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Feb 2016
Mar 2016


Washington State Convention Center, 800 Convention Place,
Seattle, Washington,
Tel: (206) 694-5000

Annual Dialysis Conference






The 36th Annual Dialysis Conference 2016 will be held in Seattle, WA, United States on Feb 27 - Mar 1, 2016. The 36th Annual Dialysis Conference 2016 addresses developments in the field of dialysis including: Established strategies and trends in the management of the services required by pediatric and adult dialysis patients, Dialysis therapies to meet the medical and psychosocial needs of CKD patients and their families,

Evidence concerning the management and prevention of complications of CKD and dialysis, Research findings related to improving the quality of care for dialysis patients, Fundamental knowledge of dialysis, New developments and controversies in HD, PD and pediatric dialysis. The 36th Annual Dialysis Conference 2016 brings together health professionals (researchers and clinicians) involved in established and developing dialysis programs.

Agenda +


Feb 27   

7:55 Welcome Session I - Overview and PD Basics 8:00 Current Trends and the Effect of Bundling on PD Therapy 8:45 Peritoneal Access and Exit Site Care 9:15 Prescription Writing and Adequacy Monitoring 9:45 Tidal Peritoneal Dialysis: Indications and Management 10:15 Break Session II - Economic Drivers of PD 10:30 Reimbursement, QIP and Implications of the Rating System 11:15 Growing a Peritoneal Dialysis Program 12:00 Lunch- (provided) Session III - Clinical Management 1:00 Management of Infections 1:30 Catheter and Mechanical Malfunctions 2:00 No Place Like eHOME: The role of Shared Decision- Making to Ensure the Success of a Home Dialysis Program 2:30 Break Session IV - PD in Difficult Circumstances 2:45 Pregnancy and Dialysis: What is the Best Modality? • Hemodialysis • Peritoneal Dialysis 3:30 Ultrafiltration Failure 4:00 Thoracic and Abdominal Surgery 4:30 Discussion Session V - Closing and Summary 4:40 Shaping PD for Tomorrow: We Need to Start Urgently! 5:10 Adjourn A Comprehensive Course in Hemodialysis Presented in cooperation with the International Society for Hemodialysis, (ISHD) This unique, full day session is specifically designed to cover practical aspects of extracorporeal therapies for those who care for patients in dialysis facilities. This course is intended for nephrologists in training, practicing nephrologists, and advanced practice nurses. Internationally renowned speakers will provide theoretical background for practical aspects of extracorporeal therapies. Basic Mechanisms and Emerging Technologies, Essentials of Anticoagulation Session I 8:00-8:45am Essentials of Dialyzer and Non-Dialyzer Components of Hemodialysis Systems Influence of capillary (hollow fiber) dialyzer design on clearances, ultrafiltration and backfiltration; types of membranes (cellulosic, substituted cellulosic, synthetic) and their properties; permeability to water and molecules of various sizes; delivery of blood to the dialyzer: inflow tubing, pump, negative pressure monitor, infusion line; outflow tubing, bubble trap, positive pressure monitor; proportioning dialysis solution delivery (proportioning pump systems, heater and temperature control, negative effluent pump, negative pressure control, mixing vessel and de-aerator, blood leak detector). Session II 8:45-9:45am Modes of Extracorporeal Therapies for the ESRD Patient: What a Nephrologist Needs to Know The lecture will include alternative techniques to conventional maintenance HD: Hemodiafiltration (HDF) and Hemofiltration (HF), reviewing the techniques and setup for HDF and HF. What differences are between pre-dilution and post-dilution fluid replacement methods? What size molecules are efficiently removed with each modality? How to choose ‘filters’ for such therapies? What is the evidence behind the use of HDF over HD? 9:45 Break Page 6 | Saturday: Preconferences Home Hemodialysis Symposium Presented in cooperation with the International Society for Hemodialysis, (ISHD) Home Hemodialysis patients and facilities continue to grow, both worldwide and in the USA. This program brings together representatives of successful Home Hemodialysis programs to discuss elements of effective Home Hemodialysis. This full day pre-session will provide an overview of the fundamental elements essential to successfully develop and maintain a home hemodialysis program for new, as well as for existing or expanding, programs. The session will also allow interactive discussion with speakers and experts in the field. This program is intended for physicians, nurses, fellows, administrators and other members of the healthcare team providing home dialysis therapy, as well as patients and the dialysis industry and manufacturers who support home hemodialysis. Session I 8:00-9:45am 8:00 The Origin of Home Dialysis: A Historical Perspective 8:15 Keynote: Volume Control is More Important than Solute Control – John Agar 8:45 Dialysis Modality Selection: Peritoneal Dialysis First or Home Hemodialysis First 9:15 Understanding the Financial Aspects of HHD 9:45 Break Session II 10:00am-12:00pm 10:00 Prescribing Home HD: Important Considerations 10:40 Home Dialysis: Similarities Among Dialysis Techniques 11:00 Clinical Management: What is Different? 11:30 Promoting Safety in HHD 12:00 Lunch- (provided) Session III 12:15-1:30pm 12:15 Luncheon Break-out Session: Ask Your Consultant Panel Session IV 1:30-2:45pm 1:30 Utilizing a Patient Education Committee to Sustain and Address Health Literacy Issues 2:15 Debate: Home Dialysis Care Partners • They Are a Must • They Are Not Necessary 2:45 Break Session V - Hot Topics 3:00-5:00pm 3:00 Integrated Home Dialysis 3:25 Home Hemodialysis in Pediatrics 3:50 Transitional Start Unit 4:15 Growth of Home Hemodialysis – Are We Using the Wrong Target? 5:00 Adjourn A Comprehensive Course in Hemodialysis, continued Session III 10:00-11:15am Sorbents: From Bench to Bedside Sorbent systems can enhance the effectiveness of blood purification techniques. This can be achieved by promoting the contact of large molecules present in blood/plasma with constituents of sorbent cartridge thus enhancing their removal by absorption. Dialysate regeneration is another advantage. Sorbents can be used in delivering both acute and chronic extracorporeal therapies. This talk will briefly trace their development from the bench side to modern day sorbent devices. 11:00 Discussion 11:15 Lunch- (provided) Hemodialysis Adequacy and Home HD Basics Session IV 12:00-1:00pm What is Adequate Dialysis in 2016? Session V 1:00-2:00pm Home HD: Basics of Patient Selection and Prescription Home HD regimens include short-daily HD and nocturnal HD. Both regimens can be performed at home. A prescription for HHD is very different when compared with conventional HD. This talk will address differences in dialysate concentrations, blood and dialysate flow rates, ultrafiltration rates, vascular access issues and adequacy of HD between these different HD schedules. 1:45 Discussion Session VI 2:00-3:00pm Dry Weight Measurement and Volume Overload 2:45 Discussion 3:00 Break Mineral Bone Disease Session VII 3:15-4:00pm Managing Mineral Bone Disease in HD Patients This talk will review the rationale behind the optimal use of phosphorus binders, prescribing the right dialysate Ca and Mg, use of Vitamin D analogues vs. calcimimetics, role of ergocalciferol in management of BMD etc. Session VIII 4:00-5:00pm Calciphylaxis (CUA) in HD Patients This talk will present an overview of the risk factors of CUA, clinical presentation and diagnosis, need for early recognition, the role of Sodium thiosulfate and the multidisciplinary nature of management of this disease. 4:45 Discussion 5:00 Adjourn Page 7 | Saturday: Preconferences The Fundamentals of Dialysis in Children Presented in cooperation with the American Society of Pediatric Nephrology, (ASPN) The care of children receiving chronic dialysis is a challenging, multi-disciplinary enterprise. The Fundamentals of Dialysis in Children is a day-long course designed to provide a complete review of the major issues involved in the management of pediatric hemodialysis and peritoneal dialysis patients. Taught by a faculty of international experts in pediatric dialysis care, The Fundamentals of Dialysis in Children, is the only course of its kind currently available. While the course is presented at the level of the beginning pediatric dialysis physician-in-training, it will be of value to pediatric and adult nephrology fellows, pediatric and adult nephrologists, pediatric and adult dialysis nurses, allied personnel and all others who care for children in dialysis facilities. 7:55 Welcome Session I 8:00-10:10am 8:00 Peritoneal & Vascular Access 8:40 Physiology of Blood Purification (Dialysis and Apheresis) 9:10 PD Prescription and Adequacy Monitoring 9:40 HD Prescription and Adequacy Monitoring 10:10 Break Session II 10:20am-12:20pm 10:20 Pediatric Dialysis Nutrition Guidelines 11:00 Growth and Recombinant Human Growth Hormone Therapy 11:40 Renal Bone Disease 12:20 Lunch- (provided) Session III - Luncheon Sessons • Fellows Case Conference – Stump the Consultants 12:30-2:00pm • Nursing Breakout 12:30-2:00pm 12:30 Developing and Identifying Best Practice (policy/ protocol development) 1:00 Evidence-based Anticoagulation (citrate and heparin) 1:30 Blood Volume Monitoring Basics 1:50 Discussion • Pediatric Dietitian’s Breakout Luncheon 12:30-2:00pm 2:00 Break Session IV 2:10-3:30pm 2:10 Renal Anemia 2:50 Major Infectious Complications 3:30 Break Session V 3:40-5:00pm 3:40 Cardiovascular Complications 4:20 Acute Kidney Injury (AKI), Continuous Renal Replacement Therapy (CRRT) - The Basics

Feb 28   

9:00 Welcome 9:10 HD Keynote – Kidney Care of the Future: “The best way to predict your future is to create it.” Abraham Lincoln - Allen Nissenson, MD

9:35 PD Keynote: Stephen Vas Memorial Lectureship: Nephrology at a Crossroad - Frederic Finkelstein, MD 10:00

Break Barbara Prowant Lectureship: Nursing Keynote [10E]

10:45 Nursing-Sensitive Quality Indicators: Impact on Quality of Care and Outcomes Charlotte Thomas-Hawkins, PhD, RN


12:15 Lunch- (provided) Lunch & Poster Session

12:15-2pm Hemodialysis Sessions AM Sessions [10A] HD Debate

10:45am-12:15pm 10:45 Benefits of Home HD Make It an Ideal Therapy for Most Patients

11:15 Home HD Is Not the Panacea for All Patients

11:45 Rebuttals 12:15 Lunch- (provided) [11A] Guidelines and Terminology Update

10:45am-12:15pm 10:45 KDOQI Nutrition, Vascular Access CPG Update

11:10 KDOQI HD Adequacy CPG Update 11:25 Standardized Terminology for Acute RRT

11:55 Discussion 12:15 Lunch- (provided) PM Sessions [20A] HD Nursing

2:00-4:00pm 2:00 Pathophysiology of Hypertension: Central Role of Sodium

2:40 Volume Management: A Central Component of Dialysis Care

3:20 Oxygen: Who Needs It During Dialysis?

4:00 Break [21A] 2016 Home Hemodialysis Machines: How They Can Provide Optimal Hemodialysis 2:00-4:00pm 2:00 Baxter VIVIA Hemodialysis System

2:15 Fresenius 2008K@Home 2:30 NxStage System One 2:45 PHYSIDIA S³ 3:00 Outset - Tablo 3:15 Quanta SelfCare + 3:30 Summary and Discussion 4:00 Break [40A] Home Hemodialysis Machines

4:45-6:00pm 4:45 Demonstration of Machines

5:30 Discussion

6:00 Adjourn Page 8 | Sunday: Day 1 ADC The number that appears in [ ] brackets is the session number, please refer to this number when completing your conference registration. [41A] DOPPS Session

4:45-6:00pm 4:45 The DOPPS Approach: Leveraging Variability in Dialysis Care to Identify Best Clinical Practices 5:05 Most Recent Trends in US Dialysis Care from The DOPPS Practice Monitor 5:25 Early Findings from the Peritoneal Dialysis Outcomes and Patterns Study 5:45 Discussion 6:00 Adjourn [42A] HD: Clinical Topics

4:45-6:00pm 4:45 Iron Metabolism and New Iron Binders 5:20 Vitamin K: From Coagulation to Calcification 5:50 Discussion 6:00 Adjourn Peritoneal Dialysis Sessions PM Sessions [20B] PD Nursing Fundamentals

1 2:00-4:00pm 2:00 Basic and Advanced Peritoneal Membrane Physiology 2:45 Utilizing the Peritoneal Equilibration Test (PET) to Assess Membrane Characteristics 3:15 Prescription Challenges: Interactive Discussion 4:00 Break [21B] PD Nursing: Clinical Topics

1 2:00-4:00pm 2:00 Incremental Dialysis and Flexibility of PD Prescriptions 2:30 Use of APD vs. CAPD 3:10 Indications for Tidal Peritoneal Dialysis 3:50 Discussion 4:00 Break [40B] PD Nursing Fundamentals: PD Access

4:45-6:00pm 4:45 A Nurses Guide to Successful PD Catheter Placement 5:15 Fluoroscopic PD Catheter Placement: Benefits and Outcomes 5:40 PD Catheter Exit Site Care 6:00 Adjourn [41B] PD Nursing Clinical Topics: Dialysis Adequacy Workshop 4:45-6:00pm 4:45 Best Practices to Achieve PD Adequacy 5:15 Protein Equivalent of Total Nitrogen Appearance (nPNA): What Is Its Clinical Significance? 5:35 Case Presentations: Strategies to Meet PD Adequacy and Discuss Barriers to Accurate Measurement and Interpretation 6:15 Adjourn PD Fundamentals AM Sessions [10B] PD Clinical Topics

10:45am-12:15pm 10:45 Peritoneal Dialysis Catheter- Current Status and Recommendation 11:15 Impact on Outcomes - Changes in Anemia Management in the Past Decade 11:45 Peritoneal Dialysis First: What’s the Impact on Patient Outcome? 12:15 Lunch- (provided) PM Sessions [22B] Peritonitis

2:00-4:00pm 2:00 Peritonitis Prevention 2:30 Atypical Causes of PD Peritonitis and Treatment 3:00 Management of Catheter Related Peritonitis Including the Optimum Time for its Removal 3:30 Non-infectious Causes and Management of Cloudy PD Effluent 4:00 Adjourn [23B] Improving Care of PD Patients

2:00-4:00pm 2:00 EPS in the US – What Can We Learn From Japanese Experience? 2:20 Risk Factors for Calciphylaxis: Is PD a Risk Factor? Where Is the Evidence? 2:40 Management of Ultrafiltration Failure Including the Role of Resting the Peritoneal Membrane 3:00 Basics of PD Catheter Placement: Patient Selection, Timing of Placement, Pre-op Assessment 3:20 Phosphorus Control in PD Patients – Traditional and New Approaches 3:40 Discussion 4:00 Adjourn [42B] Cardiovascular Issues in Dialysis Patients

4:45-6:00pm 4:45 The Role of Ultrafiltration in the Management of Chronic Refractory Heart Failure 5:10 Cardiovascular Evaluation in Preparation for Renal Transplantation 5:40 Pulmonary Hypertension in Dialysis Patients: Pathogenesis and Management 6:00 Adjourn Page 9 | Sunday: Day 1 ADC Integrated Sessions AM Sessions [13C] Biology of Skeletal Muscle Wasting in Chronic Kidney Disease/ESRD 10:45-12:15 10:15 Role of Renin-Angiotensin System in Skeletal Muscle Wasting 11:25 Skeletal Muscle Wasting in CKD/ESRD – Clinical Implications 12:05 Discussion 12:15 Adjourn PM Sessions [20C] Effective Patient Education

2:00-4:00pm 2:00 Keynote: Understanding Health Literacy: An Essential Component to Patient-Centered Care 2:45 Impact of Health Literacy on Kidney Patients’ Care 3:15 Partnering with Your Patients to Use Teach Back 3:45 Patient/Family Advisor Perspective 3:55 Discussion 4:00 Break [21C] Professional Development: Abstract Boot Camp 2:00-4:00 When you are listening to a presentation, do you sometimes think “I could do a presentation like that!” I wish I had submitted an abstract to this conference!” This is your opportunity to make that dream into reality for next year’s conference. We will provide lots of information on developing and submitting an abstract. Come with ideas and early drafts of an abstract and experts will then guide you through the process of writing your abstract. [40C] Joint Physician and Nursing Session Dialysis in the 21st Century: Environmental Challenges Ahead: Views, Visions and Vistas in Dialysis 4:45-6:00pm • Climate Change and Us: What Nephrologists and Other Healthcare Providers Need to Know • Re-using and Re-cycling Dialysis Reverse Osmosis Reject Water [41C] Workshop: Improving the Patient Experience of Care 4:45-6:00 Limited to the first 25 who register to attend this session. This is an interactive workshop applicable to all disciplines, regardless whether the participant has a managerial role or not. A brief introduction and background information will be provided including the ICH CAHPS and strategies to improve patient experience. Group work will follow creating a quality improvement plan to address problems with patient experience at an in-center hemodialysis facility. The goal is for participants tol leave the session with confidence in their ability to affect patient experience in a positive manner having received useful tips and best practices and having gone through the process. Symposium on Pediatric Dialysis AM Sessions [10D] Session I — HOT TOPICS I: Collaborative Projects Reports

10:45am-12:15pm 10:45 International Pediatric Dialysis Network (IPDN) 11:15 Standardizing Care to Improve Outcomes in Pediatric ESRD (SCOPE) Collaborative 11:45 Nephrotoxic Injury Negated by Just-in-time Action (NephroNINJA) 12:15 Lunch- (provided) [11D] Pediatric Renal Nutrition I 10:45-12:15 Pediatric Malnutrition; Putting New Definitions into Practice PM Sessions Pediatric Breakout Luncheon Sessions • [30D] Pediatric Luncheon

12:15-1:15pm The Pediatric Dialysis Program Integrated Within an Adult Care Facility: Challenges and Opportunities - A Facilitated Group Discussion • [31D] Fellows’ Luncheon and Dialysis Competency Exam 12:15-1:15pm • [32D] Pediatric Nurses Luncheon

12:15-1:15pm Oxalosis • [33D] Pediatric Nutrition Luncheon

12:15-1:15pm Nutritional Management of Hypervitaminosis A in CKD Faculty Guided Tours of Pediatric Posters 1:15-2:00pm Session II — Best Abstracts [20D] 2:00-4:00pm 2:00 Pediatric Keynote: Saving Young Lives – the Zero by 2025 Initiative 3:15 Best Abstract #1 3:30 Best Abstract #2 3:45 Best Abstract #3 4:00 Break [21D] Pediatric Nutrition II 3:00-4:00pm Research and Publishing in Your Own Practice [40D] Visit Dialysis Museum and Seattle Childrens’ Hospital Dialysis Center 4:45-6:00pm Tour limited to the first 50 registrants Page 10

Feb 29   

Fellows Forum [01F] 8:00am-12:00pm 8:00 Ethical Stresses in the Delivery of Maintenance Hemodialysis A complete list will be posted on the website as it becomes available Slide Forums [02F]

8:00am-12:00pm A complete list will be posted on the website as it becomes available. Lunch & Poster Session

12:15-2:00pm Hemodialysis Sessions AM Sessions [12A] HD Debate

10:45am-12:15pm 10:45 Tight Blood Pressure Control is Key to Improving CV Outcomes in HD Patients 11:15 There Is No Hard Evidence to Support Strict Control of Blood Pressure in HD Patients 11:45 Rebuttals 12:15 Lunch- (provided) [13A] HD - Clinical Topics

10:45am-12:00pm 10:45 Treatment and Prevention of CRBSI: What’s New? 11:15 Use of Heparin in Dialysis: Risks and Benefits? 11:45 Discussion 12:00 Lunch- (provided) PM Sessions [22A] Diagnostic Testing in ESRD

2:00-4:00pm 2:00 The Use and Interpretation of Troponin 2:25 HbA1c in ESRD: What You Need to Know 2:50 PTH/ALP or Both? How to Make Sense of CKD MBD 3:15 Interpreting Serum and Dialysate Sodium in HD Patients 3:40 Discussion 4:00 Adjourn [23A] Hemodialysis Access

2:00-4:00pm 2:00 Buttonholes: Love ‘em or Hate ‘em - Is There Balance in the Force? 2:40 HD Access Dysfunction 3:20 Medical Issues Related to Vascular Access 4:00 Break [43A] Dialyzing Challenging Patients

4:45-6:00pm 4:45 Dialyzing the Pediatric Patient in an Adult Unit 5:05 Patients with Cardiac Assist Devices (LVAD/ECMO) on Hemodialysis 5:25 Patients with Hepato-renal Conditions 5:50 Discussion 6:00 Adjourn [44A] Learn From Your Colleagues Panel Discussion: Practical Solutions to Practical Problems in HD

4:45-6:00pm Attendees in this session will have the opportunity to network with experienced HD practitioners, hear case presentations and ask questions about HD issues including: • Patient Care Management • Ultrafiltration • Infections • Technical Issues • Home Hemodialysis • Vascular Access • Nutrition [45A] Improving Quality of Care in Hemodialysis

4:45-6:00pm 4:45 Outpatient Dialysis for Patients with Acute Kidney Injury: Clinical and Policy Considerations 5:05 Primary Care of Dialysis Patients: Implications for Quality Improvement 5:25 Vascular Access: Trends and Practice Patterns – Are There New Lessons? 5:45 Discussion 6:00 Adjourn Peritoneal Dialysis Sessions AM Sessions [01B] PD Nursing Fundamentals: Peritoneal Infections and Inflammation

8:00-10:00am 8:00 Why Patients Develop Peritonitis 9:00 PD and Microbiology: What’s Bugging Your Patients? 9:50 Discussion 10:00 Break [11B] PD Nursing Fundamentals

10:45am-12:00pm 10:45 Fluid Management: Rethinking How We Maintain Euvolemia 11:15 Indications and Use of Icodextrin in PD 11:45 Discussion 12:00 Lunch- (provided) Page 11 | Monday: Day 2 ADC PM Sessions [24B] PD Nursing Clinical Topics

2:00-4:00pm 2:00 After Urgent Start, What’s Next? Developing a Follow-up Plan 2:35 Making the Most of Clinic Visits 3:05 Improving Your Time Management Skills 3:45 Discussion 4:00 Break [43B] PD Nursing: Learn From Your Colleagues Panel Discussion Practical Solutions to Practical Problems in PD 4:45-6:00 Attendees in this session will have the opportunity to network with experienced PD practitioners, hear case presentations and ask questions about PD issues including: • Diagnosis and Management of Peritonitis • PD Catheter Care and Catheter Problems • Trouble Shooting • Patient Management Issues PD Fundamentals PM Sessions [25B] Clinical Topics

2:00-4:00pm 2:00 PTH Assay – A Useful Tool or a Waste of Resources? 2:30 Can Serum Albumin be Normalized in PD Patients? What Are the Barriers? 3:00 Peritoneal Fibrosis – Can It Be Prevented/Slowed? 3:30 Nano Particles: What Are They Doing in Peritoneal Dialysis? 4:00 Break [44B] Clinical Updates 4:45-6:00 4:45 Peritoneal Equilibration Test – How It Has Changed Over Time and its Clinical Application 5:10 ISPD Cardiovascular and Metabolic Guidelines in Adult Peritoneal Dialysis Patients (Parts I, II) 5:35 Clinical Application of Effluent CA125 6:00 Adjourn Peritoneal Dialysis in North America Presented in Cooperation with the North American Chapter of International Society of Peritoneal Dialysis, (ISPD) 8:00 Introductions [01G] Growth of PD in North America

8:15-10:00am 8:15 PD in the United States 8:35 PD in Canada 8:55 The PD Solution Shortage 9:20 Economics of PD: The Future Including Integrated Care Models 9:50 Discussion 10:00 Break [10G] Urgent Peritoneal Dialysis

10:45am-12:15pm 10:45 Nephrologist Approach to Urgent PD Start 11:05 Surgeon Approach to Urgent Catheter Insertion 11:25 Nursing Aspects of Urgent PD Start 11:45 PD for AKI 12:05 Discussion 12:15 Lunch- (provided) [20G] PD Research Studies Update

2:00-2:30pm 2:00 NARC Catheter Study 2:20 PDOPPS [21G] Palliative Care and Peritoneal Dialysis 2:30-4:00pm 2:30 New Emphasis on Palliative Care in Advanced CKD 2:55 A Palliative Approach to PD 3:20 Symptomatic Management of the PD Patient: Assessment and Approach 3:45 Discussion 4:00 Break [40G] Protecting the PD Membrane

4:45-6:30pm 4:45 Incremental PD 5:05 Volume Management in PD 5:25 EPS Prediction and Prevention 5:45 Dose in PD and Glucose Exposure – What’s in Kt/V? 6:05 Future Strategies 6:20 Discussion 6:30 Adjourn Page 12 | Monday: Day 2 ADC Integrated Sessions AM Sessions [01C] Clinical Topics

8:00-10:00am 8:00 Lupus Nephritis 8:40 HIV Update: Survival and Current Management 9:20 Transplant Update 10:00 Break [02C] Joint Nursing and Dietitian Session: Wound Healing in CKD

8:00-10:00am 8:00 Wound Assessment in CKD 8:30 Role of Nutrition in Wound Healing 9:15 Management and Prevention 9:50 Discussion 10:00 Break [10C] Dialysis in Nursing Homes and Residential Care Facilities: Triumphs and Challenges

10:45am-12:15pm This is an interactive session featuring a panel of providers who will discuss the current state of CMS regulation of providing dialysis in the nursing home setting. • An Update on CMS and State Regulations • Challenges and Opportunities in Delivering Hemodialysis in Long Term Care Facilities • Outcomes PM Sessions [22C] Management of CKD Mineral Bone Disease

2:00-4:00pm 2:00 Physiology/Assessment 2:30 Management Recommendations 3:00 Phosphorus Bioavailability in Food: What Should We Be Teaching Our Patients? 3:45 Discussion 4:00 Break [23C] The Elderly Patient with ESRD

2:00-4:00pm 2:00 Functional Assessment of the Frail Elderly 2:30 Patient Education: A Key Factor in Decision Making and Modality Choice 3:00 PD and Assisted PD in the Elderly 3:30 Centering Care on the Patient: Considerations in Caring for Older Adults with Advanced Kidney Disease 4:00 Break Symposium on Pediatric Dialysis AM Sessions [01D] Session III — Symposium on Prenatal Diagnosis and Therapy of Fetal Renal Disorders

8:00-10:00am 8:00 Prenatal Diagnosis and Counseling 8:30 Fetal Surgery for Renal Disorders: State of the Art 9:00 The Neonate with ESRD: Dialysis Techniques and Outcomes 9:30 Panel Discussion- Offering/Declining Therapies for Neonatal Renal Disorders: Guiding Ethical Principles 10:00 Break [02D] Pediatric Renal Nutrition III 8:00-10:00am Perinatal Renal Nutrition [12D] Session IV — Hot Topics II

10:45am-12:15pm 10:45 Is Hemodiafiltration Also the Superior Dialysis Modality for Children 11:10 The Wearable Artificial Kidney 11:35 Oxalosis: Update on Pre- and Peri-Transplant Management 12:00 Best Abstract #4 12:15 Luncheon [13D] Pediatric Renal Nutrition IV 10:45-12:15 Growth Hormone and Nutrition: Primer and Practice for RD’s [15D] Pediatric Nursing Breakout 10:45-12:15 • Alphabet soup • There’s An App For That PM Sessions Optional Pediatric Breakout Luncheon Sessions 12:15-1:15pm • [34D] US Providers Luncheon: CMS Update: ESRD-QIP • [37D] Pediatric Nursing Case Luncheon Symposium Quiz the Experts • [38D] Pediatric Renal Dietitian Luncheon: Stump the Renal Dietitian Faculty Guided Tours of Pediatric Posters 1:15-2:00pm [22D] Session V — Exercise in the Dialysis Program

2:00-4:00pm 2:00 Exercise as Medical Therapy: What Does the Data Show? 2:30 Impact of Intra-Dialytic Exercise on the Patient Experience 3:00 Special Lecture: International Guidelines on Diagnosis and Management of aHUS: A Critical Appraisal 3:30 Best Abstract #5 3:45 Best Abstract #6 4:00 Break [41D] Pediatric Staffing for Productivity 4:45-6:00pm Staffing – on call, safe harbor, state/fed laws (minimum), WHUPOS, Per Diem Staff (Travelers), training issues, cost, tech utilization, contracting, turnover/recruitment/retention minimum structure/roles CfC mandates Staffing Page 13

Mar 01   

Sessions ESRD in 2016: A Peek into the Future 8:00-10:00am 8:00 Wearable Kidney: Late Breaking Clinical Trial 8:25 Future Directions in Research: Patient Reported Outcomes 8:50 Managing Hyperkalemia in Renal Disease - New Tools 9:15 RRF on Dialysis: What Do We Know in 2016? 9:40 Discussion 10:00 Adjourn [02A] Innovations in Dialysis

8:00-10:00am 8:00 Modified Albumin Dialysis for Liver Disease 8:30 Kidney on a Chip 9:00 Wearable Kidney 9:30 ol-HDF in Outpatient Setting Using Hemodialysis Machine 10:00 Break [14A] HD Debate 10:45am-12:00pm 10:45 AV Fistula Improves Cardiovascular Hemodynamics in CKD 11:15 Patient First or Fistula First: The Need for Clinical Judgement for Vascular Access 11:45 Rebuttals 12:00 Adjourn Peritoneal Dialysis Sessions AM Sessions [02B] PD Clinical Topics

8:00-10:00am 8:00 Clinical Approaches to the Patient with Ultrafiltration Failure 8:40 Calciphylaxis: Incidence and Management in PD Patients 9:20 Strategies to Prevent Hospitalization in PD Patients 9:50 Discussion 10:00 Break [03B] PD Nursing Fundamentals: Patient Education

8:00-10:00am 8:00 Tips to a Successful Home Training 8:45 Home Dialysis Training in the 21st Century 9:15 Challenges in Teaching Patients with Memory Loss 9:45 Discussion 10:00 Break Integrated Sessions AM Sessions [03C] Economics of Dialysis Care

8:00-10:00am Presented in cooperation with the National Renal Administrator’s Association (NRAA) 8:00 History of Dialysis Reimbursement, From the Beginning to Now 8:45 The Bundle-What’s In/What’s Out? How Much In It, For What? 9:05 Measure Madness: QIP/5-Star/DFR and /What It Means to Your Facility 9:50 Discussion 10:00 Break [11C] Plenary Session: Using Alternative Medication: Medical Cannabis (Marijuana) – Benefits and Harmful Effects

10:45am-12:00pm More states are passing laws that allow people to use medical marijuana as therapy to treat disease or alleviate symptoms. Its usage, however, is still controversial, and certain medical organizations such as the American Medical Association (MMA) and the American Society of Addiction Medicine have issued statements voicing multiple concerns about medical marijuana use. Join Dr. Kapur in this session and find out what does medical marijuana treat, and who can and should use it? Find out how it works, how it is used and the risks and limitations of this product. [12C] Hepatitis C Virus Infection (HCV): Challenges and Opportunities

10:45am-12:00pm The prevalence of hepatitis C virus is higher in hemodialysis patients than in the general population. This session will discuss different aspects of HCV including risk factors, medical diagnosis, management and strategies to prevent spread of the disease. Symposium on Pediatric Dialysis AM Sessions [03D] Session VI — Ethical Care for the Emotionally Difficult Patient, Family

8:00-10:00am • Disruptive Parent • Autistic Patient • Medical Foster Care 10:00 Break [04D] Pediatric Renal Nutrition V

8:00-10:00am • QI for the RD • Benefits of Early, Aggressive Nutrition in Children with CKD 10:00 Break [14D] Session VII — My Favorite Paper

10:45am-12:00pm 10:45 Basic Science/Physiology 11:00 Clinical Nephrology 11:15 Nutrition 11:30 Nursing 11:45 CRRT 12:00 Adjourn Page 14 | Tuesday: Day 3 ADC Page 15 | Accreditation Physicians The Office of Continuing Education, School of Medicine, University of Missouri is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Keynote Speakers +

Terri Parnell

Terri Ann Parnell, DNP, RN is Principal and Founder of Health Literacy Partners, LLC and Adjunct Assistant Professor at Hofstra North-Shore LIJ School of Graduate Nursing Studies. TerriParnell-LauraBush Dr. Parnell with Laura Bush, Former First Lady of the U.S. Prior to launching Health Literacy Partners, Dr. Parnell was the Vice President for Health Literacy and Patient Education for the award-winning North Shore-LIJ Health System. In this role, she was responsible for the health literacy strategic plan and the development, coordination and implementation of all patient education and health literacy initiatives. She provided health literacy leadership and consultation for all departments and facilities across the North Shore-LIJ Health System—a system that included 17 hospitals across Long Island, Queens, Staten Island and Manhattan, long-term care facilities and home health agencies—and was responsible for integrating concepts of health literacy, cultural awareness and patient-centered care into core activities of the organization. With over 30 years experience including roles and responsibilities in patient education, health care administration and nursing leadership, Dr. Parnell is well known for innovation in the area of health literacy. She has received numerous nursing awards for excellence in research, patient and family education, and is an Appointed Fellow with the New York Academy of Medicine.

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