PROGRAM SCHEDULE | FRIDAY, OCTOBER 23 Jointly presented by the Society for Ambulatory Anesthesia and American Society of Dentist Anesthesiologists A AND AS D B M A SA MID -YEAR MEETING October 23, 2015 | San Diego, CA Westin San Diego Gaslamp Quarter Jointly provided by the American Society of Anesthesiologists and Society for Ambulatory Anesthesia EVENT INFORMATION MEETING OBJECTIVES • D escribe the anatomic, physiologic and procedural factors that distinguish dental office-based anesthesia from other common office-based anesthetics. The American Society of Anesthesiologists designates this live activity for a maximum of 6.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. • D iscuss what is known about the risks of sedation and non-operating room anesthesia care. • Identify the major regulatory concerns in ambulatory surgery. • D etermine the anesthetic considerations/management for complex procedures in the non-operating room locations. TARGET AUDIENCE This meeting is designed to educate and share information that will enable anesthesiologists, dentist and anesthesia providers and practitioners who specialize in ambulatory or ofﬁce-based anesthesia to provide the highest level of ambulatory anesthesia services or out of OR care and improve patient outcomes. ABOUT THIS MEETING Topics for this meeting were selected by a joint committee of the Society for Ambulatory Anesthesia (SAMBA) and the American Society of Dentist Anesthesiologists (ASDA), as well as by board members, reviews of published literature and by soliciting suggestions from members of SAMBA and ASDA who are active in the clinical practice of ambulatory anesthesia. ACCME ACCREDITATION This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the American Society of Anesthesiologists (ASA). The American Society of Anesthesiologists is accredited by the ACCME to provide continuing medical education for physicians. 2 SAMBA Mid-Year Meeting 2015 ASDA is an ADA CERP Recognized Provider of Continuing Education. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Concerns or complaints about a CE provider may be directed to the provider or to ADA CERP at www.ada.org/cerp. Information provided in this educational activity is for continuing education purposes only. Participants are cautioned about the risks associated with implementing new techniques, and continuing educational activities are not intended as a substitute for professional judgment. In accordance with the ADA CERP Standards for Commercial Support, the ASDA has taken steps to ensure that there are no conflicts of interest with any Annual Session faculty The American Society of Dentist Anesthesiologists is an ADA CERP provider of continuing education. This lecture course will provide 7 CEUs. DISCLAIMER The CME activities and information provided at the SAMBA Mid-Year Meeting is for continuing medical education purposes only and is not meant to substitute for the independent medical judgment of a physician relative to diagnostic and treatment options of a specific patient’s medical condition. DISCLOSURE POLICY The American Society of Anesthesiologists remains strongly committed to providing the best available evidence-based clinical information to participants of this educational activity and requires an open disclosure of any potential conflict of interest identified by our faculty members. It is not the intent of the American Society of Anesthesiologists to eliminate all situations of potential conflict of interest, but rather to enable those who are working with the American Society of Anesthesiologists to recognize situations that may be subject to question by others. All disclosed conflicts of interest are reviewed by the educational activity course director/chair to ensure that such situations are properly evaluated and, if necessary, resolved. The American Society of Anesthesiologists educational standards pertaining to conflict of interest are intended to maintain the professional autonomy of the clinical experts inherent in promoting a balanced presentation of science. Through our review process, all American Society of Anesthesiologists CME activities are ensured of independent, objective, scientifically balanced presentations of information. Disclosure of any or no relationships will be made available for all educational activities. The American Society of Dentist Anesthesiologists is an ADA CERP provider of continuing education, and adheres to all ADA CERP standards and guidelines. STATEMENT OF NEED The SAMBA Mid-Year Meeting provides a forum devoted to ambulatory and office-based anesthesia offering clinically relevant lectures, panels and problem-based learning discussions; highlights of innovative ambulatory and officebased practices; and networking opportunities with peers and experts in the field. SPECIAL NEEDS SAMBA and ASDA fully comply with the legal requirements of the Americans with Disabilities Act and the rules and regulations thereof. If any attendee in this educational activity is in need of accommodations, please contact SAMBA at (312) 321–6872. PROGRAM SCHEDULE | FRIDAY, OCTOBER 23 8:00 a.m. – 8:05 a.m. Introductions/Welcome/Announcements Lecture 1: Is Dental OBA More Problematic than Other Types? 8:05 a.m. – 8:35 a.m. This session will describe the anatomic, physiologic and procedural factors that distinguish dental office-based anesthesia from other common office-based anesthetics. Richard Urman, M.D.; Mark Saxen, D.D.S., Ph.D. Lecture 2: Non-operating Room Anesthesia Safety 8:35 a.m. – 9:05 a.m. This session will highlight current knowledge about the risks of sedation and NORA care with data from the ASA Closed Claim Database and other sources. We will review state-of-the-art thinking about monitoring for sedation and NORA and medication choices for sedation. Lecture 3: Claim Processing and Ensuring Reimbursement 9:05 a.m. – 9:35 a.m. This session will feature discussion of the process a claim undergoes once it is submitted, some of the common reasons for denials and what to do when you feel you’ve received a denial in error. 9:35 a.m. – 9:45 a.m. Question and Answer Session 9:45 a.m. –10:10 a.m. Break Lecture 4: Regulatory Issues 10:10 a.m. – 10:40 a.m. In this session, experts will discuss the latest regulatory trends affecting ambulatory anesthesia and surgery in a rapidly evolving healthcare landscape. Donald M. Mathews, M.D. Chandra Stephenson, CPC Judith Jurin Semo, J.D. Lecture 5: Complex Cases in NORA 10:40 a.m. – 11:10 a.m. More and more surgical procedures are scheduled in NORA locations due to advances in “minimally” interventional procedures and often times in patients who are deemed to be non–surgical candidates. This session will cover anesthetic considerations and management of a variety of these challenging cases. Basem Abdelmalak, M.D. Lecture 6: Open-airway Pediatric Anesthesia – Dentistry’s Past Converges with Modern 11:10 a.m. – 11:40 a.m. 11:40 a.m. – 12:10 p.m. 3 Open-airway, spontaneous ventilation anesthesia techniques have a long and rich history in dentistry. A“typical” pediatric dental case illustrates how current technique complies with suggested practice as described in the ASA’s OBA Manual. Lecture 7: Multi-modal Analgesia This session features a review of 100 cases with a regimen suitable for an ‘in office’ practice. SAMBA Mid-Year Meeting 2015 Rick Finder, D.M.D., M.S. James Ramsey, M.D. PROGRAM SCHEDULE | FRIDAY, OCTOBER 23 12:10 p.m. – 12:20 p.m. Question and Answer Session 12:20 p.m. – 1:00 p.m. Lunch Big Business in Anesthesia, Mergers and Acquisitions 1:00 p.m. – 2:00 p.m. A comprehensive review of current market conditions for the sellers of anesthesia practices. Discussion topics include key questions for shareholders when considering the sale of a practice, latest views on the anesthesia buyer landscape, current valuation levels and key elements of value, what a sale process entails and how to best prepare, how group leaders can influence the future value of their practice through decisions today, what life looks like for the anesthesiologist post-transaction and what alternatives to selling exist. Problem-Based Learning Discussion - Session 1: OBA Cases Gone Bad Review of cases and discussion of WHO and crisis checklists Problem-Based Learning Discussion - Session 2: Complications of In-office Anesthesia 2:00 p.m. – 3:00 p.m. Four case reports of significant complications encountered in an in-office based practice and what we learned from them. Problem-Based Learning Discussion - Session 3: Preparing for Doomsday: Simulation, Checklists and Cognitive Aids Participants will learn how to set up a simple in-situ simulation session and review the role of simulation based drills, checklists, emergency manuals and other cognitive aids in the management of critical events. Problem-Based Learning Discussion - Session 1: OBA Cases Gone Bad Review of cases and discussion of WHO and crisis checklists Problem-Based Learning Discussion - Session 2: Complications of In-office Anesthesia 3:00 p.m. – 4:00 p.m. Four case reports of significant complications encountered in an in-office based practice and what we learned from them. Problem-Based Learning Discussion - Session 3: Preparing for Doomsday: Simulation, Checklists and Cognitive Aids Participants will learn how to set up a simple in-situ simulation session and review the role of simulation based drills, checklists, emergency manuals and other cognitive aids in the management of critical events. 4 SAMBA Mid-Year Meeting 2015 Jason Ficken, M.B.A.; Jon-Christian Miller Richard Urman, M.D.; Mark Saxen, D.D.S., Ph.D. James Ramsey, M.D. Matt Kurrek, M.D. Richard Urman, M.D.; Mark Saxen, D.D.S., Ph.D. James Ramsey, M.D. Matt Kurrek, M.D. PROGRAM FACULTY Program Chairs Program Faculty Bobbie Jean Sweitzer, M.D. Basem Abdelmalak, M.D. Professor of Anesthesia and Critical Care and Medicine, Director of Anesthesia Perioperative Medicine Clinic, University of Chicago Chicago, IL Mark Saxen, D.D.S., Ph.D. Adjunct Clinical Associate Professor, Indiana University School of Dentistry; Immediate Past President, ASDA Indianapolis, IN Associate Professor of Anesthesiology, Cleveland Clinic Lerner College of Medicine; Director, Anesthesia for Bronchoscopic Surgery; Director, Center for Sedation Department of General Anesthesiology, Anesthesiology Institute Cleveland Clinic Cleveland, OH Richard Finder, D.M.D., M.S. Managing Partner, Ambulatory Anesthesia Associates Pittsburgh, PA Jason Flicken, M.B.A. Partner, Quadriga Partners Denver, CO Matt Kurrek, M.D., FRCP(C) HOTEL INFORMATION Westin San Diego Gaslamp Quarter 910 Broadway Circle San Diego, California 92101 With striking bay and cityscape views, The Westin San Diego Gaslamp Quarter Hotel features 450 guestrooms and suites, all tastefully remodeled to create a sense of calm and balance—a sanctuary of soothing color palettes, natural wood and stone accents and stylish décor. Reservations can be made through the ASA housing portal 5 SAMBA Mid-Year Meeting 2015 Associate Professor, Department of Anesthesia, University of Toronto Toronto, Canada Donald M. Mathews, M.D. Associate Professor, Residency Program Director, Fletcher Allen Health Care/University of Vermont Burlington, VT Jon-Christian Miller Associate, Quadriga Partners Denver, CO James Ramsey, M.D., P.C. Brentwood, TN Judith Jurin Semo, J.D. Judith Jurin Semo, PLLC Washington, DC Chandra Stephenson, CPC Independent Billing Consultant Indianapolis, IN Richard Urman, M.D. Associate Professor of Anesthesia, Brigham and Women’s Hospital Boston, MA SAMBA PANEL AT ASA’S ANESTHESIOLOGY 2015* 2016 DISTINGUISHED SERVICE AWARDS Monday, October 26 The Committee on Awards has issued a call for nominations for the SAMBA 2016 Distinguished Service Award for presentation at the SAMBA 31st Annual Meeting in Orlando, FL on May 5-7, 2016. The Distinguished Service Award is presented to an individual for outstanding achievement in ambulatory anesthesia and is the highest honor which the Society can bestow. 3:30 p.m.-5:00 p.m. What the Joan Rivers Tragedy has Taught Ambulatory Surgery Sessions and Speakers Performing Effective Peer Review and Credentialing Steven Butz, M.D. Medical College of Wisconsin, Greenfield, WI Speaker-Policies Needed for Safe Care and Accreditation Members are invited to submit nominations for the award. Nominations should be submitted to SAMBA at [email protected], by September 1, 2015 and must include a cover letter, a copy of the nominee’s curriculum vitae and no more than four letters of support of the nomination. Attendance at the SAMBA Subspecialty Panel qualifies the attendee to earn 1 hour of CME Credit from ASA. RECENT AWARD RECIPIENTS Mary Ann Vann, M.D. Beth Israel Deaconess Medical Center, Medfield, MA *Please note that this session is created and submitted to ASA by SAMBA. This session is not included in your registration to the SAMBA Mid-Year Meeting. Registration for the ASA Subspecialty Panels must be done through the ASA registration website. 2014 Paulo de Lemos, M.D. 2013 Kathryn E. McGoldrick, M.D. 2012 Kari Korttila, M.D., Ph.D., FRCA 2010 Lucinda L. Everett, M.D. SAMBA Mid-Year Meeting 2015 SAMBA 31st Annual Meeting May 5-7, 2016 Waldorf Astoria Orlando Orlando, FL 2015 Peter S. Glass, M.B. 2011 Barbara S. Gold, M.D. 6 SAVE THE DATE SAMBA 2016 Mid-Year Meeting October 21, 2016 Chicago, IL SAMBA MID-YEAR MEETING REGISTRATION FORM October 23, 2015 | Westin San Diego Gaslamp Quarter | San Diego, CA Click here for quick and easy online registration or print and fax or mail this form. Name: _____________________________________________ Degree: ________________________________________________ Address: ___________________________________________________________________________________________________ City: ______________________________________________________________ State: _____________ Zip: ____________________ Tel: (_______) -___________________________________ Email: _______________________________________________________ Registration Fees Early Bird* Regular SAMBA Active and Affiliate Members r $245 r $295 Nonmember Physicians r $395 r $440 Nurse Anesthetists r $295 r $345 Residents r $100 r $150 r Please check here if you wish to pay with a credit card, and a SAMBA representative will send payment instructions in your confirmation email. (Discover not accepted) Total ______ ______ Please mail or fax registration form with payment to: Payment Options r Check (Make checks payable to Society for Ambulatory Anesthesia. Must be drawn in U.S. funds from a U.S. bank) * Early bird rates run until September 25, 2015 Dietary or Special Needs Please check all that apply so we may better meet your needs. r I will require handicap assistance r I will require vegetarian meals r I will require kosher meals r I will require assistance not specified on this form. If so, please contact SAMBA at (312) 321-6872 7 SAMBA Mid-Year Meeting 2015 SAMBA 8584 Solution Center Chicago, IL 60677 Phone: (312) 321-6872 Fax: (312) 673-6620 Cancellation Policy: Cancellation of registration must be submitted in writing, and will be accepted up until September 25. Your refund, less a $50 administrative fee, will be sent after the conclusion of the meeting. No refunds after September 25.