2012 NHIA Annual Conference & Exposition

Concurrent Sesssions—Clinical Track


Clinical Track

Supported by an educational grant from Hospira Worldwide, Inc. hospira

Monday, April 23

clinical01-A. crni Decision Making That Balances Clinical Care With Cost


  • Discern how best to manage the complexity of making individualized patient care decisions within a health care environment that emphasizes standardization as a core element of cost control.
  • Walk through a clinical decision-making process that brings together all stakeholders for a review of "must have" vs. "nice to have" factors—with strategies for measuring and reporting outcomes results that inform ongoing care decisions.
  • Engage in an interactive, role-playing exercise that affords an opportunity to apply such essential decision-making process strategies.

Faculty: Pammi J. Farren, RPh, PhD, Branch Infusion Manager, Coram, an Apria Healthcare Company, Columbus, OH and Lisa Linn Siefert, R.Ph., FASHP, CMQ/OE, Director, Pharmacy Operations, Residency and Clinical Education, Walgreens Infusion and Respiratory Services, Buffalo Grove, IL

Tuesday, April 24

clinical05-B. crni Providing Safe and Effective Symptom Management in End-of-Life Care


  • Evaluate opioid dosing and titration principles for patients with life-limiting illnesses, while surveying the medications commonly used to manage symptoms in end-of-life care.
  • Hear about specific monitoring criteria for medication therapy management in patients receiving palliative care.
  • Recognize the primary ethical and legal concerns that can arise in the delivery of drug therapy at the end-of-life.

Faculty: Phyllis A. Grauer, RPh, PharmD, CGP, CPE, Pain and Palliative Care Clinical Consultant, Independent Contractor, Plain City, OH

clinical09-C. crni Key Strategies for Developing an Effective Staff Education Program


  • Learn how to recognize staff educational needs by utilizing competency assessments and data trends identified from quality assurance tools.
  • Contemplate the skills required to tailor mandatory education programs for delivery to remote staff by employing web-based conferencing technology, interactive software programs and effectively managed conference calls.
  • Discuss the role of orientation, standards of practices, interdisciplinary teams and mentoring programs to help new staff transition from other sites of care into the home infusion setting.

Faculty: Kevin L. Ross, RN, BSN, Nursing Consultant, Bartonville, TX

Wednesday, April 25

clinical13-D. crni Inotropic Therapy: Key Considerations for Home-Based Heart Failure Patients


  • Analyze the pathophysiology of heart failure, the pharmacology of inotropic therapy used to treat it, and the key clinical monitoring considerations for this patient population.
  • Differentiate the end-stage heart failure patient who is suitable for home infusion from the patient who needs more intensive clinical oversight—and the competencies that are essential for the provision of safe and effective care.
  • Understand the payer's perspective in validating clinical necessity of home inotropic therapy, as you learn the coverage criteria required for reimbursement from Medicare and commercial payers.

Faculty: Felicia Schaps, RN, CRNI®, OCN, CNSC, CQA, Clinical Resource Nurse, HomeChoice Partners, Inc. - A DaVita Company, Annandale, VA

clinical17-E. crni Reaching New Heights in Understanding Central Venous Catheter Thrombosis


  • Heighten your awareness of Central Venous Catheter (CVC) complications—including a detailed look at the presentation and treatment of upper extremity venous thrombosis in home infusion patients.
  • Explore the pathophysiology of CVC-related thrombosis, as well as the conditions most commonly associated with its development.
  • Study options for management of CVC-related thrombosis, from CVC removal to salvage and concurrent treatment with anticoagulant therapy.

Faculty: Lynn Manly, RN, CRNI®, VA-BC, Clinical Director, Navilyst Medical, Tarpon Springs, FL