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JOHNS HOPKINS CRITICAL CARE REHABILITATION CONFERENCE

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October 24-25, 2014 Chevy Chase Bank Conference Center The Sheikh Zayed Tower The Johns Hopkins Hospital Baltimore, Maryland T h ir d A n n u a l: J O H N S H O P K I N S C R I T I C A L C A R E R E H A B I L I T A T I O N C O N F E R E N C E D IV IS IO N O F P U L M O N A R Y A N D C R IT IC A L C A R E M E D IC IN E A N D D E P A R T M E N T O F P H Y S IC A L M E D IC IN E A N D R E H A B IL IT A T IO N P re se n t th e C O N T I N U I N G M E D I C A L E D
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  October 24-25, 2014 Chevy Chase Bank Conference Center The Sheikh Zayed Tower The Johns Hopkins Hospital Baltimore, Maryland  Third  Annual:  JOHNS HOPKINS CRI TIC AL C ARE REH ABILI T A TION CONFERENCE     D I V I S IO N O F  P U L MO NA R Y A N D C R I T ICA L CA R E  M E D IC I N E A N D  D E PA R T M E N T O F  P H Y S ICA L  M E D IC I N E A N D  R E HA B I L I TA T IO N Presen t  the CONTINUING MEDICAL EDUCATION This conference has been endorsed by the American Thoracic Society  This activity has been approved for  AMA PRA Category 1 Credits ™.  ACCREDITATION STATEMENT The Johns Hopkins University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. CREDIT DESIGNATION STATEMENT The Johns Hopkins University School of Medicine designates this live activity for a maximum of 13.50  AMA PRA Category 1 Credits ™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. OTHER CREDIT American Nurses Credentialing Center American Nurses Credentialing Center (ANCC) accepts  AMA PRA Category 1 Credit  ™ from organizations accredited by the ACCME. American Academy of Nurse Practitioners National Certification Program American Academy of Nurse Practitioners National Certification Program accepts  AMA PRA Category 1 Credit ™ from organizations accredited by the ACCME. American Academy of Physician Assistants American Academy of Physician Assistants (AAPA) accepts certificates of participation for educational activities certified for  AMA PRA Category 1 Credit ™ from organizations accredited by ACCME. Physician assistants may receive a maximum of 13.50 AAPA Category 1 CME credits for completing this program. American Association for Respiratory Care The application for American Association for Respiratory Care (AARC) CEUs is currently pending approval. American Occupational Therapy Association, Inc. (AOTA) The application for American Occupational Therapy Association, Inc. (AOTA)CEUs is currently pending approval. Contact Hours for Non-Physicians The Johns Hopkins University has approved this activity for 13.50 contact hours for non-physicians. Physical Therapy The applications for CEUs from the Maryland State Board of Physical Therapy and the Pennsylvania State Board of Physical Therapy are currently pending approval. Psychologists The Johns Hopkins University School of Medicine is authorized by the Maryland State Board of Examiners of Psychologists as a provider of continuing education. The Johns Hopkins University School of Medicine maintains responsibility for this program. A certificate for CEUs will be awarded upon completion of this live activity. Professional Counselors and Therapists This Continuing Education activity is eligible for Category A CEUs for Professional Counselors and Therapists as a result of the sponsor, Johns Hopkins University, and its classification as an institute of higher education. POLICY ON SPEAKER AND PROVIDER DISCLOSURE It is the policy of the Johns Hopkins University School of Medicine that the speaker and provider disclose real or apparent conflicts of interest relating to the topics of this educational activity, and also disclose discussions of unlabeled/unapproved uses of drugs or devices during their presentation(s). The Johns Hopkins University School of Medicine OCME has established policies in place that will identify and resolve all conflicts of interest prior to this educational activity. Detailed disclosure will be made in the activity handout materials. COURSE DESCRIPTION Interdisciplinary collaboration and coordination is vital to facilitate early mobility and rehabilitation in the intensive care unit (ICU) setting. A recent stakeholders’ conference aimed at improving long-term outcomes for ICU survivors identified important ‘silos’ among critical care and rehabilitation clinicians working in the ICU, with these ‘silos’ acting as a barrier to collaboratively advancing the field and improving patient outcomes. While clinical trials support the benefits of early rehabilitation for mechanically ventilated patients, implementing these interventions requires creating a new ICU culture based on proactive rehabilitation and interdisciplinary collaboration between all critical care and rehabilitation clinicians. This conference will bridge the interdisciplinary gap from research to clinical implementation at the bedside.  WHO SHOULD ATTEND This activity is intended for physicians (critical care, pulmonologists, physiatrists, psychiatrists), physical therapists, occupational therapists, rehabilitation assistants, speech language pathologists, respiratory therapists, nurses, nurse practitioners, psychologists, physician assistants, and hospital administrators. OBJECTIVES After attending this activity, the participant will demonstrate the ability to:  ã Identify risk factors and prevention strategies for ICU-acquired weakness, and long- term physical, cognitive and psychiatric impairments in survivors of critical illness.  ã Compare and appraise the evidence supporting early rehabilitation and mobility in the ICU.  ã Describe and discuss how to change ICU culture and clinical practice to implement an early rehabilitation program for critically ill patients using a quality improvement framework. ã Explain the inter-disciplinary roles of nursing, physical therapy, occupational therapy, speech language pathology, and respiratory therapy in an early rehabilitation program in the ICU.  ã Describe the impact of ICU survivorship on patients and their family. ã Explain the importance of ICU management to reduce sedation and delirium, and to improve sleep.  ã Describe principles for cognitive rehabilitation for ICU patients. ã Describe the implementation of a nurse-led interdisciplinary early mobility program in the ICU.  ã Explain principles of clinical decision-making and assessment of medical stability for early mobilization in the ICU. ã Describe the implementation of a hospital-wide activity and mobility program and the use of a standardized measurement of patient function across the continuum of care. ã Describe ICU mobility within the context of safe-patient handling. EVALUATION A form will be available to attendees to evaluate each session and each speaker’s presentation, as well as to identify future educational needs. OUTCOMES SURVEY A survey will be sent to all physician attendees within three months post activity to assist us in determining what impact this activity had on the attendee’s practice. EMERGENCY CALLS On October 24-25, 2014, direct emergency calls to the Hopkins registration desk, (443) 287-5426. Messages will be posted for participants. AMERICANS WITH DISABILITIES ACT The Johns Hopkins University School of Medicine fully complies with the legal requirements of the ADA and the rules and regulations thereof. Please notify us if you have any special needs. TO REGISTER or FOR FURTHER INFORMATION Register Online (credit card and eCheck) www.HopkinsCME.edu Register by Phone (credit card only) (410) 502-9636Register by Fax (866) 510-7088Confirmation/Certificates (410) 502-9636General Information (410) 955-2959E-mail the Office of CME cmenet@jhmi.eduFollow us on Twitter: http://twitter.com/HopkinsCME Facebook: http://www.facebook.com/HopkinsCME Sponsoring Department Website:  www.hopkinsmedicine.org/OACIS For general information, the direct link for this CME activity web page is: http://www.hopkinscme.edu/CourseDetail.aspx/80034272.  REGISTRATION Pre-Conference Registration - Friday, October 24, 2014, 7:30 - 7:55 a.m. Main Conference Registration – Friday, October 24, 2014, 12:00-12:55 p.m. LOCATION Chevy Chase Bank Conference CenterThe Sheikh Zayed Tower The Johns Hopkins Hospital 1800 Orleans Street, Main Level Baltimore, Maryland, 21287The Sheikh Zayed Tower is located on Orleans Street between Broadway and Wolfe Streets. Directions and campus parking information are available on our website under the contact and travel section at www.HopkinsCME.edu The closest garage is the Orleans Street Garage, which is located on Orleans Street (Route 40) between Wolfe Street and Broadway. Handicapped parking is also available in the McElderry Street Garage. Johns Hopkins is smoke free. FEES REGISTRATION CUT-OFF DATE - OCTOBER 17, 2014 Methods of Payment: Payment by check or credit card must accompany the registration form prior to the activity. On-site payments by credit card only. Foreign payments must be by credit card or with a U.S. Dollar World Money Order. The registration fee includes instructional materials, continental breakfasts, refreshment breaks and lunches. Pre-Conference ONLYFriday Morning, October 24 ,2014 Main Conference ONLY Friday Afternoon, October 24-Saturday, October 25, 2014 Full Conference October 24-25, 2014 EARLY BIRD REGISTRATION: until July 31st, 2014 Physicians$160$495$605Residents*, Fellows*, Physician Assistants, Occupational Therapists, Physical Therapists, Psychologists, Respiratory Therapists, Speech-Language Pathologists$135$375$460 STANDARD REGISTRATION: Starting August 1st, 2014 Physicians$175$545$670Residents*, Fellows*, Physician Assistants, Occupational Therapists, Physical Therapists, Psychologists, Respiratory Therapists, Speech-Language Pathologists$150$425$525SyllabusPre-Conference ONLYFriday Morning, October 24, 2014 Main Conference ONLY Friday Afternoon, October 24-Saturday, October 25, 2014 Full Conference October 24-25, 2014Color$35$95$130Black & White$15$45$60 * with verification of status You will receive a confirmation by e-mail if you have provided your e-mail address. Otherwise confirmation will be sent by mail. If you have not received it by October 17, 2014, call (410) 502-9634 to confirm that you are registered. A certificate of attendance will be sent by December 10, 2014 to the e-mail address you provide on the registration form. The Johns Hopkins University reserves the right to cancel or postpone any activity due to unforeseen circumstances. In this event, the University will refund the registration fee but is not responsible for travel expenses. Additionally, we reserve the right to change the venue to a comparable venue. Under such circumstances registrants will be notified as soon as possible. LATE FEE AND REFUND POLICY A $50 late fee applies to registrations received after 5:00 p.m. ET on October 17, 2014. A handling fee of $50 will be deducted for cancellation. An additional fee may apply for cancellation of other events, including workshops and social activities. Refund requests must be received by fax or mail by October 17, 2014. No refunds will be made thereafter. Transfer of registration to another Johns Hopkins conference in lieu of cancellation is not possible. SYLLABUS All registrants will receive a folder with general information and paper for note-taking. This is included in the cost of your registration. A link to the syllabus will be provided via email shortly before the activity begins if you prefer to study or print the syllabus. A printed copy may be ordered at the time of registration for an additional fee. The fees for printed copies of the syllabus are outlined on the registration form. The printed copy will be provided during activity registration. Cancellations or refunds for the printed copy will not be permitted. HOTEL AND TRAVEL INFORMATION We strongly encourage you to book your accommodations at one of the following three hotels. The Johns Hopkins Office of CME makes every effort to secure the best rate for overnight accommodations. The rate is part of a negotiated conference package that incorporates many services. By staying at the host hotel and booking within the room block, you help us maintain current conference benefits and keep future registration fees reasonable. Please consider this when making your overnight accommodations decision. Hilton Garden Inn Baltimore  (888) 429-7482 Harbor East (410) 234-0065 625 South President Street FAX: (410) 234-0299 Baltimore, Maryland 21202 Web Site: www.baltimoreinnerharbor.stayhgi.com HOTEL RESERVATION CUT-OFF DATE: SEPTEMBER 23, 2014 A limited block of sleeping rooms has been reserved for your convenience and will be available on a first come, first served basis.The Hilton Garden Inn Baltimore Inner Harbor, pleasantly situated in Harbor East, blends well with its fashionable surroundings and offers excellent accommodations within walking distance of downtown Baltimore. Make your reservation online at www.baltimoreinnerharbor.hgi.com or call the hotel directly and specify that you are attending the  Johns Hopkins Critical Care Rehabilitation Conference to receive the special group rate of $149, single or double, plus tax. This rate includes breakfast daily (maximum of two people per room) and complimentary wireless high speed internet access. On-site parking is available at an additional charge. Check-in time is 3:00 p.m. Check-out time is 12:00 p.m. Lord Baltimore Hotel  (410) 539-8400 20 West Baltimore Street FAX: (410) 625-1060 Baltimore, Maryland 21201 Web Site: www.lordbaltimorehotel.com HOTEL RESERVATION CUT-OFF DATE: SEPTEMBER 23, 2014 A limited block of sleeping rooms has been reserved for your convenience and will be available on a first come, first served basis.The Lord Baltimore Hotel, a newly renovated historic hotel in the heart of Baltimore’s business district, is connected to the Inner Harbor and Convention Center via skywalks just two blocks from 1st Mariner Arena and Oriole Park. Make your reservation online at www.lordbaltimorehotel.com or call the hotel directly and specify that you are attending the  Johns Hopkins Critical Care Rehabilitation Conference  to receive the special group rate of $129, single or double, plus tax. This rate includes breakfast for up to two guests per room, per night.Complimentary self-parking is available along with transportation to and from the  Johns Hopkins Hospital. Complimentary wireless high speed internet access is also included with this rate. Check-in time is 4:00 p.m. Check-out time is 11:00 a.m. Sheraton Inner Harbor Hotel  (888) 962-8300 300 South Charles Street (410) 962-8300 Baltimore, Maryland 21201 FAX: (410) 962-8211 Web Site: www.sheraton.com/innerharbor HOTEL RESERVATION CUT-OFF DATE: SEPTEMBER 23, 2014 A limited block of sleeping rooms has been reserved for your convenience and will be available on a first come, first served basis.The Sheraton Inner Harbor Hotel is centrally located in the heart of Baltimore’s Inner Harbor. The official hotel of the Baltimore Orioles is just one block from the Convention Center, Harborplace and sport complexes. Make your reservation online at www.sheraton.com/innerharbor or call the hotel directly and specify that you are attending the  Johns Hopkins Critical Care Rehabilitation Conference  to receive the special group rate of $159, single or double, plus tax. Complimentary internet is also included with this rate. On-site parking is available at an additional charge. Check-in time is 3:00 p.m. Check out time is 12:00 noon. G ENERAL  I NFORMATION  Pre-Conference Friday, October 24, 2014  7:30 - 7:55 Registration for Pre-Conference and Continental Breakfast 7:55 - 8:00  Welcome and Conference Goals Dale Needham, MD PhD Session 1 - Rationale and Evidence for Early Rehabilitation Chair: Dale Needham, MD, PhD 8:00 - 8:25 ICU - Acquired Weakness, and Long-Term Patient Outcomes Dale Needham, MD, PhD 8:25 - 8:45 The Evidence for Early Rehabilitation in the ICU  Jennifer Zanni, PT, DScPT 8:45 - 8:55 Question and Answer Session Session 2 - Implementing and Sustaining an ICU Rehabilitation Program Chair:    Jennifer Zanni, PT, DScPT 8:55 - 9:10 Culture Change to Promote Early Rehabilitation in the ICU  Jennifer Zanni, PT, DScPT 9:10 - 9:30 Using a Quality Improvement Framework for Implementation of an Early Rehabilitation Program Dale Needham, MD, PhD 9:30 - 9:45 Implementing the Quality Improvement Project Michael Friedman, PT, MBA 9:45 - 9:55 Question and Answer Session  9:55 - 10:10 Coffee Break  Session 3 - Components of a Successful Early Rehabilitation Program Chair:  Dale Needham, MD, PhD  1 0:10 - 10:25 Overview of Sedation and Delirium Issues Dale Needham, MD, PhD 10:25 - 10:40 Role of Nursing Samantha Young, MS, RN 10:40 - 10:55 Role of Physical Therapy  Jennifer Zanni, PT, DScPT 10:55 - 11:10 Role of Occupational Therapy Angela Regensburg, MS, OTR/L 11:10 - 11:25 Role of Speech-Language Pathology Therese Kling-Cole, MA, CCC-SLP 11:25 - 11:40 Role of Respiratory Therapy Heather O’Donnell, RRT 11:40 - 11:55 Question and Answer Session  11:55 - 12:55 Lunch (for pre-conference registrants only) Main Conference 12:00 - 12:55 Registration for Main Confernce 12:55 - 1:00  Welcome and Conference Goals Dale Needham, MD PhD Session 4 - The Patient and Family Perspective Chair:  Dale Needham, MD, PhD  1:00 - 1:25 Patient and Family Interview Moderator:  Dale Needham, MD, PhD 1:25 - 1:35 Question and Answer Session Session 5 - Updates on the Literature for 2014 Chair: Dale Needham, MD, PhD 1:35 - 1:55 Updates on Long Term Physical Outcomes for ICU Survivors Dale Needham, MD, PhD 1:55 - 2:15 Updates on Sedation, Delirium and Sleep Interventions Dale Needham, MD, PhD 2:15 - 2:35 Updates on Neuropsychological Outcomes for ICU Survivors O. Joseph Bienvenu, MD, PhD 2:35 - 2:50 Question and Answer Session  2:50 - 3:10 Refreshment Break  Session 6 - Specific Rehabilitation Interventions in the ICU Chair:  Jennifer Zanni, PT, DScPT  3:10 - 3:30 Physical Therapy Interventions in the ICU  Jennifer Zanni, PT, DScPT 3:30 - 3:50 Occupational Therapy Interventions in the ICU Angela Regensburg, MS, OTR/L 3:50 - 4:10 Speech-Language Pathology Interventions in the ICU Therese Kling-Cole, MA, CCC-SLP 4:10 - 4:30 Cognitive Rehabilitation Interventions in the ICU Kathleen Kortte, PhD ABPP-CNRP 4:30 - 4:50 Nursing and PT Interdisciplinary Early Mobilization Intervention in the Surgical ICU Cindy Dwyer, RN, BSN and Paul Ricard PT, DPT, CCS 4:50 - 5:05 Question and Answer Session  5:05 - 5:10 Day 1 Wrap-Up Dale Needham, MD PhD 5:30 - 7:00 Social Event at Bond Street Social Saturday, October 25, 2014  8:30 - 8:55 Continental Breakfast 8:55 - 9:00  Welcome and Conference Goals Dale Needham, MD PhD 9:00 - 9:40 Abstract Oral Presentations 1 Session 1 - Advanced Interdisciplinary Clinical Decision Making 9:40 - 10:25 Interactive Case Studies  Jennifer Zanni, PT, DScPT and Amy Toonstra , PT, DPT 10:25 - 10:40 Question and Answer Session  10:40 - 10:50 Break  10:50 - 11:30 Abstract Oral Presentations 2 Session 2 - Expanding the Scope of Early Rehabilitation Chair:  Michael Friedman, PT, MBA  11:30 - 11:50 Improving ICU Sedation, Delirium and Mobilization on a State-wide Level Sean Berenholtz, MD, MHS, FCCM 11:50 - 12:10 Hospital Wide Activity and Mobility Promotion Erik Hoyer, MD and  Annette Lavezza, OTR/L 12:10 - 12:30 Functional Reconciliation, Outcome Measures, and Electronic Medical Record Michael Friedman, PT, MBA 12:30 - 12:50 Safe Patient Handling: A Therapeutic Application Annette Lavezza, OTR/L 12:50 - 1:00 Question and Answer Session  1:00 - 2:00 Lunch Session 3 - Workshops with Multi-Disciplinary Rehabilitation Experts  2:00 - 3:30 Rehabilitation Issues in a Medical ICU   Facilitator:  Jennifer Zanni, PT, DScPT  Rehabiliation Issues in Non-Medical ICUs (Surgical, Neuro, Cardiac) Facilitator:  Paul Ricard PT, DPT, CCS  Functional Outcome Measures and Functional Reconciliation Facilitator:  Michael Friedman, PT, MBA  Culture Change & Overcoming Barriers for Changing Practice (Sedation, Delirium and Mobility) Facilitators:  Dale Needham, MD, PhD and Kathleen Bailey, RN, MSN, AG-ACNP 3:30 - 3:45 Break  3:45 - 4:00 Conference Wrap-Up Dale Needham, MD PhD The Johns Hopkins University School of Medicine takes responsibility for the content, quality and scientific integrity of this CME activity. This schedule is subject to change. SPEAKERS ACTIVITY DIRECTORDale Needham, MD, PhD  Associate Professor Division of Pulmonary and Critical Care Medicine Department of Physical Medicine and Rehabilitation Medical Director, Critical Care Physical Medicine and Rehabilitation Program Johns Hopkins University School of Medicine PLANNING COMMITTEEMichael Friedman, PT, MBA Director of Rehabilitation Therapy ServicesThe Johns Hopkins Hospital   Jennifer Zanni, PT, DScPT Physical TherapistThe Johns Hopkins Hospital   JOHNS HOPKINS SPEAKERSKathleen Bailey , RN, MSN, AG-ACNP Nurse Clinician Sean Berenholtz, MD, MHS, FCCM  Associate Professor of Anesthesiology/Critical Care Medicine and Surgery  O. Joseph Bienvenu, MD, PhD  Associate Professor of Psychiatry and Behavioral Sciences Therese Kling Cole, MA, CCC-SLP Speech Language Pathologist Cindy Dwyer, RN, BSN Nurse Clinician Erik Hoyer, MD  Assistant Professor of Physical Medicine and Rehabilitation Kathleen Kortte, PhD, ABPP-CNRP  Assistant Professor of Physical Medicine and Rehabilitation Annette Lavezza, OTR/L Inpatient Rehabilitation Supervisor  Heather O’Donnell, RRT  Adult Respiratory Care Therapist Angela Regensburg, MS, OTR/L Occupational Therapist Paul Ricard, PT, DPT, CCS Rehabilitation Team Coordinator  Amy Toonstra, PT, DPT Physical Therapist Samantha Young, MS, RN Clinical Nurse Specialist P ROGRAM

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