Cox Health has been dedicated to saving and improving lives from heart disease for many decades—And we are making a difference! With personalized medical care we can continue to improve the cardiovascular health of individuals and our community and the CoxHealth Heart and Vascular Annual Summit delivers evolving evidence based principles for the best practice management of your cardiovascular patients by bringing together regional partners and engaged stakeholders to explore solutions for managing the rapid changes in healthcare with tips to help your practice achieve optimal success in the future.  Join us as we examine current heart and vascular best practice recommendations, emerging technologies, and state of the art diagnostic and treatment modalities bridging the gap from Primary Care to Cardiovascular Specialty Care.


This conference is designed to meet the educational needs of Primary Care Providers, Interventional and General Cardiologists, Practice Managers, Nurses, and Nurse Practitioners, and others who care for patients with cardiovascular disease in an outpatient, hospital, or clinical practice setting.



White River Conference Center

Located within the John A. & Genny Morris Conservation Center

600 W. Sunshine

Springfield, MO 65807

By attending this educational activity, participants should be able to integrate some or all of the objectives as listed.


Friday, October 4, 2019


Registration/Lunch/Vendor Displays


CoxHealth Introduction- Danny Penick, MD

12:15pm– 1:15pm

Heart Failure—Is it a Death Sentence?   Collaborative diagnosis, management, and treatment options in 2019.

Speaker: Sridevi Durga, MD

  • Identify heart failure and classifications in your patients

  • Examine guideline based collaborative treatment strategies

  • Recognize novel medical therapies and device options for Heart Failure


The Positive Difference can be in Palliative Care

Speaker: Melissa Gaines, MD

  • Differentiate between hospice and palliative care

  • Develop the skills necessary to provide compassionate care of service


Break/Vendor Displays


TAVR and Beyond—What’s New in Transcatheter Structural Heart Interventions

Speaker: Philipp Wiesner, MD

  • Identify selection criteria for TAVR in patients with severe aortic stenosis

  • Assess selection criteria for Transcatheter Mitral Valve Repair for patients with mitral regurgitation

  • Determine selection criteria for Left Atrial Appendage Occlusion with an implanted closure device for stroke prevention in patients with Atrial Fibrillation


Break/Vendor Displays


Sleep Apnea and its Cardiovascular Complications

Speaker: Terrence Coulter, MD

  • Identify patients at risk for sleep related breathing disorders

  • Distinguish the implications of untreated sleep apnea and risk of cardiovascular disease

  • Discuss the appropriate work up and treatment options of patients with suspected sleep apnea




Join us for a cocktail at social hour!


Dinner Presentation—Heart Failure and the Modern Patient

Sponsored by Abbott



Saturday, October 5, 2019


Registration/Breakfast/Vendor Displays



Aspirin: Is it really that helpful?

Speakers: Meghan Patni, MD

  • Risk stratify patients’ need for aspirin as primary prevention

Watch a live recorded radial case narrated by Dr. Patni


Use of Endovascular Embolization in the Setting of Infection or Traumatic Arterial Disruption:  Can we just plug this?

Speakers: Grant Scott, MD

  • Identify a role for endovascular interventions in the setting of grossly infected arterial disruption.

10:30am– 10:45 am

Break/Vendor Displays

10:45am– 11:45am

Cardiac Rehabilitation… 2022

Speaker: Steven Keteyian, MD

  • Identify for the attendee the current “national-level landscape” for cardiac rehabilitation

  • Attendee will learn “real-word” and generalizable strategies that will improve enrollment in cardiac rehabilitation


Questions/Answers/Evaluations/Statements of Credit/ Adjourn


We reserve the right to substitute speakers and topics in the event of emergency or cancellation. Information presented during this conference represents the views and opinions of the presenters and does not necessarily constitute the opinion, endorsement of, or promotion by CoxHealth. Presenters are responsible for obtaining all copyright permissions.


No off-label medications or medical devices will be discussed.

In an effort to reduce costs to participants, no handouts or notes pages will be provided at the conference. Participants may choose to download presentations to their personal electronic devices or print for their own use. As presentations become available, they will be posted here.


Check this tab when the conference date approaches to download notes pages.


CoxHealth is accredited by the Missouri State Medical Association to provide continuing medical education for physicians. CoxHealth designates this live activity for a maximum of 7.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.


Application for CME credit has been filed with the American Academy of Family Physicians.
Determination of credit is pending.


Cox Education Center is an approved provider of continuing nursing education by the Midwest Multistate Division, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. There will be 8.0 contact hours.

Day 1 will be 4.25, Day 2 will be 3.75


CoxHealth has approved this program for 7.5 STEMI contact hours for CoxHealth physicians and employees. Day 1 is 4.0 hours and Day 2 is 3.5 hours.


CoxHealth is pending for ASRT (Radiology) credit


For questions regarding educational credit please contact Lisa Boyer, RN, BSN, Enterprise Educator, CoxHealth 417-269-4124 or

Accreditation approval only refers to this educational activity and does not imply endorsement of any commercial products by CoxHealth or any other proprietary entity producing health care goods or services.



Requirements for Successful Completion:
• Sign in at the registration desk.
• Complete your online evaluation form each day (you have up to 2 weeks to complete)
• Attendance of entire day


On Line evaluations and certificate of attendances:
• At the completion of your on line evaluation your specific Certificate will automatically generate for you to print or save to your cell phone
• Physicians will receive their certificate of attendance from Triesa Massey via email in approximately 6 weeks
• Radiology certificates of attendance will be emailed by Lisa Boyer after completion of your evaluation in approximately 2 weeks

Americans with Disabilities Act: If you have special needs addressed by this act, please notify us at least two weeks before this offering so that reasonable efforts will be made to accommodate your needs.

Note: Please bring a sweater or jacket due to variations in temperature and personal preferences.

Dr. Durga received her Interventional Cardiology Fellowship from Borgess Medical Center at Michigan State University. She attended medical school in India in 1999.  Dr. Durga is Board certified in Vascular Medicine and Nuclear Cardiology.  She has received multiple honors and awards.


Dr. Gaines is a Physician for CoxHealth Senior Center. She received her Doctor of Medicine from the University of Kansas School of Medicine and she is a member of the American Academy of Hospice and Palliative Medicine.  Dr. Gaines is also a board member The Hospice Foundation of the Ozarks.


Dr. Wiesner received his medical degree at Regensburg/Ulm University in Regensburg/Ulm, Germany.  He completed his Fellowship in Structural Heart Interventions at the University of Arizona.  Dr. Wiesner is a member of the American College of Cardiology and the Society for Cardiovascular Angiography and Interventions.


Dr. Coulter is the medical director of Respiratory Services, Sleep Medicine, and Pulmonary Rehab for CoxHealth.  He completed his residency and fellowship in pulmonary, critical care and sleep medicine at the Cleveland Clinic Foundation, Cleveland, Ohio.  He is board certified in the American Boards of Internal Medicine, Pulmonary Medicine, Critical Care, and Sleep Medicine.  Dr. Coulter is also a Fellow of the American College of Chest Physicians.  He has served on several committees at CoxHealth in Springfield, Missouri.  Dr. Coulter has numerous publications and lectures extensively in the area of respiratory care and critical care.


Dr. Patni is an Interventional Cardiologist with CoxHealth.  He completed his Interventional Cardiology Fellowship at Baylor College of Medicine and his Medical Doctorate at the University of Kansas.  Dr. Patni is certified in transthoracic and transesophageal echocardiography.


Dr. Scott, is a Vascular Fellow at West Virginia University in the Charleston Area medical Center.  He is a graduate from the University of Missouri.  Dr. Scott will be joining the FDC Vascular Surgery department later this summer in August


Dr. Keteyian is the Director of Preventive Cardiology at the Henry Ford Hospital in Detroit Michigan.
He graduated from Wayne State University. He did his dissertation on the Effects of Exercise Training on Cardiovascular Function and Aerobic Capacity in Heart Transplant Patients.  Dr. Keteyian also is a Registered Clinical Exercise Physiologist with the American College of Sports Medicine.  He has numerous publications and is a national speaker.


Dr. Steven J. Keteyian has indicated that he is a stockholder in the following company: Nimble Heart, Inc. He also is a consultant for Apple, Inc., and he does grant/research for NIH, R61HL143099. He has indicated that he does not intend to discuss any uses of pharmaceutical products or medical devices not approved by the FDA.  Dr. Keteyian also indicated he would give balanced view of therapeutic options and will use generic names to contribute to impartiality during his presentation. There was no conflict identified that would exclude him from presenting.

Lisa Boyer, RN, BSN
Enterprise Educator
Education Center, CoxHealth


Cyndi Bussen
Physician Relations Manager
CoxHealth Business Connections


Eric Cantrell, RN, BSN, CCRN
Cath Lab Manager
CoxHealth Cardiovascular Services


Jill Clary, RN, BSN, CEN
STEMI RN Clinician
CoxHealth Cardiovascular Services


Leah Cook, RN, BSN, BS, CCRN
STEMI Program Coordinator
CoxHealth Cardiovascular Services


Julia Flax, MD
Physician Planner
AAFP Credit Planner
Regional Services, CoxHealth


Cardiovascular Services Coordinator
CoxHealth Cardiovascular Services


Triesa Massey, MHA
Medical Staff Education Coordinator
CoxHealth Medical Staff


Kathryn Pallister, RN, BSN, CCRN
Nurse Manager
CoxHealth Cardiovascular Services


Danny Penick, MD
Physician Planner
Medical Director Cardiovascular Services
Ferrell Duncan Clinic


Chris Schulze, RN, BSN
Director of Clinical Research
CoxHealth Center for Research and Innovation


Rey Walden, RN
Cardiovascular Services Nurse Educator
CoxHealth Nursing Education


Becky Watts, RN, BSN, MHA
Administrative Director
CoxHealth Cardiovascular Services


Bryan Williams, MHA, RT(R), RDMS, RVT, RDCS
Cardiovascular OP Assistant Director
CoxHealth Cardiovascular Services


All planning committee members listed with the exception of those below have indicated they (or their immediate family members) do not have any conflicts of interest or significant financial affiliations with any pharmaceutical or medical device companies that would exclude them from the planning of this activity. Planning committee members and speakers have created this activity without bias or influence from all external commercial entities. There were no conflicts identified that would exclude them from the planning process.


Planning committee member, Lisa, Boyer, RN, has indicated she is a stockholder in the following companies: Express Scripts, Aurinia  Pharmaceuticals, Procter & Gamble,  Pfizer, Glaxo Smith  Kline,  Novartis, &  Pertola. She has indicated that she does not intend to discuss any uses of pharmaceutical products or medical devices not approved by the FDA. Mrs. Boyer also indicated she would give a balanced view of therapeutic options, and will use generic names to contribute to impartiality during the planning process. There was no conflict identified that would exclude her from the planning process.


Cancellations received in writing to by September 18, 2019 will be entitled to a full refund. After this time, a $25 processing fee will be withheld.  No refunds will be made the day of the conference.  No shows will be charged the full conference fee.

In the event the Education Center cancels or reschedules a course, participants are entitled to a full refund or the participant may transfer registration to the next scheduled activity.

CoxHealth is not responsible for travel, hotel, booking fees, or other cancellation fees for registrants when an activity is cancelled.

All refunds must be received in writing via email or by calling the Education Center.