1. business and industrial
2. business operations
3. business plans

Endorsed by:
Endorsed by:
OCTOBER 16-17
BioScience Research Collaborative
Rice University
Houston, TX
Pre-conference symposia:
Cardiac/Respiratory and NCDR
ACTION Registry® - GWTG™
OCTOBER 15, 2014
STEMI TEXAS 2014
BUILDING SYSTEMS OF CARE
Innovations | Technology | Quality
stemitexas2014.com
REGISTER ONLINE
General Information
stemitexas2014.com
ELECTRONIC SYLLABUS
TUITION
MEETING AND LODGING
In our efforts to “go green,” our syllabus
will ONLY be available electronically.
Attendees will be provided a flash drive
and a link to obtain course materials on
the internet. You are welcome to bring your
laptop with you to the program to follow
along. Please have your laptop fully charged
as electric outlets will be limited.
Course tuition includes access to all sessions
and workshops, continental breakfast and
lunch both days and access to course content.
This meeting will be held at the BioScience
Research Collaborative (BRC) on the Rice
University Campus. A block of sleeping rooms
has been reserved at the Hilton Houston
Plaza/Medical Center, 6633 Travis Street,
Houston, TX 77030, a short walk from the
BRC. A special guest room rate of $184
single/double (plus tax) has been granted
for attendees of this meeting.
ACCREDITATION /CREDIT DESIGNATION
Scott & White is accredited by the
Accreditation Council for Continuing Medical
Education to provide continuing medical
education for physicians.
Scott & White designates this live activity
for a maximum of 23.25 AMA PRA Category
1 Credit™. Physicians should claim only
credit commensurate with the extent of
their participation in the activity.
Please note that the 23.25 Category 1 credits
includes 7.25 credits for Action Registry
workshop, 8.25 credits for the Cardiac
Symposium and 2 credits for the Optional
ABIM Module Workshop (additional fee
required for pre-conference workshop(s)
and/or module).
This activity does meet Texas ethics requirements.
Baylor Scott & White Health, Central Region
is an approved provider of continuing nursing
education by the Texas Nurses Association,
an accredited approver by the American
Nurses Credentialing Center’s Commission
on Accreditation.
This activity is approved for up to 19.65 contact
hours, with up to 2 contact hours directed
toward advanced pharmacotherapeutics.
Please note:
Tuition fees increase $50 after September 13.
Two Day Conference
Physicians..........................................................$239
Physician assistants,
nurse practitioners...........................................$189
Nurse/EMS personnel....................................$139
Optional ABIM Module Course....................$125
Optional pre-conference
Cardiac/Respiratory
or ACTION Symposium................................... $50
If attending the 2-day conference................. $30
CONFERENCE AND SYMPOSIUM
CANCELLATION/REFUND POLICY
We request that all conference attendees
pre-register to assure the availability of
all conference materials. No refunds will
be provided for cancellations received
after October 3. Refunds (minus $100
administration fee) will be provided to
registrants who cancel their registration
in writing up to October 3.
The conference organizers will not be
responsible for reimbursement of airline fees
and other accommodation expenses. Walk-in
registrations are accepted, but we cannot
guarantee seating or conference materials
the day of the conference.
EDUCATIONAL METHODS
The activity will consist of didactic lectures
supplemented by slide presentations and
computerized audience response interaction.
Lectures will be case based and focus on
evidence based updates.
Interactive sessions including workshops and
Q&A times are included.
To make reservations at this rate, telephone
the hotel directly at 713-313-4000 and
identify yourself as attending the STEMI
Texas 2014 Conference. Reservations
requested after September 9 will be accepted
only on a space available basis.
Reservations may also be made online at
StemiTexas2014.com.
EXPERIENCE HOUSTON
With a pleasant climate year round and many
unique attractions, Houston is a perfect
destination for a vacation or a corporate
event. And after a busy day, relaxation is
easy at Hilton Houston Plaza. Guest rooms
begin above the eighth floor with lovely views
above tree-lined neighborhoods surrounding
Rice University. Downtown Houston is just
minutes away and the immediate vicinity is
home to museums, golf courses, theme parks,
sports events and shopping. There are more
than 8,000 restaurants in the Houston area.
The George R. Brown Convention Center is
just three miles away and the Reliant Complex
& Stadium is only one mile from the hotel.
SPECIAL CONSIDERATIONS
We do try to control the temperature in the
meeting room, but for your comfort, please
remember to bring a jacket.
Conference Overview
BUILDING SYSTEMS
OF CARE
Innovations | Technology | Quality
The 7th Annual STEMI Texas Conference will present
state-of-the-art lectures, debates and workshops designed to
deepen your understanding of the diagnosis and treatment of
myocardial infarction and its sequelae. The meeting will promote
productive interdisciplinary and interfacility cooperation leading
to improvements in patient and quality metrics. This meeting
is designed for physicians in cardiology, emergency medicine
and primary care. It is also specifically designed for nurses and
emergency medical personnel involved in cardiac care.
Meets Texas Ethics and Advanced Pharmacotherapeutics Requirements
OBJECTIVES
After participating in this comprehensive activity,
the learner should be able to:
•Discuss the important role of early reperfusion
in the optimal care of patients with STEMI
•Discuss the basics of how to start, monitor and
improve clinical pathways of care for STEMI
•Prepare to participate in a regional STEMI network,
either as a sending or receiving hospital
•Identify current treatment modalities following
a resuscitated cardiac arrest
•Discuss national guidelines, organizations and
standards for STEMI care
STATEWIDE MULTIDISCIPLINARY EXPERT
FACULTY AND LEADERS IN STEMI
Assistant Program Directors
Program Directors
Guest Faculty
Vernon Anderson, MD, FACC, FSCAI
Manos Brilakis, MD, PhD, FACC
Gerald Caldwell, RN, MSN, LP
Todd Caliva, FACHE
Steven Costa, MD, FACC
Timothy A. Mixon, MD,
FACC, FSCAI
Gregory J. Dehmer, MD
FACC, MSCAI, FAHA
Associate Professor
of Medicine
Texas A&M Health Science
Center College of Medicine
Interventional Cardiologist
Scott & White Healthcare
James McCarthy, MD
Catherine Bissell, RN
Professor of Medicine
Associate Professor,
Emergency Medicine
Regional Manager
of Clinical Development
Texas A&M Health Science
Center College of Medicine
University of Texas Medical
School at Houston
Southwest Texas Regional
Advisory Council
Director, Division of Cardiology
Medical Director,
Emergency Services
Scott & White Healthcare
Memorial Hermann Hospital
Ali Denktas, MD
Loni Denne, RN, BSN
Pratik Doshi, MD
John Erwin, MD, FACC
D. Scott Gantt, DO, FACC, FSCAI
Gonzalo Gonzalez-Stawinski, MD
Biswajit Kar, MD
David May, MD, PhD, FACC
David Persse, MD, FACEP
Anand Prasad, MD, FACC, FSCAI
Jeff Schussler, MD, FACC, FSCAI
Richard Smalling, MD, PhD, FACC
Ravi Villabhan, MD, FACC, FSCAI
Robert Wozniak, MD, FACC
STEMI Texas 2014 Agenda
DAY 1
SESSION 1: STEMI Systems of Care
Moderator: Timothy A. Mixon, MD, FACC, FSCAI
8:15 a.m.
Introduction/Welcome
Timothy A. Mixon, MD, FACC, FSCAI
8:25 a.m.Overview: STEMI Systems of Care
Timothy A. Mixon, MD, FACC, FSCAI
9:05 a.m.STEMI Transfers: The Gap between
Ideal and Reality and How to Narrow It
James McCarthy, MD
9:25 a.m.
Top 5 Impact Publications on STEMI Care: 2013-2014
John Erwin III, MD, FACC
9:50–10:10 a.m.
BREAK
SESSION 2: Pharmacotherapy
Moderator: Timothy A. Mixon, MD, FACC, FSCAI
10:10 a.m.
nticoagulant Use in STEMI: Bivalirudin Under Fire
A
Anand Prasad, MD, FACC, FSCAI
10:30 a.m.Fibrinolytics: Definites, Maybes and Possiblys
Ravi Villabhan, MD, FACC, FSCAI
10:50 a.m.Illustrative Case Studies in Antiplatelet Medications
11:10 a.m.Beta-blockers in AMI: Where Are We Now,
and How We Got Here
John Erwin III, MD, FACC
11:30 a.m.Novel Anticoagulants and Their Role in ACS
Ravi Villabhan, MD, FACC, FSCAI
12:15–1:30 p.m. LUNCH BREAK
LUNCH WORKSHOPS/SYMPOSIA 12:30–1:15 p.m.
ECG Review—STEMI Mimickers
Steven Costa, MD, FACC
Building a STEMI Effort within Your RAC
Robert Wozniak, MD, FACC
Catherine Bissell, RN
STEMI Data Collection: Using Data to Measure
and Drive Change
Loni Denne, RN, BSN
Gerald Caldwell, RN, MSN, LP,
D. Scott Gantt, DO, FACC, FSCAI
Ethics and Acute Cardiac Care
Jeffrey Schussler, MD, FACC, FSCAI
3:35 p.m.
Cardiogenic Shock in AMI: Role of Surgical Therapy
Gonzalo Gonzalez-Stawinski, MD
3:55 p.m.Return of Spontaneous Circulation (ROSC)—
To Cath or Not to Cath?
Anand Prasad, MD, FACC, FSCAI
4:10 p.mUpdate on Trial Data Support for Therapeutic Hypothermia
in the Resuscitated Patient
Pratik Doshi, MD
4:30–6 p.m.
Poster Session / STEMI Texas 2014 Reception
4:45–5:15 p.m.
Top Three Posters: Oral Presentations
6 P.M.ADJOURN FOR DAY
Call for Posters
This year’s STEMI Texas 2014 Conference will feature a new program
devoted to poster presentations. As institutional and regional STEMI
programs have been formed, there have been many important and unique
strategies, techniques and protocols created to address various challenges
and barriers to delivering timely, state-of-the-art care. We want to highlight
and share the successful processes which have been developed within
various programs.
We are accepting submissions for poster presentations. Posters
will be displayed throughout the conference, with a special afternoon
session designed to allow time for questions and interaction among
all attendees and those presenting.
Suggested topics include: solutions to system process issues, development
and/or utilization of data collection tools, improvements in transfer
processes, solutions relating to improving the flow from prehospital to ED
to catheterization laboratory, EMS process improvement (e.g., 12 lead ECG
acquisition, transmission, communication, etc.).
A panel of multidisciplinary experts will judge all poster submissions, with
free course tuition awarded for the top three posters. All accepted posters
will be prominently displayed throughout the meeting; each poster that
is displayed must be accompanied by at least one author attending the
meeting. Additionally, we will invite the top three posters to make a brief
oral presentation at the poster session.
Physicians (including residents and fellows), STEMI coordinators,
EMS personnel and nursing personnel are all invited to contribute.
All posters should be submitted by Friday, September 19, 2014, to [email protected].
SESSION 3: Moderator: James McCarthy, MD
1:30 p.m.
Patient Testimonial
DAY 2
2 p.m.
rganizations in Texas Focusing on STEMI
O
Richard Smalling, MD, PhD, FACC
SESSION 5A: Healthcare Reform, Policy & Finances
Moderator: D. Scott Gantt, DO, FACC, FSCAI
Panel: Gregory Dehmer, MD, FACC, MSCAI, FAHA
David May, MD, PhD, FACC
Robert Wozniak, MD, FACC
8 a.m.
PCI without On-Site Surgery
Gregory Dehmer, MD, FACC, MSCAI, FAHA
2:15 p.m.Data Collection Efforts in Texas
Vernon Anderson, MD, FACC, FSCAI
2:30 p.mCurrent ACTION Registry Data in Texas
Robert Wozniak, MD, FACC
2:45 p.m.Panel Discussion
3-3:15 p.m. BREAK
SESSION 4: Hospital Care
Moderator: John Erwin, MD, FACC
3:15 p.m.
TEMI & Cardiogenic Shock in the Cath Lab
S
Biswajit Kar, MD
REGISTER ONLINE
stemitexas2014.com
8:15 a.m.Impact on Ongoing Healthcare Reform
on Acute Cardiac Care
David May, MD, PhD, FACC
8:35 a.m.
Point/Counterpoint
8:40 a.m. Protagonist: Upside of STEMI Legislation
8:50 Antagonist: Unintended Consequences
of STEMI Legislation
9 a.m.
Discussion/Q&A
9:25 a.m. Clinical Competence: Implications for Credentialing for PPCI
Gregory Dehmer, MD, FACC, MSCAI, FAHA
10:55 a.m.Prehospital Fibrinolytics Debate
9:40 a.m. inancial Impact of STEMI Care
F
David May, MD, PhD, FACC
SESSION 5B: ABCs of Getting Started (STEMI Bootcamp)
11:05 a.m.Antagonist: We’re Ahead of the Data
Timothy Mixon, MD, FACC, FSCAI
Moderator: Catherine Bissell, RN
11:15 a.m.Panel Discussion
Panel: James McCarthy, MD
Loni Denne, RN, BSN
Gerald Caldwell, RN, MSN, LP
11:25 a.m.STEMI & Chronic Total Occlusions
Emmanouil Brilakis, MD, PhD, FACC
8 a.m.
ornerstone Principles of STEMI Systems of Care
C
James McCarthy, MD
10:55 a.m.Protagonist: Ready for Prime Time
Ali Denktas, MD
11:40 a.m.Stress (Tako-tsubo) Cardiomyopathy
Jeffrey Schussler, MD, FACC, FSCAI
11:55 a.m.Intersection of Free Standing EDs & Micro-Hospitals
and Acute Cardiac Care
David Persse, MD, FACEP
8:15 a.m.Lessons Learned from Team Building at SETRAC
David Persse, MD, FACEP
8:30 a.m.Protocols and Policies—Sharing of Practical Tools/
Best Practices
Loni Denne, RN, BSN
SPECIAL LUNCH SESSION 12:15-1:45 p.m.
8:50 a.m.Panel Discussion/Q&A
9:05 a.m.How to Be an Acute Cardiac QA Champion in My ED/
Hospital/EMS Program
Catherine Bissell, RN
9:20 a.m.Role & Importance of Administrative Buy-In
Todd Caliva, FACHE
9:35 a.m.How to Practically Use Data as a Vehicle of Change
Gerald Caldwell, RN, MSN, LP
BREAK
SESSION 6: Emerging and Controversial Issues
Moderator: Gregory J. Dehmer, MD, FACC, FSCAI, FAHA
Panel:
Emmanouil Brilakis, MD, PhD, FACC
Ali Denktas, MD
Timothy Mixon, MD, FACC, FSCAI
Jeffrey Schussler, MD, FACC, FSCAI
10:20 a.m.
Radial Debate
10:25 a.m.
Radial PCI in STEMI:
Protagonist: “Delinquent if not Diving In…”
Jeffrey Schussler, MD, FACC, FSCAI
Timothy Mixon, MD, FACC, FSCAI
Panel:
Emmanouil Brilakis, MD, PhD, FACC
Gregory Dehmer, MD, FACC, MSCAI, FAHA
Jeffrey Schussler, MD, FACC, FSCAI
Richard Smalling, MD, PhD, FACC
My Institution’s Most Interesting
or Unusual STEMI in 2014
Fellow Case Presentations
OPTIONAL AFTERNOON SESSION
ABIM MOC Module (Physician only)
Steven Costa, MD, FACC
2 p.m.
9:50 a.m.Panel Discussion/Q&A
10-10:20 a.m.
Moderator: 5 p.m.ADJOURNMENT
Fellow Case Presentations
This year’s STEMI Texas 2014 Conference will feature a new, fun and
interactive session entitled, “My Institution’s Most Interesting or Unusual
STEMI in 2014.”
Cases will be presented by invited cardiology fellows in training. All cases will
be presented before a joint session of the conference, moderated by an expert
faculty panel. Case presentations will be limited to 10 minutes, to be followed
by questions and discussion from the panel and the audience.
10:35 a.mRadial PCI in STEMI:
Antagonist: “It’s Ok to Use the Femoral Artery…”
Emmanouil Brilakis, MD, PhD, FACC
Fellows will present a case of ST segment elevation myocardial infarction that
was remarkable, problematic or unusual. Cases may represent a diagnostic
dilemma, a therapeutic challenge, a system-based problem or another
challenge posed by patient-related issues.
10:45 a.m.Panel Discussion
Please register online at stemitexas2014.com | Fax: 254-724-1753
Last Name
MD
First Name
DO
RN
NP
PA
LP
EMT-P
EMT-I
EMT-B
Address
State
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Phone (Home)
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Institution/Affiliation
2-DAY CONFERENCE SYMPOSIUM REGISTRATION FEE
(Includes materials, continental breakfasts, breaks and lunches)
$239–physician
$189–physician assistant, nurse practitioner
$139–nurse, EMS personnel
$125–Optional ABIM Module Course
Please Note: Add $50 after September 13.
PRE-CONFERENCE REGISTRATION FEE
(Lunch is provided as part of registration fee)
Choose ONLY one:
Cardiac/Respiratory
NCDR ACTION Registry - GWTG
$50–Pre-conference symposiums
Other:
City Phone (Office)
Middle Initial
$30–If attending 2 day conference
METHOD OF PAYMENT
Check (payable to Scott & White)
Visa
MasterCard
American Express
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Total Amount:
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Expiration Date:
Signature:
Mail or fax to: STEMI CME, Scott & White, 2401 S. 31st St., MS-26-A229, Temple, TX 76508
2401 S. 31st Street | Temple, TX 76508
OCTOBER 16-17
BIOSCIENCE RESEARCH COLLABORATIVE
RICE UNIVERSITY
HOUSTON, TX
STEMI TEXAS 2014
BUILDING SYSTEMS OF CARE
Innovations | Technology | Quality
Optional one-day pre-conference Cardiac/Respiratory Symposium
and NCDR ACTION Registry® - GWTG™ Symposium
REGISTER ONLINE
stemitexas2014.com
OCTOBER 15, 2014 | 8 a.m.–5 p.m.*
Cardiac/Respiratory Symposium
Eight-hour preconference symposium which will include six
hours of intensive ECG interpretation by nationally recognized
teacher, Tim Phalen. Topics will include STEMI essentials, STEMI
impostors, LBBB and AMI, 15 and 18 lead ECG and rapid 12 lead
acquisitions. The conference also includes presentations on airway
management (Mark Escott, MD) and management of excited
delirium (Wren Nealy).
Target audience: Nurses and emergency medical personnel at all
levels of experience.
Registration and check-in will begin at 7:30 a.m. Presentations
from 8 a.m. to 5 p.m., with appropriate breaks and lunch provided.
ACTION Registry GWTG Symposium
Join us for this eight-hour preconference symposium
presented by NCDR faculty. Target audience includes data
managers and abstractors, STEMI coordinators, QI physician
and non-physician champions and administrators.
Presentations and interactive sessions will include
understanding of the AHA, ACC and DCRI relationship
as it relates to the Mission: Lifeline Reports, increasing
knowledge of Mission: Lifeline Resources, reviewing and
understanding data entry and interpretation of various
Mission: Lifeline Reports.
Registration and check-in will begin at 7:30 am.
Presentations from 8 a.m. to 5 p.m., with appropriate
breaks and lunch provided.
*NOTE: Both symposiums run concurrently.