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Nashville, TN

APSF Stoelting Conference 2022

September 7 - September 8

“Crucial Patient Safety Issues in Office-Based and
Non-Operating Room Anesthesia (NORA)”

Click the names or photos below for more information.

Planning Committee:

September 7-8, 2022

Loews Vanderbilt Hotel
2100 West End Ave
Nashville, TN 37203

For registration and conference inquiries, please contact Stacey Maxwell, APSF Administrator ([email protected]). This will be a hybrid meeting with virtual and in-person options.

 


Thank you for supporting the 2022 Stoelting Conference:

MedtronicMerckFresenius Kabi

For information on how to support this conference, please contact Sara Moser, APSF Director of Development ([email protected]).

 


OBJECTIVES

An increasing proportion of surgical and diagnostic and therapeutic procedures occur outside of traditional operating room suites. Several studies document the increased risks associated with caring for patients undergoing non-operating room anesthesia (NORA). NORA settings range from isolated areas of accredited hospitals to accredited ambulatory surgical centers to free-standing specialty procedural and diagnostic centers to accredited and non-accredited offices in which procedures are performed on anesthetized patients.

The 2022 APSF Stoelting Conference will address the unique challenges associated with providing safe care to patients in NORA environments. The conference will draw participants from the anesthesia professions, multiple additional fields in healthcare, industry, regulatory agencies, and healthcare administration. The goal of the conference is to develop multi-disciplinary, consensus-derived recommendations that the APSF and other organizations can use to advocate for changes that improve patient safety in NORA settings.

The objectives of this meeting are to:

  • Understand the issues that may lead to mismatches in patient selection and preparation and the capabilities of NORA locations and their staff
  • Review patient selection criteria, appropriate kinds and numbers of staffing, equipment and monitoring availability to deliver anesthesia appropriate to the situation and any other issues associated with potential patient safety problems in isolated procedure rooms, free-standing surgical centers, offices and procedure centers
  • Discuss opportunities to promote patient safety using clear outcome measurements and data-driven improvement initiatives in all NORA cases
  • Craft specific recommendations that APSF can use to influence changes that improve patient safety in NORA practices

PROGRAM

Quicklinks:

 

TUESDAY, SEPTEMBER 6, 2022

6:00 – 9:00 PM

Check-in and Pre-Conference Reception

 

WEDNESDAY, SEPTEMBER 7, 2022

6:30 – 7:30 AM

Full Buffet Breakfast and Networking

 

7:30 – 7:55 AM

Introduction

Welcome: Why Are We Here and What Are Our Expected Outcomes?

Daniel J. Cole, MDDaniel J. Cole, MD
Daniel J. Cole, M.D. is the President of Anesthesia Patient Safety Foundation and serves on the Board of Directors. A neuroanesthesiologist by training he currently services as a Professor of Clinical Anesthesiology in the Department of Anesthesiology and Perioperative Medicine at the David Geffen School of Medicine, University of California, Los Angeles. He has published extensively, with more than 350 original manuscripts, chapters, abstracts, and editorials to his credit. He is also a distinguished lecturer with over 300 invited presentations on a broad range of topics in anesthesiology.

Cole is a past president of the American Society of Anesthesiologists. He is the Executive Director for Professional Affairs for the American Board of Anesthesiology, and the American Board of Medical Specialties. Most importantly he is a champion for patient safety throughout his many roles in organized medicine.

 

Adverse Events

Brian J. Thomas, JDBrian Thomas, JD
Brian J. Thomas, J.D. is a member of the APSF Editorial Board and Corporate Advisory Council. He is also the Vice President of Risk Management for Preferred Physicians Medical, the nation’s only anesthesia-specific professional liability insurance company. With over twenty-eight years of insurance industry experience, he has focused the past twenty-two years exclusively on providing patient safety and risk management services to anesthesia professionals and defending high severity medical negligence litigation. He has authored or co-authored in several prominent publications, such as the APSF Newsletter, ASA Monitor, Anesthesia & Analgesia, and Faust’s Anesthesiology Review, 5th Ed. Connect with him on LinkedIn at https://www.linkedin.com/in/brianjthomas1/.

 

Session 1: Is All NORA Created Equal? Requirements for a Safe and Effective Anesthetic Regardless of Location

7:55 – 8:00 AM

Introductions

Emily Methangkool, MDEmily Methangkool, MD
Emily Methangkool, MD, MPH is the Director the APSF Social Media Ambassador Program and an assistant clinical professor at the University of California, Los Angeles. She is a cardiothoracic anesthesiologist with a Master in Public Health, and a special research and clinical interest in patient safety. She is the co-chair of the UCLA Department of Anesthesiology Quality Improvement/Quality Assurance Committee and is a member of the American Society of Anesthesiologists Committee on Patient Safety and Education. Connect with her on Twitter at @dremilym, on Facebook, on LinkedIn, and on her blog https://dremilym.wordpress.com/. In her free time, she loves to spend time with her husband, two sons, two cats, and digital SLR.

 

8:00 – 8:15 AM

Defining NORA: Introducing Safety Concerns

Basem Abdelmalak, MD

 

8:15 – 8:30 AM

Space Planning for Safety and Efficiency in Non-Operating Room Anesthesia​?

Brent Dunworth, CRNA

 

8:30 – 8:45 AM

Best Practices: Working Collaboratively with the Proceduralist to Improve Patient Safety

Diana Anca, MD

 

8:45 – 9:15 AM

Panel: What is Important to the Proceduralist?

Michael Kochman, MD
Thomas Farrell, MD
Sarah Gualano, MD

 

9:15 – 9:45 AM

Q & A Speakers

 

9:45 – 10:15 AM

Mid-Morning Break

 

Session 2: Appropriate Patients and Procedures

10:15 – 10:20 AM

Introductions

Shane Angus, CAA, MSAShane Angus, AA-C
Shane Angus, CAA, MSA, serves on the Board of Directors for the Anesthesia Patient Safety Foundation (APSF). He is also the Associate Executive Program Director and an Assistant Professor at Case Western Reserve University, School of Medicine, Master of Science in Anesthesia Program. Shane’s primary interests include patient safety, higher education, and international healthcare, which intersect within his role at the APSF. He is a practicing anesthesiologist assistant in Washington, D.C., which also offers him an ideal setting for the promotion and advancement of these interests. Shane is the past chair of the Accreditation Review Committee for Anesthesiologist Assistant Programs (ARC-AA) and is the chair of the Association of Anesthesiologist Assistant Education Programs (AAAEP). Connect with him on Twitter @ShaneAngusCAA, LinkedIn at www.linkedin.com/in/ShaneAngusCAA and Facebook at https://www.facebook.com/shane.angus.33.

 

10:20 – 10:35 AM

Ambulatory Surgery Centers

BobbieJean Sweitzer, MD

 

10:35 – 10:50 AM

Office-Based Anesthesia

Fred Shapiro, DO

 

10:50 – 11:05 AM

Dental Anesthesia

Rita Agarwal, MDRita Agarwal, MD
Rita Agarwal, MD is a Clinical Professor of Anesthesiology at Stanford University School of Medicine; she has been involved with anesthesia, in particular pediatric anesthesia education, for over 20 years. She served as the Pediatric Anesthesia Program Director for 17 years at Children’s Hospital Colorado, and is now the Chair of the Pediatric Education Committee at Stanford. Her other passions include pediatric pain management, and she has served as the Director of Acute Pain Services at Children’s Hospital Colorado. She is now an attending anesthesiologist and inpatient pain management attending at Lucille Packard Children’s Hospital. Improving patient safety by enhancing communication, collaboration, and team building are primary interests for Agarwal. She is a senior editor for the American Board of Anesthesiology certification examination and a junior editor for the Pediatric Anesthesiology certification examination. In March 2019 she will take over as President of the Society for Pediatric Pain Medicine. Connect with her on the following platforms:
Twitter: @RitaAgarwal6
Facebook: Rita Agarwal
LinkedIn: https://www.linkedin.com/in/rita-agarwal-20529787/

 

11:05 – 11:30 AM

Q & A

 

11:30 – 12:30 PM

Lunch

 

Session 3: Designing NORA for Patient safety. Beyond Current State to a Future Best Practice?

12:30 – 12:35 PM

Introductions

Patty M. Reilly, CRNAPatty Reilly, CRNA
Patty Mullen Reilly is a CRNA at Chester County Hospital, Penn Medicine in West Chester, Pa. She is also a part of the Clinical Research and Medical Science team within the Patient Monitoring and Respiratory Interventions businesses for Medtronic which is located in Boulder, CO. Patty has been involved in Patient Safety for the past 25 years as a part of the Corporate Advisory Board and the Committee on Technology of the APSF and most recently as a part of the Board of Directors for the APSF. Her safety work has included work with the Lucien Leape Institute as well as membership on the Patient Safety Coalition of the NPSF/IHI. Her corporate work has included ongoing education about the important work of the APSF and the NPSF/IHI and the impact on patient care. Most recently Patty has obtained her CPPS credential, becoming a Certified Professional in Patient Safety. Patty lives in West Chester, Pa with her husband and daughter.

 

12:35 – 12:50 PM

Using Big Data to Improve Care in the NORA Setting

Jonathan Wanderer, MD

 

12:50 – 1:05 PM

The Future of NORA Medications May Include Newer Short Acting Sedatives

George Gilkey, MD

 

1:05 – 1:20 PM

The Future of NORA Post-Op Pain Control May Include New Non-Opioid Analgesics and Regional Blocks

Girish Joshi, MDGirish Joshi, MD
Girish P. Joshi, MBBS, MD, FCAI is a Professor of Anesthesiology and Pain Management at the University of Texas Southwestern Medical School in Dallas, Texas. He is an attending anesthesiologist at the Parkland Health and Hospital System, Dallas, Texas. Dr. Joshi received his medical degree (Bachelor of Medicine and Bachelor of Surgery, M.B.B.S.) and Doctor of Medicine (M.D.) in anesthesiology from the B. J. Medical College at the University of Pune, India. He received his fellowship in anesthesiology (F.C.A.I.) from the College of Anaesthetists, Ireland, and then received a M.D. degree from the University College Dublin, Ireland. He is a diplomate of the American Board of Anesthesiology.

Joshi has published numerous original articles, review articles and editorial in several high impact journals. He has been an invited speaker at many National and International conferences. He is an Executive Section Editor for Anesthesia & Analgesia and a Section Editor for UpToDate. He is the Past President of the Society For Ambulatory Anesthesia (SAMBA), the Society of Anesthesia and Sleep Medicine (SASM), and the Texas Society of Anesthesiologists (TSA). He serves on the Board of Directors of Acreditas Global. He is a member of the Procedure Specific Pain Management (PROSPECT) Group, an international collaboration of anesthesiologists and surgeons that formulates evidence-based procedure specific pain management recommendations. In addition, the Prospect group is the Think Tank contributing to European Society of Anesthesiologists vision on perioperative medicine.

 

1:20 – 1:35 PM

Medication Safety: Pre-Filled Syringes, Drug Labeling, Infusion Pumps

Elizabeth Rebello, MDElizabeth Rebello, MD
Elizabeth Rebello, MD, FASA, CPPS, is a practicing anesthesiologist and Professor of Anesthesiology and Perioperative Medicine at the University of Texas MD Anderson Cancer Center. A pharmacist by training, she has been involved in quality and patient safety efforts in the perioperative environment and Diversity, Equity, and Inclusion efforts for over fifteen years.

She serves as the Vice-Chair of the American Society of Anesthesiologists’ (ASA) Quality, Management and Data Administration Committee and led the Medication Safety Workgroup to standardize drug concentrations. She serves on the United States Pharmacopeia Expert Compounding Committee, US Food and Drug Administration Pharmacy Compounding Advisory Committee, and chairs the APSF Patient Safety Advisory Group on Medication Safety.

 

1:35 – 1:50 PM

Teaming and Communication with Strangers in Strange Places

Jeff Cooper, PhDJeff Cooper, PhD
Jeffrey B. Cooper, Ph.D. is Professor of Anaesthesia at Harvard Medical School and Massachusetts General Hospital. He is the founder, Executive Director Emeritus and Senior Fellow of the Center for Medical Simulation, which is dedicated to the use of simulation in healthcare to improve the process of education and training and to avoid risk to patients.

Cooper is one of the pioneers in what is now called patient safety. He did landmark research in medical errors in the 1970’s, is a co-founder and on the Board of Advisors of the National Patient Safety Foundation. He was Associate Director and later Director of Biomedical Engineering at the Massachusetts General Hospital for ten years and Director of Biomedical Engineering of the Partners Healthcare System for fourteen years. He is author or co-author of over 130 peer reviewed articles and book chapters.

Cooper has been awarded several honors for his work in patient safety, including the 2003 John M. Eisenberg Award for Lifetime Achievement in Patient Safety from the National Quality Forum and the Joint Commission on Accreditation of Healthcare Organizations and the 2004 Lifetime Achievement Award from the American Academy of Clinical Engineering. The Department of Anesthesia and Critical Care of the MGH established the Jeffrey B. Cooper Patient Safety award in his honor. He received the Distinguished Service Award of the American Society of Anesthesiologists in 2013, the first non-MD to receive the honor. In 2014, he was awarded the JS Gravenstein Award for lifetime achievement by the Society for Technology in Anesthesia and named one of the first two members for the Hall of Fame of American College of Clinical Engineering and is among the inaugural fellows of the Academy of the Society for Simulation in Healthcare.

 

1:50 – 2:05 PM

Creating a Culture of Wellness

Amy Vinson, MDAmy Vinson, MD

 

2:05 – 2:30 PM

Q & A

 

2:30 – 3:00 PM

Mid-Afternoon Break

 

3:00 – 4:00 PM

Afternoon Breakout Session

 

4:00 – 4:45 PM

Reconvene for Summary of Recommendations

Lynn Reede, CRNALynn Reede, CRNA
Lynn Reede, DNP, MBA, CRNA is a member of the APSF Executive Committee and Board of Directors, she also serves on the APSF Education and Training Committee and is co-chairing the Clinician Safety Advisory Group. She is an associate clinical professor at Northeastern University, Bouvé College of Health Sciences School of Nursing Nurse Anesthesia Program in Boston, Massachusetts since May 2019. Lynn’s more than 30 years of experience as a clinician, anesthesia department operations manager, AANA Chief Clinical Officer and current role have offered extensive opportunity to improve patient safety through interdisciplinary team learning and collaboration. Her interprofessional work for practice excellence and safety continues with the National Academies of Practice where she is a Fellow, Emergency Manual Checklist Collaborative Steering Committee, Massachusetts Association of Nurse Anesthetists Board of Directors, Nurses on Boards Coalition Impact Work Group, and AANA Infection Control Advisory Panel. Connect with her on Facebook, Instagram, and Twitter @ljrcrna, and on LinkedIn at www.linkedin.com/in/lynn-reede-0b76145.

 

4:45 PM

Adjurn

 

6:00 – 9:00 PM

Mid-Conference Reception

 

THURSDAY, SEPTEMBER 8, 2022

6:30 – 7:30 AM

Full Buffet Breakfast and Networking

 

Session 4: Impending Issues: Disruptors and Innovation

7:30 – 7:35 AM

Introductions

Richard D. Urman, MD, MBARichard Urman, MD
Richard D. Urman, MD, MBA, FASA is a staff anesthesiologist at the Brigham and Women’s Hospital in Boston, MA and Harvard Medical School. Urman’s research interests are in patient safety, novel anesthetic drugs, opioid safety, and shared decision making. He has received funding from the NIH, AHRQ, NSF, APSF and FAER. He has lectured nationally and internationally. He Chairs the ASA Abstract Subcommittee on Patient Safety and Practice Management and co-Chairs the APSF Grant Alumni Academy.

 

7:35 – 7:50 AM

Remote Patient Monitoring: The Hospital at Home

Aman Mahajan, MD, PhD, MBA

 

7:50 – 8:05 AM

Can an Algorithm Support Safe Practice?

Piyush Mathur, MDPiyush Mathur, MD
Piyush Mathur, MD, FCCM is a Staff Anesthesiologist and Critical Care physician at Cleveland Clinic, Ohio with more than 20 years of clinician experience. He has also served in the role of the Quality Improvement Officer and chair, compliance committee, Anesthesiology Institute since 2011. He completed his medical school training in India from Armed Forces Medical College (AFMC, Pune) followed by residency in Anesthesiology and fellowship in Critical Care from Cleveland Clinic. He subsequently completed a one year, quality fellowship at Cleveland Clinic and training in computer programming, machine learning and deep learning. He is the past program director of the anesthesiology critical care fellowship program at Cleveland Clinic.

A recognized leader in critical care, quality, education and artificial intelligence applications in healthcare, he has led many of the local and national programs including serving as the chair of the post-graduate education committee, coding and documentation education committee of the Society of Critical Care Medicine (SCCM). He is currently a member of CPT editorial advisory committee, AMA (American Medical Association) and primary advisor, SCCM.

Trained in computer programming, machine learning and deep learning, he is the founder of BrainX, an AI in healthcare application research and development company. He also founded, one of the largest groups for machine learning in healthcare, BrainX Community. He has focused his research on applications of artificial intelligence (AI) in healthcare for the last many years. He is a leader in quality and patient safety who has innovated and successfully implemented many algorithms and tools in electronic health records such as difficult airway identification (EPIC), anesthesia awareness alert (DSS, Talis), antibiotic alert (ACG, Talis). Recipient of multiple innovation awards at Cleveland Clinic, he is leading innovation efforts in integrating machine learning and artificial intelligence in healthcare. Current, projects include AIDE (Artificial Intelligence Diagnosis Engine), SALUS (robotic artificial intelligence patient safety system), BRAINS (Biologically Relational Artificial Intelligence Networking System). He is a recipient of numerous local and international awards including Institute of Healthcare Improvement (IHI) Permanante award and the prestigious Presidential citation from Society of Critical Care Medicine (SCCM). He has made numerous local, national and international presentations and publications in the fields of anesthesiology, critical care, quality, education and artificial intelligence applications in healthcare.

 

8:05 – 8:20 AM

The Professional Sedationist: Solution or Sedition?

Monty Mythen, MBBS

 

8:20 – 8:35 AM

Measuring Success: NORA-Appropriate Metrics: Current and Future

Patricia Fogarty-Mack, MD

 

8:35 – 9:00 AM

Q & A

 

9:00 – 9:30 AM

Morning Breakout Session

 

9:30 – 10:00 AM

Reconvene for Summary of Recommendations

Lynn Reede, CRNALynn Reede, CRNA
Lynn Reede, DNP, MBA, CRNA is a member of the APSF Executive Committee and Board of Directors, she also serves on the APSF Education and Training Committee and is co-chairing the Clinician Safety Advisory Group. She is an associate clinical professor at Northeastern University, Bouvé College of Health Sciences School of Nursing Nurse Anesthesia Program in Boston, Massachusetts since May 2019. Lynn’s more than 30 years of experience as a clinician, anesthesia department operations manager, AANA Chief Clinical Officer and current role have offered extensive opportunity to improve patient safety through interdisciplinary team learning and collaboration. Her interprofessional work for practice excellence and safety continues with the National Academies of Practice where she is a Fellow, Emergency Manual Checklist Collaborative Steering Committee, Massachusetts Association of Nurse Anesthetists Board of Directors, Nurses on Boards Coalition Impact Work Group, and AANA Infection Control Advisory Panel. Connect with her on Facebook, Instagram, and Twitter @ljrcrna, and on LinkedIn at www.linkedin.com/in/lynn-reede-0b76145.

 

10:00 – 10:30 AM

Mid-Morning Break

 

10:30 – 11:30 AM

Recommendations and Next Steps

JW Beard, MD, MBAJW Beard, MD
John Beard, MD, is a board-certified anesthesiologist and the Chief Medical Officer at ICU Medical Inc. At ICU, Beard’s focus is on innovation, patient safety, regulatory compliance, thought leadership, and clinical evidence development. Prior to joining ICU, Beard was in clinical practice for twelve years, including roles in pre-admission clinics, operating rooms, and labor and delivery units. During the course of his practice, Beard led multiple quality improvement initiatives and held leadership positions including Chairman and Medical Director of the Department of Anesthesia.

 

11:30 AM

Depart for Nashville International Airport


Our deepest thanks to Stacey Maxwell, APSF Administrator, for her tireless support of APSF and of this conference!


Details

Start:
September 7
End:
September 8
Event Categories:
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Venue

Loews Vanderbilt Hotel
2100 West End Ave
Nashville, TN 37203 United States
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