15th AnnualSouthern Hospital Medicine Conference

Collaborative Solutions Across Healthcare

OCtOber 9-11, 2014 With pre-conference courses on October 8

W Hotel Atlanta-Midtown - Atlanta, Georgia

Sponsors Emory University School of Medicine

Ochsner Health System

Conference Directors Daniel D. Dressler, MD, MSc, SFHM, FACP

Steven Deitelzweig, MD, MMM, FACP, SFHM Joanna Bonsall, MD, PhD

David H. Lee, MD, MBA, FACP, FHM Jeremiah H. Newsom, MD, MSPH

Dustin T. Smith, MD

Program Highlights Pre-Conference Courses: n Medical, Cardiac and Neurologic Critical Care with Simulation n Palliative Care Advanced Skills Workshop for the Practicing Hospitalist n Practical Inpatient Billing and Coding: Basics that All Inpatient Clinicians Need to Know n Advanced Inpatient Billing and Coding: ICD-10 and Impact on Clinical Documentation for Physicians and Healthcare Organizations n Efficient, High Valued Evidence-Based Medicine for the Practicing Hospitalist n Designing Hospital Units to Optimize Outcomes

keynote speakers THOMAS LEE, MD, MPH - Chief Medical Officer for Press Ganey

CHrISTIAN LArSEN, MD, DPhil - Dean of Emory’s School of Medicine

www.southernhospitalmedicine.org

n Plenary Sessions & 5 Breakout Session Tracks n Breakfast with the Expert Sessions n Quality-Innovations- research (QIr) and Clinical Vignette Poster Competitions

Introduction Caring for hospitalized patients requires an integrative knowledge of various specialty fields of medicine. A working knowledge of recent advances in the most common diagnoses is essential to efficiently and effectively manage hospitalized patients.

Need The rapid growth of the hospitalist movement has created an expanding knowledge need for the newest developments in the care of the hospitalized patients. Hospitalists are leaders in improving healthcare delivery from patient admission to discharge; imple-menting practice guidelines to improve quality of care; developing new ways to assess quality and performance; and reducing errors by preventing avoidable events and complications in the hospital. Healthcare providers who work in the hospital setting are constantly seeking new ideas and methods to improve and delivery high quality care. Sharing of quality processes and clinical pathways across different hospitals is important in advancing healthcare delivery in the US. This conference gives a proper forum for healthcare providers to update the newest concepts of hospital medicine and share their successes and failures of quality program implementation.

Purpose This conference provides practicing physicians, physician assistants, nurse practitioners, pharmacists and other healthcare providerswith newest concepts in advancing healthcare delivery in the hospital setting. It seeks to update the newest advances in clinical disease management, practice management, quality improvement, pharmacology, medical technology, evidence-based standards of care, and practice guidelines.

Accreditation Statement The Emory University School of Medicine Office of Continuing Medical Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Designation Statement The Emory University School of Medicine Office of Continuing Medical Education designates this live activity for a maximum of 19.75 AMA PRA Category 1 Credits™ for the main course.

Physicians should claim only the credit commensurate with the extent of their participation in the activity. Extra CME credits available (see below).

extra credits available Pre-Course #1: 8.0 (max) Pre-Course #2–6: 4.0 each (max) Practical Airway or Ultrasound Short Course: 3.5 each (max)Breakfast with the Expert: 1.0 (max per day) A certificate of attendance will be mailed or emailed within two weeks after the course.

Acknowledgement We wish to thank our supporters for their generous contributions to our meeting. Supporters will be recognized in the break area.

Quality-Innovations-research Abstract and Clinical Vignette Poster CompetitionEligibility: Abstracts may be submitted in one of two categories: (1) research (quality improvement, innovations, clinical and basic science research) or (2) clinical vignettes. Only original submissions that have not been presented at a prior regional hospitalist meeting will be considered. Quality-Innovations-research Competition: Submissions can report quality improvement, innovations, clinical and/or laboratory-based research or consist of a systematic review of a clinical problem. Research abstracts concerned with efficiency, cost, method of health care delivery, quality of care, and medical decision-making are also encouraged. Clinical Vignette Competition: A clinical vignette is a report of one or more cases that illustrate a new disease entity, a prominent or unusual clinical feature of an established disease, highlight an area of clinical controversy in hospital medicine, or illustrate a unique patient safety issue. Submission Deadline: Sunday, August 10, 2014 at 11:59 PM eastern. For complete competition and submission guidelines visit our website: www.southernhospitalmedicine.org and click on the link “Poster Session Guidelines”

Hotel Accommodations W Atlanta-Midtown 188 14th Street NE Atlanta, GA 30361 (404) 892-6000

eDUCAtIONAL ObJeCtIVeS The 5 most important lessons and broad concepts participants should learn by the end of this conference are to:

1. Identify current barriers and components that exist which affect the value of care provided by Hospital Medicine 2. Demonstrate competence in core areas of clinical know- ledge required by the American Board of Internal Medicine for the successful practice of medicine 3. Apply concepts and training to improve individual practice of medicine 4. Incorporate important values of professionalism, quality, and accountability into the care of patients 5. Implement necessary changes to the models of care present at each participant’s hospital/institution in order to improve healthcare delivery and patient outcomes

By the end of this conference, the participant should be able to: 1. Describe the current and future direction of hospital medicine. 2. Explain the current direction of healthcare quality improvement and professional accountability. 3. Improve healthcare through effective collaboration and co-management with other physicians and healthcare providers.4. Employ the most current concepts in the management of medical, neurologic, and cardiac critical care patients. 5. Apply the most current concepts in the management of patients with hypertension, cardiac arrhythmias, pneumonia, renal failure, and stroke. 6. Review the most pertinent recent medical literature in hospital medicine. 7. Interact in Q&A sessions with experts in perioperative care, CXR interpretation, stroke, pneumonia, medical-legal aspects of medicine, bedside ultrasound, acute liver failure, and billing and coding. 8. Utilize the newest treatment options in anticoagulation. 9. Apply excellence in sepsis and critical care quality metrics. 10. Describe trends in emerging hospital infections and the newest developments in infectious diseases such as antimicrobial resistance, HIV medicine, and opportunistic infections. 11. Explain the goals of palliative care medicine and how to reduce symptoms in end-of-life care. 12. Manage certain subspecialty conditions such as eye, allergy, or urologic emergencies in the hospital. 13. Effectively perform medical consultation and co-manage patients with other healthcare providers for patients requiring special care, such as patients on hemodialysis, bariatric patients, obstetric patients, psychiatric patients, adult congenital patients, and geriatric patients. 14. Achieve effective glycemic control for diabetic patients in the hospital. 15. Explain effective and compliant medical billing. 16. Describe the newest clinical documentation requirements and regulation as well as the current and future state of healthcare information technology. 17. Incorporate mobile medical resources into practice. 18. Apply the most current concepts in the medical manage- ment of patients undergoing surgery. 19. Efficiently and effectively practice evidence-based medicine. 20. Address challenges in hospitalized patients with fluid needs or electrolyte disorders. 21. Describe effective care transitions, including post-acute care. 22. Identify new guidelines and practices in transfusion medicine. 23. Utilize communication effectively to optimize patient outcomes. 24. Interpret chest imaging commonly performed on inpatients. 25. Understand the roles of advanced practice providers in hospital medicine and incorporate these providers effectively into a practice.

Hotel Accommodations (continued) We have reserved a block of rooms for registrants at the special rates of $169 for a single or double. To make your hotel reservations, telephone the W Hotel Atlanta-Midtown at 1-800-937- 8416, and mention the 15th Annual Southern Hospital Medicine Conference or Emory University School of Medicine. You can also visit W Atlanta Midtown website (www.watlantamidtown.com) to make your reserva-tions. Please note that the special rate will be available until September 18, 2014 after which reservations and room rates will be on a space available basis. We rec-ommend that you make your hotel reservations early. For more information about W Atlanta-Midtown please feel free to visit www.watlantamidtown.com

registration Information The registration fee for participants includes all educational materials, daily continental breakfast, and refreshments. Deadline for receipt of registration form and fee is September 23, 2014. If we do not receive your registration prior to this date, we cannot guarantee sufficient course materials. A list of participants will not be provided at the conference. If you do not receive a confirmation of registration or you have any questions regarding this conference, please contact Emory’s Continuing Medical Education Department at 404-727-5695.

PrE-COUrSE #3: Practical Inpatient Billing and Coding (HALF-DAY, AM)

Course Directors: Yvette Cua, MD and CoLette Morgan, MD, FHM

OBjECtiVEs: n Describe and utilize billing and coding guidelines pertinent to hospitalists, including inpatient and observation billing, time-based codes, critical care billing, and much, much more!n Demonstrate competency in billing and coding concepts through small group interactive case studies

AGENDA:• Overview and Guideline Review • Breakout Session III: Interactive Cases• Breakout Session I: Interactive Cases Procedural billing, split-shared billing, palliative care Hospital driven documentation: RAC attack, • Breakout session iV: interactive Cases observation vs. inpatient, POAs, • Wrap up and Evaluation (teaching environment documentation)• Breakout Session II: Interactive Cases Consults / co-management, Time-based coding: critical care, discharges, prolonged services

PrE-COUrSE #4: Advanced Inpatient Billing and Coding — ICD-10 and Impact on Clinical Documentation for Physicians and Healthcare Organizations (HALF-DAY, PM)

Course Directors: Colette Morgan, MD, FHM and Yvette Cua, MDEffective October 1, 2014, institutions in the United States will officially be required to use the 68,000 diagnosis codes in ICD-10 (increased from 13,000 ICD-9 diagnosis codes). This course will make sure you are ready for this imminent billing and coding challenge. The course will utilize interactive cases to illustrate the key components of the new ICD-10 coding system.

OBjECtiVEs: n Compare and contrast coding using ICD-10 (versus ICD-9) and utilize strategies to effectively and efficiently adjust billing and coding practices within the new systemn Describe documentation requirements by body-system guidelines in ICD- 10-CM for frequently reported diagnoses.n Implement strategies to improve documentation and facilitate a smooth transition to ICD-10-CM

PrE-COUrSE #5: Palliative Care Advanced Skills Workshop for the Practicing Hospitalist (HALF-DAY, AM)

Course Directors: Tammie Quest, MD

OBjECtiVEs:n Describe and implement strategies for managing high-conflict family meetings focused on withdrawing and withholding life sustaining therapies (e.g. resuscitation, mechanical ventilation, fluids, tube feedings, TPN, antibiotics, ICU transfer etc) (1.5 hours)n Actively utilize key clinical strategies for pain management in difficult and complex cancer and non-cancer pain patients (1 hour)n Describe key elements of prognostication and referral for hospice eligibility in cancer and non-cancer patients in the context of revised 2014 Medicare Hospice Guidelines (1 hour)

PrE-COUrSE #6: Designing Hospital Units to Optimize Outcomes (HALF-DAY, PM)

Course Director: Jason Stein, MD FHM / Course Faculty: Diaz Clark, RN; Bryan Castle, RN, MBA

About the CourseThis course will provide a practical overview of the convergent structure, process, management, training, and system fea-tures that improve the outcomes for hospitalized patients and the frontline professionals who care for them. The course will draw upon Accountable Care Units (ACUs) with Structured Interdisciplinary Bedside Rounds (SIBR), a model which has been implemented in multiple hospitals in the U.S. and Australia and has also been included in the project portfolio of the CMS Innovation Center. Who Should AttendThis pre-course is aimed at all professionals with an interest in designing hospital care towards greater quality, reli-ability, accountability, and patient-centeredness, including hospital unit leaders (e.g. physicians, nurses, and allied health professionals); hospital leadership (e.g. executive leadership, nursing leadership, clinical governance, and quality and safety officers); and medical and nursing educators (e.g. directors of training and professional development programs).

OBjECtiVEs:At the conclusion of this activity participants will be able to:n Describe features of a hospital ward structure designed to optimize outcomes, i.e. the Accountable Care Unit (ACU)n Explain and incorporate features of a patient-centered teamwork model called Structured Interdisciplinary Bedside Rounds (SIBR)n Describe the influence ACU-SIBR care model on unit outcomes

AGENDA:1st hour Structure: the Accountable Care Unit (ACU)2nd hour Process: Structured Interdisciplinary Bedside Rounds (SIBR)3rd hour Outcomes: Clinical, Service, Cost, and EducationDiscussion Launching and Sustaining an ACU with SIBR

Pre-Conference CourseS 3-6

10:30-11:00am ACLS update with ETCO2 and IO Access 11:15-11:45am Management of patients with acute and chronic liver disease in the ICU11:45-12:15pm Management of acute kidney injury in the ICU 12:15-12:25pm Morning Summary and Afternoon instructions

PrE-COUrSE #1: Interactive State-of-the-Art Medical, Cardiac and Neuro Critical Care with Airway and Shock Simulation (FULL DAY)

Course Directors: Kevin Felner, MD (MICU/Simulation) and Brian Kaufman, MD (MICU/Simulation)Course Co-Directors: Dmitri Cassimatis, MD (Cardiac Critical Care); Micah Fisher, MD (Pulmonary Critical Care); Wendy Wright, MD (Neuro Critical Care)

OBjECtiVEs: n Describe relevant evidence-based strategies for optimal care of critically ill patients in medical, neuro, and cardiac intensive care units.n Integrate up-to-the-second clinical information with high-intensity medical situations to provide the best care to ‘real patients’ with shock or airway challenges (in a simulation environment)

AGENDA: MOrNING LArGE GrOUP SESSIONS8:00-8:05am Introduction 8:05-8:35am Shock/vasopressors 8:35-9:05am Airway Management 9:05-9:35am Toxicology 9:50-10:30am Ventilator Management

AFTErNOON GrOUP SESSIONS (Simulations 90 mins each, all other sessions 40 mins each)

Cardiac Critical CareNeuro-Critical Care Simulation12:45pm Shock and Airway Simulation1:30pm Acute Coronary Syndromes Neuro Assessment and Diagnostics: Neuro Exam; Neuro-Monitoring Modalities; and Indications for Imaging2:15pm Therapeutic Hypothermia Neurologic Emergencies: Coma, Neuromuscular Respiratory Failure, Meningitis, Increased ICP; and Indications for Neurosurgical Consultation2:30pm Shock and Airway Simulation3:00pm Acute Heart Failure and Acute Stroke Care Cardiac Shock Initial Management3:45pm BREAK BREAK 4:00pm Hypertensive Emergency Seizure and Status Epilepticus BREAK4:15pm Shock and Airway Simulation4:45pm Evolving and Advanced Intracerebral Hemorrhage Management of PE in Critical Illness5:30pm Arrhythmia in the ICU: Brain Death and End-of-Life Care Recognition and Treatment5:45pm Adjourn6:15pm Adjourn Adjourn

PrE-COUrSE #2: Efficient High-Value Evidence-Based Medicine for the Practicing Hospitalist (HALF-DAY, AM)

Course Directors: Dustin Smith, MD and Eduard Vasilevskis, MD

OBjECtiVEs: n Use the highest quality and most efficient electronic and mobile resources to find evidence (“Pull”), keep up with relevant literature (“Push”), and make point of care evidence-based practice decisions.n Critically appraise highly relevant publications germane to inpatient care efficiently and effectively and incorporate evidence into clinical practice.

AGENDA:8:00-8:05am – Introduction8:05-8:30am – The Push and Pull of Daily Practice: Electronic Resources to Access High-Quality Information Efficiently8:30-9:30am – The Down and Dirty (D&D) of Rapidly and Effectively Interpreting Common Publications9:30-11:30am – BREAKOUT OPTIONS for HANDS-ON PRACTICAL STUDY INTERPRETATION and APPLICATION 1) RCT: Rapid Review of Randomized Controlled Trials (RCTs) 2) Meta: Mastery of Meta-Analysis That Even Your Mom Can Interpret 3) Guideline: Guidelines Made Genuinely Ridiculously Simple 4) Electronic-Evidence: More Electronics!: Using My Smart Phone or Other Device to Make Me More Efficient, Effective, and Evidence-Based!

11:40-12:00pm – Summary and Wrap-Up with Q&A (Take Your EBM Tool Kit Home to Play With)

Pre-Conference CourseS 1-2

Wednesday, October 8, 2014 7:00am – 4:00pm Registration7:00am – 8:00am Continental Breakfast8:00am – 6:15pm Pre-Course #1 (Full-Day): Interactive State-of-the-Art Medical, Cardiac and Neuro Critical Care with Airway and Shock Simulation – Kevin Felner, MD (MICU/Simulation) Brian Kaufman, MD (MICU/Simulation)8:00am – 12:00pm AM Pre-Course #2 (Half-Day AM): Efficient High-Value Evidence-Based Medicine for the Practicing Hospitalist – Dustin Smith, MD and Eduard Vasilevskis, MD AM Pre-Course #3 (Half-Day AM): Practical Inpatient Billing and Coding – Yvette Cua, MD and Collette Morgan, MD AM Pre-Course #5 (Half-Day AM): Palliative Care Advanced Skills Workshop for the Practicing Hospitalist – Tammie Quest, MD12:00pm – 1:30pm Lunch Break1:30pm – 5:30pm PM Pre-Course #4 (Half-Day PM): Advanced Inpatient Billing and Coding: ICD-10 and Impact on Clinical Documentation for Physicians and Healthcare Organizations – Yvette Cua, MD and Collette Morgan, MD PM Pre-Course #6 (Half-Day PM): Designing Hospital Units to Optimize Outcomes – Jason Stein, MD, FHM

thursday, October 9, 2014 7:00am – 4:00pm Continental Breakfast7:45am – 8:00am Welcome & Introductions – Daniel D. Dressler, MD, MSc, SFHM, FACP8:00am – 8:45am Hospital Medicine in 2014 and Beyond – Burke Kealey, MD, SFHM, SHM President8:45am – 9:30am Optimal Glycemic Control in the Hospitalized Patients – Guillermo Umpierrez, MDPRACtiCAL iNtENsiVE AiRWAY sHORt-COURsE8:45am – 11:15pm KEVIN FELNER, MD and BRIAN KAUFMAN, MD 150 MINUTES OF FOCUSED HANDS-ON AIRWAY TRAINING FROM NATIONAL EXPERTS IN DIFFICULT AIRWAY STRICT LIMITED ENROLLMENT VERY LOW STUDENT TEACHER RATIO (Additional charge applies)9:30am – 10:15am KEYNOTE: Value and Patient Experience as a Collaborative Organizational Strategy – Thomas Lee, MD, MPH, Chief Medical Officer, Press Ganey10:15am – 10:45am Morning Break10:45am – 11:30am Sepsis: New Evidence and Best Practice to Improve Patient Outcomes – Jonathan Sevransky, MD, MHS11:30am – 12:30pm VTE Controversies - Diagnostics, Filters, Thrombolytics, and More – Steven Deitelzweig, MD, MMM, FACP, SFHMPRACtiCAL iNtENsiVE AiRWAY sHORt-COURsE12:30pm – 3:00pm KEVIN FELNER, MD and BRIAN KAUFMAN, MD 150 MINUTES OF FOCUSED HANDS-ON AIRWAY TRAINING FROM NATIONAL EXPERTS IN DIFFICULT AIRWAY STRICT LIMITED ENROLLMENT VERY LOW STUDENT TEACHER RATIO (Additional charge applies)12:30pm – 2:15pm Lunch Break2:15pm – 3:15pm Breakout Sessions – Select One Fluid and Electrolyte Challenges – Arlene Chapman, MD Medication Management in the Elderly – Melissa Stevens, MD Advanced Practice Providers (NPs and PAs) in Hospital Practice: Evidence and Best Practice – Yvonne Brown, ACNP, PhD and Valery Akopov, MD, SFHM “Don’t Get CAUTI with Your Pants Down”: Diagnosis and Management of Healthcare Associated UTI – Karen Clarke, MD, MPH, MSc, FACP, FHMPRACtiCAL iNtENsiVE AiRWAY sHORt-COURsE3:15pm – 5:45pm KEVIN FELNER, MD and BRIAN KAUFMAN, MD 150 MINUTES OF FOCUSED HANDS-ON AIRWAY TRAINING FROM NATIONAL EXPERTS IN DIFFICULT AIRWAY STRICT LIMITED ENROLLMENT VERY LOW STUDENT TEACHER RATIO (Additional charge applies)3:15pm – 3:40pm Afternoon Break3:40pm – 4:40pm Breakout Sessions – Select One “Are You Having Problems with Your Staph?”…Resistant and Recurrent Hospital Infections: MRSA, C.diff, KPC-Klebsiella, and More – Rob Marier, MD Transfusion Tribulations: Efficacy vs. Safety – Anne Marie Winkler, MD Transitioning to Post-Acute Care: The Where, Why and How to Send My Patient After Hospitalization – Eduard Vasilevskis, MD Stump the Chump Session: Oral Case Presentation of Challenging Unknown with Active Case Dissection – David Krakow, MD 4:40pm – 4:45pm Afternoon Break4:45pm – 5:45pm Breakout Sessions – Select One The Skinny on Complicated Skin and Soft Tissue Infections (SSTI) – Allison Smith, MD Perioperative Management of Diabetes and other Endocrine Disorders – Bruce Mitchell, MD A Practical Communication Workshop for Clinicians – Communication to Optimize Outcomes: The “COO” of Amazing Clinical Care – Kimberly Manning, MD and Julie Jackson-Murphy, MD Consultation: Eye Emergencies Hospitalists Need to Identify and Manage – Geoffrey Broocker, MD, FACS5:45pm – 7:30pm Poster Session & reception

Friday, October 10, 2014 6:45am- 7:45am Continental Breakfast7:00am- 8:00am Breakfast with the Expert – Select One Perioperative Cardiac Risk Stratification – Efren Manjarrez, MD, SFHM CXR and Chest CT Imaging for the Inpatient Physician – Stefan Tigges, MD “My Smart Phone Went to Medical School” – Medical Mobile Resources to Augment Inpatient Practice – Richard Pittman, MD Medical-Legal Aspects of Inpatient Clinical Care – Shahed Brown, MD Optimal Triage and Care in Acute Upper GI Bleeding – Mohommad Wehbi, MD8:00am – 8:10am Welcome – Daniel D. Dressler, MD, MSc, SFHM, FACP8:00am – 12:30pm PrACTICAL BEDSIDE ULTrASOUND IN THE INPATIENT SETTING 4.5-HOUR HANDS-ON MINI-COURSE MINI-COURSE DIRECTOR: NILAM SoNI, MD VERY LOW STUDENT TEACHER RATIO (Additional charge applies)8:10am – 9:00am Acute Stroke State-of-the-Art Care – Wendy Wright, MD9:00am – 9:45am Resuscitation Best Evidence to Improve Relevant Outcomes – Maziar Zafari, MD, PhD9:45am – 10:30am KEYNOTE: Mindful Medicine: How checklists, collaboration, and compassion are transforming patient care and outcomes – Christian Larsen, MD, DPhil Dean, Emory University School of Medicine10:30am – 11:00am Morning Break11:00am – 11:45am Improving Outcomes of Hospitalized Elderly Patients: Mobile Acute Care for the Elderly (ACE) Units – Kellie Flood, MD11:45am – 1:15pm Update in Hospital Medicine: 2014 Literature Impacting Inpatient Care – Daniel D. Dressler, MD, MSc, SFHM, FACP and Dustin T. Smith, MD1:15pm – 2:40pm Lunch Break1:30pm – 6:00pm PrACTICAL BEDSIDE ULTrASOUND IN THE INPATIENT SETTING 4.5-HOUR HANDS-ON MINI-COURSE MINI-COURSE DIRECTOR: NILAM SoNI, MD VERY LOW STUDENT TEACHER RATIO (Additional charge applies)2:40pm – 3:40pm Breakout Sessions – Select One Pneumonia…from CAP to HCAP Best Practice – Lorenzo DiFrancesco, MD Medication Management in the Dialysis Patient – Nicole Metzger, PharmD, Melissa Chesson, PharmD and Sal Singapuri, MD Providing High-Value Cost Conscious Care in the Inpatient Setting – Jeremiah Newsom, MD Childhood Conditions All Grown Up – What Adult Hospitalists Need to Know – Dhaval Desai, MD3:40pm – 4:00pm Afternoon Break4:00pm – 5:00pm Breakout Sessions – Select One Inpatient Hypertension Management – Lydia Bazzanno, MD, PhD Life Threatening and Non-Life Threatening Allergic Reactions in the Hospital: Identifying, Distinguishing and Treating – Neil Winawer, MD Quality Improvement Basics for Board Recertification – Kevin Flemmons, MD Urologic Urgencies and Emergencies that Hospitalists Need to Identify and Manage – John Vazquez, MD 5:00pm – 5:05pm Afternoon Break5:05pm – 6:05pm Breakout Sessions – Select One “Which Antibiotic Should I Choose?” Selection of Antimicrobials Made Ridiculously Simple – James Kim, MD Use of Antidepressants and Antipsychotics in the Inpatient Setting – Martha Ward, MD Innovations in Hospital Medicine: From ACOs to Observation Units to Care Transition Coaches to Post-Acute Care Strategies – Valery Akopov, MD, SFHM Optimizing Inpatient Handovers to Impact Patient Outcomes – Joanna Bonsall, MD, PhD

saturday, October 11, 2014 7:00am – 8:00am Breakfast with the Expert – Select One Preoperative Cardiac Risk Stratification – Efren Manjarrez, MD, SFHM Urgent Medical Conditions in Obstetric Patients – Stacy Higgins, MD, FACP and Demetrius Woods, MD, MPH Billing and Coding Cliffnotes: Optimizing Charge Capture in the Hospital – Yvette Cua, MD “Not So Fast…” Evaluating and Managing Afib and Aflutter in the Hospital – Elbert Chun, MD7:00am – 8:00am Bonus Early AM Session: History of Quality Improvement and Patient Safety – Jordan Messler, MD, SFHM8:00am – 8:10am Welcome – Daniel D. Dressler, MD, MSc, SFHM, FACP8:10am – 9:00am HIV Medications and Opportunistic Infections in 2014: What the Hospitalist Needs to Know – Jeffrey Lennox, MD9:00am – 9:45am Getting Yourself and Your Organization to 2015 Standards in Healthcare IT – Julie Hollberg, MD9:45am – 10:15am Morning Break10:15am – 10:45am Evaluation and Care of the Surgical Patient Every Hospitalist Should Know – Carla Haack, MD10:45am – 11:30am Optimizing Care Transitions: Evidence, Myths and Everything In Between – Sunil Kripalani, MD, MSc11:30am – 12:15pm Acute Heart Failure – Sonjoy Laskar, MD12:15pm – 12:45pm Wrap Up – David Lee, MD, FACP, SFHM12:45pm Adjourn

Conference Directors DANIEL D. DrESSLEr, MD, MSC, SFHM, FACP Course Director Professor of Medicine Hospital Medicine Associate Division Director for Education Emory University School of Medicine stEVEN DEitELzWEig, MD, MMM, FACP, sFHM Course Director New Orleans Regional Vice President Medical Affairs System Chairman, Department of Hospital Medicine Vice-President of Medical Affairs Ochsner Health System

JOANNA M. BONSALL, MD, PHD Course Co-Director Hospital Medicine Assistant Division Director for Education Assistant Professor of Medicine Emory University School of Medicine

DAViD H. LEE, MD, MBA, FACP, FHM Course Co-Director System Vice Chairman, Department of Hospital MedicineOchsner Health System

JErEMIAH H. NEWSOM, MD, MSPH Course Co-Director Staff Physician, Department of Hospital Medicine

DUSTIN T. SMITH, MD Course Co-Director Hospital Medicine Assistant Division Director for Education Associate Site Director for Hospital Medicine, Atlanta VA Medical Center Assistant Professor of Medicine Emory University School of Medicine

THOMAS LEE, MD, MPH Chief Medical Officer, Press Ganey Professor of Medicine, Harvard Medical School Professor of Health Policy & Management, Harvard School of Public Health Senior Physician, Brigham & Women’s Hospital

CHrISTIAN LArSEN, MD, DPhil Dean, Emory University School of Medicine Vice President for Health Center Integration, Woodruff Health Sciences Center Chair, Board of Directors, The Emory Clinic Professor of Surgery, Division of Transplantation, Department of Surgery, Emory

Keynote Speakers

SUNIL KrIPALANI, MD, MSC, SFHM Associate Professor, Chief of Section of Hospital Medicine Vanderbilt University School of Medicine

EFREN MANjARREz, MD, sFHM Interim Director, Division of Hospital Medicine University of Miami School of Medicine rOB MArIEr, MD, MHA Hospitalist Physician, Ochsner Health System Emeritus Professor of Medicine & Public Health, LSU Health Sciences Center NiCOLE MEtzgER, PHARMD, BCPs Clinical Assistant Professor of Pharmacy Practice Mercer University JOrDAN MESSLEr, MD, SFHM Medical Director, Morton Plant Hospitalists Clearwater, Florida ALLISON SMITH, MD Assistant Professor of Medicine Vanderbilt University School of Medicine NILAM SONI, MD Associate Professor of Medicine University of Texas Health Science Center San Antonio EDUARD VAsiLEVskis, MD, MPH, FHM Assistant Professor of Medicine Vanderbilt University School of Medicine

Distinguished Guest Faculty VALERY AkOPOV, MD, sFHM Vice President & Chief of Hospital Medicine Wellstar Health System LYDiA BAzzANO, MD, MPH, PHD Associate Professor, Department of Epidemiology Tulane University School of Public Health & Tropical Medicine MELISSA CHESSON, PHArMD Clinical Assistant Professor of Pharmacy Practice Mercer University YVEttE M. CUA, MD Associate Professor of Medicine University of Louisville School of Medicine kEViN FELNER, MD Assistant Professor of Medicine New York University School of Medicine

kEViN FLEMMONs, MD, sFHM Assistant Professor of Medicine Vanderbilt University School of Medicine KELLIE FLOOD, MD Associate Professor of Medicine University of Alabama at Birmingham School of Medicine BrIAN KAUFMAN, MD Professor and Service Chief, NYUHC New York University School of Medicine Director, Simulation Laboratory Harbor Healthcare

BUrKE KEALEY, MD, SFHM President, Society of Hospital MedicineAssociate Medical Director for Hospital Specialties Health Partners

emory University School of medicine

GEOFFrEY BrOOCKEr, MD, FACS Walthour-DeLaPerriere Professor of Ophthalmology Chief of Ophthalmology, Grady Memorial Hospital YVONNE BROWN, ACNP, PHD Nurse Practitioner, Lead APP, Hospital MedicineDivision of Hospital Medicine, Associate Program Director SHAHED BrOWN, MD Assistant Professor of Medicine, Division of Hospital Medicine Associate Program Director DIMITrI CASSIMATIS, MD, FACC Assistant Professor of Medicine, Division of Cardiology

ArLENE CHAPMAN, MD Professor of Medicine, Division of Nephrology ELBErT CHUN, MD Assistant Professor of Medicine, Division of Hospital Medicine KArEN CLArKE, MD, MSC, MPH, FHM, FACP Assistant Professor of Medicine Division of Hospital Medicine

DHAVAL DEsAi, MD Clinical Instructor of Medicine, Division of Hospital MedicineAssociate Site DirectorConference Committee Member

LORENzO DiFRANCEsO, MD Professor of Medicine Internal Medicine Program Director Conference Committee MICAH FISHEr, MD Chief Pulmonary & Critical Care, Emory University Hospital Assistant Professor of Medicine gUiLLERMO UMPiERREz, MD Professor of Medicine, Division of Endocrinology CArLA HAACK, MD Assistant Professor of Surgery STACY HIGGINS, MD, FACP Associate Professor of Medicine Program Director, Primary Care Internal Medicine Residency JULIE HOLLBErG, MD Chief Medical Information Officer, Emory Healthcare JULIE JACKSON-MUrPHY, MD Assistant Professor of Medicine, Division of Hospital Medicine JAMES KIM, MD Assistant Professor of Medicine, Division of Hospital Medicine DAViD kRAkOW, MD Assistant Professor of Medicine, Division of Hospital Medicine SONJOY LASKAr, MD Associate Professor of Medicine, Division of Cardiology Medical Director, VAD Program

JEFFrEY LENNOx, MD Professor of Medicine, Division of Infectious Diseases Associate Dean, Clinical Research

KIMBErLY MANNING, MD Associate Professor of Medicine BrUCE MITCHELL, MD, FACP Assistant Professor of MedicineDirector of Hospital Medicine, Emory University Hospital Midtown COLETTE MOrGAN, MD, FHM Instructor, Emory School of Medicine

J. rICHArD PITTMAN, MD Clerkship Director, Internal Medicine Assistant Professor of Medicine TAMMIE QUEST, MD Director, Emory Center for Palliative Care Associate Professor of Emergency Medicine MOHAMMAD “SAL” SINGAPUrI, MD, FACP, FHM Assistant Professor of Medicine jONAtHAN sEVRANskY, MD, MHs Assistant Director for Medicine of Emory Critical Care Center JASON STEIN, MD, FHM Hospital Medicine Associate Division, Director for Quality

MELissA stEVENs, MD Assistant Professor of Medicine STEFAN TIGGES, MD, MSCr Associate Professor of Medicine, Department of Radiology jOHN VAzqUEz, MD Associate Division Director, Clinical Affairs, Hospital Medicine Assistant Professor of Medicine MArTHA WArD, MD Assistant Professor, Department of Psychiatry & Behavioral Sciences and Department of Medicine MOHAMMAD WEHBI, MD Associate Professor of Medicine, Division of Digestive Diseases

NEIL WINAWEr, MD, SFHM Professor of Medicine Director of Hospital Medicine, Grady Memorial Hospital

ANNIE WINKLEr, MD, MSC Assistant Professor of Pathology

DEMETrIUS WOODS, MD, MPHAssistant Professor of MedicineDivision of General Obstetrics & Gynecology WENDY WrIGHT, MD Associate Professor of Neurology & Neurosurgery MAziAR zAFARi, MD, PHD Professor of Medicine, Division of Cardiology Chief of Cardiology, Atlanta Veterans Medical Center

Other Conference Committee Members ELizABEtH DE, MD

JOSEPH DEE, MPH

kEViN HENzE, MBA

THEODOrE JOHNSON, MD, MPH

15th Annual Southern Hospital Medicine Conference October 8-11, 2014 Atlanta-Midtown, Atlanta, GA Online registration is preferred. Please visit www.southernhospitalmedicine.org to register online

*LAST Name ______________________________ *FIRST Name _____________________________

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*Degree(s) _______________________________ Specialty ________________________________ *Address ________________________________

*City/State/Zip Code _______________________ *Telephone Number ________________________ Day _______________ Evening ________________

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* indicates mandatory information registration Selections: PRE-CONFERENCE COURSES: (Please avoid overlapping selections)

(LIMITED ENRoLLMENT, choose session to attend)

WEDNESDAY, OCTOBEr 8, 2014 PrE-CONFErENCE COUrSE 1: Interactive State-of-the-Art Medical, Cardiac and Neuro Critical Care with Airway and Shock Simulationq 8:00 am - 6:15 pm $545

PrE-CONFErENCE COUrSE 2: Efficient High-Value Evidence-Based Medicine for the Practicing Hospitalist q 8:00 am – 12:00 pm $345 PrE-CONFErENCE COUrSE 3: Interactive Inpatient Billing and Coding: Basics that all Inpatient Clinicians Need to Knowq 8:00 am – 12:00 pm $345

PrE-CONFErENCE COUrSE 4: Advanced Inpatient Billing and Coding: ICD-10 and Impact on Clinical Documentation for Physicians and Healthcare Organizations q 1:30 pm – 5:30 pm $345 PrE-CONFErENCE COUrSE 5: Palliative Care Advanced Skills Workshop for the Practicing Hospitalistq 8:00 am – 12:00 pm $345

PrE-CONFErENCE COUrSE 6: Designing Hospital Units to Optimize Outcome and Structured Interdisciplinary Bedside Rounding and Structured Interdisciplinary Bedside Rounding (SIBR) q 1:30 pm – 5:30 pm $345 Late registration (After September 8, 2014): Add $75 for each full-day pre-course; add $50 for each half-day pre-course

*MAIN CONFErENCE: registration: Check one of the following:

Before September 8 After September 8 q $645 Non SHM q $745 Non SHM Member Physicians Member Physiciansq $545 SHM q $645 SHM Member Physicians Member Physiciansq $295 Allied Health Provider q $370 Allied (PA, NP, PharmD, RN) Health Provider (PA, NP, PharmD, RN)q $195 Resident or Fellow q $195 Resident or Fellow q $25 Medical Student q $25 Medical Student onsite Registration: Add $75 for Administrative Fee. Cancellations before September 8 will incur a $50 Administrative Fee. NO rEFUNDS after September 8, 2014 SHM Member Number: __________________ (SHM = Society of Hospital Medicine; Active Membership will be verified)

iNtENsiVE sHORt COURsE EXtRA sEssiONs (Note: additional fee applies; may overlap with other sessions): Practical Intensive Airway Short Course - $195 q Thursday, October 9 – 8:45 – 11:15amq Thursday, October 9 – 12:30 – 3:00pmq Thursday, October 9 – 3:15 – 5:45pmPractical Bedside Ultrasound Short Course - $345 q Friday, October 10 – 8:00 – 12:30 pm q Friday, October 10 – 1:30 – 6:00 pm BrEAKFASTS WITH THE ExPErT: Friday, October 10, 2014, 7:00 am – 8:00 am (Pre-registration is required. Space is limited.) $25 q Session A: Perioperative Cardiac Risk Stratification – Efren Manjarrez, MD, SFHM q Session B: CXR and Chest CT Imaging for the Inpatient Physician – Stefan Tigges, MD q Session C: “My Smart Phone Went to Medical School” – Medical Mobile Resources to Augment Inpatient Practice – Richard Pittman, MD q Session D: Medical-Legal Aspects of Inpatient Clinical Care – Shahed Brown, MD q Session E: Optimal Triage and Care in Acute Upper GI Bleeding – Mohommad Wehbi, MD Saturday, October 11, 2014, 7:00 am – 8:00 am (Pre-registration is required. Space is limited.) $25 q Session A: Preoperative Cardiac Risk Stratification – Efren Manjarrez, MD, SFHM q Session B: Urgent Medical Conditions in Obstetric Patients – Stacy Higgins, MD,FACP q Session C: Billing and Coding Cliffnotes: Optimizing Charge Capture in the Hospital – Yvette Cua, MD q Session D: “Not So Fast…” Evaluating and Managing Afib and Aflutter in the Hospital – Elbert Chun, MD *SUMMArY OF FEES: Pre-Conference Course 1: ____ Pre-Conference Course 2: ____ Pre-Conference Course 3: ____ Pre-Conference Course 4: ____ Pre-Conference Course 5: ____ Pre-Conference Course 6: ____ Main Conference: ____ Practical Intensive Airway ____ Practical Bedside Ultrasound ____ Breakfast with the Expert Friday ____ Breakfast with the Expert Saturday ____ TOTAL ___________

*PAYMENT METHOD: q Check or Money Order (Payable to Emory University School of Medicine) enclosed. Please send your registration form and payment to: Emory University School of Medicine – Office of Continuing Medical Education c/o Registration Manager 1462 Clifton Road, Suite 276, Atlanta, GA 30322 Telephone: (404) 727-5695, Fax: (404) 727-5667

For course information and questions, please contact: Keir Gray in the CME office: Email: kgray02@emory.edu Phone: (404) 727-0063

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