Perioperative Medicine Summit 2013
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  • 1. 8th Annual Perioperative Medicine Summit 2013 Using Evidence to Improve Quality, Safety and Patient Outcomes March 7-9, 2013 The Eden Roc Hotel Miami Beach , FloridaSUMMIT DIRECTOR:Amir K. Jaffer, MD, MBA, SFHMSUMMIT CO-DIRECTORS:Steven L. Cohn, MD, FACPFranklin A. Michota, Jr., MD, FACP, FHMBobbieJean Sweitzer, MDKeynote Speaker:Martin Makary, MD, MPHSurgeon, Author and Television MedicalCommentator. An international expert inpatient safety who served in a leadershiprole at the World health Organization forthe Safe Surgery Saves Lives initiative.Call for Abstracts in Research,Innovations and Clinical Vignettes.Deadline for submission: Jan 11, 2012For abstract guidelines andsubmission go to:http://cme.med.miami.edu/x60.xml REGISTER TODAY AT: www.periopmedicine.org Co-Sponsored with In conjunction with the Society for Perioperative Assessment and Quality Improvement (SPAQI)
  • 2. QUALITY Evidence Based Perioperative Medical CareSAFETY OUTCOMES OVERVIEW ACCREDITATION The goal of this 3-day summit is to enable clinicians The University of Miami Leonard M. Miller School who are actively engaged in perioperative of Medicine is accredited by the ACCME to provide medical care to incorporate the latest findings continuing medical education for physicians. from clinical research and recommendations from evidence-based guidelines into their practices so that they can improve the quality and safety of CREDIT DESIGNATION their medical care. The University of Miami Leonard M. Miller School of Medicine designates this live activity for a maximum TARGET AUDIENCE of 21.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the Internists, hospitalists, family practitioners, extent of their participation in the activity. anesthesiologists, physician assistants, surgeons, certified nurse anesthetists, nurse practitioners DISCLOSURE AND CONFLICT and allied health professionals engaged in management of the perioperative patient. OF INTEREST RESOLUTION All conflicts of interest of any individual(s) in a position OBJECTIVES to control the content of this CME activity will be identified and resolved prior to this educational activity As a result of participating in this activity, participants being provided. Disclosure about provider and faculty will be able to: relationships, or the lack thereof, will be provided to • Evaluate the need for improving, quality, learners. safety, accountability and transparency in the US healthcare system • Examine the outcomes of surgery in the SERVICES FOR THE DISABLED elderly Please contact the Division of CME prior to February • Outline strategies for anesthesia that are 15, 2013 should you have any special needs that helpful in discharging patients same day may require additional assistance. A conference staff member will contact you to discuss these special • Examine the role of biomarkers and emerging requirements. risk factors for preoperative cardiac risk stratification prior to non-cardiac surgery • Identify the emerging issues in the REGISTRATION CANCELLATION POLICY management of OSA and pulmonary HTN for Refunds will be made only if written notice of noncardiac surgery cancellation is received prior to February 15, 2013. • Examine the role of risk stratification tools for A $100 fee is charged for all refunds. After this date, delirium no refunds will be made. In cases where a course is • Outline the principles of management of new cancelled due to insufficient registrations, a full tuition and old antithrombotic therapies refund will be made. • Appraise the importance of preventing VTE postoperatively FOR MORE INFORMATION • Review the latest recommendations of the To view complete program, upcoming and prior years’ ACCP guidelines including those regarding meetings and to register, visit www.periopmedicine.org. extended prophylaxis • Outline the risk factors for morbidity and Call: Division of Continuing Medical Education mortality in hepatobiliary disease patients Tel: 305-243-6716 /Fax: 305-243-5613 • Evaluate strategies for optimal postoperative umcme@med.miami.edu glucose control in the ICU patient • Examine management strategies for sepsis in the surgical patient • Evaluate the guidelines and or best practices for postoperative risk reduction in children • Assess the appropriate use of adjunctive analgesic agents in the perioperative period • Analyze various models of delivering preoperative care to improve perioperative care • Examine the medicolegal issues in the management of surgical patients • Examine the role of the hospitalist in optimizing patients for hip fracture surgery
  • 3. Perioperative Medicine Summit March 7-9, 2013COURSE DIRECTOR Darin J. Correll, MD Martin A. Makary, MD, MPH Rachel Thompson, MD Director, Acute Postoperative Associate Professor Director, Medicine Consult ServiceAmir K. Jaffer, MD, MBA , SFHM Pain Management Service Surgery and Public Health Harborview Medical CenterProfessor of Medicine Administrative Director Johns Hopkins Assistant ProfessorUniversity of Miami of Resident Education Bloomberg School of Public Health General Internal MedicineMiller School of Medicine Department of Anesthesiology Baltimore, MD University of WashingtonVice Chair, Patient Safety Perioperative and Pain Medicine Seattle, WAand Quality Brigham and Women’s Hospital Douglas G. Merrill, MBA, MDDivision Chief, Hospital Medicine Assistant Professor of Anaesthesia Director, Center forDepartment of Medicine Harvard Medical School Perioperative Services UHEALTH / MILLER SCHOOLUniversity of Miami Boston, MA Medical Director, Outpatient OF MEDICINE FACULTYMiller School of Medicine Surgery CenterMiami, FL Matthew Donnelly, Esquire Dartmouth-Hitchcock Rafael E. Campo, MD, FIDSA Deputy Chief Legal Officer Medical Center Professor of Clinical Medicine Law Dept Lebanon, NH Division of Infectious DiseasesCO-COURSE DIRECTORS Cleveland Clinic University of MiamiSteven L. Cohn, MD, FACP Cleveland, OH Lena M. Napolitano, M.D. School of MedicineDirector, Medical Division Chief, Acute Care Surgery Chief Patient Safety and Lynne R. Ferrari, MD Professor of Surgery Quality OfficerConsultation Service Chief, Division of Associate Chair for Critical Care Medical Director, EmployeeProfessor of Clinical Medicine Perioperative Anesthesia University of Michigan Health and Infection ControlDivision of Hospital Medicine Director, Preoperative Clinic Health Systems University of Miami Health SystemUniversity of Miami Medical Director, Operating Room Ann Arbor, MIMiller School of Medicine Medical Director Suparna Dutta, MD, MPHMiami, FL Perioperative Services Kurt J. Pfeifer, MD, FACP Department of Medicine Boston, MA Associate Professor of MedicineFranklin A. Michota, Jr., MD,FACP, FHM Medical College of Wisconsin Scott Eber, MD Emily Finlayson, MD, MS Milwaukee, WIAssociate Professor of Medicine Director Quality Assurance Assistant Professor of SurgeryCleveland Clinic Lerner Associate Director Preop Division of General Surgery Anbazhagan Prabhakaran, MD,College of Medicine Admission Testing University of California, San MRCP (UK), FACPat Case Western Reserve University Assistant Professor Francisco Medical Director, IMPACT CenterDirector of Academic Affairs Department of Anesthesiology San Francisco, CA Cleveland ClinicDepartment of Hospital MedicineCleveland Clinic Cleveland, OH Efren Manjarrez, MDCleveland, OH Paul Grant, MD Clinical Assistant Professor Assistant Professor of Marc A. Rozner, PhD, MD Clinical MedicineBobbieJean Sweitzer, MD of Medicine Professor, Department of Director, Perioperative and Associate Chief, Patient SafetyProfessor of Anesthesia and Anesthesiology and and Quality Officer for UhealthCritical Care Consultative Medicine Perioperative MedicineProfessor of Medicine Division of General Medicine Division of Anesthesiology Paul Martin, MDDirector, Anesthesia Perioperative University of Michigan and Critical Care Professor of MedicineMedicine Clinic Health System The University of Texas MD Chief, Division of HepatologyDepartment of Anesthesiology Ann Harbor, MI Anderson Cancer Center Center for Liver DiseasesPerioperative and Pain Medicine Houston, TXUniversity of Chicago Darrell W. Harrington, MD Luigi F. Meneghini, MD, MBAChicago, IL Associate Professor, Medicine Barbara Slawski, MD Assistant Professor, General Internal Professor of Clinical Medicine Associate Professor of Medicine Medicine Director, Kosow Diabetes and Orthopaedic Surgery General Medicine and Health Treatment Center Medical Director, Froedtert HospitalGUEST FACULTY Services Perioperative Services Torrance, CA Chief, Section of PerioperativeAngela M. Bader, MD, MPH and Consultative ServicesVice Chair, Perioperative Medicine Alicia Gruber Kalamas, MD Froedtert and the MedicalDepartment of Anesthesia Health Sciences Assistant College of WisconsinBrigham and Women’s Hospital Clinical Professor Milwaukee, WIAssociate Professor of Anaesthesia Department ofHarvard Medical School Anesthesia/Perioperative Care Gerald Smetana, MDDirector, Weiner Center for UCSF School of Medicine Division of GeneralPreoperative Evaluation San Francisco, CA Medicine and Primary CareBoston, MA Beth Israel Deaconess Russell J Kunic FNP-BC Medical CenterYvette Cua, MD Director of Access Throughput, Associate Professor of MedicineProfessor of Medicine Perioperative Services Harvard Medical SchoolDepartment of Medicine Vanderbilt University Medical Center Boston, MAUniversity of Louisville Nashville, TNLouisville, KY
  • 4. QUALITY Evidence Based Perioperative Medical Program Agenda March 7-9, 2013 CareSAFETY OUTCOMES THURSDAY, MARCH 7, 2013 SIMULTANEOUS EVENING BREAKOUT SESSIONS 6:45-7:45 am Registration and 4:30-5:30 pm Challenges in Perioperative Continental Breakfast Anticoagulation: Feel Free to Bring Your Own Cases 7:45-8:00 am Welcome Franklin A. Michota, Jr., MD Amir K. Jaffer, MD, MBA Amir K. Jaffer, MD, MBA Steven L. Cohn, MD Franklin A. Michota, Jr., MD Interactive Perioperative BobbieJean Sweitzer, MD Cases: Feel Free to Bring Your Own Cases 8:00-8:30 am KEYNOTE: Improving Patient Steven L. Cohn, MD Safety, Quality and Paul Grant, MD Transparency in Perioperative Care Mid-Level Providers in Perioperative Medicine Martin A. Makary, MD, MPH Russell Kunic, FNP-BC 8:30-8:45 am Questions and Answers Improving Perioperative Care: From Readmissions to 8:45-9:15 am Are We Ready for the Baby Value-Based Purchasing Boomer Explosion? Rafael Campo, MD Improving Surgical Outcomes Efren Manjarrez, MD in the Elderly Emily Finlayson, MD Billing and Coding Inpatient and Outpatient Consultation in 9:15-9:30 am Questions and Answers Perioperative Medicine Yvette Cua-Ramirez, MD 9:30-10:00 am Ambulatory Anesthesia in the Age of Value-Based Care 5:30-7:00 pm Poster Session Doug Merrill, MD, MBA 10:00-10:15 am Questions and Answers FRIDAY, MARCH 8, 2013 10:15-10:45 am Break/Visit Exhibits 6:45-7:45 am Registration and 10:45-11:15 am What is New in Preoperative Continental Breakfast Cardiac Risk Assessment? Steven L. Cohn, MD 7:45-8:00 am Welcome Amir K. Jaffer, MD, MBA 11:15-11:30 am Questions and Answers Steven L. Cohn, MD Franklin A. Michota, Jr., MD 11:30-12:15 pm Emerging Issues in Pulmonary BobbieJean Sweitzer, MD Risk Stratification with a Focus on OSA and 8:00-8:30 am Assessing and Managing Pulmonary Hypertension Hepatobiliary Risk for Surgery Gerald Smetana, MD Paul Martin, MD 12:15-12:30 am Questions and Answers 8:30-8:45 am Questions and Answers 12:30-1:30 pm Lunch 8:45-9:15 am Perioperative Management of Diabetes 1:45-2:15 pm Prevention and Management of Luigi F. Meneghini, MD, MBA Postoperative Delirium Franklin A. Michota, Jr., MD 9:15-9:30 am Questions and Answers 2:15-2:30 pm Questions and Answers 9:30-10:00 am Critical Care Management of the Surgical Patient 2:30-3:00 pm Perioperative Management of Lena Nepolitano, MD New and Old Antithrombotic Therapies for Non-Cardiac Surgery 10:00-10:15 am Questions and Answers Amir K. Jaffer, MD, MBA 10:15-10:45 am Break/Visit Exhibits 3:00-3:15 pm Questions and Answers 10:45-11:15 am Preoperative Evaluation and 3:15-3:45 pm Break/Visit Exhibits Testing in Children: What is Different Other than Age? 3:45-4:15 pm Prevention of Venous Lynne Ferrari, MD Thromboembolism after Surgery 11:15-11:30 am Questions and Answers Darrell Harrington, MD 11:30-12:00 pm Cases in Post-Operative 4:15-4:30 pm Questions and Answers Pain Management Darin J. Correll, MD 12:00-12:15 pm Questions and Answers *Agenda is subject to change.
  • 5. Perioperative Medicine Summit February 5-7, 2010SIMULTANEOUS LUNCH BREAKOUT SESSIONS Rapid Fire: Evidence-Based One-Minute PerioperativeBring Your Questions and Meet the Experts Consults Session I(Box Lunch) Moderated by Kurt Pfeifer, MD and Steven L. Cohn, MD12:15-1:30 pm Challenges in Perioperative 9:00-10:00 am When are Red Blood Cell and Fresh Frozen Anticoagulation: Feel Free to Plasma Transfusion Indicated Perioperatively? Bring Your Own Cases Ajay Kumar, MD Franklin A. Michota, Jr., MD Amir K. Jaffer, MD, MBA What is the Best Management of Cardiac Risk in Symptomatic and Asymptomatic Patients Interactive Perioperative Going for Oncologic Surgery? Cases: Feel Free to Bring Sunil Sahai, MD Your Own Cases Steven L. Cohn, MD When is Postoperative Troponin Testing Indicated? Paul Grant, MD Steven L. Cohn, MD Mid-Level Providers in Managing the Drug Eluting Stent Patient Perioperative Medicine for Non-Cardiac Surgery Russell Kunic, FNP-BC Amir K. Jaffer, MD, MBA Improving Perioperative Care: 10:00-10:30 am Break/Visit Exhibits From Readmissions to Rapid Fire: Evidence-Based One-Minute Perioperative Value-Based Purchasing Consults Session II Rafael Campo, MD Moderated by Kurt Pfeifer, MD and Steven L. Cohn, MD Efren Manjarrez, MD 10:30-11:45 am Best Practice for Preoperative Testing Billing and Coding Inpatient Scott Eber, MD and Outpatient Consultation in Perioperative Medicine What is the Best Management of Chronic Yvette Cua-Ramirez, MD Corticosteroids and Immunomodulators in the Perioperative Setting??1:30-1:45 pm Questions and Answers Paul Grant, MD1:45-2:30 pm Best Research Abstracts - Presided by Im portant Considerations in Patients the Chair of the Research Abstract Receiving Anesthesia in Remote Locations Review Committee: Three Abstracts Alicia Kalamas, MD BobbieJean Sweitzer, MD What is the Diagnostic and Therapeutic 2:30-2:45 pm Questions and Answers Approach to Postoperative Hyponatremia? Rachel Thompson, MD2:45-3:15 pm Break/Visit Exhibits When are IVC Filters Indicated Perioperatively?3:15-4:45 pm Panel Discussion: Various Models of Delivering Kurt Pfeifer, MD Preoperative Care: Which Makes Sense in an Era of Value-Based Care 11:45-12:15 pm Challenges Cases for the Perioperative Panelists: Medicine Experts Angela M. Bader, MD, MPH Moderated by: Steven L. Cohn, MD Paul Grant, MD Alicia Gruber Kalamas, MD Darrell Harrington, MD Anbazhagan Prabhakaran, MD Amir K. Jaffer, MD BobbieJean Sweitzer, MD Franklin A. Michota, MD Russell J. Kunic, FNP-BC 12:15-12:30 pm Questions and Answers4:45-5:00 pm Questions and Answers 12:30-1:30 pm Lunch5:00 pm Adjourn 1:30-2:00 pm Perioperative Management of Cardiac Devices for Surgery Marc Rozner, MDSATURDAY, MARCH 9, 2013 2:00-2:15 pm Questions and Answers6:45-7:45 am Registration and Continental Breakfast 2:15-2:45 pm Medicolegal Issues in Perioperative7:45-8:00 am Welcome Medicine: Lessons from Some Real Cases Amir K. Jaffer, MD, MBA Franklin A. Michota, Jr., MD Steven L. Cohn, MD Matthew J. Donnelly, Esquire Franklin A. Michota, Jr., MD BobbieJean Sweitzer, MD 2:45-3:00 pm Questions and Answers8:00-8:45 am Update in Perioperative 3:00-3:30 pm Co-Management of the Hip Fracture Surgery Medicine Patient - From Preoperative Management to Steven L. Cohn, MD Surgery and Post-Op Care Gerald Smetana, MD Barbara Slawski, MD Suparna Dutta, MD 3:30-3:45 pm Questions and Answers 8:45-9:00 am Questions and Answers 3:45-4:00 pm Concluding Remarks and Conference Adjourns
  • 6. QUALITY Evidence Based Perioperative Medical CareSAFETY OUTCOMES PERIOPERATIVE MEDICINE SUMMIT 2013 HOTEL INFORMATION The Eden Roc Hotel 4525 Collins Avenue Miami Beach, FL 33140 Phone: 305-531-0000 Toll-free: 1-800-319-5354 http://www.marriott.com/hotels/travel/miasr SPECIAL CONFERENCE RATE: A block of rooms has been reserved for conference participants at a discounted rate of US $284/night + 13% tax/day. The rate is guaranteed only until February 15, 2013. The hotel extends the group rate 3 days pre and post conference dates based on availability. After this date, reservation requests will be considered on a space-available basis. Ocean View from The Eden Roc RESERVATIONS: Call 1-800-319-5354 or 305-531-0000 and reference UM Perioperative Medicine Summit. All reservations should be received by the Individual guest room reservations may also hotel no later than February 15, 2013. All be made on the hotel’s reservations page: individual reservations must be accompanied http://www.marriott.com/hotels/travel/miasr-eden- by a first night room deposit or guaranteed roc-renaissance-miami-beach/. Enter the group with a major credit card. Hotel will not hold code: upmupma to get the conference rate. any reservations unless secured by one of the above methods. CALL FOR ABSTRACTS INNOVATIONS IN PERIOPERATIVE MEDICINE For abstract guidelines and submission go to: http:// Authors who wish to describe an innovative cme.med.miami.edu/x60.xml . Abstracts are program in perioperative medicine are invited for presentation at the Perioperative Medicine encouraged to submit to this category. Innovations Summit being held in conjunction with the Society for will primarily be descriptive, but they may also include Perioperative Medicine and Quality Improvement preliminary data. A more rigorous evaluation of (SPAQI). an innovative program should be submitted as a research abstract, rather than an innovation. For DEADLINE example, an innovation may describe a novel Abstract submissions must be received no later than strategy for dissemination of practice guidelines, January 11, 2013. Submitting authors will be notified whereas a research abstract may analyze its impact of acceptance or rejection by January 21, 2013. on length of stay or post-operative morbidity or mortality. SUBMISSION CATEGORIES We welcome abstracts in the following categories: PERIOPERATIVE CLINICAL VIGNETTES A clinical vignette is a report of one or more cases RESEARCH IN PERIOPERATIVE MEDICINE that illustrates a new disease entity or prominent Submissions can report clinical and/or laboratory-based or unusual clinical feature of an established research or consist of a systematic review of a clinical disease, highlights an area of clinical controversy in problem. Research abstracts concerned with efficiency, perioperative medicine, or illustrates a unique cost, or medical decision-making are also encouraged. patient safety issue. It may include a summary of pertinent patient history, physical findings, laboratory data, or management description. Two awards (hotel and registration) will It should be clear from the discussion of the abstract be given to students and residents whose why the vignettes are appropriate for a perioperative abstract is accepted to the meeting. medicine competition (versus general internal medicine, hospital medicine, or anesthesiology). Clinical vignettes will be judged on originality, Visit www.periopmedicine.org for more organization, writing clarity, and relevance detailed information and instruction. to perioperative medicine.
  • 7. Perioperative Medicine Summit March 7-9, 2013REGISTRATION formTo register, please visit www.periopmedicine.org or complete this formand mail or fax (with payment) to:University of Miami Miller School of MedicineDivision of CME (D23-3)P.O. Box 016960Miami, FL 33101-6960Telephone: 305-243-6716 Fax: 305-243-5613First Name __________________________ Last Name _______________________ Degree (MD, DO, PhD, ARNP, etc.) __________________Affiliation _____________________________________________________________________________________________________________Specialty:_________________________________________ Last 4 digits of SSN#:________________ (for CME recording / identification purposes only)Mailing Address _______________________________________________________________________________________________________City: __________________________________________________________ State _______________ Zip/Postal Code ___________________Daytime Telephone ____________________ Fax: ___________________ Email: (mandatory)   _________________________________________ Before As ofTUITION: 2/8/2013 2/8/2013 Onsite Physicians in Practice (indicate specialty) $845 $895 $950 Nurses, CRNAs, ARNPs, Physicians Assistants $650 $700 $750  I will attend the Welcome Reception/Poster Session on Allied Health Care Professionals $650 $700 $750 Thursday, March 7, 2013 Residents/Fellows $550 $600 $650 Medical Students $350 $400 $450SPAQI Members: Physician Member $795 $850 $900 Nurse/CRNA/ARNP/PA Member $600 $650 $700 Resident/Fellow/Non-Physician Member $500 $550 $600PAYMENT METHOD:Check: Please make check payable to UM/Division of CMECharge my registration fee in the amount of $ _______________ to my:  Visa®  MasterCard®  American Express®Card Number _________________________________________________________ Expiration Date __________________________________How did you hear about this program? Brochure  Email  Colleague  Flyer/Announcement  Website  Other _________________________________________
  • 8. NON-PROFIT ORGANIZATION US PostageDivision of Continuing Medical Education PAIDP.O. Box 016960 (D23-3) Miami, FLMiami, FL 33101-6960 Permit No. 4388th AnnualPerioperative Medicine Summit 2013Using Evidence to Improve Quality,Safety and Patient OutcomesMarch 7-9, 2013The Eden Roc HotelMiami Beach , FloridaREGISTER TODAY ATwww.periopmedicine.org 8th Annual Perioperative Medicine Summit 2013 Using Evidence to Improve Quality, Safety and Patient Outcomes March 7-9, 2013 The Eden Roc Hotel Miami Beach , Florida SUMMIT DIRECTOR: Amir K. Jaffer, MD, MBA, SFHM SUMMIT CO-DIRECTORS: Steven L. Cohn, MD Franklin A. Michota, Jr., MD, FACP, FHM BobbieJean Sweitzer, MD TO REGISTER VISIT: www.periopmedicine.org Co-Sponsored with In conjunction with the Society for Perioperative Assessment and Quality Improvement (SPAQI)