The National Association for Medical Direction of Respiratory Care

NAMDRC’s 38th Annual Meeting

The Annual Meeting and Educational Conference of the National Association for Medical Direction of Respiratory Care (NAMDRC) was held March 12-14, 2015 at The FireSky Resort in Scottsdale, Arizona. The meeting, Clinical, Management and Health Policy Issues in Pulmonary Medicine, continued NAMDRC’s tradition of excellence in continuing medical education. Topics covered included cutting edge clinical topics in pulmonary and critical care medicine, health care policy, and practice management. The structure and environment of the conference is designed to encourage lively discussions with speakers after presentations, and also more casual discussions outside of the conference room, with your colleagues and our speakers. The meeting was accredited by Creighton University Health Sciences Continuing Education for up to 13.5 AMA PR Category 1 CME Credit.

In the spirit of NAMDRC's mission, "to improve access to quality care for patients with respiratory disease by removing regulatory and legislative barriers to appropriate treatment", a number of lectures addressed health policy and advocacy. Donald W. Moran discussed the financial implications of the Affordable Care Act. Mr. Moran, an experienced Washington, D.C. health policy consultant discussed the potential winners and losers under the ACA. The O’Donohue Memorial Lecture was delivered by Dr. Peter Gay, Professor of Medicine at Mayo Medical School and former president of NAMDRC. In his lecture, “Types of Home Mechanical Ventilation: When Is It Really a Ventilator”, Dr. Gay discussed the technological advances in home ventilators and reviewed proposed CMS regulations and changes in reimbursement criteria for home mechanical ventilation. Phil Porte, Executive Director of NAMDRC, updated the membership about CMS proposed regulations regarding home mechanical ventilation that could have a negative effect on our patients with chronic respiratory failure. He also discussed changes in CMS reimbursement for pulmonary rehabilitation.

Dr. Robert Bento from Mayo Clinic discussed COPD phenotypes. He reviewed several clinically distinct COPD phenotypes and how to develop a personalized treatment plan for COPD patients based on phenotype characterization. Dr. Sairam Parthasarathy, Associate Professor of Medicine, University of Arizona, reviewed the role of CPAP and BiPAP in reducing hospital readmissions. Dr. Laura Crotty Alexander from UC San Diego explained the science behind electronic cigarettes and potential toxicities. Dr. David Sachs, Director of Palo Alto Center for Pulmonary Disease Prevention, discussed treating tobacco dependence in a pulmonary clinical practice.

Dr. David Wilson, Professor of Medicine at University of Pittsburgh, reviewed lung cancer screening in light of the recent recommendations of governmental and professional organizations. He discussed the basics of a lung cancer screening program and the potential risks and benefits. Dr. Kevin Brown, Professor of Medicine at National Jewish Hospital, reviewed IPF therapy after the recent FDA approval of two new drugs. Dr. Steven Dubinett, Chief of Pulmonary/Critical Care Medicine at UCLA, spoke on the biology of lung cancer and its implications for targeted therapy.

Dr. Timothy Morris, current President of NAMDRC and Professor of Medicine at UC San Diego, spoke on phenotypes of pulmonary embolism. He discussed recent advances in the epidemiology, diagnosis and treatment of pulmonary embolism. Dr. J. Christopher Farmer, Chief of Pulmonary/Critical Care at Mayo Clinic Arizona, reviewed the clinical application of ECMO in patients with respiratory failure. Dr. Samir Makani from UC San Diego reviewed advances in pulmonary diagnostic procedures. Dr. Patrick Strollo, Professor of Medicine at University of Pittsburgh, discussed upper airway pacing, an exciting new device for the treatment for sleep apnea.

Several lectures were devoted to topics relevant to the management of pulmonary, sleep and critical care medicine practices. Dr. Alan Plummer, Professor of Medicine at Emory University, discussed “ICD-10 in Pulmonary and Critical Care Medicine”. He reviewed implementation of ICD-10, which takes effect October 1, 2015. Dr. Steve Peters, Professor of Medicine at Mayo Medical School, discussed changes in coding and reimbursement for ECMO services. He also described the sharing of critical care services by multiple members of a group and appropriate use of chronic care management code in pulmonary patients.

NAMDRC’s 39th Annual Meeting and Educational Conference of the National Association for Medical Direction of Respiratory Care will be held March 3-5, 2016 at the Omni Rancho Las Palmas Resort in Rancho Mirage, California. Program agenda and registration information is available on our website.

James P. Lamberti, M.D., Secretary-Treasurer NAMDRC
Clinical Professor of Medicine, VCU School of Medicine
Medical Director, Respiratory Care Services, Inova Fairfax Hospital

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