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Johns Hopkins High Value Research Symposium Agenda — Feb. 1, 2016

Podium presentation session I noon–1:15pm


Noon–12:08 p.m.
Choosing Wisely and Image Wisely Target Test: Combined Upper GI and Small Bowel Series Examinations
Elizabeth Snyder, M.D., Resident, Diagnostic Radiology

12:08–12:16 p.m.
The Choosing Wisely Initiative: Radiographic Imaging for Patients with Uncomplicated Acute Rhinosinusitis
Eleni Rettig, M.D., Resident, Otolaryngology–Head and Neck Surgery

12:16–12:24 p.m.
Choosing Chest X-rays (CXR) Wisely: A Multifaceted Intervention Targeting Scheduled, Daily Imaging Reduces CXR Utilization in Intensive Care Unit Setting
Sonali Palchaudhuri, M.D., Internal Medicine

12:24–12:32 p.m.
Radiation Exposure and Cost of Dimercaptosuccinic Acid Renal Scan for Upper Tract Evaluation of Febrile UTI
Jason E. Michaud, M.D., James Buchanan Brady Urological Institute, Division of Pediatric Urology

Laboratory and Pathology

12:32–12:40 p.m.
The Utility of Thrombophilia Testing in the Acute Care Setting
Barry Meisenberg, M.D., Visiting Professor, Oncology

12:40–12:48 p.m.
Folate Follies
Leonard Feldman, M.D., Associate Professor, Internal Medicine

12:48–12:56 p.m.
Impact of Providing Fee Data on Laboratory Test Ordering
Leonard Feldman, M.D., Associate Professor, Internal Medicine

12:56–1:04 p.m.
Optimizing Surveillance of Low-Risk Prostate Cancer
R. Yates Coley, Ph.D., Postdoctoral Fellow, Bloomberg School of Public Health


1:04–1:12 p.m.
Targeting the Cost of Removing Asymptomatic Skin Tags
Noori Kim, M.D., Resident, Dermatology

Poster presentation session I noon–1:30 p.m.

Imaging noon–12:30 p.m.

Implementation of Sudden Sensorineural Hearing Loss (SSNHL) Guidelines in an Outpatient Clinic
Heather Weinreich, M.D., Assistant Professor, Otolaryngology–Head and Neck Surgery

Advanced Decision Support: Radiology Resident Consultation Service for Guiding Exam Selection to Ensure Best Practice
Davood Abdollahian, M.D., Resident, Diagnostic Radiology

Paradigm Shift: Utilization of Magnetic Resonance Imaging (MRI) in Johns Hopkins Acute Stroke Care
Michelle C. Johansen, M.D., Cerebrovascular Clinical Fellow, Neurology

Early Experience with 18F-DCFPyL PSMA-targeted PET/CT in Patients with Biochemically Recurrent Prostate Cancer
Steven P. Rowe, M.D., Ph.D., Resident, Nuclear Medicine

Laboratory and Pathology 12:30–1 p.m.

The Utility of Intraoperative Gross Examination of Colorectal Resections: A Retrospective Review of 200 Sequential Cases
Armen Khararjian, M.D., Resident, Pathology

One-Minute Genetics: Wise Choices in High-Value Care Based on the ACMG Recommendations in the Choosing Wisely® Campaign
Alexander Kim, M.D., Resident, Pediatrics

Long-Term Effect of Interventions to Reducing Excess Cardiac Biomarker Testing at an Academic Medical Center
Karan Desai, M.D., Resident, Internal Medicine

Reducing Hepatitis C Viral Load and Genotype Ordering at The Johns Hopkins Hospital
Natasha Chida, M.S., Fellow, Infectious Diseases

Underutilization of Laboratory Tests for Diagnosis of Anemia Among Inflammatory Bowel Disease Patients in the United States, 2010–2013
Eboselume Akhuemonkhan, M.B.B.S., M.P.H., Gastroenterology

The BoCO Plot: A Tool for Teaching High-Value Care and Identifying Targets
Anthony Accurso, M.D., Assistant Professor, Medicine

Procedures and Treatments 1–1:30 p.m.


Arthroscopic Transosseous Anchorless vs Anchored Rotator Cuff Repair: A Cohort Analysis Comparing Clinical and Patient Reported Outcomes, Structural Integrity, and Costs
Uma Srikumaran, M.D., Assistant Professor, Orthopaedic Surgery

Low Incidence of Complications Using Polyglactin 910 (Vicryl) Mesh in Breast Reconstruction: A Systematic Review
Nelson Rodriguez-Unda, M.D., Research Fellow, Plastic Surgery

Is Nonoperative Treatment of Pediatric Type I Open Fractures Safe and Effective?
Amit Jain, M.D., Resident, Orthopaedic Surgery

Disposable Item Cost Awareness and Usage Feedback to Reduce Operative Costs in Ureteroscopy
Wesley W. Ludwig, M.D., Resident, Department of Urology

BMI Hides the Curve: Using the Scoliometer as a Referral Tool for Patients with Different BMIs
Adam Margalit, B.S., Medical Student, Orthopaedic Surgery


Improving Physician Adherence to Bronchiolitis Clinical Practice Guidelines
Marquita Genies, M.D., M.P.H., Fellow, General Pediatrics and Adolescent Medicine

Thromboembolic Complications in Children After Spinal Fusion Surgery
Amit Jain, M.D., Resident, Orthopaedic Surgery

Keynote Address and Award-Winning Presentations 1:30–3:30 p.m.

1:30–1:40 p.m.
Welcome and introduction
Roy C. Ziegelstein, M.D., M.A.C.P.
Sarah Miller Coulson and Frank L. Coulson, Jr., Professor of Medicine
Mary Wallace Stanton Professor of Education
Vice Dean for Education, Johns Hopkins University School of Medicine

1:40–1:50 p.m.
Historical perspective
Susan Peterson, M.D., Assistant Professor, Emergency Medicine

1:50–2 p.m.
The Road to High-Value Practice: Expertise, Engagement and Education
Pamela T. Johnson, M.D., Associate Professor, Radiology
Director, Diagnostic Radiology Residency Program
Director, High-Value Practice Alliance

2–2:10 p.m.
Data Analysis and Provider Feedback to Promote Evidence-Based Transfusion Practice and Reduce Unnecessary Transfusions
Steven M. Frank, M.D., Anesthesiology/Critical Care Medicine; Daniel J. Johnson, Medical Student; Andrew V. Scott, Medical Student; Josh A. Wetzler, undergraduate student; K.H. Ken Lee, Dr.P.H., M.H.S.; Emily Liu, Ph.D.; Pat Wachter, M.A.; Renee Demski, M.B.A., M.S.W.; and Paul M. Ness, M.D. Departments of Surgery and Anesthesiology/Critical Care Medicine; Department of Pathology; Armstrong Institute for Patient Safety and Quality; The Johns Hopkins Hospital Departments of Finance and of Quality and Clinical Analytics

2:10–2:40 p.m.
Keynote address
Daniel Wolfson, Executive Vice President and COO, ABIM Foundation

2:40–2:50 p.m.
Impact of a New Palliative Care Program on Health System Finances
Sarina Isenberg, M.A.; Chunhua Lu; John McQuade; Rab Razza, M.D.; and Thomas R. Smith, M.D. Bloomberg School of Public Health, Department of Health, Behavior and Society; Departments of Outpatient Palliative Medicine, Oncology and General Internal Medicine; Johns Hopkins University Financial Analysis Unit

2:50–3 p.m.
A Choosing Wisely Quality Improvement Initiative to Reduce Unnecessary Transfusions in the Department of Surgery
Caitlin W. Hicks, M.D., M.S., Chief Resident; Daniel J. Johnson, Premedical Student; Alexandra Brito, M.D., Intern; Robert S.D. Higgins, M.D.; and Steven M. Frank, M.D. Department of Surgery

3–3:10 p.m.
Improving Blood Culture Utilization in Critically Ill Children
Charlotte Woods-Hill, M.D., Fellow; Kristen Nelson, M.D.; Annie Voskertchian, M.P.H.; Judy Ascenzi, D.N.P., R.N.; James Fackler, M.D.; and Aaron Milstone, M.D.
Division of Pediatric Anesthesiology and Critical Care Medicine, Department of Anesthesiology and Critical Care Medicine; Division of Pediatric Infectious Disease, Department of Pediatrics; The Johns Hopkins Hospital

3:10–3:20 p.m.
Utilizing the EMR to Reduce Unnecessary Ordering of Coagulation Studies for Patients with Chest Pain
Binoy Mistry, M.D., Resident; Jeremiah S. Hinson, M.D., Ph.D., Resident; Karolina Paziana, M.D., Resident; Nicholas Risko, M.D., M.H.S., Resident; Yu-Hsiang Hsieh, Ph.D.; Susan Peterson, M.D.; and Rodney Omron, M.D.
Department of Emergency Medicine

Podium presentation session II 3:45–5 p.m.


3:45–3:53 p.m.
Liposomal Bupivacaine Versus Interscalene Nerve Block for Pain Control After Shoulder Arthroplasty: A Retrospective Cohort Analysis
Uma Srikumaran, M.D., Assistant Professor, Orthopaedic Surgery

3:53–4:01 p.m.
Prophylactic Antibiotic Use in Pediatric Orthopaedic Surgery: Reducing Variability, Cost and Risks
Adam Margalit, B.S., Medical Student, Orthopaedic Surgery

4:01–4:09 p.m.
Improvement in Utilization and Guideline Adherence with “Social Norming” of Ordering Patterns
Aimee Yu, M.D., M.B.A., Medicine

Optimizing Patient Care Setting

4:09–4:17 p.m.
Triaging Ophthalmic Emergencies with a 4-Parameter Tool embedded in an Emergency Department’s Electronic Health Record System
Farhan Merali, M.D., M.B.A., Fellow, Wilmer Eye Institute

4:17–4:25 p.m.
Variations in Hospice Referral Time of Advanced Cancer Patients
Xiao Wang, Medical Student, Johns Hopkins University School of Medicine

Diagnostic Innovations

4:25–4:33 p.m.
Improving Diagnosis Without Additional Testing: Applying Computed Tomography Textural Analysis (CTTA) to Diagnostic Dilemmas
James L. Schroeder, M.D., Ph.D., Resident, Diagnostic Radiology

4:33–4:41 p.m.
Preoperative Evaluation of Small Renal Masses with 99mTc-Sestamibi SPECT/CT
Steven P. Rowe, M.D., Ph.D., Resident, Nuclear Medicine

Physician and Patient Perspectives

4:41–4:49 p.m.
Survey of Physician Attitudes Toward Guidelines on Low-Value Care
Timothy M. Bresnahan, M.D., M.P.H.

4:49–4:57 p.m.
Patient Attitudes Regarding the Cost of Illness in Cancer Care
Barry Meisenberg, M.D., Visiting Professor of Oncology

Poster presentation session II 3:30–5 p.m.

Optimizing Patient Care 3:30–4 p.m.

Hypertension in Patients Admitted from the Adult Emergency Department
Casey Wilson, M.D., Resident, Emergency Medicine

Optimizing Telemetry Utilization Through Point-of-Care Education and Nursing Initiative
Stephanie Chen, M.D., Resident, Internal Medicine

Analysis of Telemetry Alarms and Alerts Demonstrates an Overburden of False Alerts
Sonali Palchaudhuri, M.D., Resident, Internal Medicine

Does This Patient Need Telemetry? An Analysis of Provider Indications for Telemetry Ordering
Stephanie Chen, M.D., Resident, Internal Medicine

Analysis of the Utility of Telemetry for "Code Blue" Activation
Stephanie Chen, M.D. Resident, Internal Medicine

Inappropriate Telemetry Use
Amit Pahwa, M.D., Assistant Professor, Medicine and Pediatrics

Optimizing Outpatient Care 4–4:30 p.m.

Insights into the Potential Preventability of Oncology Readmissions
Barry Meisenberg, M.D., Visiting Professor, Oncology

Unplanned Hospital Readmissions and Reoperations After Pediatric Spinal Fusion Surgery
Amit Jain, M.D., Resident, Orthopaedic Surgery

Asymptomatic Hypertension in Patients Discharged from the Adult Emergency Department
Casey Wilson, M.D., Resident, Emergency Medicine

Practitioner Behavior Modification 4:30–5 p.m.

Exploring Potential Drivers of the Systematic Overuse of Health Care in the United States Using the Johns Hopkins Overuse Index
Jodi Segal, M.D., M.P.H., Professor, Medicine

Providers for Responsible Ordering: The Development of a Pledge to Spark a Movement for High-Value Care
Sonali Palchaudhuri, M.D., Resident, Internal Medicine

Reception 5 p.m.

Owens Auditorium Prefunction Space

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