Fifth Annual Coughing, Sneezing and Wheezing:
A Pediatric Asthma Conference
Saturday, May 4, 2013
DoubleTree by Hilton Hotel Springfield
2431 N. Glenstone Ave.
Springfield, MO 65803

Joint Sponsored (CME) and Co-Provided (MONA) by:
Cox College
Jordan Valley Health Care Center
Mercy Children’s Hospital Springfield logo
Springfield Public Schools



Asthma is a leading chronic illness among children in the United States. In fact, over seven million American children under the age of 18 years suffer from asthma¹. Locally, over 525,000 Missouri residents live with asthma². A significant need exists for greater control as one in ten school-age children have asthma. Children afflicted with this disease miss over ten million school days each year for asthma-related problems¹.

Springfield Public Schools, in conjunction with Jordan Valley Community Health Center, Cox College and Mercy Children’s Hospital Springfield is pleased to present a day of practical childhood asthma education. Various aspects of the disease will be discussed to assist health care providers develop strategies in providing appropriate care and management, improving overall clinical care and outcomes of children with asthma.

This conference is designed for physicians, physician assistants, nurse practitioners, nurses, respiratory therapists and all other health care professionals responsible for childhood asthma management.


1.      CDC VitalSigns, May 2011

2.      The Missouri Asthma Prevention and Control Program: Missouri Asthma Surveillance Report: The Burden of Asthma in Missouri. Jefferson City, Missouri: Missouri Department of Health and Senior Services, 2010.

For more conference information, contact Education Center at 417-269-4117 or

Funding for this program was provided in part by the Missouri Foundation for Health, a philanthropic organization whose vision is to improve the health of the people in the communities it serves. No commercial support or sponsorship has been received for this activity.


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

7:30 – 8:00 a.m.     Registration/Continental Breakfast/Vendor Exhibits

8:00 – 8:15               Welcome/Overview of the Day
Melissa R. Penkalski, MSN, RN, CPNP-PC, AE-C, Conference Chair
Kelly Wright, MD, FAAP, Physician Moderator
8:15 – 9:15                Environmental Assessment and Interventions for Better Asthma Management
Kevin Kennedy, MPH

  •  Explore the common indoor environmental contaminants that exacerbate asthma symptoms and which contaminant represents significant risk to asthma patients.
  • Describe specific techniques for identifying indoor environmental hazards and effective interventions to eliminate or reduce these hazards in homes.


9:15 – 10:15           Pediatric Atopic Disease and Asthma
William Micka, MD

  • Describe the mechanism that environmental allergens induce asthmatic inflammation.
  • Formulate a treatment plan in a patient with allergic asthma.


10:15 – 10:30          Break/Vendor Exhibits
10:30 – 11:30          Don’t Jeopardize Inhaler Technique!
Michelle Dickens, RN, FNP-C, AE-C

  • Identify common errors in inhaler technique.
  • Demonstrate proper technique for using a valved holding chamber device.

11:30-12:30 p.m.     Lunch (provided on site)
12:30-1:30 p.m.       Exercise Induced Asthma
Bernard Griesemer, MD, FAAP

  • Schedule appropriate timing of medications for exercise induced asthma
  • Incorporate non-pharmacological interventions for exercise induced bronchospasm


1:30-2:30                   Social Disadvantages, Health Inequities, and Asthma Management
Robin Evans- Agnew, MN, PhD

  • Examine structural determinants of asthma management inequities in African American adolescents.
  • Describe the socio-cultural discourses used by adolescents and other stakeholders that contest existing assumptions about asthma management inequities.
  • Identify policy opportunities for mitigating the impacts of asthma management inequities on socially disadvantaged populations.


2:30-2:45                 Break/Vendor Exhibits
2:45-3:45                 A New Look at Pediatric Asthma in 2013
John F. Spivey, MD

  • Describe current asthma management strategies from symptoms to tests to making an accurate diagnosis in your pediatric patient.
  • Evaluate a few recent articles that may change your current thoughts and management of asthma.
  • Analyze the idea of Asthma Phenotypes when evaluating and treating your asthma patients.


3:45-4:00 p.m.         Evaluations/Statements of Credit/Adjourn

We reserve the right to substitute speakers and topics in case 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 Cox College, Springfield Public Schools, Jordan Valley Health Care Center, or Mercy Children’s Hospital Springfield.

Planning committee members and speakers have created this activity without bias or influence from all external commercial entities.

No sponsorship or commercial support has been received for this activity.


Cox College has joint-sponsored the CME and co-provided the MONA contact hours for this activity. See the following approved statements and contact hours.

This activity has been planned and implemented in accordance with The Essentials Areas and Policies of the Missouri State Medical Association through the joint sponsorship of CoxHealth and Springfield Public Schools.  CoxHealth is accredited by the Missouri State Medical Association to provide continuing medical education for physicians. 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 6.0 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

CoxHealth Education Center is an approved provider of continuing nursing education by the Missouri Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.

6.0 Contact Hours

This program has been approved for 6.0 contact hours Continuing Respiratory Care Education (CRCE) credit by the American Association for Respiratory Care, 9425 N. MacArthur Blvd. Suite 100, Irving TX 75063.

Accreditation approval only refers to this educational activity and does not imply endorsement of any commercial products by Cox College, Springfield Public Schools, Jordan Valley Health Care Center, Mercy Children’s Hospital Springfield, or any other proprietary entity producing health care goods or services.

Participants will receive statements of credit at the end of the program when all requirements for credit have been met. Satisfactory completion of objectives will occur through program attendance. Therefore contact hours will be given only for hours the participant attends. In order to receive a statement of credit, all participants must sign-in at the registration desk and turn in a completed evaluation and Verification of Attendance forms at the end of the program.

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.


Registration fee is $55 (includes electronic or paper syllabus, lunch and breaks) if received by close of business or postmarked by Friday, April 26, 2013.

Registrations will NOT be accepted April 27 – May 3. Registrations at the door will be processed; a late fee of $10 will be charged in addition to the registration fee.


Cancellations received in writing to by April 26, 2013 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 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.

The entire cancellation policy can be viewed at, under the Continuing Education and Life Support tab.


Special rates are available for CoxHealth conference participants at the following hotels. Ask for the CoxHealth Conference or CoxHealth negotiated rate.

DoubleTree by Hilton Hotel Springfield
2431 N. Glenstone Ave.
Springfield, MO 65803
417/ 831-3131


Kevin Kennedy, MPH
Managing Director
Center for Environmental Health
Kansas City, MO

William Micka, MD
Ferrell-Duncan Clinic, Allergy & Immunology
Springfield, MO

Michelle Dickens, RN, FNP-C, AE-C
Nurse Practitioner, Pediatric Pulmonology
CoxHealth Pediatric Specialties Clinic
Springfield, MO

Robin Evans-Agnew, MN, PhD
Assistant Professor, Nursing and Healthcare Leadership
University of Washington Tacoma
Seattle, WA

John Spivey, MD
Pediatric Pulmonologist
Mercy Children’s Hospital Springfield
St. Louis, MO

Bernard Griesemer, MD, FAAP
Mercy HealthTracks Center
Springfield, MO


Kim Boyts, CRT
Respiratory Therapist
Select Specialty Hospital

Michelle Dickens, MSN, RN, FNP-C, AE-C
Nurse Practitioner, Pediatric Pulmonolgy
CoxHealth’s Pediatric Specialty Clinic

Jean Grabeel, RN, BSN, MEd, NCSN, FNASN
Conference Co-Chair
Coordinator of Health Services
Springfield Public Schools

Anita Green
Administrative Assistant-Health Services
Springfield Public Schools

Michele Klopfenstein, CRT, RCP
Respiratory Therapist/CRT RCP Neonatal Transport

Gregory Lux, MD, MHA
Director Asthma Education
Mercy – Allergy & Asthma Clinic

Jodi Page, BSN, RN
Nurse Planner/Conference Coordinator
Education Center

Melissa R. Penkalski, MSN, RN, CPNP-PC, AE-C
Conference Chair
Implementer of CALM Asthma Grant
Pediatric Nurse Practitioner
Jordan Valley Community Health Center

Amanda Scheetz, LPN
Grant Case Manager
Jordan Valley Community Health Center

Tye Wallen, RN
Children’s Services Coordinator
Mercy Children’s Hospital Springfield

Kelly Wright, MD, FAAP
Physician Moderator
CoxHealth Northside Pediatrics