american heart association/american stroke …wcm/@wsa/documents/...welcome & opening remarks...

American Heart Association/American Stroke Association

2017 HAWAII

CARDIOVASCULAR & STROKE SUMMIT

Monday, April 24 - Tuesday, April 25, 2017 8:00 AM - 4:00 PM

Registration and Exhibition Hall opens at 7:00 AM on both days.

Ala Moana Hotel

Hibiscus Ballroom

410 Atkinson Drive

Honolulu, Hawaii 96814

This activity is supported by an educational grant from

HMSA Foundation , Novartis Pharmaceutical Corporation, and The Queen’s Medical Center.

Inter-island travel scholarships for this educational activity is supported by

The Queen’s Medical Center and the Hawaii Neurological Society.

A SPECIAL THANK YOU TO OUR

2017 HAWAII

CARDIOVASCULAR & STROKE SUMMIT SPONSORS

This activity is supported by an educational grant from

HMSA Foundation, Novartis Pharmaceutical Corporation, and The Queen’s Medical Center.

Inter-island travel scholarships for this educational activity is supported by

The Queen’s Medical Center and the Hawaii Neurological Society.

2017 Exhibitors

DAY 1: MONDAY, APRIL 24, 2017

Time Presentation Faculty

7:00 AM -

8:00 AM

Registration, Heart-Healthy Breakfast, & Exhibits

8:00 AM -

8:15 AM

Welcome & Opening Remarks Tami Swart, LPN, MPH, HACP, CPHQ

Senior Regional Director

American Heart Association/

American Stroke Association

William Dang, Jr., MD

Cardiologist

Cardiology Associates Inc.

Volunteer



8:15 AM -

9:15 AM

The Management of Heart Failure:

A Practical but Guideline Directed Approach

According to the American Heart Association's

(AHA) latest Heart and Stroke Statistics,

survival rates in U.S. adults with heart failure

have improved in recent years. However,

mortality remains high - higher still among

patients who have heart failure with preserved

ejection fraction (HFpEF) compared to those with

reduced ejection fraction (HFrEF). Heart failure is

a manageable condition through early diagnosis,

lifestyle changes, and appropriate treatment.

Mario Deng, MD, FACC, FESC

Cardiologist

Ronald Reagan University of

California, Los Angeles Medical Center

9:15 AM -

10:00 AM

Pre-Hospital Care:

STEMI & Stroke Updates in Hawaii

Update on first responder care, and cardiac and

stroke care in the pre-hospital setting.

Rick Bruno, MD, FACEP

Emergency Physician

The Queen’s Health System

Associate Chief Medical Officer

The Queen’s Medical Center,

Punchbowl

EMS District Medical Director, Oahu

Hawaii State Department of Health

10:00 AM -

10:15 AM

Break & Exhibits

DAY 1: MONDAY, APRIL 24, 2017


10:15 AM -

11:00 AM

Electrocardiographic Mimics of Acute Coronary

Syndrome

The goal with ST-segment elevation myocardial

infarction (STEMI) mimics and confounders is to

maximize rapid, accurate diagnosis while avoiding

delays in treatment of alternative causes of

ST-segment elevation.

Kevin F. Kwaku, MD, PhD, FACC

Chief, Division of Cardiology

Director, Cardiac Electrophysiology

Moanalua Medical Center and

Kaiser Foundation Hospital -

Hawaii Region

11:00 AM -

11:30 AM

Best Practices in Community Awareness and Outreach

Best practice sharing on how to get the word out

on brain health and calling 9-1-1.

Jennifer Moran, MS, ACNP

Stroke Coordinator

The Queen’s Medical Center

Lorri Pilkington, RN, BSN, CNOR

Clinical Documentation Improvement

Specialist

Quality Management Coordinator

Wilcox Memorial Hospital

11:30 AM -

11:35 AM

The WHY: Stories from the Heart Chris McLachlin

Stroke Ambassador & Survivor



11:35 AM -

12:30 PM

Lunch & Exhibits

12:30 PM -

1:15 PM

Imaging Stroke Patients with Unclear Onset Times

Despite significant progress in stroke prevention

and acute treatment, stroke remains a leading

cause of death and adult morbidity worldwide. By

defining “stroke symptom onset” in the most

conservative manner, namely the time the patient

was last known to be well, many patients whose

onsets are unwitnessed are automatically ineligible

for thrombolytic therapy even if their true time of

onset would make them eligible.

Sung Bae Lee, MD

Medical Director,

Neurointerventional Surgery


Assistant Profession of Medicine,

University of Hawaii, John A. Burns

School of Medicine

1:15 PM -

2:00 PM

Mechanical Thrombectomy for Acute Stroke Patients

Mechanical thrombectomy is a promising new

modality of interventional stroke treatment.

Turgut Berkmen, MD

Neuro Interventional Radiologist

Maui Memorial Medical Center

DAY 1: MONDAY, APRIL 24, 2017 Time Presentation Faculty

2:00 PM -

2:15 PM

Break & Exhibits

2:15 PM -

3:00 PM

Engaging Emergency Medical Service Professionals

as Partners

Best practice overview on working with

Emergency Medical Service (EMS) to call stroke

codes, EMS engagement in hospital STEMI

systems.

Tiffany Lightfoot, RN, EMT-P, MS

State Trauma Program Coordinator

Emergency Medical Services &

Injury Prevention System Branch


Alvin Bronstein, MD, FACEP

EMS Branch Chief

Emergency Medical Services &

Injury Prevention System Branch


Jillian Kelekoma

Paramedic/Flight Paramedic

AMR Kauai

Koery Chock

Assistant Chief of Quality Assurance/

Paramedic

City & County of Honolulu

Emergency Medical Services Division

Vern Hara

Fire Captain/Paramedic

Hawaii Fire Department

Jerry Wright

Paramedic

AMR Maui

3:00 PM -

3:45 PM

Ethnic Disparities in Stroke

Describe patient outcomes and the higher burden

of stroke risk factors for the Native Hawaiians/

other Pacific Islanders (NHOPI) population.

Kazuma Nakagawa, MD

Director, Stroke Center

Medical Director,

Obstetric Neurovascular Services


Associate Professor of Medicine,


School of Medicine

Hawaii Division, Board President



3:45 PM -

4:00 PM

Closing Remarks & Adjourn Day 1 Tami Swart, LPN, MPH, HACP, CPHQ




DAY 2: TUESDAY, APRIL 25, 2017


7:00 AM -

8:00 AM

Registration, Heart-Healthy Breakfast, & Exhibits

8:00 AM -

8:15 AM

Welcome

Summary of Day 1

Lorri Pilkington, RN, BSN, CNOR

Specialist, Quality Management


Leslie Lexier, RN

Quality Specialist

Maui Memorial Medical Center

8:15 AM -

9:00 AM

The Management of Atrial Fibrillation in Heart Failure

Patients

While managing atrial fibrillation can be

challenging enough on its own, in patients with

concomitant heart failure even greater care must

be exercised in determining appropriate therapies.

Issues such as anticoagulation, rate versus rhythm

control, and ablation (surgical or catheter-based)

are all common management concerns.

Hingson Chun, MD

Cardiac Electrophysiologist

Straub Clinic & Hospital

9:00 AM -

9:45 AM

CHADS2VASC Score:

Its Value and How to Use in a Clinical Setting

Learn what does CHADS2VASC Score stand for,

know the origin of the score and modifications

through the years, and its value and how to use in

clinical setting.

John Funai, MD

Cardiologist


9:45 AM -

10:00 AM -

Break & Exhibits

10:00 AM -

10:45 AM

Digital Health for the Management of Cardiovascular

Disease: New Concepts & Innovations

Overview of new concepts and innovations related

to digital health for the management of

cardiovascular disease.

Mintu Turakhia, MD,MAS, FHRS,

FACC, FAHA

Associate Professor of Medicine

Senior Director of Research &

Innovation, Center for Digital Health

Stanford University School of

Medicine

Chief of Cardiac Electrophysiology

VA Palo Alto Healthcare System



10:45 AM -

11:30 AM

Driving Quality Through the Power of Information

Technology

Demonstrate the power of informational

technology integration in to quality improvement

process. The utilization of disease, discipline,

hospital and system wide workgroups to identify

opportunities for improvement and drive patient

quality outcomes.

Amy Corliss, MD

Vice Chief of Staff

Medical Director, Palliative Care

Medical Director, Alapono Program


11:30 AM -

12:30 PM

Stroke Prevention in Atrial Fibrillation:

New Concepts, Treatment, & Challenges

Anticoagulation is an important consideration in

the management of atrial fibrillation. Review of

stroke prevention in atrial fibrillation including

factors contributing to stroke risk, bleeding risk

in AF patients and issues related to appropriate

anticoagulants.

Mintu Turakhia, MD,MAS, FHRS,

FACC, FAHA

Associate Professor of Medicine

Senior Director of Research &

Innovation, Center for Digital Health

Stanford University School of

Medicine

Chief of Cardiac Electrophysiology

VA Palo Alto Healthcare System

12:30 PM -

1:30 PM

Lunch & Exhibits

1:30 PM -

2:15 PM

Telestroke: Increasing Access to Quality Stroke Care

Identify key components to maintaining the

logistic and/or operational sustainability of a

telestroke network. Identify best practices to be

considered for assessment and management of

acute stroke when planning for and developing a

telestroke network. Show practical steps to

enable progress toward implementing a telestroke

solution for optimizing acute stroke care.

Incorporate evidence-based practice guidelines

and care pathways into a telestroke network.

Emphasize technology variables and options, and

propose metrics to use when determining the

performance, outcomes, and quality of a telestroke

network.

Amy Corliss, MD

Vice Chief of Staff

Medical Director, Palliative Care

Medical Director, Alapono Program


Matthew A. Koenig, MD, FNCS

Medical Director, Telehealth

Associate Medical Director,

Neurocritical Care




School of Medicine



2:15 PM -

3:00 PM

Hawaii Stroke Coalition: Then & Now

Provide history of coalition, goals, and current

state of stroke in Hawaii.

Matthew A. Koenig, MD, FNCS

Medical Director, Telehealth

Associate Medical Director,

Neurocritical Care




School of Medicine

3:00 PM -

3:45 PM

Reducing 30-Day Readmission:

Implementing a Heart Failure Team into Modern Day

Practice

Data from the Centers of Disease Control and

Prevention states that about 5.1 million people in

the U.S. have heart failure. Data from the Centers

for Medicare & Medicaid Services state the U.S.

national average readmission rate for heart failure

patients is now 23%. The readmission rate for

heart failure patients is indisputably high; in part,

because heart failure is an extraordinary complex

disease and underlying reasons for readmissions in

heart failure patients encompass a host of factors.

Ryan M. Smith, DO, MBA

Chief, Department of Cardiology

Tripler Army Medical Center

3:45 PM -

4:00 PM

Closing Remarks & Adjourn Day 2

Tami Swart, LPN, MPH, HACP, CPHQ




FACULTY BIOGRAPHIES

Turgut Berkmen, MD

Neuro Interventional

Radiologist

Maui Memorial Medical

Center

Faculty Speaker

No relevant financial

disclosures.

Turgut Berkmen, MD is a Neuro Interventional Radiologist

who began his career in 1989. After completing his

Radiology Residency at Hospital of St. Raphael in New

Haven, CT, he continued on to University of Miami

Jackson Memorial and did one-year fellowship in

Interventional Radiology. He then met Ajay Wakhloo, MD

who had just moved to Miami that year. He is one of the

most prominent Neuro Interventionalists in the world,

most recently known for his flow diverter stent-surpass

(Stryker) for use in treatment of cerebral aneurysms.

Dr. Wakhloo was one of the few Interventionalists involved

in intracranial stenting at the time, and Dr. Berkmen spent

one year with him doing strictly Interventional

Neuroradiology, learning all the cutting edge techniques in

endovascular treatment of hemorrhagic and ischemic

stroke.

Dr. Berkmen moved back to New Haven, CT in 2002 after

his fellowship and became the Chairman of Interventional

Neuroradiology services at Hospital of St. Raphael Yale

University until 2013 when he moved to Maui and is

currently working at Maui Memorial Medical Center.

Rick Bruno, MD, FACEP

Emergency Physician

The Queen’s Health System

Associate Chief Medical

Officer

The Queen’s Medical

Center, Punchbowl

EMS District Medical

Director, Oahu

Hawaii State Department of

Health

Faculty Speaker


disclosures.

Rick Bruno, MD, FACEP is an Emergency Physician who

practices at The Queen's Health System's Emergency

Departments on Oahu, Molokai, and the Big Island. He

also serves as the Associate Chief Medical Officer for The

Queen's Medical Center at Punchbowl. Rick has been active

in Hawaii EMS and is the Hawaii Department of Health's

EMS District Medical Director for Oahu. He is a member

of the Hawaii Stroke Coalition and has helped develop the

transportation guidelines for EMS in Oahu related to acute

Stroke and STEMI care.

FACULTY BIOGRAPHIES

Hingson Chun, MD

Cardiac

Electrophysiologist

Straub Clinic & Hospital

Faculty Speaker

Disclosures:

Speakers Bureau:

Boehringer-Ingelheim

Hingson Chun, MD is the Medical Director of the

Electrophysiology Program at Straub Clinic and

Hospital’s Heart Center. His past positions include Chief of

Staff at Straub Clinic and Hospital, Associate Director of

Cardiac Arrhythmia and Electrophysiology Service at

Stanford University School of Medicine. He was a Fellow in

Cardiac Electrophysiology at Stanford University, a

Fellow in Cardiovascular Medicine at Stanford University,

completed his Internal Medicine Residency at the

University of Michigan and is a graduate of the John A.

Burns School of Medicine. His publications include

“Multiple Atrioventricular Nodal Pathways in Humans:

Electrophysiologic Demonstration and Characterization” in

the Journal of Cardiac Electrophysiology, “Effect of

Adenosine and Verapamil in Catecholamine-Induced

Accelerated Atrioventricular Junctional Rhythm: Insights

into the Underlying Mechanisms” in PACE and the

“Spectrum of Electrophysiologic and Electropharmacologic

Characteristics of Verapamil-Sensitive Tachycardia in

Patients without Structural Heart Disease in the American

Journal of Cardiology.

Dory Clisham

Education & Training

Manager

American Medical Response

Planning Committee


disclosures.

Dory Clisham has worked with American Medical Response

as its Education and Training Manager for 21 years. In her

primary role, she manages a Training Center proving

medical and community training to employees and the

general public. She also supports 50 AHA training sites, 35

in Hawaii and 15 in Japan. Under her leadership, the

Training Center has trained over 700 AHA instructors in

Hawaii and Japan, and pioneering the first Japan

International Training Center out of country.

A volunteer for the American Heart Association since 1998,

Ms. Clisham was an AHA, Hawaii division board member

from 1998 – 2014. She has participated in several

committees including the AHA ECC committee and its

CPR in the Schools Task Force. She has also participated in

community AED education, and in planning the AHA’s

Hawaii Emergency Cardiovascular Care (ECC) conferences.

She also chaired the Operations Heart and Stroke

Committee, which trained over 5,000 community members

in CPR. She was the National BLS Faculty and is still

currently on the ECC Regional Committee. Ms. Clisham

has won several awards including the AHA’s Guy

Matsuguma Award, Outstanding Service Award,

Distinguished Service Award and Volunteer of the Year.

FACULTY BIOGRAPHIES

Amy Corliss, MD

Vice Chief of Staff

Medical Director,

Palliative Care

Medical Director, Alapono

Program


Faculty Speaker


disclosures.

Amy Corliss, MD is graduate of the University of

Massachusetts Medical School and is a board certified

Internal Medicine provider who trained at University of

California, Los Angeles Medical Center Internal Medicine

Residency Program. Dr. Corliss resides on Kauai and is the

Vice Chief of Staff, the Medical Director of Palliative Care

and the Alapono (Patient Safety and Quality) Program

Medical Director at Wilcox Memorial Hospital. She serves

as the telemedicine project lead and has previous experience

including working as a hospitalist physician at Kauai

Medical Clinic, Wilcox Memorial Hospital and is an ACO

Partner of Hawaii Pacific Health and Hawaii Health

Partners. She provides her vast expertise while serving as

the current Wilcox Medical Center Information Technology

Physician Liaison and Physician Champion for ICD-10

Readiness for both Hawaii Pacific Health and Wilcox

Medical Center.

William Dang, Jr., MD

Cardiologist

Board Member

American Heart

Association/American

Stroke Association

Planning Committee


disclosures.

William M. Dang, Jr., MD was born in New Orleans and

grew up in Honolulu, Hawaii. He received his bachelor’s

degree from St. Louis University in St. Louis, Missouri. He

received his medical degree from Creighton University

School of Medicine in Omaha, Nebraska. He completed his

residency in internal medicine and cardiology fellowship at

Creighton University. He returned to Honolulu, where he

remains in private practice in interventional cardiology. He

presently has hospital privileges at The Queen’s Medical

Center, Kuakini Medical Center, Pali Momi Medical Center

and Wahiawa General Hospital.

Dr. Dang serves as the chair for the Mission:Lifeline

program at the American Heart Association, Hawaii

Division, where he previously served as Board President.

He is on the clinical faculty for the University of Hawaii

John A. Burns School of Medicine and serves on the Board

of Directors for the Hawaii Health Information

Corporation. He also serves on the Quality Task Force for

the Western States Affiliate of the American Heart

Association. He has been a volunteer for the American

Heart Association since his cardiology fellowship.

FACULTY BIOGRAPHIES

Mario Deng, MD, FACC,

FESC

Cardiologist

Ronald Reagan University

of California, Los Angeles

Medical Center

Faculty Speaker


disclosures.

Professor Mario Deng, MD, is a cardiologist, specializing in

the care of patients with advanced heart failure, mechanical

circulatory support devices and heart transplantation.

After medical training in Germany and a postdoctoral

cardiology research fellowship at Stanford University, he

served as the Medical Director of the Interdisciplinary

Heart Failure & Heart Transplantation Program at

Muenster University (1992-2000), Director of Cardiac

Transplantation Research at Columbia University (2000-

2011), and since 2011, Medical Director of the Ronald

Reagan University of California, Los Angeles Medical

Center (UCLA) Integrated Advanced Heart Failure/

Mechanical Support/Heart Transplant program.

Dr. Deng maintains a position at the intersection between

clinical cardiology, teaching and translational research. He

is the Co-Principal Investigator of the Cardiac Allograft

Rejection Gene Expression Observational (CARGO) study

that led to the first-in-history US-FDA-cleared genomic

organ transplantation rejection AllomapTM blood test and

Principal Investigator of the NIH/NHLBI-project

“Multidimensional Molecular Biomarkers of MultiOrgan

Dysfunction after Mechanical Circulatory Support

Therapy.”

John Funai, MD

Cardiologist


Faculty Speaker


disclosures.

John T. Funai, MD is a staff cardiologist and attending

physician at Kauai Medical Clinic and Wilcox Memorial

Hospital. Additionally, he serves as an Associate Professor

of Medicine and Biomedical Engineering at Medical College

of Virginia Commonwealth University. He attended

medical school at the University of Hawaii John A. Burns

School of Medicine, enrolled at the University of Virginia

for his PhD program in philosophy, and completed his post-

graduate cardiology training at Tufts University School of

Medicine in Boston, MA. In addition, Dr. Funai is an active

manuscript reviewer, an invited chairman of the AHA’s

Scientific Sessions, and an invited abstract grader.

FACULTY BIOGRAPHIES

Lydia Kim, RN, BSN, PCCN

Patient Safety and

Performance Improvement

Coordinator

Quality Department

Queens Medical Center

West Oahu

Planning Committee


disclosures.

Lydia Kim, RN, BSN, PCCN was born and raised on Oahu.

She graduated from Hawaii Pacific University with a

bachelor of science in nursing. She started her nursing

career at Santa Monica UCLA Medical Center and

Orthopaedic Hospital. After 4 years in Los Angeles gaining

telemetry and ICU experience, she returned to Oahu to

work at The Queen’s Medical Center Punchbowl. In 2014,

Ms. Kim transferred to the newly opened Queen’s Medical

Center West Oahu campus. In 2015, she became a Patient

Safety & Performance Improvement Coordinator and took

on the assignment of stroke data abstraction and entry into

the AHA/ASA’s Get With The Guidelines program. She is a

member of the Hawaii Stroke Coalition.

Matthew A. Koenig, MD,

FNCS

Medical Director,

Telehealth

Associate Medical

Director, Neurocritical

Care


Associate Professor of

Medicine,

University of Hawaii,

John A. Burns School of

Medicine

Faculty Speaker

Disclosures:

Discussion of unlabeled or

investigational uses of

products.

Matthew Koenig, MD, FNCS is Associate Medical Director

of Neurocritical Care and Medical Director of Telehealth at

The Queen’s Medical Center. He received his doctor of

medicine from the University of Maryland and completed

his internship in internal medicine at the Mayo Clinic in

Rochester, MN. He completed his residency in neurology

and fellowship in neurocritical care at the Johns Hopkins

Hospital. He is board certified in neurology, vascular

neurology, and neurocritical care. Dr. Koenig is the current

chair of the Hawaii Stroke Coalition and a board member of

the Hawaii Neurological Society.

FACULTY BIOGRAPHIES

Kevin F. Kwaku, MD,

PhD, FACC

Chief, Division of

Cardiology

Director, Cardiac

Electrophysiology

Moanalua Medical Center

and Kaiser Foundation

Hospital - Hawaii Region

Faculty Speaker


disclosures.

Kevin Kwaku, MD, PhD, FACC received his MD and PhD

degrees from Columbia University, where he studied the

biophysical underpinnings of cardiac defibrillation using

optical mapping techniques. He completed his residency in

internal medicine at Massachusetts General Hospital and

fellowships in cardiovascular disease and clinical cardiac

electrophysiology at Beth Israel Deaconess Medical Center

under the mentorship of the late electrophysiology pioneer

Mark Josephson, MD. Dr. Kwaku remained on staff at

BIDMC and on teaching faculty at Harvard University

until 2008 when he joined the Hawaii Permanente Medical

Group as Electrophysiology Director at Moanalua Medical

Center in Honolulu. Since 2014, he has served as Regional

Chief of Cardiology for Kaiser Permanente, Hawaii. Dr.

Kwaku was elected to the Board of Governors of the

American College of Cardiology and is president of its

Hawaii Chapter.

Christopher Lai Hipp,

Pharm.D., MLS(ASCP)

Clinical Pharmacist

The Queen's Medical Center

West Oahu

Affiliate Faculty

Daniel K. Inouye College

of Pharmacy, UH-Hilo

Planning Committee


disclosures.

Originally from Honolulu, Hawaii, Christopher Lai Hipp,

PharmD, MLS(ASCP), began his education at the

Kapiolani Community College where he studied medical

laboratory technology. Upon completion, he continued his

education at San Francisco State University, earning

degrees in cell & molecular biology and chemistry. While in

San Francisco, Dr. Lai Hipp worked in the UCSF Blood

Bank as well as a research assistant in the UCSF

Transfusion Medicine Research Program, working on an

HIV vaccine candidate. This work lead to several

publications focusing on the use of human blood collection

by-products as a cellular substrate to produce a potential

vaccine candidate.

After returning to Honolulu, Dr. Lai Hipp worked as a

Medical Laboratory Scientist in the clinical laboratories of

The Queen’s Medical Center and Straub Hospital. While

taking graduate courses at the University of Hawaii, he

then completed his education by earning a Doctor of

Pharmacy degree from the Daniel K. Inouye College of

Pharmacy at the University of Hawaii – Hilo. Dr. Lai

Hipp currently holds a position as the Clinical Pharmacist

in the Emergency Department of The Queen’s Medical

Center West Oahu, as well as affiliate faculty appointments

at the UH-Hilo College of Pharmacy and Kapiolani

Community College.

FACULTY BIOGRAPHIES

Sung Bae Lee, MD

Medical Director,

Neurointerventional

Surgery


Assistant Profession of

Medicine,

University of Hawaii,

John A. Burns School of

Medicine

Faculty Speaker


disclosures.

Sung Bae Lee, MD is the Medical Director of

Neurointerventional Surgery and a Neurointerventional

Surgeon at the Queen’s Medical Center in Honolulu. He is

also an Assistant Clinical Professor of Medicine at John

Burns School of Medicine. Dr. Lee attended Cornell

University for his undergrad and then went on to Medical

School of Georgia in Augusta. He completed his internship

and residency at the Mayo Clinic Graduate School of

Medicine in Rochester, MN, and his Interventional

Neuroradiology fellowship at Emory University Graduate

School of Medicine. He also completed his Neurocritical

Care and Stroke Fellowship at University of California San

Francisco and his Clinical Research Fellowship at the

Medical College of Georgia. He is a board-certified

diplomate of the American Board of Psychiatry and

Neurology, UCNS Neurocritical Care and ABPN

Vascular Neurology. Dr. Lee was named the Queen’s

Medical Center Hospital-Based Physician of the Year in

2016 and is a professional member of the Society of

Neurointerventional Surgery, the American Stroke

Association, the American Academy of Neurology, the

Neurocritical Care Society and the Society of Critical Care

Medicine.

Leslie Lexier, RN

Quality Specialist

Maui Memorial Medical

Center

Planning Committee


disclosures.

Leslie Lexier, RN has more than 30 years of professional

nursing experience and works collaboratively with a large

number of physicians, nurses, managers and senior leaders.

As the Quality Specialist at Maui Memorial Medical Center,

she has recent nursing expertise in Quality Management,

(monitoring and evaluating the quality and appropriateness

of care provided to patients, collecting and reviewing data

on patient care to identify problems; seeking ways to

improve patient care and to resolve problems associated

with clinical performance; and implementing best

practices). In addition, Ms. Lexier was instrumental in

achieving the top level of award from the American Heart

Association’s “Get With The Guidelines- Heart Failure

Gold Plus/ Target: Honor Roll”. Other accomplishments

include implementing the “Teach Back” Method to Nursing

Staff, developing a heart failure in-service program, and

organizing, filming, and posting of in-services on the online

education and testing program.

FACULTY BIOGRAPHIES

Tiffany Lightfoot, RN,

EMT-P, MS

State Trauma Program

Coordinator

Emergency Medical

Services & Injury

Prevention System Branch

Hawaii State Department of

Health

Faculty Speaker and

Planning Committee


disclosures.

Tiffany S. Lightfoot RN, EMT-P, MS currently serves as

the State of Hawaii Department of Health’s Emergency

Medical Services & Injury Prevention System Branch State

Trauma Program Coordinator. Ms. Lightfoot has multiple

years of experience as a ground paramedic, flight paramedic

and in emergency department nursing. She is experienced in

the development and management of award winning

hospital stroke care systems. Ms. Lightfoot built an award-

winning stroke program for a community hospital and went

on to manage a multi-hospital stroke program for Kaiser

Permanente in California where she encouraged

ambulance-direct-to-CT workflows. She has authored stroke

research on post-tPA adverse events and has an interest in

EMS and stroke. Ms. Lightfoot’s research has been

presented at the American Association for Neuroscience

Nursing, International Stroke Conference, and UCSF

Nursing Research Days.

Ms. Lightfoot holds an M.S, patient safety leadership from

the University of Illinois, Chicago, a B.S. in nursing from

California State University East Bay, Concord, CA, and an

A.S with honors in paramedicine: pre-hospital emergency

care from Los Medanos College, Pittsburg, CA.

Jennifer Moran, MS, ACNP

Stroke Coordinator


Faculty Speaker and

Planning Committee


disclosures.

Jennifer Moran, MS, ACNP graduated with her BSN from

Johns Hopkins University and received her MS as an acute

care nurse practitioner from the University of Maryland.

After more than a decade of practice as a neurocritical care

ACNP, she currently works as the Stroke Coordinator for

The Queen’s Medical Center.

FACULTY BIOGRAPHIES

Kazuma Nakagawa, MD

Director, Stroke Center

Medical Director,

Obstetric Neurovascular

Services



Medicine, University of

Hawaii, John A. Burns

School of Medicine

Hawaii Division, Board

President

American Heart

Association/American

Stroke Association

Faculty Speaker


disclosures.

Kazuma Nakagawa, MD is a neurointensivist and vascular

neurologist at The Queen’s Medical Center and Associate

Professor of Medicine for the University of Hawaii, John A.

Burns School of Medicine who cares for patients who are

critically ill as a result of severe brain injuries including

ischemic and hemorrhagic strokes. Dr. Nakagawa received

his bachelor of science in chemical engineering and

bioengineering at Cornell University, his MD at University

of Florida, and completed his neurology training at the

Harvard Neurology Residency Program. He completed his

neurocritical care and neurovascular fellowship at the

University of California San Francisco. He was awarded the

2008 Young Investigator Award by the Neurocritical Care

Society and the 2009 Founders Award by the American

Academy of Neurology for his work on cerebral blood flow

physiology in patients with hemorrhagic stroke. After

starting an academic career as a clinician-scientist at the

University of Hawaii and The Queen’s Medical Center, he

has identified a new area of research interest: investigating

the racial disparities in risk factors and outcomes in stroke

patients among Native Hawaiians and other Pacific

Islanders. Through his research studies, Dr. Nakagawa

continues to demonstrate stroke-related health disparities

among the Native Hawaiians and other Pacific Islanders

with ischemic and hemorrhagic strokes.

Lorri Pilkington, RN, BSN,

CNOR

Clinical Documentation

Improvement Specialist

Quality Management

Coordinator


Faculty Speaker and

Planning Committee


disclosures.

Lorri Pilkington , RN, BSN, CNOR is a native Floridian

who began her medical career as a surgical technologist

working in Tallahassee Memorial Hospital (TMH) striving

to achieve a BS in nutrition and food science at Florida

State University. Within six months of becoming a

dietician, she realized her passion was in surgery and

nursing. TMH subsequently offered her a scholarship for

nursing school and after completing her BSN, she returned

to the operating room as an RN staff nurse. Her focuses

became quality improvement, process improvement, and

providing the best patient care possible using evidence-

based practices. After her husband and she decided it was

time for a “life adventure,” she took a management position

at Wilcox Medical Center in Hawaii. Her passion for

quality improvement eventually led her to Wilcox Medical

Center’s Quality department where she and her dynamic

team focus on using data and science to guide and direct

patient care. Additionally, she is a member of the nursing

informatics team developing and validating the EMR

quality measure data reporting for Hawaii Pacific Health.

FACULTY BIOGRAPHIES

Ryan M. Smith, DO, MBA

Chief, Department of

Cardiology

Tripler Army Medical

Center

Faculty Speaker

Disclosures:

Speakers Bureau:

Novartis, Regeneron/

Sanofi

Research:

Novartis

Ryan M. Smith, DO, MBA is the Chief, Department of

Cardiology at Tripler Army Medical Center and an

Assistant Professor, Uniformed Services University of

Health Sciences in Bethesda, MD. Dr. Smith is a

cardiovascular fellow, trained at Walter Reed National

Military Medical Center in Bethesda, Maryland. He

completed his internal medicine residency and internship at

Tripler Army Medical Center. He earned his DO from

Philadelphia College of Osteopathic Medicine, in

Philadelphia, PA. He has served in Cairo, Egypt as part of

a Naval Medical Research Unit-3 rotation and has served as

the Chief, Role 2 Aid Station in Jalabad, Afghanistan, as

part of the 101st Airborne during Operation Enduring

Freedom. He was also the Assistant Chief of the Adult

Medicine Clinic at Tripler Army Medical Center and the

Battalion Surgeon under the 10th Mountain Division

during Operation Enduring Freedom in Afghanistan.

In his current role at Tripler Army Medical Center,

Department of Cardiology, he oversees the advanced heart

failure program and high risk hyperlipidemia clinic, he has

implemented same day pacemaker/ICD discharges and

remote device monitoring, has developed the Coronary CTA

program for ER patients with chest pain, and has expanded

the cardiac rehabilitation program.

FACULTY BIOGRAPHIES

Mintu Turakhia, MD,MAS,

FHRS, FACC, FAHA


Medicine

Senior Director of

Research &

Innovation, Center for

Digital Health

Stanford University School

of Medicine

Chief of Cardiac

Electrophysiology

VA Palo Alto Healthcare

System

Faculty Speaker

Disclosures:

Research Support: VA, NIH,

Janssen, Medtronic,

iRhythm, Gilead Sciences, JT

Stroke Shield Foundation,

SentreHeart, AstraZeneca

Consultant/Advisory Board:

St Jude Medical, Medtronic,

Daiichi Sankyo, Zipline

Medical, Precision Health

Economics, Cyberheart,

thryva, AliveCor, Armetheon,

Abbott, Metrica Health,

WellnessMate

Honoraria: Medtronic, St

Jude Medical

Mintu Turakhia, MD, MAS is a cardiac electrophysiologist,

outcomes researcher, and Associate Professor of Medicine at

Stanford University. He is Chief of Cardiac

Electrophysiology at the Palo Alto VA Health Care System

and is an Associate Investigator at the Center for Health

Care Evaluation (CHCE). In his clinical role, Dr. Turakhia

performs catheter ablation, device implantation, and lead

extraction. Dr. Turakhia has an active clinical research

program, with funding from AHA, VA, NIH, the medical

device industry, and foundations. His research program

aims to improve the treatment of heart rhythm disorders,

by evaluating quality and variation of care, comparative

and cost-effectiveness of therapies, and risk prediction. Dr.

Turakhia has extensive expertise in using large

administrative and claims databases for this work. His

TREAT-AF retrospective study of over 400,000 patients

with newly-diagnosed AF is the largest known research

cohort of AF patients. His other research interests include

technology assessment of new device-based therapies and

the impact of changing health policy and reform on the

delivery of arrhythmia care. Dr. Turakhia is a Fellow of the

American Heart Association, American College of

Cardiology, and Heart Rhythm Society.

MEET YOUR QUALITY & SYSTEMS IMPROVEMENT TEAM

Rea Anne Arcangel, BSN, MBA

Vice President

(916) 446-6505

[email protected]

Tami Swart, LPN, MPH, HACP, CPHQ


(808) 208-0050

[email protected]

JoAnne Pineda, MBA

Senior Program Director

(650) 259-6736

[email protected]

mailto:[email protected]



Program Purpose

In alignment with the impact goal of the American Heart Association/American Stroke Association (AHA/

ASA), focused on improving the cardiovascular health of all Americans by 20% while reducing deaths from

cardiovascular diseases and stroke by 20% by 2020, the Get With The Guidelines program is designed to assist

healthcare professionals in institutions implementing the AHA/ASA treatment guidelines for patients with a

diagnosis for heart failure, atrial fibrillation, acute coronary syndrome, and stroke, as well as prevention

guidelines for these conditions.

Course Learning Objectives

Attendees will be able to provide examples of how the cardiovascular and stroke patient population will

benefit from the healthcare provider’s adherence to the AHA/ASA guidelines and explain quality

improvement best practices relevant to caring for patients with cardiovascular disease.

Upon completion of this activity, learners will be able to:

Describe 2 approaches to diagnosis and classification of heart failure.

List 2 approaches to treatment of heart failure with reduced fraction (HFrEF) and heart failure with preserved

ejection fraction (HFpEF).

List 2 examples of how Hawaii’s Emergency Medical Services and healthcare organizations work together in Stroke

and STEMI patient care.

Describe 2 characteristics of the systems of care for stroke and STEMI patients currently in Hawaii.

Differentiate 2 factors of ST-elevation and non-ST elevation MI (acute coronary syndrome) from common and some

less common electrocardiographic mimics, and discuss their implications for patient prognosis and treatment.

Identify 2 causes for ST elevation not due to coronary thrombosis.

Identify 2 ways to improve your community stroke awareness by engaging stakeholders and building community

relationships.

List 2 strategies in determining if an acute ischemic stroke will be eligible for treatment.

Identify 2 factors in which patients would be appropriate candidates for thrombectomy.

List 2 community outreach activities that improve EMS activation for cardiovascular and stroke emergencies.

List 2 benefits of designating STEMI-stroke-ready hospitals in EMS transportation guidelines.

Describe 2 differences the age of stroke onset between Native Hawaiians/other Pacific Islanders (NHOPI) and non-

NHOPI.

Describe 2 important modifiable risk factors for ischemic and hemorrhagic stroke.

Identify 2 factors contributing to stroke risk in patients with atrial fibrillation (AF).

Discuss 2 factors that increase risk of bleeding in patients with AF.

Assess 2 issues related to appropriate individualized selection of warfarin or novel oral anticoagulants (NOACs), also

referred to as target-specific oral anticoagulants (TSOACs).

List 2 ways to use the CHADS2VASC score in a clinical setting.

List 2 ways to improve medication adherence of novel oral anticoagulants in AF.

Explain 2 benefits of remote monitoring and disease management of cardiovascular conditions.

List 2 unique risks of AF in patients with HFrEF and the medical and invasive strategies to reduce these risks.

List 2 goals of a statewide stroke system of care and list 2 accomplishments of Hawaii Stroke Coalition to date.

List 2 ways telemedicine has improved stroke care in Hawaii.

List 2 effective ways of how IT can drive quality indicators and patient outcomes.

List 2 effective ways to ensure appropriate transition of care from the inpatient to outpatient setting.

Who Should Attend?

Educational content is designed to meet the range of needs from those new, to experienced, in atrial

fibrillation, heart failure, STEMI, and stroke care. We welcome physicians, nurses, pharmacists, EMS

professionals, quality improvement staff, and anyone with a vested interest in providing quality care to the

cardiovascular and stroke patient population.

Physicians, Physician Assistants: cardiology, emergency, telemetry, critical care, medical-surgical,

rehabilitation, radiology, intensive care

Nurse Practitioners, Nurses: cardiology, emergency, telemetry, critical care, medical-surgical,

rehabilitation, radiology, intensive care

Pharmacists: pharmacology, pharmacokinetics

EMS Professionals: EMT, paramedic

Joint Accreditation Statements

The American Heart Association is accredited by the American Nurses Credentialing Center (ANCC), the

Accreditation Council for Pharmacy Education (ACPE), and the Accreditation Council for Continuing Medical

Education (ACCME), to provide continuing education for the healthcare team.

AMA Credit Designation Statement - Physicians

The American Heart Association designates this live activity for a maximum of 13.25 AMA PRA Category 1

Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the

activity.

AAPA Credit Acceptance Statement - Physician Assistants

AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1

Credit™ from organizations accredited by ACCME or a recognized state medical society. Physician assistants

may receive a maximum of 13.25 hours of Category I credit for completing this program.

AANP Credit Acceptance Statement - Nurse Practitioners

American Academy of Nurse Practitioners (AANP) accepts AMA PRA Category 1 CreditTM from

organizations accredited by the ACCME.

**AMA Credit must be claimed within 6 months of attendance. Credit will no longer be available to claim after

October 25 , 2017.

Joint Accreditation Statements

ANCC Credit Designation Statement - Nurses

The maximum number of hours awarded for this CE activity is 13.25 contact hours.

**ANCC Credit must be claimed within 6 months of attendance. CME/CE will no longer be available to claim after

October 25, 2017.

ACPE Credit Designation Statement - Pharmacists

ACPE Credit: 13.25 Contact Hours. Universal Program Number: 0256-0000-17-010-L04-P

**ACPE Credit must be claimed within 30 days of participation. ACPE credit will no longer be available to claim

after May 25, 2017.

Continuing Education Accreditation - Emergency Medical Services

This continuing education activity is approved by the American Heart Association, an organization accredited

by the Commission on Accreditation of Pre-Hospital Continuing Education (CAPCE), for 13.25 Advanced

CEHs, activity number 17-AMHA-F1-0014.

By claiming CAPCE credit, the claimant acknowledges the following: I understand that the American Heart

Association as a requirement of CAPCE accreditation will submit a record of my course completions to the

CAPCE AMS. I further understand that my course completion records may be accessed by or shared with such

regulators as state EMS offices, training officers, and NREMT on a password-protected, need-to-know basis.

In addition, I understand that I may review my record of CAPCE-accredited course completions by contacting

CAPCE.

**CAPCE credit must be claimed within 6 months of attendance. CME/CE credit will no longer be available to

claim for this activity after October 25, 2017.

Disclosure Policy

All persons who develop and/or control educational content in CME/CE activities provided by the American

Heart Association will disclose to the audience all financial relationships with any commercial supporters of

this activity as well as with other commercial interests whose lines of business are related to the CME/CE-

certified content of this activity. In addition, presenters will disclose unlabeled/unapproved uses of drugs or

devices discussed in their presentations. Such disclosures will be made in writing in course presentation

materials.

Instructions for Claiming CE Credits

1. Access http://learn.heart.org.

2. Click Course Catalog

3. Register for an activity.

a. Utilize the search fields in the upper right hand corner.

1. Select the activity type (All, Live, or Online).

2. Enter a partial activity name or keyword.

3. Enter the activity location address, city, or zip for live activities

4. Click the magnifying glass icon.

5. Click Register for the selected activity.

b. Click Register

c. Enter your Username and Password, and click Sign In.

1. Of you do not remember your Username or Password, click the Forgot password? link.

2. If you are not a registered user, click Create an account to enter your account information

and receive your Username and Password.

d. You may be prompted to enter additional registration information.

e. Enter XXXX in the Access Code field. Access code will be distributed at the completion of Day 2.

f . Click Submit to complete the enrollment.

4. Once enrolled, the activity completion pathway automatically displays.

5. Review the Activity Overview tab, scroll to bottom and click Continue.

a. You may be required to check a confirmation box that you have read the information.

6. Click the Launch button to complete an evaluation on the course. This step is required to claim credit. Once

complete, click Continue.

7. Claim your credit by clicking the Claim button for the appropriate accreditation.

a. You may qualify for more than one credit type based on your user profile.

b. ACCME, ANCC, and CAPCE allow claiming of variable credit. You will be given the option to claim

all or part of the activity credit if applicable to your user profile.

8. Click Continue to generate your certificate.

9. Click the certificate link to print or save it.

10. Click Close. The activity is stored under Completed Activities.

You are strongly encouraged to claim your CME/CE credit within 30 days of the conference.

For customer support please contact our National Engagement Center at 1-888-242-2453 (between 8AM-5PM

Central Standard Time) or email [email protected].

http://learn.heart.org/

http://my.americanheart.org/professional/index.jsp


Accessibility

If you need a disability-related accommodation or wheelchair access information, please contact: JoAnne

Pineda, at phone: (650) 259-6736 or email: [email protected]. Requests should be made no later than

Monday, April 17, 2017.

Directions

Ala Moana Hotel

Hibiscus Ballroom

410 Atkinson Drive

Honolulu, Hawaii 96814

http://www.alamoanahotelhonolulu.com/

Event Registration

Register today and bring a friend!

www.heart.org/WSAQSIevents

Price: $75 / Two-Day event

This includes 13.25 Continuing Education Units Available for physicians, nurses, pharmacists, & EMS

professionals, heart healthy breakfasts, lunches, and snacks.

Cancellation & Refund Policy

Refunds will be made only if written notice of cancellation is received on or prior to Friday, April 7, 2017

midnight Hawaii Time to [email protected]. A $25 processing fee is charged for all refunds.

Cancellation requests received after April 7, 2017, midnight Hawaii Time will not be refunded. No refunds will

be issued until 7 – 15 days post event.

american heart association/american stroke …wcm/@wsa/documents/...welcome & opening remarks...

Documents