient care in time-sensitive scenarios. 6. Describe implications for improving patient access to neurointervention services including protocol implementation, discovery of large vessel occlusions and patient outcomes. 7. Identify key components of a telestroke network that can improve the care of stroke patients. Discuss the feasibility of applying these best practices to improve existing telestroke networks in your regions. 8. Discuss prevalence of in-hospital strokes and the difference of treatment outcomes. 9. Discuss barriers to acute treatment of in-hospital strokes and describe methodology and strategy for reevaluating and redesigning process. 10. Describe clinical relevance of Obstructive Sleep Apnea (OSA) in stroke patients. 11. Discuss effectiveness of STOP-Bang tool in identifying patients at risk for undiagnosed Obstructive Sleep Apnea (OSA). 12. Evaluate effects of screening and treatment of Obstructive Sleep Apnea (OSA) for stroke patients. 13. Identify risk factors and available screening tools for Post- Stroke Depression (PSD). 14. Evaluate a quality improvement program to improve detection and treatment of Post-Stroke Depression (PSD). 15. Identify two opportunities for community partnerships at your facility. 16. Evaluate the effectiveness of partnering with intra-hospital units of delivering stroke care. 17. Identify emerging technologies to allow for early detection of cardiac arrhythmias and stroke prevention. 18. Recognize the various types of stroke mimics and their pathophysiology, and identify two best practices for identifying stroke patients that present with atypical symptoms. 19. Demonstrate key components of a care model, including implementation, evaluation, and outcomes, to effectively improve transitions of care and reduce readmissions for stroke patients. 20. Identify at least two common pitfalls in stroke documentation and two strategies to facilitate effective documentation. STROKE CERTIFICATION PREPARATION WORKSHOP 4/27/18 1. Identify system-wide, evidence-based best practices to improve stroke care. 2. Discuss the steps to build a care process model. 3. Demonstrate the use of data in hardwiring a new process. 4. Understand the process, structure and outcomes of a standardized stroke system of care. 5. Describe use of specialized stroke care nurses to facilitate management of patients during code stroke. 6. Define the use of standardized workflow development and education. 7. Demonstrate importance of weekly interdisciplinary debriefings to discuss workflow process improvement. 8. Recognize a defined workflow will give the ability for early recognition and decreased door to needle times for thrombolytic therapy. 9. Recall the development and purpose of the IMPROVE Stroke Care Manual of Operations. 10. Assess data obtained from the IMPROVE Progressive Regional Stroke System Survey and how it can be utilized to provide effective systems improvement. 11. Identify strategies for meeting the requirements for the Acute Stroke Ready Hospital certification. 12. Identify strategies for meeting the requirements for the Primary Stroke Center certification, discuss components of onsite visits, and identify best practices for meeting the standards. 13. Identify strategies for meeting the requirements for the Thrombectomy Capable Stroke Center certification, discuss components of onsite visits, and identify best practices for meeting the standards. 14. Identify strategies for meeting the requirements for the Comprehensive Stroke Center certification, discuss components of onsite visits, and identify best practices for meeting the standards.

6 REQUIRED INFORMATION REGARDING CLAIMING CE/CME CREDITS HEART FAILURE & ATRIAL FIBRILLATION CONFERENCE maximum of 5.75 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity. AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit from organizations accredited by ACCME or a recognized state medical society. Physician assistants may receive a maximum of 5.75 hours of Category I credit for completing this program. AANP Credit Acceptance Statement Nurse Practitioners no longer be available to claim after October 24, ANCC Credit Designation Statement Nurses The maximum number of hours awarded for this CE activity is 5.75 ANCC Credit must be claimed within 6 months of attendance. CME/CE will no longer be available to claim after October 24, Accreditation of Pre-Hospital Continuing Education (CAPCE), for 5.75 Advanced CEHs, activity number 18-AMHA-F EMS offices, training officers, and NREMT on a password-protected, need-to-know basis. In addition, I understand that I may review my record of CAPCE-accredited course completions by contacting CAPCE. CAPCE credit must be claimed within 6 months of attendance. CME/CE credit will no longer be available to claim for this activity after October 24, 2018 TIME SENSITIVE CARDIAC EMERGENCIES CONFERENCE maximum of 5.75 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity. AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit from organizations accredited by ACCME or a recognized state medical society. Physician assistants may receive a maximum of 5.75 hours of Category I credit for completing this program. AANP Credit Acceptance Statement Nurse Practitioners no longer be available to claim after October 25, ANCC Credit Designation Statement - Nurses The maximum number of hours awarded for this CE activity is 5.75 ANCC Credit must be claimed within 6 months of attendance. CME/CE will no longer be available to claim after October 25, Accreditation of Pre-Hospital Continuing Education (CAPCE), for 5.75 Advanced CEHs, activity number 18-AMHA-F EMS offices, training officers, and NREMT on a password-protected, need-to-know basis. In addition, I understand that I may review my record of CAPCE-accredited course completions by contacting CAPCE. CAPCE credit must be claimed within 6 months of attendance. CME/CE credit will no longer be available to claim for this activity after October 25, 2018 STROKE CONFERENCE maximum of 6.75 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity. maximum of 6.75 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity. AANP Credit Acceptance Statement Nurse Practitioners A no longer be available to claim after October 26, ANCC Credit Designation Statement - Nurses The maximum number of hours awarded for this CE activity is 6.75 ANCC Credit must be claimed within 6 months of attendance. CME/CE will no longer be available to claim after October 26, Accreditation of Pre-Hospital Continuing Education (CAPCE), for 6.75 Advanced CEHs, activity number 18-AMHA-F EMS offices, training officers, and NREMT on a

7 password-protected, need-to-know basis. In addition, I understand that I may review my record of CAPCE-accredited course completions by contacting CAPCE. CAPCE credit must be claimed within 6 months of attendance. CME/CE credit will no longer be available to claim for this activity after October 26, 2018 STROKE CERTIFICATION PREPARATION WORKSHOP maximum of 4.75 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity. AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit from organizations accredited by ACCME or a recognized state medical society. Physician assistants may receive a maximum of 4.75 hours of Category I credit for completing this program. AANP Credit Acceptance Statement Nurse Practitioners no longer be available to claim after October 27, ANCC Credit Designation Statement - Nurses The maximum number of hours awarded for this CE activity is 4.75 ANCC Credit must be claimed within 6 months of attendance. CME/CE will no longer be available to claim after October 27, Accreditation of Pre-Hospital Continuing Education (CAPCE), for 4.75 Advanced CEHs, activity number 17-AMHA-F EMS offices, training officers, and NREMT on a password-protected, need-to-know basis. In addition, I understand that I may review my record of CAPCE-accredited course completions by contacting CAPCE. CAPCE credit must be claimed within 6 months of attendance. CME/CE credit will no longer be available to claim for this activity after October 27, 2018.

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