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Mission: Lifeline STEMI Systems of Care and Other System Applications Greater Buffalo Niagara Region Presented by Wednesday, June 13, 2018 ~ 8:00 am - 3:00 pm at Templeton Landing ~ Conference Agenda & Registration Information This program is supported in part through a grant from the Stavros Niarchos Foundation. Please help us spread the word by sharing this information with your colleagues. For exhibitor/sponsorship information please contact Sue.Flor@heart.org

REGISTRATION INFORMATION Register Today PLEASE NOTE ON-LINE, PRE-REGISTRATION IS REQUIRED There is no cost to attend this meeting. REGISTRATION Includes: Continuing Education Credits, information packet on topics to be covered, buffet breakfast and lunch. CANCELLATION POLICY If you need to cancel your registration, please email Nia.Flick@heart.org. PROGRAM INFORMATION PROGRAM OVERVIEW The (AHA ASA) is collaborating with regional Emergency Medical Services (EMS) and hospital stakeholders in holding the Mission: Lifeline STEMI Systems of Care and Other System Applications meeting. This program will begin development of STEMI and stroke systems of care in the Greater Buffalo Niagara areas to work with their unique regional needs. Participants will develop increased awareness of and responsibility within the larger context of systems of healthcare and be able understand ideal activation of the system resources (e.g. coordinating care across professions and/or serving as the primary case manager when care involves multiple specialties, professions or sites). TARGET AUDIENCE Physicians: Interventional Cardiologists, Clinical Cardiologists, Neurologists, Interventional Neurologists, Emergency Department Nurse Practitioners: ED, Neurology, Cardiology Nurses: ED, Neurology, Cardiology EMS: EMT, EMT-I/P Physician's Assistants: ED, Neurology, Cardiology Quality and Administrative: ED, Neurology, Cardiology PLANNING COMMITTEE Jennifer Attfield, RN Director, Cardiovascular Clinical Services Catholic Health Systems Bryan Brauner, MBA, NRP, CIC CEO, Twin City Ambulance Neil Dashkoff, MD, FAHA, FACC, FSCAI Niagara Falls Memorial Medical Center Sue Flor Director, Professional Education & Fellows Societies Long Island, NY William Mack, RN Registered Nurse Olean General Hospital Ali Masud, MD Interventional Cardiologist Catholic Health Systems David Monroe, RN, BSN Director, Cardiac Cath and Cardiopulmonary Services Olean General Hospital Molly Perini, MPH Senior Director, Mission: Lifeline NYC, NY Kishor Phadke, MD Kaleida Health Gates Vascular Institute Melissa Rackmil, RN, BSN, MBA Director, Invasive and Non-Invasive Cardiology Niagara Falls Memorial Medical Center Johnson Scaria, BSN, MBA Director, Vascular Procedure Labs Kaleida Health Sandra Watkins, MS, RN Director, Emergency Department Olean General Hospital Tatum Weishaupt, MS Director, Mission: Lifeline Albany, NY

Accreditation Information Joint Accreditation Statements In support of improving patient care, this activity has been planned and implemented by the. The is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. AMA Credit Designation Statement - Physicians The designates this live activity for a 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 Credit Acceptance Statement Physician Assistants 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 American Academy of Nurse Practitioners (AANP) accepts AMA PRA Category 1 Credit TM from organizations accredited by the ACCME. **AMA Credit must be claimed within 6 months of attendance. Credit will no longer be available to claim after December 13, 2018. ANCC Credit Designation Statement - Nurses The maximum number of hours awarded for this CE activity is 4.75 contact hours. **ANCC Credit must be claimed within 6 months of attendance. CME/CE will no longer be available to claim after December 13, 2018. Continuing Education Accreditation Emergency Medical Services This continuing education activity is approved by the, an organization accredited by the Commission on Accreditation of Pre-Hospital Continuing Education (CAPCE), for 4.75 Advanced CEHs, activity number 18-AMHA-F1-0029. By claiming CAPCE credit, the claimant acknowledges the following: I understand that the as a requirement of CAPCE accreditation will submit a record of my course completions to the CAPCE AMS. I further understand that my course completion records may be accessed by or shared with such regulators as state 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 December 13, 2018 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 We encourage participation by all individuals. If you have a disability, advance notification of any special needs will help us to serve you better. Check with the staff at the on-site registration desk if you require special assistance to fully participate in the conference.

AGENDA & SPEAKERS Mission: Lifeline STEMI Systems of Care and Other System Applications Greater Buffalo Niagara Region ~ June 13, 2018 8:00-9:00am Check-In and Breakfast Served 9:00-9:05am Welcome & Opening Remarks STEMI Session Agenda Tatum Weishaupt, MS- 9:05-9:30am Creating a Regional STEMI System of Care James G. Jollis, MD- North Carolina Heart and Vascular 9:30-10:40am STEMI Cases Studies from the Region Guideline Review & Current Local Landscape Moderator: Joseph Bart, DO- Buffalo Fire Department Panelists 10:40-10:55am Short Break Neil Dashkoff, MD- Niagara Falls Memorial Medical Center Kishor Phadke, MD- Gates Vascular Institution Bryan Brauner, EMT-P, MBA Twin City Ambulance 10:55-11:25am AHA s Mission: Lifeline Program o What is Mission: Lifeline? o Data Solutions GWTG-CAD Goals and Objectives for the Regional STEMI Project Molly Perini, MPH- 11:25-11:35am Discussion of Next Steps & Implementation of STEMI Regional Plans Ali Masud, MD 11:35-11:55am Individual Facility and Regional Goal Setting Tatum Weishaupt, MS- American Stroke Association 11:55-12:00pm STEMI Session Closing Comments Tatum Weishaupt, MS- American Stroke Association Learning Objectives: Morning Session Mission: Lifeline STEMI Upon completion of this program learners should be able to: o Discuss the purpose of regionalization of STEMI care o Review current landscape of STEMI care in the Buffalo Niagara region o Discuss steps for implementing STEMI Systems of Care via the Mission: Lifeline Program o Develop goals around the ACC/AHA STEMI evidence-based treatment guidelines

12:00-1:00pm Check-In and Lunch Served Stroke Session Agenda 1:00-1:20pm Update: New York State Stroke Designation Program Gregory Young, MD- New York State Department of Health 1:20-1:35pm Mission: Lifeline Stroke Guideline Review Steven R. Levine, MD SUNY Downstate Medical Center Molly Perini, MPH 1:35-1:50pm Overview of Mechanical Thrombectomy Challenges & Opportunities within Regionalization of Stroke Care Presenter Lee Guterman, MD Buffalo Neurosurgery Group, Catholic Health Panelists Kenneth Snyder, MD Jacobs School of Medicine and Biomedical Sciences David Janicke, MD Buffalo General Medical Center 1:50-2:55pm Current Local Landscape & Case Studies from the Region (1) Pre-hospital (2) Inter-hospital Transfer (3) Hospital Training Opportunities Moderator: Steven R. Levine, MD SUNY Downstate Medical Center Panelists Richard Ferguson, MD ECMC Hospital 2:55-3:00pm Stroke Session Closing Comments Robert Sawyer, MD Jacobs School of Medicine and Biomedical Sciences Kenneth Snyder, MD Jacobs School of Medicine and Biomedical Sciences David Janicke, MD Buffalo General Medical Center Molly Perini, MPH- Learning Objectives: Afternoon Session Mission: Lifeline Stroke Upon completion of this program learners should be able to: o Define the goals for New York State designation of stroke treating facilities o Explain how regionalization of care is applicable to stroke o Discuss the challenges and opportunities of coordinated care for Large Vessel Occlusion (LVO) strokes o Review the current landscape of stroke care in the Buffalo Niagara region

Moderators, Speakers and Panelists Joseph Bart, DO, FACEP Operational Medical Director Buffalo Fire Department Bryan Brauner, EMT-P, MBA Chief Executive Officer Twin City Ambulance Amherst, NY Neil Dashkoff, MD, FAHA, FACC, FSCAI Niagara Falls Memorial Medical Center Richard Ferguson, MD Chief of Service, Neurology ECMC Hospital Lee Guterman, MD, PhD Buffalo Neurosurgery Group David Janicke, MD, PhD Medical Director, Buffalo General Medical Center Emergency Department James G. Jollis, MD North Carolina Heart and Vascular Durham, NC Steven R. Levine, MD SUNY Distinguished Professor of Neurology and Emergency Medicine; Executive Vice-Chair of Neurology Chief of Neurology, University Hospital of Brooklyn Ali Masud, MD Interventional Cardiologist Catholic Health Systems Molly Perini, MPH Senior Director, Mission: Lifeline NYC, NY Kishor Phadke, MD Kaleida Health - Gates Vascular Institute Robert Sawyer, MD Clinical Associate Professor Department of Neurology Jacobs School of Medicine & Biomedical Sciences Kenneth Snyder, MD, PhD Assistant Professor of Neurosurgery, Radiology and Neurology Jacobs School of Medicine and Biomedical Sciences Tatum Weishaupt, MS Director, Mission: Lifeline Albany, NY Gregory Young, MD, FACEP Associate Commissioner, Western Region New York State Department of Health