JUN 2022 CCSS: Enhancing Primary Care: Refining Proficiencies to Improve Patient Outcomes

June 23, 2022

The Defense Health Agency (DHA), J-7, Continuing Education Program Office (CEPO) Clinical Communities Speaker Series (CCSS) events are designed to address the professional practice gaps of our learners in order to improve the care that our health care professionals deliver. This continuing education (CE)/continuing medical education (CME) event is conducted to achieve results that reflect a change in skills, competence, and performance of the health care team, and patient outcomes. Collaboration occurs with the Department of Defense, several government agencies, and other civilian experts for recruitment of academic subject matter experts (SMEs), clinicians, and researchers to present on current promising, evidence-based research and best practices, thus enhancing the overall educational experience. Participants are expected to apply what they learned in providing patient care individually and collaboratively as a team towards improved patient outcomes.

This event highlights current evidence-based practices, policies, and recommendations related to primary care services. Such health care topics include ethical considerations for dual relationships, care of service members with traumatic brain injury, musculoskeletal care, efficiency strategies for provision of care, nutrition and diabetes management, and COVID-19 Palliative Care Protocol updates. The educational content is created by SMEs in the ethical, research, academic and medical domains of the military and civilian health care sectors. The primary focus of this event aims to enhance the quality of patient outcomes and population health by providing advanced continuing education opportunities to improve the practice, skills, and knowledge of health care providers across the Military Health System (MHS).

For instructional personnel disclosure information, click on the speaker’s bio link.

Three of the sessions will award ACHE credits (Sessions 1, 4 & 6).

Two of the sessions will award APTA CEUs (Sessions 2 & 3).

One session will award MOC ABIM, ABP and ABPath Credit (Session 5).

Target Audience

This activity is designed to meet the educational needs of Physicians, Nurses, Pharmacists, Pharmacy Technicians, Physician Assistants, Optometrists, Social Workers, Psychologists, Dentists, Dental Hygienists, Dental Technicians, Registered Dieticians, Dietetic Technicians, Athletic Trainers, Case Managers, Certified Counselors, Occupational Therapists, Occupational Therapist Assistants, Kinesiotherapists, Physical Therapists, Physical Therapist Assistants, Healthcare Executives, and other health care professionals who support/ care for U.S. active-duty service members, reservists, Coast Guard, Public Health Service, National Guardsmen, military veterans and their families.

Course summary
Course opens: 
05/23/2022
Course expires: 
07/07/2022
Event starts: 
06/23/2022 - 7:45am EDT
Event ends: 
06/23/2022 - 4:35pm EDT

 

Time (ET)Titles/SpeakersEducational Objectives (If applicable)
0745 – 0750

Welcome Remarks

Lolita T. O’Donnell, Ph.D., M.S.N., R.N.
Division Chief, Leadership Education Analysis Development Sustainment (LEADS) Division
Academic Superintendent, Continuing Education Program Office (CEPO), J-7, Education and Training (E&T) Directorate, Defense Health Agency (DHA)
Falls Church, Va.

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 0750 – 0800

Opening Remarks

Army Col. Timothy L. Switaj, M.D., M.B.A., M.H.A., C.M.Q., C.P.P.S., F.A.C.H.E., F.A.A.F.P.
Market Assistant Director for Medical Affairs and Chief Medical Officer
San Antonio Market
Chair, DHA Patient-Centered Medical Home Advisory Board
San Antonio

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Moderator

Laura Taylor, Ph.D., R.N., A.N.E.F., F.A.A.N.
Professor
Program Director, Graduate School of Nursing
Uniformed Services University of the Health Sciences
Bethesda, Md.

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0800 – 0900

S01: Managing Dual Relationships in an Embedded Environment: An Ethical Perspective

Air Force Lt. Col. Arthur Miller, Psy.D., A.B.P.P.
Psychologist
Joint Special Operations Command Deputy Command
Fort Bragg, N.C.

  1. Define and discuss the complexities of managing dual relationships in an embedded setting.
  2. Describe a deliberate thought process when considering potential involvement in a dual relationship.
  3. Summarize ethical reasoning when it comes to managing dual relationships.
0900 – 0910Break
0910 – 1010

S02: Innovations in Treatment of Combat Related Traumatic Brain Injury and Co-Morbid Psychological Health Conditions

Thomas DeGraba, M.D.
Chief Innovations Officer
National Intrepid Center of Excellence
Bethesda, Md.

  1. Describe the principles of a holistic Interdisciplinary Intensive Outpatient Program combining neurological & behavioral health rehabilitation with integrative medicine techniques.
  2. Identify pathological injuries from traumatic brain injury (TBI) and operational stressors that benefits from the use of an interdisciplinary care approach.
  3. Recognize the effect of integrative medicine techniques on recovery in neurological and psychiatric conditions.
  4. Discuss the principles for optimizing the use of multi-domain self-report outcome measures to assess response to treatment.
 1010 – 1020 Break
1020 – 1120

S03: Etiology, Evaluation, and Management of Widespread Musculoskeletal Pain in Women

Susan V. Garstang, M.D.
Physiatrist
Veterans Affairs Salt Lake City Health Care System
Salt Lake City

Jamie Clinton-Lont, M.S.N., A.N.P.-B.C.
Nurse Practitioner
Veterans Affairs Salt Lake City Health Care System
Salt Lake City

  1. Identify the population of women Veterans who will utilize primary care services for Musculoskeletal (MSK) conditions.
  2. Explain gender differences related to pain.
  3. Summarize the way to evaluate widespread MSK pain and eliminate organic etiologies.
  4. Differentiate between the common types of Ehlers-Danlos Syndrome, including phenotypes and associated conditions.
  5. Describe the American College of Rheumatology criteria for the diagnosis of fibromyalgia.
  6. Discuss management options for connective tissue disorders and fibromyalgia.
1120 – 1130Break
1130 – 1230

S04: Achieving the Promise of Value-based Medicine through Strict Adherence to the Incentives Engendered by Capitation

Army Col. Richard Malish, M.D., M.B.A., F.A.C.C., F.A.C.P.
Military Deputy and Chief of Staff
Office of the Assistant Secretary of Defense for Health Affairs
Washington, D.C.

  1. Recognize how the Quadruple Aim is best achieved, in primary care, by fully embracing the behaviors encouraged by the capitation reimbursement model.
  2. Explain how primary care clinics can optimize value-based metrics by adopting the QUiC Clinic model (Quality, Urgent, internet & phone Care).
  3. Describe how providing urgent care at primary care clinics can offload a hospital’s Emergency Department and ancillary services.
1230 – 1330Break
1330 – 1500

S05: A Lifestyle Medicine Approach to Diabetes Reversal through Nutrition

Air Force Lt. Col. Amanda Denton, B.S.C., M.S.H.S., R.D., L.D., C.H.E.S., F.A.N.D.
Chair, DHA Primary Care Clinical Community
Chief, Air Force Medical Home​
Air Force Medical Readiness Agency​
Falls Church, Va.

Air Force Lt. Col. Amanda Denton, B.S.C., M.S.H.S., R.D., L.D., C.H.E.S., F.A.N.D.
Senior Dietetics and Nutrition Professional
Director of Operations, 382d Training Squadron, 
Joint Base San Antonio
Fort Sam Houston, Texas

Air Force Capt. Courtney Clutter, M.D.
Endocrinology Fellow, Brook Army Medical Center
San Antonio Uniformed Services Health Education Consortium (SAUSHEC)
Fort Sam Houston, Texas

  1. Describe and define Lifestyle Medicine (LM) and Lifestyle & Performance Medicine (L&PM).
  2. Summarize the impact of L&PM on diabetes and other chronic diseases.
  3. Illustrate the evidence-based eating pattern guideline for treating, managing, and reversing diabetes.
  4. Identify strategies to apply L&PM in clinical practice and outline professional resources.
1500 – 1510Break
1510 – 1625

S06: COVID-19 Palliative Care Toolkit: Pandemic Use and Beyond

Air Force Col. Laurie Migliore, Ph.D., M.S.N.
Director, Clinical Inquiry in Nursing Readiness Fellowship
Director, Evidence-Based Practice
Nursing Research 59th Medical Wing/STN
Joint Base San Antonio-Lackland, Texas

Air Force Lt. Col. Sarah Huffman, Ph.D., C.C.N.S., A.C.N.P.
Director, Biobehavioral Research
Clinical Investigation Facility
Travis AFB, Calif.

Rebecca Heyne, Ph.D., D.N.P., M.B.A., R.N., C.P.N.P.-P.C.
Evidence-Based Practice Facilitator
59 Medical Wing/STN
Nursing Research
Joint Base San Antonio Lackland, Texas

Leanne Lovett-Floom, D.N.P., M.S.N., T.N.S., P.H.N.-B.C., L.S.S.G.B.
Evidence-Based Practice Facilitator, Triservice Nursing Research Program
San Diego

 

  1. Define the need for and importance of basic palliative care for hospitalized inpatients during the COVID-19 pandemic.
  2. List three common themes derived from the COVID-19 palliative care literature reviews.
  3. Summarize two lessons learned from the pilot implementation of a COVID-19 palliative care toolkit.
  4. Identify two recommendations for utilizing the COVID-19 palliative care toolkit in future operations.
1625 – 1635

Closing Remarks

Air Force Col. Dianne Stroble, N.C., N.E.-B.C.
Director, Education and Training (J-7)
Defense Health Agency (DHA)
Falls Church, Va.

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Dial-In Information

1-773-799-3739 (OCONUS)
888-233-1725 (CONUS)
Passcode: 4476913#

Adobe Connect Link

https://dhaj7meetings.cosocloud.com/dhaccss/

Disclosure

DHA J-7 staff, Planning Committee Members and reviewers have no financial or non-financial interest to disclose. All faculty members have no financial or non-financial interest to disclose.

Welcome Remarks Speaker(s)

Lolita T. O'Donnell, Ph.D., M.S.N., R.N.

has no relevant financial relationships to disclose at this time.
Opening Remarks Speaker(s)

Army Colonel Timothy Switaj, M.D., M.B.A., M.H.A., C.M.Q., C.P.P.S., F.A.C.H.E., F.A.A.F.P.

has no relevant financial relationships to disclose at this time.
Moderator(s)

Laura Taylor, Ph.D., R.N., A.N.E.F., F.A.A.N.

has no relevant financial relationships to disclose at this time.
Speaker(s)

Jamie Clinton-Lont, M.S.N., A.N.P.-B.C.

has no relevant financial relationships to disclose at this time.

Air Force Captain Courtney Clutter, M.D.

has no relevant financial relationships to disclose at this time.

Thomas DeGraba, M.D.

has no relevant financial relationships to disclose at this time.

Air Force Lieutenant Colonel Amanda Denton, B.S.C., M.S.H.S., R.D., L.D., C.H.E.S., F.A.N.D.

has no relevant financial relationships to disclose at this time.

Susan Garstang, M.D.

has no relevant financial relationships to disclose at this time.

Rebecca Heyne, Ph.D., D.N.P., M.B.A., R.N., C.P.N.P.-P.C.

has no relevant financial relationships to disclose at this time.

Air Force Lieutenant Colonel Sarah Huffman, Ph.D., C.C.N.S., A.C.N.P.

has no relevant financial relationships to disclose at this time.

Air Force Colonel Mary Anne Kiel, M.D., F.A.A.P., Dip.A.B.L.M.

has no relevant financial relationships to disclose at this time.

LeAnne Lovett-Floom, D.N.P., M.S.N., T.N.S., P.H.N.,-B.C., L.S.S.G.B.

has no relevant financial relationships to disclose at this time.

Army Colonel Richard Malish, M.D., M.B.A., F.A.C.C., F.A.C.P.

has no relevant financial relationships to disclose at this time.

Air Force Colonel Laurie Migliore, Ph.D., M.S.N.

has no relevant financial relationships to disclose at this time.

Air Force Lieutenant Colonel Art Miller, Psy.D., A.B.P.P.

has no relevant financial relationships to disclose at this time.
Closing Remarks Speaker(s)

Air Force Colonel Dianne Stroble, N.C., N.E.-B.C.

has no relevant financial relationships to disclose at this time.

Available Credit

  • 6.75 AAPA

    image DHA J-7 CEPO has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 6.75 hours of AAPA Category 1 CME credits. Physician assistants should only claim credit commensurate with the extent of their participation.

  • 6.75 ACCME Non-Physician CME Credit

    DHA J-7 CEPO is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing education. ACCME Non-Physician CME Credit providers will be provided a certificate of participation for educational activities certified for AMA PRA Category 1 Credit™. ACCME Non-Physician CME Credit providers may receive a maximum of 6.75 hours for completing this Course activity.

  • 3.25 ACHE

    DHA J-7 CEPO is authorized to award a maximum of 3.25 hours of pre-approved American College of Healthcare Executives (ACHE) Qualified Education credit for this program toward advancement, or recertification in the American College of Healthcare Executives. Participants in this program who wish to have the continuing education hours applied toward ACHE Qualified Education credit must self-report their participation. To self-report, participants must log into their MyACHE account and select ACHE Qualified Education Credit.

  • 6.75 ACPE Pharmacist

    image 
    No valid paper/electronic statement of credit will be offered. DHA J-7 CEPO is accredited by the American Council for Pharmacy Education (ACPE) to provide continuing education for Pharmacists. This knowledge based activity will provide a maximum of 6.75 contact hours of pharmacy continuing education credit. Participant CE records will be electronically communicated to CPE Monitor. There is no cost to participate in this activity.

  • 6.75 ACPE Pharmacy technician

    image 
    No valid paper/electronic statement of credit will be offered. DHA J-7 CEPO is accredited by the American Council for Pharmacy Education (ACPE) to provide continuing education for Pharmacy Technicians. This knowledge based activity will provide a maximum of 6.75 contact hours of pharmacy continuing education credit. Participant CE records will be electronically communicated to CPE Monitor. There is no cost to participate in this activity.

  • 6.75 ADA

    image The Defense Health Agency J-7 Continuing Education Program Office is an ADA CERP Recognized Provider. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Concerns or complaints about a CE provider may be directed to the provider or to the Commission for Continuing Education Provider Recognition at ADA.org/CERP.

  • 6.75 AMA PRA Category 1 Credit

    image DHA J-7 CEPO is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. DHA J-7 CEPO designated this Course activity for a maximum of 6.75 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  • 6.75 ANCC

    The DHA, J-7, CEPO is accredited by the Joint Accreditation/ Interprofessional Continuing Education (IPCE) to provide this Continuing Nursing Education Course for a maximum of 6.75 ANCC contact hours. Nurses should only claim credit commensurate with the extent of their participation in the activity.

  • 6.75 AOTA

    image The Defense Health Agency, J-7, Continuing Education Program Office is an AOTA Approved Provider of professional development. This course is offered at 0.675 CEUs.  AOTA does not endorse specific course content, products, or clinical procedures.

  • 6.75 APA

    image Continuing Education (CE) credits for psychologists are provided through the co-sponsorship of the American Psychological Association (APA) Office of Continuing Education in Psychology (CEP). The DHA, J7, CEPO maintains responsibility for the content of the programs. DHA, J-7, CEPO designated this activity for a maximum of 6.75 CE credits. The instructional level of this activity is intermediate. There is no cost to participate.

  • 6.75 ARBO/COPE

    This activity has been approved by ARBO/COPE. The Defense Health Agency J-7 Continuing Education Program Office designated this activity for a maximum of 6.75 credit hours. Optometrists should only claim credit commensurate with the extent of their participation in the activity.

  • 6.75 ASWB

    image As a Jointly Accredited Organization, DHA J-7 CEPO is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. DHA J-7 CEPO maintains responsibility for this course. Social workers completing this course receive a maximum of 6.75 ASWB continuing education credits.

  • 6.75 Certificate of Attendance
     
  • 6.75 BOC

    Board of Certification for the Athletic Trainer (BOC)
    image The Defense Health Agency, J-7, Continuing Education Program Office (BOC AP #: P12034) is approved by the Board of Certification, Inc. to provide continuing education to Athletic Trainers (ATs). This program is eligible for a maximum of 6.75 hours/Continuing Education Units (CEUs). ATs should claim only those hours actually spent in the educational program.
     
  • 6.75 CCMC

    image This program has been pre-approved by The Commission for Case Manager Certification to provide continuing education credit to CCM® board certified case managers. The course is approved for up to 6.75 CE contact hours.

  • 6.75 CDRimage

    The Defense Health Agency, J-7, Continuing Education Program Office is a Continuing Professional Education (CPE) Accredited provider with the Commission on Dietetic Registration (CDR). CDR Credentialed Practitioners will receive 6.75 Continuing Professional Education units (CPEUs) for completion of this activity/material.

  • 6.75 COPSKT

    image 
    This continuing education activity has been accredited by The Council on Professional Standards for Kinesiotherapy (COPSKT) to include 6.75 contact hours/0.675 CEU. DHA, J-7, CEPO accredits enterprise-wide continuing education activities for military and civilian health care professionals. These courses are critical to DHA’s goal of providing the best possible quality care to active duty service members, veterans, and their families.

  • 6.75 IPCE

    image This activity was planned by and for the healthcare team, and learners can receive up to 6.75 Interprofessional Continuing Education (IPCE) credits for learning and change. In support of improving patient care, this activity has been planned and implemented by DHA, J-7, CEPO. DHA, J-7, CEPO is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), the American Nurses Credentialing Center (ANCC), the American Academy of Physician Assistants (AAPA), the Association of Regulatory Boards of Optometry's Council on Optometric Practitioner Education (ARBO/COPE), the Association of Social Work Boards (ASWB), the American Psychological Association (APA), the American Dental Association’s Continuing Education Recognition Program (ADA CERP), and Commission on Dietetic Registration (CDR) to provide continuing education for the health care team.

  • 6.75 NBCC

    image DHA J-7 CEPO has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6955. Programs that do not qualify for NBCC credit are clearly identified. DHA J-7 CEPO is solely responsible for all aspects of the programs.

  • 2.0  American Physical Therapy Association (APTA)
    image The DHA, J-7, CEPO is an American Physical Therapy Association (APTA) Approved Provider of continuing education. This activity was planned by and for the health care team, and learners will receive 0.2 APTA CEUs. The assignment of APTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by APTA. APTA CEUs are accepted by most state PT licensing boards. Learners are encouraged to check with their local chapter or state board to ensure that they accept APTA accredited courses for licensure renewal.
  • 1.50 ABIM MOC II
  • 1.50 ABPath MOC II
  • 1.50 ABP MOC II

 

 
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