New York Bariatric Surgery 2014: State of the State

FINAL Program

NY Academy of Medicine

NYS Chapter Annual MeetingMay 1-2, 2014

New York Academy of Medicine

CONTINUING MEDICAL EDUCATION:8.5 AMA PRA Category 1 CreditsTM

Accreditation:This live activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation

Council for Continuing Medical Education through the joint sponsorship of North Shore-LIJ Health System and The American Society of Metabolic and Bariatric Surgeons.  North Shore-LIJ Health System is accredited by the Accreditation Council for

Continuing Medical Education to provide Continuing Medical Education for physicians.Credit Designation:

North Shore-LIJ Health System designates this live educational activity for a maximum of 8.5 AMA PRA Category 1 CreditsTM   Physicians should only claim credit commensurate with the extent of their participation in the activity.

Disclosure of Relevant Financial Relationship Policy:North Shore-LIJ Health System adheres to the ACCME’s New Standards for Commercial Support. Any individuals in a position

to control the content of a CME activity, including faculty, planners and managers, are required to disclose all financial relationships with commercial interests.  All identified potential conflicts of interest are thoroughly vetted by North Shore-LIJ for

fair balance and scientific objectivity and to ensure appropriateness of patient care recommendations.CONTACT  HOURS  FOR  NURSES:

contact hours credit.12 CEU Contact Hours:  Provided by Taylor College

GENERAL INFORMATION

Established in 2007, the NY State Chapter of the ASMBS Mission is to be the definitive venue for dealing with statewide issues in bariatric surgery. The Chapter goal is to advocate on behalf of patients and providers in New York State. Our efforts focus on the advancement of education and educational programs for physicians, integrated health members, and hospital staff both clinical and administrative.

LEARNING OBJECTIVES• Compare edited/revised guidelines and their clinical implications• Examine the prevalence of overweight and obesity among children and adults in

New York State• To learn the process of working with Human Resources to make benefit changes

related to the employees of a hospital system• To identify at-risk patients for poor outcomes as defined by multiple hospital

readmissions and decreased life span• Understand surgical techniques that may potentially minimize complications

associated with sleeve gastrectomy• List methods for designing a Collaborative practice with physicians as part of a

health care team• Learn about environmental factors the impact food choices, consumption and even

enjoyment.

NYS  Chapter  ASMBS  Board  of  Directors

                               President:          Ashutosh  Kaul,  MD,  FACS,  FRCS                      Secretary:      Terence  Clark,  MD                                Treasurer:        Greg  Dakin,  MD,  FACS,  FASMBS                      Director:          Alok  Gandhi,  DO,  FACOS,  FASMBS                                Trustee:                Marina  Kurian,  MD,  FACS,  FASMBS          Director:          Daniel  Herron,  MD,  FACS                                    Trustee:                William  Graber,  MD,  PC                                                                                                    Senior  Past  President:    Dominick  Gadaleta,MD,  FACS,  FASMBS                                  Founder  &  Past  President:    Mitchel  Roslin,  MD,  FACS

NYS Chapter Integrated Health Executive Council

Chair: Livia Navie, RPA-C Secretary: Anne Jones, RN, CBN

Member-at-Large: Laura Campisi, MS Chair Elect: Charmaine Gentles, ANP-BC, RNFA

REGISTRATION

Registration will be open:

• Thursday evening from 5:30pm to 6pm• Friday from 7:00am to 2pm

Badges and Program available at the Table in front of Hosack Hall Auditorium

WEBSITE: www.asmbsny.org

MEETING ROOM LOCATIONS

Thursday Evening: Library Reading Room on the 3rd Floor

Friday Registration: Lobby Hosack Hall Auditorium on the 1st Floor

Friday General Session: Hosack Hall Auditorium – 1st Floor

Friday Lunch: Library Reading Room – 3rd Floor

Friday Lunch Desert: Exhibit Room – 1st Floor

Friday Meet & Greet: Exhibit Room – 1st Floor

Friday: May 2, 2014

Schedule

7:30 a.m. – 8:00 a.m.

8:00 a.m. – 8:10 a.m.

Moderator: Livia Navie

8:15 a.m. – 8:40 a.m.

8:40 a.m. – 9:00 a.m

Presentations

Registration: Hosack Hall

Introduction and Welcome

Nutrition guidelines update: What you need to know

Physician-Pharmacist Team Approach to Enhancing Patient Care

Speakers

Ashutosh Kaul

Jacqueline Jacques

Bishoy Luka

Thursday: May 1, 2014

6:00pm to 8:00pm Welcome Reception Library Reading Room

Join our "Drown Your Sorrows" session where you'll meet NYSC leadership and take part in the Roundtable Panel discussion on "Prevention and Endoscopic Management of Bariatric Surgery Complications".  Wine; soft drinks & light refreshments served.

Session One

Difficult Cases: Puzzle the Panel

Moderator: Ninh Nguyen, President, ASMBS

PANEL Members: Panel Member: Puzzle the Panel: Roundtable on Complicated CasesJohn Morton, President Elect, ASMBSDan Herron, Board Director, NYS Chapter ASMBSMarc BesslerWill GraberAlfons PompJulio Texeira

Friday at 5:15pm Join Session Two: Your Clinical Challenges

1st DRAWING: 1 Mini-iPad & 1 Kindle (1 Surgeon / 1 – Integrated Health)

9:00 a.m. to 9:30 a.m

Moderator:Laura Campisi

9:30 a.m. – 10:00 a.m

Moderator: Ninh Ngyuen

10:00 a.m. - 10:50 a.m.

10:50 a.m. – 11:20 a.m.

11:20 a.m. - Noon

Noon – 12:45 pm

Moderator: Dominick Gadaleta

12:45pm - 1:15 p.m.

Moderator: Greg Dakin

1:15 p.m. – 2:00 p.m

2:00 p.m. – 2:15 p.m

Break: Exhibit Room

Patient Engagement: Your New Bariatric Metric

“Dear Sleeve, It’s Not you... it’s Me” The Surgeon: The PA: The Nurse: The Nutritionist: The Psychologist:

MBSAQIP Centers of Excellence

Morning Speakers: Q & A

Lunch Served: Library Reading Room 3rd FloorSpecial Desert: Exhibit Room 1st Floor

How to prevent & manage complications of sleeve gastrectomy

Keynote SpeakerNY Statewide-Local prevalence of overweight & obesity Review NYS / Local policy to change & prevent obesity

Presidential Address

Todd BartosD Scott Haiges

John MortonMichael Clock

Anne JonesTara Joyce

Alexis Conason

John Morton

Ninh Nguyen

Howard Zucker1st Deputy CommissionerNYS Department of Health

Ashutosh Kaul

Moderator: Terence Clarke

2:15 p.m. – 2:30 p.m.

2:30 p.m. – 2:45 p.m.

2:45 p.m. – 3:10 p.m.

3:10 p.m. - 3:40 p.m.

Moderator: Aurora Pryor

3:45 p.m. – 4:00 p.m.

4:05 p.m. – 4:45 p.m.

Moderator: Alok Gandhi

4:45 p.m. – 5:15 p.m.

5:15 p.m. – 6.15 p.m.

Panel Moderator: Panel Members:

6:15 p.m. - 6:30 p.m.

6:30 p.m. - 7:30 p.m.

Final Drawing

Payor Panel

Pre Submitted Questions to Panel - Audience Q & A

Genomic Analysis for Prediction of Weight Loss Outcomes Following Bariatric Surgery

Break: Exhibit Room

Beyond the perioperative period Hospital utilization & mortality following bariatric surgery

Breaking News Panel

Guidelines for: Low BMI Surgery

Roundtable: Your Clinical Challenges - Case study Discussion: Session Two

Ashutosh KaulNinh Nguyen - President ASMBSJohn Morton, President Elect, ASMBSTerence Clarke, President Elect, NYSCAlfons PompJulio TexeiraBrian Mitzman

All Speakers: Audience Q & A

Meet & Mingle: Light RefreshmentsChapter Board, IH Executive Council, Faculty & Attendees

1 - Surgeon / 1 - Integrated Health1 Mini- ipad & 1 Kindle Fire

Scott BreidbartJohn Morton

Dominick Gadaleta

Harry Ostrer

Dana Telem

John MortonMitch Roslin

Dominick GadaletaGeorgeann Mallory

Darren Tishler

Faculty

Ashutosh Kaul, MD, FACS, FRCS Course DirectorPresident, NYS Chapter ASMBSAssociate Professor of Clinical Surgery

New York Medical College Director, MI & Robotic SurgeryWestchester Medical CenterWestchester, NY

Terrence Clarke, MD Course Director President-Elect, NYS Chapter ASMBSMedical Director, Bariatric Surgery

Ellis Medicine Bariatric Care CenterSchenectady, NY

Dominick Gadaleta, MD, FACS, FASMBS CME Director Immediate Past President, NYS Chapter ASMBS Associate Chair, Department of Surgery

Chief of General SurgeryNorth Shore University HospitalGreat Neck, NY

Livia Navie, RPA-C Integrated Health Clinical Coordinator Course Director

Bellevue Hospital CenterNew York, NY

Anne Jones, RN, CBN Chair, CME Bariatric Clinical Coordinator

Ellis Hospital Schnectady, NY

Laura Campisi, MS Chair, CEU Administrative DirectorBariatric & General Surgery

Maimonides – Brooklyn, NY

Howard Zucker, MD Keynote Speaker1st Deputy Commissioner NYS Department of Health Albany, NY

Todd Bartos, Esq FacultySpruce Law Group

Philadelphia, PA

Marc Bessler, MD FacultyProfessor of Surgery Chief Division of Minimally Invasive and Metabolic Surgery

Columbia University Medical CenterNew York, NY

Scott Breidbart, MD, MBA FacultyChief Medical OfficerEmpire Blue Cross Blue Shield

New York, NY

Michael Clock, PA-C FacultyClinical Supervisor

Ellis Medicine Bariatric Care CenterSchenectady, NY

Alexis Conason, Psy.D.  FacultyClinical Psychologist Private Practice  New York, NY

Research Associate New York Obesity Nutrition Research CenterMt. Sinai-St. Luke's HospitalNew York, NY

Gregory F. Dakin, MD, FACS ModeratorAssociate Professor of Surgery

Weill Cornell Medical CollegeNew York, NY  

Alok Gandhi, DO, FACOS ModeratorBariatric General Surgeon

Rochester General HospitalRochester, NY

William A. Graber, MD, FACS ModeratorDirector of Bariatric Surgery St. Joseph's Hospital & Health Center, Syracuse, NY

Faxton-St. Luke's Healthcare - Utica, NY

Daniel M. Herron, MD, FACS ModeratorProfessor of SurgeryVice Chair of Surgical Technology

Chief, Section of Laparoscopic & Bariatric SurgeryDirector, Fellowship in Laparoscopic SurgeryMount Sinai School of Medicine - New York, NY

Jacqueline Jacques, ND FacultyVice President, Research & Development

Thorne ResearchNewport Beach, CA

Scott Haiges FacultyChief Executive Officer MedStatix

Lancaster, PA

Tara Joyce, RD, CDN Faculty Registered DietitianEllis Medicine Bariatric Care Center

Niskayuna, NY

Bishoy Luka, Pharm.D., BCNSP FacultyDirector of Clinical Pharmacy Services & EducationNorth Shore University Hospital

Manhasset, New YorkAdjunct Professor of Pharmacology / Nursing Graduate ProgramsSUNY Downstate Medical Center - Brooklyn, New York 

Ninh T. Nguyen, MD, FACS, FASMBS       FacultyProfessor of Surgery

Chief, Minimally Invasive SurgeryUniversity of California Irvine Medical Center - Orange, CA

Georgeann Mallory, RD FacultyExecutive DirectorAmerican Society for Metabolic & Bariatric Surgery

Gainesville, FL

Brian Mitzman, MD FacultyGeneral Surgery ResidentLenox Hill Hospital – New York, NY

John Morton, MD, MPH, FACS, FASMBS FacultyAssociate ProfessorSection Chief, Minimally Invasive Surgery

Director, Bariatric Surgery & Surgical QualityStanford School of Medicine - Stanford, CA

Harry Ostrer, M.D. Faculty

Professor of Pathology, Genetics and PediatricsAlbert Einstein College of Medicine - Bronx, NY

Alfons Pomp MD FACS FRCSC  FacultyLeon C. Hirsch ProfessorVice Chairman, Department of Surgery

Chief, GI Metabolic and Bariatric Surgery                                      Weill Medical College of Cornell University New York Presbyterian Hospital - New York, NY

Mitchell S. Roslin, MD, FACS FacultyFounder & Past President, NYS Chapter ASMBS Chief, Bariatric Surgery

Lenox Hill HospitalDirector, Bariatric Surgery Northern Westchester Hospital - New York& Westchester, NY

Julio Teixeira, MD, FACS FacultyAttending Surgeon, Minimally Invasive SurgeryLenox Hill Hospital - New York, NY

Dana A. Telem, MD FacultyAssistant Professor of Surgery

Division of Laparoscopic, Foregut, Bariatric and General SurgeryStony Brook University Medical Center - Stony Brook, NY 11794

Darren S Tishler, MD FacultyChief of Metabolic & Bariatric Surgery

Hartford HealthCare Director of Metabolic & Bariatric SurgeryHartford Hospital - Enfield, CT

Mary Lou Walen Program CoordinatorExecutive Director, NYSC ASMBS

President, Walen & Assoc, Inc – Kirkland, WA

EXHIBIT LOCATION & HOURS:

May 1, 2014 Library Reading Room

6:00 p.m. Exhibitors Invited to Welcome Reception

May 2, 2014 Library Reading Room

7:30 a.m. to 8:00 a.m. Continental Breakfast – Exhibit Room

9:20 a.m. to 10:00 a.m. Break: Exhibit Room

Noon – 12:45 p.m. Lunch Served: Exhibit Room 3:00 p.m. - 3:30 p.m. Break: Exhibit Room

6:30 p.m. – 7:30 p.m. Meet & Mingle: Exhibitors Welcome

Sponsor Recognition

Exhibitor Recognition

GOLD LEVEL

Inves&ng  for  growth  with  category-­‐leading  products,  a  track  record  of  financial  rigor  and  seasoned  management,  we're  a  $10  billion  global  healthcare  products  company  commiQed  to  invesSng  in  innovaSon  and  growth.      www.covidien.com  

We  believe  in  advancing  surgical  care  worldwide  to  enhance  paSents'  lives.  For  more  than  80  years,  we  have  developed  meaningful  soluSons,  enabling  healthcare  professionals  to  provide  the  treatment  and  posiSve  outcomes  paSents  in  every  corner  of  the  world  deserve.  In  this  way,  we’re  working  to  redefine  surgery  to  change  the  world  for  the  beQer.    www.ethicon.com  

   Olympus  America,  Inc.  with  headquarters  in  Center  Valley,  PA  is  a  precision  technology  leader,  creaSng  innovaSve  opto-­‐digital  soluSons  in  health  care  and  life  science  products  throughout  North  America.  Olympus  works  collaboraSvely  with  its  customers  and  its  affiliates  worldwide  to  leverage  R&D  investment  in  precision  technology  and  manufacturing  processes  across  diverse  business  lines.  These  include:  gastrointesSnal  endoscopes,  accessories,  and  minimally  invasive  surgical  products;  advanced  clinical  and  research  microscopes.    www.olympus.com  

     Lila  Enterprise,  LLC  delivers  profit-­‐center  for  physicians  through  advanced  healthcare  soluSons.    FDA  cleared  non-­‐invasive  laser  engendering  inch  loss  of  2"  or  more,  in  twenty  minutes  or  less.        www.mybodylila.com  

Bronze Level

Bariatric  Fusion,  a  NY  based  company,  is  a  proud  sponsor  of  the  2014  ASMBS  Chapter  MeeSng.    Fusion  was  designed  and  formulated  by  medical  professionals  to  provide  increased  amounts  of  key  vitamins  and  nutrients  vital  for  paSents  who  have  undergone  WLS.    Our  products  taste  great,  are  affordable,  and  have  an  easy  daily  regimen  making  us  #1  in  paSent  compliance.  We  are  a  member  of  the  ASMBS  Corporate  Council  and  have  scienSfic  research  to  prove  our  effecSveness.    www.bariatricfusion.com  

CooperSurgical  is  the  leading  provider  of  innovaSve  medical  devices  and  procedure  oriented  soluSons  that  advance  the  standard  of  care  for  women.  Our  highly  reliable  and  clinically  relevant  products  and  services  facilitate  the  delivery  of  enhanced  outcomes  for  your  paSents  regardless  of  the  clinical  secng.    Please  visit  our  table  to  interact  with  our  industry  leading  soluSons  and  experience  why  CooperSurgical  is  at  the  forefront  of  women’s  health  care.    www.coopersurgical.com  

     HoverTech  InternaSonal  is  the  world  leader  in  air-­‐assisted  paSent  handling  technologies.  Through  a  complete  line  of  quality  paSent  transfer,  reposiSoning  and  handling  products,  HoverTech  is  focused  solely  on  the  safety  of  the  caregiver  and  paSent.    The  comprehensive  line  of  devices  includes  disposable  and  reusable  products  to  meet  the  budget,  paSent  care  and  infecSon  control  needs  of  the  facility.  Our  lateral  transfer  products  also  address  the  growing  bariatric  populaSon  with  a  weight  limit  of  1,200  lbs.    www.hovermaQ.com  

 Manufacturer,  distributor  and  worldwide  market  leader  of  rigid  endoscopy  scopes,  instrumentaSon  and  visualizaSon  systems  for  minimally  invasive  surgery  (MIS)  across  a  broad  cross  secSon  of  surgical  specialSes.              For  ASMBS:  36  and  43cm  laparoscopes  and  laparoscopic  instruments,  3mm  mini  lap  instruments,  lap  retractors,  reusable  port  cannulas,  HD  video.    www.karlstorz.com

Apollo  Endosurgery  is  proud  to  be  a  sponsor  of  the  2014  NYS  ASMBS  Chapter  MeeSng.  Partnering  with  the  leading  surgical  socieSes,  Apollo  is  transforming  paSent  care  through  the  development  of  innovaSve,  minimally  invasive  bariatric  and  endoscopic  surgical  soluSons.  With  the  LAP-­‐BAND®  and  OverSStch™  Systems,  Apollo  is  commiQed  to  improving  the  conSnuum  of  care,  helping  paSents  lead  happier  and  healthier  

NY  State  Chapter  welcomes  New  Conference  Exhibitors:    BariLife  -­‐  Baxter  -­‐  SurgiQuest    

               

For  30  years,  Thorne  Research  has  represented  the  highest  standards  in  quality,  potency,  and  purity  of  nutriSonal  supplements.    In  conSnuing  this  tradiSon,  Thorne  Metabolic  Health  is  now  offering  soluSons  that  include  specific  nutriSonal  supplements  to  support  the  needs  of  surgical  and  non-­‐surgical  paSents  as  well  as  WellnesRX,  a  market  leading  bariatric  specific  lab  tesSng  plamorm.  hQp://www.thorne.com

!!