AMSUS 2014 Annual Meeting Book

Federal Health In Transition










Walter E. Washington Convention Center2-5 December 2014 | Washington DC

2014 Meeting Program

9320 Old Georgetown Road · Bethesda, MD 20814-1653(301) 897-8800 · (800) 761-9320 · www.amsus.org

AMSUS represents all

healthcare disciplines within

all federal health agencies.

For more information about

AMSUS and to become a

member, visit AMSUS.org

and stay connected on

Facebook and LinkedIn.

9320 Old Georgetown Road · Bethesda, MD 20814-1653 · (301) 897-8800 · (800) 761-9320 · www.amsus.org

join usThe AMSUS Annual Meeting is the only one of its kind to bring together military, federal and international healthcare professionals. Throughout the event, attendees have the opportunity to receive CEs from world-renowned speakers, network across services both nationally and internationally, and view demonstrations of the latest technology in healthcare. Our exhibit hall offers a variety of exhibitors composed of medical device manufacturers, pharmaceutical companies, mobile medical units, and nonprofit organizations.

www.amsusmeetings.org

save the dateThe 2015 AMSUS Continuing Education Meeting will be in San Antonio, TX

2014 MEETING PROGRAM

Walter E. Washington Convention Center2-5 December 2014




Association of Military Surgeons of the United States9320 Old Georgetown RoadBethesda, MD 20814-1653301-897-8800 800-761-9320

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BOARD OF MANAGERS

BG Michael J. Kussman, MC, USA (Ret), Chair

CMSgt Charles R. Cole, USAF (Ret)

Col Ben P. Daughtry, USAF, MSC (Ret)

Maj Gen Gar Graham, USAF, DC (Ret)

MG Robert Kasulke, MC, USAR (Ret)

RADM William McDaniel, MC, USN (Ret)

MG David A. Rubenstein, MS, USA (Ret)

MG George Weightman, MC, USA (Ret)

Col James Young, USAF, BSC (Ret)

EX OFFICIO (NON-VOTING)VADM Michael L. Cowan, MC, USN (Ret) - Secretary

STAFF

Executive DirectorVADM Michael L. Cowan, MC, USN (Ret)

Deputy Executive DirectorCDR John Class, MSC, USN (Ret)

Executive AssistantMrs. Diane Condrick

Financial ManagerMrs. Diana Hedrick

Director of MeetingsMrs. Jeanette Naiman, CMP

Manager, Continuing Education ProgramsMs. Lori Lawrence

Manger, Marketing & CommunicationsMs. Mel Sirois

Journal AdministratorMs. Tonya Lira

Editorial CoordinatorMs. Joanne Manelli

Membership ManagerMs. Susan Bachenheimer

Exhibit ManagerMs. Stacie Doan

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Welcome to Washington, DC for the Annual Continuing Education Meeting sponsored by AMSUS,

The Society of the Federal Health Professionals.

For the past 110 years the AMSUS Congressional Charter to advance the knowledge of the federal

health professionals, has put us in a unique position to provide some of the most valuable learning

experiences to the men and women who serve our great country.

Our meeting this year is very different from past events. We instituted an abstract submission

process for presentations and have received a phenomenal response. The selected abstracts were

organized into 7 focused multidisciplinary tracts. We hope you enjoy the presentations and the

new format. Please take time to review all the information inside the covers of this program.

AMSUS meetings are a great place to network with peers and industry partners across the fed-

eral sector. Additionally, the opportunity to meet, form relationships and share knowledge with

medical professionals from nations all over the world is invaluable. We hope you take the fullest

advantage of the networking opportunities throughout the week.

AMSUS is committed to meeting the needs of our members and partners, and constantly seeks

to better meet those needs for the Federal Health Professionals of the XXI Century. Please let me

know how AMSUS can better serve you in the future.

Thank you for your support and participation in this year’s program.

Sincerely,

MICHAEL L. COWAN, MD, FACP

Vice Admiral, MC, USN (Retired)

Executive Director

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TABLE OF CONTENTS

General Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

Opening Ceremonies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

Exhibit Hall Floor Plan and Hours . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

Wound Care Skills Lab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

Thank you to our Sponsors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

Special Events . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

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THE ASSOCIATION AMSUS was established in 1891 and incorporated by an Act of Congress in 1903.

The Constituent Services of the Association include the Medical Departments of

the Department of Defense, the Department of Veterans Affairs, the Department

of Health and Human Services and the Department of Homeland Security. It is the

“Society of Federal Health Professionals,” and as such contributes to the

improvement of all phases of the federal health services.

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GENERAL INFORMATION

MEMBERSHIP BOOTH

We have launched a new Membership Campaign. If you are not an active

AMSUS member, please stop by the membership booth and join today.

You can also check on your membership or provide any updates to your

contact information.

AMSUS apparel items and insignia will be on display. Sales are not

permitted onsite, but you can place your orders on store.amsus.org

to be shipped after the meeting.

The Membership booth will be open the same hours as Registration –

please refer to the schedule for specific times. 2

3 The Society of Federal Heath Professionals

GENERAL INFORMATION

REGISTRATION AMSUS makes every effort to offer relatively low registration fees for both members and non-members. The costs of providing a high quality professional educational program are significant; especially those relat-ed to Continuing Health Education (CHE) certification and documenta-tion, as well as audiovisual presentations. Our goal remains to provide an outstanding educational program at a very reasonable fee, and that goal is unchanged.

HOURS OF ON-SITE REGISTRATION

Monday 1 December 3:00 p.m. – 6:00 p.m.Tuesday 2 December 6:30 a.m. – 6:00 p.m.Wednesday 3 December 7:00 a.m. – 4:00 p.m.Thursday 4 December 7:00 a.m. – 1:00 p.m.

All in attendance must register and wear the AMSUS name badge.

UNIFORM AND DRESS

For uniformed personnel: The uniform of the day as prescribed by your services regulations/directions.

For civilians: Business attire or business casual.

For the Annual Dinner & Awards Banquet on Thursday 12/4/14Uniformed personnel: Mess Dress, Dinner Dress Blues or Class ACivilian: Black tie (optional)

Specific for the U.S. Public Health Service: Days: Service Dress Blues or Service KhakiTuesday Evening 12/2/2014: Service Dress Blues or Service KhakiThursday Evening 12/4/2014: Dinner Dress Blue Jacket or Service Dress Blues

Civilians: Tuesday Evening: General BusinessThursday Evening: Black tie (optional)

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FEDERAL HEALTH IN TRANSITION | AMSUSMEETINGS.ORG 4

MEETING LOCATIONS

Scheduled programs for the Annual Continuing Education Meeting will take place at the Walter E. Washington Convention Center.

LOCATIONS OF INTEREST

Speaker Ready Room Convention Center Room 159Continuing Education Room Convention Center Room 158AMSUS Office Convention Center Room 154A

EXHIBITS This communication medium was established as an educational service to provide delegates to the Annual Continuing Education Meeting important information on the development of drugs, chemicals, equipment systems, products, and services relevant to their specialties, interests, and responsibilities. The Exhibits Program reflects special emphasis on pharmaceuticals, diagnostic, laboratory, x-ray, Wound Care, therapeutic devices and services, and casualty handling equipment, along with general medical supplies. A total of 8 dedicated exhibit hall hours that do not compete with educational sessions have been scheduled to provide ample time to review the more than 120 agency and commercial displays and confer with their monitors.

Exhibits are open:

Tuesday 2 DecemberFederal Medical Chief Official 10:00 a.m. - 1:00 p.m. walk through.

Poster Session & Networking Reception 4:30 p.m. - 6:30 p.m.

Wednesday 3 December 10:00 a.m. – 1:00 p.m.

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5 The Society of Federal Heath Professionals

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GENERAL INFORMATION

AMERICANS WITH DISABILITY ACT (ADA)

AMSUS wishes to take any steps required to ensure that no individual with a disability is excluded, denied services, segregated or otherwise treated differently due to the absence of auxiliary aids and services identified in the Americans with Disabilities Act. If special needs accommodations are necessary in order for you to participate in the AMSUS Annual Continuing Education Meeting, please communicate your needs to the AMSUS office located in the Walter E. Washington Convention Center, Room 154A.


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AMSUS MOBILE APP

Since Nielson found that smartphone users spend 89% of their time in apps, and they account for around 1/4 of the four billion mobile users around the world, AMSUS decided to jump onboard.

So, this year AMSUS is introducing a Mobile App for this meeting.Please take a moment to download our new (free) Mobile App for your phone. It will give the ability to create your own schedule, search for speakers and exhibitors, and more.

DIRECTIONS FOR IPHONE, IPAD, IPAD MINI OR TABLET:

1. Go to the App Store2. Search for AMSUS (be sure to hit search at the bottom of the key-

board as it will not pop up automatically)3. Download and install the app4. When asked if you would like to receive Push Notifications, be sure

to click OK, otherwise you will not receive notification of scheduling changes and prize winners

5. Tap on the (white) Meeting logo and you’re set

DIRECTIONS FOR ANDROID AND OTHER MOBILE DEVICES:

1. Go to the Google Play Store2. Search for AMSUS (it will come up as AMSUS Events)3. Click on Install and open the App4. When asked if you would like to receive Push Notifications, be sure

to Click OK, otherwise you will not receive notification of schedul-ing changes and prize winners

5. Tap on the (white) Meeting logo and you’re set

Once you are using the AMSUS Meeting App, you must create an account in order to design your schedule and receive push notifica-tions. You will be prompted to do this by logging in with a service you already use (LinkedIn, Twitter, Facebook, Google+) or by creating an account in the app. Please be sure to do this; it will take less than a minute and ensure you receive all key information at the event.

DIRECTIONS FOR BLACKBERRY:

1. Visit & bookmark https://event.crowdcompass.com/amsus2014 2. Use this web-based version throughout the Meeting

After downloading the app or bookmarking the page, stop by the AMSUS networking lounge and enter to win one of four Fitbits and additional giveaways. Winners will be announced via the push notification on the app.

8:00 A.M. 8:45 A.M

Opening Ceremonies

Walter E. Washington Convention CenterBallroom AB

Opening Remarks by AMSUS Executive DirectorVADM Michael L. Cowan, MC, USN (Ret)

8:45 A.M. 9:00 A.M.

Break

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OPENING CEREMONIES

9:00 A.M. 10:00 A.M.

Plenary SessionRADM Boris Lushniak,USPHS Acting Surgeon General of the United States Surgeon General’s reflections on the 50th Anniversary USPHS first uniformed service to go tobacco free, moving forward, etc.

RADM David Ashley, USPHS FDA, Director of the Office of Science, Center for Tobacco Products Review of tobacco free implementation for USPHS officers, how other services can follow suit, update on available USPHS data (i.e. cessation program/policy for uniformed members, stats, etc.)

CAPT Kimberly Elenberg, USPHS DOD, Deputy Director of Population Health Medical Management, and Patient Centered Medical Home: DOD Tobacco cessation efforts, milestones and how DOD is realizing their goals

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2014

December 1-3 2014Walter E. Washington Convention CenterHall CWashington, DC

3M 3M wound care solutions help prevent and treat critical and chronic conditions across

the care continuum.

Learning objectives:• Identify contraindications for compression therapy.

• Discuss the mechanism of action of how the compression therapy works in

relation to lower extremity venous insufficiency

• Describe treatment modalities for controlling edema of the lower extremity

• Demonstrate correct application of a two layer compression wrap

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lo c at e d o n e x h i b i t f lo o r

WOUND CARE SKILLS LABS

This workshop will provide the learners with discussion of the design, sci-

ence, mechanism of action and clinical evidence supporting the use of a two

layer compression system for treatment of venous leg ulcers, chronic edema

and lymphedema. Selection options for periwound skin protection and

dressing considerations will be discussed. Selection criteria for compression

therapy will be reviewed with a demonstration and hands on practice oppor-

tunity of the variety of application techniques that allow customized com-

pression therapy. Bandage troubleshooting, tips and tricks will be discussed.

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The Society of Federal Heath Professionals

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Iron BowIron Bow Technologies, in conjunction with Aranz Medical, will be showcasing the Silhouette Wound Care Camera. Silhouette is a non-invasive, 3D measurement, imaging and documentation system that provides precise healing trend information along with comprehensive wound surveillance support.

Silhouette’s wound imaging system consistently measures the area, volume and depth of wounds with an easy to use one-click device that uses laser lines for positioning and optimum focus. Silhouette software creates an accurate 3D model, recording standardized notes stored on a secure system and recording data into patient records.

JoernsJoerns RecoverCare is revolutionizing healthcare through an industry-leading suite of advanced patient care products, technologies, services and programs, and has served the Veterans Health Administration system for over 15 years.One of these technologies is the Dolphin Fluid Immersion Simulation® (FIS) advanced therapy system. Dolphin FIS is a therapeutic support surface that creates a level of immersion and buoyancy sufficient to alleviate the forces of gravity to such an extent as to maintain organ tissue perfusion and prevent skin injury related to pressure and shearing forces that compromise blood flow. The technology is used to prevent pressure ulcers and to advance the healing of pressure ulcers (stage III or stage IV), surgical flaps, skin grafts, burns, and other complex wound conditions.

Dolphin FIS offers:• Improved clinical outcomes – faster healing and sustained prevention• Better clinician ergonomics – easier, less traumatic transfers and repositioning• Enhanced patient comfort – improved pain management promotes greater patient compliance


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The Dolphin FIS software uses complex algorithms, a microprocessor and sophisticated dynamic pressure waveform analysis to precisely adjust the density of the surface for the unique anatom-ical features of the patient. It continuously monitors the patient’s weight, 3D surface area and movements to automatically calculate the exact settings to effectively manage the pressure of the patient’s body in the medium. This results in individualized immersion of the patient based on their specific characteristics and movements creating a near neutrally buoyant state on the support surface.

Designed to save Dolphins, proven effective for patient care• Heals wounds faster than standard surfaces• Covers the full age spectrum and care continuum• Automatically adjusts to each patient’s weight, surface area and repositioning• No staff intervention required• Fits all existing bed frames


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KCI, an Acelity company Acelity is a global wound care and regenerative medicine company created by uniting the strengths of three companies, Kinetic Concepts, Inc., LifeCell Corporation and Systagenix Wound Management, Limited. Acelity is committed to advancing the science of healing and restoring people’s lives.

Objectives: 1. Summarize the physiological and biological mechanisms by which negative pressure wound

therapy (NPWT) accelerates wound healing.

2. Discuss the concept of NPWT with instillation.

3. Discuss Advanced Wound Care products that can be used before, during (in conjunction) and

after NPWT.

4. Discuss how NPWT can be utilized under compression therapy.

5. Demonstrate how to apply basic and advanced NPWT dressing changes for wounds.

6. Describe the online educational programs and resources available through Acelity.com


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MiMedxMiMedx® is an integrated developer, processor, and marketer of patent protected biomaterial prod-ucts and tissues, including EpiFix® and AmnioFix®. Both products provide a biologically active ma-trix and growth factors for cellular ingrowth, and they reduce inflammation and reduce scar tissue formation for enhanced healing. EpiFix® dehydrated Amnion/Chorion Membrane Allograft implant is a tissue regeneration graft for the treatment of acute and chronic wounds, and it is also available in powder form. AmnioFix® dehydrated Amnion/Chorion Membrane Allograft offers barrier and reconstructive options for surgical procedures. Both EpiFix® and AmnioFix® products are processed using the proprietary PURION® Process, a unique approach that provides an easy to use allograft stored at ambient temperatures. The allografts are easy to handle and apply, and they have a 5 year shelf life at ambient temperature storage. PURION® processed allografts are minimally manip-ulated, safe and effective, and more than 200,000 implants have been distributed to date.

Objectives: 1. Describe the source for MiMedx products

2. Be able to state the basic difference between EpiFix and AmnioFix; Name one clinical applica-

tion for each.

3. Name and demonstrate at least one of the key application steps and orientation of EpiFix to

maximize clinical outcomes.

4. Cite one evidence-based application of EpiFix as described in published clinical data.


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Mölnlycke® Health Care Mölnlycke® Health Care is a global manufacturer of wound care and single-use surgical products. As one of the most respected health care brands in the world, we provide a unique, high quality range of products and patented technologies. Our products are designed to assist health care profession-als in providing better care so patients can achieve better outcomes.

Preventing surgical site infections and pressure ulcers are among health systems’ and hospitals’ top priority goals. Partnering in these goals is a KEY focus for Mölnlycke® Health Care.During the AMSUS Wound Care Skills Lab we will place attention on pressure ulcer and surgical site infection prevention through the sharing of education and evidence and for the following products:

-HIBICLENS® HIBICLENS® has been a trusted partner in infection prevention initiatives for over 30 years. It has been used to reduce the rates of healthcare-associated infections, including MRSA, VRE, and C. difficile.

-Mepilex® Border AG in post-op sizesMepilex® Border Ag acts as a barrier against microbial contamination and inactivates a wide range of pathogens. Mepilex® Border Ag has been shown to help lower the incidence of surgical site infection when used as part of a comprehensive, evidence based SSI reduction program. Mepilex® Border Ag in post op sizes also helps to minimize damage from blistering, incision adherence, skin stripping, and maceration.

-Mepilex® Border Sacrum As part of a comprehensive prevention program, Mepilex® Border Sacrum helps prevent hos-pital-acquired pressure ulcers by reducing shear forces, maintaining optimal skin microclimate, minimizing friction and redistributing pressure.


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Smith & Nephew The Advanced Wound Management Division of Smith & Nephew has provided solutions for the prevention and treatment of chronic, acute and traumatic wounds for over 150 years.

Focused on innovation, Smith & Nephew consistently delivers new options for advanced wound management, like the canister-free PICO™ Single Use Negative Pressure Wound Therapy System.

The innovative ALLEVYN™ Life Hydrocellular Foam Dressings have a unique 5-layer design that provides excellent pressure distribution technology, while effectively managing exudate. DURAFIBER™ Gelling Fiber Dressings are designed to create a comfortable gel matrix while managing exudate.

ACTICOAT™ Silver-Coated Antimicrobial Barrier Dressings kill over 360 pathogens, including over 188 strands of MRSA (in vitro). IODOSORB™ Cadexomer Iodine Dressings have been shown to disrupt and substantially eradicate mature biofilms of P. aeruginosa (in vitro).

OASIS® Wound Matrix is a naturally derived structure that helps support the body’s own wound closure mechanisms. OASIS® Wound Matrix is an intact matrix naturally derived from porcine small intestinal submucosa (SIS), indicated for the management of a variety of wounds.

• SIS technology is proven to support the body’s own tissue repair mechanisms critical to wound closure1,2• SIS is the most widely studied and published biomaterial, featured in more than 990 scientific publications1• SIS research currently includes more than 340 human studies

Collagenase SANTYL® Ointment 250 Units/g

Smith & Nephew is committed to creating innovative advanced wound care solutions to help re-duce the human and economic costs of wounds.

THANK YOU TO OUR SPONSORS


SLSILVER SPONSORS

WOUND CARE SUPPORTERS

SPECIAL EVENTS


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Tuesday 2 December 2014

Opening Ceremonies8:00 a.m. – 10:00 a.m.

Walter E. Washington Convention CenterBallroom A/B

Grand Opening of the Exhibit HallWalter E. Washington Convention CenterExhibit Hall C10:00 a.m.

Poster Session & Networking ReceptionWalter E. Washington Convention CenterExhibit Hall C4:30 p.m. – 6:30 p.m.

Wednesday 3 December 2014

Early Bird SessionThe USPHS Experience in West Africa

Walter E. Washington Convention CenterBallroom A/B7:00 a.m. – 7:50 a.m.

AMSUS Business MeetingWalter E. Washington Convention CenterExhibit Hall C 11:30 a.m. – NoonAll members encourage to attend

VIP Reception6:00 p.m. – 8:00 p.m.Invitation Only

Thursday 4 December 2014

Early Bird SessionDOD Deployment to West Africa; The Military Medical Department Ebola Virus Experience

Walter E. Washington Convention CenterBallroom A/B7:00 a.m. – 7:50 a.m.

Board of Managers MeetingWalter E. Washington Convention CenterInvitation Only

Executive Advisory Council MeetingWalter E. Washington Convention CenterInvitation Only

AMSUS Reception and Annual Dinner & Awards BanquetWalter E. Washington Convention CenterBallroom A/B6:00 p.m. – 10:00 p.m.

Notes

AMSUS represents all

healthcare disciplines within

all federal health agencies.

For more information about

AMSUS and to become a

member, visit AMSUS.org

and stay connected on

Facebook and LinkedIn.

9320 Old Georgetown Road · Bethesda, MD 20814-1653 · (301) 897-8800 · (800) 761-9320 · www.amsus.org

join usThe AMSUS Annual Meeting is the only one of its kind to bring together military, federal and international healthcare professionals. Throughout the event, attendees have the opportunity to receive CEs from world-renowned speakers, network across services both nationally and internationally, and view demonstrations of the latest technology in healthcare. Our exhibit hall offers a variety of exhibitors composed of medical device manufacturers, pharmaceutical companies, mobile medical units, and nonprofit organizations.

www.amsusmeetings.org

save the dateThe 2015 AMSUS Continuing Education Meeting will be in San Antonio, TX











Walter E. Washington Convention Center2-5 December 2014 | Washington DC

2014 Meeting Program

9320 Old Georgetown Road · Bethesda, MD 20814-1653(301) 897-8800 · (800) 761-9320 · www.amsus.org

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AMSUS 2014 Annual Meeting Book

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