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80029905: Critical Care Rehabilitation Conference 2012: Creating and Sustaining a Physical Rehabilitation Program in the ICU

September 21-22, 2012
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THIS CONFERENCE IS SOLD-OUT.

FOR FURTHER INFORMATION, CONTACT THE OFFICE OF CME AT TELEPHONE 410-502-9636 OR 410-502-9635 OR VIA EMAIL AT CMENET@JHMI.EDU



ADDITIONAL HOTEL INFORMATION -- SOLD OUT
In addition to the Admiral Fell Inn, guest rooms are also available September 20 – 23, 2012, at the Mt. Washington Conference Center, located at the Johns Hopkins Mt. Washington Campus. For reservations, call the hotel directly and specify that you are attending the Johns Hopkins Critical Care Rehabilitation Conference to receive the special group rate of $99.00, single or double, plus tax. Complimentary shuttle service is provided Monday – Friday to Johns Hopkins University School of Medicine and the Johns Hopkins Hospital. Shuttle schedule is available online at www.acc-mtwashingtonconferencecenter.com. Check-in time is 3:00 p.m. Check-out time is 12:00noon.

HOTEL RESERVATION CUT-OFF DATE: August 30, 2012
Mt. Washington Conference Center
at the Johns Hopkins Mt. Washington Campus
5801 Smith Avenue, Baltimore, MD 21209.
Toll Free: 800.488.8734
Phone: 410.735-7964
Fax: 410.735-7907
Visit us at: www.acc-mtwashingtonconferencecenter.com

Critical Care Rehabilitation Image


Accreditation Statement
The Johns Hopkins University School of Medicine is accredited by the ACCME to provide continuing medical education for physicians

Credit Designation Statement
The Johns Hopkins University School of Medicine designates this live activity for a maximum of 10.50 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Other Credits
American Academy of Nurse Practitioners
American Academy of Nurse Practitioners (AANP) accepts AMA PRA Category 1 Credit™ from organizations accredited by the ACCME.
American Academy of Physician Assistants
American Academy of Physician Assistants (AAPA) accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by the ACCME. Physician assistants may receive a maximum of 10.50 hours of Category 1 credit for completing this program.

American Nurses Credentialing Center
American Nurses Credentialing Center (ANCC) accepts AMA PRA Category 1 Credit™ from organizations accredited by the ACCME.
American Occupational Therapy Association
The Johns Hopkins University School of Medicine is an AOTA Approved Provider of continuing education. AOTA does not endorse specific course content, products, or clinical procedures. 1.05 AOTA CEUs will be provided.
American Association for Respiratory Care
Application has been made to the American Association for Respiratory Care (AARC) for continuing education contact hours for respiratory therapists.
Contact Hours for Non-Physicians
The Johns Hopkins University has approved this activity for 10.50 contact hours for non-physicians.
General Pending Credit Statement
Continuing Education credit is also available from other applicable organizations.
Maryland State Board of Examiners of Psychologists
The Johns Hopkins University School of Medicine is authorized by the Maryland State Board of Examiners of Psychologists (BEOP) as a provider of continuing education. The Johns Hopkins University School of Medicine maintains responsibility for this program. A certificate for 10.50 CEUs will be awarded upon completion of this conference.
Maryland Board of Physical Therapy Examiners
This course has been approved by the Maryland State Board of Physical Therapy Examiners for1.0 CEUs. You will be issued a CEU certificate upon completion of the course. A record of CEUs earned will be retained by the sponsor.
Maryland Board of Professional Counselors And Therapists
This CE Program has been approved by the Maryland Board of Professional Counselors and Therapists (BOPC) for Category A CEUs.
American Speech-Language-Hearing Association


Course Description

Interdisciplinary collaboration and coordination is vital to facilitate early mobility and rehabilitation in the intensive care unit (ICU) setting. A recent stakeholders’ conference aimed at improving long-term outcomes for ICU survivors identified important ‘silos’ among critical care and rehabilitation clinicians working in the ICU, with these ‘silos’ acting as a barrier to collaboratively advancing the field and improving patient outcomes. While clinical trials support the benefits of early rehabilitation for mechanically ventilated patients, implementing these interventions requires creating a new ICU culture based on proactive rehabilitation and interdisciplinary collaboration between all critical care and rehabilitation clinicians. This course will bridge the interdisciplinary gap from research to clinical implementation at the bedside.

OBJECTIVES

After attending this activity, the participant will demonstrate the ability to:

  • Identify risk factors for ICU-acquired weakness and prevention strategies
  • Describe the known long-term physical, cognitive, and psychiatric outcomes in survivors of critical illness
  • Compare and appraise the evidence supporting early rehabilitation and mobility in the ICU
  • Recognize the detrimental effects of ICU-delirium and discuss strategies to manage ICU sedation and reduce delirium
  • Explain the inter-disciplinary roles of physicians, nursing, physical therapy, occupational therapy, speech and language pathology, respiratory therapy, physiatry, and rehabilitation psychology as it relates to an early ICU rehabilitation program
  • Explain clinical decision-making with respect to medical stability for early mobilization of patients with critical illness
  • Describe the use of technology, including interactive video games, cycling, and neuromuscular electrical stimulation, as adjuncts to traditional physical rehabilitation interventions
  • Discuss the early rehabilitation management of complex patient scenarios, including extracorporeal membrane oxygenation (ECMO) and bariatric issues
  • Explain the role of a structured quality improvement process for the implementation and evaluation of an early ICU rehabilitation program


Talks

September 21, 2012  1:30 PM to 1:40 PM

Welcome

Palmer, Jeffrey
N/A
September 21, 2012  1:40 PM to 1:45 PM

Session Chair Introduction and Session Overview

Palmer, Jeffrey
September 21, 2012  1:40 PM to 3:55 PM

The Rationale & Evidence for Early Rehabilitation - Chair

Palmer, Jeffrey
N/A
September 21, 2012  1:45 PM to 2:10 PM

ICU-Acquired Weakness, Critical Illness Neuromyopathy and Long-Term Physical Outcomes

Needham, Dale
Identify risk factors for ICU-acquired weakness and prevention strategies
September 21, 2012  2:10 PM to 2:35 PM

Long-Term Psychiatric and Cognitive Outcomes: An Overview

Bienvenu, O. Joseph
Describe the known long-term cognitive and psychiatric outcomes in survivors of critical illness
September 21, 2012  2:35 PM to 3:00 PM

The Evidence for Early Rehabilitation in the ICU

Kho, Michelle
1.Compare and appraise the evidence supporting early rehabilitation and mobility in the ICU 2. Explain the inter-disciplinary roles of nursing, physical therapy, occupational therapy, speech and language pathology, respiratory therapy, physiatry, and rehabilitation psychology as it relates to an early ICU rehabilitation program
September 21, 2012  3:00 PM to 3:25 PM

Culture Change to Promote Early Rehabilitation in the ICU

Zanni, Jennifer
Discuss strategies to create change in ICU culture to promote an inter-disciplinary early rehabilitation and mobility program.
September 21, 2012  3:25 PM to 3:40 PM

The Patient Perspectives on Delirium and Rehabilitation - Moderator

Palmer, Jeffrey
N/A
September 21, 2012  4:15 PM to 6:10 PM

Components of Successful Early Rehabilitation Program Part 1 - Chair

Kho, Michelle
Explain the inter-disciplinary roles of nursing, physical therapy, occupational therapy, speech and language pathology, respiratory therapy, physiatry, and rehabilitation psychology as it relates to an early ICU rehabilitation program
September 21, 2012  4:15 PM to 4:20 PM

Session Chair Introduction and Session Overview

Kho, Michelle
September 21, 2012  4:20 PM to 4:40 PM

Reducing Deep Sedation and Delirium

Needham, Dale
Understand the detrimental effects of ICU-delirium and discuss strategies to manage ICU sedation and reduce delirium
September 21, 2012  4:40 PM to 5:00 PM

The Role of Nursing

Young, Samantha
Describe barriers and the solutions to implementing an early mobility program in the ICU using a multidisciplinary approach. Discuss the use of the TRiP method in building a Nurse Managed Early Mobility program in a surgical ICU.
September 21, 2012  5:00 PM to 5:20 PM

The Role of Physiatry

Feldman, Dorianne
Demonstrate knowledge of role of physiatry in ICU Identify patients for physiatry consultation
September 21, 2012  5:20 PM to 5:40 PM

Rehabilitation Interventions by Occupational Therapy

Regensburg, Angela
1. Discuss the evidence supporting the occupational therapist’s role in early mobilization in a medical intensive care unit (ICU). 2. Discuss the occupational therapists’ current role in the medical ICU and the innovative interventions that maximize patient outcomes. 3. Describe the scientific application of early mobility in the medical ICU through the use of a case study.
September 21, 2012  5:40 PM to 6:10 PM

Panel Discussion

Regensburg, Angela
1. Discuss the evidence supporting the occupational therapist’s role in early mobilization in a medical intensive care unit (ICU). 2. Discuss the occupational therapists’ current role in the medical ICU and the innovative interventions that maximize patient outcomes. 3. Describe the scientific application of early mobility in the medical ICU through the use of a case study.
September 21, 2012  5:40 PM to 6:10 PM

Panel Discussion

Feldman, Dorianne
N/A
September 21, 2012  5:40 PM to 6:10 PM

Panel Discussion

Young, Samantha
Describe the barriers and solutions to implementing an Early Mobility program in the ICU using a multidisciplinary approach. Discuss the use of the TiP methodology in implementing a Nurse Managed Early Mobility program in a surgical ICU.
September 21, 2012  5:40 PM to 6:10 PM

Panel Discussion

Needham, Dale
Understand the role of a structured quality improvement process for the implementation and evaluation of an early ICU rehabilitation program Discuss strategies to sustain an early ICU rehabilitation program, including making a business case for financial support and strategies to continuously evaluate outcomes.
September 22, 2012  8:30 AM to 8:35 AM

Welcome Address and Activity Overview for Day II

Needham, Dale
n/a
September 22, 2012  8:35 AM to 10:25 AM

Components of Successful Early Rehabilitation Program Part 2 - Chair

Zanni, Jennifer
Explain the inter-disciplinary roles of nursing, physical therapy, occupational therapy, speech and language pathology, respiratory therapy, physiatry, and rehabilitation psychology as it relates to an early ICU rehabilitation program
September 22, 2012  8:35 AM to 8:55 AM

Rehabilitation Interventions by Speech Language Pathology

Kling Cole, Therese
-Identify the role of the speech language pathologist in the ICU -Understand the impact of intubation, medication, and other factors in the ICU on swallowing -Describe communication options for the mechanically ventilated patient
September 22, 2012  8:55 AM to 9:15 AM

The Role of Respiratory Therapy

Janis, Melissa
Explain the inter-disciplinary role of respiratory therapyas it relates to an early ICU rehabilitation program
September 22, 2012  9:15 AM to 9:35 AM

Rehabilitation Interventions by Physical Therapy

Zanni, Jennifer
Describe physical therapy interventions in the ICU, including the use of technology, including interactive video games, cycling, and neuromuscular electrical stimulation, as adjuncts to traditional physical rehabilitation interventions
September 22, 2012  9:35 AM to 9:55 AM

The Role of Psychology

Stevenson, Jennifer
Explain the inter-disciplinary role of rehabilitation psychology as it relates to an early ICU rehabilitation program.
September 22, 2012  9:55 AM to 10:25 AM

Panel Discussion

Stevenson, Jennifer
N/A
September 22, 2012  9:55 AM to 10:25 AM

Panel Discussion

Zanni, Jennifer
Explain the inter-disciplinary roles of nursing, physical therapy, occupational therapy, speech and language pathology, respiratory therapy, physiatry, and rehabilitation psychology as it relates to an early ICU rehabilitation program
September 22, 2012  9:55 AM to 10:25 AM

Panel Discussion

Janis, Melissa
n/a
September 22, 2012  9:55 AM to 10:25 AM

Panel Discussion

Kling Cole, Therese
N/A
September 22, 2012  10:40 AM to 10:45 AM

Session Chair Introduction and Session Overview

Kho, Michelle
September 22, 2012  10:45 AM to 1:00 PM

Practical Skills and Case Studies - Chair

Kho, Michelle
1. Discuss the early rehabilitation management of complex patient scenarios, including extracorporeal membrane oxygenation (ECMO) and bariatric issues 2. Understand clinical decision-making with respect to medical stability for early mobilization of patients with critical illness 3. Explain the inter-disciplinary roles of nursing, physical therapy, occupational therapy, speech and language pathology, respiratory therapy, physiatry, and rehabilitation psychology as it relates to an early ICU rehabilitation program
September 22, 2012  10:45 AM to 11:30 AM

Clinical Decision Making for Early Rehab in Critically III Patients

Zanni, Jennifer
Understand clinical decision-making with respect to medical stability for early mobilization of patients with critical illness
September 22, 2012  11:30 AM to 11:50 AM

Technology Ideas: Neuromuscular Electrical Stimulation and Interactive Video Games

Kho, Michelle
1. Compare and appraise the evidence supporting early rehabilitation and mobility in the ICU 2. Describe the use of technology, including interactive video games and neuromuscular electrical stimulation, as adjuncts to traditional physical rehabilitation interventions
September 22, 2012  11:50 AM to 12:10 PM

Technology Ideas: Cycling and Tilt Beds

Needham, Dale
Describe the use of technology as adjuncts to traditional physical rehabilitation interventions
September 22, 2012  12:10 PM to 12:25 PM

Case Studies: Rehabilitation during Extracorporeal Membrane Oxygenation (ECMO)

Skrzat, Julie
Demonstrate safety and feasibility of PT through the continuum of acute respiratory failure. Discuss therapy interventions, potential barriers, and modifications for safe implementation. Discuss multi-disciplinary team approach to a patient who is medically complex.
September 22, 2012  12:25 PM to 12:40 PM

Case Studies: Bariatric Issues

Zanni, Jennifer
Discuss the early rehabilitation management of complex patient scenarios, including extracorporeal membrane oxygenation (ECMO) and bariatric issues
September 22, 2012  12:40 PM to 1:00 PM

Panel Discussion

Zanni, Jennifer
N/A
September 22, 2012  12:40 PM to 1:00 PM

Panel Discussion

Skrzat, Julie
N/A
September 22, 2012  12:40 PM to 1:00 PM

Panel Discussion

Needham, Dale
n/a
September 22, 2012  12:40 PM to 1:00 PM

Panel Discussion

Kho, Michelle
N/A
September 22, 2012  2:00 PM to 3:50 PM

Implementing and Sustaining an ICU Rehabilitation Program

Friedman, Michael
Discuss strategies to sustain an early ICU rehabilitation program, including making a business case for financial support and strategies to continuously evaluate outcomes.
September 22, 2012  2:00 PM to 2:05 PM

Session Chair Introduction and Session Overview

Friedman, Michael
September 22, 2012  2:05 PM to 2:35 PM

Using a Quality Improvement Framework for Implementation

Kho, Michelle
Understand the role of a structured quality improvement process for the implementation and evaluation of an early ICU rehabilitation program
September 22, 2012  2:35 PM to 2:50 PM

Evaluating and Sustaining a Program

Needham, Dale
Discuss strategies to sustain an early ICU rehabilitation program, including making a business case for financial support and strategies to continuously evaluate outcomes.
September 22, 2012  2:50 PM to 3:05 PM

Making the Business Case

Needham, Dale
Discuss strategies for making a business case for financial support for an ICU early rehabilitation program
September 22, 2012  3:05 PM to 3:20 PM

Implementing the Business Case

Friedman, Michael
Discuss strategies to sustain an early ICU rehabilitation program, including making a business case for financial support and strategies to continuously evaluate outcomes.
September 22, 2012  3:20 PM to 3:50 PM

Panel Discussion

Friedman, Michael
Discuss strategies to sustain an early ICU rehabilitation program, including making a business case for financial support and strategies to continuously evaluate outcomes.
September 22, 2012  3:20 PM to 3:50 PM

Panel Discussion

Needham, Dale
n/a
September 22, 2012  3:20 PM to 3:50 PM

Panel Discussion

Kho, Michelle
N/A
September 22, 2012  3:50 PM to 4:00 PM

Conference Wrap-Up

Needham, Dale
n/a

Policy On Speaker And Provider Disclosure

It is the policy of the Johns Hopkins University School of Medicine that the speaker and provider disclose real or apparent conflicts of interest relating to the topics of this educational activity, and also disclose discussions of unlabeled/unapproved uses of drugs or devices during their presentation(s). Johns Hopkins University School of Medicine OCME has established policies in place that will identify and resolve all conflicts of interest prior to this educational activity. Detailed disclosure will be made in the activity handout materials.

Event Information
Chevy Chase Bank Conference Center, JHH
1800 Orleans Street, Main Level
Baltimore, MD
Directions

Target Audience(s)

Physical therapists, occupational therapists, rehab assistants, SLPs, nurses, respiratory therapists, pharmacists, administrators, psychologists, and physicians (ICU, pulmonologists, physiatrists, psychiatrists)

Lodging

Admiral Fell Inn
888 Soth Broadway
Baltimore, MD 21231
Phone: (866) 583-4162 or
(410) 522-7377
Fax:(410) 522-0707

Hotel Website

www.harbormagic.com
HOTEL RESERVATION CUT-OFF DATE: August 21, 2012

Departmental Website

http://www.hopkinsmedicine.org/OACIS

Contact Info

General Info: 410.502.9634

Mailing Address:
Johns Hopkins University School
of Medicine
Thomas B. Turner Building
720 Rutland Avenue, Room 20
Baltimore, Maryland 21205-2195

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