2024 UHMS Pacific Chapter Town Hall on Clinical Hyperbaric Medicine

2024 UHMS Pacific Chapter Town Hall on Clinical Hyperbaric Medicine Enduring Material 

Originally hosted August 10, 2024

Schedule:

• Updates to the 15th Edition of the UHMS Indications Manual - Enoch Huang, MD, Pete Witucki, MD
• Lessons learned from the Closure of the Legacy Emanuel Hyperbaric Medicine Program - Enoch Huang, MD, Jacquline Hocking, CHT
• When CMS Gets it Wrong: The Response to OPPS G0277 Payment Error Rate and the Case for Advocacy - John Peters, FACHE, Helen Gelly, MD
• Limb Preservation Program Cases - Nicki Vedenoja, RN, BSN, Marc Robins, DO, Brenda Freymiller, RN, Luis Cajas-Monson, MD, Yvette Canaba, DPM
• Hyperbaric Medicine and Compliance with the Standard of Care: Does "Mild" Hyperbaric Medicine Meet the Standard of Care? - R.B. "Gus" Gustavson, MPH, RN, CHRNC, CHT-Admin, CRT, UHMSDSA
• CMS Data Demonstrates a Cost and Clinical Advantage for Hyperbaric Oxygen - Marc Robins, DO

Lecture Descriptions and Objectives:

• Discuss the most notable changes in the 15th edition of the Hyperbaric Oxygen Therapy Indications Manual.
• Provide a timeline of the Legacy Emanuel Medical Center hyperbaric program and a discussion of the events that led to its closure, as well as lessons learned that could affect other facilities.
• In early November 2023, CMS published the final OPPS rule, which listed a 42% reduction in G0277 (HBO2/30 min segment) in the HOPD environment. This change was inconsistent with the proposal rule published earlier in the year. This lecture will provide an overview of the cause and action the UHMS took with industry partners to reverse the change. 
• Provide an overview of the design of a critical limb preservation program and present various cases.
• Discuss the somewhat blurred line between mild (light) hyperbaric medicine treatments and clinical evidence based hyperbaric medicine. Risk factors will be discussed with the use of non-approved hyperbaric chambers within the United States and the importance of educating laypersons about the difference and misleading aspects of the social media promotion of mild hyperbaric treatments for off label concerns.
• Discuss the concept and use of real world data and its impact on medicine today, including the origin, design, and utilization of the Medicare database and answer one of their own pressing concerns about the value hyperbaric treatment may offer in both cost and effectiveness.

Estimated time to complete this activity: 4.5 hours

Termination Date: October 21, 2027 

Registration: 

• Non-Member: $101.25
• Regular UHMS Member: $78.75
• Associate UHMS Member: $56.25

Accreditation Statement: The Undersea and Hyperbaric Medical Society is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Designation Statements:

Physician CME: The Undersea and Hyperbaric Medical Society designates this enduring material for a maximum of 4.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nursing/RRT Contact Hours: This enduring material is approved for 4.5 CE hours provided by Florida Board of Registered Nursing/RRT Provider #50-10881. License types: RN, LPN, CNS, ARNP, CNA, CRT, RRT, RCP Provided through the Florida State Board of Nursing and the CE credits are reciprocal and approved for nurses within all states. Receiving credit for Florida providers is simple, attend the course and our staff will upload your credits directly to the Florida State database. For out of state credit, we provide this letter for you to file with the respective nursing board.

NBDHMT: This live activity is approved for 1.5 Category A credit hours and 3.00 Category B credit hours by National Board of Diving and Hyperbaric Medical Technology, P.O. Box 758, Pelion, South Carolina 29123.   

NBDHMT Accreditation Statement: For CHT recertification purposes, the NBDHMT requires a minimum of nine of the minimum 12 required Category A credits relate directly to any combination of hyperbaric operations, related technical aspects and chamber safety.

Full Disclosure Statement: All faculty members and planners participating in continuing medical education activities sponsored by Undersea and Hyperbaric Medical Society are expected to disclose to the participants any relevant financial relationships with ineligible companies. Full disclosure of faculty and planner relevant financial relationships will be made at the activity.

Disclosure: The following individuals have disclosed a relevant financial relationship with ineligible companies. Financial relationships are relevant if the following three conditions are met for the individual who will control content of the education:

A financial relationship, in any amount, exists between the person in control of content and an ineligible company and;

• The content of the education is related to the products of an ineligible company with whom the person has a financial relationship and;
• The financial relationship existed during the past 24 months.
• All of the relevant financial relationships listed for these individuals have been mitigated

None of the individuals in control of content (planners/faculty/reviewers/authors) for this educational activity have relevant financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

No commercial support was received for this activities:

Disclaimer: The information provided at this CME activity is for Continuing Medical Education purposes only. The lecture content, statements or opinions expressed however, do not necessarily represent those of the Undersea and Hyperbaric Medical Society.

CME For MOC Program Guide Designation Statements for ABMS Boards

Required instructions to learners on how to obtain CME for MOC

CME For MOC points are earned through completing a comprehensive evaluation component that assesses individual learner competence, performance, and/or the impact on patient outcomes. Some boards require evaluation feedback that will include a summary of what was discussed and the best next steps for the learner. The evaluation feedback will be provided to you upon submitting the evaluation form.

As an accredited ACCME provider, the UHMS is now responsible to submit physician learner CME credits into the ACCME PARS system. However, it is the physician’s responsibility to submit the necessary information required to match with the ACCME PARS system. It is also the physicians responsibility to check with their respective board(s) to see that the credits were applied accordingly.

American Board of Anesthesiology (ABA)
“This activity contributes to the CME component of the American Board of Anesthesiology’s redesigned Maintenance of Certification in AnesthesiologyTM (MOCA®) program, known as MOCA 2.0®. Please consult the ABA website, www.theABA.org, for a list of all MOCA 2.0 requirements.”

American Board of Internal Medicine (ABIM)***
“Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 4.5 MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.”

American Board of Otolaryngology – Head and Neck Surgery (ABOHNS) ***
“Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn their required annual part II self-assessment credit in the American Board of Otolaryngology – Head and Neck Surgery’s Continuing Certification program (formerly known as MOC). It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of recognizing participation.”

American Board of Orthopaedic Surgery (ABOS) ***
“Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn credit toward the CME of the American Board of Orthopaedic Surgery’s Maintenance of Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABOS credit."

American Board of Pathology (ABPath)
This activity has been registered to offer 4.5 AMA PRA Category 1 CreditsTM towards the American Board of Pathology’s Continuing Certification program Lifelong Learning credits.

American Board of Pediatrics (ABP) ***
“Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn up to 4.5 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit learner completion information to ACCME for the purpose of granting ABP MOC credit.”

American Board of Surgery (ABS) ***
“Successful completion of this CME activity [which includes participation in the evaluation component], enables the learner to earn credit toward the CME [and Self-Assessment] requirement(s) of the American Board of Surgery’s Continuous Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABS credit."

American Board of Thoracic Surgery (ABTS) ***
“Successful completion of this CME activity [which includes participation in the evaluation component,] enables the learner to earn credit toward the CME [and Self-Assessment] of the American Board of Thoracic Surgery’s Maintenance of Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABTS credit."

***Will require evaluation feedback