American College of Cardiology

Emergency Cardiovascular Care 2008:
Strategies for Enhancing STEMI Systems for Reperfusion

Co-sponsored by:

Program Directors: Christopher B. Granger, MD, FACC; James G. Jollis, MD, FACC; Mayme Roettig, RN, MSN

May 30 - 31, 2008
Fairmont Hotel
Washington, DC

PROGRAM OVERVIEW
Statement of Need
Despite almost two decades of data supporting rapid reperfusion therapy for ST-elevation myocardial infarction (STEMI), the U.S. healthcare system remains unable to provide reperfusion to a substantial proportion of eligible patients in a timely fashion.  Data from various registries continue to indicate that almost 50% of eligible patients are treated too slowly, and even more disconcerting is that up to half of eligible patients over 65 years of age do not receive any reperfusion therapy.

With three times as many Americans dying from acute myocardial infarction than as a result of motor vehicle accidents, there is an urgent need to develop a regional integrated STEMI trauma system as suggested by recent ACC/AHA Guidelines.

Overview
This innovative two-day program will provide evidence-based strategies and tools to enable multidisciplinary teams to develop, improve and/or implement regional integrated systems for rapid reperfusion in STEMI patients. The overall goal of the program is to provide a balanced view of the options and best practices in improving time to reperfusion to optimize outcomes in STEMI patients.

This comprehensive and provocative educational program features cases, workshops and stimulating debate on key topics:

• Pros and cons of organizing a STEMI system for reperfusion
• Discussion of emergency medical system issues
• Measurement and feedback of STEMI care
• Primary PCI issues
• National and regulatory issues

Plus interact with national experts in the field!

New this year – Team Care Simulation Workshop!

Learner Objectives
Upon completion of this program, attendees should be able to—

• Build and/or enhance a regional integrated system for STEMI reperfusion that includes EMS, emergency medicine and cardiology in PCI and non-PCI centers
• Employ optimal systems and strategies for diagnosis and management of STEMI, including destination and transfer protocols based on clinical trials evidence; practice guidelines and quality of care standards
• Describe existing successful STEMI regional plans that are pertinent to a wide array of geographical and political realities
• Identify collaborative solutions to overcome existing barriers to coordinated regional STEMI care
• Establish a framework for the accelerated development, enhancement and training of multidisciplinary STEMI teams in their regional practice areas
• Discuss the pros and cons of the current system practices
• Identify available tools to provide feedback for quality improvement for STEMI care

FACULTY
Program Directors

Christopher B. Granger, MD, FACC
Associate Professor of Medicine
Duke University Medical Center
Durham, NC

James G. Jollis, MD, FACC 
Director, Cardiac Diagnostic Unit
Duke University Medical Center
Durham, NC

Mayme Lou Roettig, RN, MSN
Executive Director, RACE
Duke University Medical Center
Durham, NC

Invited Faculty

Drew Dawson
Acting Director, Office of Emergency Medical Services
National Highway Traffic Safety Administration
Washington, DC

Bernard Gersh, MB, ChB, DPhil, FACC
Professor of Medicine
Division of Cardiovascular Diseases
Mayo Clinic
Rochester, MD

William Hamman, MD
Research Scientist, College of Aviation
Western Michigan University
Battle Creek, MI

Timothy D. Henry, MD, FACC
Director of Research
Minneapolis Heart Institute Foundation
Professor of Medicine
University of Minnesota
Minneapolis, MN

James W. Hoekstra, MD
Chairman, Emergency Medicine
Professor of Emergency Medicine
Wake Forest University
Winston Salem, NC

Alice Jacobs, MD, FACC
Professor of Medicine
Director, Cardiac Catherization Laboratory and Interventional Cardiology
Boston Medical Center
Boston, MA

Eva Kline-Rogers, RN, MS
Acute Care Nurse Practitioner
University of Michigan Hospitals and Health
Ann Arbor, MI

David M. Larson, MD
Minneapolis Heart Institute Research Foundation
Minneapolis, MN

Joseph Lynch, RN, CPHQ
Associate Director, ACTION Registry™
American College of Cardiology
Washington, DC

David Marcozzi, MD, FACEP
Senior Medical Advisor
Office of Preparedness and Emergency Operations
US Department of Health and Human Services
Washington, DC

Greg Mears, MD, FACEP
NC EMS Medical Director
University of North Carolina-Chapel Hill
Chapel Hill, NC

J. Brent Myers, MD, MPH, FACEP
Medical Director
Raleigh Wake County EMS System
Adjunct Assistant Professor of Emergency Medicine
University of North Carolina
Wake County EMS
Raleigh, NC

Brahmajee K. Nallamothu, MD, MPH, FACC
Assistant Professor, Department of Internal Medicine
Cardiovascular Medicine
University of Michigan Medical School
Ann Arbor, MI

Robert E. O'Connor, MD, MPH
Professor and Chair, Department of Emergency Medicine
University of Virginia Health System
Charlottesville, VA

Eric Peterson, MD, FACC
Professor of Medicine
Director, Cardiovascular Outcomes
Duke Clinical Research Institute
Duke University School of Medicine
Durham, NC

Franklin D. Pratt, MD, FACEP
Medical Director
County of Los Angeles Fire Department
Los Angeles, CA

Michael T. Rapp, MD, JD, FACEP
Director, Quality Measurement and Health Assessment Group (QMHAG)
Office of Clinical Standards and Quality (OCSQ)
Centers for Medicare and Medicaid Services (CMS)
Baltimore, MD

Matthew T. Roe, MD, FACC
Duke Clinical Research Institute
Duke University School of Medicine
Durham, NC

Ivan Rokos, MD, FACEP
University of California Los Angeles - Olive View
Altadena, CA

Robert Solomon, MD, FACEP
Clinical Assistant Professor of Emergency Medicine
West Virginia School of Osteopathic Medicine
Lewisburg, WV

Jenny C. Underwood, RN, BSN, CCRN
RACE Nurse Coordinator
Duke University Medical Center
Durham, NC

Barbara T. Unger, RN, BS, FAACVPR
Program Director, Level 1 Heart Attack System
Director, Emergency Cardiac Systems
Minneapolis Heart Institute at Abbott Northwestern Hospital
Buffalo, MN

DISCLOSURES
ACCF committee members, faculty, staff and other individuals who are in a position to control the content of this activity are required to disclose all real or apparent conflicts of interest.  All relevant potential conflicts of interest that are identified are thoroughly vetted through a process that includes course directors and appropriate peer review by education committee chairs/members, for fair balance, scientific objectivity and validity, patient care and safety recommendations.  ACCF staff involved with this program have nothing to disclose. Refer to the links below for committee members and faculty disclosures.

ACC Live Programs Committee (2007-2010) disclosures

AGENDA
Click here for agenda.

TARGET AUDIENCE
This program is intended for a multidisciplinary team comprising physicians and nurses/NPs/PAs in acute cardiac care; emergency physicians and nurses; EMS directors and staff teams; CV and ED technologists; administrators and quality improvement professionals; paramedic supervisors and educators; and local, regional and national leaders in cardiac care.

Special group registration discounts available for non-physician care teams registering together.

ACCREDITATION
Physicians
The American College of Cardiology Foundation is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The ACCF designates this activity for a maximum of 16.5 AMA PRA Category 1 Credits™.   Physicians should only claim credits commensurate with the extent of their participation in the activity.

Approved by the American College of Emergency Physicians for 16.5 hours of ACEP Category 1 credit.

Nurses
The ACCF is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

This activity will offer up to 16.5 contact hours of nursing education. Nurses should claim only credits commensurate with the extent of their participation in the activity.  

While offering credits noted above, the program is not intended to provide extensive training or certification in the field.

REGISTRATION
To Register On Line for the Program click here.

To Register by Fax, Email or Phone for the Program click here.

Please note that if you are a member of ACEP (and you are not an ACC Member), you must submit your registration form through fax or mail to receive the member rate.

ACCOMMODATIONS
Location
All sessions will be held at The Fairmont Washington, DC Hotel, 2401 M Street NW, Washington, DC The meeting site telephone number is (202) 457-5041.

Accommodations
A block of rooms has been reserved at The Fairmont Washington, DC Hotel.

Reservations will be accepted by telephone, fax, mail and online:

• Phone: the Global Reservations Center (800) 441-1414
• Fax:      (202) 457-5089
• Mail: 2401 M Street NW, Washington, D.C. 20037
• Online: www.fairmont.com/washington

Identify yourself as a participant in the College of Cardiology Foundation program – Emergency CV Care 2008.

Room Rates
The room rate is $199 single or double occupancy plus 14.5% state tax (subject to change) per night.  ACC room block is scheduled to be held until April 22, 2008 but may sell out prior to this date  We advise you to register for this program and reserve your lodging immediately.  When you make your reservation, please be sure to ask about early departure fees or cancellation penalties.

GENERAL INFORMATION
Fee
The registration fee includes continental breakfasts, refreshment breaks, lunches and all learning materials.  Your registration will be confirmed by email or fax.

The Joint Session for ACCF and SAEM is a limited optional session offered at no charge to the attendees of the ACCF ER CV Care Conference. 

Cancellations
Cancellation, substitution or transfer to another course is allowed if written cancellation is received four weeks before a scheduled course. A full refund minus a $100 processing fee will be given for written cancellations received fewer than four weeks before the first day of the program. No refund will be given for no-shows.

In the unlikely event that the program is canceled, the College will refund the registration fee in full but is not responsible for any travel or hotel costs you may incur.

ACCF reserves the right to cancel programs in the unlikely event of insufficient enrollment or other unforeseen circumstances. If a program is canceled or postponed, ACCF will refund registration fees but cannot be held responsible for other costs or expenses, including cancellations/change penalties assessed by airlines, travel agencies or hotels.

Please Note
Smoking is prohibited in all ACCF meeting rooms.

Videotaping, audiotaping and still photography are prohibited in all ACCF meeting rooms.

We encourage participation by all individuals. If you have a disability, advance notification of any special needs will help us serve you better.

Faculty and program are subject to change without notice.  Views expressed in this program are those of the individual speaker and do not necessarily reflect views of the ACCF.

ACKNOWLEDGMENTS
At the time of printing, a complete listing of industry supporters was not available. Appropriate acknowledgment will be updated upon confirmation of support and at the time of the program.