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Friday, March 4, 2022

HD Fundamentals

9:00 am-11:00 am

9:00      How to Measure Adequacy in CRRT

9:30     Maximizing AV Fistula Longevity

10:00    Covid 19 in the Dialysis Unit- Lessons Learnt

10:30    Essentials of Phosphate Management via HD Prescription

11:00    A Practical Approach to Anemia Management in Maintenance HD

11:30    Discussion

12:00    Adjourn

Home Dialysis

9:00 am-11:00 am

9:00     Why Home Dialysis? – Eric Weinhandl, PhD

9:30     Challenges and Obstacles in Home Dialysis – Martin Wilkie, MD

10:15    Value-based Care Supporting Patients for Home Dialysis and Transplant – Bijal Patel, MD

10:45    Discussion

11:00    Break

Key Components to a Successful Home Program

11:30-1:00 pm

11:30    Integrating Urgent Start PD and Support Team: Making it Work – Shani Shastri, MD

12:10    Remote Patient Management – Compliance Management – Vikram Aggarwal, MD

12:50    Discussion

1:00     Break

Educating Patients and Care Providers

1:30-3:30pm

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

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

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

12:55     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

PD Access Management

12:30-2:00pm

12:30    PD Access Placement Techniques: Surgical, Laparoscopic, Percutaneous Techniques – John Crabtree, MD

1:15     Trouble Shooting a Non-functioning PD Catheter – Nupur Gupta, MD

1:45     Q and A

2:00     Break

Implementing Evidence-based Clinical Practice

Presented in Cooperation with Kidney Disease: Improving Global Outcomes (KDIGO)

12:30-2:00pm

12:30    Dialysis Initiation – Laura Dember, MD

12:55    Home Dialysis – Jeffrey Perl, MD
1:20     Symptom-based Complications in Dialysis -Magdalena Madero, MD

1:45      Discussion

2:00      Break

12:30-2:00 pm

Phosphate and Beyond

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     Calcimimetics in CKD: Where Do They Stand in 2022? – TBD

2:00     Break

Advances in Dialysis

4:00-6:00pm 

4:00     An Update on Implantable Kidneys – William Fissel, MD

4:30     Innovations in AVGs – Anil Agarwal, MD

5:00     “Real Time” Infection Screening in PD – Janelle Kaneda

5:30     Discussion

6:00     Adjourn

4:00-6:00 pm

Mitigating Cardiovascular Risk on HD 

4:00     Cardio Protection in HD by Pharmacotherapy: State of the Art – TBD

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

 

4:00-6:00 pm

An Update on AKI 

10:00    AKI in Covid 19- How Is It Different? – TBD

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

Dialysis Treatment Life Plan

4:00-6:00pm

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

4:00     Snuffbox AVF- A Debate – Pro/Con

Pro – Viraj Pandit MD, RPVI

Con – Tan 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

A Panel Presentation and Discussion on Transitional Care Dialysis

10:00-12:00

Moderators: Prayus Tailor, MD, Brendan Bowman, MD

Speakers: Prayus Tailor, MD, Vanessa Evans, Brendan Bowman, MD, Chelsea Roman, Suzanne Przybyla, MBA

10:00    Transitional Care Dialysis: What Is It and Why Do We Need It? A Physician and Patient Experience

10:25    How to Start a Transitional Care Unit: Practical and Financial Considerations

10:45    Transitional Care Outcomes: What Do We Know and Which Ones Matter?

11:05    The Role of TCU in Value-based Payment Models

11:20    Panel Discussion

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

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

10:00-12:00 pm

Managing Anemia in CKD 

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? – TBD

1:30     HIF-PH Inhibitors: Do Specific Patient Subpopulations Matter? – Jay Wish, MD

2:00     Break

Palliative Care in Nephrology

12:30-2:00

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

System Changes to Maximize Staff Utilization in Home Programs

12:30-2:00

12:30    Group Training for Home Dialysis – Susan Ostrzycki, RN

1:00     Role Delineation of Patient Care Technicians in Home Programs – Keith Lester and Anthony Dominguez

1:45     Q and A

2:00     Break

12:30-2:00 pm

Innovative Approaches in Nutritional Management of CKD

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

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, MD

5:30     Dialysis Symptoms: Exercising Some Control – Clara Bohm, MD, MPH, FRPC

6:00     Adjourn

Nursing Workshop

4:00-6:00pm

This session will discuss some of the most difficult situations nurses encounter in their clinical practice.  Panelists will offer strategies how nurses should utilize evidenced-based practice and how patients can better be engaged in their medical care.  Topics to be discussed will include:

  • Obtaining Kinetic Measurements in PD Patients – Amanda Northrup, RN
  • Home Records: Why Do We Need Them? – Jennifer Ravert, RN
  • Practical Strategies to Implement Best Practices to Reduce Infections in PD and Home HD – Sharon Ayers, RN

 

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 2

12:30-2:00 pm

Moderator: Steven Alexander, MD and Amy Nau, MBA, MSN, RN, CNN, NE-BC

12:30    Cardiovascular Complications – Franz Schaefer, MD

1:00     Pediatric Dialysis Nutrition Guidelines – Kirsten McFadyen, RD

1:30     Growth and Growth Hormone Therapy – Jens Grube, MD

2:00     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

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

RD’s Breakout I

2:30-3:45 pm

Moderator: Kirsten McFadyen, RD

Introduction to Resources – Nonnie Polderman, BSc, RD

Session 4

4:00-5:00 pm

Moderators: Alicia Neu, MD and Theresa Mottes, MSN, APRN, CPNP/AC

4:00     Major Infectious Complications – Mahima Keswani, MD

4:30     Renal Anemia: The Basics – Meredith Atkinson, MD

5:00      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

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

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

RD Breakout II

4:00-6:00 pm

NICU Nutrition: Feeding Infants with Kidney Disease

Moderator:  Kirsten McFadyen, RD

Speakers: Elisha Pavlick, RD and Susan McGowan, RD


Sunday, March 6, 2022

Session 7 – Hot Topics 

10:00 am-12:00 pm

Moderator: Franz Schafer, MD

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)

    • 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

RD Breakout III

10:00-12:00 pm

Fiber in the Renal Diet

Moderators:  Nonnie Polderman, BSc, RD and Elisha Pavlick, RD

Speakers:  Evelien Snauwaert, MD and An Desloovere, RD

Session 8: – Lessons Learned from Collaborative Studies

12:30-2:00pm

Moderator: Alicia Neu, MD

12:30    MD Perspective – Rebecca Ruebner, MD

1:00     Nursing Perspective – Theresa Mottes, MSN, APRN, CPNP/AC

1:30     Dietitian Perspective – Marisa Calderon, RD

2:00     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

·       Parent/Patient 1 – (TBD)

·       Parent/Patient 2 – (TBD)

4:30     Psychologist Perspective – Rebecca Johnson, PhD

4:45     Discussion and Q & A

5:00     Life as the Sibling of a Patient on Dialysis

·       Sibling/Parent 1 – (TBD)

·       Sibling/Parent 2 – (TBD)

5:30     Psychologist Perspective – Rebecca Johnson, PhD

5:45     Discussion and Q& A

6:00      Adjourn

Sunday, March 6, 2022

Session 1          Practical Implementation of Kidney Health Initiative (KHI):  Facility and Staff Optimization

10 AM- 12 PM

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 – TBD

12:00    Break

Session 2          Practical Implementation of Kidney Health Initiative (KHI):  Focus on the Patient

12:30-2:00 PM

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

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

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:

10:00    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