UHMS Virtual Gulf Coast Chapter Meeting 2018

Course overview

Learner Objectives Understand the possible uses of the Hyperbaric Oxygen Therapy Registry. Understand the role of the Qualified Clinical data Registry (QCDR) for physicians subject to the Merit Based Incentive Payment System (MIPS). Understand the WPS OIG report and consequences. Understand TPE. Understand how diving at altitude increases decompression stress. Understand the difference between acclimatization and inert gas equilibration. Describe how inadequate acclimatization can impact dive safety. Understand how we can account for altitude changes. Understand the importance of conducting Chart Audit Reviews for Hospital Outpatient Departments (HOPDs) providing WC/HBOT services. Understand the Documentation Requirements to support appropriate billing of WC/HBOT services provided in a HOPD. Understand the Lessons Learned from current chart audit reviews of HOPDs providing WC/HBOT services. Identify atypical wounds, clues in history and examination. Discuss an organized approach to diagnosis of atypical wounds. Understand role of wound biopsy in misdiagnosed wounds. Understand ethical issues in documentation and issues with copy and paste in electronic documentation. Explain and understand the role of an Advanced Beneficiary Notice. Discuss ethical issues with corporate practice of medicine. Discuss ethical issues with off label use and hyeprbaric medicine. Review a variety of hazardous marine life. Learn signs and symptoms of various marine life attacks/envenomation. Learn treatment options for various marine life attacks/envenomation. To understand that hyperbaric oxygen therapy is a dual-component therapy consisting of increased pressure and hyperoxia. To understand that a sham hyperbaric treatment is a treatment that omits increased pressure and hyperoxia. To understand that the literature on HBOT in mTBI/PPCS with or without PTSD suggests effectiveness of two doses of hyperbaric oxygen therapy, indeterminate or neutral effects of other doses, and toxicity of one dose in isolated mTBI/PPCS. Describe what ultraviolet is and how it can help in the hospital and hyperbaric environment. Explain how UV-C disinfects and what organisms it affects. Provide an understanding of how direct exposure of UV-C can affect acrylic and the damage this can cause. The audience will recognize and understand the provocative maneuvers and circumstances that surround the injury of civilian and commercial divers. The audience will also be able to recognize appropriate treatment tables and treatment options for the care of injured divers. Understand the role of hyperbaric oxygen in ulcerative colitis. Understand the role of hyperbaric oxygen in avascular necrosis. Review the latest literature on hyperbaric oxygen in emerging indications. Subject Matter Caroline Fife, MD: Can registry save us Helen Gelly, MD: Targeted Probes Nick Bird, MD: Altitude-Induced Decompression Illness Michael Crouch: Chart Audits - Lessons Learned/Billing Issues Jayesh Shah, MD: Atypical Ulcers - What the Heck is this? Jayesh Shah, MD: Ethics Issues in Hyperbaric Medicine AJ Applewhite, MD: Sea Creatures - Great and Small Paul Harch, MD: Mild TBI Persistent Post-Concussion Syndrome, PTSD and HBO2 Review Greg Brown, BS, CHT: The Use of UVC in Multiplace Hyperbaric Facilities Tracy LeGros, MD: Diving Treatment Cases Heather Murphy-Lavoie, MD: New Horizons in HBO Medicine Teaching Methods: Recorded video lectures with PPT embedded Question & Answer Evaluation Methods Evaluation is offered at the end of the program through the UHMS Online CME Portal, which evaluates the effectiveness of the meeting, speakers and that no bias was presented and overall objectives were met. References Undersea and Hyperbaric Medicine Journal, Undersea and Hyperbaric Medical Society, North Palm Beach, Florida National Fire Protection Association 99, Health Care Facilities; 2015. www.nfpa.org. HMS Hyperbaric Oxygen Therapy Indications, 13.