Diabetic Limb Salvage/Critical Limb and Woundcare: A Team Approach 2015 October 2 3, 2015 Cleveland Clinic Administrative Campus, Building #4 Beachwood, OH Register Today! ccfcme.org/godls
Diabetic Limb Salvage/ Critical Limb and Woundcare: A Team Approach 2015 You Don t Want to Miss This Activity The increasing incidence of diabetic foot ulcers and wounds creates challenges for practitioners regarding strategies to treat this complex comorbidity; however, not all practitioners are able to stay abreast of the most recent advances and techniques resulting in practice gaps among some patients. This educational activity will provide an in-depth review of limb revascularization and wound care for patients with diabetes and update health care practitioners regarding the current understanding of the biologic basis of vascularization in diabetes, assessment and classification of wounds, and current therapies. Through a knowledgeable approach to treating this patient population, practitioners will be able to incorporate the latest research and clinical trial findings into their practice. By Attending, You Will Be Able To: Compare and contrast outcomes data on interventional strategies for revascularization for limb salvage Select the most appropriate surgical approach to limb revascularization Present an evidence-based discussion of strategies for diagnosing and treating diabetic wounds Implement offloading strategies and therapeutic adjuncts to improve wound care Define the changes in coding related to vascular interventions and summarize the common pitfalls of wound care coding Present novel strategies for reducing readmissions and meeting CMS quality outcomes Identify and characterize atypical nonvascular wounds Discuss alternative and unique uses of negative pressure wound therapy to treat chronic wounds Identify the distinguishing features of venous and mixed venous pathology and select the most appropriate therapy for venous intervention in both the acute and office-based settings Describe the role of team collaboration in wound care Who Should Attend Internists, vascularologists, surgeons, interventional cardiologists, podiatrists, wound and acute care specialists, physician assistants, hospital and skilled nursing staff, and administrators of wound care centers will gain knowledge from attending this activity. Two Ways to Register ONLINE ccfcme.org/godls Cleveland Clinic employee fees and registration are available online only. BY MAIL The Cleveland Clinic Educational Foundation PO Box 931653, Cleveland, OH 44193-1082 Registration form can be downloaded from the activity website. Fee includes: Continental breakfasts, refreshment breaks, lunches, program booklet, and faculty PowerPoint presentations in PDF format, available online. Fees On or Before Aug 4 After Aug 4 Physician $275 $325 Resident*/Fellow* $200 $250 Nonphysician $200 $250 *Letter from program director is required to receive the discounted fee. If letter is not received two weeks prior to the activity, the full physician fee will be charged. Visit www.ccfcme.org/godls for complete registration information. Registration and Cancellation Preregistrations are accepted until 2:00 pm ET September 30. Register on site after this date. In case of cancellation, a full refund will be made if canceled by September 25. After September 25, a $100 cancellation fee will be deducted from your refund. Email notification of your cancellation by October 31 is required to process your refund. For questions about registration or cancellation, email us at cmeregistration@ccf.org or call 216.448.8710. Cleveland Clinic Center for Continuing Education reserves the right to cancel or postpone an activity at our sole discretion. In the unlikely event that this occurs, any registration fee(s) paid will be refunded. Be advised that Cleveland Clinic is not responsible for related costs including airline tickets, hotel costs, or any similar fee penalties incurred as a result of any trip cancellations or changes.
Faculty Activity Director Lee Kirksey, MD Vascular Surgeon Guest Faculty David Armstrong, DPM, MD, PhD Director, Southern Arizona Limb Salvage Alliance Professor of Surgery The University of Arizona Medical Center Tucson, AZ Peggy Dotson, RN, BS Owner Healthcare Reimbursement Strategy Consulting Yardley, PA Cleveland Clinic Faculty George Anton, MD Chief Hillcrest Hospital Georgeanne Botek, DPM Head, Section of Podiatry Medical Director, Diabetic Foot Clinic Orthopaedic & Rheumatologic Institute Jacalyn Brace, PhD, CNP Certified Nurse Practitioner Christi Cavaliere, MD Plastic Surgery Dermatology & Plastic Surgery Institute Steven Gordon, MD Chairman Department of Infectious Disease Transplantation Center Medicine Institute Heather Gornik, MD Vascular Medicine Medical Director Non-Invasive Vascular Laboratory Douglas Joseph, DO, RVT Director, Vascular Medicine Outpatient Department Medical Director, Vascular Medicine Vein Health Clinic Co-medical Director, Multi-disciplinary Lymphedema Clinic Activity Codirector Daniel Clair, MD Department Chair Kathleen D. Schaum, MS President and Founder Kathleen D. Schaum & Associates, Inc. Lake Worth, FL Michael A. Troiano, DPM, FACFAS Foot and Ankle Specialty Center P.C. Willow Grove, PA Jacob Wynes, DPM, MS Instructor of Orthopaedics University of Maryland Medical Center Baltimore, MD Sean Lyden, MD Medical Director Supply Chain Management Michael Maier, DPM Director Lower-Extremity Wound Clinic W. Michael Park, MD Christopher Smolock, MD, FACS Associate Sunita Srivastava, MD, FACS Quality Officer
Agenda Friday, October 2, 2015 7:00 am Registration, Continental Breakfast, and Exhibits 7:45 am Welcome and Introduction 8:00 am Revascularization for Limb Salvage; Endoscopy vs Open: What the Data Really Say 8:20 am Angiosomal Directed Revascularization: Fact or Myth 8:40 am Interventional Approaches to Venous Disease in Chronic Leg Ulcers 9:00 am Making the Diagnosis: Non- Invasive Vascular Lab Imaging -OR- Live Case: Superficial Femoral Artery Chronic Total Occlusion 9:20 am The Team Approach to Limb Salvage: How and Why It s Important 9:40 am Top Ten Rules of Successful Chronic Total Occlusion Management -OR- Live Case/Taped Cases: May-Thurner Syndrome 10:00 am Refreshment Break and Exhibits 10:20 am Wound Ischemic Foot Infection: Validating the New Model of Wound Classification 10:40 am Surgery vs Medical Therapy for Osteomyelitis: What Does the Data Show? 11:00 am Reality Based Ambulatory Approach to Offloading Diabetic Foot Ulcer: Are There Good Alternatives to Total Contact? 11:20 am Current State of Platelet Rich Plasma in Wound Healing 11:40 am Digit vs Trans Metatarsal Amputation for Diabetic Foot Infection Is Achilles Tendon Lengthening Necessary? 12:00 pm Lunch and Keynote Speaker The State of Diabetic Limb Salvage 1:00 pm Charcot Arthropathy Surgery: When and What Approach 1:20 pm ERTL: A More Durable Below the Knee Amputation Reconstruction 1:40 pm When to Say When: Amputation Does Not Equal Failure 2:00 pm Soft-Tissue Coverage: Negative Pressure Wound Therapy vs Free Flap: An Algorithm 2:20 pm Elective Reconstruction in the Diabetic Patient 2:40 pm Current Data on Optimal Glycemic Control 3:00 pm Panel Discussion 3:20 pm The Evidence on Hyperboric Oxygen Therapy 3:40 pm Refreshment Break and Exhibits 4:00 pm Updates in Reimbursement 4:20 pm Integrated Approach to Woundcare: Acute, Postacute, Ambulatory 4:40 pm Panel Discussion 5:00 pm Atypical Wounds: Recognizing the Uncommon 5:20 pm Orthopedist vs Podiatrist: Living Collaboratively in the Changing Face of Healthcare 5:40 pm Adjourn 5:45 pm Reception and Exhibits Saturday, October 3, 2015 7:00 am Registration, Continental Breakfast, and Exhibits 7:45 am Welcome Breakout 8:00 am Woundologist: The State of Woundcare as a Specialty 8:20 am Nonhealing Wound with Normal Arterial Circulation: Understanding Venous Disease 8:40 am Achilles Tendon Lengthening vs Gastroc Recession in Diabetic Foot Ulcer 9:00 am The Vascular Lab in Diagnostic Venous Imaging 9:20 am Endovenous Practice 2015: What Catheter to Foam or Not 9:40 am Panel Discussion 10:00 am Refreshment Break and Exhibits 10:20 am Complications of Endovenous Ablation: Avoidance Strategies and Treatment 10:40 am IVC Thrombosis with Filter Extraction 11:00 am Reimbursement Strategies for a Profitable Woundcare Center 12:00 pm Lunch and Exhibits 12:30 pm Billing and Coding Skin Substitutes, Common Coding Errors 1:30 pm Tools Tips in Tricks for Complex Cutaneous Fistulas 2:10 pm The Changing Face of WOC Nursing Education From Classroom to Laptop 2:50 pm Adjourn
General Information Location Cleveland Clinic Administrative Campus 25875 Science Park Drive Building #4 Auditorium Beachwood, OH 44122 Directions From the North: Take I-271 south to the Chagrin Blvd. exit. Turn right onto Chagrin Blvd. Turn right onto Enterprise Parkway. Turn right onto Science Park Drive. The surface lot is on the last driveway on your right. Drive to Building 4. From the South: Take I-271 north to the Chagrin Blvd. exit. Turn left onto Chagrin Blvd. Go across the bridge and turn right onto Enterprise Parkway. Turn right onto Science Park Drive. The surface lot is on the last driveway on your right. Drive to Building 4 (it is the building that is farther back on your right). Recommended Area Hotels Hilton Cleveland East/Beachwood 3663 Park East Drive Beachwood, OH 44122 216.464.5950 $109 plus tax Hotel INDIGO 3581 Park East Drive Beachwood, OH 44122 216.454.8000 $115 plus tax Complimentary shuttle available to meeting from both hotels. Parking Free parking is available in the parking lot outside the building. Information For further information about this activity, contact the Center for Continuing Education at: Local: 216.448.0770 Web Address: ccfcme.org/godls For questions about registering online, call 216.448.8710 or email cmeregistration@ccf.org. Faculty Disclosure The Cleveland Clinic Foundation Center for Continuing Education has implemented a policy to comply with the current Accreditation Council for Continuing Medical Education Standards for Commercial Support requiring resolution of all faculty conflicts of interest. Faculty declaring a relevant commercial interest will be identified in the activity syllabus. Recording or reproducing of this activity in any format is prohibited. Accreditation The Cleveland Clinic Foundation Center for Continuing Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The Cleveland Clinic Foundation Center for Continuing Education designates this live activity for a maximum of 15.25 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Participants claiming CME credit from this activity may submit the credit hours to the American Osteopathic Association for Category 2 credit. The Ohio Board of Nursing will accept at face value the number of contact hours awarded for an educational activity that has been approved for CE by a nationally accredited system of CE approval. Nurses are able to obtain CE that has been approved or provided by a nationally recognized accreditation system of continuing education. Examples include: The American Nurses Credentialing Center (ANCC) The Accreditation Council for Continuing Medical Education (ACCME) The International Association for Continuing Education and Training (IACET) Americans with Disabilities Act The Cleveland Clinic Foundation Center for Continuing Education fully intends to comply with the legal requirements of the Americans with Disabilities Act. If you need assistance, please notify us at least two weeks prior to the activity. 2 4
Diabetic Limb Salvage/ Critical Limb and Woundcare: A Team Approach 2015 October 2 3, 2015 Cleveland Clinic Administrative Campus, Building #4 Beachwood, OH The Cleveland Clinic Foundation 9500 Euclid Avenue Cleveland, OH 44195 Register Today! ccfcme.org/godls NON-PROFIT ORG. U.S. Postage Paid Cleveland, OH Permit No. 1918