Download Detailed Agendas - USPHS Symposium

USPHS Scientific and Training Symposium
Sponsored By
PHS Commissioned Officers Foundation for the
Advancement of Public Health
And
Commissioned Officers Association of the USPHS
2016 USPHS Scientific and Training Symposium
Map of Meeting Rooms, Renaissance
Convention Center Hotel
2016 USPHS Social Media
This year we are again promoting a conference hashtag to make it easier for those using social media to be able
to find other posts, tweets, etc. regarding our symposium. The symposium hashtag is:
#USPHS2016
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2016 USPHS Scientific and Training Symposium
Ground Level Meeting Rooms, Cox Convention Center
Second Level Meeting Rooms, Cox Convention Center
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2016 USPHS Scientific and Training Symposium
Agenda At-a-Glance
Sunday, May 15
7:30 am–
4:00 pm
Leadership Training (Pre-registration was required)
Ballroom D
8:00 am –
4:00 pm
Retirement Seminar (Pre-registration was required)
Ballroom B
8:00 am –
4:00 pm
Advanced Cardiac Life Support (Pre-registration was required.)
(Continues on Monday.)
Room 6
8:00 am –
5:00 pm
National Culturally & Linguistically Appropriate Standards (CLAS)
for Health and Healthcare Services (Walk-In Accepted. Continues
on Monday.)
Room 2
1:00 pm –
5:00 pm
RX for Change: Tobacco Cessation Intervention for Clinicians
(Walk-In Accepted)
Room 9
4:30 pm –
7:30 pm
Empower Yourself to Optimal Health through Self Care Modalities
to Heal the Mind, Body and Spirit (Walk-In)
Room 3
8:00 am –
11:00 am
Empower Yourself to Optimal Health through Self Care Modalities
Heal the Mind, Body and Spirit (Walk-In)
Room 3
8:00 am –
12:00 pm
Advance Cardiac Life Support (Continuation of Sunday course)
Room 6
8:00 am –
10:00 am
RX for Change: Basic Tobacco Intervention Program (Ask-AdviseRefer)
8:00 am –
12:00 pm
AHA Healthcare Provider Basic Life Support Full (Walk-In)
Room 5
8:00 am –
12:00 pm
National Culturally & Linguistically Appropriate Standards (CLAS)
for Health and Healthcare Services (Continued from Sunday)
Room 2
8:00 am –
1:00 pm
COA Branch Leadership
8:00 am –
3:00 pm
Clinical Skills Update
10:00 am –
12:00 pm
RX for Change: Basic Tobacco Intervention Program (Ask-AdviseRefer)
1:00 pm –
2:00 pm
COA General Meeting
2:00 pm –
6:00 pm
Getting Your Point Across: Writing and Speaking for Professional
Growth
2:00 pm –
6:00 pm
AHA Healthcare Provider Basic Life Support Full (Walk-in)
2:00 pm –
6:00 pm
Category Mentoring
3:00 pm –
5:00 pm
Epidemiology Session
6:00 pm –
7:00 pm
Cocktail Hour (Cash Bar) and Silent Auction
Monday, May 16
Room 16
Room 9-10
Room 11-12
Room 16
Room 9-10
Room 16
Room 5
Various (See pg.18)
Room 3
3
Ballroom C
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2016 USPHS Scientific and Training Symposium
7:00 pm –
10:00 pm
Anchor and Caduceus Dinner and Silent Auction
Sponsored by Gilead Sciences
C. Everett Koop Memorial Lecture by Governor Bill
Anoatubby, Chickasaw Nation of Oklahoma
Ballroom C
Sponsored by Chickasaw Nation of Oklahoma
Tuesday, May 17
7:00 am –
9:00 am
Category Mentoring
Various (See pg 21).
7:00 am –
7:30 am
Morning Aerobics
Room 8
7:30 am –
8:30 am
New APFT Briefing
Room 21
7:30 am –
8:30 am
Retired Officers Breakfast
8:30 am –
9:00 am
Opening Ceremonies
Ballroom C
9:00 am –
10:00 am
Plenary: Karen DeSalvo, M.D., Acting Assistant Secretary for
Health, U.S. Department of Health and Human Services
Ballroom C
10:00 am –
11:00 am
Luther Terry Lecture by Michael Parkinson, M.D., M.P.H.,
Senior Medical Director of Health and Productivity, UPMC
Health Plan
Sponsored by Choctaw Nation Health Services Authority
Ballroom C
11:00 am –
12:30 pm
Plenary: Oklahoma's Approach to Reducing Diabetes:
Research, Public Health, and Treatment
Sponsored by Cherokee Nation
Ballroom C
12:30 pm –
2:00 pm
Lunch on Own
12:30 pm –
2:00 pm
Junior Officer Advisory Group (JOAG) General Meeting
12:30 pm –
2:00 pm
Minority Officers Liaison Council (MOLC) Award Event
Sponsored by Arizonans Concerned about Smoking and Arizona
NAACP
1:00 pm –
6:00 pm
Exhibit Hall setup
2:15 pm –
4:15 pm
Track Sessions
4:15 pm –
4:30 pm
Break
4:30 pm –
5:30 pm
Plenary: VADM Vivek Murthy, MD, MBA, 19 US Surgeon
General
5:30 pm –
6:15 pm
Reception
6:15 pm –
7:15 pm
PHS Ensemble Concert
Room 4
Room 9-10
Room 19-20
Hall 3&E
Rooms 1-6
th
Ballroom C
Ballroom C
Prefunction Space
Ballroom C
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2016 USPHS Scientific and Training Symposium
Agenda At-a-Glance
Wednesday, May 18
7:45 am—
5:00 pm
Category Day
Various (See pg. 40)
11:00 am –
3:00 pm
Exhibit Hall open
11:00 am –
3:00 pm
Posters on Display
5:15 pm –
6:15 pm
Plenary: Update on the Zika Virus
Hall 3&E
Ballroom Level
Ballroom C
Thursday, May 19
6:30 am –
7:30 am
Annual Physical Fitness Test Busses Depart from Renaissance
Offsite
7:30 am –
8:30 am
Surgeon General’s 5K Run/Walk Busses Depart from Renaissance
Offsite
8:00 am –
3:00 pm
Exhibit Hall Open
9:00 am –
9:30 am
Breakfast near Exhibit Hall
9:30 am –
11:00 am
Track Sessions
10:00 am –
3:00 pm
Blood Drive
11:00 am
11:30 am
Break in Exhibit Hall
11:30 am –
1:00 pm
Awards Luncheon
1:00 pm –
1:30 pm
Break in Exhibit Hall
1:30 pm –
3:00 pm
Track Sessions
Rooms 11, 16-20
3:15 pm –
4:15 pm
Track Sessions
Rooms 11, 16-20
4:30 pm –
5:30 pm
Closing Keynote
Substance Use Disorders: What the Big Deal is NOW
Hall 3&E
Rooms 11, 16-20
Room 9-10
Hall 3&E
Ballroom C
Hall 3&E
Ballroom C
Drawing for 3 Free Registrations to 2017 Symposium. Must be
present to win!
Friday, May 20
8:00 am –
12:00 pm
AHA Healthcare Provider Basic Life Support Full (Walk-In)
9:00 am –
11:00 pm
Space Available Travel Workshop (Walk-In)
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Room 6
Room 10
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2016 USPHS Scientific and Training Symposium
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Page
Renaissance Convention Center Maps
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Agenda At-a-Glance
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General Information
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Detailed Agenda
Monday, May 16
9
Tuesday, May 17
12
Wednesday, May 18
30
Poster Listing
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Thursday, May 19
38
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2016 USPHS Scientific and Training Symposium
Welcome!
Registration/Information
All attendees must visit registration to pick up their
conference materials. Your badge is required for
admission into sessions and meals. The registration
desk is located on the 2nd Floor of the Convention
Center by Ballroom C and will be open:
Sunday, May 15
Monday, May 16
Tuesday, May 17
Wednesday, May 18
Thursday, May 19
7:00 AM – 9:00 AM
11:00 AM – 2:00 PM
4:00 PM – 6:00 PM
7:30 AM – 7:30 PM
7:00 AM – 9:00 AM
11:30 AM – 1:30 PM
4:00 PM – 6:00 PM
7:00 AM – 12:00 PM
8:00 AM – 12:00 PM
scheduled to begin. Available during posted
registration hours.
Meal Functions
A conference badge is required for admittance at
all programs and meal functions. Attendees must
have pre-registered for all meals. Seating for the
Thursday Awards Luncheon is limited. First come
first serve. Tickets will be provided at registration
for the Anchor and Caduceus Dinner and will be
required for admittance. If you have dietary
restrictions and have requested a special diet, let
your server know as meals are being brought out.
Posters
Prescribed Uniforms
Presenters: Service Dress White, Service Dress
Blue or Summer White
Attendees: Any combination of uniform (i.e.
Khakis, Summer White, Service Dress White or
Service /Dress Blue or modified Service Dress
White/Service Dress Blue. Other services should
wear equivalent uniforms. The civilian dress
equivalent is business.
Anchor & Caduceus Dinner: Preferred uniforms
are the Dinner Dress White Jacket for 0-4 and
above and Dinner Dress White (small medals, no
name tag) for 0-3 and below. However, we do not
want to discourage officers from attending this
important event so they also may wear Service
Dress Blue with bow tie and miniature medals or
the best uniform they own. Other services should
wear equivalent uniforms. The civilian dress
equivalent is black tie.
Speaker Presentation Collection
If you are a speaker and have not yet submitted
your presentation, please drop it off at registration
no later than 24 hours prior to your presentation.
There will be envelopes available to label your
media in order to have it returned to you on the
day of your presentation. If you wait until the day
of your presentation, please bring it on a thumb
drive to the room where you will be speaking at
least thirty minutes before your presentation is
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nd
Posters will be on display on the 2 Floor outside
the main ballroom on Wednesday and Thursday,
May 18 and 19. Poster set-up will be available
Tuesday, May 17, 1:00 PM – 6:00 PM. Poster
judging will occur Thursday from 11:00 AM –
11:30 AM. We encourage presenters to be at their
posters during this time. All posters should be
removed by 3:00 PM on Thursday. Any posters not
retrieved will be discarded.
Surgeon General’s 5K Run/Walk and
Annual Physical Fitness Test
The Surgeon General's 5K Run/Walk and Annual
Physical Fitness Test (APFT) will be held on
Thursday, May 19. Buses will transport
participants to and from the location. Buses will
run continuous loops from the Renaissance and
back beginning at 5:30 am
The APFT will begin at 6:30 am. The Run/Walk will
start at 7:30 am. Please print out and bring with
you a copy of the APFT form. A towel is
recommended as the grass may be wet.
Participants should check in at the Run/Walk
booth at the Convention Center near conference
registration by 2:00 PM on Wednesday, May 18 to
pick up a bib, disposable chip and other race
information. Booth hours are 11:00 am – 2:00 pm
on Tuesday, May 17 and 11:00 am – 2:00 pm on
Wednesday, May 18. There will be NO ONSITE
CHECK-IN at the start of the Run/Walk.
Uniform Inspection
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2016 USPHS Scientific and Training Symposium
The Junior Officer Advisory Group will offer private
uniform inspections at a booth near registration
throughout the week.
COA General Meeting
Retirement Seminar
The Retirement Seminar will be held in Ballroom B
on Sunday, May 15 from 8:00 AM – 4:00 PM. Preregistration is required. Many thanks for our
sponsors for this year’s Retirement Seminar
The COA General Meeting will be held on Monday
May 16 from 1:00 PM – 2:00 PM, immediately
following the branch leadership session in the
same room (Meeting Room 9-.10). A box lunch will
be provided for those attending. All Symposium
attendees are encouraged to join us for this
meeting to meet the Executive Director and
members of the board and to hear updates on
COA’s work over the past year.
Nursing Moms
The Native American Room is available for your
use throughout the week. Stop by registration for
the key and return it when done.
Continuing Education Credits
Retired Officers Breakfast
Tuesday, May 19 from 7:30-8:30 AM, Meeting
Room 4 Calling all retired PHS officers. Catch up
with your colleagues and learn more about the
Alzheimer’s Foundation’s Partners in Care training
program for health care providers. The breakfast
also will include the latest updates from Corps
headquarters.
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For the following categories: Nurse, Pharmacist,
Physician, Veterinarian, as well as CHES credits,
the evaluation and certification process occurs
online. See instructions at the CE table near
registration. YOU WILL ONLY HAVE 30 DAYS
AFTER THE CONFERENCE TO COMPLETE THIS
PROCESS. AFTER THAT TIME CE CREDIT WILL NOT
BE AVAILABLE.
Continuing Education information for other
categories will be available in the Registration
Area through Thursday. Pick up the information
specific to your category or discipline. Each
attendee should only count the number of hours
for each activity attended. There is no partial
credit. Attendees must attend an entire session
to obtain credit. Cancelled sessions should not be
counted. An evaluation must be completed to
qualify for credit.
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2016 USPHS Scientific and Training Symposium
Monday
Agenda
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2016 USPHS Scientific and Training Symposium
Monday Agenda
May 16, 2016 Scientific Program
8:00 am – 11:00 am
Room 3
Empower Yourself to Optimal Health through Self Care Modalities
Heal the Mind, Body and Spirit (Walk-in)
8:00 am – 10:00 am
Room 16
RX for Change: Basic Tobacco Intervention Program (Ask-Advise-Refer)
8:00 am – 12:00 pm
Room 5
AHA Healthcare Provider Basic Life Support Full (Walk-in)
8:00 am – 1:00 pm
Room 9-10
COA Branch Leadership
8:00 am – 3:00 pm
Room 11-12
Clinical Skills Update
10:00 am – 12:00 pm
Room 16
RX for Change: Basic Tobacco Intervention Program (Ask-Advise-Refer)
1:00 pm – 2:00 pm
Room 9-10
COA General Meeting (Box lunch, first come, first serve, must attend meeting)
2:00 pm – 6:00 pm
Room 16
Getting Your Point Across: Writing and Speaking for Professional Growth
2:00 pm – 6:00 pm
Room 5
AHA Healthcare Provider Basic Life Support Full (Walk-In)
2:00 pm – 6:00 pm
Room 21
Room 17
Room 18-19
Category Career Counseling
Engineer Category
Nurse Category
Therapist
2:00 pm – 5:00 pm
Room 3
Epidemiology Special Session
The Epidemiology Session will include oral presentations on a broad range of topics, including
epidemiologic research, outbreak investigations, surveillance evaluations, and studies that underpin
initiation of novel public health programs. Study presentations fall under the Symposium theme: “Gimme
Five: Building a Better Tomorrow through Prevention Today,” in line with the Surgeon General’s top
priorities for better health (tobacco free living, mental and emotional well-being, healthy eating, active
lifestyle, and violence prevention). Presentations will include: The use of enhanced food surveillance
sampling and whole genome sequencing in foodborne outbreak investigations and for regulatory
purposes; public health implications of chemical suicide incidents in the United States; synthetic
cannabinoid epidemiology.
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2016 USPHS Scientific and Training Symposium
6:00 pm – 7:00 pm
Ballroom C
Cocktail Hour (cash bar)
7:00 pm – 10:00 pm
Ballroom C
Anchor and Caduceus Dinner and C. Everett Koop Memorial Lecture
Sponsored by Gilead Sciences
Moderator: RADM Robert Williams, USPHS (Ret) P.E., DEE, President, Board of Trustees, PHS
Commissioned Officers Foundation
This formal dinner will provide a social venue for Public Health Service officers and other guests of the
USPHS Symposium. The evening will highlight the rich Native American culture of Oklahoma. Enjoy an
exhibition of local tribal dancers, singers and a drum group. Artist J. Nicole Hatfield of Comanche/Kiowa
descent will create a live painting available for auction that evening. There will be a Silent Auction
throughout the evening including items such as
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Original Handmade Seminole Tribal Jacket
Adult Stickball Sticks
George Levi Original Painting named "Cheyenne"
George Levi Original Painting named "On The Go"
Project Repat Gift Card for T-Shirt Quilt
Week at condo in Cancun
Proceeds will benefit the Koop Living Legacy Fund
Please Note: This is a separately ticketed event. Tickets must have been purchased in advance.
C. Everett Koop Memorial Lecture
Sponsored by Chickasaw Nation of Oklahoma
Moderator: RADM Kevin Meeks, USPHS, Oklahoma City Area Director, Indian Health Service
Speaker: Bill Anoatubby, Governor, Chickasaw Nation
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2016 USPHS Scientific and Training Symposium
Tuesday
Agenda
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2016 USPHS Scientific and Training Symposium
Tuesday Agenda
May 17, 2016
Scientific Program
7:00 am – 9:00 am
Room 18
Room 16-17
Room 11
Room 1-2
Room 6
Room 3
Category Mentoring
Environmental Health Officer Category
Health Services Officer Category
Nurse Category
Pharmacy Category
Physician Category
Scientist Category
7:00 am – 7:30 am
Room 8
Morning Aerobics
7:30 am – 8:30 am
Room 21
New APFT Briefing
7:30 am – 8:30 am
Room 4
Retired Officers Breakfast
Sponsored by Alzheimer’s Foundation
8:30 am – 9:00 am
Ballroom C
Opening Ceremonies
9:00 am – 10:00 am
Ballroom C
Fireside Chat with the Assistant Secretary for Health Sponsored by Cherokee Nation
Moderator: RADM Sarah Linde, USPHS, Chief Public Health Officer, Health Resources and Services
Administration
Speaker: Karen B. DeSalvo, MD, MPH, MSc, Acting Assistant Secretary for Health, Department of Health
and Human Services
The Assistant Secretary for Health will discuss the Department’s latest public health initiatives and
respond to questions provided to attendees in advance.
At the conclusion of this session the attendee will be able to:
 Identify two significant accomplishments from the past year.
 Describe two initiatives.
 Cite two priorities.
10:00 am – 11:00 am
Ballroom C
Luther Terry Lecture: Next Generation Population Health: Outcomes That Matter at a Cost We Can
Afford
Sponsored by Choctaw Nation Health Services Authority
Moderator, RADM Marlene Haffner, MD, USPHS (ret) Vice President, PHS Commissioned Officers
Foundation
Speaker: Michael D Parkinson, AB, MD, MPH, Senior Medical Director, Health and Productivity, University
of Pittsburgh Medical Center Health Plan and Work Partners
The presentation will examine current health care transformation efforts that focus on the triple aim of
improved population health, better experience of care and reduction in per capita cost. This presentation
will present current and emerging best practices in "population health" and examine major trends which
are likely to accelerate new models of health and care delivery. Core competencies and perspectives of
public health and clinical leaders explored in the context of these forces.
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At the conclusion of this session the attendee will be able to:
 Describe emerging models of population health as informed by the Triple Aim.
 Explain the root causes of poor health, excessive medical costs and lost productivity faced by
employers, "payers" and citizens alike.
 Define major trends likely to accelerate and disrupt current health and medical care delivery
models.
11:00 am – 12:30 pm
Ballroom C
Oklahoma's Approach to Reducing Diabetes: Research, Public Health, and Treatment
Sponsored by Cherokee Nation
Moderator: RADM Charles Grim, USPHS, Deputy Executive Director, Cherokee Nation Health Services
Speakers: Tara Ritter DNP, MSN, BSN, ADN, Diabetes Program Coordinator/IPC Director/Nurse
Consultant to CPC, Cherokee Nation W. W. Hastings Hospital; Kenneth Copeland, BA, MD, Professor of
Pediatric Diabetes, Oklahoma University Health Sciences Center; Terry Cline, BA, MS, Ph.D., Secretary of
Health and Human Services/Commissioner of Health, Oklahoma State Department of Health
This panel session will examine Oklahoma’s efforts to address diabetes. The growing impact of diabetes
and other chronic diseases in the United States is well documented. The United Health Foundation states
that “Health is a result of our personal behaviors, our individual genetic predisposition to disease, the
environment and the community in which we live, the clinical care we receive and the policies and
practices of our health care and prevention systems. This panel presentation will demonstrate how
Oklahomans are working together in many of the areas mentioned above to improve the overall health
status of the population. Oklahoma is home to a world renowned diabetes research center and a
distinguished researcher will discuss the scope, depth and breadth of diabetes research being done in
Oklahoma. The State Commissioner of Health will discuss how the state is providing leadership to
improve the health of the states citizenry. A tribal diabetes program director will discuss how the Indian
Health Service and Indian Nations are working together with their population to address diabetes, a
disease that strikes particularly hard in the American Indian population. Woven throughout these
presentations, the partnerships that have developed will be demonstrated.
At the conclusion of this session the attendee will be able to:
 Describe how the Cherokee Nation Diabetes Program has supported a population approach to
primary prevention.
 Cite a specific culturally-sensitive strategy for initiating, conducting, and monitoring meaningful
diabetes research in Native communities.
 Describe partnerships between the Oklahoma State Department of Health (OSDH) and tribal
nations to address diabetes.
12:30 pm – 2:00 pm
Lunch on your own
12:30 pm – 2:00 pm
Room 19-20
Minority Officers Liaison Council Awards
Sponsored by Arizonans Concerned About Smoking and Arizona NAACP
12:30 pm – 2:00 pm
Room 9-10
Junior Officers Advisory Group General Meeting
12:30 pm – 2:00 pm
Room 8
Category Day Planners Meeting
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2016 USPHS Scientific and Training Symposium
Tuesday Agenda
May 17, 2016
Scientific Program
2:15 pm – 4:15 pm
Concurrent Sessions Tracks 1 through 6
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4:30 pm – 5:30 pm
Ballroom C
Track 1 – Rapid and Effective Response to Public Health Needs
See detailed agenda beginning on p. 25
Track 2 – Leadership and Excellence in Public Health Practice
See detailed agenda beginning on p. 27
Track 3 – Advancement of Public Health Science
Sponsored by Alzheimer’s Foundation
See detailed agenda beginning on p. 28
Track 4 – Implementing Primary and Secondary Prevention
Sponsored by Express Scripts
See detailed agenda beginning on p. 30
Track 5 – Resources for an Ever-Changing Landscape
See detailed agenda beginning on p. 32
Track 6 - Pharmacy
See detailed agenda beginning on p. 34
Room 1
Room 2
Room 3
Room 4
Room 5
Room 6
Fireside Chat with the Surgeon General Corps Forward: Shaping Public Health from the Front Lines
Moderator: RADM Sylvia Trent-Adams, USPHS, Deputy Surgeon General, Health and Human Services
Speaker: VADM Vivek Murthy, MD. MBA, USPHS, 19h U.S. Surgeon General, Health and Human Services
Join Vice Admiral Vivek H. Murthy, 19th Surgeon General of the United States, for a keynote address
followed by an armchair conversation. VADM Murthy will share updates on efforts to strengthen the
USPHS Commissioned Corps and to build support for our mission and our dedicated officers. He will also
take your questions.
At the conclusion of this session the attendee will be able to:
 Provide updates on USPHS Commissioned Corps leadership and operations.
 Highlight achievements of the past year and share vision for strengthening the Corps going forward.
 Articulate ways that Corps officers can amplify SG initiatives on walking (Step It Up), addiction (Turn
The Tide) and emotional well-being.
5:30 pm – 6:15 pm
Pre-Function
Reception
6:15 pm –7:15 pm
Ballroom C
USPHS Ensemble Concert
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2016 USPHS Scientific and Training Symposium
Tuesday Track Agenda Detail
May 17, 2016 Scientific Program
Track 1 – Rapid and Effective Response to Public Health Needs
2:15 pm – 4:15 pm
Room 1
Caring for Ebola Virus Disease (EVD) at the National Institutes of Health Clinical Center: Strategic Preparation and
Nursing Perspectives
LT Neil P. Barranta BSN, MSN, USPHS, Clinical Nurse Manager, National Institutes of Health
This presentation will look at the management of critically ill patients with Ebola Virus Disease (EVD). Significant institutional
support, advanced planning, training, and teamwork are required for the delivery of safe and effective care. The role of the critical
care nurse is fundamental in the healthcare delivery process. In August of 2014, the National Institutes of Health Clinical Center (NIH
CC) was designated as one of the specialized centers to care for patients afflicted by EVD. West Africa experienced the worst EVD
outbreak ever recorded and the world was stunned when the deadly virus began to spread to other countries. Ebola virus (EBOV) is
a single-stranded RNA virus of the Filoviridae family that causes severe and often fatal illness. ICU staff was informed about the
possibility of caring for critically ill patients infected with EVD. Reports about EVD from the media were generating fear in the public
as well as healthcare workers. Despite the uncertainties, critical care nurses volunteered to be on the frontline and participate in
extensive planning and training to properly care for these patients in a high containment Special Clinical Studies Unit. This
presentation will improve the knowledge of critical care and isolation requirements that are necessary to care for patients with EVD
and to share the perspectives of critical care nurses who participated in the development of standards of care for the care of EVD
patients in high containment settings.
At the conclusion of this session the attendee will be able to:
 Describe the basic principles of clinical care and management of a critically ill patient afflicted with EVD.
 Explain the donning and doffing procedures to work safely and efficiently in a well-designed high containment Special Clinical
Studies Unit.
 Describe the perspectives of critical care nurses caring for high-risk isolation patients.
Engaging the Emergency Medical Services (EMS) Community during the Ebola Response and for Transport of Patients
with Highly Infectious Diseases
CDR Amy Valderrama, BSN, MSN, RN, PhD ACNP-BC, USPHS, Nurse Epidemiologist, Centers for Disease Control and Prevention
This session will examine issues around the transport of highly infections patients. The 2014 Ebola Virus Disease (Ebola) outbreak in
West Africa raised the possibility of persons exposed to or with Ebola traveling from countries with Ebola transmission to the United
States. Emergency medical services (EMS) providers may be the first contact with the healthcare system for a patient with Ebola-like
symptoms. In addition, persons under investigation (PUIs) for Ebola or patients with confirmed Ebola may need to be transported to
a designated Ebola treatment center for further management and care. During the Ebola response, staff from the Centers for
Disease Control and Prevention (CDC) worked with EMS partners and Federal agencies to develop guidance and tools for EMS
providers. CDC also engaged stakeholders in a series of calls to discuss how states and Federal agencies can work together to
address issues and gaps in Ebola preparedness/response. Ebola Readiness Assessment (ERA) teams, comprised of subject matter
experts from CDC and U.S. Department of Health and Human Services/ASPR, provided technical assistance to hospitals to prepare
healthcare personnel to provide safe care to PUIs and patients with confirmed Ebola. Pre‐hospital transport plans and EMS were a
component of the ERA visits, which included assessing procedures for interfaculty patient transport, ground and air transport,
training of EMS providers, availability of appropriate personal protective equipment to safely transport a patient, and intra-facility
plans for transport of the patient from ambulance entrance to the designated care area. In this session, presenters will share
information that can be applied to future EMS planning for transport and response of patients with highly infectious diseases.
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At the conclusion of this session the attendee will be able to:
 Describe the activities undertaken during the Ebola response to engage EMS providers and assess their level of
preparedness.
 Identify lessons learned from the Ebola response that could be applied to future EMS planning for transport and response
of patients with highly infectious diseases.
 Identify strategies for improving collaboration with EMS providers and among EMS, healthcare, public health, and
emergency management.
Using Technology for Direct, Active Monitoring of Persons with Potential Deadly Virus Exposure
CAPT Christopher McGee, BA, MS, LCSW, BCD, USPHS, Chief Social Worker, Bureau of Prisons Federal Bureau of Prisons Federal
Medical Center Carswell; CDR Cassidy Brown, RN, BSN, MHSH, USPHS, Health Services Administrator, Federal Bureau of Prisons; CDR
Elaine Krauss, RN, BSN, USPHS, Nurse Federal Bureau of Prisons; CDR Selena Ready, PharmD, CGP, USPHS, Safety Evaluator,
Metabolic Endocrine Team, Food and Drug Administration; LCDR David Good MSN, CRNA, USPHS, Nurse Anesthetist, Gallup Indian
Medical Center
This session will describe how the USPHS Services Access Team III (SAT3) developed a novel approach to Ebola Virus Disease (EVD)
healthcare provider contact monitoring, using video chat (a form of telemedicine) to monitor officers and engage with health
departments and federal entities all across the country. This novel approach ensured community protection, supported deployed
PHS officers through social stigma, and advanced the public health of the nation. Telemedicine has been on the forefront of
electronic communications to improve patients’ clinical health status since the late 1960s. Patient consultations via video
conferencing, transmission of still images, among other applications, are all considered part of telemedicine and telehealth.
However, this technology has not been used in active monitoring for infectious disease. The USPHS SAT3 used a form of
telemedicine to successfully reintegrate all PHS officers repatriated into US communities from an Ebola treatment unit in West
Africa. This presentation will focus on the novel use of telemedicine in the reintegration of these teams back into the US. The
presentation will examine the role of the reintegration specialist in active monitoring via video chat, reporting to federal and local
governments, and assisting officers in self-isolation.
At the conclusion of this session the attendee will be able to:
 Define the process of reintegration.
 Identify the challenges of reintegration of officers whose missions involve infectious disease.
 Describe the use of telemedicine in the USPHS reintegration mission and apply knowledge gained from the USPHS
reintegration of officers returning from Liberia to future missions involving infectious disease.
U.S. Public Health Service/Centers for Disease Control and Prevention Ebola Response as a CARE Ambassador at JFK
International Airport
CDR Matthew Brancazio, Pharm.D., MBA, USPHS, Special Assistant, Office of Compliance, Food and Drug Administration; LCDR
Ramses Diaz-Vargas MPH, MS, BS, USPHS, Program Management Officer, Food and Drug Administration
This session will examine how U.S. Public Health Commissioned Corps Officers teamed with Centers for Disease Control and
Prevention/U.S. Quarantine Stations (Q-Stations) and Customs and Border Protection (CBP) during the Ebola crisis. Q- Stations are
part of a comprehensive system that serves to limit the introduction and spread of contagious diseases in the U.S. and are located at
20 ports of entry and land-border crossings where international travelers arrive. U.S. Public Health Commissioned Corps Officers
were deployed to five airports along the eastern seaboard: New York's John F. Kennedy International Airport, Washington D.C.’s
Dulles International Airport, New Jersey’s Newark Liberty International Airport, Chicago’s O'Hare International Airport, and Atlanta’s
Hartsfield-Jackson Atlanta International Airport. CBP had the lead on this initiative and would identify passengers who'd recently
been in West Africa, whether they flew in directly or via a connecting flight. These passengers were escorted to the Q-station.
Passengers traveling from affected countries had already endured exhausting and countless hours of waiting and we were one of the
first American faces to greet our visitors, ease their anxiety, answer any questions, and assist in a welcoming manner
At the conclusion of this session the attendee will be able to:
 Explain the supporting role that CARE Ambassador provided for this effort.
 Describe the Ebola enhanced screening operations at CDC JFK Quarantine Station
 Explain the impact and the magnitude of having these types of efforts to rapidly respond to emerging public health needs.
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Tuesday Track Agenda Detail
May 17, 2016 Scientific Program
Track 2 – Leadership and Excellence in Public Health Practice
2:15 pm – 4:15 pm
Room 2
Effective Leadership in Public Health
LT Tonya Conley, EdD, MS, BSN, RN, USPHS, Senior Nurse, U.S. Public Health Service/ICE Health Services Corp
This presentation will discuss a qualitative historical case study which examines the leadership practices of Surgeons General Terry,
Koop, and Satcher. Through content analysis 190 documents were examined for patterns of leadership consistent with Kouzes and
Posner’s model of exemplary leadership. Surgeons General Terry, Koop, and Satcher engaged in universal leadership behaviors, but
to varying degrees. Study findings may inform the development of public health leadership training programs which foster key
leadership behaviors.
At the conclusion of this session the attendee will be able to:
 Describe the importance of leadership on organizational outcomes.
 Cite the five universal practices of effective leadership.
 Identify two barriers to effective leadership.
Achieving Accreditation from the Public Health Accreditation Board
CAPT David Gahn, MD, MPH, USPHS, Surveillance Coordinator, Cherokee Nation Public Health
This presentation will describe Cherokee Nation's five-year journey which led to it becoming the first tribal program to be accredited
by the Public Health Accreditation Board.
At the conclusion of this session the attendee will be able to:
 Describe the purpose of pursuing public health accreditation.
 Explain the process for achieving accreditation.
 Identify the resources needed for accreditation.
Pawnee Service Unit's Improving Patient Care Certificate Program
LCDR Joyce Oberly, BS, MPH, USPHS, Performance Improvement Officer, Pawnee Service Unit; Indian Health Service
This presentation will discuss the Pawnee Service Unit's implementation of the Improving Patient Care (IPC) Certificate Plan in
February 2012. Each of its 177 employees was given the opportunity to complete certificate level IPC training to include Basic,
Advanced, and/or Leadership. In 2013, organizers added the Navigator class to the IPC Curriculum. Then in 2014, they added
Refresher and Teamwork classes to the IPC Certificate Program Curriculum. Most recently, the Lean and Patient Centered classes
were added in 2015.
At the conclusion of this session the attendee will be able to:
 Identify the core concepts of the Improving Patient Care Certificate Program.
 Describe and Instruct Others on the Model for Improvement.
 Apply the curriculum at their own facility or department.
Gimme Five: Opportunities for Officers to Encourage Health and Wellness
CDR Renee F. Robinson, PharmD, MPH, USPHS, Clinical Pharmacist II, Senior Researcher, Southcentral Foundation; LCDR Weston
Thompson, D.Ph, USPHS, Advanced Practice Pharmacist I, Cherokee Hospital
This presentation will highlight how Commissioned Corp officers can use Michelle Obama’s “Gimme Five” initiative to inspire,
engage, and excite individuals throughout the U.S. tobecome more active and stay healthy.
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At the conclusion of this session the attendee will be able to:
 Identify ways parents can make healthy food choices.
 Describe ways to help children get physical activity.
 Apply concepts to promote affordable, accessible food.
What You Can Do to Improve Community Health
CAPT Betsy L. Thompson, MD, MSPH, DrPH, USPHS, Acting Regional Health Administrator, Health and Human Services
This session is designed to help officers who are not directly engaged in population health activities to become positive changeagents in their communities. The session will examine how to translate policy and public health science into action in the
community. The presenter will discuss prevention strategies focused on healthy living. The examples are all related to the Surgeon
General’s priorities or other U.S. Department of Health and Human Services initiatives such as Step It Up!, Let’s Move!, Million
Hearts, and the Tobacco Free College Campus Initiative. The session will focus on practical and meaningful ways in which officers can
affect community and workplace health, whether they have 30 minutes or 30 hours a month to devote to the effort.
At the conclusion of this session the attendee will be able to:
 Describe the Surgeon General's and DHHS' priorities and selected initiatives.
 Develop an action plan to become involved in promoting community health locally.
 Identify potential partners to improve community health.
May 17, 2016 Scientific Program
Track 3 – Advancement of Public Health Science
2:15 pm – 4:15 pm
Room 3
Sponsored by Alzheimer’s Foundation
Building Evaluation Capacity in Psychological Health and Traumatic Brain Injury Programs
CAPT Armen H. Thoumaian, Ph.D., LCSW, USPHS, Deputy Chief for Program Evaluation and Improvement, Office of Integrated
Services, Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury (DCoE); Richard Best, BS, MS, PhD,
Program Evaluation Subject Matter Expert (Psychological Health / Traumatic Brain Injury), Engility Corporation; J. Elizabeth Perkins,
BS, MA, PhD, Senior Program Manager, Engility Corporation
This session will examine how to build evaluation capacity into psychological health and traumatic brain injury (TBI) programs. The
Department of Defense (DoD)) has allocated substantial resources toward psychological health and TBI prevention and treatment
programs. Many of these programs were developed and implemented quickly to address pressing needs, but lacked many of the
structures needed to systematically assess their effectiveness. To gather program details and strengthen the evidence on program
impacts, the Department of Defense developed an evidence-based rapid program evaluation protocol. The protocol begins with a
structured telephone interview to establish baseline program characteristics and determine readiness for a full evaluation. The full
evaluation includes a follow-up site visit to verify program information and fill in information gaps using onsite interviews, document
review and observation. As a critical element of this evaluation effort, the Department of Defense is also developing a robust
evaluation capacity building (ECB) component to help programs better assess and demonstrate their effectiveness. Early education
and training activities focus on programs identified as not yet ready for evaluation, helping them build the basic infrastructure
needed to ensure consistent availability of information about program operations and effectiveness. Additionally, onsite evaluation
activities revealed broader needs for tailored follow-up education and training activities to promote enhanced program evaluation
capabilities. As a result, DoD has developed a broader set of web-based trainings and tool kits designed to advance knowledge of
core evaluation activities such as developing logic models, refining objectives, and planning data collections and data analyses. This
presentation describes DoD’s ECB program.
At the conclusion of this session the attendee will be able to:
 Define “ECB” and explain why ECB activities are important in program evaluation initiatives.
 Describe education and training activities and materials the DoD is using to build evaluation. capacity for psychological
health and Traumatic Brain Injury (TBI) programs with various needs.
 Apply lessons learned from DoD experiences with ECB to other program evaluation projects and activities.
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Tuesday Track Agenda Detail
May 17, 2016 Scientific Program
Track 3 – Advancement of Public Health Science (continued)
Sponsored by Salix
Traumatic Brain Injury (TBI) in the Army
CDR Tara Cozzarelli, MSN, BSN, RN, USPHS,TBI Director (Acting), U.S. Army Office of the Surgeon General;
CDR Renee M. Pazdan, BS, MD, USPHS, Officer in Charge, Warrior Recovery Clinic (TBI clinic), Evans Army Community Hospital; CDR
Alicia Souvignier, DPT, MPT, USPHS, TBI Physical Therapist, Evans Army Community Hospital
The presenters will provide a brief overview of traumatic brain injury in the Department of Defense including definitions, severity
levels, and epidemiologic/surveillance data about overall TBI frequency and severity in Department of Defense, and stratified by
military service. Further discussion will involve a look at the Army’s overall strategy for addressing TBI - Educate, Track, Train, Treat,
Research (ET3R). Highlights will include global Army/MEDCOM / Department of Defense initiatives such as the Army/NFL,
Department of Defense/NCAA initiatives and NICoE/Intrepid Spirits, with focus also on how ET3R is operationalized at the military
treatment facility (local/operational) level. Clinical tools that have been developed, including the Army’s Garrison Concussion Policy
and associated clinical algorithms as well as DVBIC educational materials and clinical recommendations will be reviewed, both to
highlight the importance and utility of readily available tools in public health initiatives, as well as to help clinicians address TBI in
their own practice.
At the conclusion of this session the attendee will be able to:
 Define TBI and severity levels (DoD definition) and be aware of worldwide numbers of TBI incident cases in DoD and the
Army.
 Explain the Army’s Enterprise Management Strategy as a comprehensive public health approach to TBI: Educate, Track,
Train, Treat, Research and how these look from enterprise/strategic level down to the local/military treatment facility level.
 Describe the Army’s Garrison Concussion Policy and associated clinical algorithms as a tool for acute concussion
management and the Defense and Veterans Brain Injury Center (DVBIC) as a source of concussion / TBI education, clinical
recommendations, and other information
Addressing Suicidal Ideation and Substance Abuse while Engaging in Post-Traumatic Stress Disorder (PTSD) Treatment
in an Intensive Outpatient Program
CAPT Richard Schobitz, PhD, USPHS, Chief Intensive Outpatient Program, Brooke Army Medical Center; Gerry Grace, PhD,
Psychologist, Brooke Army Medical Center; Melissa Ramirez, LCSW-S, Social Worker, Brooke Army Medical Center
This session will look at how the Department of Behavioral Medicine at Brooke Army Medical Center (BAMC) has sought to increase
access to evidenced-based care for Post-Traumatic Stress Disorder (PTSD) by implementing a six-week Intensive Outpatient Program
(IOP) for PTSD. The program is based on core components of Prolonged Exposure Therapy (Foa, Hembree, & Rothbaum, 2007)
integrated with core components of Acceptance and Commitment Therapy (ACT). To date, ten cohorts have completed the
program, totaling 91 service members. Two critical issues have been identified during the development of the program. First,
patients referred to the IOP were more often than not reporting severe PTSD that included chronic suicidal ideation. Second, many
of the patients referred have used alcohol for extended periods of time as a tool of self-medication, dulling the effects of the PTSD
symptoms. This presentation will describe the IOP program at BAMC, and discuss how providers have worked with patients in the
group setting to intervene with suicidal ideation and alcohol abuse while maintaining therapeutic alliances and keeping patients
engaged in treatment. Preliminary results will be shared, including a drop-out rate of zero percent and reductions in in PTSD
symptomatology significantly exceeding statistical and clinical significance on evidenced based psychotherapy outcome measure of
PTSD.
At the conclusion of this session the attendee will be able to:
 Identify the link between chronic PTSD and suicidal ideation.
 Describe the use of alcohol as self-medication to numb symptoms of PTSD.
 Explain strategies for clinical intervention for suicidal ideation and substance use for patients treated for PTSD in an
intensive outpatient.
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Sex and Alcohol: Understanding Pathways, Memory Impairment, and the Role of Research in Criminal Prosecution
CDR Julie Chodacki, MPH, PSyD, USPHS, Psychologist, Headquarters, U.S. Army Materiel Command
The presentation will discuss how from Ivy League campuses to Indian Reservations, from correctional facilities to military
installations, men and women experience non-consensual sexual contact at alarming rates, and according to a multitude of sources
many cases go unreported. Although the aftermath of sexual assault includes a significant likelihood of both re-victimization and
negative health outcomes, even when cases are reported, conviction rates remain low, making sexual assault not only a significant
public health issue, but often a frustrating and seemingly hopeless one. Heavy alcohol consumption is one of the most common
factors involved in sexual assault. Through multiple pathways, alcohol plays a role in about half of all sexual assaults -- either
consumption by the victim, consumption by the perpetrator, or both. The link between alcohol and risky sexual behavior is
consistently and thoroughly documented, including increased likelihood of unprotected sexual intercourse, multiple sex partners,
and sexually transmitted disease exposure. Not only is judgment impaired, but an additional challenge posed by the link between
alcohol consumption and sexual assault is the fact that detectable memory impairments occur after as little as one or two drinks. As
the dose increases, so too does the level of memory impairment. Eventually drinking too much too quickly may lead to “blackouts,”
which complicate prosecutions. This presentation will introduce the audience to the relationship between alcohol and risky sexual
behaviors; discuss memory impairment due to extreme alcohol consumption; and consider how emerging research impacts
prosecution of sexual assault cases involving alcohol.
At the conclusion of this session the attendee will be able to:
 Describe the relationship between alcohol and risky sexual behaviors.
 Describe features of memory impairment due to extreme alcohol consumption.
 Identify how emerging research impacts prosecution of alcohol-related sexual assault cases.
May 17, 2016 Scientific Program
Track 4 – Implementing Primary and Secondary Prevention Priorities
2:15 pm – 4:15 pm
Room 4
Sponsored By Express Scripts
Integration of HeartSmartKids into Clinical Practice: A Quality Improvement Project
CDR Sara Lang, MSn, BSNS, USPHS, Specialty Clinic Case Manager, Southeast Alaska Regional Health Consortium
This presentation will discuss a quality improvement project to increase individual providers (physician, nurse practitioner and
physician assistants) meaningful use (MU) measures associated with pediatric education related health promotion. The project is
currently being conducted at the Ethel Lund Medical Center (ELMC) in Juneau, Alaska, which provides healthcare services to Alaska
Natives and American Indians residing in the area. A review of MU data at ELMC between Sept. 30, 2014 – Oct. 1, 2015 showed
there were 541 patient visits for children between 3-18 years old seen for a well child check or sports physical, none of which had
structured documentation of education related to nutrition or physical activity. The purpose of the project is to develop and
provide staff education on structured documentation for the Electronic Health Record, utilizing a standardized health prevention
program call HeartSmartKids®. HeartSmartKids® is a web-based program that provides individualized education based on lifestyle
questions that the family or child have answered. In addition, it provides growth charts including a plotted BMI graph and calculates
pediatric cardiovascular disease risk. The project goal is to demonstrate a 10 percent improvement in structured documentation of
patient education between Oct. 5, 2015 and Dec. 5, 2015.
At the conclusion of this session the attendee will be able to:
 Identify three barriers to pediatric education regarding preventative health.
 Define structured data and how it relates to meaningful use measurements.
 Describe the benefits of using HeartSmartKids as a patient engagement and educational tool.
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Tuesday Track Agenda Detail
May 17, 2016 Scientific Program
Track 4 – Implementing Primary and Secondary Prevention Priorities (continued)
Show us your Healthy Selfie! A Federal Workforce Campaign
LT Desiree’ Brown, MPH, CHES, CWWS, USPHS, Program Management Officer, Centers for Disease Control and Prevention
This session will examine how In 2014, Centers for Disease Control and Prevention (CDC), the nation’s leading public health
organization, led and implemented an eight-week physical activity (PA) and nutrition challenge. The challenge targeted CDC's
~19,000 public health employees, located in domestic and international field settings, to be more active, make healthier food
choices and achieve work-life balance. In collaboration with internal and external partners, the Show us your Healthy Selfie!
Challenge encouraged participants to complete 150 minutes of moderate-intensity aerobic activity and nutrition goals for six out of
eight weeks. Approximately 4,262 employees signed up for the challenge via an online website and 1,557 completed the challenge
by submitting PA and nutrition logs. CDC's organizational structure, made up of 15 different Centers, Institute, and Offices (CIO)
encouraged CIO directors to participate and engage management at all levels including the delegation of established champions that
served as point of contacts for challenge information. An additional 88 team captains were identified within CIOs to help support
their champion, disseminate event and health information, motivate and encourage participants to meet their goals. Added
components of the Challenge included the formation of wellness committees, CIO recognition (gold, silver, bronze) and healthy
selfie posts. Results showed a total of 3,569,370 minutes of PA logged, 12 wellness committees formed, and 12 CIO medals awarded.
Additional survey results will be shared including facilitators and barriers to communication, implementation and evaluation.
At the conclusion of this session the attendee will be able to:
 Define key components to increase participation in a worksite wellness program.
 Describe sustainability strategies used in a worksite wellness campaign.
 Identify ways to use evaluation results for program improvement.
A Preventive Army Behavioral Health Program for Children: Fort Carson School Behavioral Health Program
CDR Dale Thompson, BA, MSW, USPHS, Program Director of School Behavioral Health Program Evans Army Community Hospital
This session will provide an overview of a school-based preventive behavioral health program. As a philosophy towards prevention
and provision of behavioral health care, the concept and practice of School Behavioral Health holds the belief that the behavioral
health needs are best served in the community in which patients live (i.e., their school). Studies have shown school-based
behavioral health programs are an effective method of delivering behavioral health services. The Evans Army Community Hospital
School Behavioral Health Team has partnered with Fountain-Fort Carson School District 8 and the Colorado Department of
Education in providing a wide range of preventive interventions that support military Families and reduce barriers in access to care.
Key to this program is the integration of qualified behavioral health care providers into the framework of on-post schools. These
specialists have expertise in children and adolescents. By integrating providers in the school environment early intervention and
prevention measures are possible such as, psyche-education presentations to the general school population to include students,
teachers/staff and parents. Results have demonstrated decreased stigma in receiving behavioral health care, improved access to
care, improved school environments, increased referral to care percentage, and successful early intervention. The program also
builds strong interdisciplinary relationships with the existing school programs and staff.
A Preventive Army Behavioral Health Program for Children: Fort Carson School Behavioral Health Program (continued)
At the conclusion of this session the attendee will be able to:
 Explain the success of the School Behavioral Health Program as an early intervention service to Army on-post primary
schools.
 Describe the effectiveness of mindfulness education to self-regulate emotions and impulses.
 Identify how collaboration between uniform service and school districts are possible.
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Integrating Best Practices with the Interconnected Systems Framework
LCDR Micah Woodard, BA, MSW, USPHS, Behavioral Health Director, Indian Health Service, Western Oregon Service Unit
This session will examine the fact that the number of youth seen in primary care who present with mental health related problems
has nearly tripled over the last 20 years. Over one in five children have a mental health disorder severe enough to disrupt their daily
functioning, and of those identified, nearly 70 percent will not receive any services. When left untreated, mental health problems in
children and adolescents can lead to increases in school failure, suicide, violent behavior/aggression, juvenile and criminal justice
involvement, and the development of chronic health care issues over their lifespan. Improvements in children’s and adolescents’
mental health will require a collaborative effort from families, communities, mental health providers, health care providers, and
schools. The public school system is the optimal environment for identifying mental health problems and providing mental health
services for youth in the United States. Over 25,000 schools across 50 states are implementing School-Wide Positive Behavior
Intervention and Supports, a multi-tiered prevention based framework. Utilizing an Interconnected Systems Framework to integrate
mental health best practices that align with School-Wide Positive Behavior Intervention and Supports has been shown to improve
social emotional health, decrease absenteeism rates, improve school success, decrease disciplinary referrals, and other positive
behavioral outcomes in the school setting. Providing comprehensive and collaborative services through the use of an integrative
service delivery model within a school-based healthcare model holds significant promise in addressing and implementing effective
levels of care (primary, secondary, and tertiary) to meet the mental health needs of children and adolescents.
Integrating Best Practices with the Interconnected Systems Framework (continued)
At the conclusion of this session the attendee will be able to:
 Define the principles of the Interconnected Systems Framework.
 Distinguish between the Interconnected Systems Framework and Positive Behavior Intervention and Supports within a
School-Based Healthcare setting.
 Explain ideas for implementation of best practices within an Interconnected Systems Framework in a School-Based
Healthcare setting.
May 17, 2016 Scientific Program
Track 5 – Resources for an Ever-Changing Landscape
2:15 pm – 4:15 pm
Room 5
Personnel and Workforce Issues: Fostering a Positive Workforce
CDR Charlene Majersky, PhD, USPHS, Ebola Principal Medical Officer, Centers for Disease Control and Prevention
This presentation will discuss personnel and workforce issues during the standup of a team for the Centers for Disease Control and
Prevention's largest response, the 2014 Ebola Response. Additionally, methods and specific examples will be presented on how to
develop and foster a positive workforce.
At the conclusion of this session the attendee will be able to:
 Identify personnel and workforce issues during the stand up of a team during a response.
 Describe methods for developing and fostering a positive workforce.
 Apply knowledge and skills learned about fostering a positive workforce in the workplace.
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Tuesday Track Agenda Detail
May 17, 2016 Scientific Program
Track 5 – Resources for an Ever-Changing Landscape (continued)
Extinguishing Burnout in United States Public Health Service Medical Officers
CDR Daniel Molina, MD, USPHS, Clinical Director Indian Health Service-Oklahoma City Indian Clinic
This session will examine physician burnout, which is a disturbing trend afflicting the nation’s medical community and by extension
creating a rippling effect negatively impacting all aspects of health care in the U.S. One in three physicians exhibit symptoms of
burnout on any given work day, with more recent surveys confirming that these rates of burnout are worsening. Burnout is directly
linked to lower patient satisfaction and quality of care, higher medical error rates, physician substance abuse and physician suicide.
Medical officers in the United States Public Health Service are not immune to this trend and may even be at greater risk of burnout
owing to their unique responsibilities as uniformed service members. The current challenges of retention and recruitment of USPHS
Medical Officers, along with all other negative implications of burnout would benefit from systematic efforts in addressing burnout.
The concepts and tactics that can be used to extinguish burnout are not new, but they have not been utilized in a structured
relevant manner. We must begin by defining burnout’s symptoms and causes in a form that is intimately relatable to physicians.
There must next be a focus on addressing the high stress levels inherent to the medical profession. Finally, employing methods for
self-rejuvenation and obtaining life-work balance are vital. Unchecked, burnout can devastate our medical provider workforce. It
will be through recognition and appropriate interventions that we can maintain a vibrant USPHS Medical Officer category.
At the conclusion of this session the attendee will be able to:
 Identify the symptoms of physician burnout.
 Recognize the main causes of physician burnout.
 Apply strategies to prevent physician burnout.
Improving Information Management and Communication- Technology Resources for USPHS Officers
CDR Stanley Bennett, OTR/L, USPHS, Occupational Therapist, Federal Bureau of Prions; LCDR Josef Otto, OTR/L, OTD, MBA, USPHS,
Occupational Therapist, Gallup Indian Medical Center
This presentation will provide an overview of how the Therapist Category has implemented the use of the Department of Defense
(Department of Defense) All Partners Access Network (APAN) and Adobe Connect to increase organizational effectiveness and
provide examples of how to utilize these technologies in several other USPHS areas of operation.
At the conclusion of this session the attendee will be able to:
 Describe APAN functionality and identify the potential value to meet Corps, Category, and Agency Operations.
 Explain Adobe Connect functionality and identify the potential value to meet Corps, Category, and Agency Operations.
 Demonstrate basic user skills in both APAN and Adobe Connect Systems.
Improving Employee’s Behavior in the workplace
LCDR Mellissa A. Walker, BS, MA, PMP, USPHS, Project Manager, National Park Service
This presentation will look at how empowering employees, effective communications and a proper change management program
can foster a positive workforce. Many organizations that want to survive need to show characteristics such as being flat, networked,
global, diverse, and flexible. Organizations must change and adapt to volatile and complex environment in which they operate. As
many organizations make structural and strategic changes, managers fail to properly communicate these changes to the employees.
This causes personnel and workplace issues such as lack of commitment, satisfaction, and motivation.
At the conclusion of this session the attendee will be able to:
 Describe how personnel and workforce behavior is tied to the organizational culture.
 Cite three major personnel and workforce issues: lack of commitment; satisfaction, and motivation.
 Explain how empowered employees, effective communications and change management will foster a positive workforce.
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May 17, 2016 Scientific Program
Track 6 – Pharmacy
2:15 pm – 4:15 pm
Room 6
The Patient-Centered HIV Care Model Project—A Collaboration Between Community Pharmacists and HIV Clinical
Providers to Enhance Patient Outcomes
CDR Kathy Byrd MD, MPH, USPHS, Medical Epidemiologist, Centers for Disease Control and Prevention
This session will discuss expansion of the role of community pharmacists (pharmacists whose primary duties are conducted in a
pharmacy, within the community, not associated with a medical clinic or hospital) through increased collaboration with HIV clinical
providers which increases access to care for individuals living with HIV, and may improve patient outcomes. The Centers for Disease
Control and Prevention (CDC) has partnered with Walgreens and the University of North Texas Health Science Center to develop a
model of HIV care that integrates community pharmacists with HIV clinical providers to deliver patient-centered HIV care. The goals
of the project are to improve retention in HIV care, adherence to therapy, and viral load suppression. The project, implemented in
10 cities, provides services for 800 HIV-infected individuals. The model builds upon the existing Medication Therapy Management
(MTM) model. MTM encompasses a broad range of direct and indirect pharmacist-provided patient-care services including
monitoring of prescription filling patterns to determine adherence to therapy, checking for medication interactions, monitoring
response to drug therapy, delivering preventative care, and enhancing patient health literacy. This project requires clinics to share,
with their partnered community-based HIV-trained pharmacists, patients’ medical histories, medical problem lists, laboratory
results, and current and past medication regimens. This sharing enables pharmacists to conduct broader and more precise MTM. In
addition to direct patient-care interventions, the pharmacists may make recommendations to clinical providers and discuss potential
action plans and intervention strategies. The presentation will demonstrate how community pharmacists and clinical providers,
through enhanced communication, can develop relationships to share patient information, monitor patient progress, and determine
the most effective comprehensive care plans which in turn may led to improved patient outcomes among individuals living with HIV.
At the conclusion of this session the attendee will be able to:
 Describe Medication Therapy Management.
 Explain how community pharmacists and clinical providers can share patient information and monitor patient progress to
improve patient outcomes.
 Describe how community pharmacists and clinical providers can collaborate to develop comprehensive care plans.
Pharmacy Based Diabetes Intensive Management
CDR James Chapple, PharmD, BCPS, NCPS, Pharmacist, Cherokee Nation W.W. Hastings Hospital; LCDR Carl Coats, PharmD, NCPS,
USPHS, Pharmacist, Cherokee Nation W.W. Hastings Hospital
This session will look at pharmacy -based diabetes management. Diabetes is a persistent medial problem affecting 9.3 percent (29.1
million people) of the United States population. The overall risk of death and medical costs for diabetics are twice as high as nondiabetic adults. The total cost of diabetes was estimated at $245 billion for 2014. Pharmacists can improve outcomes and control of
diabetes by increasing access to care and enhancing coordination of care. Practicing under a collaborative practice agreement
pharmacy based intensive diabetes management allows a pharmacy clinician to assist patients with not only diabetes but also
hypertension, and/or dyslipidemia. Pharmacists provide a care-based plan to include dietary and exercise aspects as well as
managing medications. The primary advantage of pharmacy based intensive diabetes management is the availability of close followup with more frequent appointments allowing for faster titration of medications to achieve glycemic control. Some patients cannot
be adequately controlled on traditional basal-bolus insulin or require high volume injections. These patients have extreme insulin
resistance, which is seen in obese type 2 diabetic patients. Some providers may be reluctant to use higher insulin doses because
they believe the response is attenuated, or because of concerns about hypoglycemia and weight gain. With education of provider
and patient these concerns could be alleviated. U-500 insulin has a different time-action that is more patient specific, and can lead
to fewer daily injections. Only a special subset of patients should qualify for U-500 and dosing is determined by total daily insulin
dose and current HgA1C.
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Tuesday Track Agenda Detail
May 17, 2016 Scientific Program
Track 6 – Pharmacy (continued)
Pharmacy Based Diabetes Intensive Management (continued)
At the conclusion of this session the attendee will be able to:
 Describe potential outcomes from pharmacy based intensive diabetes management.
 Explain the role of a pharmacist in diabetic management.
 Identify differences between U-500 and U-100 insulins and determine what qualifies a patient for U-500 insulin
National Clinical Pharmacy Specialist Certification: Overview and Outcomes
LCDR John Collins, PharmD, BCPS, NCPS, USPHS, Clinical Coordinator, Outpatient Pharmacy, Claremore Indian Hospital
This presentation will give an overview of the National Clinical Pharmacy Specialist (NCPS) certification including background,
requirements for certification, importance, and outcomes.
At the conclusion of this session the attendee will be able to:
 Describe the role of the NCPS certification.
 Identify the requirements for NCPS certification.
 Demonstrate impact of NCPS certified pharmacists through review of disease state outcomes generated through
collaborate practice.
A Pharmacy-Based Tobacco Dependence Treatment Program, Collaborating Efforts with Other Disciplines Promoting
Cessation Success
LT Tincy Maroor, PharmD, USPHS, Pharmacist, Phoenix Indian Medical Center
This session will look at a pharmacy-based tobacco cessation program. It has been proven that if a patient receives care from
multidisciplinary care groups working together, success rates for cessation are increased, helping patients and employees quit
commercial tobacco use, lowering the risks for smoking-related diseases, adding quality years to lives with additional benefits, the
longer a patient stays quit. This session will examine a model Tobacco Cessation Programs which utilizes proven medical counseling,
guidance and medication to assist patients to stop smoking, improving overall health and well-being.
At the conclusion of this session the attendee will be able to:
 Describe a fundamental approach to intervene with patients with commercial tobacco dependence.
 Apply the basic skills course to real life patients with commercial tobacco dependence.
 Create a collaborative relationship with other disciplines within your facility to promote tobacco cessation success.
Improving Asthma Outcomes at an Indian Health Service Clinic
LCDR Mark Iseri, BSPharm, MPA, USPHS, Director of Pharmacy, Yakama Service Unit, Indian Health Service; LT Ryan Pett, PharmD,
BCPS, NCPS, AE-C, USPHS, Clinical Pharmacist, Yakama Service Unit, Indian Health Service
The session will discuss the U.S .Department of Health and Human Services' eight national objectives to help guide and track efforts
in improving asthma outcomes through the Healthy People 2020 program. A brief review of this nation’s progress in achieving the
Healthy People 2020 goals show that although the prevalence of asthma has increased over the last decade, the asthma
hospitalization rates have declined for both the general U.S. population and for American Indian and Alaskan Native (AI/AN) people.
Asthma-related emergency department (ED) visits, however, have had little to no change over the same period. While there are
many factors that influence asthma-related ED visits, two measured outcomes can largely be influenced by pharmacists to help
improve asthma control. The first is providing formal asthma education and the second is ensuring appropriate asthma care. The
Yakama Indian Health Service developed a pharmacy-based asthma clinic through a collaborative practice agreement with the
medical staff to increase the proportion of asthma patients who receive formal asthma education and ensure appropriate care. A
five-year retrospective chart-review was performed on asthma-related outcomes of 61 enrolled AI/AN asthma clinic patients from
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2010-2014. The study observed the total number of asthma-related hospitalizations and ED visits between the 12-month periods
preceding and following the initial asthma clinic visit were 11 versus two hospitalizations (P = 0.02) and 43 versus 25 ED visits (P =
0.02) respectively. Increased access to formal asthma education and appropriate asthma care benefit the Yakama Indian Health
Service.
At the conclusion of this session the attendee will be able to:
 Cite the Healthy People 2020 objectives for asthma.
 Describe the morbidity of asthma on the general US population.
 Describe how collaborative practice by pharmacy staff can affect outcomes in asthma patients
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Wednesday
Agenda
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2016 USPHS Scientific and Training Symposium
The PHS Commissioned Officers Foundation for
the Advancement of Public Health (COF)
Would like to extend its sincere appreciation to the
following Category Day Sponsors:
Aseptico
Dental Category Day
Henry Schein, Inc.
Dental Category Day
Carruth J. Wagner M.D. Foundation
Nurse Category Day
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2016 USPHS Scientific and Training Symposium
Wednesday Category Day Agenda
May 18, 2016
Category Day
Room assignments for each category are listed below. Detailed agendas with session descriptions and learning
objectives can be found in each room.
7:45 AM – 5:00 PM
Dentist Category Day
Sponsored by Aseptico and Henry Schein
Room 18
7:45 AM – 5:00 PM
Dietitian Category Day
Room 1
7:45 AM – 5:00 PM
Engineer Category Day
Room 11
7:45 AM – 5:00 PM
Environmental Health Officer Category Day
Room 10
8:00 AM – 5:00 PM
Health Services Officer Category Day
Ballroom AB
7:45 AM – 5:00 PM
Nurse Category Day
Sponsored by the Carruth Wagner Foundation
Room 19-20
7:45 AM – 5:00 PM
Pharmacist Category Day
Ballroom DE
7:45 AM – 5:00 PM
Physician Category Day
Physician Breakout
Room 16
Room 17
7:45 AM – 5:00 PM
Scientist Category Day
Scientist Breakout
Room 9-10
Room 6
7:45 AM – 5:00 PM
Therapist Category Day
Room 2
7:45 AM – 5:00 PM
Veterinarian Category Day
Room 3
11:00 AM – 3:00 PM
Exhibit Hall Open
Hall 3&E
5:15 pm – 6:15 pm
Ballroom C
Keynote: Zika Virus Prevention: Science and Public Health Strategies
Moderator: CAPT Jason Woo, USPHS, Senior Medical Officer, Food and Drug Administration
Speakers: CAPT John Iskander, MD, MPH, USPHS, Senior Medical Consultant, Centers for Disease Control
and Prevention and LCDR Matt Karwowski, MD, MPH, USPHS, EIS Officer, Centers for Disease Control and
Prevention
This session will provide the latest information on the response to the Zika Virus. In May 2015, Brazil
reported the first locally-acquired cases of Zika virus in the Americas. Currently, outbreaks are occurring in
many countries and territories in the Americans and further spread to other countries is likely. By fall of
2015, Brazilian authorities reported a substantial increase in the number of babies born with
microcephaly. On February 1, 2016, the World Health Organization (WHO) declared a Public Health
Emergency of International Concern because of clusters of microcephaly and other neurological disorders
including Guillain-Barré syndrome (GBS) in some areas affected by Zika. On February 8, 2016, The Centers
for Disease Control and Prevention (CDC) elevated its Emergency Operation Center activation to its
highest level. Zika virus is a single stranded RNA flavivirus, which is closely related to dengue, yellow fever,
and West Nile virus. Zika virus is primarily spread to people through the bite of infected Aedes species
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Wednesday Category Day Agenda
May 18, 2016 Category Day (continued)
mosquitos, particularly Aedes aegypti, which also transmit dengue and chikungunya. Only about one in
five people infected with Zika virus become ill. Symptoms last several days to a week and usually cause
mild illness. Evidence shows that other modes of transmission are possible including intrauterine and
perinatal transmission, sexual transmission, and blood transfusion. Zika virus infection in pregnant women
has been associated with issues in fetal development, and the virus has been detected in association with
fetal brain and eye malformations in newborns as well as in miscarriages. CDC is working with partners
and state health departments to alert healthcare providers and the public, detect and report cases, and
publish and disseminate guidelines to inform the testing and treatment of people with suspected or
confirmed Zika. CDC has established a registry to learn more about pregnant women in the United States
with confirmed Zika virus infection and their infants. CDC also established a 24/7 consultation service for
healthcare providers caring for pregnant women. CDC is working closely with international partners to
conduct studies to better understand the link between Zika, microcephaly, and GBS. In December 2015,
the Commonwealth of Puerto Rico, a US territory, reported its first confirmed locally transmitted Zika
virus case. Cases of local transmission have also been confirmed in two other US territories, the US Virgin
Islands and American Samoa. Many areas in the US have the type of mosquitos that can become infected
with and spread Zika virus. CDC is assisting states to prepare for and mitigate the spread of Zika virus.
At the conclusion of this session the attendee will be able to:
 Name at least two ways in which Zika virus infection is transmitted.
 Describe the range of Aedes mosquitos within the continental US.
 Identify the organ system associated with adverse effects following Zika virus infection.
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Poster Competition
Wednesday, May 18 – Thursday May 19
1.
The Hidden Word Problem
CDR Cindy Adams, USPHS
2.
Identify and Explore Potential Opportunities for Augmentation of Pharmacy-Based Clinical Services in a Tribal Home
Based Service Program within the Nuka System of Care
LT Kristin Allmaras, USPHS; CDR George Flores, USPHS; CDR Mike Beiergrohslein, USPHS; LCDR Joshua Crowe, USPHS; CDR
Renee Robinson, USPHS
3.
Battlefield Acupuncture
CDR Sarah Arnold, USPHS; CDR Latonia Ford, USPHS
4.
On-treatment Illicit Drug Use Did Not Impact Treatment Outcome During Therapy with Ledipasvir-Sofosbuvir with or
without Ribavirin in the Phase 3 ION-1 Study
Aleksandra Bajic-Lucas; Steve Flamm; Stefan Zeuzem; Robert H. Hyland; Aleksandra Bajic-Lucas
5.
Food Code Violations Poster
Cynthia Baker
6.
Pregnancy, Disasters, and Domestic Violence - What Should First Responders Know?
CDR Harvey Ball, USPHS; LT Roberto Garza, USPHS; CDR Cole Weeks, USPHS
7.
Preventing Deep Surgical Site Infections Among Incarcerated Males Following Total Hip and Knee Arthroplasty
LCDR Robert Banta, USPHS; CDR Alex Brenne, USPHS; CDR Matthew Armentano, USPHS
8.
Analysis of Vital Sign Field Data of Officers Working in the Monrovia Medical Unit Liberia entering the “Hot Zone” to
assess the Risk of Heat Stress Associated with Wearing Personal Protective Equipment in a High-Temperature
Environment
LCDR Qiao Bobo, USPHS; Dr. Xin Tian; CAPT James Dickens, USPHS; CAPT David de la Cruz, USPHS; RADM Richard Childs,
USPHS; CAPT John Whitesides, USPHS CDR Allison Adams, USPHS; CDR Derek Newcomer, USPHS; LCDR Matthew Johns,
USPHS; CAPT Tim Radtke, USPHS
9.
Enhancing Student Pharmacists’ Patient Counseling Skills in Oncology and Transitions of Care Services at the Alaska
Native Medical Center
CDR Anne Marie Bott, USPHS; CDR Lara Nichols, USPHS
10. Implementation of Closed System Transfer Devices and Environmental Sampling at the Alaska Native Medical Center
CDR Anne Marie Bott, USPHS; CDR Ashley Schaber, USPHS
11. A National Research Trial Exemplifying Effective Collaboration with American Indian Nations and the Indian Health
Service
Mrs Jennifer Chadwick
12. Advancing the Evolution of Effective Tribal-State Collaborative Governance through Evidence-Based and Innovation
Models
Ms. Andie Chan; Ms. Sara (Sally) Carter; Mr. Stephen Weaver
13. Certified Healthy Oklahoma: Creating a State of Health
Mrs. Lenae Clements; Ms. Joyce Samuel
14. Evaluating the Impact of an Outpatient Clinical Pharmacy Tobacco Cessation Program in an IHS facility
LCDR John Collins, USPHS
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Poster Competition
Wednesday, May 20
(Continued)
15. Extended Recall Interval in Stable Warfarized Patients in a Pharmacy Managed Anticoagulation Clinic within an Indian
Health Service Facility
LCDR John Collins, USPHS
16. Carter County Healthy Food Retailer Program
Mrs. Kristi Combes
17. Pharmacists' Role in Tobacco Free Wellness
CDR Velliyah Craig, USPHS; CDR Thomas Addison, USPHS
18. Food and Drug Administration Program Alignment: A shift in protecting the public
CDR Kavita Dada, USPHS
19. Improving Resilience in Native American Women Experiencing Relationship Violence
Elizabeth Duncklee
20. The Rise of Prescription Drug Abuse in America and What the Federal Government is Doing About It
LCDR Jean Ennis, USPHS
21. Scientist Officers: Helping USPHS Build a Better Tomorrow
LCDR Amy Freeland, USPHS; LCDR Neil Bonzagni, USPHS
22. The Nursing Spotlight - U.S. Public Health Service Symposium 2016
LCDR Allison Gallen, USPHS
23. Will you #RebelandLiveWell with us? Embracing a National Cross-Category Wellness Initiative among USPHS Officers and
their Communities
LCDR Andrew Gentles, USPHS; LT Jessica Bowermaster, USPHS; LT Nuri Tawwab, USPHS; LCDR Trang Tran, USPHS; LCDR
Stephanie Begansky, USPHS
24. Naloxone Administration among Cancer Patients by EMS in Oklahoma, 2011-2014
Johnnie Gilpen, Dr. Kenneth Stewart; Martin Lansdale; Dr. Yang Wan
25. The Red Lake Pharmacy Ask, Advise, Refer Tobacco Cessation Pilot Project
LT Teresa Grund, USPHS
26. Building Relationships across a Large Organization- Leveraging Existing Talent in Novel Ways by Teaching the
Competency of Networking
CAPT Candace Hander, USPHS; CDR Harvey Ball, USPHS
27. Implementation of Pharmacist Clinicians in the Primary Care Team
LT Jason Harris, USPHS
28. Family Planning: Making Progress Towards Healthy People 2020 Targets
LCDR LaJeana Hawkins; USPHS
29. Mental Health Matters Program
Ms. Colleen Hobbs
30. Love County Teen Conference
Ms. Colleen Hobbs
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31. Prescription Drug Abuse Among Teens And Young Adults An American Epidemic
LCDR Epiphanis Iregbu, USPHS
32. Technical Solutions for Intra-agency Laboratory Science and Safety Initiatives
LT Victoria Jeisy Scott, USPHS
33. Implementation of Medication Reconciliation Technicians at the Alaska Native Medical Center
CDR Kara King, USPHS
34. Promoting Healthy Lifestyles by Increasing Medication Compliance
Ms. Becca Leath
35. Reclaiming Public Health’s Role and Credibility: An Inter-Jurisdictional Collaboration to Proactively Prevent Influenza in
Southeast Oklahoma
Ms. Melissa Locke; Ms. Teresa Jackson; Mr. Michael Echelle; Ms. Andie Chan
36. Firearm violence in the United States: An Issue of the Highest Moral Order
Dr. Ami Moore; Ms. Mary Homan
37. It's Not OK to Fall
Ms. Julie Myers; Mr. Henry Hartsell, Jr.
38. New Oral Anticoagulants vs Warfarin: Analysis of Adherence and Adverse Outcomes
LCDR Clayton Myers, USPHS; LCDR Clayton Myers, USPHS
39. Impact of Student Comissioned Officers Association Chapter in the Bemidji Area
LT Sean Navin, USPHS; Mr. Axel Vazquez-Deida; Ms. Pam Jahnke
40. Creating a Culture of Health in Tribal Communities
LCDR Rebel Nelson, USPHS
41. USDA FSIS Accredited Laboratory Program (ALP) – Protecting Public Health through Accurate Laboratory Testing
LT Oliver Ou, USPHS
42. Experiences and Contributions of Africa COA Officers Stationed Overseas During the 2014-2015 Ebola Outbreak in West
Africa
CDR Alpa Patel-Larson, USPHS; CDR Jennifer Verani, USPHS; CAPT Henry (Kip) Baggett, USPHS; CAPT Daphne Moffett,
USPHS; CAPT Peter Kilmarx, USPHS
43. Reaching Children and Their Caregivers In Oklahoma
Ms. Kim Quinn
44. Oklahoma Abstinence Education Grant Program: Promoting Protective Factors and Mitigating Risk Factors through
Positive Youth Development
Ms. Mekay Reaves
45. Understanding Child Trauma: An Overview of the National Child Traumatic Stress Initiative
CAPT Maryann Robinson
46. Protecting Every Student: Tobacco-free Schools in Oklahoma
Mrs. Adrienne Rollins; Ms. Chantel Hartman; Ms. Marcia Castellanos Aymat
47. Implementation of a Diabetes Prevention Program in a rural American Indian Community; a Pilot Study
LT Shannon Saltclah, USPHS
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Poster Competition
Wednesday, May 20
(Continued)
48. Artesunate Intravenous in a Patient Refractory to Artemether/Lumefantrin Therapy for Treatment of Malaria caused by
Plasmodium Falciparium
LCDR Anastasia Shields, USPHS; LCDR Brady Fath, USPHS; LT Quinn Bott, USPHS; CAPT John Tyson Chapman, USPHS
49. Octreotide: A New Possibility for Treating Diarrhea in Ebola Virus Disease
LCDR Anastasia Shields, USPHS; LCDR Brady Fath, USPHS; LT Quinn Bott, USPHS; CAPT John Tyson Chapman, USPHS
50. Implementation and Evaluation of an Antimicrobial Stewardship Program (ASP) at an Indian Health Care Facility
LT Kenneth Stearns, USPHS
51. Overtriage of Trauma Patients to Inter-Facility Transport by Helicopter Ambulance: A Costly Issue for Rural Trauma
Systems
Kenneth Stewart; Dr. Tabitha Garwe
52. Health Center-Controlled Network Program: Past, Present and Future for Advancing Health Care Quality through Health
IT
LT Anca Tabakova, USPHS; CDR Derrick Wyatt, USPHS
53. NPAC Healing With CAARE Mission
LT Devin Thomas, USPHS; Dr. Vanessa Thomas; CDR Jennifer Moon, USPHS
54. Identifying Patients with Chronic Liver Disease Using Electronic Health Record Data
LCDR Holly Van Lew, USPHS; LCDR Janet Dudley, USPHS
55. Moral Injury, PTSD and Suicide Prevention among the Military and Veteran Population
LT Michael Van Sickle, USPHS
56. Swabbing the Deck! Reducing Risk of Maritime-Associated Ebola Transmission in Liberian Seaports During the 2014 West
African Ebola Outbreak
LTJG J. Scott Vega, USPHS; CAPT Tai-ho Chen, USPHS
57. Computed Tomography Scan Usage among Inter-Facility Transferred Major Trauma Patients in Oklahoma, 2009–2013
Yang Wan; Dr. Kenneth Stewart; Mr. Johnnie Gilpen; Mr. Martin Lansdale
58. The Transformation of an Internal Communications Program and Its Effects on Public Health
LT Eric Wong, USPHS; LCDR Chrstine Corser, USPHS; LCDR Kendra Jenkins, USPHS
59. A Call to Action: Improving the PrEP prevention continuum. The importance of doctor-patient communication in reducing
lifetime risk for HIV in MSM by 2020.
Mr. Averston Worthy; Mr. Eric Hall; Mr Travis Sanchez; Mr. Patrick Sullivan
60. Implementation of an Acute Pain Service at the Alaska Native Medical Center
CDR Aimee Young; USPHS CDR Ashley Schaber, USPHS
61. Real-World 8wks LEDIPASVIR/SOFOSBUVIR IN GT1 TREATMENT-NAÏVE NONCIRRHOTIC PATIENTS WITH HCV VL<6
MILLION COPIES/ML
Dr, Jorg Petersen; Dr. Stefan Mauss; Dr. Kris Kowdley; Dr, Andrew Zalsk
62. RIST-NCR: A Unique Platform of Training, Deployment, and Leadership, for Scientist Officers
LCDR Eric Zhou, USPHS; CAPT Sally Hu, USPHS; CDR James Kenney, USPHS; LCDR Qiao Bobo, USPHS
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Thursday
Agenda
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Thursday Agenda
May 19, 2016 Scientific Program
8:00 am – 3:00 pm
Hall 3&E
Exhibit Hall Open
7:30 am – 8:30 am
Continental Breakfast
Sponsored by Cherokee Nation and Express Scripts
9:30 am – 11:00 am
Concurrent Sessions Tracks 1 through 6 – Session 1






Track 1 – Rapid and Effective Response to Public Health Needs
Sponsored by Choctaw Nation Health Services Authority
See detailed agenda beginning on p. 49
Track 2 – Leadership and Excellence in Public Health Practice
Sponsored by Cherokee Nation
See detailed agenda beginning on p. 50
Track 3 – Advancement of Public Health Science
See detailed agenda beginning on p. 52
Track 4 – Implementing Primary and Secondary Prevention
Sponsored by Chickasaw Nation of Oklahoma
See detailed agenda beginning on p. 53
Track 5 – Resources for an Ever-Changing Landscape
See detailed agenda beginning on p. 55
Track 6 - Pharmacy
See detailed agenda beginning on p. 56
Room 16
Room 17
Room 18
Room 19
Room 20
Room 11
11:00 am – 11:30 am
Hall 3&E
Break in Exhibit Hall
Sponsored by Chickasaw Nation of Oklahoma and CVS
11:30 am – 1:00 pm
Ballroom C
Awards Luncheon
1:00 pm – 1:30 pm
Hall 3&E
Break in Exhibit Hall
Sponsored by Choctaw Nation Health Services Authority and Arizonans Concerned about Smoking
1:30 pm – 3:00 pm
Concurrent Sessions Tracks 1 through 6 – Session 2






Track 1 – Rapid and Effective Response to Public Health Needs
See detailed agenda beginning on p. 57
Track 2 – Leadership and Excellence in Public Health Practice
See detailed agenda beginning on p. 59
Track 3 – Advancement of Public Health Science
See detailed agenda beginning on p. 60
Track 4 – Implementing Primary and Secondary Prevention
Sponsored by CVS
See detailed agenda beginning on p. 62
Track 5 – Resources for an Ever-Changing Landscape
See detailed agenda beginning on p. 63
Track 6 - Pharmacy
See detailed agenda beginning on p. 64
39
Room 16
Room 17
Room 18
Room 19
Room 20
Room 11
Table of Contents
2016 USPHS Scientific and Training Symposium
3:00 pm – 3:15 pm
Break
3:15 pm – 4:15 pm
Concurrent Sessions Tracks 1 through 6 – Session 3






Track 1 – Rapid and Effective Response to Public Health Needs
See detailed agenda beginning on p. 66
Track 2 – Leadership and Excellence in Public Health Practice
See detailed agenda beginning on p. 67
Track 3 – Advancement of Public Health Science
See detailed agenda beginning on p. 68
Track 4 – Implementing Primary and Secondary Prevention
Sponsored by CVS
See detailed agenda beginning on p. 69
Track 5 – Resources for an Ever-Changing Landscape
See detailed agenda beginning on p. 70
Track 6 - Pharmacy
See detailed agenda beginning on p. 71
Room 16
Room 17
Room 18
Room 19
Room 20
Room 11
4:15 pm – 4:30 pm
Break
4:30 pm -- 5:30 pm
Ballroom C
Substance Use Disorders: What the Big Deal is NOW
Moderators: RADM Pam Schweitzer, USPHS, CAPT Scott Gaustad, USPHS, CAPT April Shaw, USPHS,
Planning Committee Co-Chairs
Speakers: Anthony Dekker DO, Primary Care and Telemedicine, U.S. Department of Veteran’s Affairs;
Christopher M. Jones, BS, PharmD, MPH, Director, Division of Science Policy, Office of the Assistant
Secretary for Planning and Evaluation, Health and Human Services
This session will look at the signs and symptoms of substance use disorders; their epidemiology with a
focus on opioid disorders and overdose; current public health policy strategies for addressing these
problems; the relationship between substance use disorders and genetics and the role of Risk Evaluation
and Mitigation Strategies (REMS) to address opioid abuse.
At the conclusion of this session the attendee will be able to:
 Identify the signs and symptoms of substance use disorders.
 Describe the epidemiology of substance use disorders with focus on opioid disorders and
overdose.
 Explain current public health policy strategies within HHS opioid use disorders.
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Thursday Track Agenda Detail
May 19, 2016 Scientific Program
Track 1 – Rapid Effective Response to Public Health Practice
9:30 am – 11:00 am
Room 16
Session 1 Sponsored by Choctaw Nation Health Services Authority
Oklahoma City-County Health Department Response to Biological Agent Cleanup, 2014
Mr Phil Maytubby, BS, Director, Public Health Protection, Oklahoma City-County Health Department
This session will examine the response in 2014 when the Oklahoma City-County Health Department (OCCHD) was notified that a
positive ricin sample was identified by Federal Bureau of Investigation (FBI) and the Civilian Support Team. This notification initiated
a Public Health response due to the biological capabilities of this agent. This was a unique response in that the manufacturing site
was the location identified and it was located in a residential neighborhood. This was also the first residential biological response in
Oklahoma City-County and required extensive collaboration with Federal, State and Local agencies. The methodologies created and
followed by OCCHD creates a model which local health departments can utilize when planning their response to biological agent
weapons of mass destruction (WMD). As observed in the OCCHD response, a well-planned response requires education on the
agent, technical aspects of the cleanup process, understanding of the internal, local and State processes, knowledge of statutory
requirements and federal laws and the various capabilities of partner agencies. OCCHD coordinated a residential ricin clean up
response with the FBI, Environmental Protection Agency (EPA), Oklahoma State Department of Health Laboratory, independent
contractor compliance sampling, Landfill personnel and the Oklahoma City Police Department. Further collaboration with outside
State agencies was critical in the notification of investigation completion. This presentation describes the steps required in order to
conduct a thorough response to biological agents. Details of the process and lessons learned from the 2014 OCCHD ricin response
will provide framework for local health department planning.
At the conclusion of this session the attendee will be able to:
 Apply the necessary steps and collaboration required in response to Public Health biological agents (WMD) clean-up.
 Explain the critical requirement of risk communication skills during a Public Health response to potential biological agent
(WMD) notification.
 Describe the capabilities, legalities, regulations and technical aspects associated with Public Health response to biological
agent notification and clean-up process
Timely Public Health Intervention and the Impact on Human West Nile Cases
Ms. Megan Souder, BS, MPH, Administrator, Data and Grants Evaluation, Oklahoma City-County Health Department; Mr. Phil
Maytubby, BS, Director, Public Health Protection, Oklahoma City-County Health Department; Cynthia Baker, BS, Public Health
Specialist, Oklahoma City-County Health Department
This presentation describes the full-range practice used for Public Health protection during the West Nile Virus (WNV) season,
including environmental response, vector and disease surveillance, partnerships and media. Heightened vector activity in
Oklahoma City (OKC) occurs April-September and WNV human cases typically increase during the summer. In 2015, Oklahoma CityCounty experienced a 112% increase in vector population and 18 WNV positive pools. The heightened number of vectors and
positive tests did not translate to the same escalation in human cases, demonstrating the strength that Public Health collaboration
has on reducing the potential impact of WNV. OCCHD engaged in 36 television, radio and print interviews, presented 9 digital
billboards across OKC and 24 social media outreach efforts to spread awareness. The mosquito season lasted 21 weeks; 10 trapping
sites were located, 12,555 mosquitos were captured/identified and 9,531 tested for WNV. More than 239,800 gallons of water were
treated and 355 complaints were addressed. One habitat remediation was conducted to allow for proper drainage, decreasing the
average weekly number of mosquitoes by 218. The 2015 season faced periods of soaking rain then drought and realized an indirect
correlation between a two-fold increase in trapped mosquitos and early WNV results and a decrease in human cases, with 0 deaths.
Practice based strategies to mitigate the human WNV risk during mosquito population surges and positive WNV pools includes the
careful consideration of: collaboration with outside entities to sustain program success, technology, and strategic planning with
evidence from geographical analyses, surveillance and municipality engagement.
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At the conclusion of this session the attendee will be able to:
 Demonstrate the impact of media engagement on Public Health protection during West Nile Virus Season.
 Identify methods for timely response to positive cases and effective abatement steps.
 Explore and apply best practices for collaboration with partners and surrounding municipalities in order to reduce disease
impact.
Severe Illness Associated with Reported Use of Synthetic Cannabinoids — Mississippi, April 2015
CDR Melissa Morrison, MPH, USPHS, CEFO, Centers for Disease Control and Prevention; LCDR Kevin Chatham-Stephens, MD, MPH,
USPHS, EIS Officer, Centers for Disease Control and Prevention; LCDR Amelia Kasper, MD, MPH, USPHS, EIS Officer, Centers for
Disease Control and Prevention; LCDR Alison Ridpath, MD, MPH, USPHS, Epidemiologist, Centers for Disease Control and Prevention;
Thomas Dobbs, MD, State Epidemiologist, Mississippi Department of Health
This session will discuss a study of severe illness associated with reported use of synthetic cannabinoids. On April 2, 2015, four
patients presented to the University of Mississippi Medical Center (UMMC) for agitated delirium after using synthetic cannabinoids
(SC). Over the following three days, 24 additional people presented with illnesses linked to SC use, including one death. The
Mississippi State Department of Health (MSDH) invited Centers for Disease Control and Prevention to investigate the outbreak.
MSDH requested healthcare providers to report suspect cases, defined as at least two of the following symptoms after SC use:
sweating, severe agitation, or psychosis, to the Mississippi Poison Center (PC). The researchers reviewed a subset of records from
emergency medical services, UMMC, and PC to assess symptoms, physical examination findings, laboratory data, and disposition.
Blood samples were sent to the University of California, San Francisco for SC analysis. The researchers conducted standardized
patient interviews at UMMC to collect data about frequency and reasons of use. From April 2–May 1, 2015, there were 715 SCrelated illness reports to the PC, including 11 deaths. Of these, the study abstracted 119 UMMC medical records, including 3 deaths.
Patients were predominately male (85%), with a median age of 29 years (range 14–62 years.) Nausea and vomiting and confusion
were the most common symptoms. The most common mental status changes were violent or aggressive behavior, and agitation.
History of mental illness and prior substance abuse were associated with intensive care unit admission or death. 71 percent tested
positive for SCs, with 55 percent testing positive for MAB-CHMINACA, a recently described SC. Reasons for use included avoiding
detection on drug screens and the desire for a different high. SC-associated illness can cause severe outcomes, including death. As
novel SCs continue to be trafficked, health care providers, public health officials, and laboratory scientists should continue to work
together to identify strategies to curb SC use, strengthen surveillance, and optimize patient care.
At the conclusion of this session the attendee will be able to:
 Describe synthetic cannabinoids.
 Explain the medical complications seen with synthetic cannabinoid use.
 Identify patients reasons for using synthetic cannabinoids.
May 19, 2016 Scientific Program
Track 2 – Leadership and Excellence in Public Health Practice
9:30 am – 11:00 am
Room 17
Session 1 Sponsored by Cherokee Nation
A Public Health Issue: Utilizing Trauma Theory to Examine the Phenomenon of Homelessness Among Female Veterans
LCDR Stephanie Felder, MSW, LCSW, USPHS, Public Health Advisor, Substance Abuse Mental Health Services Administration
This session will examine how the issue of homelessness has grown as a public health concern for the US. Attention has focused in
part on homeless Veterans, as their numbers has risen rapidly within the last decades, especially among female Veterans. The
number of homeless female Veterans has increased by 242 percent between the years of 2006 and 2014 (AHAR,2014; GAO, 2011;
Perl, 2015. However, the needs of homeless female Veterans remain unclear. While many female Veterans have experienced
trauma, scant research has examined how trauma impacts this group. To understand this impact from a public health perspective,
this article explores trauma theory, specifically complex and betrayal trauma.
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Thursday Track Agenda Detail
May 19, 2016 Scientific Program
Track 2 – Leadership and Excellence in Public Health Practice (continued)
A Public Health Issue: Utilizing Trauma Theory to Examine the Phenomenon of Homelessness Among Female Veterans
(continued)
At the conclusion of this session the attendee will be able to:
 Explain how the issue of homelessness is a growing public health concern for the United States.
 Describe the prevalence of homelessness among female Veterans.
 Explain the impact of homelessness and traumatic experiences among female Veterans from a public health perspective
utilizing trauma theory.
Translating Law into Public Health Approaches to Reduce Substance Use and Misuse and Related Behavioral Health
Issues
CDR Josefine Haynes-Battle, BSN, MSN, USPHS, Branch Chief, Substance Abuse Mental Health Services Administration; LCDR Sara
Azimi-Bolourian, PhD, MBA, USPHS, Public Health Analyst, Substance Abuse Mental Health Services Administration
This session will discuss the Substance Abuse and Mental Health Services Administration (SAMHSA), Center for Substance Abuse
Prevention (CSAP)’s strategic plan, “Leading Change 2.0” that outlines for the field behavioral health priorities. Based on this plan,
CSAP is leading strategic initiatives to focus on the prevention of substance abuse and mental illness. This presentation will provide
examples of CSAP’s efforts to meet this mission by emphasizing national public health policies, programs, and practices with state
and local impacts. This policies and programs include efforts to reduce underage drinking and prescription drug misuse through the
Partnerships for Success program as well as efforts to reduce youth access to tobacco products through the Synar program and the
Substance Abuse Prevention and Treatment Block Grant and other discretionary programs. Both of these efforts are based in a
strong national policy. However, the translation of these programs into practice shows focused impact at the state and local level.
CSAP is also committed to evaluating these efforts to demonstrate the impact of these programs at the national, state, and local
levels.
At the conclusion of this session the attendee will be able to:
 Describe the ways SAMHSA and CSAP provides leadership and guidance to the fields to address substance abuse
prevention.
 Explain CSAP’s core programs including the Partnerships for Success program, the Substance Abuse Prevention and
Treatment Block Grant, the Synar program, and other discretionary programs.
 Describe CSAP’s effort to conduct cross-site evaluations of CSAP grantees.
Surviving to Thriving: The Changing Landscape of Global Child Health
LCDR Margaret Brewinski Isaacs, BS, MD, MPH, USPHS, Medical Officer, National Institutes of Health, Eunice Kennedy Shriver
National Institute of Child Health and Human Development
This session will examine evolving approaches to global child health. In 2000, world leaders agreed on the Millennium Development
Goals (MDGs) and, among other targets, called for reducing the under-five mortality rate by two thirds between 1990 and 2015.
With the end of the MDG era, the UN General Assembly approved a new set of Sustainable Development Goals (SDGs) in September
2015 to go into effect January 1, 2016. Substantial global progress has been made in reducing child deaths. The number of underfive deaths worldwide has declined from 12.7 million in 1990 to 5.9 million in 2015. As we enter the SDG era, a new emphasis is
emerging on child development and supporting children to thrive, not merely survive. In February of 2015, the National Institutes of
Health Eunice Kennedy Shriver National Institute of Child Health and Human Development Office of Global Health convened a
meeting entitled “Research Gaps at the Intersection of Child Neurodevelopment, Inflammation, and Nutrition in Low Resource
Settings” to identify research needed to better understand how inflammation and nutritional status impact child brain function and
development from conception through adolescence in low resource settings. This presentation will provide an overview of the MDG
to SDG transition and the changing epidemiology of global child health and summarize the key findings and next steps following the
NICHD consultation on neurodevelopment.
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At the conclusion of this session the attendee will be able to:
 Explain the current epidemiology and trends in global child survival and health.
 Describe the transition from the Millennium Development Goals to the Sustainable Development Goals.
 Provide examples of links between inflammation, nutrition and child neurodevelopment and existing knowledge gaps in
these areas.
May 19, 2016 Scientific Program
Track 3 – Advancement of Public Health Science
9:30 am – 11:00 am
Room 18
Session 1
Clinical Research and Treatment of Pulmonary Nontuberculous Mycobacteria Infections at the National Institutes of
Health
CDR Daniel Goldstein, MPAS, PA-C, USPHS, Senior Clinical Physician Assistant, National Institutes of Health
This presentation will provide an overview of research and treatment of Pulmonary Nontuberculous Mycobacteria Infections.
Although health care providers and the general public are familiar with Mycobacterium tuberculosis causing tuberculosis (TB), many
people are unaware of lung infections due to nontuberculous mycobacteria (NTM) and their significance in causing disease in
patients. NTM includes numerous species, but the two most common opportunistic pathogens are Mycobacteria avium complex
(MAC) and M. abscessus. NTM are ubiquitous in the environment and have been isolated from tap water, hot tubs, shower aerosols,
soil, and dust. Affected patients are frequently tall, thin, middle-aged/older women, never-smokers, who often have associated
exam findings including scoliosis, pectus excavatum, and joint laxity. NTM lung infections are usually associated with bronchiectasis,
a chronic structural lung disease characterized by chronically dilated airways and mucus stasis. The National Institutes of Health
(NIH), is conducting natural history (observational) studies of patients with NTM and bronchiectasis. The study follows the natural
course of their disease and provides multidisciplinary care, including treatment with multiple drugs, education, nutritional support,
and training on the use of airway clearance devices. This presentation will highlight the numerous challenges of successfully
eradicating NTM and the impact that this infection and bronchiectasis have on a person’s quality of life. One of the goals of the
clinical research group at the NIH is to identify susceptibility factors for NTM disease.
At the conclusion of this session the attendee will be able to:
 Explain nontuberculous mycobacteria (NTM) infections and their association with bronchiectasis.
 Describe the challenges of NTM management and the impact on a patient’s quality of life.
 Explain why NTM disease is an emerging public health threat in susceptible hosts.
The Role of Interventional Radiology in the Diagnosis and Treatment of Solid Tumors
CAPT Victoria Lynn Anderson, R.N., M.S.N. USPHS (ret), Nurse Practitioner, National Institutes of Health
This presentation will look at the relatively new discipline of Interventional Radiology (IR), which is an excellent alternative to open
and larger invasive procedures for the diagnosis and treatment of solid tumor malignancies. Use of IR reduces patient time in
hospital and comorbidities such as iatrogenic infections, change in mental status. IR also dramatically decreases the overall cost of
care.
At the conclusion of this session the attendee will be able to:
 Identify the current radiology and interventional (IR) procedures and their role in diagnosing malignancy.
 Identify current techniques employed in IR cure and palliation of malignancies.
 Describe current research in the field of IR.
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Thursday Track Agenda Detail
May 19, 2016 Scientific Program
Track 3 – Advancement of Public Health Science (continued)
The Oklahoma City Area Indian Health Service Wound Care Experience
John Farris, MD, Chief Medical Officer, Oklahoma City Area Indian Health Service; LCDR Julie Erb-Alvarez, BS, MPH, CPH, USPHS, Area
Epidemiologist, IRB Co-Chair, Indian Health Service, Oklahoma City Area Office;
This session will examine how the Indian Health Service and has provided improved access to organized wound care for patients,
advanced treatments previously only available in private sector health care providers, and the mechanism for collaboration among
providers caring for wounds allowing for higher success rates in wound healing. Since the implementation of the wound care
program in the Oklahoma City Area of the Indian Health Service, healing rates have dramatically improved, amputations have been
reduced and the cost savings of millions of dollars per year have been demonstrated. This presentation will discuss the
complications and cost of diabetic foot ulcers to include case-studies, pre-wound care program findings, perceived concerns and
barriers to program implementation, key clinical components and program essentials, advanced treatment modalities, and direct
and indirect results.
At the conclusion of this session the attendee will be able to:
 Describe the diabetes health disparities faced by many American Indian/Alaska Native people.
 Explain the importance of early evaluation and intervention of all wounds.
 Describe how the Oklahoma City Area IHS is working to decrease wound complications and amputations.
May 19, 2016 Scientific Program
Track 4 – Implementing Primary and Secondary Prevention Priorities
9:30 am – 11:00 am
Room 19
Session 1 Sponsored by Chickasaw Nation of Oklahoma
Primary and Secondary Prevention of Diabetes in the Bureau of Prisons
LCDR Angela Dukate, RN, MSN, IOP/IDC, USPHS, Federal Bureau of Prisons; LCDR Juliet Jordan-Joseph, Pharm.D., MSDEDM, NCPS,
USPHS, Advanced Practice Pharmacist, Federal Bureau of Prisons; LT Alyssa Fine, BA RN, MSN, CNL, USPHS, Clinical Nurse, Bureau of
Prisons; LT Jackeline Rodriguez, RN, MS, MPH, USPHS, Clinical Nurse, Federal Bureau of Prisons; Jessica Hernandez, Medical
Assistant, Federal Bureau of Prisons
This presentation will discuss how as the prevalence of diabetes and prediabetes continues to increase across the country this rise is
reflected and perhaps even amplified in the incarcerated population, a marginalized group that faces unique challenges in the
prevention and management of the disease. In most correctional settings, inmates experience limited food choices, stress related to
incarceration, separation from their community-based support structure, understaffed health services departments and restricted
use of information technologies. These difficulties not only impact the health outcomes of individuals but are also reflected in rising
prison health care costs and pressures placed on community health resources post-release. In order to address the current
challenges and limitations of diabetes in the Bureau of Prisons, FCI Danbury and FMC Devens have launched programs that
specifically address primary and secondary prevention amongst their inmate populations. These programs are based on general
population best practices but are modified to address the specific needs and unique situations of the incarcerated population.
Initiatives include multi-disciplinary clinics for people with uncontrolled diabetes, development of nutritional tools to improve
commissary purchasing, the Group Lifestyle Balance Program, a variation of the National Diabetes Prevention Program, for those
with prediabetes, and a film based group education program to increase general knowledge related to diabetes.
This session will review the local initiatives, including preliminary outcomes when available and lessons learned. There will also be
an overview of possible next steps and future programming.
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At the conclusion of this session the attendee will be able to:
 Describe the unique challenges of implementing primary and secondary prevention strategies for diabetes in the
correctional setting.
 Identify 4 unique multi-disciplinary approaches currently in use for addressing prediabetes and diabetes in two BOP
institutions.
 Describe the outcomes of current diabetes prevention in two BOP institutions and how shortcomings may be addressed in
the future to improve outcomes.
GET SCREENED! Building a Healthier Community through Cancer Screening
CAPT Colleen O. Lee, BSN, MS, USPHS, Senior Standards Advisor, Food and Drug Administration
This session will look at an effort to increase cancer screening. The number of older adults in the U.S. will double between 2010 and
2030. This doubling will lead to a 30 percent increase in the number of cancer survivors and a 45 percent increase in the incidence of
cancer. Thanks to research, Americans today are more likely to survive a cancer diagnosis and enjoy a higher quality of life than at
any other time in history. But, in order to assure this, they must be screened. This presentation will review the principles of risk
assessment, screening modalities for five major cancers (breast, cervical, colorectal, lung, and prostate), and the pitfalls of screening.
Attendees will emerge with an understanding of their own risk profile and the ability to build a healthier community.
At the conclusion of this session the attendee will be able to:
 Describe the principles of cancer risk assessment and screening.
 Explain screening modalities for the 5 major cancers.
 Develop a personal cancer screening plan.
Increased Gonorrhea and Chlamydia Screening and Case Finding After Implementation of Expanded Screening
Criteria—Urban Indian Health Service Facility in Phoenix, Arizona, 2011–2013
CAPT Stephanie Markman, MD, USPHS, Chief of the Centers of Excellence Department (Acting), Phoenix Indian Medical Center; CAPT
Melanie Taylor, MD, MPH, USPHS, Medical Epidemiologist, Division of STD Prevention, Centers for Disease Control and Prevention;
CDR Douglas Chang, MD, USPHS, Phoenix Indian Medical Center; LCDR Robert Kirkcaldy, MD, MPH, USPHS, Medical Epidemiologist,
Division of STD Prevention, Centers for Disease Control and Prevention; LCDR Monica Patton, BS, MD, USPHS, Medical
Epidemiologist, Division of Sexually Transmitted Disease (STD) Prevention, Centers for Disease Control and Prevention
This presentation will examine efforts to increase Gonorrhea (GC) and chlamydia (CT) screening for women at risk and men who
have sex with men. In March 2013, provider education, electronic health record (EHR) prompts, and bundled laboratory orders were
implemented to facilitate expanded GC/CT screening of patients aged 14–45 years. Researchers compared screening and case
finding during two pre-intervention years (Y1/Y2) and one post-intervention (Y3).
At the conclusion of this session the attendee will be able to:
 Describe successful interventions to increase gonorrhea and chlamydia screening.
 Describe the epidemiology of gonorrhea and chlamydia.
 Apply these lessons in work environment.
Alaska Sexually Transmitted Disease Burden and Tools to Combat It
CDR Heather Skelton, RN BSN, USPHS, Nurse Consultant Sexually Transmitted Disease, Southcentral Foundation; LCDR Jazz Fajardo,
RN, BSN, USPHS, Nurse Specialist, Southcentral Foundation
This presentation will examine how Alaska Native Medical Center (ANMC) clinicians practice a multipronged approach to dealing
with the sexually-transmitted disease (STD) burden in the Alaska Native patient population. This presentation will detail three of the
modalities clinicians deploy and highlight the successes and challenges of each: 1. Expedited Partner Therapy (EPT)--the clinical
practice providing medications to the patient infected with chlamydia and/or gonorrhea for his/her partners without examining the
partners. 2. Opt Out Program--select outpatient providers have routinized sexual health screenings and ask everyone over 16 if
he/she wishes to be screened for STDs regardless of his/her reason for health care visit. 3. Partner Services-- partners are actively
sought and ultimately contacted by a nurse consultant who encourages them to seek care.
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Thursday Track Agenda Detail
May 19, 2016 Scientific Program
Track 4 – Implementing Primary and Secondary Prevention Priorities
Alaska Sexually Transmitted Disease Burden and Tools to Combat It (continued)
At the conclusion of this session the attendee will be able to:
 Describe how Expedited Partner Therapy can be used as a primary prevention strategy for STDs in an at risk population.
 Outline recommendations and strategies for routinizing sexual health when providing outpatient primary care.
 Identify how to implement a STD Partners’ Services program
May 19, 2016 Scientific Program
Track 5 – Resources for an Ever-Changing Landscape
9:30 am – 11:00 am
Room 20
Session 1
Demystifying Health Intelligence
CAPT Michael W Schmoyer, PhD, MSEd, BS, USPHS, Director, Directorate of Intelligence, Office of Security & Strategic Information;
LT Jennifer A. Cockrill, MS, MPH, REHS, USPHS, Public Health Advisor, Centers for Disease Control and Prevention
This session will examine the critical role of health intelligence as a resource for decision making at the strategic and operational
levels of government. The presentation will discuss how intelligence products and the processes utilized to develop them are often
still poorly understood by end-users who stand to benefit most from their consumption. The Office of Security and Strategic
Information (OSSI) within the Department of Health and Human Services houses the recently reorganized Directorate of Intelligence.
As a Federal Intelligence Coordinating Office (FICO), OSSI seeks to provide timely, appropriately-tailored, and relevant intelligence
and other strategic information to inform decision-makers and their programs on potential health security threats domestically and
abroad. Generated by the analysis of disparate and incomplete information, health intelligence can highlight opportunities for U.S.
Department of Health and Human Services Operational Divisions and Staff Divisions to achieve operational and strategic goals,
particularly in rapidly-changing, inter-connected, global environments. Protection from public health-related terrorism, health
diplomacy engagements, and international health and humanitarian responses are just a few of the many U.S. Department of Health
and Human Services missions that would be enriched by health intelligence.
At the conclusion of this session the attendee will be able to:
 Identify all 17 agencies and organizations that make up the U.S. Intelligence Community.
 Define intelligence, as it pertains to the Intelligence Community.
 Describe the Department of Health and Human Service’s role in coordinating intelligence.
Implementing a Food and Drug Administration Agency-wide Award Application
CDR Dwayne Jarman, DVM, MPH, USPHS, Project Manager, Food and Drug Administration
This session will discuss the Food and Drug Administration's Public Health Achievement Tracking (PHAT) system to improve Public
Health Service (PHS) Award coordination and communication using SharePoint 2010. Each officer is required to complete an
information record in the system which tracks the Officer PHS Number, Employee ID, Supervisor, and Reviewing Officer. The Officer
is required to update their record every 90 days or they get emailed once a week to update their record. The nominator initiates the
award process by filling out the minimal data fields and load the required PHS nomination forms, narrative, and officer list (for Unit
Awards) to the form. The nominator selects the officer for the individual awards based on those who completed their information
record. The officer’s information on the award record is copied and updated from the officer record, minimizing the data entry for
Award Coordinators. After submitting the award, the Center/Office Awards Coordinator is alerted to the availability of a new award.
The Awards Coordinator can access the processing page at any time to access a list of awards at each stage of processing. As the
awards are processed the appropriate responsible person is alerted to perform the required action on the award record. Award
documents are maintained in a document library where the permissions are set and changed based on the award process. The
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PHAT system allows the nominator, nominated officer, supervisor, and reviewing official to access the site and check on the current
processing status.
At the conclusion of this session the attendee will be able to:
 Describe the complex Awards processing steps that occur at one Agency.
 Explain common pain points experience by Officer, Supervisors, Reviewing Officials and Award Coordinators during a
manual Awards process.
 Describe a way that an Agency may be able to track PHS Awards using SharePoint 2010.
Security in an Insecure World: How Intelligence & Strategic Information Prevents Public Health Threats
CAPT Michael W Schmoyer, PhD, MSEd, BS, USPHS, Director, Directorate of Intelligence, Office of Security & Strategic Information
This presentation will examine how intelligence and strategic information are being used to prevent public health threats. The U.S.
Government has made strategic investments in health security at the highest levels. For example, the increased resources being
devoted to addressing homegrown terrorism threats, as well as investing in stability and security abroad have resulted in the public
health community (including the USPHS Commissioned Corps) operating in countries and with organizations that have never been
commonplace. This presentation will address how public health is intertwined with the security sector and USPHS Commissioned
Corps officers are a growing part of it.
At the conclusion of this session the attendee will be able to:
 Identify three new environments where USPHS Commissioned Corps officers are now working within the health security
sector.
 Describe how intelligence and other types of strategic information are being used to protect against global health threats.
 Apply aspects traditionally related to the security sector as a non-traditional career path for officers.
May 19, 2016 Scientific Program
Track 6 - Pharmacy
9:30 am – 11:00 am
Room 11
Session 1
Alcohol, Medications, and the Elderly
CDR Sheila Ryan, BSPharm, PharmD, MPH, USPHS, Acting Policy Team Leader, Food and Drug Administration
This presentation will discuss how older adults may experience additional risks or adverse effects from alcohol and medication
interactions due to the fact that many of them take multiple prescription drugs, non-prescription drugs, and/or herbal remedies.
The 2012-2013 National Epidemiologic Survey on Alcohol and Related Conditions III (NESARC III) discovered that 55.2 percent of
adults 65 years and older consume alcohol. While most of these adults do not have a “drinking problem,” many of them drink above
the recommended daily limits. Healthcare providers, such as pharmacists, can play a key role in being able to identify medications
that have potential direct or indirect interactions with alcohol as well as being able to counsel the patient and discuss the risks of
concomitant alcohol and medication use with their elderly patient population.
At the conclusion of this session the attendee will be able to:
 Describe the mechanism(s) of interaction between alcohol and medications.
 Identify which prescription, non-prescription, and/or herbal medications may adversely interact with alcohol.
 Develop strategies to help prevent interactions between alcohol and medications.
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Thursday Track Agenda Detail
May 19, 2016 Scientific Program
Track 6 – Pharmacy (continued)
American Drug Abuse Prevention and Treatment (ADAPT) Workgroup
CDR Aimee Young, BS, PharmD, BCPS, NCPS, USPHS, Inpatient Pain Management Pharmacist, Alaska Native Tribal Health Center;
LCDR Hillary Duvivier PharmD BCPS NCPS, USPHS, Pharmacist, Whiteriver Indian Hospital
This session will look at the efforts of the ADAPT Workgroup, which was established in July 2015 and is comprised of Officers from
across Department of Health and Human Services agencies. The inception of the group was primarily the work of RADM Pamela
Schweitzer in response to the Surgeon General’s Initiative on the Prescription Drug Abuse epidemic. The workgroup has been tasked
with developing recommendations for preventing prescription drug abuse, writing personal stories as pharmacists in the front-line,
and composing short stories to get messages out via social media.
At the conclusion of this session the attendee will be able to:
 Explain the Surgeon General’s Initiative on Prescription Drug Abuse.
 Describe the roles and initiatives led by the ADAPT Workgroup.
 Explain how you can prevent opioid abuse and success stories.
Implementation of Outpatient Naloxone Pharmacy Services to At-Risk Patients
CAPT Clint Bullock, RPh, MPH, NCPS, USPHS, Outpatient Pharmacy Director, Choctaw Nation; LCDR Ashlee N Knapp Harden,
PharmD, USPHS, Residency Program Director/Staff Pharmacist, Choctaw Nation; LCDR Randy Steers, PharmD, BCPS, USPHS,
Inpatient Pharmacy Director, Choctaw Nation; LT Morgan Greutman, PharmD, USPHS, Pharmacist/Pharmacy Resident, Choctaw
Nation
This presentation will examine how the Choctaw Nation Health Care Center began the process of initiating a pharmacy-driven
naloxone service in August 2015. Prevention of overdoses from opioid and heroin sources with intranasal naloxone has become a
movement nationwide. The session will provide an overview of the program to other sites that may want to replicate this process.
Attendees will learn how to identify at-risk patients, improve naloxone access, educate providers, pharmacists, and family members,
and share protocols that have been developed in similar projects.
At the conclusion of this session the attendee will be able to:
 Define specific patients that qualify for outpatient naloxone.
 Identify materials used to educate pharmacists, providers, and patients on naloxone use.
 Describe project protocols and implementation of naloxone pharmacy services.
May 19, 2016 Scientific Program
Track 1 – Rapid Effective Response to Public Health Practice
1:30 pm – 3:00 pm
Room 16
Session 2
Trauma Crisis Response Teams: Creating Teams for Community Healing
CDR Karen Hearod, BSW, MSW, USPHS, Deputy Director Behavioral Health, Indian Health Service
This presentation will look at efforts to care for community members in Indian Country after a traumatic event. Research shows that
providing quality care and support for survivors is essential in decreasing the risk of suicide and long term negative impacts in
communities. Creation of well-trained Trauma Crisis Response Teams is a key part of meeting the challenge. There are many steps
and considerations when putting together teams and creating training opportunities to ensure that responders are equipped to care
for others and themselves. This presentation will offer information on team recruitment, composition, required training,
responsibilities, documentation, team self-care, collaboration, and deployment considerations. At the conclusion of this training,
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participants will possess the basic framework for team creation and will be provided with a template for a “team manual” that can
be tailored for their specific community needs.
At the conclusion of this session the attendee will be able to:
 Identify the basic framework necessary to stand up a Trauma Crisis Respnse Team in their community.
 Explain the skills, knowledge and abilities necessary for team members.
 Identify components necessary to create a strong and functional team.
Integrated Community Behavioral Health: The Key to Building Resilience in the Aftermath of Tragedy
CAPT Dwayne L. Buckingham, BSW, MSW, PhD, USPHS, Chief, Resiliency and Psychological Health Service, Walter Reed National
Military Medical Center and CDR Indira Harris, BS, MSW, USPHS, Public Health Advisor, Substance Abuse and Mental Health Services
Administration
This session will explore the role of integrated community behavioral health to build resiliency after a tragedy. Tragedy in any form
threatens the mental and emotional well-being of individuals and leaves them feeling vulnerable. Symptoms of depression, despair,
uncertainty and even uncontrollable anger are often exhibited. Unfortunately, the latter symptoms contribute to emotional
instability and mental decomposition, which in return increases the risk for violence. Given this, it is imperative that easily accessible
resiliency-building interventions be delivered at the community level in a non-threatening and safe manner. This session will provide
an overview of The Empathy and Resilience Center, a faith-based organization which utilizes an integrated behavioral health
approach to address the mental and emotional well-being of military veterans, underserved, underinsured and disadvantaged
populations while also promoting violence prevention in the aftermath of tragedy. Capacity-building strategies that support
resiliency and recovery among tragedy victims will be presented to help attendees understand how knowledge in translated into
practice.
At the conclusion of this session the attendee will be able to:
 Identify mental and emotional challenges commonly exhibited by tragedy victim.
 Summarize the importance of providing integrated community behavioral health to address emotional and mental
instability in the aftermath of tragedy.
 Describe practical and evidence-based resiliency-building interventions that facilitate swift and healthy recovery.
An Effective and Collaborative Public Health Partnership to Rapidly Respond to Yosemite’s Human Plague Cases and
Wildlife Plague of 2015
CDR Matthew Weinburke, MPH, REHS, CHES, USPHS, Public Health Consultant and Program Manager, National Park Service
This session will look at the response to human and wildlife plague cases in Yosemite in 2015. Human plague cases are rare in the
United States, and the last human case of plague occurred in Yosemite National Park (YNP) was in 1959. Furthermore, only periodic
outbreaks (epizootics) of plague occur, and these occurrences are primarily in rodents. However, in August to September of 2015
there were two human plague cases (one confirmed YNP exposure, and one most likely with an exposure in YNP).At the same time
there was an epizootic of plague among YNP wildlife (squirrels and chipmunks) in areas of high human visitation, which increased
the risk of plague exposure among visitors and employees. Due to a Vector Borne Disease Cooperative Agreement with the
California Department of Public Health (CDPH) and YNP’s collaborative relationships with its business and non-profit partners, the
Centers for Disease Control and Prevention and the National Park Service Office of Public Health, YNP effectively responded to these
plague events. This partnership lead to directly reducing the risk of plague exposure through rodent burrow treatment in areas
associated with active plague transmission, the distribution of press releases, signs, brochures, media interviews, use of web and
social media, and effective internal and external communication with partners, staff, and visitors. Additionally, these relationships
helped to provide education to visitors and employees, which remains the most important preventative measure to prevent human
plague infection. Lastly, this presentation will discuss and explain how an effective and collaborative public partnership with CDPH
and effective partnerships with business and non-profit partners helped to reduce the risk of plague transmission to YNP staff and
visitors.
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Thursday Track Agenda Detail
May 19, 2016 Scientific Program
Track 1 – Rapid Effective Response to Public Health Practice (continued)
An Effective and Collaborative Public Health Partnership to Rapidly Respond to Yosemite’s Human Plague Cases and
Wildlife Plague of 2015 (continued)
At the conclusion of this session the attendee will be able to:
 Describe how a continuing partnership with CDPH to provide surveillance, response support, and public health expertise
will help to reduce vector-borne disease risks.
 Explain the collaborative relationship that created an effective response that brought together governmental and nongovernmental partners to ensure that there was strong technical leadership, and effective coordination and collaboration.
 Describe the epidemiology and prevalence of plague in Yosemite National Park and surrounding areas.
3:00 pm – 3:15 pm
Break
May 19, 2016 Scientific Program
Track 2 – Leadership and Excellence in Public Health Practice
1:30 pm – 3:00 pm
Room 17
Session 2
Impact of a Resources Management Tool and a Project Portfolio Management System on Project Planning in a Public
Sector
CDR Thomas Christl, MS, USPHS, Office Director, Food and Drug Administration; CDR Keith Olin, BS, Pharm D, USPHS, Senior Program
Manager, Food and Drug Administration
The presentation will demonstrate how the use of a resource management tool (RMT) will lead to improved evaluation and
estimation of resource needs to support increased project on-time completion as opposed to other evaluation methods for public
health projects. The presentation also will show how the RMT can complement a Project Portfolio Management (PPM) system to
help ensure projects are successful and in line with the mission and goals of a public health organization.
At the conclusion of this session the attendee will be able to:
 Describe how to apply the concepts of a Project Portfolio Management (PPM) system to a public health organization.
 Identify different ways to assess and estimate human resource needs for specialized projects related to public health.
 Apply the Resource Management Tool methodology to a public health organization to ensure project success.
Utilizing the Incident Command System for Local Mass Vaccination Events
LT Selena Bobula, BA, BS, DPT, NCS, USPHS, Senior Physical Therapist, Pinon Health Center
This presentation will provide an overview of the Chinle Service Unit (CSU), in the center of the Navajo Nation, which is a leader in
local emergency response and vaccination rates. This result was achieved by implementing the Incident Command System (ICS) to
efficiently and safely deliver vaccines. Chinle Service Unit requires all Commissioned Officers to complete ICS 300 and 400 courses in
order to serve in leadership roles in case of emergency. Civilian employees are also encouraged to complete the courses, and
currently there are over 100 employees who have completed this advanced ICS training of an average 1000 Service Unit employees.
Examples of successful implementation include November, 2014, when Navajo Area Indian Health Service (NA Indian Health Service)
called for all 7 Service Units to develop Closed Point of Dispensing (POD) plans for future use to vaccinate local First Responders in
the event of an infectious outbreak. Chinle Service Unit dispensed >100 vaccines to local first responders in this event. Pinon Health
Center also holds annual Mass Vaccination Drive-Thru Clinics for local community members, this year dispensing >160 flu vaccines in
a single morning. Chinle Service Unit also holds annual in-clinic Mass Vaccination Events, and this year at Pinon Health Center an
additional 40 community members and 20 employees were vaccinated. In utilizing the ICS structure, Pinon Health Center has been
able to efficiently vaccinate nearly 100 percent of all staff and maintain >90 percent community vaccination rates of all ages.
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At the conclusion of this session the attendee will be able to:
 Identify personnel to serve Command Staff roles to support mass vaccination events.
 Apply ICS structure to a variety of mass vaccination scenarios to maximize vaccination rates.
 Appraise multifaceted benefits of annual patient movement exercises, after action reports, and community involvement.
Racial Misclassification in American Indian and Alaska Native Vital Records and Health Registries: Problems, Solutions,
and Best Practices
LCDR Julie Erb-Alvarez, BS, MPH, CPH, USPHS, Area Epidemiologist, IRB Co-Chair, Indian Health Service, Oklahoma City Area Office;
Janis Campbell, PhD, Associate Professor of Research, University of Oklahoma Health Sciences Center College of Public Health
This session will examine how American Indians and Alaska Natives (AI/AN) are more likely to experience far greater health
disparities in comparison to other racial and ethnic groups in the United States. Public health studies and planning efforts are often
hampered by incomplete or inaccurate AI/AN data. Additionally, for many geographic areas, small AI/AN population numbers
magnify these data issues. The Oklahoma State Department of Health (OSDH) has been working in partnership with the Indian
Health Service to adjust for the racial misclassification that remains well-documented in vital statistics and registry data in the State
of Oklahoma. The OSDH OK2SHARE website is a publically accessible tool that provides real-time query capabilities on a large
variety of datasets and health registries kept by the OSDH. Vital statistics mortality data and Oklahoma Central Cancer Registry data
is linked to the Indian Health Service patient registry to adjust for racial misclassification of these data. AI/AN data may be queried
linked or unlinked, and when compared, significant differences in many health indicators are apparent. Incorrect conclusions may
be made if AI/AN data is analyzed unlinked in comparison to linked data (e.g. racial differences in suicide rates). This presentation
aims to bring light to these issues in an effort to standardize the practice and use of this type of linkages to provide better accuracy
in AI/AN public health data analysis and planning nationally.
At the conclusion of this session the attendee will be able to:
 Describe the issues surrounding racial misclassification of American Indians in vital statistics data.
 Explain the public health implications of using IHS linked data for American Indians.
 Describe how Oklahoma State Department of Health and the Indian Health Service have partnered for nearly a decade to
ensure linked data is available for accurate public health planning and program implementation in OSDH the vital statistics
and Oklahoma Central Cancer Registry.
3:00 pm – 3:15 pm
Break
May 19, 2016 Scientific Program
Track 3 – Advancement of Public Health Science
1:30 pm – 3:00 pm
Room 18
Session 2
Protecting Women’s Health by Reducing Infections Associated with Dermal Fillers
LCDR Kenneth Phillips, PhD, USPHS, Regulatory Research Scientist, Food and Drug Administration
This session will address efforts to reduce infections associated with dermal filters. The use of dermal fillers (DF) to address contour
defects resulting from aging, disease, and trauma is increasing exponentially (over 1.7 million in 2011, >91 percent in women).
Infections are a concern for permanent DF and can lead to disfiguring necrosis/scarring or result in bacteremia. Removal of DF can
damage tissue and long-term antibiotic therapy can lead to multi-drug resistant infections. Patients suffer social and psychological
trauma. This work sought to understand how to make DF use safer by targeting two intervention areas: 1) Novel simulated skin and
pigskin models were developed to study how to reduce contamination during injection; 2) A novel flow cell insert was developed to
study how chemical and mechanical properties of DF affected S. aureus adhesion and 24h biofilm formation.
At the conclusion of this session the attendee will be able to:
 Describe infection risks associated with dermal filler injection.
 Identify ways to reduce the risk of infection from dermal filler injection.
 Apply recent scientific advances in the area of dermal fillers to regulatory and clinical practice.
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Thursday Track Agenda Detail
May 19, 2016 Scientific Program
Track 3 – Advancement of Public Health Science (continued)
U.S. Department of Agriculture FSIS Accredited Laboratory Program (ALP) – Protecting Public Health by Supporting
Laboratory Testing
LT Oliver Ou, PhD, USPHS, Regulatory Scientist, U.S. Department of Agriculture
This session will discuss the U.S. Department of Agriculture Food Safety and Inspection Service (FSIS) Accredited Laboratory Program
(ALP), authorized by the Code of Federal Regulations (CFR) Section 9, Parts 439 and 391, which accredits nonfederal analytical
chemistry laboratories. This program was originally designed to qualify non-federal laboratories to conduct analyses of official meat
and poultry samples. Requirements for ALP accreditation are rigorous, including adequate facilities, personnel qualifications, sample
control, records management, and use of approved methods. Accredited laboratories receive an on-site review periodically from the
ALP and participate in Proficiency Testing (PT) events (typically six per year). Currently, the ALP provides PT service to approximately
45 private laboratories and 15 state labs for Food Chemistry Analysis (Moisture, Protein, Fat and Salt) and Pesticide Residue Analysis
(Chlorinated Hydrocarbons (CHC) and Polychlorinated Biphenyls (PCB)). To keep it current and relevant, ALP staff is redesigning and
modernizing this program. Just recently, after two years of intense preparation, the ALP gained accreditation as a proficiency testing
(PT) provider under the ISO/IEC 17043 international standard. The ALP is one of very few accredited PT providers in the federal
government, perhaps the only one for food chemistry and chemical residues in meat and poultry products. This presentation will
provide background information about the ALP, discuss improvements made, and touch upon future goals.
At the conclusion of this session the attendee will be able to:
 Explain the important work the USDA FSIS Filed Service Laboratories do to detect and identify potential hazards to protect
public health.
 Describe Proficiency Test and why it is a critical tool to verify the accuracy.
 Explain how the USDA FSIS Accredited Laboratory Program (ALP) protects public health by supporting laboratory testing.
Promoting Health and Preventing Disease in National Parks
CAPT Sara Newman, DrPH, MCP, USPHS Director Office of Public Health, National Park Service; LCDR Mellissa A. Walker, BS, MA,
PMP, USPHS, Project Manager, National Park Service
This session will look at efforts to promote health and prevent disease in the National Parks. The Office of Public Health (OPH)
functions as an internal agency-specific public health capability, managed, funded, and operated by the National Park Service. OPH
is a division within the Visitor and Resource Protection Directorate responsible for protecting and promoting the health of nearly 300
million annual visitors and thousands of employees. Through disease surveillance and response, on-site evaluation/hazard analysis,
training and consultation, policy guidance, coordination with local, state, and other Federal health jurisdictions and organizations,
OPH professionals assist park managers to protect and promote visitor health. OPH has four main branches: Field Services,
Epidemiology, Health Promotion and Operations. This session will describe the range of public health activities provided by our
public health professionals. Presenters will provide example case studies of complex and surprising public health issues officer’s face
on a daily basis. The Office of Public Health manages its own internal deployment force, the Disease Outbreak Investigation Team
(DOIT). The session will describe how, when disease outbreaks of concern arise in parks, a multidisciplinary team of professionals is
deployed to address the wildlife, human and environmental health issues relevant to disease outbreak activities.
At the conclusion of this session the attendee will be able to:
 Describe the scope of the NPS OPH division from its role as an internal health department to an Operating Division.
 Explain the OPH’s impact on NPS health promotion and protection of visitor health.
 Describe OPH’s disease prevention mission and what strategies it has applied to address a range of diseases.
3:00 pm – 3:15 pm
Break
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May 19, 2016 Scientific Program
Track 4 – Implementing Primary and Secondary Prevention Priorities (continued)
1:30 pm – 3:00 pm
Room 19
Session 2
Sponsored by CVS
Effect of Aquatic Therapy On Mobility of Native American Patients Unable to Do Traditional Land-based Exercise
LCDR Scott McGrew, BA, MPT, USPHS, Senior Therapist, Indian Health Service Whiteriver Service Unit
This presentation will discuss how there is a steady increase in the number of obese and arthritic Native Americans who are unable
to participate in traditional forms of land-based exercise. What form of exercise will assist these patients in regaining/improving
community mobility and PREVENTING DIABETES? This study measures the improvement of functional mobility of 10 patients who
completed at least 10 one hour long sessions of aquatic rehab through a partnership with the local tribal Apache Diabetes Wellness
Program. This is a program that can be copied at other tribal locations.
At the conclusion of this session the attendee will be able to:
 Identify aquatic therapy as a viable exercise modality that can be used to assist morbidly obese and arthritic patients
improve functional mobility.
 Identify aquatic therapy as an exercise modality that that can be used to prevent diabetes.
 Apply the work that has been done in this program to start their own aquatic program.
Feasibility and Patient Acceptance of Emergency Department-Based Influenza Vaccination in a Military Medical
Center
CAPT Shaun Carstairs, MD, USPHS, Emergency Physician, Naval Medical Center, San Diego; CDR Ryan Maves, MD, USPHS, Infectious
Disease, Naval Medical Center, San Diego; LCDR Keren Hilger, MD, USPHS, Medical Officer, Emergency Physician, Gallup Indian
Medical Center; James Hilger, PhD, Economist; Shannon Putnam, PhD, Naval Health Research Center;
This session will examine whether emergency department (ED)-based influenza vaccination may be a way to increase vaccination
rates. Many individuals seeking medical care at a E do not routinely seek care in other settings. The researchers aimed to determine
rates of prior vaccination among ED visitors and whether unvaccinated persons would consider vaccination in the ED.
At the conclusion of this session the attendee will be able to:
 Identify barriers to immunization.
 Identify reasons to get influenza immunization.
 Review study results supporting influenza vaccination availability in the emergency department.
Trauma-Informed Approaches in Human Services and Social Determinants-Based Prevention
CDR Jonathan White, PhD, MSW, USPHS, Senior Adviser for Strategic Initiatives, Administration for Children and Families
This presentation explores emerging science and practice in the field of trauma-informed human services to low-income children,
youth, and families as primary prevention interventions to address behavioral health, environmental health, injury, and chronic
disease risks.
At the conclusion of this session the attendee will be able to:
 Describe patterns of risk to children and youth dually affected by economic determinants of health and traumatic
exposures.
 Explain emerging science and practice models for trauma-informed human services.
 Identify the role of human services systems in integrated prevention strategies.
3:00 pm – 3:15 pm
Break
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Thursday Track Agenda Detail
May 19, 2016 Scientific Program
Track 5 – Resources for an Ever-Changing Landscape (continued)
1:30 pm – 3:00 pm
Room 20
Session 2
“Fly-In” School Sealant Programs in Alaska Native Villages
CDR Shoffstall-Cone, DDS, MPH, USPHS, Clinical Site Director, Alaska Native Tribal Health Consortium; CDR Mary Williard, DDS,
USPHS, Director Department of Oral Health Promotion, Alaska Native Tribal Health Consortium
This session will look at the Dental Health Aide Therapist (DHAT) Educational Program which is implementing school-based dental
sealant programs in rural Alaska. Alaska’s American Indian/Alaska Native (AI/AN) population experiences ongoing oral health
disparities. This is evident from data drawn from both National and State assessments. The State of Alaska 2010/2011 Basic
Screening Survey found that 83.4% of AI/AN third graders had caries experience with 39.5 of these children having untreated decay.
The Alaska DHAT Educational Program provides a two-year curriculum to teach basic dental restorative and preventive procedures.
A portion of that curriculum focuses on addressing community oral health needs. The last three classes of DHATs have all worked
with communities to develop school-based sealant programs. The communities where the students work are isolated and only
accessible by small plane; therefore the students provide these services on a “fly-in” basis. The sealant programs are designed using
the POARE model advocated by the Indian Health Service. The POARE model lends itself easily to be used as a community based
motivational interviewing experience. With a very community centric approach to prevention, the students have been able to
achieve some very impressive participation numbers and lots of community support. The experience of developing, implementing
and evaluating a school-based sealant program has been valuable for the communities and the DHAT students.
At the conclusion of this session the attendee will be able to:
 Identify the components of the POARE model.
 Describe the benefits of community engagement and learn tactics for engagement.
 Explain how adding a dental health aide therapist to the dental team can enhance access to care and improve outcomes.
Pacing Innovation and Technology with Effective and Balanced Regulation
CDR Brad Cunningham, BS, MSE, USPHS, Chief, Diagnostic and Surgical Devices Branch, Food and Drug Administration, Center for
Devices and Radiological Health
This presentation will review efforts at the Food and Drug Administration Center for Devices and Radiological Health to evaluate
emerging, novel medical device technologies targeted to improve disease diagnosis and treatment. The agency strives to enable
patient-access to safe and effective medical devices through scientific-based evaluation. However, there is a need to balance that
effort within the legal regulatory framework of science-based evaluation and keep pace with an ever-changing technological
landscape. To that end, the agency continually modernizes its review standards to implement cutting-edge methods to characterize
device performance and risks while ensuring a streamlined process that still sufficiently evaluates new technology Our regulatory
practices are underscored by general epidemiological findings that drive changes to our review practices as well as spark innovative
guidance for new diagnostic or treatment areas. For example, there is increased numbers of patients with diabetes. Patients with
diabetes are at increased susceptibility to diabetic eye disease, including diabetic retinopathy, which is the most common cause of
vision loss among people with diabetes and a leading cause of blindness among working-age adults. Because diabetic retinopathy
often goes unnoticed until vision loss occurs, early diagnosis is critical to start preventing/managing the disease. Recognizing the
importance, Food and Drug Administration held a collaborative workshop to encourage innovative diagnostics and to discuss
appropriately-targeted regulatory requirements for such an important, un-met medical diagnostic need. Through programs such as
early feasibility study program, the Food and Drug Administration strives to encourage innovation through collaboration.
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At the conclusion of this session the attendee will be able to:
 Identify FDA's role in medical device regulation and in medical device innovation.
 Describe how FDA incorporates epidemiology data into assessment of medical device risk to advance the science of
regulatory practices.
 Explain the significance of ophthalmic diseases and how FDA protects and promotes, the health of US patients through
advancing safety of medical devices.
SURGEON GENERAL'S WARNING: Humor Can Be Contagious.
LCDR Jeffrey Ball, MS, USPHS, Program Management Officer/Senior Medical Instructional Management Officer, Immigration and
Customs Enforcement Health Service Corps; LCDR Denise Morrison, MPAS, USPHS, Program Management Officer/Assistant Health
Services Administrator, Immigration and Customs Enforcement Health Service Corps
This session will detail how humor affects the workplace environment. The audience will learn how humor is linked to positive
health benefits, leadership and productivity. Today’s work environment is full of long meetings, extremely short deadlines and
stressful interactions. Even with companies incorporating alternate workplaces and schedules, the stress levels experienced by
employees are ever increasing. Studies have shown that over the past decades, employees spend large quantities of time at the
office or checking their cellular telephones at home and on vacation to address work -related issues. Corporations have spent
millions of dollars on human relations trainings and hiring consultants to motivate their employees to enjoy doing their jobs. One
motivational tool that has reached prominence over the years is the use of humor in the workplace. Not to be confused with
horseplay or joking around, humor done correctly and professionally has enormous benefits to companies in the form of
productivity, better health benefits and leadership outcomes. Studies have shown that happy employees are productive employees
and that adds to the “bottom line” which appeals to leadership and shareholders alike. Humor has been linked to promoting
positive health benefits that increase quality of life while decreasing burn-out. Leadership is also affected by humor in manifesting
itself in the areas of enhancing leadership skills, building credibility and successful outcomes. Corporations are working diligently to
attract and retain quality employees while making the workplace a safe haven to bolster new ideas and initiatives. Humor is a winwin for employee and company.
At the conclusion of this session the attendee will be able to:
 List the ways humor improves productivity.
 Apply methods to utilize humor to enhance leadership success.
 Describe the health benefits of humor.
3:00 pm – 3:15 pm
Break
May 19, 2016 Scientific Program
Track 6 – Pharmacy
1:30 pm – 3:00 pm
Room 11
Session 2
Formulary Management in the Indian Health Service
CAPT Ryan Schupbach, PharmD, BCPS, CACP, USPHS, Vice Chairman, National Pharmacy and Therapeutics Committee, Indian Health
Service
This session will provide an overview of formulary management within the Indian Health Service (IHS) Formulary management offers
significant value to IHS in terms of medication safety and efficacy as well as though cost avoidance. The IHS National Pharmacy and
Therapeutics Committee (NPTC) is charged with the perpetual evaluation and updating of the IHS National Core Formulary (NCF) and
has sole authority to specify NCF content. This presentation will serve to provide an overview of the NPTC's roles/responsibilities and
highlight recent clinical contributions to the agency.
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Thursday Track Agenda Detail
May 19, 2016 Scientific Program
Track 6 – Pharmacy (continued)
Formulary Management in the Indian Health Service (continued)
At the conclusion of this session the attendee will be able to:
 Describe the values, roles and responsibilities of the IHS National Pharmacy and Therapeutics Committee.
 Distinguish how the IHS National Core Formulary differs from other comprehensive formularies.
 Summarize key contributions to the IHS resulting from the IHS National Pharmacy and Therapeutics Committee.
Aligning Quality and Prevention through Payment Innovation in Primary Care
CAPT Greg Dill, PharmD, USPHS, Centers for Medicare and Medicaid; CDR Joshua Devine, PharmD, PhD, USPHS, Senior Health
Insurance Specialist, Division of Financial Management and Fee for Service Operations, Centers for Medicare and Medicaid, Chicago
Regional Office
This session will examine how the Center for Medicare and Medicaid Innovation (CMMI) of the Centers for Medicare and Medicaid
Services (CMS) supports the development and testing of innovative health care payment and service delivery models in the U.S.
Health Care System. In October 2012, CMMI began the Comprehensive Primary Care (CPC) initiative to improve primary care
delivery across the United States. Seven regions were selected to participate in the initiative based on geographical diversity and
payer interest. The program required that participating practices meet annual milestones designed to help build the capability to
deliver across CPC’s five core functions which include: (1) risk-stratified care management, (2) access and continuity, (3) planned
chronic and preventive care, (4) patient and caregiver engagement, and (5) coordination of care across the medical neighborhood.
To help achieve these functions, the CPC initiative offers participating practices enhanced payment, ongoing use of data to
encourage improvement, and significant use of health information technology in the expectation that improving these core
functions will help achieve better health outcomes and lower costs. This presentation will provide a brief overview of CPCI, highlight
model efforts around medication management, and discuss preliminary findings from the first two years of the program.
At the conclusion of this session the attendee will be able to:
 Describe the impact of a fragmented U.S. Health Care System on health care quality.
 List the five core functions associated with Comprehensive Primary Care initiative.
 Describe the support provided to participating practices under the CPC initiative.
Pharmacist Credentialing and Privileging
CDR Christel Svingen, PharmD, BCPS, NCPS, USPHS, Clinical Pharmacist, Red Lake Hospital Pharmacy
This session will examine pharmacist credentialing and privileging. Increased health system demands and difficulty with access to
health care providers have evolved patient care and integrated pharmacists into health care teams. Pharmacists are accepting new
clinical roles and expanding scope of practice to fill health care gaps. The expansion of clinical pharmacist roles beyond initial
licensure have increased the essential proficiencies required by pharmacists to provide more comprehensive services. Heightened
responsibilities within advanced pharmacist health care delivery necessitates continuing professional development and ongoing
quality assessment. A robust credentialing and privileging process establishes the framework that assures stakeholders that
pharmacist performance elements are met in contemporary pharmacy practice. Credentialing and privileging should serve as an
initial or complementary step to broaden pharmacist scope of practice, acceptance of pharmacists as medical staff members,
recognition as primary care providers, and reimbursement for outcome driven pharmacist services.
At the conclusion of this session the attendee will be able to:
 Define credentialing, privileging and scope of practice.
 Implement the framework for pharmacist credentialing and privileging.
 Forecast the direction of, need for, and use of credentialing and privileging for the future of pharmacist-delivered primary
patient care.
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3:00 pm – 3:15 pm
Break
May 19, 2016 Scientific Program
Track 1 – Rapid Effective Response to Public Health Practice
3:15 pm – 4:15 pm
Room 16
Session 3
Ethics and Deployments: Guidance for and Experiences of USPHS Officers
CAPT Catherine Witte, MDiv, MSBioethics, BPharm, USPHS, Chaplain and Pharmacist, Phoenix Indian Medical Center
This session will discuss ethical considerations during deployment. The field of disaster response readiness and the provision of
clinical care in the midst of such settings have garnered much attention locally and internationally during the last decade. Disaster
relief personnel, including USPHS Commissioned Corps officers, necessarily encounter practice settings that are challenging and
chaotic. These contexts have implications personally and professionally for responders as well as operationally in the success or
failure of the mission. There are few published reports describing what ethical dilemmas are encountered in the field, how
responders handle ethical dilemmas, and the impact these dilemmas have on the provision of medical care services and on
responders themselves. In 2010, a performance improvement project was approved through what was then, the Office of Force
Readiness and Deployment (OFRD) and examined USPHS CC officers’ perceptions of and experiences with ethical dilemmas as
responders during disaster response. An overview of this project and how the project findings were used to train and assist USPHS
officers with Team One, Monrovia Medical Unit, Ebola Response Mission before and during their deployment with identifying and
addressing ethical dilemmas will be described. Recommendations for further trainings and programmatic strategies to address
ethical concerns for USPHS CC responders, the agencies they represent and the USPHS CC will also be discussed. It is hoped that
awareness and preparedness will translate into efficient and effective operational component to address ethical dilemmas while on
deployments and also for officers to gain knowledge about ethical decision making applicable for working at their duty stations.
At the conclusion of this session the attendee will be able to:
 Identify and describe principles of clinical-medical, public health and disaster response ethics.
 Describe ethical dilemmas commonly encountered in disaster response and strategies used to address the dilemmas and
mitigate moral distress.
 Apply the concepts learned about ethical decision-making in disaster response work and at their duty stations.
The National Standards for Culturally and Linguistically Appropriate Services in Health and Health Care: A Framework
for Providing CLAS
C. Godfrey Jacobs, B.A., Program Manager, Health Determinants and Disparities Practice, CSRA Inc.; LCDR Elizabeth DeGrange, BS,
MS, USPHS, Program Management Officer; Office of the Assistant Secretary for Health, Division of Commissioned Corps Personnel
and Readiness; Juan Carlos Arroyo, BA, MPH, Research Analyst, Health Determinants and Disparities Practice, CSRA Inc
This session will provide an overview of the National Standards for Culturally and Linguistically Appropriate Services in Health and
Health Care.
At the conclusion of this session the attendee will be able to:
 Define the purpose of the National CLAS Standards.
 Describe the three themes of the National CLAS Standards.
 Share where to obtain more information about the National CLAS Standards and implementation resources.
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Thursday Track Agenda Detail
May 19, 2016 Scientific Program
Track 2 – Leadership and Excellence in Public Health Practice
3:15 pm – 4:15 pm
Room 17
Session 3
Increasing Workplace Safety by Eradicating Workplace Bullying
CDR Charlene Majersky, PhD, USPHS, Ebola Principal Medical Officer, Centers for Disease Control and Prevention
This presentation will provide an overview on workplace bullying and discuss options for increasing workplace safety by eradicating
workplace bullying.
At the conclusion of this session the attendee will be able to:
 Describe workplace bullying.
 Identify ways to increase workplace safety by eradicating workplace bullying.
 Apply knowledge, skills and abilities relating to workplace bullying to the workplace.
Answering the Call: An Innovative Approach to CV Review
CAPT Kay Beaulieu, Psy.D., ABPP, USPHS, Clinical Director, Department of Defense, TMA, Army Medical Command; CAPT Tessa
Brown, DHSc, MPH, BSN, RN, APHN-BC, USPHS, Regulatory Project Manager, Food and Drug Administration, LCDR Zanethia
Eubanks, MPH, USPHS, Program Management Analyst, Substance Abuse and Mental Health Services Administration;
This session will look at an effort by the Black Commissioned Officer Advisory Group (BCOAG), Career and Professional Development
Committee (CPDC), piloted in 2015, to assess PHS Officer’s CVs across categories, disciplines and agencies. This pilot program
became a joint collaborative led by BCOAG-CPDC with support from Health Service Professional Advisory Committee – Career
Development Committee, and Health Information Technology Professional Advisory Group. As a result, the committee supported
the professional development of officers by offering opportunities for mentorship while embodying the One Corps mission. PHS
Officers submitted their CVs over a four-month period (July-October) to allow senior Officers time to review CVs and provide
feedback. A team approach was used to respond to CV review requests, track submissions, and assign reviews by using a central
repository and detailed metric methodology. Overall, 190 officers expressed interest in having their CVs reviewed across 11
categories. An overview of lessons learned and a brief analysis of the survey from CV review participants will be provided.
At the conclusion of this session the attendee will be able to:
 Describe BCOAG’s innovative approach to the CV review process.
 Identify strategic partnerships across categories for Officer CV reviews.
 Illustrate methods to use information technology (IT) to streamline the CV review process.
Certified in Public Health (CPH): Credentialing Public Health Leaders
Speaker: Ms. Allison J. Foster, MBA, President, National Board of Public Health Examiners
The presentation will include the history of the National Board of Public Health Examiners (NBPHE), the eligibility criteria to sit for
the CPH exam and how it has evolved, the process to apply and register for the CPH exam, the results of the pilot program and the
recertification process. The CPH has evolved since the first exam in 2008. For the first three years CPH candidates were only eligible
to take the exam as graduates of a CEPH-accredited school or program of public health. In 2010, the board of directors opened the
examination to current students of public health. The most recent revision of eligibility came this year, in 2015, when NBPHE began
a pilot eligibility program for individuals who obtained a bachelor’s degree and five years of work experience. The purpose of the
pilot was to determine whether the pilot candidates had acquired the knowledge tested on the exam could be acquired by work
experience. We will share the results of the pilot and subsequent decisions to modify eligibility. The NBPHE will also share its recent
efforts to modify the content outline of the CPH exam to ensure the exam reflects the skills and abilities needed to work in
contemporary public health.
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At the conclusion of this session the attendee will be able to:
 Apply and register for the CPH exam.
 Explain why credentialing in public health is important.
 Describe the results of the pilot program and have an understanding of the new eligibility criteria.
May 19, 2016 Scientific Program
Track 3 – Advancement of Public Health Science
3:15 pm – 4:15 pm
Room 18
Session 3
Maternal and Infant Health Indicators (MIH) based on Neighborhood Poverty Status Across Oklahoma County during
2011−2013
Mr. Ayankunle Adesigbin, BS, MPH, Epidemiologist, Oklahoma City-County Health Department; Ms. Megan Souder, BS, MPH,
Administrator, Data and Grants Evaluation, Oklahoma City-County Health Department
This session will explore the link among health, education and poverty as an important factor to consider during public health
planning. Oklahoma County realized a 10% increase in poverty rates during 2010-2013 with noted differences across minority
populations. A single female led household is 3 times more likely to live in poverty than a married couple. The disparity is more
staggering with increasing family size. A total of 56 Oklahoma County zip codes were grouped into poverty levels based on U.S.
Census data. Vital records aggregate data were analyzed for MIH indicators, including low birth weight, infant mortality, smoking,
obesity, education, teen birth, and prenatal care(PNC). These associations were mapped using ArcGIS and determinates were
further analyzed using logistic regression. Compared to less impoverished neighborhoods, mothers living in neighborhoods with
highest poverty rates were 200 percent more likely to be obese, suffer infant loss and smoke during pregnancy, four times as likely
to not continue beyond high school (HS), and faced a fivefold increase in teenage births. Approximately, 14.2 percent of Oklahoma
County residents are HS dropouts. For every 1% increase in dropout rates, an additional 18 preventable deaths occur. Across all
poverty levels, there is a noticeable difference between maternal education and adequate PNC access, with at least a 13% increase
in PNC compliance for mothers with a bachelor’s education compared to those with HS or less. It’s evident that education and
poverty have a large impact on MIH indicators. To reverse the trends, neighborhood poverty should be incorporated into public
health policy and prevention planning.
At the conclusion of this session the attendee will be able to:
 Compare maternal and infant health indicators based on neighborhood poverty status across Oklahoma County during
2011−2013.
 Identify existing disparities among subpopulations and examine what cofactors are responsible for such disparities in each
neighborhood.
 Describe what resources are available in each neighborhood to mitigate the adverse effects of poverty on maternal and
infant health outcomes.
Improving Patient Care Made Simple (IPCenters for Medicare and Medicaid) in the Oklahoma City Area Indian Health
Service
CAPT Tracie Patten, PharmD, USPHS, Area Pharmacy and Lab Consultant, IPC Improvement Support Team Member, Oklahoma Area
Indian Health Service; LCDR Julie Erb-Alvarez, BS, MPH, CPH, USPHS, Area Epidemiologist, IRB Co-Chair, Indian Health Service,
Oklahoma City Area Office; John Farris, MD, Chief Medical Officer, Oklahoma Area Indian Health Service
This presentation will provide an overview of an effort to Improve Patient Care Made Simple (IPCenters for Medicare and Medicaid)
which evolved as a pilot project in 2011, inspired by principles taught through the IPC national program. The intent was to spread
IPC concepts to I/T/U facilities more expeditiously and with less time out of the clinic for providers and staff. IPCenters for Medicare
and Medicaid teaches and supports the core elements of IPC and the “Indian Health Medical Home” including optimization of care
teams, patient empanelment, data collection/use and seeing the patient when the patient needs to be seen. These tried and tested
elements have been proven to enhance patient and provider satisfaction, clinical efficiencies, provider productivity, and ultimately,
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Thursday Track Agenda Detail
May 19, 2016 Scientific Program
Track 3 – Advancement of Public Health Science (continued)
Improving Patient Care Made Simple (IPCenters for Medicare and Medicaid) in the Oklahoma City Area Indian Health
Service (continued)
improve clinical health outcomes contributing to the health and wellness of patients. The IPCenters for Medicare and Medicaid
program involves a comprehensive two-day, face-to-face basic training for care teams, an abbreviated iCare training and simplified
data collection designed to promote improvements in the clinic, while limiting time away from the patient. IPCenters for Medicare
and Medicaid reporting is limited to data that sites already collect, i.e., GPRA data, specific to each care team. IPCenters for
Medicare and Medicaid sites are regularly engaged in a “learning community” with other local care teams through quarterly face-toface meetings and site visits. Since the beginning of IPCenters for Medicare and Medicaid in 2011, IPCenters for Medicare and
Medicaid has been offered annually to clinical care teams in the OCA.
At the conclusion of this session the attendee will be able to:
 Explain the history of the Improving Patient Care Initiative in the IHS.
 Describe the Indian Health Medical Home concept.
 Explain the purpose, structure and methods of the IPCMS program working to transform care in the Oklahoma City Area
IHS.
May 19, 2016 Scientific Program
Track 4 – Implementing Primary and Secondary Prevention Priorities
3:15 pm – 4:15 pm
Room 19
Session 3
Sponsored by CVS
Health System Driven Clinical Tobacco Treatment and Collaboration: The Oklahoma Hospital Association’s Lessons
Learned and Recommendations
Eric Finley, BS, MPH, Tobacco Treatment Systems Coordinator, Oklahoma Hospital Association; Joy Leuthard, MS, LSWA, Manager
Health Improvement Programs, Oklahoma Hospital Association; Heather Summers, RN, Administrative Officer Clinical Services,
Chickasaw National Medical Services
This session will highlight the experiences and lessons learned from the Oklahoma Hospital Association’s (OHA) initiative, Hospitals
Helpline Patients Quit (HHPQ) - a health improvement initiative focused on supporting Oklahoma based health systems with the
integration of clinical tobacco treatment into all existing in-patient and ambulatory care facilities within the health system network.
The session will highlight OHA’s collaboration with the Chickasaw Nation Medical Center (CNMC) to fully integrate tobacco
treatment into their CNMC EHR system.
At the conclusion of this session the attendee will be able to:
 Identify practical examples of key factors for successful implementation of clinical tobacco treatment systems.
 Describe barriers to prepare for when working towards implementation of clinical tobacco treatment systems.
 Illustrate an example of clinical tobacco treatment systems change with a Native American Health System including a
greater understanding of integrating clinical tobacco treatment into an electronic health record (EHR).
Improving Influenza Vaccine Delivery in a Multi-Specialty Clinic
Dale Bratzler, BS, DO, MPH, Chief Quality Officer, Oklahoma University Physicians; Kacey Hawkins, BBA, Data Management Analyst
II, Oklahoma University Physicians; Claudette Greenway, RN,MBA, Associate Director of Clinic Operations, Oklahoma University
Physicians; Ashley Thumann; MHA, Quality Manager, Oklahoma University Physicians; Sheila Southern, CMPE, Senior Clinics
Administrator, Oklahoma University Physicians
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This session will look at improving vaccine rates. Annual influenza vaccination is recommended for all persons aged > 6 months who
do not have contraindications. However, less than 60 percent of adults and 44 percent of children received the vaccination during
the 2014-2015 flu season. The presentation will look at an effort to increase influenza vaccination in primary care and specialty
clinics.
At the conclusion of this session the attendee will be able to:
 Identify the performance gap for influenza vaccination.
 Describe the development of an EMR template to promote influenza vaccination status.
 Describe the development of free-standing influenza vaccine stations to promote walk-in accommodation of patients.
May 19, 2016 Scientific Program
Track 5 – Resources for an Ever-Changing Landscape
3:15 pm – 4:15 pm
Room 20
Session 3
Community Involvement is a New Divergence to Public Health Creative Awareness.
LCDR Babatunde Oloyede, PhD, MSHS, BSHS, USPHS, Lead Medical Laboratory Scientist, Federal Medical Center
This session will discuss how community Involvement has been identified as one of the major factors that enhance visibility and
awareness. United States Public Health Service has not been well recognized as a platform of excellence as other sister services. This
study shows factors that will help identify different roles of involvement of Public Health Officers that will enhance visibility and
awareness of the United States Public Health Service.
At the conclusion of this session the attendee will be able to:
 Identify Public Health Community Involvements.
 Describe approaches that enhance visibility and awareness.
 Apply identified strategies to ensure positive outcome.
Using the National Prevention Strategy and Healthy People 2020 to Assess the Health of Peace Corps Volunteers
CAPT Paul Jung, MD, MPH, USPHS, Associate Director, Office of Health Services, Peace Corps
This session will examine the use of the National Prevention Strategy (NPS) and Healthy People2020 (HP2020) to assess Peace Corps
volunteers. The NPS sets the framework and (HP2020 provides a set of quantifiable objectives for improving the health and wellbeing of Americans. Peace Corps Volunteers’ health metrics were measured in comparison to the HP2020 Leading Health Indicators
(LHIs) in order to set baseline measures for Volunteers’ health while overseas and align measurements with Healthy People 2020
standards. Health data from multiple datasets were compared with relevant LHIs and analyzed using descriptive statistics. Seventeen
(65 percent) of the 26 LHIs were relevant to Peace Corps Volunteers. Of these, volunteers’ health measures met or exceeded the
goals of 13 (76 percent) of the LHIs. There were no data available for 4 (24 percent) of the LHIs. At baseline, Peace Corps Volunteers
exceed all goals of the Healthy People LHI. The entire volunteer population has full access to primary care, oral health, and
reproductive health services. No fatal injuries, suicides, or homicides were reported among volunteers during the analyzed time
period. Peace Corps-specific metrics will be developed to measure the incidence of illnesses that affect volunteers overseas, such as
malaria and infectious gastroenteritis, and to set goals for prevention efforts utilizing the NPS framework within the Peace Corps
context.
At the conclusion of this session the attendee will be able to:
 Explain Healthy People 2020, its purpose and intent, and its Leading Health Indicators.
 Describe the framework of the National Prevention Strategy and how Peace Corps can utilize the NPS.
 Explain how the Peace Corps uses NPS and HP2020 to better measure the health of its Volunteers.
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Thursday Track Agenda Detail
May 19, 2016 Scientific Program
Track 6 - Pharmacy
3:15 pm – 4:15 pm
Room 11
Track 6, Session 3
Pharmacists in the Field: Overcoming Pharmacy Practice Challenges During Deployment
LCDR Kimberly Andrews, Pharm.D., MBA, USPHS, Clinical Pharmacist, Phoenix Indian Medical Center; LCDR Celestina Arowosegbe,
PharmD, USPHS, Senior Regulatory Review Officer, Food and Drug Administration; LT Kemi Asante, PharmD, USPHS, Senior
Regulatory Review Officer
This session will examine how, as the Corps continues to prepare to be an ever-ready force to respond to emergencies domestically
and globally, pharmacists should be prepared to adapt pharmacy practice to new environments and unexpected challenges.
Information about lessons learned from the deployment of pharmacists to the Monrovia Medical Unit (MMU) will provide an insight
into how unexpected challenges encountered at the MMU were managed and/or resolved. Pharmacists will be able to enhance
their current knowledge about deployments to foreign, hazardous, and austere environments while appreciating the need for
adequate pre-deployment preparation. In addition, the lessons learned from the MMU deployment will help pharmacists prepare
for unexpected challenges during a deployment and provide recommendations on how to manage, improvise, or resolve challenges.
At the conclusion of this session the attendee will be able to:
 Identify challenges to practicing pharmacy in a foreign environment.
 Describe strategies for overcoming challenges in the field and how the MMU challenges were managed and/or resolved.
 Identify available resources for preparing for deployment.
Emergency Preparedness: The Strategic National Stockpile
Speaker: LCDR Kathleen Ferguson, BS, USPHS, Quality Control Specialist, Centers for Disease Control and Prevention
This presentation will discuss the Strategic National Stockpile (SNS), which is a $6.5 billion repository of antibiotics, chemical
antidotes, antitoxins, vaccines, antiviral drugs and other life-saving medical material designed to supplement and re-supply state and
local public health agencies in the event of an emergency. SNS medical material is held in a network of locations positioned to
optimize deployment or support operating supply chain capability. Public Health Service (PHS) Environmental Health Officers (EHOs)
serve as emergency responders and may utilize countermeasures supplied by SNS. This presentation will present an opportunity to
introduce or refresh previous knowledge of the SNS to PHS EHOs and familiarize them with the diverse collection of
countermeasures, deployment capabilities, and partner collaboration exercised during response. Further, this presentation will
introduce PHS Environmental Health Officers to SNS formulary priorities, quality control measures, mission scope, deployment
considerations, and unique capabilities. Participants will be provided an overview of product configuration, the CHEMPACK
program, Federal Medical Stations (FMS), and the role of SNS personnel during response to natural disaster, terrorism incident, or
other threats to the health of our nation.
At the conclusion of this session the attendee will be able to:
 Summarize the roles and functions of the Strategic National Stockpile (SNS) during public health emergencies.
 Describe how SNS responds during public health emergencies.
 Explain the Push Package, CHEMPACK, and Federal Medical Station (FMS) programs and their capabilities in response to
emergencies.
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The Down and Dirty: Development of the USAID / PHS Ebola Essential Meds List
Speaker: LCDR Anastasia Shields, Pharm.D, MS, BCPS, USPHS, Consumer Safety Officer, Food and Drug Administration
This session will provide an overview of a formulary initiative that used data acquired from practical experience in the Monrovia
Medical Unit as an aid to developing a list of essential medications, that the presenters recommend stocking in a treatment unit of
this type, as well as serve as a guideline, should the same or a similar crises situation arise and require an immediate response.
Medications used to treat the symptoms and provide supportive care to Ebola Virus Disease patients were tracked by all four
Monrovia Medical Unit Pharmacy teams from November 2014 to April 2015.
At the conclusion of this session the attendee will be able to:
 Describe and understand the advantages as well as limitations that were faced during the care of Ebola Virus Disease
patients in the Monrovia Medical Unit and how those elements impacted the development of the medication formulary.
 Identify the processes used for this project, in development of an optimal medication formulary, and how they can be
incorporated into future responses and deployments.
 Apply the importance of incorporating data tracking into any action or process that utilizes a specific resource type and
develop an understanding of how to then implement the information gained.
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