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62nd MidWinter Conference - Schedule
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  12PM-5PM Conference Registration  Las Colinas Foyer


Year 2 (2018) Quality Payment Program

David Nilasena, MD, MSPH, MS

The Quality Payment Program (QPP) is a new way that payments are made to clinicians under the Medicare Part B Physician Fee Schedule as authorized under MACRA. In this session, the Year 2 (2018) requirements for the Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs) will be presented. The key changes in the program from Year 1 will be discussed, including changes to the low volume threshold, virtual groups, changes to scoring, increased flexibilities for small practices, changes to the performance threshold, and the all-payer combination option for qualified participant (QP) determination in Year 3.
 Las Colinas AB

Data Reporting and Usage for Success in TCPI and the QPP

Robert Dean, DO, MBA

The Vizient Practice Transformation Network is the largest Network in TCPI with over 24,000 clinicians nationwide participating in our Network.  In working with these clinicians we have learned about the critical role that integrated data plays in practice transformation and success in a value based environment. They will learn about how increased patient and family engagement can identify improvement opportunities and solutions for greater efficiency and patient satisfaction.

 Las Colinas AB
  3PM-3:15PM Break  Las Colinas Foyer

Patients, Not Paperwork. Reclaiming your Independent Practice

Keith Fernandez, MD

Recent statistics show that the increasing amount of administrative work is driving physicians to burnout, affecting their happiness within the practice. Join Dr. Keith Fernandez in discussing the root causes of burnout and exploring the impact on physicians’ work/life balance, career satisfaction and quality of patient care. You’ll walk away with actionable tips your practice can implement today and a better understanding of the support needed to succeed in today’s changing healthcare landscape.

 Las Colinas AB

Thrive vs Survive - Concepts For You And Your Practice

Katrina Midkiff

Concepts and services to add to your practice to care for your patients and increase survival... Allergy testing, Cognitive testing, MSO, toxicology, swabs, chronic care management, risk management, in-home EEG, coding and billing, annual wellness visits, preventative physicals... how to maximize reimbursement for services... how to maximize revenue from Medicare.... show you what other successful practices are doing and how they have increased their profitability by performing much needed services.

 Las Colinas AB

Communication & Health Literacy 101
Joanne Schwartzberg, MD

The most effective physicians understand how to communicate with patients. That doesn't mean rattling off a diagnoses and sending them home.  It requires picking up on the subtle indications that a patient has not understood.  About 90 million adults in the United States have difficulty accurately and consistently locating, matching, and integrating information. These people are less likely to be able to obtain, process and understand basic health information or know how to act upon the information they are given: they have low health literacy. This session will review the current research, the communication skills that have been shown to make a difference in improving patient outcomes.

 Las Colinas AB



  6:30AM-7AM PHYSICIAN WELLNESS: Jump Rope For Heart
 Las Colinas A
  7AM-6PM Registration {continental breakfast 7AM-9AM}  Las Colinas Foyer

 8AM-12PM               OBESITY WORKSHOP


Opening Keynote:
Famous People with Diabetes: A Case Study Exploring the Use of New and Emerging Basal Insulins

Sponsored by: The France Foundation

Joel J. Heidelbaugh, MD, FAAFP, FACG

This session combines education with light entertainment by utilizing historic figures and celebrities to demonstrate the change in diabetes management with insulin via a case-based format. Each presentation will involve the review of 2 historic figures (for legal/copyright reasons, only deceased individuals will be used). The case will be presented across several timelines to demonstrate how the availability of different therapies affected how patients with diabetes were treated. The historic figures’ publicly available medical information will be used to construct a case review and their disease management will be discussed had they been treated during various times. Each case will address issues of delayed insulin initiation, titration, sequencing of treatment, and familiarity with new and emerging basal insulins to ensure appropriate utilization/conversion.

 Las Colinas F

Current Topics in Weight Loss Surgery

Jay Roberts, DO

This presentation is a brief over view of the most commonly performed surgeries and procedures for weight loss. It outlines endoscopic interventions such as intra gastric balloon, lap band, vertical sleeve, roux en y gastric bypass, duodenal switch, mini gastric bypass, and sips procedure.

 Las Colinas F
  10AM-11AM Break with Exhibitors  Las Colinas DE

Prescription Medications for the Management of Obesity

Katura C. Bullock, Pharm.D., BCPS

Obesity has become a public health concern in the United States. Rates of overweight and obese people have been steadily increasing in both adults and children. Recent advances have occurred in treatment modalities for the management of obesity: lifestyle intervention, pharmacotherapy, and weight-loss procedures. Focus will be on the pharmacologic treatments shown to be effective for chronic management of obesity. Participants will learn how to analyze factors and select the most appropriate agent for individual patients.

 Las Colinas F
  12PM-1:30PM Boxed Lunch in the Exhibit Hall  Las Colinas DE



Hypertension: What's an Emergency?
Robert E. Suter, DO, MHA, FACOEP-D

Hypertensive patients are seen commonly in Primary Care and the numbers are often upsetting to patients and doctors alike, triggering concerns that can lead to emergency department referral. This presentation reviews hypertension from the emergency medicine perspective to help physicians have a shared understanding of when to refer to the ED and when to feel confident that they can reassure the patient and treat in the office, as well as the current emergency treatments for uncontrolled hypertension.

 Las Colinas F
  3PM-4PM "Cocoa with the Coats" Break with Exhibitors  Las Colinas DE
  3PM-6PM Regi-ception: enjoy music by Guitarist, Derek Anthony  Las Colinas Foyer

Peripheral Vascular Disease: 2018
Dane Gruenebaum, DO, MBA

A comprehensive presentation on Peripheral vascular disease as a co-morbidity. We will explore the basics including pathophysiology, the work up evaluation and when it may be appropriate to refer for intervention, the available medical therapies, potential interventions, and finally the implications of the disease process for our patients, our healthcare system and as a society.

 Las Colinas F

Welcome Reception with Exhibitors - Salsa!

 Las Colinas DE




  6:30AM-7:30AM PHYSICIAN WELLNESS: Fun Run/Walk  Meet in Lobby
  7AM-6PM Registration {continental breakfast 7AM-9AM}  Las Colinas Foyer
  8AM-12PM TOMA Committee Meetings    [if scheduled - notification email was sent]  Martaban/Andaman

Keynote: How to Put the Latest Technology to Use to Improve your Practice

Soraya Herbert

 Las Colinas F
  9AM-5PM Tech Bar Open: Details
 Las Colinas Foyer


Maintaining Mobility & Function in Geriatrics Population: Osteopathic & Physiatric Approach

Yein Lee, DO

In this session Dr. Lee will share a physiatrist’s perspective on taking care of geriatrics patients and their function using OMT as a modality/treatment.


Acute Delirium {9AM-10AM}

Steven L. Gates, DO, FACOI

This session will focus on Acute Delirium as it affects primarily the Geriatric population.  The topics will include definitions, impact, epidemiology, as well as pathogenesis.  It will review some of the common causes, risk factors, precipitating causes, as well as some common drugs that can cause this condition.  This session will also review prevention as well as treatment and management.  At the end of this session, each attendee should have a better understanding of the impact of this in our population.

Infectious Diseases in the Geriatric Population {10AM-11AM}

David Purtle, MD

Older adults often present without typical signs and symptoms of infection. Join Dr. David Purtle to explore infectious diseases that commonly affect the elderly and learn how you can better educate your geriatric patients on prevention. 

  9AM-12PM Student/Resident Poster Session Contest {judging 11AM-12PM}  Las Colinas Foyer
  11AM-12PM Final Break with Exhibitors  Las Colinas DE

Luncheon: Town Hall Meeting including Student Poster Winners Announced!

Presentation: Healing Our Heros: Current Healthcare Operations in the Global War on Terror {1:30PM-2PM}
Robert E. Suter, DO, MHA, FACOEP-D

As the U.S. efforts in Iraq, Afghanistan, Syria, and throughout the Middle East have evolved, so have the healthcare resources and approaches. This presentation will be an unclassified insiders view of the medical battlefield and the lessons learned from the recently returned Commander of the Medical Command primarily responsible for medical and healthcare efforts in the 13 nation CENTCOM region.

 Mandalay Ballroom

Osteopathic Psychiatry: OMM and Mood Disorders
Teodor Huzij, DO, FACN

A review of the well established origins of osteopathic psychiatry, a renewed vision of a genuinely osteopathic psychiatric approach and a novel OMM approach for addressing mood disorders.

Bandaging & Casting Basics {2PM-3:15PM}
Join Kat Pederson, DO and Thomas Shima, DO for a Bandaging and Casting Basics.  Dr.’s Pederson and Shima will demonstrate several basic bandaging and casting techniques. Participants will also get to practice the techniques they have learned.

EKG/Ultrasound Basics {3:15PM-4:30PM}

Levi Rice, DO will demonstrate and discuss the basics of EKG and Ultrasound.  There will be an EKG machine present for the demonstration.


Comprehensive Addiction Recovery
Barbara S. Peavey, PhD

Comprehensive addiction treatment involves understanding that it is a brain based disorder requiring a multimodal approach to treatment. Physicians have a primary role in
treatment, though often physicians are unfamiliar how to begin discussion of the topic of addiction with their patients. Neuroplasiticity is the brain’s ability to change its own
structure and functioning in response to new activity emotional ormental experience. Psychoneuroplasiticy was coined to describe intentional learning and how training the brain wires neurons together for new behavior. Discussion will include addiction and the brain’s reward pathway and how substances with addictive value; like alcohol, marijuana, cocaine, and benzodiazepines can hijack the brain, igniting the addiction pathway.

Mentor Program {4:30PM-5PM}
A brief overview of the TOMA Student Mentor program from TOMA’s President-Elect, John McDonald, DO.

Mentor Reception

Join fellow students, residents, newly practicing physicians and experienced physicians for light appetizers and beverages while networking and seeking guidance as you prepare to finish medical school. Ask questions, seek opportunities and overall, enjoy getting to know new friends!

 Las Colinas D
 6:30PM Women's Physician Dinner - RSVP to Dr. Nancy Chasteen at  
 6:30PM TCOM Alumni Happy Hour - invite  



 7AM-7:45AM PHYSICIAN WELLNESS: Mindful Movement Yoga - more
 Las Colinas A
 7AM-12PM Registration {continental breakfast 7:30AM-8:30AM}  Las Colinas Foyer



Keynote: The Physician Wellness Toolkit: Practical Tips to Incorporate Mindfulness in Practice and Reduce Burnout in

 Battling the Narcotic Epidemic
Helene M. Alphonso, DO

200 Physicians per year die from suicide, and numbers are growing.  Physicians are also the first line of response to the mounting narcotic epidemic and dealing with patients resistance to medication reduction certainly contributes to burn out. Many Physicians are aware of growing numbers of burnt out colleagues but need small practical steps they can take in busy day to day lives to implement them.  They inherently are driven to help patients, yet are pitted against them when discussing safe prescribing guidelines.  This lecture seeks to educate Physicians about how to incorporate self care in a busy day and incorporate recovery principles of addiction treatment to reduce burn out.

 Las Colinas F

Depression, Stress and Burnout, an Argument for Wellness
Cheryl L. Hurd, MD

This educational activity is 1.5 hours in length and focuses on recognizing symptoms of burn out, evaluating work and home life, and developing strategies for wellness.  Time management skills are crucial in helping busy physicians  organize their work flow.  In this activity, individual, environmental and organizational strategies are reviewed for the learners to consider and perhaps incorporate into their work and home lives.  The design of this learning activity includes information that should be helpful to leadership at organizations as well as individual physicians.

 Las Colinas F

CMS/Medicare Programs for Older Adults [Ethics]

Janice Knebl, DO, MBA

This session will provide updates regarding the latest CMS and Medicare programs for the elderly including annual wellness visits, advanced care planning codes and care coordination codes and the ethics surrounding the decision making involved.

 Las Colinas F

Why Coding Matters… The Impact on Future Compensation

Douglas J. Jorgensen, DO, CPC, FAAO, FACOFP, CAQ & Raymond T. Jorgensen, MS, CPC

Do you understand how coding impacts value-based payments? Do you know why and how the CMS Quality Payment Program uses coding data to determine future compensation? Do you understand how various regions of the country have transitioned compensation to value-based from direct fee for service and what lessons have been learned? Attend this session to learn how others have been impacted by value-based compensation and what you need to understand to well prepare your practice for future success. From this session, garner the basics of the 2018 QPP and what elements are critical for you and your practice to master as the compensation landscape continues its transition from fee for service to value-based payments.

 Las Colinas F





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