ASPEN Nutrition Science & Practice Conference 2024

Fluid and micronutrient management are critical components of the pediatric nutrition care plan. In this preconference course, presenters use real-life case examples to take a deep dive into all aspects of fluid and micronutrient management from pathophysiology to the practical strategies needed to develop a pediatric nutrition care plan. The course will focus on fluids, acid-base balance, calcium, phosphorus, potassium, magnesium, anemia, and refeeding syndrome.

LEARNING OBJECTIVES

1. Identify the possible causes of anemia for pediatric patients receiving nutrition support.
2. Describe how acid-base balance and fluid status are affected by the nutrition care plan.
3. Explain the pathophysiological processes leading to calcium, phosphorus, potassium, and magnesium balance in pediatric patients receiving nutrition support.
4. Develop a nutrition care plan using the knowledge obtained regarding fluids and micronutrients.

PRESENTERS AND TOPICS
Fluids and Sodium in Pediatric Nutrition Support
Dana Steien, MD, Director of Pediatric Nutrition, Pediatric Gastroenterology, Hepatology, & Nutrition, Mayo Clinic, Rochester, MN

Calcium and Phosphorus in Pediatric Nutrition Support
Heather McCord, PharmD, CNSC, Pediatric Clinical Pharmacist, Inpatient Pharmacy, M Health Fairview - University of Minnesota Masonic Children’s Hospital, Minneapolis, MN

Potassium and Magnesium in Pediatric Nutrition Support
Kyle Hampson, PharmD, BCNSP, BCPPS, CNSC, Assistant Professor, Pharmacy Practice, Arnold and Marie Schwartz College of Pharmacy, Long Island University, Brooklyn, NY

Acid-Base in Pediatric Nutrition Support
Brandi Weller, PharmD, BCNSP, Clinical Pharmacy Specialist in Nutrition Support, Children's Mercy Kansas City, Kansas City, MO

Anemia in Pediatric Nutrition Support
Ethan Mezoff, MD, Associate Professor of Pediatrics, Pediatric Gastroenterology, Hepatology, & Nutrition, Nationwide Children’s Hospital, Columbus, OH

Refeeding Syndrome in Pediatric Nutrition Support
Katelyn Ariagno, MPH, RD, LDN, CNSC, Senior Clinical Nutrition Specialist, Center for Nutrition, Boston Children’s Hospital, Boston, MA

MODERATORS
M. Petrea Cober, PharmD, BCNSP, BCPPS, FASPEN, Professor of Pharmacy Practice; Director of Workforce Development, Office of Student Success; Director of Professional Development, Office of Education, Northeast Ohio Medical University, College of Pharmacy, Rootstown, OH

Catherine Larson-Nath, MD, CNSC, Associate Professor, Pediatric Gastroenterology, Hepatology, and Nutrition; Director of Intestinal Rehabilitation Program; Director, Pediatric Gastroenterology, Hepatology, and Nutrition Fellowship, University of Minnesota Medical School, Minneapolis, MN

Level: Intermediate

Take a deep dive into a variety of endocrine disorders and evidence-based treatment approaches for nutrition management. Each topic will feature a case presentation, a discussion of the current science supporting the treatment approach, and an outline of the proposed treatment plan for the patient. Participants will come away with practical nutrition care and treatment tools to address the challenges of endocrine disorders that many clinicians face.

LEARNING OBJECTIVES

1. Apply glycemic control measures throughout the continuum of care.
2. Recognize new technologies and concepts used by patients with diabetes and polycystic ovary syndrome.
3. Describe how endocrine disorders and nutrition care entwine.

PRESENTERS AND TOPICS

Defragmenting Endocrine and Nutritional Chronic Care: Lessons and Paradigms
Jeff Mechanick, MD, Professor of Medicine; Medical Director, The Marie-Josee and Henry R. Kravis Center for Cardiovascular Health at Mount Sinai Heart; Director, Metabolic Support; Division of Cardiology and Endocrinology, Diabetes and Bone Disease, Icahn School of Medicine at Mount Sinai, New York, NY

Key Features of Endocrine Management of Anorexia Nervosa
Dominic Reeds, MD, Professor of Medicine; Associate Dean of Research, Goldfarb School of Nursing; Director, Barnes Jewish Hospital Nutrition Support Service, Geriatrics and Nutritional Science, Washington University School of Medicine, St. Louis, MO

Dietary Supplements and Nutraceuticals: A Case Study in Thyroidology
Gwendolyn Wantuch, PharmD, BCPS, BCNSP, Associate Professor; Department of Internal Medicine, Morsani College of Medicine; Nutrition Support Clinical Pharmacist; Pharmacy and Health Education Concentration Coordinator; Taneja College of Pharmacy, University of South Florida, Tampa, FL

Micronutrients and Bone Loss
Jeff Mechanick, MD, Professor of Medicine; Medical Director, The Marie-Josee and Henry R. Kravis Center for Cardiovascular Health at Mount Sinai Heart; Director, Metabolic Support; Division of Cardiology and Endocrinology, Diabetes and Bone Disease, Icahn School of Medicine at Mount Sinai, New York, NY

A Survey of Important Food-Drug Interactions in Endocrinology
Gwendolyn Wantuch, PharmD, BCPS, BCNSP, Associate Professor; Department of Internal Medicine, Morsani College of Medicine; Nutrition Support Clinical Pharmacist; Pharmacy and Health Education Concentration Coordinator; Taneja College of Pharmacy, University of South Florida, Tampa, FL

Muscle Loss With GLP1ra Therapy and Nutritional Interventions
Dominic Reeds, MD, Professor of Medicine; Associate Dean of Research, Goldfarb School of Nursing; Director, Barnes Jewish Hospital Nutrition Support Service, Geriatrics and Nutritional Science, Washington University School of Medicine, St. Louis, MO

Polycystic Ovary Syndrome Is a Challenging Nutrition Problem
Shannon Parks, MPH, RD/LDN, CPH, Dietitian, Shannon Parks Nutrition and Wellness, LLC, Clearwater, FL

Diabetes Self-Management: The Role of the Certified Diabetes Educator
Janet Rodriguez, BSN, RN, CDCES, CRA-USF/Advanced, Certified Diabetes Educator; Research Administrator, Diabetes and Endocrinology Center, University of South Florida, Tampa, FL

Glycemic Control Across Nutritional Modalities: Nuance-Based Transitions
Manpreet Mundi, MD, Professor Medicine; Medical Director of Clinical Nutrition and the Home Enteral Nutrition Program, Department of Endocrinology, Mayo Clinic College of Medicine and Science, Rochester, MN

MODERATORS
Manpreet Mundi, MD, Professor of Medicine; Medical Director of Clinical Nutrition and the Home Enteral Nutrition Program, Department of Endocrinology, Mayo Clinic College of Medicine and Science, Rochester, MN

Jeff Mechanick, MD, Professor of Medicine; Medical Director, The Marie-Josee and Henry R. Kravis Center for Cardiovascular Health at Mount Sinai Heart; Director, Metabolic Support; Division of Cardiology and Endocrinology, Diabetes and Bone Disease, Icahn School of Medicine at Mount Sinai, New York, NY

Level: Advanced

ASPEN’s 47th president, Phil Ayers, PharmD, BCNSP, FASHP will provide a historical overview of PN compounding and will focus on the question, “Have we progressed or regressed in the area of PN compounding?”

Parenteral nutrition (PN) is a high-alert medication that can cause significant patient harm when they are used in error. An important step in the PN process is compounding. It requires competency in the areas of sterility, stability, and compatibility. Although the actual compounding is executed by the pharmacy, it is imperative that all clinicians involved in the PN process have an understanding of sterile compounding basics.

A recent revision to USP Chapter <797>, effective in November 2023, categorizes sterile compound products (CSPs) based on beyond use dating (BUD) and no longer clearly places PN in a CSP category. This change, along with the increased use of commercially available multi-chamber PN, has presented some confusion among clinicians and could potentially lead to compounding errors and patient harm.

LEARNING OBJECTIVES

1. Summarize sterile compounding basics.
2. Prevent parenteral nutrition compounding errors.

PRESENTER
Phil Ayers, PharmD, BCNSP, FASHP, Chief, Clinical Pharmacy Services, Department of Pharmacy, Mississippi Baptist Medical Center, Jackson, MS

Level: Intermediate

LEARNING OBJECTIVES

1. Identify pediatric patients with critical illness who may safely be started on enteral nutrition.
2. Describe how continuous renal replacement therapy impacts micronutrient needs.
3. Develop a nutrition plan for pediatric patients on continuous renal replacement therapy.
4. Evaluate the impacts of critical illness on energy needs for patients with baseline low energy needs.
5. Develop a nutrition plan for pediatric patients with baseline low energy needs.

PRESENTERS AND TOPICS
Nutrition Support for Children With Critical Illness on Continuous Rental Replacement Therapy (CRRT)
Katarina Berry, MS, RD, LDN, Clinical Dietitian, Department of Clinical Nutrition, Children’s Hospital of Philadelphia, Philadelphia, PA

Enteral Nutrition for the Child on ECMO and Other Advanced Life Support Device Needs
Laura Gearman, MS, RD, LD, CNSC, Clinical Nutrition Manager and Pediatric Registered Dietitian, Department of Clinical Nutrition, M Health Fairview - University of Minnesota Masonic Children’s Hospital, Minneapolis, MN

Nutrition Support for the Child With Baseline Low Energy Needs Who Experiences Critical Illness
Jorge Coss-Bu, MD, Professor, Division of Critical Care Medicine, Baylor College of Medicine and Texas Children's Hospital, Houston, TX

Moderator
Laura Gearman, MS, RD, LD, CNSC

Level: Intermediate

LEARNING OBJECTIVES

1. Summarize the state of the science and identify knowledge gaps and research opportunities related to clinical malnutrition.
2. Distinguish between malnourishment, disease-related wasting, and other phenomena when assessing a patient.
3. Apply new concepts and develop effective nutrition interventions in treating malnutrition.
4. Summarize the components of the Global Malnutrition Composite Score (GMCS) and identify the benefits of GMCS as a new Center for Medicare and Medicaid Services (CMS) quality measure.

PRESENTERS AND TOPICS
Translational Research in the Pathophysiology of Malnutrition: Are We on the Right Track?
David Seres, MD, ScM, PNS, FASPEN, Director of Medical Nutrition; Professor of Medicine, Institute of Human Nutrition, Columbia University Irving Medical Center, New York, NY

State Of Research and Novel Strategies for the Assessment of Malnutrition
Gail Cresci, PhD, RD, LD, FASPEN, Staff, Departments of Pediatric Gastroenterology and Inflammation & Immunity, Pediatric and Lerner Research Institutes; Director of Nutrition Research, Center for Human Nutrition; Associate Professor of Pediatrics, Cleveland Clinic Lerner College of Medicine at Case Western Reserve University, Cleveland Clinic, Cleveland, OH

Malnutrition Practice as a Quality Measure: Are You Ready to Report on the Global Malnutrition Composite Score?
Ashlee Roffe, MS, RDN, LDN, CNSC, Senior Director of Nutrition and Community Health, Swedish Hospital Part of NorthShore, Chicago, IL

Moderator
Malissa Warren, RD, LD, CNSC, Advanced Practice Critical Care Dietitian, VA Nutrition and Food Service, Portland VA Health Care System and Department of Surgery, Oregon Health & Science University, Portland, OR

Level: Intermediate

LEARNING OBJECTIVES

1. Screen for malnutrition in patients with advanced liver disease.
2. Describe dietary and nutritional considerations for patients with Wilson's Disease.
3. Summarize practical approaches to nutrition for patiets with Metabolic Associated Steatohepatitis and Metabolic Associated Liver Disease (MASH/MAFLD).

PRESENTERS AND TOPICS
Micronutrient and Macronutrient Deficiencies in Patients With Advanced Liver Disease
Elisabeth Morgan, MS, RDN, LDN, Clinical Dietitian, Abdominal Transplant Team, Duke University Hospital, Durham, NC

Nutritional Management of Wilson Disease: An Updated and Balanced Approach Informed by Contemporary Study
Anne Marie Rivard, MPH, RD, CDN, CSR, CCTD, Clinical Dietitian, Transplant Team, Yale University, New Haven, CT

Practical Nutritional Recommendations for the Management of Metabolic Dysfunction-Associated Liver Disease and Steatohepatitis (MAFLD/MASH)
Matthew Kappus, MD, Associate Professor of Medicine, Duke University Hospital, Durham, NC

Moderator
Carolyn Newberry, MD, Assistant Professor, Department of Medicine, Division of Gastroenterology, Weill Cornell Medical Center, New York, NY

Level: Intermediate

LEARNING OBJECTIVES

1. Describe the clinical quality and patient safety impacts related to nutrition support therapy errors.
2. Describe the process for reporting nutrition support therapy-related errors through the Institute for Safe
   Medication Practices (ISMP) National Medication Errors Reporting Program (MERP) and the National Center
   for Patient Safety (NCPS) Joint Patient Safety Reporting (JPSR) systems.
3. Describe how enteral nutrition (EN) and parenteral nutrition (PN) support therapy errors impact patient outcomes.
4. Describe evidence-based interprofessional strategies to reduce EN and PN support therapy errors and improve quality and patient safety.

PRESENTERS AND TOPICS
Introduction to EN and PN Errors
Lynn Hiller, RD, LDN, DCN, Nutrition Support Dietitian, Nutrition and Food Service, James Haley Veterans Health System, Tampa, FL

EN and PN Errors Reporting Mechanisms
Sandra Citty, PhD, ARNP-BC, CNE, Clinical Nurse Investigator, Geriatric Research Education Clinical Center (VA GRECC), North Florida South Georgia Veterans Health System; Clinical Associate Professor, University of Florida, Gainesville, FL

Case Studies in EN and PN Errors
Martin Rosenthal, MD, FACS, Associate Professor of Surgery, Division of Acute Care Surgery; Director Abdominal Wall Reconstruction and Intestinal Rehab, University of Florida, Gainesville, FL

Amir Kamel, PharmD, BCNSP, Clinical Specialist in Nutrition Support and Critical Care, UF Health Shands Hospital; Clinical Assistant Professor, University of Florida College of Pharmacy, Gainesville, FL

Moderator
Sandra Citty, PhD, ARNP-BC, CNE

Level: Intermediate

LEARNING OBJECTIVES

1. Examine the clinical advantages of initiating enteral nutrition early.
2. Utilize indirect calorimetry for individualized nutrition planning in critically ill adults.
3. Evaluate the differences and similarities between bolus and continuous infusion methods for administering enteral nutrition in the critically ill adult population.
4. Assess the role and application of supplemental parenteral nutrition in the optimization of critically ill adults.

PRESENTERS AND TOPICS
Early Enteral Nutrition
Krista Haines, MD, DO, Assistant Professor of Surgery; Medical Director of Ethics, Division of Trauma, Critical Care, and Acute Care Surgery, Duke University Hospital, Durham, NC

Enteral Nutrition: Bolus vs. Continuous
Leslie Murray, RD, CNSC, Clinical Dietitian, Department of Nutrition, Duke University Hospital, Durham, NC

Supplemental Parenteral Nutrition
Sara Bliss, PharmD, BCPS, BCNSP, BCCCP, FASPEN, Clinical Pharmacist, Department of Pharmacy, University of North Carolina Hospitals, Chapel Hill, NC

Moderator
Sara Bliss, PharmD, BCPS, BCNSP, BCCCP, FASPEN

Level: Intermediate

The ASPEN24 Keynote Address will be presented by Rita K. Jew, PharmD, MBA, BCPPS, FASHP. Parenteral nutrition (PN) is a high-alert medication, and PN-related errors have resulted in significant patient harm. This presentation will provide an overview of errors reported to the Institute for Safe Medications Practices (ISMP) and in the literature that are associated with the PN use process. Learning from these errors and using this information to identify potential safety gaps is an important way to prevent similar errors from occurring. ISMP’s recommendations on error prevention and risk mitigation strategies will also be discussed.

Dr. Jew is president of the Institute for Safe Medication Practices (ISMP). She has more than 30 years of experience leading pharmaceutical care services.

Prior to joining ISMP, she served as principal of RKJ Health Partners, providing consulting services related to medication safety, pharmacy operations, pharmacy finance, specialty pharmacy, and sterile compounding. She also provided coaching and leadership training and advised technology start-ups. Before starting her own consulting business, Dr. Jew held leadership positions at well-known acute care institutions, including University of California San Francisco (UCSF) Health, Children’s Hospital of Orange County, and Children’s Hospital of Philadelphia.

Dr. Jew has published and presented on a wide range of issues, including co-authoring a book on extemporaneous formulations for pediatric, geriatric, and special needs patients.

She has held leadership positions at local, state, and national pharmacy organizations, serving as chair of the executive committee of the Section of Clinical Specialists and Scientists (SCSS) at the American Society of Health-System Pharmacists (ASHP), director-at-large of the Pennsylvania Society of Health-System Pharmacists board, and president of the Delaware Valley Society of Health-System Pharmacists (DVSHP).

Her many honors and awards include a Children’s Hospital Association honorable mention in the Race for Results for improving patient safety by optimizing smart pump utilization, Friend of Nursing Award from the Association of California Nurse Leaders, Distinguished Service Award from the American Society of Health-System Pharmacists Section of Clinical Specialists and Scientists and the Jonathan Roberts Award from DVSHP.

Dr. Jew received her Doctor of Pharmacy from University of California at San Francisco, completed an ASHP-accredited residency in clinical pharmacy at Thomas Jefferson University Hospital, and earned an MBA from the Wharton School of the University of Pennsylvania. She is a board-certified pediatric pharmacy specialist.

LEARNING OBJECTIVES

1. Describe parenteral nutrition (PN) related errors reported to ISMP Medication Error Reporting Program and in the literature.
2. Outline root causes of errors and safety gaps in the PN use process.
3. Discuss error prevention and risk mitigation strategies in the PN use processes.

PRESENTER
Rita K. Jew, PharmD, MBA, BCPPS, FASHP, President at the Institute for Safe Medication Practices (ISMP), Plymouth Meeting, PA

Level: Intermediate

LEARNING OBJECTIVES

1. Describe interprofessional collaboration based on the education requirements necessary to care for medically complex patients.
2. Outline one aspect of coordinating care from different disciplines and family members necessary to optimize care delivery for the parenteral nutrition dependent child.
3. Apply learning pearls from the case presentation to the care of medically complex home parenteral nutrition dependent children.
   
   

PRESENTERS AND TOPICS
Interprofessional Education - Applying the Pieces to Nutrition Care
Ruba Abdelhadi, MD, CPNS, CNSC, NASPGHAN-F, Professor of Pediatrics, University of Missouri-Kansas City School of Medicine; Director of Nutrition Support, Children's Mercy Kansas City, Kansas City, MO

The Nurse’s Role
Sharon Irving, PhD, CRNP, FCCM, FAAN, FASPEN, Associate Professor and Vice-Chair, School of Nursing, University of Pennsylvania, Philadelphia, PA

The Pharmacist – A Vital Role
David Walters, RPh, Clinical Pharmacist, Home Infusion Pharmacy, Children's Mercy Kansas City, Kansas City, MO

The Family Perspective
Heather League, MBA, Parent and Caregiver, Liberty, MO

Shannon Bell, RN, BSN, Aunt and Private Duty Nurse, Olathe, KS

Moderator
Catherine Larson-Nath, MD, CNSC, Associate Professor, Pediatric Gastroenterology, Hepatology, and Nutrition; Director of Intestinal Rehabilitation Program; Director, Pediatric Gastroenterology, Hepatology, and Nutrition Fellowship, University of Minnesota Medical School, Minneapolis, MN

Level: Intermediate

LEARNING OBJECTIVES

1. Evaluate practice-changing literature from 2023.
2. Identify key papers in oncology, gastroenterology, and obesity literature.
3. Evaluate the impact of recent findings from the Intensive Nutrition care Therapy comparEd to usual care iN criTically ill adults (INTENT) trial.
   
   

PRESENTERS AND TOPICS
An Oncology Literature Review
Jose M. Pimiento, MD, FACS, Associate Professor, Gastrointestinal Surgical Oncology; Medical Director, Inpatient Surgical Service; Section Lead, Upper Gastrointestinal Tumors, Moffitt Cancer Center, Tampa, FL

A Gastroenterology Literature Review
Jamie Bering, MD, Gastroenterologist, Mayo Clinic Arizona, Scottsdale, AZ

An Obesity Literature Review
Jennifer Katz, MD, Assistant Professor, Division of Gastroenterology, NYU Langone Health, New York, NY

Findings From the INTENT Trial
Emma Ridley, BNutriDietet, APD, MPH, PhD, Lead, Nutrition Program and NHMRC Emerging Leadership Fellow, ANZIC RC, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia
Speaker recording not available.

Moderator
Jennifer Katz, MD

Level: Advanced

In this session, we will be discussing the results of the ASPEN parenteral nutrition access surveys that were conducted in 2023. The aim of these surveys was to understand the challenges faced by clinicians (providers) and patients due to access issues. We will be sharing details about the surveys, along with the findings from both the provider and patient surveys. The session will also include a panel discussion and conclude with a conversation about the ASPEN advocacy strategy that was formulated based on the survey findings.


LEARNING OBJECTIVES

1. Describe parenteral nutrition (PN) access issues and the resulting burdens to patients and providers from the provider perspective.
2. Describe PN access issues and the resulting burdens to patients from the patient perspective.
3. Discuss the PN access issues found consistently or exclusively in the provider and patient surveys.
4. Develop a strategy to advocate for resolution of PN access issue.

PRESENTERS AND TOPICS
Introduction and Background on PN Access Surveys
Jay Mirtallo, MS, FASPEN, Clinical Practice Specialist, American Society for Parenteral and Enteral Nutrition, Delaware, OH

PN Access Issues: The Provider Perspective
Penny Allen, RD, CNSC, FASPEN, FNHIA, Vice President, Nutrition Services, Optum Infusion Pharmacy, North Hampton, NH

PN Access Issues: The Patient Voice
Beth Gore, PhD, Executive Director, The Oley Foundation, Delmar, NY

Panelist
Bettemarie Bond, OTR/L, Patient Advocate; Ambassador for The Oley Foundation, Levittown, PA

PN Access Issues: ASPEN Advocacy
Patty Byers, MD, FACS, Professor; Section Chief, Surgical Nutritional and Metabolic Surgery, DeWitt Daughtry Department of Surgery, Miller School of Medicine, University of Miami, Miami, FL

Moderator
Jay Mirtallo, MS, FASPEN

Level: Intermediate

LEARNING OBJECTIVES

1. Summarize risk factors, current guidelines and complications related to hyperglycemia and diabetes.
2. Describe strategies for hyperglycemia management in complex nutrition support patients.
3. Describe the various diabetes technologies used in diabetes management.
4. Develop personalized care plans for hyperglycemia management in complex nutrition support patients.

PRESENTERS AND TOPICS
Overview of Hyperglycemia and Diabetes
Manpreet Mundi, MD, Professor of Medicine; Medical Director of Clinical Nutrition and the Home Enteral Nutrition Program, Department of Endocrinology, Mayo Clinic College of Medicine and Science, Rochester, MN

Hyperglycemia Management
Sonali Thosani, MD, Associate Professor; Section Chief for Diabetes, Department of Endocrine Neoplasia and Hormonal Disorders, The University of Texas MD Anderson Cancer Center, Houston, TX

Technology and Initiatives in Hyperglycemia
Sapna Naik, MD, Assistant Professor, Endocrinology, Diabetes, and Metabolism, University of Texas Health Sciences Center at Houston, Houston, TX

Panelists
Anne Tucker, PharmD, BCNSP, FASPEN, Clinical Pharmacy Specialist – Critical Care / Nutrition Support, Division of Pharmacy, University of Texas MD Anderson Cancer Center, Houston, TX

Danelle Olson, MS, RDN, LD, CNSC, Advanced Practice I Dietitian, Home Parenteral and Enteral Nutrition, Mayo Clinic, Rochester, MN

Moderator
Manpreet Mundi, MD

Level: Intermediate

LEARNING OBJECTIVES

1. Define health equity, health disparities, and social determinants of health.
2. Outline the social determinants of health - including food insecurity, physical environment, and the healthcare system - as primary drivers of health disparities.
3. Identify ways to improve health equity and access to sustainable/life-preserving nutrition care for nutrition support patients.
   
   

PRESENTERS AND TOPICS
A Review of Health Equity, Health Disparities, Social Determinants of Health, and Healthcare Access
Christina Ritchey, MS, RD, LD, CNSC, FASPEN, Clinical Program Manager, Optum Infusion Pharmacy, San Antonio, TX

Health Disparities as Drivers of Nutrition Risk: Closing the Gap in Health Inequity
Gabriela Gardner, PSM, RDN-AP, LD, CNSC, Advanced Practice Registered Dietitian, Internal Medicine - Gastroenterology, Hepatology, and Nutrition, UT Health Houston - McGovern Medical School, Houston, TX

Insurance, Reimbursement, and Financial Implications of Health Equity: We Can’t Afford to Ignore This
Jacquelyn Oberman, MS, RD, LDN, CNSC, Clinical Program Manager, Optum Infusion Pharmacy, Durham, NC

Health Equity: The Role of the Nurse
Nancy Kramer, BSN, RN, CRNI, FNHIA, Vice President, Clinical Services, Optum Infusion Pharmacy, Lenexa, KS

Moderator
Karen Martin, MA, RDN, LD, FAND, FASPEN, Nutrition Support Dietitian/Clinical Liaison, Amerita Specialty Infusion, San Antonio, TX

Level: Basic

LEARNING OBJECTIVES

1. Discuss strategies and challenges related to quality and safety in the delivery of parenteral nutrition.
2. Describe the importance of standardization of the parenteral nutrition process including compounding of commercially available multi-chamber bags.
3. Explain the importance of management of parenteral nutrition shortages and discuss strategies for success.

PRESENTERS AND TOPICS
The Parenteral Nutrition Process: The US Process
Paul Wischmeyer, MD, EDIC, FASPEN, FCCM, Professor of Anesthesiology and Surgery, Duke University School of Medicine, Durham, NC

Parenteral Nutrition: The European Prospective
Stanislaw Klek, MD, Head of the Surgical Clinic at the National Cancer Institute in Krakow, Marie-Sklodowska-Curie National Research Institute of Oncology, Krakow, Poland

Parenteral Nutrition Shortages: What Have We Learned?
Phil Ayers, PharmD, BCNSP, FASHP, Chief, Clinical Pharmacy Services, Department of Pharmacy, Mississippi Baptist Medical Center, Jackson, MS

Moderator
Phil Ayers, BS, PharmD, BCNSP, FASHP

Level: Intermediate