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2017 Annual Meeting Ohio Ophthalmological Society Eye MDs & Surgeons Dedicated to Preserving Vision Meeting the educational needs of ophthalmologists who are engaged in the diagnosis and treatment of eye diseases—and for nurses, ophthalmic assistants, technicians and technologists interested in advancing their career in the eye care field. Registration Materials INSIDE! 2017 Annual Meeting Saturday, February 25, 2017 Jointly Provided by the Ohio State Medical Association Hilton Columbus at Easton 3900 Chagrin Drive, Columbus, OH 43219 Phone: (614) 414-5000 Important Details LOCATION & LODGING PHYSICIAN LEARNING OBJECTIVES A limited number of rooms have been reserved at the Hilton Easton in Columbus. The reservation deadline to receive the discounted room rate of $183 plus tax is Jan. 25. Call (614) 414-5000 to make a reservation. Indicate that you are with the OOS Annual Meeting. Check-in time is 4:00 pm and check-out time is noon. By participating in this activity, learners should be able to: • Discuss the prevalence and impact of retina disease, glaucoma, and other external diseases. • Review current literature and discuss new and emerging data regarding strategies aimed at improving the management of patients. • Incorporate best available evidence and recent clinical research to improve patient assessment and treatment approaches. • Integrate health reform, quality and risk management strategies to address critical business issues in the ophthalmology practice. HANDOUT MATERIALS To minimize our environmental impact, all handouts will be posted online. Approximately one week prior to the meeting you will receive an email with the link to all of the handouts/speaker slides. Please bring copies with you if you want to follow along or save them to your mobile device as print handouts will not be available the day of the meeting. All meeting rooms will have WiFi and a charging station will be available near the registration area. PLANNING COMMITTEES Physician Program: W. Walker Motley, MD, President, Ohio Ophthalmological Society SUBSTITUTIONS/CANCELLATIONS Todd Baker, Executive Director, Ohio Ophthalmological Society Cancellations made on or before Feb. 17 will receive a 50% refund. There will be no refunds on cancellations or no shows thereafter. Participant substitutions can be made at anytime. Ohio State Medical Association Task Force on Education ATTIRE Casual business attire is appropriate. Please remember, conference rooms tend to be cool. We recommend you bring a sweater or light jacket. Technician Program: Eunice Burclaff, COT, Ophthalmic Surgeons and Consultants Elethia Dean, RN, BSN, MBA, PhD, ASC Compliance Amy Jost, COMT, Cincinnati Eye Institute Mary Preston, Ophthalmic Education Services Yvonne Tenant, Assistant Director, Ohio Ophthalmological Society Easy Registration Online: WWW.OHIOEYE.ORG TECHNICIAN & NURSE E D U C AT I O N P R O G R A M Continuing Education This technician course has been submitted to Joint Commission on Allied Health Personnel in Ophthalmology (JCAHPO®) and the Northwest State Community College in coordination with the Ohio Board of Nursing for consideration of CE credit. NEW THIS YEAR! Technicians may pick up their CEU certificates at the registration table after the last session attended. They will NOT be mailed. Complete the evaluation for all the sessions you attend and exchange your completed evaluation for your CEU certificate. Credits will be adjusted as needed by the registration staff. Any certificates left at the end of the meeting will have a maximum of 6 out of 7 credits, as we will assume you left the meeting before the end of the last session. BREAKFAST/REGISTRATION/VISIT EXHIBITS 8:00am SESSION 1: SESSIONS 7:00am 1A OCT Update, Greg Searcy, MD This session will provide an overview of OCT technology for assessment of the optic nerve in the evaluation of glaucoma. Instrumentation, software, scan parameters and more will be discussed. •Outline characteristics of a glaucomatous vs non-glaucomatous optic nerve on OCT •List acquisition techniques to capture accurate scans 1B Ocular Trauma, Jeremy Tan, MD This session will explore the common and less common traumas encountered in the ophthalmic practice. Head trauma, firecrackers, sports injuries, and other blunt traumas as well as penetrating injuries will be covered. The role of the ophthalmic staff in triaging, first aid and work up will be emphasized. •List the most common ocular traumas •Outline triage for a blunt trauma 1C Infection Control in an Ophthalmology Practice Elethia Dean, RN, BSN, MBA, PhD This session will review infection control processes for the ophthalmic nurse and technician. Standard precautions, universal precautions, as well as cleaning and disinfection in the ophthalmic setting will be covered. 2C ASC Compliance in Ophthalmology, Elethia Dean, RN, BSN, MBA, PhD This session outlines the focus of Medicare surveyors in the ophthalmic ASCs. It will include current deficiencies, regulations behind the deficiencies, and what each ASC must do to successfully pass their next Medicare survey. •Describe the objectives of Medicare Conditions for Coverage •List steps an ASC should take to be in compliance with Medicare requirements 10:15am BREAK/VISIT EXHIBITS 10:25am SESSION 3: 3A Cataracts- Minimizing Post-Surgical Risk Richard Erdey, MD This session will address elements for considerations in the pre-operative examination and discussion with cataract patients. Intraoperative measures that can be taken to optimize outcomes will be reviewed. •List potential conditions of the lens the surgeon should be aware of preoperatively •Discuss available options to reduce endophthalmitis •Describe universal precautions and how it relates to standard precautions •Identify symptoms of TASS and endophthalmitis 3B Imaging in a Clinical Retina Practice: When & Why, Sugat Patel, MD This session will explore the various imaging modalities currently available in ophthalmology. Case review will highlight correlation of diagnostic test to condition of the posterior segment. 9:05am •Describe best imaging for common retinal conditions •Identify when fluorescein angiography is indicated SESSION 2: 2A Pediatric Cataracts, Cate Jordan, MD This session will provide an overview of cataracts in the pediatric population. Causes, detection, management, amblyopia, and outcomes will be covered in addition to measurements and other ocular/systemic things to consider. •List common causes of cataracts in children •Describe potential complications of delayed surgery in a trauma-induced cataract 2B Neuro Ophthalmology Examination, Practical Strategies and Pitfalls, Karl Golnik, MD This session will present an approach to conducting a neuro-op workup. Clinical assessment, orbit and brain imaging, and history elements will be used to review case presentations. •List ophthalmic tests necessary for a complaint of diplopia •Outline pupillary abnormalities and associated differential diagnosis 3C Ophthalmic Device Maintenance & Optimization, Jeffrey Hunter, COT This session will provide information on how to care for and maintain your ophthalmic instruments and save your office on costly repairs. •Describe simple repairs of office equipment including slit lamp, phoropter, automated units, etc. •Outline steps for preventive maintenance of general ophthalmic equipment TECHNICIAN & NURSE 11:30am SESSION 4: 4A Cosmetic Eye Care, Daniel Straka, MD This session will explore cosmetic procedures and products to enhance skin, brows, lids, lashes and overall appearance. Patient goals will be coupled with clinical assessment and measurements to provide an overview of case examples. •Outline aging effects of the periocular area •Describe surgical vs nonsurgical options available for common cosmetic complaints 4B Retina Surgery Complications, Johnny Kim, MD This session will review complications in retinal surgeries encountered in the office. Tips on triage and an overview of management guidelines will be presented. •Outline common potential post-operative complications following posterior segment surgery •List signs and symptoms of complications presented 4C COT Written Exam Review #1* Beth Koch, COT, ROUB This session will provide an overview of the duties of the ophthalmic technician and following content areas for the COT written exam: 2:35pm PROGRAM SESSION 6: 6A Scleral Lens Grand Rounds, Greg DeNaeyer, OD Case presentations will be utilized to review challenging anterior segment conditions in which scleral lenses have been used. Indications, clinical measurements, fitting, care and complications will be discussed. •List indications for use of scleral lenses •Discuss potential risks of scleral lenses and ways to minimize the risks 6B Ocular Melanoma Update, Colleen Cebulla, MD, PhD This session will provide an update on ocular melanoma including choroidal and conjunctival involvement. Review of clinical signs, diagnostic testing, pathology, GEP, metastatic surveillance testing, and treatment options will be presented. •Describe clinical and diagnostic findings consistent with choroidal melanoma •Outline GEP results and metastatic rates •Lensometry, Keratometry, Medical Ethics/Legal & Regulatory Issues, Microbiology, Pharmacology 6C Glaucoma, Diagnosis, Medication & New Treatment Techniques, Doug Baker, MD This session will focus on care of the glaucoma patient. Diagnostic tests, clinical assessment, disease progression, medical and surgical management will be discussed along with new therapies being developed. 12:30pm LUNCH/VISIT EXHIBITS •Describe potential surgical options for neovascular glaucoma 1:30pm 3:40pm •COT Exam Prep Introduction and Recommended Resources, Pupillary Assessment, Contact Lenses SESSION 5: •List critical elements of a glaucoma evaluation SESSION 7: 5A Bringing the LASIK Mindset to Cataract Surgery Curtin Kelley, MD This session will examine the expectations of patients undergoing cataract surgery and opportunities for the ophthalmic team to meet those expectations. Emphasis on pre-op measurements and assessment as well as the overall experience will be presented. 7A No More Meaningful Use; What now– MACRA Measurement, Todd Baker This session will discuss the Medicare Access & CHIP Reauthorization Act’s (MACRA) and Merit-Based Incentive Payment System (MIPS) transition for paying clinicians for the value, rather than volume, of care they provide. •Describe patient expectations of cataract surgery •Describe the four measures that will make up the MIPS composite physician score starting in 2017 •Outline opportunities to improve the cataract patient experience 5B The Uveitis Patient…Don’t Freak Out! Nickole Delaney, COA This session will address the complete workup of the uveitis patient including uncovering important medical history, ocular history, family history, signs, and symptoms. •List elements included in a complete review of systems •List critical components of the HPI specific to uveitis 5C COT Written Exam Review #2* Beth Koch, COT, ROUB This session will provide an overview of the duties of the ophthalmic technician and following content areas for the COT written examination: •Ocular Motility, Assisting in Surgical Procedures, Ophthalmic Imaging, Refractometry •Spectacle Skills, Tonometry, Visual Assessment, Visual Fields •Describe the manner in which practices will use registries for reporting quality and cost data in the future 7B Oh ShiCrud#[email protected]! Is this Endophthalmitis? E. Mitch Opremcak, MD This session will explore everything endophthalmitis including causes, presenting signs and symptoms, differential, management, and outcomes. •List common pathogens of exogenous endophthalmitis •Identify common complaints of a patient with early endophthalmitis 7C Veterinary Ophthalmology Terah Webb, DVM, DACVO This session will highlight common ocular conditions in small animals. Incidence, diagnosis, management and outcomes will be addressed. Case presentations and surgical videos will provide participants a comparative view to the human ocular conditions. •List similarities and differences in human vs canine cataract surgery •Summarize cases presented TECHNICIAN & NURSE 4:45pm PROGRAM COMPLETE EVALUATION & ADJOURN * Material is based on the instructor’s interpretation of the content areas outlined in the JCAHPO “Criteria for Certification,” and the instructors of this review course have no direct knowledge of the specific certification questions Registration : TECHNICIAN & NURSE Deadline is Feb.17 —after this date, only credit cards by phone will be accepted. Easily Register Online at: WWW.OHIOEYE.ORG Session Selections A B C When registering, please select one topic of your choice in each of the seven breakout sessions. You must choose one session from each time period, in order to receive proper CEU credit and materials. Register by Phone or Fax with credit card: Phone: (614) 527-6799 or (800) 766-6762 • Fax: (614) 527-6763 8:00am - SESSION 1: 12:30pm - LUNCH If paying by check, please mail this form and payment to: m (1A) OCT Update Ohio Ophthalmological Society 5115 Parkcenter Ave, Ste 200 • Dublin OH 43017-7553 m (1B) Ocular Trauma m Chicken m Beef m Vegetarian m No lunch m (1C) Infection Control in an Ophthalmology Practice If special dietary requests, contact: [email protected] Registrant’s Name & Credentials 9:05am - SESSION 2: 1:30pm - SESSION 5: Practice Name m (2A) Pediatric Cataracts Office Manager m (2B) Neuro Ophthalmology Examination m (5A) Bringing the LASIK Mindset to Cataract Surgery Address m (2C) ASC Compliance in Ophthalmology City Phone State (choose one) Zip Fax m (3A) Cataracts: Minimizing Post-Surgical Risk FEES m $200 early registration (for staff of an OOS physician member—on or before 2/3/2017) m $230 regular registration (for staff of an OOS physician member—on or before 2/4/2017) m $400 for staff of a non-member physician mAmex Exp. Date Name on Card m (3C) Ophthalmic Device Maintenance & Optimization 11:30am - SESSION 4: (choose one) m (4B) Retina Surgery Complications m (4C) COT Written Exam Review #1 Card number Security Code m (3B) Imaging in a Clinical Retina Practice m (4A) Cosmetic Eye Care PAYMENT m Check enclosed m Credit card m Visa m Mastercard 10:25am - SESSION 3: (choose one) Email (required for confirmation and handout links) (choose one) m Billing address same as above address m Billing address is as follows: (choose one) (choose one) m (5B) The Uveitis Patient… Don’t Freak Out! m (5C) COT Written Exam Review #2 2:35pm - SESSION 6: (choose one) m (6A) Scleral Lens Grand Rounds m (6B) Ocular Melanoma Update m (6C) Glaucoma, Diagnosis, Medication & New Treatment Techniques 3:40pm - SESSION 7: (choose one) m (7A) No More Meaningful Use; What now- MACRA Measurement m (7B) Oh ShiCrud#[email protected]! Is this Endophthalmitis? m (7C) Veterinary Ophthalmology PHYSICIAN E D U C AT I O N P R O G R A M Continuing Medical Education This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Ohio State Medical Association (OSMA) and the Ohio Ophthalmological Society. The OSMA is accredited by the ACCME to provide continuing medical education for physicians. The OSMA designates this live educational activity for a maximum of 5.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. FEATURED SPEAKERS Deepinder Dhaliwal, MD, L.Ac Professor of Ophthalmology, University of Pittsburgh School of Medicine; Director, Cornea, External Disease and Refractive Surgery Services; Director and Founder, Center for Integrative Eye Care; Director, UPMC Laser Vision/ Aesthetic Center; Associate Director, Charles T. Campbell Ocular Microbiology Laboratory; and Director, Cornea and Refractive Surgery Fellowship, Pittsburgh, PA Andrew Lee, MD Houston Methodist Eye Associates, chair of the Jack S. Blanton Sr. Eye Institute of the Houston Methodist Hospital, Texas Medical Center; Professor of Ophthalmology, Neurology and Neurosurgery at Weill Cornell Medical College; Adjunct Professor of Ophthalmology at the University of Iowa and at Baylor College of Medicine; Clinical Professor at the University of Texas Medical Branch, Galveston, TX GUEST SPEAKERS Christopher Daugherty, MD Anne Menke, RN, PhD Alisha Gandhi, MD Douglas Rhee, MD SummaHealth Ophthalmology Residency Program, Akron, OH Risk Manager, Ophthalmic Mutual Insurance Company, San Francisco, CA Chair, Department of Ophthalmology, University Hospitals and Case Western Reserve University School of Medicine, Cleveland, OH SummaHealth Ophthalmology Residency Program, Akron, OH AGENDA 7:00am BREAKFAST/REGISTRATION/VISIT EXHIBITS 8:00am OPENING/WELCOME 8:10am Neuro-ophthalmology for the General Ophthalmologist: Five diagnoses you cannot afford to miss; Five medications that can blind your next patient; and Five things that every ophthalmologist needs to know about neuroimaging W. Walker Motley, MD, President, Ohio Ophthalmological Society Is Your Job a Pain in the Neck? Deepinder Dhaliwal, MD, L.Ac Ophthalmologists have a high rate of musculoskeletal disorders. Are you aware of protective measures as well as office and operating room factors that could potentially increase your risk? •Discuss why ophthalmologists are at risk for musculoskeletal disorders •Identify preventative measures to employ during patient care Andrew Lee, MD Neuro-ophthalmic symptoms are similar to other conditions, which may lead to unnecessary, expensive tests and result in delated diagnosis and treatment of patients. The ophthalmologist is often the first physician to see the patient. Would you know what to look for? •Discuss current and best practices in the diagnosis and management of neuro-ophthalmic conditions •Analyze challenging neuro-ophthalmic patient cases 9:15 am 9:45 am Corneal Ulcers: Diagnosis and Management Deepinder Dhaliwal, MD, L.Ac Corneal ulcers are a common problem, and they can be difficult to diagnose. Delay in diagnosis and incorrect therapy can lead to unfavorable outcomes. Knowing what to look for and common mistakes to avoid can make all the difference. •Identify features of infectious keratitis •Select which therapy should be instituted based on findings 10:15am BREAK/VISIT EXHIBITS 10:45am Overview of New Glaucoma Procedures – Present and Upcoming, Douglas Rhee, MD There are many new approaches to treating glaucoma surgically, yet it is unclear as to their placement within the surgical treatment algorithm. •Assess current surgical modalities and their mechanisms of action •Explain the mechanistic differences of the newer surgical procedures for glaucoma •Discuss indications of newer surgical procedures with an appreciation of the emerging ability to individualize the surgical management of a particular patient PHYSICIAN PROGRAM OPHTHALMOLOGY TRAINING PROGRAM SPOTLIGHT: SUMMA HEALTH SYSTEM 11:20am Candida Infection after Descemet’s Stripping Endothelial Keratoplasty in Two Patients from a Single Donor, Alisha Gandhi MD Registration: PHYSICIAN Deadline is Feb.17 —after this date, only credit cards by phone will be accepted. Easily Register Online at: WWW.OHIOEYE.ORG Register by Phone or Fax with credit card: Phone: (614) 527-6799 or (800) 766-6762 • Fax: (614) 527-6763 This postoperative complication can be quite rare but visually devastating. If paying by check, please mail this form and payment to: •Describe donor and host risk factors for postoperative fungal infection Ohio Ophthalmological Society 5115 Parkcenter Ave, Ste 200 • Dublin OH 43017-7553 •Identify early and late fungal keratitis after cornea transplant •Implement ideal management and treatment for postoperative fungal keratitis to ensure graft survival and visual acuity 11:40am Current Literature on Anticoagulation and Ophthalmic Surgery, Christopher Daugherty, MD Management of antiplatelet and anticoagulant treatment can be challenging for the ophthalmic surgeon due to the risk of impaired surgical view or potentially sight-threatening hemorrhage. Physician’s Name & Credentials Practice Name Address City State •Review recent literature on antithrombotic therapy peri-operative for ophthalmic surgery Phone Fax •Develop a plan to reduce risk of patients coming off needed medications prior to ophthalmic surgery Email NOON BUSINESS MEETING 12:15pm LUNCH/VISIT EXHIBITS 1:30pm Preparing for MACRA Implementation American Academy of Ophthalmology Most ophthalmologists will participate in the MIPS program. It is important to be aware of the new payment reform structure and impact on your practice. Zip FEES Cost includes refreshments, lunch and CME credit. *Your 2017 Membership Dues must be paid by Jan. 1, 2017 or the non-member meeting rate will apply. m $200 early registration (practice or individual members—on or before 2/3/2017) m $230 regular registration (practice or individual members—2/4/2017 and after) m $400 non members •Discuss the four MIPS performance categories •Review emerging commercial payer trends and highlight the importance of adopting new technology, patient-reported outcomes and patient satisfaction LUNCH CHOICE 2:40pm Prevent Falls in the Ophthalmic Office and the OR Anne Menke, RN, PhD When falls happen in physician office or ambulatory surgery center, some patients and their families assume that physicians and staff members should have predicted and prevented the falls, and sue for malpractice. This talk will present a study of malpractice claims filed by patients who were injured while receiving ophthalmic care. •Determine the circumstances surrounding falls in the ophthalmic office and the OR •Identify factors that increase the likelihood of falls •Clarify ways to identify and assist patients most at risk. * Attendance is required to receive the OMIC premium discount 3:45pm CLOSING COMMENTS/PROGRAM EVALUATION 4:00pm ADJOURN If no selection is made you will be given a chicken entrée. Contact the OSMA at [email protected] with special dietary other accommodation requests. m Chicken m Beef m Vegetarian m No lunch m Mastercard mAmex PAYMENT m Check enclosed m Credit card m Visa Card number Security Code Exp. Date Name on Card m Billing address same as above address m Billing address is as follows: Ohio Ophthalmological Society 5115 Parkcenter Avenue Suite 200 Dublin, OH 43017 ph: (614) 527-6799 • fax: (614) 527-6763 email: [email protected] www.ohioeye.org 2017 Annual Meeting • Feb 25 OOS CONTINUING EDUCATION DATES 2017 Coding & Billing Seminars with Joy Newby MARCH 8 CINCINNATI Hilton Garden Inn 9306 Schulze Drive West Chester, OH 45069 (513) 771-7744 MARCH 14 INDEPENDENCE Holiday Inn 6001 Rockside Road Independence, OH 44131 (216) 524-8050 MARCH 15 COLUMBUS Conference Center at the OCLC 6565 Kilgour Place Dublin, OH 43017 (614) 764-6000 THANK YOU TO OUR EXHIBITORS! Plan on visiting with these companies to discuss their products and services and how they might help your practice. This list includes those who had paid to exhibit at the time of printing this program. Abbott Medical Optics Inc. Allergan Bausch + Lomb Bio-Tissue Carl Zeiss Meditec Glaukos Iridex Corporation Lions Eye Bank of West Central Ohio Lombart Instruments Marco Modernizing Medicine Nidek OMIC – Ophthalmic Mutual Insurance Company Regeneron Retina Vitreous Associates Shire SurgicalOne, Inc.