APSF Stoelting Conference 2023
September 6, 2023 - September 7, 2023
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“Emerging Medical Technologies – A Patient Safety Perspective on Wearables, Big Data and Remote Care”
Scroll down to watch the individual presentations from the conference below.
Click the names or photos below for more information.
Planning Committee:
September 6-7, 2023
Red Rock Casino, Resort & Spa
11011 W Charleston Blvd
Las Vegas, NV 89135
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 2023 Stoelting Conference:
For information on how to support this conference, please contact Sara Moser, APSF Director of Development ([email protected]).
OBJECTIVES
Emerging medical technologies encompass a very diverse group of medical devices and software tools that are having an increasing impact on patient care and healthcare providers. Some are already in use, others are just on the horizon but rapidly headed for adoption. Examples of these emerging technologies include:
- Wearable devices
- New approaches to non-invasive patient monitoring
- Closed-loop control of medical devices
- Big data tools – Artificial Intelligence including machine learning, Predictive analytics
- Remote Medicine – Telehealth, remote control of medical devices
While all of these technologies promise to improve patient care, they are not without cost and potential risk. The goal of the Stoelting conference 2023 is to critically examine a group of emerging technologies from the perspective of patient safety. The agenda will be a journey from the wearable technologies designed to wirelessly monitor patients in different care settings, to the big data tools like AI required to turn data into information and finally back to the patient in the form of clinical decisions either made or implemented in a location remote from the bedside.
Modern anesthesia care encompasses the entire perioperative experience from pre-procedure evaluation through post-procedure recovery. In pursuit of the APSF vision “That no one shall be harmed by anesthesia care,” the Stoelting 2023 conference will seek to evaluate the chosen emerging technologies for their potential to positively impact fundamental challenges facing healthcare today. These challenges include 1) creating value through technology by improving outcomes without increasing cost, 2) improving access to patient care for underserved populations and 3) addressing the healthcare provider shortage by enhancing the ability of providers to care for patients and reducing provider burnout.
PROGRAM
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*All times are PST
6:00 – 9:00 PM
Check-in and Pre-Conference Reception
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, MD
Professor of Clinical Anesthesiology
Department of Anesthesiology and Perioperative Medicine at the David Geffen School of Medicine
University of California, Los Angeles
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.
Scope of the Meeting
Jeffrey Feldman, MD, MSE
APSF Board of Directors
Chair, APSF Committee on Technology
Philadelphia, PA
Jeffrey M. Feldman, MD, MSE is an Attending Anesthesiologist at the Children’s Hospital of Philadelphia (CHOP) and a Professor of Clinical Anesthesiology at the Perelman School of Medicine, University of Pennsylvania. Feldman has a special interest in the technology of anesthesia delivery systems including low flow and closed circuit anesthesia, mechanical ventilation of the anesthetized patient and patient monitoring.
Throughout his career, Feldman has combined his extensive background in engineering with an interest in the use of technology to enhance patient care. In addition to publishing and lecturing on technology related topics, he has been an editor of the Journal of Clinical Monitoring and Computing as well as the Section Editor of the Technology Section of Anesthesia and Analgesia. He currently chairs the APSF’s Committee on Technology.
7:45 – 8:30 AM
Keynote Speaker
Can Technology Improve the Value Equation in Healthcare?
Click to Watch the Presentation
Lee Fleisher, MD
Professor of Anesthesiology & Critical Care
Professor of Medicine
Perelman School of Medicine of the University of Pennsylvania
Currently serving as
Chief Medical Officer and Director of the Center for Clinical Standards and Quality
Centers for Medicare and Medicaid Services
Lee A. Fleisher, MD, is Emeritus Professor of Anesthesiology and Critical Care and Professor of Medicine at the University of Pennsylvania Perelman School of Medicine. From 2004 through July 2020, he was the Robert D. Dripps Professor and Chair of Anesthesiology and Critical Care and Professor of Medicine at the University of Pennsylvania. He was named the Chief Medical Officer and Director of the Center for Clinical Standards and Quality for the Centers for Medicare and Medicaid Services in July 2020. In this capacity, he is responsible for executing all national clinical, quality, and safety standards for healthcare facilities and providers, as well as establishing coverage determinations for items and services that improve health outcomes for Medicare beneficiaries. His research focuses on measurement of quality of care, decision making, implementation of cultural change and health policy. In 2007, he was elected to membership of the National Academy of Medicine (formerly Institute of Medicine) of the National Academy of Sciences and served on Committees of the NAM.
Session 1: Wearable Devices and Remote Monitoring
8:30 – 10:30 AM
Introductions
John “JW” Beard, MD
APSF Board of Directors
Chief Medical Officer
GE HealthCare, Patient Care Solutions
Wilmette, IL
John “JW” Beard, MD is a board-certified anesthesiologist and the Chief Medical Officer of GE HealthCare – Patient Care Solutions (PCS). PCS technologies include patient monitoring, anesthesia delivery, respiratory care, diagnostic cardiology, maternal infant care, and digital health products and services. JW is responsible for contributing clinical expertise to strategic business processes including innovation, clinical evidence development, health economics and outcomes research, and scientific communication. Prior to GE, JW served as Chief Medical Officer for ICU Medical, Inc. JW has fifteen years of clinical practice experience, including roles in pre-admission clinics, operating rooms, pain services, and labor and delivery units. During his practice, he led multiple quality improvement initiatives and held leadership positions including Chairman and Medical Director of the Department of Anesthesiology. His clinical experience has been enriched by providing volunteer medical care in the Americas, Asia, and Africa.
What is the Internet of Medical Things (IoMT)?
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Anura Fernando
Distinguished Member of Technical Staff, Principal Engineer for Medical Software & Systems Interoperability
UL Solutions
Anura Fernando is the global head of medical device security at UL Solutions. He has twenty-five years of experience at UL Solutions with safety critical software and control systems certification and safety research across multiple application domains. He has contributed to research and industry publications in Predictive Modeling and Risk analysis, Systems of Systems, Health IT, and medical device safety and cybersecurity.
Acute Care and Wearable Technology
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Ashish Khanna, MD, MS, FCCP, FCCM, FASA
Associate Professor of Anesthesiology
Wake Forest University
Dr. Ashish K Khanna is an associate professor of anesthesiology and vice-chair of research with the department of anesthesiology, section on critical care medicine at the Wake Forest University School of Medicine in Winston-Salem, NC. He is also a member of the Wake Center for Biomedical Informatics, a core faculty for the Center for Healthcare Innovation, and the Wake Forest Hypertension and Vascular Research Cardiovascular Science Center. He is the director for the Perioperative Outcomes and Informatics Collaborative (POIC) a large perioperative outcomes collaborative research program that is staffed with several research nurses, fellows, technicians, students, data scientists and administrative staff and is a center of excellence for clinical trials across specialties. In addition, he is a major regional director for the Outcomes Research Consortium.
Dr. Khanna is currently incoming chair for the American Society of Anesthesiologists (ASA) committee on critical care medicine, and also sits as a past chair for the abstract review subcommittee on critical care medicine and is a member of the educational track subcommittee for critical care medicine. He is heavily engaged with the Society of Critical Care Medicine (SCCM) and currently past- chair for the research section, is on the steering committee for the anesthesiology section and vice-chair for the Discovery research network, along with being a program co-chair for the 2023 congress. He is on the board of directors for the Society of Critical Care Anesthesiologists (SOCCA). His research interests include prediction of post-operative respiratory and cardiac events on the regular nursing floor, use of large datasets for perioperative outcomes research, effects of hypotension in critically ill patients and use of novel vasopressors in shock states in the ICU. Dr. Khanna has more than a 150 peer reviewed papers, two dozen book chapters, editorials, invited non-peer reviewed articles, and has been invited to talk about this work at prestigious national and international forums. From 2015-2017 Dr. Khanna led the Angiotensin II in High Output Shock (ATHOS3) trial and the publication of this work in the NEJM. This work translated to the US FDA approval of this novel vasopressor for management of broad indications of high output shock and is currently being used across the United States in critically ill patients. He is a founding member for the BrainX group, which collaborates, educates, and conducts research, helps with innovation and development of new ideas centered around big data analytics.
A Health Care Payer’s Approach to Value-Based Care and Innovation
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James Grant, MD, MBA, FASA
Senior Vice President and Chief Medical Officer
Blue Cross Blue Shield of Michigan
James D. Grant, M.D., M.B.A., FASA, is the Senior Vice President and Chief Medical Officer of Blue Cross Blue Shield of Michigan.
Prior to his arrival, Dr. Grant was the chair of the department of anesthesiology and physician executive of perioperative services at Cedars-Sinai Medical Center in Los Angeles. Before moving to California, Dr. Grant was professor and chair of anesthesiology at Oakland University William Beaumont School of Medicine, chair of the department of anesthesiology at Beaumont Health – Royal Oak Campus.
Dr. Grant was elected the 2018 president of the American Society of Anesthesiologists. Prior to his elevation to the presidency, he served as first vice-president, and treasurer and had been on the ASA Administrative Council from 2006-2019. Additionally, he chaired both ASA’s Section on Fiscal Affairs, Committee on Executive Compensation and served as the ASA Advisor to the ASA Relative Value Update Committee (RUC) in addition to countless committees and taskforces at ASA. Dr. Grant has been on the ASA Board of Directors since 1999. He also serves on the Board of Directors of The Anesthesia Foundation and the Foundation for Anesthesia Education and Research and is a senior examiner for the American Board of Anesthesiology.
Dr. Grant currently services as the chair of the anesthesiology section council to the American Medical Association. Prior to that role, he chaired the Michigan delegation to the AMA.
A past president of both the Michigan State Medical Society (MSMS) and the Michigan Society of Anesthesiologists (MSA), Dr. Grant received the MSA’s President’s Award in 2012 and the MSMS Presidential Citation in 2014. In addition, he served on the Michigan Board of Medicine for seven years, under two different Governors, and was elected chair from 2003-2006.
Dr. Grant received his Bachelor of Science degree from Michigan State University in East Lansing, his Doctor of Medicine from Wayne State University in Detroit and his Master of Business Administration from the Indiana University Kelley School of Business in Bloomington, Indiana. He completed his anesthesiology residency at Northwestern University Medical Center in Chicago, where he was chosen as chief resident.
Dr. Grant and his wife, Lisa, a physical medicine and rehabilitation physician, reside in Bloomfield Hills and have two children, Brendan and Alexandra.
Wearables – Consumer v Medical Grade/Regulatory Perspective
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Dheerendra Kommala, MD
Chief Medical Officer
ECRI Institute
Dheerendra Kommala, MD, is Chief Medical Officer at ECRI, responsible for ECRI’s Medical Office. He joined ECRI in 2019 as Chief Strategy Officer responsible for setting the organization’s strategic direction.
Dr. Kommala brings more than 20 years of experience as an academic clinician, researcher, and chief medical officer. He successfully introduced new products and services to markets throughout the world by working collaboratively with major health systems, industry leaders, clinicians, and patients. Throughout his career, he has been a vocal advocate for patient safety and a visionary leader managing large teams.
Prior to joining ECRI, Dr. Kommala was global vice president of medical affairs for Baxter Healthcare. Previous experience included working as chief medical officer/global vice president of medical affairs for ConvaTec, and as associate medical director of Global Pharmaceutical Research for Renal Care, Abbott Laboratories.
Dr. Kommala received his initial medical training in India, and completed a fellowship in nephrology at the University of Missouri, Columbia School of Medicine.
10:30 – 10:50 AM
Mid-Morning Break
11:00 – 11:45 AM
Keynote Speaker
Can Technology Enhance Access to Care to Underserved Populations?
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Krisda Chaiyachati, MD, MPH
Physician Lead, Value-Based Care and Innovation, Verily
Dr. Krisda Chaiyachati, MD, MPH, MSHP, FACP is a physician executive at Verily. He is the Physician Lead for Value-Based Care and Innovation, leading research and care programs that drive Verily towards its mission to bring the promise of precision health to everyone, every day. In this role, he is the principle investigator for longitudinal registries and is the Medical Director for Onduo, a technology-enabled whole person care program that offers personalized, precision care directing members with chronic conditions such as diabetes and hypertension to the right care, at the right time with an engaging member experience. In addition, he is a lead for Verily’s Health Equity Center of Excellence.
Previously, Dr. Chaiyachati held leadership roles at the University of Pennsylvania and Penn Medicine, notably as the founding Medical Directors for Penn Medicine OnDemand Virtual Care and PennOpenPass, and the inaugural Director for the Leonard Davis Institute-Penn Medicine Research Laboratory. In these roles, he leveraged operational dollars and grants to develop and evaluate interventions designed to improve equitable access to care and automate care delivery processes. He has published extensively and is a national thought leader on how to design, implement, and evaluate strategies that improve equity, efficiency, and access to care through transformative digital health initiatives.
Dr. Chaiyachati earned his medical degree from the University of Michigan Medical School and completed his residency and chief residency at the Yale Primary Care Internal Medicine program. He has a Master of Public Health from the Harvard T.H. Chan School of Public Health where he was a Zuckerman Fellow. He has a Master of Science in Health Policy from The University of Pennsylvania Perelman School of Medicine where he was a Robert Wood Johnson Foundation Clinical Scholar. He is a member of the American Board of Internal Medicine Board of Directors and is a practicing primary care, internal medicine physician.
11:45 AM – 12:45 PM
Lunch
Session 2: Big Data & Healthcare
12:45 – 2:45 PM
Introductions
Maxime Cannesson, M.D., PhD
Professor and Chair
Department of Anesthesiology & Perioperative Medicine
University of California Los Angeles
David Geffen School of Medicine
Los Angeles, CA
Maxime Cannesson, MD, PhD, is a board-certified anesthesiologist with more than 16 years of experience in academic medicine, leadership, education, research, quality, and technology development, working collaboratively within and among various countries, departments, academic institutions, and industry. He is Professor and Chair of the Department of Anesthesiology and Perioperative Medicine at UCLA. He has published more than 200 peer reviewed articles and three textbooks.
After practicing cardiac anesthesia and critical care for a decade, he refocused his clinical and administrative roles on the multispecialty practice of anesthesiology where he sees the majority of the challenges facing our profession. Today, the overarching goal of his academic pursuit in Anesthesiology and Perioperative Medicine is to leverage health-informatics, artificial intelligence, and telemedicine to improve patient outcome and experience, and lead the way in digital health, data sciences, and computational medicine while reducing waste, fostering fiscal discipline, and rechanneling physician focus away from computers toward a more humanistic and inclusive medicine. Because these approaches are likely to disrupt the current practice of anesthesiologists, his goal is to expand the scope of anesthesiology to the perioperative setting through new multidisciplinary and collaborative care delivery models.
Machine Learning & Predictive Analytics
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Michael Mathis, MD
Assistant Professor, Department of Anesthesiology
University of Michigan Medicine
Ann Arbor, MI
Dr. Mathis is a cardiac anesthesiologist and physician scientist at the University of Michigan. He has research interests in improving perioperative care for patients with advanced cardiovascular disease, particularly for patients with heart failure. As part of the Multicenter Perioperative Outcomes Group (MPOG), an consortium of ~50 perioperative databases, he serves as Research Director. He is the PI on an NHLBI K-grant which aims to understand patterns of hemodynamic responses to surgical and anesthetic stimuli captured within anesthesia records as a means for detection of heart failure in early stages. He is also Co-PI on an R01 grant using multicenter MPOG anesthesia data, to improve the prediction of acute kidney injury after cardiac surgery and estimate individualized treatment strategies to mitigate the progression of AKI.
Acute Care Analytics – Real World Impact on Patients and Providers
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Sue McGrath, PhD
Associate Professor of Anesthesiology
Geisel School of Medicine, Dartmouth College
Surveillance Analytics Core Director
Analytics Institute, Dartmouth Hitchcock Medical Center
Susan P. McGrath, Ph.D. is a biomedical engineer and Lean Six Sigma Black Belt with over 30 years of experience leading research and systems implementation programs in industry, academia, government, and non-profit organizations. She is currently Associate Professor of Anesthesiology and Director of the Surveillance Analytics Core at Dartmouth Hitchcock Medical Center. McGrath’s leadership of the Surveillance Analytics Core builds on two decades of multidisciplinary research and development at Dartmouth Hitchcock and Dartmouth College focused on patient safety systems. McGrath is best known for her work designing, implementing, and analyzing systems for early recognition of patient deterioration using continuous physiologic monitoring.
Prior to joining Dartmouth, Dr. McGrath worked for the Naval Air Warfare Center and Lockheed Martin, where her research focused primarily on intelligent software development for military applications. As a faculty member at the Thayer School of Engineering at Dartmouth College, she developed and taught courses in electrical, computer, and biomedical engineering. Her funded research focused on development of mobile computing and remote physiologic monitoring systems for biomedical, emergency management, and command and control applications. Before establishing the Surveillance Analytics Core at Dartmouth Hitchcock, McGrath led development of the Value Institute, served as Director of Performance Improvement, and was Co-Investigator and Director of Research for the AHRQ-supported Patient Safety Learning Laboratory.
Ethical Considerations
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Cecilia Canales, MD
Assistant Professor
Anesthesiology & Perioperative Medicine
David Geffen School of Medicine, UCLA
Cecilia Canales, MD, MPH is an Assistant Professor in the Department of Anesthesiology & Perioperative Medicine at UCLA. Dr. Canales’ research focus is on patient-oriented outcomes in older adults undergoing surgery. She is specifically interested in factors that contribute to postoperative neurocognitive disorders. Dr. Canales is a current National Academy of Medicine Diagnostic Excellence Scholar funded by the Gordon and Betty Moore Foundation, Council of Medical Specialty Societies and The John A. Hartford Foundation for her work in Advancing Language Equity in Perioperative Neurocognitive Disorders. She has also received training from National Institute of Aging-Butler-Williams and Resource Center for Minority Aging Scholars programs. Through the lens of ethics, Dr. Canales has explored how digital health can be harnessed to improve health equity, while avoiding pitfalls that may inadvertently introduce disparity.
2:45 – 3:15 PM
Mid-Afternoon Break
Session 3: Turning Data into Care Decisions at the Bedside
3:15 – 5:00 PM
Introductions
Jonathan M. Tan, MD, MPH, MBI, FASA
Vice Chair of Analytics and Clinical Effectiveness
Assistant Professor of Clinical Anesthesiology and Spatial Sciences
Department of Anesthesiology Critical Care Medicine, Children’s Hospital Los Angeles
Department of Anesthesiology, Keck School of Medicine at the University of Southern California
Los Angeles, CA
Jonathan M. Tan, MD MPH MBI FASA CMQ is an Assistant Professor of Clinical Anesthesiology and Spatial Sciences at the Children’s Hospital Los Angeles (CHLA), the Keck School of Medicine, and the Spatial Sciences Institute at the University of Southern California. Dr. Tan is the Vice Chair of Analytics and Clinical Effectiveness of the Department of Anesthesiology Critical Care Medicine at CHLA. As Vice Chair, he leads the strategic and operational activities of patient safety, quality improvement, and clinical informatics across the Divisions of Anesthesiology, Critical Care, Pain Medicine, and Palliative Care. Dr. Tan is board certified in Anesthesiology, Pediatric Anesthesiology, Clinical Informatics, and Medical Quality.
Dr. Tan has been invited to speak nationally and internationally on his work on clinical informatics, medical geography, spatial data science, and quality improvement. He serves on the American Society of Anesthesiologists (ASA) Committee on Informatics and Information Technology, the Anesthesia Patient Safety Foundation (APSF) Committee on Technology, the APSF Patient Safety Advisory Committee on Clinical Deterioration, and the APSF Patient Safety Advisory Committee on Infectious Diseases. Dr. Tan serves on the Leadership Advisory Board of the Association of University Anesthesiologists (AUA), the visual abstracts editorial board of Anesthesiology, as the Chair of Communications for the Society for Technology in Anesthesia (STA), and as an advisor for the Society for Pediatric Anesthesia (SPA) Women’s Empowerment Leadership Initiative (WELI).
Dr. Tan focuses on developing spatial data science methods to understand the impact of where a patient lives and social determinants of health risk factors on pediatric patient safety and health outcomes. He has been awarded grant funding from the Anesthesia Patient Safety Foundation (APSF), Foundation for Anesthesia Education and Research (FAER), and the Southern California Environmental Health Sciences Center.
Decision Support
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Kevin Tremper, PhD, MD
Professor of Anesthesiology
University of Michigan
Dr. Tremper received his MD from the University of California, Irvine after completing a PhD in Chemical Engineering at the University of California, Berkeley. During his surgical internship at Harbor/UCLA and a critical care research fellowship with Will Shoemaker to follow, he conducted studies in animals and critically ill patients on various techniques for continuously monitoring oxygen and carbon dioxide. Because of this interest in tissue oxygen measurement and oxygen monitoring, he conducted the clinical testing of the first “artificial blood” product in 1981.
In January of 1983 he completed a residency in Anesthesiology at UCLA Medical Center and returned to the University of California, Irvine as a faculty member. He was appointed chair in 1985. He remained Associate Professor and Chair until 1990 when he accepted the position of Professor and Chair of the Department of Anesthesiology at the University of Michigan until he stepped down in 2019.
If you Google for the most cited articles on Transcutaneous Oxygen Monitoring (an early technique for noninvasive oxygen monitoring) or Pulse Oximetry both will be articles published by Dr Tremper. After approximately 15 years of research on continuous monitoring of respiratory gases, he switched his research emphasis to information systems to manage clinical data for acute perioperative care. In the mid-1990s he initiated a co-development effort with a software company to create a perioperative information management system to be used for patient care, education, and clinical outcomes research. Starting in 2008, the department initiated a nationwide/worldwide perioperative outcomes database consortium, the Multicenter Perioperative Outcomes Group (MPOG). This organization allows data sharing from multiple institutions throughout the United States and Europe. Having this broad database involving all surgical procedures from a variety of institutions have enabled retrospective database queries on a grand scale for the first time.
Also starting in 2008, Dr. Tremper initiated work on the development of a new generation monitoring and decision support system: AlertWatch®. This readily identifiable, organ icon-based alerting system derives data from physiologic monitors, EMRs, history & physicals, and laboratory values updated every 10 seconds. These surveillance/safety/decision support systems have been FDA cleared for OR, ICU and Labor & Delivery. In 2022, AlertWatch was acquired by BioIntellisense Inc and is being marketed by Medtronic Inc.
Dr. Tremper has over 300 publications and is the Past President of the Society of Academic Anesthesiology Chairs, the Morton Society, and the Association of University Anesthesiologists.
Analytics for advancing quality and patient safety at the bedside: Multicenter approaches, challenges, and opportunities
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Nirav Shah, MD
Associate Professor, Anesthesiology
University of Michigan
Dr. Shah is an anesthesiologist whose interests lie at the intersection of perioperative care, quality improvement, and information technology.. As QI Director for the Multicenter Perioperative Outcomes Group (MPOG) and Program Director for Anesthesiology Performance Improvement & Reporting Exchange (ASPIRE), he leads quality improvement efforts that supports MPOG’s 60+ member institutions, including 35 across the state of Michigan. Within Michigan Medicine, he is the Associate Chief Medical Information Officer – Perioperative Care, where he leads a team that develops solutions for perioperative quality improvement, research, clinical and business operations, and supports the hospital’s perioperative EHR. His research interests include airway management, using large clinical datasets to improve perioperative quality, and improving provider feedback.
Implementation Science
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Meghan Lane-Fall, MD, MSHP, FCCM
Vice Chair of Inclusion, Diversity, and Equity and the David E. Longnecker Associate Professor of Anesthesiology and Critical Care at the Perelman School of Medicine of the University of Pennsylvania
Philadelphia, PA
Meghan B. Lane-Fall, MD, MSHP, FCCM is Vice Chair of Inclusion, Diversity, and Equity and the David E. Longnecker Associate Professor of Anesthesiology and Critical Care at the Perelman School of Medicine of the University of Pennsylvania. Her research focuses on improving the uptake and effective use (i.e. implementation) of evidence-based communication in acute and perioperative care. She is a practicing anesthesiologist and surgical intensivist. Connect with her on Twitter @mlanefall. You can also learn more about her research program at www.lanefall.info.
Lane-Fall lives in the Philadelphia suburbs with her husband and two daughters.
5:00 PM
Adjourn
6:00 – 9:00 PM
Mid-Conference Reception
6:30 – 7:30 AM
Full Buffet Breakfast and Networking
7:30 – 7:45 AM
Introduction
Jeffrey Feldman, MD, MSE
APSF Board of Directors
Chair, APSF Committee on Technology
Philadelphia, PA
Jeffrey M. Feldman, MD, MSE is an Attending Anesthesiologist at the Children’s Hospital of Philadelphia (CHOP) and a Professor of Clinical Anesthesiology at the Perelman School of Medicine, University of Pennsylvania. Feldman has a special interest in the technology of anesthesia delivery systems including low flow and closed circuit anesthesia, mechanical ventilation of the anesthetized patient and patient monitoring.
Throughout his career, Feldman has combined his extensive background in engineering with an interest in the use of technology to enhance patient care. In addition to publishing and lecturing on technology related topics, he has been an editor of the Journal of Clinical Monitoring and Computing as well as the Section Editor of the Technology Section of Anesthesia and Analgesia. He currently chairs the APSF’s Committee on Technology.
7:45 – 8:30 AM
Keynote Speaker
Can Technology Reduce Burnout and Improve the Provider Shortage?
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Subha L. Airan-Javia, MD, FAMIA
Associate Professor of Medicine (adj)
Division of Hospital Medicine, Penn Medicine
Perelman School of Medicine at the University of Pennsylvania
Founder|CEO, CareAlign
Subha Airan-Javia, MD, FAMIA is a practicing hospitalist and informatician at Penn Medicine, as well as a former Associate Chief Medical Informatics officer for the Health System. She spent the first 15 years of her career researching, designing, and building technology that improves patient safety by helping teams collaborate, which helps reduce preventable errors. As part of her work, she and her team created CareAlign, a team collaboration platform deployed across Penn Medicine for almost a decade, and which she spun out of Penn Medicine as a start up a few years ago. She now works full time as Founder & CEO of the company, while still seeing patients a few weeks a year. Her mission is to make it easier to provide the safest and most effective care for patients.
Session 4: Impending Issues: Disruptors and Innovation
8:30 – 10:30 AM
Introduction
Jeffrey Feldman, MD, MSE
APSF Board of Directors
Chair, APSF Committee on Technology
Philadelphia, PA
Jeffrey M. Feldman, MD, MSE is an Attending Anesthesiologist at the Children’s Hospital of Philadelphia (CHOP) and a Professor of Clinical Anesthesiology at the Perelman School of Medicine, University of Pennsylvania. Feldman has a special interest in the technology of anesthesia delivery systems including low flow and closed circuit anesthesia, mechanical ventilation of the anesthetized patient and patient monitoring.
Throughout his career, Feldman has combined his extensive background in engineering with an interest in the use of technology to enhance patient care. In addition to publishing and lecturing on technology related topics, he has been an editor of the Journal of Clinical Monitoring and Computing as well as the Section Editor of the Technology Section of Anesthesia and Analgesia. He currently chairs the APSF’s Committee on Technology.
The Tele ICU – Now and the Future
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Michael Scott, MB, ChB, FRCP, FRCA, FFICM
Professor of Anesthesiology and Critical Care Medicine at the Hospital of the University of Pennsylvania
Professor in Neurosurgical and Neurological Critical Care Medicine
Division Chief Surgical & Neuroscience Critical Care Medicine
Medical Director, PENN E-LERT, Health System Telemedicine ICU Program
Senior Fellow Leonard Davis Institute of Health Economics
University of Pennsylvania
Mike is Professor in the Department of Anesthesiology and Critical Care Medicine at the Perelman School of Medicine, University of Pennsylvania in Philadelphia. He is Division Chief of Critical Care and Medical Director for the TeleICU Penn e-LERT. Mike undertook his undergraduate medical training in the UK and Postgraduate training in the UK and Australia. He trained in internal medicine before doing anesthesiology and critical care medicine and holds Fellowships of the Royal College of Physician’s, Royal College of Anaesthetists and Faculty for Intensive Care Medicine.
He was one of the first clinicians to develop Enhanced Recovery after Surgery (ERAS) in 2001 which has had enormous impact on surgical outcomes and now a standard of care. He was appointed a National Clinical Advisor in Enhanced Recovery in the UK for NHS Improvement in 2012. He was on the Editorial Board for UK and European Resuscitation Council contributing to the Advanced Life Support, Immediate Life Support and Pediatric Life Support Manuals, Since moving to the USA in 2016 he has also contributed to the AHRQ ERAS guidelines for the American College of Surgeons. Mike has a keen research interest in surgical outcomes research and has been investigator / Chief Investigator for multiple studies in analgesia, haemodynamic monitoring, fluid therapy and the stress response for surgery within an ERAS Protocol. He has supervised many PhDs / MScs. Mike is co-author for some of the ERAS Society Consensus Guidelines, Chair of the ERAS Education Committee and is President of the ERAS USA Chapter.
Mike has lectured extensively around the world and has published clinical trials, editorials and review papers. He was a member of the WHO Education Committee and Member and author of the World Health Organisation LIFEBOX Project Pulse Oximetry Manual and algorithms.
His research interests span across the whole of the perioperative care pathway. Current projects include creating Dashboards to improve data integration in the Electronic Health Record and integrating live physiological waveforms to individualize treatment for patients.
Remote control of Medical Devices – Are we ready?
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Julian Goldman, MD
Medical Director of Biomedical Engineering
Mass General Brigham Health System
Anesthesiologist
Massachusetts General Hospital Dept. of Anesthesia
Julian M. Goldman, MD is Medical Director of Biomedical Engineering for Mass General Brigham health system, an attending anesthesiologist at the Massachusetts General Hospital Dept. of Anesthesia, and Founder and Director of the Program on Medical Device Interoperability & Cybersecurity (MD PnP). Dr. Goldman founded the MD PnP Program in 2004 to promote innovation in patient safety and clinical care by leading the development and adoption of safe, secure, patient-centric integrated clinical environments. The program’s new initiative on Smart and Autonomous Medical Systems (SaAMS) at the MGH Center for Innovation in Digital HealthCare (CIDH) is addressing technology, standards, and safety of remote and closed loop medical device systems.
Dr. Goldman is Board Certified in Anesthesiology and Clinical Informatics and is a Fellow of the American Society of Anesthesiologists (FASA). He completed anesthesiology residency and research fellowship in medical device informatics at the University of Colorado. He departed Colorado as a tenured associate professor to work as chief medical officer of a medical device company. Subsequently, Dr. Goldman joined Harvard Medical School and the Department of Anesthesia, Critical Care, and Pain Medicine at MGH in 2002 as a Clinician-Scientist where he served as a principal anesthesiologist for the MGH “Operating Room of the Future”.
Dr. Goldman served as a Visiting Scholar in the FDA Medical Device Fellowship Program, co-chaired the FCC mHealth Task Force, the HIT Policy Committee FDASIA Workgroup regulatory subgroup, and the FCC Consumer Advisory Committee healthcare working group. He served on the NSF CISE Advisory Committee and as a member of the CDC Board of Board of Scientific Counselors for the National Center for Public Health Informatics.
Dr. Goldman serves in leadership positions in several healthcare standardization and innovation organizations including immediate past Chair of ISO Technical Committee 121 and chair of the Working Group on cybersecurity, Executive Committee member of the Healthcare and Public Health Sector Coordinating Council Cybersecurity Working Group, and Co-Chair of the AAMI Interoperability Working Group and AAMI COVID-19 Response Team.
Dr. Goldman was an IEEE EMBS Distinguished Lecturer, and the recipient of the International Council on Systems Engineering Pioneer Award, American College of Clinical Engineering (ACCE) award for Professional Achievement in Technology, the AAMI Foundation/Institute for Technology in Health Care Clinical Application Award, and the University of Colorado Chancellor’s “Bridge to the Future” award.
The Remote Provider Experience
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Robyn Begley, DNP, RN, NEA-BC, FAAN
CEO, American Organization for Nursing Leadership
Chief Nursing Officer, Senior VP of Workforce
American Hospital Association
Robyn Begley is chief executive officer of the American Organization for Nursing Leadership (AONL) and senior vice president, chief nursing officer of the American Hospital Association (AHA). In her role at AONL, she leads a membership organization of more than 11,000 nurse leaders whose strategic focus is excellence in nursing leadership. She oversees a number of key initiatives involving workforce, quality and safety, and future care delivery models. In addition, she works collaboratively with the AHA to ensure the perspective and needs of nurse leaders are heard and addressed in public policy issues related to nursing and patient care and leads the AHA Workforce initiative.
Begley previously served as vice president of nursing and chief nursing officer at AtlantiCare in Atlantic City, N.J. During her 35 year tenure, she led AtlantiCare Regional Medical Center to achieve the American Nurses Credentialing Center’s Magnet designation four times and was part of the executive team that led the organization to achieve the 2009 Baldrige National Quality Award for innovation and performance excellence. She also worked with NAACP, Hispanic Alliance and Pan Asian leaders to promote diversity in the nursing workforce by establishing nursing fellowship and scholarship programs, as well as a mentoring program for students.
Begley serves on many boards, most recently as a member of the AONL Board of Directors, chair of AONL Foundation Board of Directors, and the Schwartz Center for Compassionate Healthcare Board of Directors. Begley earned her Doctor of Nursing Practice degree at the University of Medicine and Dentistry of New Jersey (now Rutgers), New Brunswick, N.J., master’s degree from Widener University, Chester, Pa. and bachelor’s degree from Georgetown University in Washington, D.C. She is board certified as an advanced nurse executive with the American Nurses Credentialing Center. Begley was inducted as a Fellow into the American Academy of Nursing class of 2020.
10:30 – 10:50 AM
Mid-Morning Break
10:50 – 11:30 AM
Concluding Discussions/Wrap-up
11:30 AM
Depart for Harry Reid International Airport
Our deepest thanks to Stacey Maxwell, APSF Administrator, for her tireless support of APSF and of this conference!
