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62nd MidWinter Conference - Schedule
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Tentative Schedule as of November 29, 2017 | subject to change





  12PM-5PM Registration

The CMS Quality Payment Program: Year 2

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.

Transformation of Clinical Practice Initiative: Practice Data, PFE & Practice Improvement Activities

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.

  3PM-3:15PM Break

Patients, Not Paperwork. Reclaiming your Independent Practice in the Midst of Increasing Administrative Burdens

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.


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.


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.


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

        OBESITY WORKSHOP  [3 hours CME]


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 and/or celebrities such as Howard Hughes and Ella Fitzgerald (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. For example, a case might feature Howard Hughes as a patient in 2000 when long-acting insulin analogues were first introduced, and again had he been treated in the present with the availability of newer basal insulins. The use of famous historic figures will keep learners engaged and make the session memorable while incorporating standardized patient information. 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.


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.

  10AM-11AM Break with Exhibitors

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.

  12PM-1:30PM Boxed Lunch in the Exhibit Hall



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.

  3PM-4PM "Cocoa with the Coats" Break with Exhibitors

PVD: Peripheral Vascular Disease
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.


Welcome Reception/Grand Opening of Exhibits

Salsa with our Exhibitors!


  6:30AM-7:30AM PHYSICIAN WELLNESS: Fun Run/Walk
  7AM-6PM Registration {continental breakfast 7AM-9AM}
  8AM-12PM TOMA Committee Meetings {if scheduled - notifications will be emailed}

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

Soraya Herbert

  9AM-5PM Tech Bar Open: Details


A Psychiatrist’s Perspective on Care of Geriatrics Patients and

 Their Function Using OMT

 Yein Lee, DO


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}
  11AM-12PM Final Break with Exhibitors

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.


OMM Psychiatry
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
Mentor Program {4:30PM-5PM}
A brief overview of the TOMA Student Mentor program.
 5PM-6:30PM Mentor Reception
 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
 7AM-12PM Registration {continental breakfast 7:30AM-8:30AM}



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.


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.


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.


Why Coding Matters… The Impact on Future Compensation

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





Texas Osteopathic Medical Association
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