Advanced Practitioner Conference

Renal Physicians Association Advanced Practitioner Conference July 10 12, 2013 portland, or An Educational Program for Advanced Nurse Practitioners and Physician Assistants Embassy Suites Portland Downtown This meeting is jointly sponsored by the Office of Continuing Medical Education of the University of Virginia School of Medicine and the Renal Physicians Association

OVERVIEW Advanced practice nurses and physician assistants are increasingly integrated into the care of patients across the spectrum of kidney diseases. The Renal Physicians Association (RPA) has designed a program which highlights the relevant areas of clinical nephrology and provides current information that applies directly to nephrology practice. Whether a nurse practitioner or physician assistant is new to nephrology and needs fundamental knowledge or is an experienced practitioner looking for additional information, there are a variety of offerings at this meeting to meet both needs. Please join us as we collaborate to share knowledge and continue to improve the quality of care provided to kidney patients. This program is jointly sponsored by the Renal Physicians Association and the Office of Continuing Medical Education of the University of Virginia School of Medicine. Target Audience This meeting is designed for physicians assistants, nurse practitioners, registered nurses and other healthcare providers working in nephrology practices.

GENERAL INFORMATION Hotel The 2013 RPA Advanced Practitioner Conference will be held at the Embassy Suites Portland Downtown. This elegant all-suite hotel is accessible to the city s taxfree stores and popular restaurants. The hotel is conveniently located adjacent to public transportation including the Max Light Rail System with direct connections to the Oregon Convention Center, Portland International Airport, Oregon Zoo and other popular attractions. Embassy Suites Portland Downtown 319 SW Pine Street Portland, OR 97204-2726 503-279-9000 www.embassysuites.hilton.com/portland Reservations Reservations must be made by June 19, 2013, to secure the discounted room rate of $169 single/double occupancy per night plus applicable taxes. You may call the hotel directly at 503-279-9000. When calling, inform the reservationist that you are attending the RPA Meeting. Hotel check-in time is 3 p.m. and check-out time is 12 noon. Transportation Portland International Airport is located 9 miles or 25 minutes from the Embassy Suites Portland Downtown. Max Light Rail System has direct connections to the hotel typical minimum fare is $2.40 one way. Taxi fares average $30.00 each way. Hotel parking is available for $18.00 self park with no in/out privileges and $30.00 overnight valet parking including in/out privileges.

Educational Objectives At the conclusion of this conference, participants should achieve the following educational objectives. RPA Legislative and Regulatory Update Identify legislative and regulatory requirements for the provision of care to renal patients. Describe the regulatory and legislative requirements related to the roles and responsibilities of advanced practitioners in outpatient, inpatient and home settings. QIP and the Bundle Describe the bundled payment system and its requisite components covered by Medicare that roughly covers 80% of costs to the ESRD patient. Outline the effects of the Quality Incentive Program (QIP) on payment for delivery of services to ESRD patients. New Models of Renal Care- How does the Advanced Practitioner Fit In? Review the elements in an ACO (accountable care organization) and the roles of Advanced Practitioners in meeting the requirements for patient care delivery. Clinicopathological Session Link the clinical presentation of common kidney diseases to the underlying pathology of these conditions. Urgent Start PD Outline the process for initiating an unprepared patient to peritoneal dialysis in an urgent clinical situation. Prioritize the critical aspects of the process necessary for successful initiation of urgent start PD. Home Hemodialysis Review the options available for starting and maintaining a home hemodialysis program. Describe the approaches to fostering increased and appropriate utilization of home hemodialysis. Acute Kidney Injury Review the causes and epidemiology of acute kidney disease. Discuss the diagnosis and outcomes for patients experiencing acute kidney injury. Transplant Complications Identify the common complications associated with kidney transplant. Describe the approaches for management of post-kidney transplant complications. Transitions of Care Identify the challenges encountered by patients/families as they transition from outpatient to inpatient and home settings. Discuss strategies that can facilitate seamless transitions of care for patients/ families.

The Pitfalls of Social Media in Medicine Identify the current patterns of the use of social media in patient care. Review the approaches for social media use that meet current standards of care, and regulations for patient privacy. HD Rounds Describe elements that should be included in a monthly care plan that promotes high quality care for patients with kidney disease. Drug Toxicity and Renal Disease Review the medications that can cause kidney injury, and the consequences to kidney function. Describe the approaches that can be used to prevent or minimize kidney injury through medications. Monitoring of Dialysis Accesses Discuss strategies for monitoring and tracking the dialysis access sites to help ensure patient safety and delivery of care. PD Pearls Identify the primary medical challenges for patients receiving dialysis therapy. Discuss the approaches to manage and coordinate care to address the medical challenges associated with peritoneal dialysis. Primary Care in Dialysis Identify the priorities for providing primary care to patients in dialysis. Describe the approaches that can facilitate effective primary care management in coordination with dialysis care. Bone-Mineral Management in the Bundle Discuss the impact of the Medicare reimbursement regulations on the management of bone-mineral metabolism. Outline strategies for maintenance of appropriate bone-mineral metabolic status for patients on dialysis. Medico-legal Vignettes Discuss approaches for common medicolegal issues faced by Advanced Practice professionals in the management of patients with kidney disease. Cognitive Function in CKD Discuss the relationship of cognitive function to chronic kidney disease and the clinical presentation of variations in cognitive function. Explore therapeutic options available to patients with altered cognitive function associated with chronic kidney disease. Management of CKD Discuss common co-morbid conditions (e.g., hypertension, diabetes, altered lipid and uric acid levels) and their progression in chronic kidney disease. Review general medical management approaches with an emphasis on pharmacology designed to minimize the progression of chronic kidney disease.

Continuing Education physician assistant credit The Physician Assistant Review Panel is pleased to award a maximum of 19.50 hours of AAPA Category I CME credit, with a maximum earnable by a single attendee of 17.5 hours, to the above-referenced program entitled Renal Physician Association 2013 Advanced Practitioners Conference provided by the Rector and Visitors of the University of Virginia. Nursing Credit This activity has been submitted to the Virginia Nurses Association for approval to award contact hours. The Virginia Nurses Association is accredited as an approver of continuing nursing education by the American Nurses Credentialing Center s Commission on Accreditation. Pharmacology Credit VCU School of Pharmacy, Office of Continuing Education is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. Upon successful completion of all learning assessment activities and submission of an evaluation form, participants will receive up to 19.5 credits. Pre-Conference Workshop Nephrology Coding and Billing Seminar Tuesday, July 9 8:00 a.m. 5:00 p.m. Navigating nephrology coding and billing is complex and requires an in-depth understanding of federal guidelines and requirements, as well as variations in local carrier coverage determinations (LCDs). This unique seminar will equip you with a greater understanding of: Why physicians and advanced practitioners must document services provided How to apply E & M guidelines to a nephrology practice How to properly code services rendered to kidney disease patients and why How to apply federal coordination of benefits guidelines to kidney patient care services How to properly bill and code interventional services During this seminar you will also learn how to comply with the requirements described in the 2013 Medicare Fee Schedule. Register online at www.renalmd.org/nephrology-coding-and-billing-seminars/

PRELIMINARYAgenda Wednesday, July 10 7:00 am Registration continental Breakfast General Session I 8:00 am Welcome Jeffery Perlmutter, MD 8:05 am RPA Legislative and Regulatory Update Robert Blaser, RPA Director of Public Policy 8:30 am QIP and the Bundle What is the next phase of the Bundle? Understand the affects of the Quality Improvement Program on practice patterns and dialysis. Andrew Howard, MD 9:15 am New Models of Renal Care How does the Advanced Practitioner Fit In? Advanced Practitioners are important providers in the management of care of the patient with kidney disease. With accountable care organizations on the horizon, how will the role of the advanced practitioner evolve and possibly expand? James Hartle, MD and Advanced Practitioner (TBD) 10:00 am Refreshment Break General Session II 10:30 am Clinicopathological Session Perfect your ability to diagnose and treat the person with kidney disease by understanding the correlation between clinical presentation and the pathology of various kidney diseases. Alexis Harris, MD and Robert Kossmann, MD 12:30 pm Lunch General Session III 2:00 pm Urgent Start PD Learn how peritoneal dialysis can still be an option for renal replacement therapy in urgent starts. Discussion will focus on the use of peritoneal dialysis for urgent starts even for the unprepared patient. Mark Shapiro, MD

3:00 pm Home Hemodialysis Learn how advanced practitioners can increase utilization of home renal replacement therapies and prescribe home hemodialysis treatment. Discover the various options that are available to patients to participate in home hemodialysis therapy. Gerry Morrison, RN, BSHSA 4:00 pm Refreshment Break 4:30 pm Concurrent Breakout Sessions acute Kidney Injury Explore the cause, epidemiology, and outcomes for acute kidney injury. Learn what is meant by Acute Kidney Injury and what medical treatment options are available. Amma Bonsu, DNP, NP-c transplant Complications Explore how to manage post transplant complications beyond the acute stage including managing pharmacological interventions. Rebecca Gordon, PA-C transitions of Care Learn how to manage the patient with chronic kidney disease during transitions through different settings of care as well as the stages of chronic kidney disease and various modalities of renal replacement therapy. Renee Garrick, MD 5:30 pm Meeting Adjourns Thursday, July 11 7:00 am Registration continental Breakfast General Session IV 8:00 am Opening Remarks Jeffery Perlmutter, MD 8:05 am The Pitfalls of Social Media in Medicine Professionals must access, use and share patient information electronically in an ever-expanding and challenging world. Learn how to maximize technology while staying out of legal trouble. Jim Anderson, PA-C

PRELIMINARYAgenda 9:05 am HD Rounds Develop a monthly plan to assure high quality care during dialysis rounds. Discover what hemodialysis rounds should include to assure quality care of the ESRD patient. Kim Zuber, PA-C 10:05 am Refreshment Break General Session V 10:30 am Drug Toxicity and Renal Disease Many drugs including over the counter medications can cause injury to the kidney. Knowing what medications cause kidney injury, how this injury occurs and presents itself, and how to prevent injury from occurring is a must for the advanced practitioner in various clinical settings. Ali Olyaei, PharmD 11:30 am Monitoring Dialysis Accesses Vascular access monitoring is defined as using physical examination and observational techniques to detect access dysfunction. The session will focus on how to utilize monitoring to identify access problems and abnormalities and to modify the vascular access plan. Lynn Poole, FNP-BC 12:30 pm Lunch 2:00 pm Concurrent Breakout Sessions PD Pearls Leave this session with the must knows an advanced practitioner needs about peritoneal dialysis management. Learn how to manage medical problems associated with peritoneal dialysis and how to coordinate care with outside providers. Walk away from this session with some PD pearls of wisdom to implement. Theresa Payne, NP Primary Care in Dialysis How are primary care issues addressed with patients who need renal replacement therapy? What are the advantages and disadvantages of the advanced practitioner in nephrology addressing primary care issues with renal patients? What primary care issues are most often addressed by the nephrology provider? Are there pharmacological interventions for primary care issues that the renal provider does that are interrelated to nephrology care issues? This session will provide the answers to these questions and more. Mandy Trolinger, MS, RD, PA-C Bone-Mineral Management in the Bundle When will binders be included in the bundle? What will this mean for nephrology patients, providers, and dialysis units? Information will be provided on what bone-mineral

PRELIMINARYAgenda management includes, what medications are involved and what implications inclusion of these medications in the bundle could possibly have on care of the patient with chronic kidney disease. Denise Link, MPAS, PA-C 3:00 pm Refreshment Break 3:30 pm Concurrent Breakout Sessions PD Pearls (repeated) Primary Care in Dialysis (repeated) Bone-Mineral Management in the Bundle (repeated) 4:45 pm Medico-legal Vignettes Review nephrology-specific case studies that could land you in court. You will be amazed what situations can lead to law suits. This session will make you think before you act and help you critically look at your practice as an advanced practitioner in nephrology. Sue Cary, MN, RN Friday, July 12 7:00 am Registration continental Breakfast 8:00 am Opening Remarks Jeffrey Perlmutter, MD 8:05 am Cognitive Function in CKD The relationship between chronic kidney disease and cognitive function will be discussed along with the association of cognitive impairment and adherence to the prescribed hemodialysis regimen. Evidence-based strategies for assessment and implementation of appropriate interventions using a case-study approach will enhance your ability to provide the best care for your patients. Debra Hain, PhD, AGNP-BC 9:00 am Management of CKD Panel presentation on medical management of the chronic kidney disease patient in a CKD clinic. Discussion topics include management of hypertension, lipids and uric acid, with an emphasis on pharmacology and how to slow the progression of chronic kidney disease. Speaker TBD 11:00 am Meeting Adjourns

Advance Registration Form Register online at www.renalmd.org Meeting materials, continental breakfasts, breaks, lunches and continuing education administration are included in your registration fee. Recording and photographing any part of the educational sessions is strictly prohibited. Name Practice/Facility Address City State Zip Phone Email Fax To qualify for the member fee you must be a member of the: Renal Physicians Association or American Academy of Nephrology Physician Assistants (AANPA) RPA physician members may send their nurse practitioners and physician assistants at the member price. REGISTRATION FEES RPA Physican Assistant Member $399 RPA Advanced Practice Nurse Member $399 Staff of RPA Member (Physican Assistant) $399 Member Name Staff of RPA Member (Advanced Practice Nurse) $399 Member Name AANPA Member $399 Non-Members Advanced Practice Nurse $575 Physician Assistant $575 Payment Special Dietary Needs Vegetarian meal Other dietary request please specify Check (make checks payable to RPA) Visa Mastercard AMEX Exp. Date Card Number Name on Card Cancellation Policy: There is a $50.00 cancellation fee for cancellations made prior to June 10, 2013. There No refunds is a $50 will cancellation be available fee for after cancellations June 10, made 2013. prior to June 11, 2012. No refunds will be available after June 11, 2012. RPA fully intends to comply with the legal requirements of the American with Disabilities Act. If any participant of RPA the conference fully intends to is comply in need with of the accommodation, legal requirements please of the do Americans not hesitate with Disabilities to contact Act. the If RPA any office at 301-468-3515. participant of this conference is in need of accommodation, please do not hesitate to contact the RPA office at

1700 Rockville Pike, Suite 220 Rockville, MD 20852 www.renalmd.org rpa@renalmd.org P 301.468.3515 F 301.468.3511 Save These Dates for Upcoming RPA Events Capitol Hill Day June 10, 2013, Washington, DC RPA Annual Meeting March 20-23, 2014 Hilton Baltimore, Baltimore, MD RPA s 40th Anniversary Gala March 22, 2014 Hilton Baltimore, Baltimore, MD Advanced Practitioner Conference July 16-18, 2014, Milwaukee, WI