COPD: A Day and Night Approach to Asthma and Chronic Lung Disease Care

Friday, November 16, 2007
The Inn at Spanish Bay
Pebble Beach California

For medical professionals, this course will update best practices for the treatment
of chronic lung disease in children and adults. Content will
encompass a wide range of related topics including diagnostic testing,
medications, durable medical equipment, tobacco use and cardio-
pulmonary rehabilitation. There will be special focus on the care
of complex patients—those who have one or more chronic disorders
such as obesity, heart disease or sleep apnea—which may
affect the diagnosis and appropriate care of COPD. Speakers will
also address macro issues related to chronic disease management
such as cultural competency, reimbursement and access to care.

Needs Assessment and Organizing Committee
Members of the Conference Organizing Committee include practicing
MD's, RRT's, and representatives from public health departments,
hospitals and accrediting sponsors. Their expertise, along
with feedback from prior faculty and attendees, has shaped the
content and format of this conference.

Conference Format
Format consists of lectures as well as smaller, more interactive
workshops. There will be ample opportunities for spontaneous
learning and sharing of experiences. A panel discussion and question
and answer session will conclude the day's course.

Intended Audience
The audience for this Conference will consist of primary care
providers and clinicians, including physicians, registered nurses,
physician assistants, nurse practitioners, respiratory therapists
and sleep technologists.

COURSE OBJECTIVES

Identify major issues in the care of chronic lung disease
patients who have accompanying complications of heart
disease, obesity and sleep disorders

Briefly summarize latest developments in identification and
treatment of tobacco-dependent patients

Demonstrate the correct use and interpretation of spirometry
testing in the identification and treatment of tobacco-dependent
patients

Identify the major issues and successful strategies in medical
treatment of patients from different cultural and ethnic
populations

Explain how required patient selection criteria determine
eligibility for Pulmonary Rehabilitation

Explain how reimbursement, licensing and staffing ratios
determine how you develop and manage a Pulmonary
Rehabilitation Program

Describe problems COPD patients encounter when traveling
and how to plan for the unexpected

Describe the most frequently encountered sleep disorders
including diagnostic process related clinical issues and
subsequent treatment of choice

Discuss the use of polysomnography and other assessment
tools in diagnosis and treatment of sleep disorders in children
and enumerate similarities and differences between and adult
and pediatric sleep assessment

Discuss ways to reach out to the community to create local
change and increase awareness of sleep disorders in
children

Summarize new NIH guidelines as they regard the use of
different classes of medications used in asthma and the
assessment of both risk and impairment when determining
asthma severity

Describe the variation in pulmonary symptoms from day to
nighttime in pediatric respiratory disorders and how nighttime
symptoms can help determine the etiology and severity of
pediatric respiratory problems

Describe the cardiac symptomology of untreated lung disease
and sleep disorders

Summarize general guidelines and major updates for
reimbursement for chronic pulmonary disease-related care

ACCREDITATION
The Cypress Foundation is accredited by the Institute for Medical Quality/California Medical Association (IMQ/CMA) to
provide continuing medical education for physicians. The Cypress Foundation and Breathe California Central Coast take
responsibility for the content, quality and scientific integrity of this CME activity. This educational activity is approved for
a maximum of 7.00 AMA PRA Category 1 Credit(s) â„¢. Physicians should only claim credit commensurate with the extent
of their participation in the activity. This credit may also be applied to the CMA Certification in Continuing Medical
Education.
The California Society for Respiratory Care is approved by the California Board of Registered Nursing, Provider Number 2913, for
8.4 contact hours for this program and CSRC meets the requirements for C.E. for RCP's in California. This course is CSRC Program
# 016-749.
This program has been approved for 3.5 AAST Continuing Education Credits (CEC) by the American Association of Sleep
Technologists, AAST Program #881.

COURSE FACULTY
Riaz M. Ahmed, M.D.
Cardiologist
Cardio-Pulmonary Associates of the Monterey Peninsula
Monterey, California

Janine Avila
Motivational Speaker
Santa Cruz, California

Richard A. Helmer, M.D.
Medical Director
Central Coast Alliance for Health
Santa Cruz, California

Jesse Herrera, L.C.S.W.
Program Manager, Cultural Competency
Monterey County Behavioral Health
Salinas, California

Lana R. Hilling, CRT
Coordinator, Lung Health Services
John Muir Health
Concord, California

Sharon Keenan, Ph.d, RPSGT, R.EEG.T.
Diplomate, American Board of Sleep Medicine
Director, The School of Sleep Medicine
Palo Alto, California

John D. Mark, M.D.
Clinical Associate Professor of Pediatrics
Pediatric Pulmonary Medicine
Lucile Packard Children's Hospital, Stanford
Palo Alto, California

David P. L. Sachs, M.D.
Director
Palo Alto Center for Pulmonary Disease Prevention
Palo Alto, California

Lewis D. Taub, M.D.
Pulmonologist
Rinderknecht
Klein & Taub

LOCATION and DIRECTIONS

The Monterey Peninsula
120 miles south of San Francisco, 70 miles south of Xan Jose Salinas, California
320 miles north of Los Angeles

Wardrobe
Casual clothing is acceptable everywhere.
Sweaters and jackets are appropriate all year – we suggest you
bring a warm sweater.
Comfortable walking shoes are a must.
Access by Air
Monterey Peninsula Airport 2 miles North of Monterey
San Jose International Airport 70 miles North of Monterey
San Francisco International Airport 120 miles north of Monterey
Driving Directions to the Inn on Spanish Bay, Pebble Beach, CA
From the South
US Highway 101 North to Highway 68 West. Follow for about 20
miles to Monterey. This merges into Highway 1 South. Take Route
68 West Exit and continue over Hill towards Pebble Beach about
3 miles. When road forks, take left fork (Sunset Drive) follow for
about ? mile. Look for “17 Mile Drive” sign on right. Turn LEFT here
and go through gate. Spanish Bay will be on your right.
From the North
US Highway 101 to Highway 156 West (Monterey Peninsula Exit).
This merges in about 4 miles with Highway 1 South. Follow
Highway 1 for about 17 miles towards Monterey. Take Route 68
West Exit and continue over hill towards Pebble Beach (about 3
miles). When road forks, take left fork (Sunset Drive). Follow for
about ? mile. Look for “17 Mile Drive” sign on right. Turn LEFT here
and go through gate. Spanish Bay will be on your right.

CONFERENCE PLANNING COMMITTEE

Ida Corby, R.C.P.
Respiratory Outreach Asthma Educator
Community Hospital of the Monterey Peninsula
Board Treasurer, Breathe California Central Coast

Shirley Dickinson, M.D., D,ABSM
Family Physician
Sleep Disorders Specialist
Community Hospital of the Monterey Peninsula
Past President, Breathe California Central Coast

Bonnie Eastman
Program Manager
Breathe California Sacramento-Emigrant Trails

Michael Hutchinson
Vice President, Professional Services
Salinas Valley Memorial Healthcare System

Zenaida H. Ivey
Executive Director
The Cypress Foundation of the
Monterey County Medical Society

Charles Limbach, M.D.
Family Physician
Seaside Health Clinic
Monterey County Health Department

Abbie Rosenberg, R.R.T.
Executive Director
California Society of Respiratory Care

John Snider, M.P.H.
Chief, Community Health Division
Monterey County Health Department

Terrilyn Solomon, R.R.T., N.P.S., RPSGT
Clinical Supervisor, Sleep Disorders Center
Community Hospital of the Monterey Peninsula

Darlene Downing, Executive Director
Adrienne Otis, Finance Director
Breathe California Central Coast

AGENDA Friday, November 16, 2007
7:30am-8:00am

Registration and Breakfast
Ballroom

8:00am

Welcome and Introduction
Abbie Rosenberg, R.R.T., Conference Chair

8:00am-8:30am

The Complex Patient: Diagnosing and Treating COPD,
Heart Problems, Sleep Disorders and Obesity
Lewis D. Taub, M.D.

8:30am-9:00am

Highlights of the New NIH Asthma Guidelines
John D. Mark, M.D.

9:00am-9:15am

Exercise & Snack Break

9:15am-10:15am

Medical Management of Tobacco Dependence: State of the Art 2007
David P. L. Sachs, M.D.

10:15am-10:45am

Pulmonary Rehab: Who's In Control
Lana Hilling, C.R.T

.
10:45am-11:00pm Break

11:00am-11:45pm AM

Workshops (Choose One)

St. Andrews West (A) The Ups and Downs of Traveling with Chronic Lung Disease
Lana Hilling, C.R.T.
St. Andrews West (B) Sleep Related Pediatric Respiratory Problems:
Things That Go Bump in the Night
John D. Mark, M.D.
Carnoustie Room (C) Measuring Nicotine Dependence and Withdrawal: Hands-On Instruction
David P. L. Sachs, M.D.

Luncheon Room 11:45am-12:30 Lunch

12:30pm-12:45pm

Nightmare: My Life with Undiagnosed Sleep Apnea
Janine Avila

12:45pm-1:00pm Break
Ballroom

1:00pm-1:45pm

Overview of Common Sleep Disorders
Sharon Keenan, Ph.D., RPSGT, R.EEG.T.

1:45pm-2:15pm

Cardiac Manifestations of COPD and Undiagnosed Sleep Apnea
Riaz Ahmed, M.D.

2:15pm-2:30pm

Dessert Break

2:30pm-3:15pm PM

Workshops (Choose One)
St. Andrews West (D) Roundtable Discussions and Demonstrations:
New Inhalers, CPAP Machines, Oxygen Equipment & More
St. Andrews West (E) Testing and Evaluation of Pediatric Sleep Disorders
Sharon Keenan, Ph.D., RPSGT, R.EEG.T.
Carnoustie Room (F) Cultural Competency in Chronic Disease Care
Jesse Herrera, L.C.S.W.

3:15pm-3:30pm Break
Ballroom

3:30pm-4:15pm

Medical Reimbursement Policy:
How It Affects Care of Your COPD Patients
Richard A. Helmer, M.D.

4:15pm-5:00pm

Faculty Panel Discussion: Access, Affordability and Quality of Life:
Will Your Treatment Plan Matter?

Registration Desk 5:00pm

CEU Certificate Distribution

IMPORTANT NOTE: You must be present to pick up your certificate and verify your attendance for
CEU credit. Please check out at registration desk if you must leave prior to 5:00 p.m. Thank you.

REGISTRATION
Name ______________________________________________
Address ____________________________________________
City, ST, Zip _________________________________________
Daytime Telephone ________ - ________ - ______________
Hospital/Univ Affil_____________________________________
Email __________________________________

COPD: A Day and Night Approach
to Asthma and Chronic Lung Disease Care

Fifteenth Annual Western Regional Medical Conference
A continuing medical education course for healthcare professionals
Friday, November 16, 2007 at

The Inn at Spanish Bay, Pebble Beach, California
Breakfast & Lunch will be provided.
ALL PRE-REGISTRATION FEES MUST BE RECEIVED BY 5:00 pm, FRIDAY, NOVEMBER 9, 2007.
Space is limited.

Registrations will be accepted on a first-come, first-served basis. A confirmation receipt will be mailed to you.
Refund Policy: There is a $25.00 handling fee for refunds and returned checks. Requests for refunds (less handling fee)
must be in writing and received in by November 9, 2007.

No refunds for cancellations after November 9, 2007.

REQUIREMENTS FOR CEU/CME
Please indicate profession and provide license number:
o MD o RN o RCP o RPSGT
o PA o NP o DO o Other ________________
License # (REQUIRED): ___________________
State: _____

SPECIAL NEEDS
Please note any special dietary requirements:
o Vegetarian o Other __________________
o Check here if you have any special needs addressed
by the ADA. We will call to arrange specifics.

WORKSHOP SIGN UP (REQUIRED)
(Please choose one for each workshop period)
AM Workshop 11:00-11:45 am
M (A) The Ups and Downs of Traveling with
Chronic Lung Disease
M (B) Measuring Nicotine Dependence and Withdrawal
Hands-On Instruction
M (C) Sleep-Related Pediatric Problems:
Things That Go Bump in the Night
PM Workshop 2:30-3:15 pm
M (D) Roundtable Discussions and Demonstrations:
New Inhalers; CPAP; O2 for Travel
M (E) Testing and Evaluation of Pediatric Sleep
Disorders
M (F) Cultural Competency in Chronic Disease Care

SCHEDULE OF FEES

Physicians Before Nov 9 $210.00 After Nov 9 $235.00
Allied Health Professionals Before Nov 9 $130.00 After Nov 9 $155.00
Medical Students, Residents & Fellows Before Nov 9$110.00 After Nov 9 $135.00
(include letter from Program Director)

PAYMENT
You may register by mail, fax, phone or online.
Mail: Please make check or money order payable to BCCC
Mail with this form to:
Breathe California Central Coast
550 Camino El Estero, Suite 100
Monterey, CA 93940

Fax: Please provide credit card information below

Fax this page to:
Breathe California Central Coast
FAX (831) 373-5530
Phone: Please call us at (831) 373-7306, extension *816
Number ________________________________________
(VISA or MasterCard only)
Exp Date ______________
Signature _______________________________________
Online: You may register at the website of the California
Society of Respiratory Care at www.csrc.org

GENERAL INFORMATION
For more information, lodging assistance or other
arrangements please contact us:
Breathe California Central Coast
(831) 373-7306 *816
Email: aotis@breathecentral.org
EARLY REGISTRATION DEADLINE IS
NOVEMBER 9, 2007