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2020 Annual Conference Agenda





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Pre-Conference Learning Labs

4 Contact Hours for each Learning Lab selected- Additional fee of $130 for each learning lab selected

Wednesday, October 14, 2020

7:30 am – 5:00 pm - Registration

7:30 am – 9:00 am - Continental Breakfast

8:00 am – 12:15 pm – Learning Lab – 4 Contact Hours

LL2001 Cardiovascular Pharmacology: Update on HTN and Dyslipidemia Treatment Guidelines and New Oral Anticoagulants (RX 4.0)

Review and update on the basic and clinical pharmacology of medications used in the treatment of cardiovascular disorders including antihypertensives, anticoagulants, DVT treatment and prevention, drugs for lipid-lowering. Additionally, an update on treatment guidelines for the above disorders where applicable.
Speaker: Alan P. Agins, PhD

12:15 pm – 1:30 pm – Lunch on Own

1:30 pm – 5:45 pm – Learning Lab – 4 Contact Hours

LL2002 Antibiotics Review (RX 4.0)

A review of the fundamentals of antibiotic therapy including the pharmacodynamics and pharmacokinetics of the different classes of agents. Within this framework we will examine both drug and patient factors that need to be considered regardless of MIC, the different types and impact of antibiotic resistance, debunk myths about static vs. cidal drugs, review the rationale for having multiple “generations” of certain classes and more. We will then systemically discuss the basic and clinical pharmacology of the major classes of antibiotics used in primary care (beta lactams, macrolides, tetracyclines, sulfonamides, fluoroquinolones, etc.).
Speaker: Alan P. Agins, PhD

Thursday, October 15, 2020

7:30 am – 5:00 pm - Registration

7:30 am – 9:00 am - Continental Breakfast

8:00 am – 12:15 pm – Learning Lab – 4 Contact Hours

LL2003 Pharmacology 101 (RX 4.0)

A review of pharmacodynamic principles (potency, maximal efficacy, tolerance, desensitization, side effects, drug allergies, bioequivalence, generics, and more) and pharmacokinetic processes (absorption, protein binding, drug metabolism, renal elimination, interactions, etc.) with specific emphasis on their relationship and relevance to the everyday “real world” practice of clinical medicine.
Speaker: Alan P. Agins, PhD

LL2004 From Clinician to Business Owner – The non-clinical considerations of starting your own practice/business

This presentation will explore the financial, legal and tax consideration of starting your own practice. There will be a deep dive into the following:

  • Getting your personal balance sheet ready for the transition.
  • What are the legal aspects for forming a business that you should be aware of?
  • Creating an operating agreement, what should be included and addressed from a legal perspective, who does it cover and what are the triggers?
  • Setting up the legal entity and the tax considerations associated with eatch type of entity.
  • How will you ultimately exit from your business and transition into retirement?
  • What human resources issues will you encounter and what do you need to be aware of in terms of doing business in NYS and the non-clinical aspects associated with owning a practice?

Speakers: Jason S. Lurie, MBA, Wealth Advisory Group, LLC; Meg Gilmartin, Esq., The Gilmartin Law Firm; Shannon Forkin, CPA, Partner Dannible & McKee, LLP

12:15 pm – 1:30 pm – Lunch on Own

1:30 pm – 5:45 pm – Learning Lab – 4 Contact Hours

LL2006 Pharmacological Management of Pain (RX 4.0)

Part 1 will be a review of opioid analgesics used in pain management with special emphasis on the importance of pharmacodynamic (potency, receptor affinity, multiple mechanism agents, etc.) and pharmacokinetic (metabolism, renal, genetics, etc.) differences that can impact clinical outcomes. Also, side effects and management, physical dependence, tolerance, and incomplete cross-tolerance.

Part 2 will be a review and update of the basic and clinical pharmacology of non-opioid analgesics including NSAIDS, acetaminophen and adjunct drugs such as antidepressants, antiepileptics and topicals with emphasis on opioid-sparring treatment options.
Speaker: Alan P. Agins, PhD

LL2007 Own and Operate a Successful House Call Practice: Everything you Need to Know

In-depth presentation and interactive workshop to outline everything you will need to know to start and expand an independent nurse practitioner house call practice. Workshop will discuss capital requirements, ROI concepts, legal requirements, as well as expansion and employee considerations.
Speaker: Denis Tarrant, DNP, ANP-BC

Friday, October 16, 2020

7:00 am – 5:00 pm - Registration

7:15 am – 9:00 am – Continental Breakfast

8:00 am – Welcome

8:15 am – 9:30 am Keynote – 1.25 Contact Hours

A2009 Diversifying the Health News Media: Nurse Practitioners as Expert Sources

The media landscape has changed a lot in 20 years. So has nursing. Yet nurses and nurse practitioners remain invisible in health news stories. Learn how to disrupt the health news media by becoming media competent to amplify the voice of nursing and elevate the profile of your profession.  Once of the competencies for nurse leaders and innovators should be effectively communicating key messages to various audiences, including the public.

This presentation is a call to action to raise the visibility of New York State nurse practitioners as experts in the media on health and social issues impacting the nation’s children, families and communities.
Speaker: Barbara Glickstein, MS, MPH, RN

9:30 am – 10:45 am – General Session – 1.25 Contact Hours

B2010 NPA 2020 Legislative Update

The NPA Governmental Affairs team will review the 2020 NPA legislative priorities, regulatory issues, and legislative activities held during the year.
Speakers: Joy Elwell, DNP, FNP-BC, FAANP; Joshua L. Oppenheimer, Esq.; Jane Preston

10:45 am – 11:15 am – Break in Exhibit Hall

11:15 am – 12:30 pm – Educational Sessions C2011 – C2017 – 1.25 Contact Hours

C2011 Benign Prostatic Hyperplasia: Evidence-Based Guidelines for Primary Care Providers (Mother Nature vs. Father Time) (RX .25)

This presentation will provide an overview of BPH including incidence, prevalence as well as discuss the pathophysiology of this benign disease entity.  It will also discuss how to properly diagnose and begin treatment in the outpatient office setting as well as provide appropriate referrals to Urology care providers.
Speaker: Jeanne Martin, DNP, ANP-BC
Level: Beginner/Basic

C2012 Infectious Disease Update: What is on the Horizon for 2020 (RX .83)

Infectious disease is constantly changing, and previously unrecognized infections are emerging. These conditions range from viral respiratory infections to zoonotic vector-borne diseases. Nurse practitioners need to be aware of these conditions and include them in the differential diagnosis. A review of diseases targeted by the Centers for Disease Control and Prevention as up and coming will be discussed. Clinical signs and symptoms will be reviewed. The most current evidence-based treatments will be addressed.
Speaker: Mary Koslap, DNP, PPCNP-BC, CPNP, FAANP
Level: Intermediate

C2013 Differentiation, Diagnosis & Treatment of Dementia (RX 1.0)

Although there are commonalities among all the dementia’s, this session will examine the clinical features and course of cognitive impairment, the limitations of current testing and association between co-morbidities in order to assist in the differentiation between the various common dementia sub-types. The provider can then best determine the available treatments as well as support services appropriate for the dementia.
Speaker: Jody Agins, MSN, RNP, FNP/GNP-BC
Level: Intermediate

C2014 Pediatric ECG and Arrhythmia Interpretation

An overview of the cardiac conduction system and discussion about what each interval and complex represent on an ECG. Review of normal and abnormal ECGTs and rhythms including newborn and pediatric characteristics.
Speaker: Suzanne Hilt, MS, RN, CPNP
Level: Beginner/Basic

C2015 Two Truths and a Lie: [Practically] everything a New Clinician needs to Know about Contraceptive Choices (RX .50)

This practical session will provide an overview of available contraceptive options, including mechanism of action, benefits, contraindications, cost and reasons for method discontinuation and method failure. Additionally, we will cover commonly held beliefs and misconceptions about contraception to help clinicians better counsel patients. The session will also review lessons learned from the CHOICE Project, one of the nation’s largest prospective studies on contraception use. The content of this session is aimed at providers new to the field of family planning.
Speaker: Leia Raphaelidis, FNP-BC
Level: Beginner/Basic

C2016 ECMO Modalities in the Acute Care Setting (RX .25)

At the conclusion of this lecture, the participants will be able to identify the different modalities of ECMO in the acute care hospital setting including who are the candidates for ECMO therapy, how it is applied and managed and when to wean or terminate ECMO.
Speaker: Barbara Mills, DNP, ACNP-BC, ANP-C, PNP, CCRN, PCCN
Level: Advanced

C2017 Diabetes Medications: Implementing the Current Guidelines (RX 1.25)

There are a multitude of medications available to treat diabetes. Over the past few years, several medications have gained importance as research has shown that some have an added benefit of reducing the risk of cardiovascular disease/events, heart failure and the progression of kidney disease. This presentation will review the American Diabetes Association 2020 prescribing algorithm. Particular attention will be paid to the order of medication selection based on the evidence regarding potential impact on CVD and CKD.
Speaker: Eileen Egan, DNP, FNP-C, BC-ADM, CDE, FAADE
Level: Advanced

12:30 pm – 2:15 pm – Lunch Session – 1.25 Contact HoursLunch buffet begins at 12:30 pm. Lecture 12:45 pm – 2:00 pm. Additional cost of $35.

D2018 It Always Seems too Early Until it is too Late: End of Life Decision Making and the NP

As nurse practitioners, you are faced with supporting patients at all stages of life and through difficult decisions. However, we understand that patients and their families struggle with making decisions towards the end of life. In this presentation, we will speak about end of life planning, including an analysis of the various forms necessary to permit a patient to express his or her wishes. We will cover palliative care, hospice and organ donation, and examine the vital role that you have in starting the conversation that can provide families with increased peace of mind. By the end of the presentation, we hope that participants will feel more confident and empowered to raise these topics in a dignified manner.
Speaker: Robert L. Pitkofsky, Esq., Corporate Counsel, The Nurse Practitioner Association New York State
Level: Beginner/Basic


1:00 pm – 2:15 pm – Educational Sessions E2019 – E2020 – 1.25 Contact Hours
E2019 and E2020 are non-lunch sessions.

E2019 Resilience and Emotional Intelligence: Lessons Learned from Gumby

Stress, burnout, and resiliency in healthcare workers has become a national agenda item. Never have we seen such reports of nurses and physicians leaving the profession, changing jobs and reporting a very high job dissatisfaction. The issues are multi-factorial. What is clear from the literature, is that the healthcare system is not designed to meet the needs of patients and/or providers in the current state. Increased demands on providers time to document, perform clerical tasks, meet certain metrics, all at the same time assuring an "always" patient experience, has led to tremendous frustration.

Much of the emphasis on burnout and resiliency has been around how providers can develop coping strategies, while ignoring fundamental issues around creating environments that are healthy, allowing physicians and nurses to practice their passion. Some of the literature asserts that terms like burnout and resiliency and demoralizing, blaming the victim and normalizing deviance. Self-care is very important, and cannot be ignored, however neither can the systematic issues that are at the root of many of the issues.

This session will introduce emotional intelligence as a skill set that can be learned. The literature is clear that those with higher EQ have less burnout and higher resiliency. This session will be highly interactive and disruptive. For change to occur, positive deviance is essential. This session will provide an entry to the path to this disruption.
Level: Intermediate

E2020 Combining Traditional Medicine with an Accepted Healing Art: Bringing Reiki Therapy to the Treatment Plan

Nurse practitioners care for many patients who have pain and anxiety. These patients can be challenging to the practitioner to create a comprehensive plan of care, especially with the current concerns over using medications as the only solutions. Understanding the contributions non-traditional medicine can bring to the patient can be of help in providing comprehensive care. This presentation will describe the types of non-traditional medicine available to patients today as described by the National Center for Complimentary and Integrative Health (NCCIH) which was founded by the NIH 18 years ago. Current data will be presented from the studies conducted by the NCCIH. The focus will then be on the use of Reiki therapy for energy healing as a form of complementary medicine that can be used in the inpatient, outpatient, and home settings to improve relief of pain and anxiety. The presentation will include a demonstration of Reiki therapy.
Speaker: Connie A. Jastremski, MS, MBA, RN, ANP
Level:  Beginner/Basic

2:30 pm – 3:45 pm – Educational Sessions F2021 – F2027 – 1.25 Contact Hours

F2021 NPs Transitioning into Practice

This presentation is for the student nurse practitioner who will be graduating soon. Upon completion of this lecture the NP student will understand the role and expectations of the newly licensed NP and how they fit into the health care team; begin the development of communication techniques for approaching contract negotiations with essential members of the human resource team; identify three strategies to facilitate the transition from student to licensed, accountable NP; and, identify all required paperwork for submission to NYS for licensure, as well as, certifying bodies respective of their specialty.
Speaker: Jean Marie Osborne, DNP, RN, ANP-C
Level:  Beginner/Basic

F2022 Pain Assessment and Management for Nursing Home Residents (RX .58)

While pain has long been considered the “Fifth Vital Sign”, we are now observing under-use, over-use and/or misuse of medications in the nursing home setting. This session will provide a more in-depth assessment of pain in residents as well as review of pain management…enabling participants to objectively recognize and treat pain in the geriatric population, with special emphasis on those with dementia or non-verbal. The goal is to empower the caregiving staff, family and resident to provide greater patient comfort and satisfaction.
Speaker: Jody Agins, MSN, RNP, FNP/GNP-BC
Level: Intermediate

F2023 Autism Spectrum Disorder – Overview, Updates, Medicines and Tips for a Successful Visit (RX .25)

Overview of DSM 5 for autism spectrum disorder and differential diagnose, review statistics, review common classes of medications used and review tips for conducting a successful visit for a child with autism spectrum disorder.
Speaker: Melissa Ryan, MS, RN, CPNP
Level: Beginner/Basic

F2024 Managing Transgender Hormone Therapy in the Primary Care Setting (RX .50)

This session is designed to demystify transgender hormone therapy for adults, a service which can be provided safely by clinicians working in primary care and reproductive health. The session will include an overview of protocols for the provision of gender affirming hormone therapy. Also discussed will be the initiation, dosing, expected effects and prescribing pearls for estrogen, androgen-blockers and testosterone.
Speaker: Leia Raphaelidis, FNP-BC
Level: Intermediate

F2025 Components of a Rapid Response Clinical Scenario: How to Manage Medical Crisis (RX .50)

This lecture will enable the participants to understand the top 10 reasons for RRT calls in an acute care hospital setting. The participants will be able to identify components surrounding a Rapid Response call including learning PEARLS to assist them in identification of a medical crisis, how to manage the events with competence and understand the need to transfer to a higher level of care if required management of these events.
Speaker: Barbara Mills, DNP, ACNP-BC, ANP-C, PNP, CCRN, PCCN
Level: Intermediate

F2026 Ortho Upper Extremity 101

This presentation will cover common musculoskeletal conditions in the upper extremity: including the hand, wrist, elbow and shoulder. Discussion will include important considerations pertaining to the examination, evaluation, diagnosis and management of common orthopaedic conditions. Indications for x-rays and typical radiographic findings will also be covered. As part of this presentation, we will discuss situations that warrant prompt referral to a specialist in order to assure timely intervention and avoid long term, preventable consequences.
Speaker: Linda McHenry, MSN, RN, FNP, ANP-BC
Level: Intermediate

F2027 Substance Use Disorder: Latest Trends and Current Treatment Options (RX .50)

This presentation will provide an overview of the disease of addiction by reviewing key areas of the brain that are involved in addiction, looking at etiological factors affecting addiction, exploring Medication Assisted Treatment (MAT) options to address substance use disorder and looking at current trends in substance use.
Speaker: Eve Andersen-Beuscher, PMHNP-BC
Level: Beginner/Basic

3:45 pm – 4:15 pm – Break in Exhibit Hall

4:15 pm – 5:30 pm – Regional Meetings G2028 – G2034 – 1.25 Contact Hours

Regional meetings will provide members with highlights of specific NPA programs and activities and discuss activities that occurred during the year within the Region. Hear from your Regional Director as they introduce you to Region board members, discuss the need for leadership involvement and volunteers. Members will have the opportunity to ask questions during this session.

G2028 Region 1 – Southern Tier, Western New York
Region 1 Director, Jill Muntz, DNP, FNP-C

G2029 Region 2 – Finger Lakes, Greater Rochester, Susquehanna, Tompkins Cortland
Region 2 Director, Desiree Branson, DNP, RN, FNP-C

G2030 Region 3 – Lake Ontario, Mohawk Valley, Syracuse, Thousand Island
Region 3 Director, Melissa Reynolds, MS, FNP-C

G2031 Region 4 – Adirondack, Capital, Leatherstocking Catskill, Saratoga Warren
Region 4 Director, Gregory Rys, DNP, FNP-BC

G2032 Region 5 – Dutchess Ulster, Greater Newburgh, Lower Hudson Valley
Region 5 Director, Marietta Api, ACNP-BC

G2033 Region 6 – Brooklyn Queens, Manhattan Bronx, Staten Island
Region 6 Director, Dorothy Grasso, DNS, RN, FNP, CCRN

G2034 Region 7 – Long Island
Region 7 Director, Jean Marie Osborne, DNP, RN, ANP-C

6:30 pm – 10:00 pm - 40th Anniversary Celebration Dinner & Entertainment
Additional cost of $65 per person.
Plan to join your colleagues and celebrate 40 years of history and accomplishments of your professional association!
Cocktails, hors d’oeuvres, buffet dinner, entertainment provided by DJ Andy Pratt., raffles will be held throughout the evening, cash bar available. Adults only.


Saturday, October 17, 2020

7:00 am – 5:00 pm - Registration

8:00 am – 9:30 am – Continental Breakfast

8:30 am – 9:45 am – Educational Sessions H2035 – H2041 – 1.25 Contact Hours

H2035 9/11 World Trade Center Illnesses: An Overview of Certified WTC-Related Health Conditions, WTC Health Program and the Victim Compensation Fund

September 11th, 2020 marks the 19th anniversary of the deadliest terrorist attack on U.S. soil. It is estimated that approximately 400,000 were exposed to toxins at ground zero and as a result of those exposures have developed 9/11 related illnesses. To date, the federal government has deemed 68 cancers to be directly related to the September 11th terrorist attacks, along with many other illnesses and by 2019 well over 10,000 people were diagnosed with a 9/11-related cancer. This program will provide an overview of the WTC program, most prevalent illnesses associated with 9/11, surveillance recommendations, the James Zadroga 9/11 Health and Compensation Act, Enrollment Process, Certified Conditions, locations of Clinical Centers of Excellence and/or the Nationwide Provider Network, Medical Monitoring, Victims Compensation Fund, and Related Research Findings.
Speaker: Jean Marie Osborne, DNP, RN, ANP-C
Level: Intermediate

H2036 Assessment Tools to Evaluate Cognitive and Functional Impairment in the Elderly

Approximately 5.5 million individuals are living with dementia in the United State and this estimate is expected to increase as the population ages. Impaired cognitive status can significantly impact an individual’s ability to perform activities of daily living, thus determining where an elderly patient resides. Primary care providers are generally the first to screen, diagnose and treat these patients. Unfortunately, providers have limited time to perform these initial evaluations. This lecture will review several quick screening tools used to evaluate for cognitive and functional impairment in primary care. Case studies and video clips will be used to enhance the learning experience.
Speaker: Siobhan Sundel, DNP, GNP-BC, ANP
Level: Advanced

H2037 Common Sexual Complaints and How to Help

This presentation will offer a discussion of how to address the most common sexual complaints women have in practice today.  We will address decreased libido, pain with sex, and a brief discussion of difficulty/lack of orgasm. This talk will help increase comfort with these questions that are uncomfortable to address for many women and many health care providers.  Lack of knowledge and training is the primary reason for avoiding these subjects for fear of failure, so let’s resolve this issue and open up more rooms for counseling and helping women and their partners or women with no partner.  We will address lubricants, devices and educational resources for you and your patients. We will address when to refer and to whom.
Speaker: Kelly Battoglia, BSN, MS, OB/GYN, NP-BC
Level: Intermediate

H2038 Pediatric ENT: A Clinical Practice Update

This presentation will highlight the most common ENT complaints of children, with an in-depth review of specific diagnoses, exam findings, and plans of care. Children are affected by diseases and disorders of the ears, nose and throat frequently in their young lives, with acute otitis media being the second most common diagnosis after URI. Almost all healthcare providers working with children and families will encounter an issue specific to the ENT specialty. Clinical practice guidelines have changed over time, and updated knowledge of this is necessary to implement evidence-based practice. Appropriate management is key to optimize patient outcomes.
Speaker: Laine DiNoto, MS, RN-BC, PNP-BC
Level: Intermediate

H2039 Rescuing Your Patients and Your Practice: A Reimbursable 15-Day WFPB Jumpstart

Rochester Lifestyle Medicine Institute has developed a medically supervised Jumpstart using highly motivating instant-result lab testing on Day 1 and Day 15 of a whole-food plant-based diet program. There are 3 billable encounters on days 1, 8, and 15 which are run as shared/group medical visits. The Jumpstart educates, inspires and supports participants as they make lifestyle changes; often the most dramatic improvement is found in those who need it most. This program is now being rolled out nationally and is run by physicians and NP’s. Learn how you can help bring it to your community. Join us as we march into the belly of the beast—our modern health care system—to help patients and heal the planet at the same time.
Speaker: Ted D. Barnett, MD, FACLM
Level: Intermediate

H2040 Beyond A1C levels: The role of sodium glucose co-transporter 2 (SGLT2) inhibitors for patients with diabetes and cardiovascular disease, heart failure and/or chronic renal disease (RX 1.25)

It is well known that the main health complication for patients with diabetes is cardiovascular disease. For this reason, the FDA has required that all new diabetes medications include studies on cardiovascular outcomes that go beyond A1C level improvements. The American Diabetes Association and the American College of Cardiology endorse the use of SGLT2 inhibitors for the treatment of patients with type 2 diabetes and cardiovascular disease. Advanced nurse practitioners working in primary care or any specialty need to be knowledgeable regarding evidence-based findings on the use of this group of medication. This presentation will address when and how SGLT2 inhibitors can be introduced in the therapy of type 2 diabetes and which type of patient will benefit from it.
Speaker: Patricia Garnica, MS, RN, ANP-BC, CDE, CDTC
Level: Intermediate

H2041 The Thyroid: No mystery just need all the pieces to the puzzle

This presentation will cover thyroid disease, including thyroid cancer, hypothyroid and hyperthyroid disease. Discuss thyroid work up, what blood work and imagining studies to order. Discuss what the results mean, follow-up needed for the patient and when to refer.

Speaker: Todd Chennell, ANP-C, RNFA
Level: Beginner/Basic

9:45 am – 10:45 am – Break in Exhibit Hall

10:45 am – 12:00 pm – General Session – 1.25 Contact Hours

I2042 NPA General Membership Meeting

NPA President, David Goede, DNP, ACNP-BC and Executive Director, Stephen Ferrara, DNP, FNP-BC, FAANP will introduce the current NPA board, give a report on the current state of the association, its programs and accomplishments. You will hear from candidates running for office for The NPA Board of Directors. In accordance with NPA by-laws, a vote of these candidates if running unopposed on a slate will be taken at the membership meeting. Presentation of awards will conclude the annual membership meeting.
peakers: David Goede, DNP, ACNP-BC & Stephen Ferrara, DNP, FNP-BC, FAANP

12:00 pm – 2:00 pm – Lunch Session – 1.25 Contact Hours
Lunch buffet begins at 12:00 pm. Lecture 12:30 pm – 1:45 pm. Additional cost of $35.

J2043 Panel Discussion: Everything You wanted to Know about Psychiatric Mental Health but were Afraid to Ask (RX. 33)

Mental health in the community continues to be challenging for NPs who are not educated in this specialty and have no work experience in this area. Often, our membership does not have any opportunity to “ask the expert” in an open forum where interactive and group learning takes place. This panel of expert psychiatric NPs will share their pediatric to geriatric expertise to the audience, while answering case questions involving diagnoses, psychopharmacology and recommended treatments.
Speakers: Grace Wlasowicz, PhD, RN, PMHNP-BC; Michael Ketzak, MS, RN, PMHNP-BC; Kathe Cardegna, MS, RN, PMHNP-BC
Level: Beginner/Basic


12:30 pm – 1:45 pm – Educational Session – K2044 – K2045 - 1.25 Contact Hours
These are non-lunch sessions.

K2044 The Nurse Practitioner’s Role in Medical Marijuana: Pharmacologic and Regulatory Considerations (RX .50)

Medical marijuana use is a debate nationwide. Presently, 33 states, including New York have all legalized marijuana for medical reasons (National Conference of State Legislators, 2019). Marijuana is currently federally classified as a Schedule I controlled substance, having a high potential for dependence, abuse, with no medical cause by the United States Department of Justice, who oversees the Drug Enforcement Agency (DEA) (National Conference of State Legislators, 2019). Healthcare providers do not “prescribe”; patients are certified for medical marijuana use.  

New York State has specific requirements a provider must meet to certify patients, permitting marijuana use only on specific definitive disease processes. The conflict in State and Federal laws has placed many patients and practitioners in uncomfortable situations, but the federal government has decided to leave marijuana enforcement to the states (Philipsen, McMullen, & Wood, 2017). 

Presenters will review NYS NP role. Prescription FDA approved, cannabis-derived and three cannabis-related drugs will be discussed. Specific classifications for medical marijuana use, certification requirements, education, Department of Health information, research, marijuana forms, safety, benefits and risks will be presented.
Speaker: Maureen Roller, DNP, RN, ANP-BC & Joseph Brennan, BSN, RN-BC, CCRN-CMC
Level: Beginner/Basic

K2045 2020 OIG Risks and How to Mitigate Them

This session will focus on the 2020 and upcoming 2021 Governmental and Private Payor risks areas and targets and how to mitigate damages (Refunds). Session objectives include: (a) Preparing for 2021 Evaluation and Management Services Changes; Documenting for Success by Establishing “Medical Necessity”; (b) Mitigating Risk in the High Value Target Areas (e.g. Incident-to, Infusion Billing, UDTS, etc.); and, (c) Ensuring the structuring of your Corporate Compliance Program to Comply with DOJ Criminal Division and OIG Guidance.
Speaker: Sean Weiss, CHC, CEMA, CMCO, CPMA, CMPE, CPC-P, CPC, Partner, VP & Chief of Compliance

2:00 pm – 3:15 pm – Educational Sessions – L2046 – L2052 – 1.25 Contact Hours

L2046 A Primer for Nurse Practitioner Students: Ask the Experts (Everything you always wanted to know about being a NP and are not afraid to ask!)

The transition from nurse to nurse practitioner is a significant career role change.  Many new nurse practitioners find the process stressful and sometimes difficult.  This panel of seasoned and newly practicing nurse practitioners has been assembled to discuss important facts to know before you begin your job search.  Opportunities for open discussion between students and the panel will provide a forum to ask questions regarding starting a new career as a nurse practitioner.
Speakers:Jeanne Martin, DNP, RN, ANP-BC; Alisha Fuller, DNP, CBN, FNP-BC, Justin Waryold, DNP, ANP-C, ACNP-BC, CNE; Charles Davis, RN, NP-C

L2047 Palliative Care and How to Maximize our Patient Quality of Life

This presentation will be a broad overview of defining palliative care and its eight domains, who qualifies for palliative care, who pays for palliative care and the distinct differences between palliative care and hospice. The goal of this presentation is to challenge the ideas and opinions clinicals have about palliative care and its changing definition. There will be a discussion about the challenges of implementing palliative care worldwide and the basic human right to receive palliative care; t be able to relieve suffering and maximize quality of life. There will be a case study presented to provide an example of how palliative care is essential to patients seeking curative treatment and those who are chronically and terminally ill.
Speakers: Amy Balog, MS, RN, FNP, ACHPN
Level: Intermediate

L2048 IUD Update: Birth Control + Menses Control = Women in Control (RX .25)

This presentation will offer a broad update on IUDs. We will show how to properly counsel patients on the current IUDs being used in the U.S. We will address how we can help all women that need advice and guidance regarding birth control and/or heavy and/or crampy periods. This will put the control of their bodies and lives back into the hands of the women we serve. There are many women of various ages that need birth control, but there are also, many women that need help with their cycle and the type of periods they experience. We can help these women right into menopause.
Speakers: Kelly Battoglia, BSN, MS, OB/GYN, NP-BC
Level: Intermediate

L2049 Pediatric Sepsis: How to Recognize and Treat Kids Who are Really Sick (RX .25)

In this presentation, learners will be able to describe the pediatric sepsis continuum, ranging from those with systemic inflammatory response syndrome (SIRS) to those in fulminant septic shock. Subjective and objective findings seen in children with sepsis, will be reviewed in detail. Several common causative agents associated with pediatric sepsis will be discussed, as well as appropriate time-sensitive treatment options.
Speakers: Julie Albright Gottfried, DNP, RN, CNS, CPNP-PC
Level: Intermediate

L2050 The Lobster Claw: A Simple Approach to COPD Management (RX .50)

Effective management of accurately diagnosed COPD requires careful balancing of the 2 divisions of the autonomic nervous system (ANS): The sympathetic and parasympathetic systems. In patients with COPD these systems are out of balance, much like a lobster with one massive claw and one small claw. This lecture will help participants better understand how the autonomic nervous system affects pulmonary function and therefore directs the treatment for patients with COPD. The lecture will review the evolution of treatment options over the last 35 years and will present pharmacologic and nonpharmacologic treatments that meet GOLD 2020 guidelines. Participants will learn how medications such as LABAs, L AMAs, SABAs, and ICSs affect the desired outcomes for patients with COPD, thereby providing a clear pathway to choosing the most appropriate category of medication. Presentation of case studies will help participants to begin to apply these principles.
Speakers: Brenda Spurbeck, DNP, FNP-BC, ACNP-BC & Frederic Seifer, MD
Level: Intermediate

L2051 Cardiac Diagnostic Testing: What to Order and When

This presentation will focus on various cardiac diagnostic testing including EKG’s, echocardiograms, holter and other arrhythmia monitors, stress testing (exercise, pharmacological, nuclear and stress echo), MUGA’s, MRI’s, CT scans, PET scans and cardiac catheterizations. The indications for ordering each diagnostic test will be discussed including appropriate use criteria. Case studies will be used to help participants determine what cardiac test is warranted and when to order what diagnostic work-up.
Speakers: Colleen Walsh-Irwin, DNP, RN, ANP-BC, AACC, FAANP

Level: Beginner/Basic

L2052 Oxycodone is the only thing that works for me! (RX .50)

How to evaluate and palliate pain with a targeted approach. How to approach the patient that is resistant to non-opioid therapies. Brief review of consideration of buprenorphine products CBD or medical marijuana products. This is not a medical marijuana lecture.
Speaker: Michelle Dugan, MSN, FNP-BC, Pain-BC
Level: Intermediate

3:30 pm – 4:45 pm – General Session – 1.25 Contact Hours

M2053 Using Malpractice Claims Data to Identify Risks in NP Practice

Malpractice data can be a powerful patient safety tool by revealing clinical patterns that contribute to medical errors and by enabling NPs to more accurately identify gaps in patient safety programs and make improvements to their practice. The presentation will give NPs insights into liability exposure based on specialty, location of loss, allegation and injury. The presentation will also include claim scenarios and risk recommendations to help create a safe environment for NPs and their patients.
Speaker: Michael Loughran, President, NSO

Sunday, October 18, 2020

7:30 am – 12:30 pm - Registration

7:30 am – 9:00 am – Continental Breakfast

8:15 am – 9:30 am – Educational Sessions N2054 – N2060 – 1.25 Contact Hours

N2054 Pharmacologic Management of Obesity Throughout the Lifespan (RX 1.25)

Obesity is reaching epidemic proportions. At present, approximately one-third of the entire US population is considered obese. The incidence is rising, particularly in certain parts of the country and sub-sets of the population. Children are more obese than ever before and are at significant risk for a number of conditions related to their obesity. Health care professional are often unaware of the methods available to treat the individual suffering from or at risk for obesity. Learn about the various non-pharmacologic and pharmacologic treatment options available for individuals with or at risk for obesity.
Speaker: Wendy Wright, DNP, ANP-BC, FNP-BC, FAANP, FAAN, FNAP
Level: Intermediate

N2055 Spirometry Interpretation

Spirometry is the definitive way to diagnose COPD. However, proper interpretation of spirometry results requires navigation of a somewhat complex and often intimidating report. This discussion will present a systematic approach to reading and interpreting a bedside/office spirometry report. Participants will learn to properly stage COPD by understanding specific spirometry values, such as: FEV1/FVC, FEV1, and FEF 25-75. The discussion will include the role of predictive values and the flow volume loop for accurate spirometry interpretation, concluding with several case studies to allow the participants to practice spirometry interpretation.
Speaker: Brenda Spurbeck, DNP, FNP-BC, ACNP-BC
Level: Intermediate

N2056 Sixty Years Later: Oral Contraceptives, Management Tips and Tricks (RX .75)

The Pill has been around for 60 years and is a commonly prescribe medication for women. The difference in pill formulations is not well understood by many prescribers and the plethora of generic equivalents has only worsened the problem. This session is intended to make the prescribing and management of oral contraceptive problems easier for the prescriber.
Speaker: Michele Ambor-Hutz, MS, WHNP
Level: Intermediate

N2057 Name that ENT diagnosis. An Overview of Assessment, Diagnosis and Treatment Recommendations for Commonly seen Ears, Nose and Throat Symptoms

The presentation will focus on common ENT concerns that are often encountered in primary, urgent and emergency department settings. We will review normal anatomy, abnormal physical exam findings, differential diagnosis, as well as, treatment recommendations. Review available practice guidelines published by the American Academy of Otolaryngology.
Speaker: Kristina Haralambides, FNP-C
Level: Beginner/Basic

N2058 Eosinophilia: An Important Component of the Complete Blood Count that is often Overlooked

Eosinophils are pro inflammatory white blood cells that target inflamed areas in the body. They have anti parasitic, anti-bacterial activity, kill cells, trap substances and activate during allergic reactions. Eosinophilia can also represent more serious conditions like idiopathic hyper eosinophilic syndrome, eosinophilic granulomatosis with polyangiitis and Loeffler’s syndrome. In the hospital setting the patient presenting with eosinophilia often has asthma, COPD or an allergic reaction. Despite this, ongoing persistent symptomatic eosinophilia in patients with or without COPD/asthma signal a more complicated diagnosis that can often be overlooked. Further work up of this patient population is warranted to prevent progression of disease and readmissions. Case studies will be presented.
Speaker: Fatima Nottingham, DNP, ACNP-BC
Level: Intermediate

N2059 The Two Faces of Mitral Regurgitation

Mitral regurgitation (MR) is one of the most prevalent valvular heart diseases in the United States. Its frequency and severity increase with age. MR occurs when the valve does not completely close together during ventricular contraction, and a portion of the blood in the left ventricle is propelled back through the leaflets of the mitral valve into the left atrium. MR is classified as either primary or secondary. Primary and secondary MR may sound a lot alike, but they are two different disease states. Primary MR is the result of pathology of one or more components of the mitral valve apparatus while secondary MR occurs in anatomically normal valves and is due to left ventricle remodeling. Secondary MR is strongly associated with hospitalization for heart failure (HF) and high mortality rates. The field of mitral valve disease, diagnosis and management is in constant change. New understanding of disease pathology and increased use of sophisticated imaging modalities have led to treatments that are more complex. Trans-catheter mitral valve repair with a MitraClip device is resulting in good outcomes in patients with primary and secondary mitral regurgitation who are high surgical risk. The diagnosis and treatment of MR is complex. Nurse practitioners have a key role to play in identifying, monitoring, and managing patient with this multifaceted disease.
Speaker: Mary McGreal, DNP, RN, CCRN, ANP-C
Level: – Beginner/Basic

N2060 Parkinson’s Disease: Diagnosis and Management (RX .50)

In recent years, great advances have been made in the management of Parkinson’s disease (PD). This presentation will provide an overview of different types of movements, how to evaluate a patient with PD and how to perform a movement focused clinical exam. An update on treatment approaches to the diagnosis and management of PD throughout the lifespan will be discussed. Medical and surgical therapies for PD will be presented. Appropriate patient selection and referral for Deep Brain Stimulation and recent advancements in technology will be described.
Speaker: Joan Miravite, DNP, RN, FNP-BC
Level: Intermediate

9:45 am – 11:00 am – Educational Sessions O2061 – O2067 – 1.25 Contact Hours

O2061 Asthma 2020: Latest Treatment Options for this Common Condition (RX 1.25)

Six thousand people die every year in the United State from asthma. This troubling condition affects millions yet, many remain undiagnosed. Even when diagnosed, only 51% of those with asthma are well-controlled. This session will focus on the latest pharmacologic treatments of asthma.
Speaker: Wendy Wright, DNP, ANP-BC, FNP-BC, FAANP, FAAN, FNAP
Level: Intermediate

O2062 Diagnosis, Treatment and Patient Outcomes with Antibody Mediated Rejection after Heart Transplant (RX .33)

Diagnosis and treatment of Antibody Mediated Rejection (AMR) remains extremely challenging. Treatment modalities have multiple significant side effects. It is always a balance between effective treatment and potentially significant side effects of the treatment.
Speaker: Anna Sorensen, DNP, RN, FNP-BC
Level: Advanced

O2063 Syphilis: Not gone but maybe forgotten (RX .50)

In the past year the Centers for Disease Control and Prevention (CDC) and the NYS AIDS Institute have reported dramatically increased rates of STIs. Syphilis alone has seen an increase of approximately 50% since 2014. This surge in syphilis cases is closely tied to an alarming increase in congenital syphilis as well. According to the annual Sexually Transmitted Disease Surveillance Report released by the CDC, sexually transmitted diseases (STDs) have severe health consequences. Among the most tragic of these consequences are newborn deaths related to congenital syphilis. It's time for a refresher! Discover the latest information on epidemiology in New York State. Review diagnosis, staging and treatment of syphilis and the role of the Advance Practice Nurse in sexual wellness.
Speaker: Melinda Godfrey, MBA, FNP-C
Level: Beginner/Basic

O2064 The “Compassionomics” of Motivational Interviewing: Decreasing the Costs of Caring

Nurse practitioners address complex patient dilemmas across multiple clinical settings. Many dilemmas are related to challenging health-related behaviors and sub-optimal treatment engagement despite high provider effort. Motivational interviewing is an evidence-based, person-centered approach that can improve the provider-patient connection, facilitate behavior change, enhance patient quality of life, decrease provider burnout, and support desired outcomes along the care continuum. Applying the concepts of Compassionomics and the Quadruple Aim of healthcare, this session will help participants employ the spirit of MI and MI-consistent communication techniques to enrich NP practice, satisfaction, and longevity.
Speaker: Susan Blaakman, PhD, RN, PMHNP-BC, FNAP
Level: Beginner/Basic

O2065 The Basics of Biologics (RX 1.0)

Biologics include pharmaceutical drugs manufactured in, extracted from, or semi-synthetized from biological sources. One of the first biologics was insulin, entering the market in 1982. In the late 1990’s, etanercept (Enbrel) revolutionized the treatment and management of rheumatoid arthritis. Over the past thirty years, biologics (recombinant monoclonal antibodies) have successfully managed inflammatory conditions, autoimmune diseases, and cancers. They have become one of the fastest growing segments of the pharmaceutical industry. Biologics include materials derived from living organisms using biotechnology. This presentation will aim to relay the basics of biologics, including the history and production, the expanding use across multiple specialties and clinical areas. The nurse practitioner will become more familiar with these medications, their management, and their impact on precision medicine, and healthcare costs.
Speaker: Clarissa Michalak, DNP, ACNPC-AG, CCRN
Level: Beginner/Basic

O2066 Got TUMS? GERD: When Medical Management Fails (RX .33)

Treating patients for GERD? Worried about long-term side effects of Proton Pump Inhibitors (PPI) therapy? Worried about Barrett’s esophagus and esophageal cancer? GERD is much more than just heartburn. Learn the diagnostic work-up, risks of long-term PPI therapy and when surgery should be considered.
Speaker: Kara Mestnik, MS, FNP-C
Level: Intermediate

O2067 Deprescribing Medication for Type 2 Diabetes: A Call to Action (RX .50)

The theme of this presentation is “less pharm, more farm” for NP care of the person with type 2 diabetes. We have been encouraged to aggressively target tight glycemic control utilizing combinations of medications. These agents have risks and benefits. As experts in patient-centered care and shared decision making, we must be able to help patients determine priorities and make informed treatment choices on how to best treat their diabetes and prevent complications, utilizing a full menu of options, including intensive lifestyle interventions. The American Association of Clinical Endocrinologists and other organizations support the use of a plant-based dietary pattern to prevent and treat type 2 diabetes. Interest in plant-based nutrition is growing but is largely underutilized. For the patient who may benefit from or choose to rely on less medication, it may be appropriate to de-intensify pharmaceutical treatment. An evidence-based algorithm for deprescribing medications will be explored. A case study will offer practical information on how to concurrently prescribe a plant-based dietary pattern and decrease medications to safely and effectively address type 2 diabetes.
Speaker: Caroline Trapp, DNP, ANP-BC, CDE, DipACLM, FAANP
Level: Intermediate

11:15 am – 12:30 pm – Educational Sessions P2068 – P2074 – 1.25 Contact Hours

P2068 Managing Insomnia Across the Lifespan: Latest Treatment Options (RX 1.25)

Insomnia is a significant problem in the United States and is thought to contribute to motor vehicle accidents, decreased productivity and health conditions such as depression and anxiety. This session will focus on the latest recommendations for the evaluation and treatment of insomnia across the lifespan.
Speaker: Wendy Wright, DNP, ANP-BC, FNP-BC, FAANP, FAAN, FNAP
Level: Intermediate

P2069 Pediatric Perioperative Surgical Home: A One Patient – One Team Approach

Children with medical complexities (CMC) are an emerging population of fragile patients whose health and quality of life are heavily dependent on multiple providers, specialists, technology and medical services. Although they comprise only 10% of the pediatric population it is estimated that they account for about 40% of Medicaid spending for children. Fragmented care places these children and their families at risk for poor outcomes both inside and outside of the medical system. Utilizing an integrated multidisciplinary team approach the University of Rochester has been able to improve patient and family satisfaction, decrease iatrogenic effects, and reduce health care costs. The Pediatric Perioperative Surgical Home (PPSH) has been able to achieve this by harnessing the talents and expertise of all persons involved in CMC's care ranging from prehospital (school, community and social support), parents, social workers, medical teams, surgical teams, anesthesia, inpatient providers, inpatient/outpatient nurses, eRecord support and hospital administration. The program was born and remains in the Department of Anesthesia and Center for Perioperative Medicine which allows for an expansive and inclusive access to patients and care providers across the continuum of health care.
Speaker: Sarah Clark, MS, ANP-BC, FNP
Level: Beginner/Basic

P2070 Sarcopenic Obesity: Frailty is Not Just for the Thin Elderly

Sarcopenia is the age-related loss of muscle mass. Sarcopenic obesity, which describes the process of muscle loss combined with increased body fat as people age, is associated with loss of strength and function, reduced quality of life and premature mortality. This session describes the clinical significance of sarcopenia and sarcopenic obesity, elucidating pathophysiology, and highlighting management approaches for motivated older adults. Both diet and exercise are essential for preventing and reversing loss of muscle and gains in fat. Dietary approaches may include protein supplementation and a high protein diet. Exercise strategies promote resistance training to maintain muscle mass and maximize energy expenditure. A case-based format will be utilized to qualify this topic.
Speaker: Christopher Norman, MSN, APHN-BC, AGPCNP-BC, GNP-BC
Level: Intermediate

P2071 NP Residencies: The Why and How

In 2007, the first advanced practice nursing residency program was introduced in Connecticut. Since then, APRN residency and fellowship programs have spread across the US, with residencies and fellowships now available in many states. The largest fellowship to date is housed at the Center for Advanced Practice at Carolinas Healthcare System in North Carolina, which accommodates 68 fellows at any given time. This will take the learner through the history of the NP residency movement from 2007 through present day, the reasons for NP residencies and the nuts and bolts involved in starting the new NP residency in NY at Bassett Health care a Upstate Rural healthcare system.
Speakers: Nicole Seagriff, DNP, APRN, FNP-BC and Gregory Rys, DNP, FNP-BC
Level: Intermediate

P2072 Management of Acute Cervical Radiculopathy

Presentation will provide knowledge of the diagnosis of cervical radiculopathy in order to help the provider manage the acute phase, understand when to order imaging, when to refer to specialty and what red flag symptoms change management. Gold standard treatment will be discussed that is multimodal and avoids treatment myths such as use of narcotics in favor of eastern and western medical treatment that is currently favored. Also, discussed will be surgical and invasive management if conservative treatment fails. A timeline will be discussed. A review of MRI/CT/Xray imaging including interpretation and most appropriate imaging based on suspected differential diagnosis.
Speakers: Alison Joseph, ANP-BC
Level: Intermediate

P2073 Cardiovascular Effects of Sleep Disordered Breathing

The presentation will begin with an overview of systemic effects of sleep disordered breathing. The focus will be on cardiovascular implications of untreated apneas as well as recommendations for positive pressure interventions and treatments to avoid. Brief discussion for role of cardiology, primary and sleep medicine specialty collaboration of care.
Speakers: Janine Rumora, ACNP-BC
Level: Intermediate

P2074 Psychological First Aid: Crisis Counseling, Emergency and Disaster Response and Crisis Intervention for Assault Survivors (RX .25)

Psychological First Aid may be used when responding to an emergency or disaster. It does not require the user to be a behavioral health practitioner and can be learned by most responders. Crisis counseling is used to ameliorate emotional crises resultant from the aftermath of major disasters. The focus is on helping survivors understand their reactions, review options, and connect with resources to assist them with improving their situation. This presentation will provide the audience with a strengths-based, outreach-oriented approach that will aid the recovery process with individuals and communities in their natural environments. Additionally, crisis intervention strategies and programs used to assist victims in the aftermath of assault, and the differences between crisis counseling and traditional mental health treatment will be explored. Information discussed is aimed to help individuals minimize negative outcomes.
Speakers: Rochelle Kepes, DNP, PMHNP-BC and Carl Ankrah, MS, PMHNP-BC
Level: Intermediate

The NPA| The Nurse Practitioner Association New York State

The mission of The NPA is to promote high standards of healthcare delivery through the
empowerment of nurse practitioners and the profession throughout New York State.

Office Hours: M-F 8:30am - 5:00pm | Tel: 518-348-0719 | Fax: 518-348-0720 | Email: info@TheNPA.org