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Friday, March 4, 2022
HD Fundamentals
8:55 am-12:00 pm
Moderator: Andrew Davenport, MD
8:55- Welcome – Madhukar Misra, MD
9:00 Practical Considerations in the Management of CRRT – Ashita Tolwani, MD
9:30 Maximizing AV Fistula Longevity – Loay H Salman, MD
10:00 Covid 19 in the Dialysis Unit: Lessons Learned- Jeffrey Silberzweig, MD
10:30 Essentials of Phosphate management via HD prescription- John Daugirdas, MD
11:00 A practical approach to anemia management in maintenance HD- Jeffrey Berns, MD
11:30 Discussion
12:00 Adjourn
Home Dialysis
9:00 am-11:00 am
9:00 Welcome – Leonor Ponferrada, BSN, RN, CNN
Moderator: Martin Schreiber, MD
9:10 Why Home Dialysis? – Eric Weinhandl, PhD
9:40 Challenges and Obstacles in Home Dialysis – Martin Wilkie, MD
10:10 Value-based Care Supporting Patients for Home Dialysis and Transplant – Bijal Patel, MD
10:45 Discussion
11:00 Break
Educating Patients and Care Providers
1:30-3:30pm
Moderator: Graham Abra, MD
1:30 Advancing American Kidney Health Improve Engagement between Patients and Providers – Eugene Lin, MD
2:00 National Kidney Disease Education Program (NKDE) and Alternative Models: What Works Best? – Vanessa Ratcliff, FNP-BC, CNN
2:30 Kidney Life Plan: An Effective Tool in Making the Right Decisions – Dori Schatell, MS
3:00 Home Dialysis Project ECHO Program – Christopher Chan, MD
3:30 Break
Optimizing Home Dialysis Management and Patient Retention
4:00-6:00 pm
Moderator: LaVonne Burrows, MSN, RN
4:00 Providing the Right Prescription – Brent Miller, MD
4:30 Implementing a Consistent and Flexible Training Program for Patients and Care Partners – Lisa Koester, MSN, RN
5:00 Interdisciplinary Team Participation in Managing Patients – Frank O’Brien, MD
5:30 Alleviating Patient and Care Partner Burden: Experience from the First US-based Staff Assisted Program – Wael Hussein, MD
6:00 Adjourn
Saturday, March 5, 2022
General Session – Keynote Presentations
9:45 am-12:00 pm
9:45 Welcome – Ramesh Khanna, MD, ADC Conference Chair
Moderators: Brad Warady, MD and Jessica Geer, MSN, C-PNP, CNN-NP, RN
10:00 The Life Saving Art and Science of Effective Communication – Rachel Callander: Author, Inspirational Speaker, Artist, Photographer
10:50 Q & A
11:00 Preventing the Next Pandemic – Peter Hotez, MD, PhD
11:50 Q & A
12:00 Break
Controversies in Home Dialysis Management
12:30-2:00pm
Moderator: Brent Miller, MD
12:30 Virtual Visit for Home Patients: Is This the Way of the Future? – Prakash Gudsoorkar. MD, FASN, FNKF
12:50 Virtual Visit: Expanding the Distance Between Patient and Physician – Michael Shoemaker-Moyle
1:10 Discussion
1:15 Dialyzing Solo at Home Is Safe – Vikram Aggarwal, MD
1:35 Home Dialysis Patients Should Require Care Partners – Preethi Yerram, MD
1:55 Discussion
2:00 Break
Implementing Evidence-based Clinical Practice
Presented in Cooperation with Kidney Disease: Improving Global Outcomes (KDIGO)
12:30-2:00pm
Moderator: Ramesh Khanna, MD
12:30 Dialysis Initiation – Laura Dember, MD
12:55 Home Dialysis – Jeffrey Perl, MD
1:20 Symptom-based Complications in Dialysis – Sarah Davison, MD
1:45 Discussion
2:00 Break
12:30-2:00 pm
Phosphate and Beyond
Moderator: Karen Wiesen, MS, RD
12:30 Moving Beyond Phosphate Binders: Is it Possible? – Kamyar Kalantar-Zadeh, MD PhD
1:00 All You Need to Understand about Phosphate Removal on HD – Richard Sherman, MD
1:30 Do Plant-Based Diets Provide Adequate Nutrition and Better Phosphate Control in Dialysis Patients? – Shivam Joshi, MD
2:00 Break
4:00-6:00 pm
Mitigating Cardiovascular Risk on HD
Moderator: Madhukar Misra, MD
4:00 Cardio Protection in HD by Pharmacotherapy: State of the Art – Carmine Zoccali, MD
4:30 Harnessing Technology for Predicting Intradialytic Hypotension – Chris McIntyre, MBBS, DM
5:00 Disturbing the Rhythm- Intradialytic Hypotension and Its Consequences -Finnian R. Mc Causland, MD
5:30 How to Remove All That Fluid?: Novel Strategies – Jennifer Flythe, MD, MPH, FASN
6:00 Break
Dialysis Treatment Life Plan
4:00-6:00pm
Moderator: Kunal Malhotra, MD
4:00 From CKD Management to Dialysis – Incremental CKD Treatment Plan – Mariana Murea, MD, FASN
4:30 Preservation of Residual Renal Function: How Significant Is This? – Yoshitsugu Obi, MD
5:00 Overcoming Patients’ Resistance to Increasing Dialysis – Thomas Golper, MD
5:30 How to Operationalize Dialysis Facilities to Accommodate Varying Dialysis Schedules – Kamyar Kalantar-Zadeh, MD, PhD
6:00 Adjourn
Vascular Access
4:00-6:00pm
Moderator: Loay Salman, MD
4:00 Snuffbox AVF- A Debate – Pro/Con
Pro – Viraj Pandit MD, RPVI
Con – Tan Tze-Woei, MD
4:40 Vascular Access Preservation Strategy in AKI – Tushar Vachharajan, MD
5:10 Cannulating Endovascular Accesses – Neghae Mawla, MD, FASDIN
5:25 Role of Ultrasound in Guiding Difficult Access Cannulation – Vandana Dua Niyyar, MD, FNKF
6:00 Adjourn
Sunday, March 6, 2022
10:00-12:00 pm
An Update on AKI
Moderator: Anita Vijayan, MD
10:00 AKI in Covid 19- Where do we Stand? – Paul M Palevsky, MD, FASN
10:30 Anticoagulation Strategies in CRRT for Covid 19 Patients – Frank Liu
11:00 Extracorporeal Support for Patients with Acute on Chronic Liver Failure – Andrew Davenport, MD
11:30 Fluid and Drug Management in AKI: What Are the Controversies? – Marlies Ostermann
12:00 Break
10:00-12:00
Moderators: Prayus Tailor, MD and Brendan Bowman, MD
10:00 Introduction – Prayus Tailor- MD
10:05 Transitional Dialysis: What Is It and Why Do We Need It? – A Physician and Patient Experience
The History and Future of Transitional Care Dialysis – Brendan Bowman, MD
A Patient Experience Without Transitional Care – Vanessa Evans
A Patient Experience with Transitional Care – Chelsea Roman
10:25 How to Start a Transitional Care Unit: Practical and Financial Considerations
Transitional Care Unit Models and Sample Curricula – Stacy Cigliana, RN
Operational and Financial Considerations of Transitional Care Dialysis – Suzanne Pryzbyla, MBA
10:45 Transitional Care Unit Outcomes: What Do We Know and Which Ones Matter?
A Review of the Current Literature = Brendan Bowman, MD
Outcomes from Our Experience – Brendan Bowman, MD and Prayus Tailor, MD
Suggestions for Future Research (PROM’s, Clinical and Value-based Measures – Prayus Tailor, MD
11:05 The Role of TCU Value-based Payment Model – Brendan Bowman, MD
11:20 Panel Discussion – Prayus Tailor, MD, Brendan Bowman, MD, Stacy Cigliana, RN, Suzanne Pryzbyla, MBA, Vanessa Evans, Chelsea Roman
12:00 Break
Caring for the Caretaker: Effective Strategies to Recruit and Maintain Staff in Dialysis
Joint Session with Renal Healthcare Association (RHA)
10:00-12:00
Moderator: Bridget, Pfaff, MS
This session will identify unique challenges in sustaining staff in the acute and outpatient dialysis facilities and recognize strategies on developing competence and confidence in the dialysis workforce. Presentations will focus on hiring, orientation and training, engagement, and retention strategies. Additionally, the session will discuss the impact the pandemic has had on mental health as we continue to deal with the aftermath as well as identify coping strategies in dealing with future disasters.
Topics:
- Overview: Staffing Strategies in Dialysis – How to Hire and Get the Right People to Stay – Maria Regnier, MS, RN
- Dialysis Staffing Strategies for Outpatient, Acute and Home Dialysis Facilities – Bridget Pfaff, MS
- Navigating Staffing for Small and Rural Providers – Lynn Riesenberg
- Impact of the Pandemic and Strategies to Support the Mental Health of Staff in Dialysis – Julie Williams, BSA
12:30-2:00 pm
Anemia of CKD
Moderator: Jeffrey Berns, MD
12:30 Functional Iron Deficiency: Do We Understand it Better in 2022? – Jodie Babitt, MD
1:00 Oral vs. Iron Therapy in CKD: Have We Advanced our Understanding? – Csaba Covesdy, MD, FASN
1:30 HIF-PH Inhibitors: Do Specific Patient Sub-populations Matter? – Jay Wish, MD
2:00 Break
Palliative Care in Nephrology
Moderators: Mary Beth Callahan, ACSW/LCSW-APHSW-C and Lisa Koester, MSN, RN
12:30-2:00 pm
12:30 What, When and How of Palliative Care for Adults with Kidney Disease – Debra Hain, PhD, ARNP, AGPCNP-BC, FAANP, FNKF
1:00 Delivering Palliative Care in Dialysis: It’s a Team Effort – LaVonne Burrows, MSN, RN
1:20 A Family Member’s Perspective on Palliative Care – Sue Shirk and Marcos Rothstein, MD
1:40 Q and A
2:00 Break
12:30-2:00 pm
Innovative Approaches in Nutritional Management of CKD
Moderator: John Daugirdas, MD
12:30 Potassium Homeostasis in CKD – Biff Palmer, MD
1:00 Plant-based Diet and Mortality in Dialysis Patients – Kamyar Kalantar-Zadeh, MD, PhD
1:30 Pearls for Managing Hyperkalemia with Newer Potassium Binders – Roberto Pecoits Filho, MD
2:00 Break
4:00-6:00 pm
The ESKD Patient in the Dialysis Unit
Moderator: Kamyar Kalantar-Zadeh, MD, PhD
4:00 How to Make a Difference in Reducing Hospital Readmissions? – Jay Wish, MD
4:30 Preventing C-Difficile Spread in Outpatient HD – Erika D’Agata, MD, MPH
5:00 Depression on Dialysis: Any Tools of Trade? – Karli Kondo, PhD
5:30 Dialysis Symptoms: Exercising Some Control – Clara Bohm, MD, MPH, FRPC
6:00 Adjourn
Nursing Workshop
4:00-6:00pm
Moderator: Lisa Koester, MSN, RN
This session will discuss some of the most difficult situations nurses encounter in their clinical practice. Panelists will offer strategies on how nurses should utilize evidence-based practice and how patients can better be engaged in their medical care. Topics to be discussed will include:
4:00 pm. Obtaining Kinetic Measurements in PD Patients – Amanda Northrup, RN
4:30 pm Home Records: Why Do We Need Them? – Jennifer Ravert, RN
5:00 pm Practical Strategies to Implement Best Practices to Reduce Infections in PD and Home HD – Sharon Ayers, RN
5:30 pm Discussion
Fellows Forum
4:00-6:00 pm
Moderator: Shweta Bansal, MD
Judges: Finnian R. McCausland, MD, Shweta Bansal, MD, Nupur Gupta, MD
4:00-4:10 Introduction
4:10-4:20 Miraculous Recovery of Kidney Function after 16 Months of Dialysis – Hanny Sawaf, MD
4:20-4:25 Questions
4:25-4:35 Peritoneal Dialysis Related Encapsulating Sclerosing Peritonitis – Amara Sarwal, MD
4:35-4:40 Questions
4:40-4:50 A Rare Case of Bacterial Peritonitis Caused by Ralstonia Mannitolilytica in an Adult Peritoneal Dialysis Patient – Litty Thomas, MD
4:50-4:55 Questions
4:55-5:05 Guillain-Barre Syndrome Following COVID-19 in a Patient on Peritoneal Dialysis – Victor Canela, MD
5:05-5:10 Questions
5:10-5:15 All In One – Rapid Progression of Diabetic Nephropathy, Access Problems in the Form of CRBSI, Fibrin Sheath and Thrombosis of Catheter Tip, Primary Failure of AV Fistulae – Chilaka Rajesh, MD
5:15-5:20 Questions
5:20-5:30 Clinical Challenges to Prescribe Effective Hemodialysis in a Patient with Advance Liver Cirrhosis – Manoj Datta, MD
5:30-5:35 Questions
5:35-5:45 Judges Convene
5:45 Announce Winner/Adjourn
Sunday, March 6, 2022
Session 1 Practical Implementation of Kidney Health Initiative (KHI): Facility and Staff Optimization
10 AM- 12 PM
Moderators: Jenny Shen, MD and Joel Glickman, MD
10:00 NAC President Welcome Remarks – Thomas Golper, MD
10:20 Anatomy of a Home Dialysis Practice in the AAKHI Era – Leslie Wong, MD
10:45 Enhancing Nephrology Fellow Education in a Low Volume PD Program – Shweta Bansal. MD
11:10 Nurse Education and Clinical Support in a Low Volume PD Program – Joanna Neumann, RN
11:35 Optimizing Nursing in Busy PD Program – Lori June, RN
12:00 Break
Session 2 Practical Implementation of Kidney Health Initiative (KHI): Focus on the Patient
12:30-2:00 PM
Moderator: Joel Glickman, MD
12:30 Patient-centric PD Prescriptions – Emilie Trinh, MD
12:55 Managing PD Patients in Under-resourced Communities – Jennifer Shen, MD
1:20 Roundtable: Patient Perspectives: How Can the Health Care Team Do Better?
Moderator: Jeffrey Perl, MD
Panel: Annette Spence, Curtis Warfield, Patrick Gee, Derek Forfang
2:00 Break
Session 3 Practical Implementation of Kidney Health Initiative (KHI): Tools to Enhance Care Delivery and Improve Outcomes
4:00-6:00 PM
Moderator: Jenny Shen, MD
4:00 Improving the Experience of a Telehealth Visit for the Patient and Practitioner – Eric Wallace, MD
4:30 PD Cycler for the Expert Clinician – Rafia Chaudhary, MD
5:00 Practical Implementation of a Peritonitis Prevention Program – Alicia Neu, MD
5:30 Using QI to Improve Clinical Outcomes – CQI Theory Applied to PD – Michael Chaknos, MD, MSHP
6:00 Adjourn
Friday, March 4, 2022
9:55 am Welcome – Steven Alexander, MD
Session 1
10:00 am-12:00 pm
Moderator: Bradley Warady, MD and Jessica Geer, MSN, C-PNP, CNN-NP, RN
10:00 Peritoneal and Vascular Access – Mary Brandt, MD
10:30 Physiology of Blood Purification – Jordan Symons, MD
11:00 PD Prescription & Adequacy Monitoring – Annabelle Chua, MD
11:30 HD Prescription & Adequacy Monitoring – Cherry Mammen, MD
12:00 Break
Session 3: Breakout Sessions I
2:30-3:45 pm
Fellows Case Conference – Stump the Consultants
Moderator: John Mahan, MD
Consultants: Jordan Symons, MD, Meredith Atkinson, MD, Cherry Mammen, MD, Annabelle Chua, MD
Presenters:
Sarah Couser, MD, Cincinnati Childrens’ Hospital, Cincinnati, Ohio
Abdulaziz Bahassan, MD, The Hospital for Sick Children, Toronto, Ontario, Canada
Kimmy Vuong, MD, Texas Childrens’ Hospital, Houston, Texas
Nursing Breakout I: (Nursing Round Table Discussion)
2:30-3:45 pm
Moderator: Brandy Begin, BSN, MBAc. RN, CNN
2:30 Crit Line Update – Jessica Geer, MSN, C-PNP, CNN-NP, RN
2:55 Child Life Overview – Kirsten Cotton-Sheldon, CCLS, CTRS
3:20 Bowel Management – Kathleen Mallett, MSN, APRN, FNP-C, CNN-NP
3:45 Break
Saturday, March 5, 2022
General Session – Keynote Presentations
9:45 am-12:00 pm
9:45 Welcome – Ramesh Khanna, MD, ADC Conference Chair
Moderators: Brad Warady, MD and Jessica Geer, MSN, C-PNP, CNN-NP, RN
10:00 The Life Saving Art and Science of Effective Communication – Rachel Callander: Author, Inspirational Speaker, Artist, Photographer
10:50 Q & A
11:00 Preventing the Next Pandemic – Peter Hotez, MD, PhD
11:50 Q & A
12:00 Break
Session 5 – Symposium on Dialytic Therapies for Smallest Neonates
12:30-2:00 pm
Moderators: Alicia Neu, MD and Brandy Begin, BSN, MBAc. RN, CNN
12:30 The RAFT Trial – Meredith Atkinson, MD
1:00 Peritoneal Dialysis – Brad Warady, MD
1:30 The Use of Extra-corporeal KST for the Smallest Neonates: Aquadex and Carpe Diem – David Askenazi, MD
2:00 Break
Session 6: Breakout Sessions II
4:00-5:30 pm
Best Abstracts
Moderators: Bradley Warady, MD; Jessica Geer, MSN, C-PNP, CNN,-NP, RN
4:00 Social Determinants of Health and Risk of Peritonitis in Pediatric Peritoneal Dialysis: A SCOPE Collaborative Study – Jillian Warejko, MD
4:15 Use of Vascular Access Team to Perform Venipuncture on “Save the Vein: Patients: A Quality Improvement Project – Emily Evans, BSN, RN, CPN, VA-BC
4:30 Sodium Balance in Children on Dialysis: A Multicenter Prospective Study from the European Pediatric Dialysis Working Group – Fabio Paglialonga, MD
4:45 Low Dialysate Sodium Concentration in Pediatric and Young Adult Patients on Maintenance Hemodialysis: A Prospective, Randomized, Crossover Study – Olga Caporale, MD
5:00 Standardizing Interventions Based on PHQ-9 Screening Outcomes in Adolescent Dialysis Patients – Jessica Heuring, BSN, RN
5:15 Discussion
5:30 Adjourn
Nursing Breakout II (RN and APPs)
4:00 – 6:00 pm
Infants on Dialysis- the In’s and Out’s of Dialyzing the Itty Bitty’s
Moderators: Theresa Mottes, MSN, APRN, CPNP/AC and Rachel Galimberti, BSN, RN
4:00 Peritoneal Dialysis – Jennifer Ehrlich, MHA, BSN, RN, CDN
4:30 Hemodialysis – Wendy Reed, BSN, RN
5:00 Access Complications – Rebekah Sims, MSN, CRNP, CPNP-PC
5:30 Optimizing Infant Growth – Andrea Aquillina, RD
6:00 Adjourn
Sunday, March 6, 2022
Session 7 – Hot Topics
10:00 am-12:00 pm
Moderators: Franz Schafer, MD and Rebecca Ruebner, MD
10:00 Oral Stimulation of Erythropoiesis by HIF-PHI Inhibitors: From Mechanism of Action to Latest Clinical Trial Results – Larry Greenbaum, MD, PhD. FAAP
10:40 Update on COVID-19 in Children – Rebecca Same, MD
11:20 Consequences of the New RNA Therapies for Dialysis and Transplantation Strategies in Primary Hyperoxaluria – J.W. Groothoff, MD
11:50 Discussion
12:00 Break
Nursing Breakout Ill (RN and APPs)
10:00-12:00 pm
Moderators: Rachel Galimberti, BSN, RN and Amy Nau, MBA, MSN, RN, CNN, NE-BC
10:00 Renal Education Series for Hospital Staff: (Various Programs Presenting Best Practices in Providing Education, Training and Maintaining Competency for In-patient Staff)
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- Stanford’s Lucille Packard Children’s Hospital Nephrology Program – Lonisa McCabe, BSN, RN, CNN
- Kansas City Children’s Mercy Hospital Dialysis Program – Jennifer Spies, BSN, RN, CPN
- Doernbecher Children’s Hospital Nephrology Program – Amanda Scott, BSN, RN, CPN
11:00 Collaborating in Providing Palliative Care: When to Refer? – Jared Rubenstein, MD and Gina Santucci, MSN, FNP, APN-BC
12:00 Break
Session 9 – Fundamentals for Families
4:00-6:00 pm
Moderators: Brad Warady, MD; Jessica Geer, MSN, C-PNP, CNN-NP, RN
4:00 Returning to Dialysis after a Failed Kidney Transplant
· Linda Hosman with Dayshanae Hosman
4:30 Psychologist Perspective – Rebecca Johnson, PhD
4:45 Discussion and Q & A
5:00 Life as the Sibling of a Patient on Dialysis
· Nichole Crossland with Jaylen and Ivan Crossland
· Ann Daigle with Sydney Riedl
5:30 Psychologist Perspective – Rebecca Johnson, PhD
5:45 Discussion and Q& A
6:00 Adjourn
Friday, March 4, 2022
Special Session: To the Hospital and Beyond: A Special Program on Child Life and Dialysis
To The Hospital and Beyond: A Special Program on Child Life and Dialysis
Program Description: Child Life Specialists (CLS) are members of the health care team who provide support for patients and their family members throughout their hospital journey. Their services and support vary depending on the needs of each individual patient and family that they encounter. CLS have special expertise to educate and work alongside the interdisciplinary team. Some of their activities include utilizing therapeutic play to allow the child to understand their time in the hospital system, preparing patients for what they are going to experience in the hospital to promote positive coping, assisting with pain management techniques and how to empower a patient to do difficult tasks in addition to supporting the family throughout this journey. All these interactions are guided by the CLS’s knowledge of child development.
The goal of this special program is to provide a forum to share information of the roles of Child Life Specialists (CLS) in Nephrology with fellow Nephrology Practitioners and foster an exchange of ideas on how this group of professionals can best support and serve the unique patient population they care for.
Topics and Presentations:
9:45 Welcome and Introductions – Robin Davis, CCLS and Amanda Porter, MS, CCLS
10:00 Quality of Life/Psychosocial Challenges Affecting Chronic Dialysis Patients – Cortney Zimmerman, PhD
11:00 Supporting Patients During Common Dialysis Procedures – Amanda Porter, MS, CCLS
12:00 Break
1:00 Educating and Encouraging Patients to Become More Engaged in Maintaining Nutritional Needs – Jessica Tower, MS, RD, LD and Rachel Finn, CMH Chef
2:00 Transition from CKD to Dialysis to Transplant: Case-based Presentations – Amanda Porter, MS, CCLS and Robin Davis, MS, CCLS
3:00 Dialysis: The Patient Perspective and Experience – Robin Davis, CCLS
4:00 Interactive Discussion
5:00 Adjourn