Dr. Tessy Goyenechea-Dieguez

Electroanalgesia

Introduction
Worldwide, Pain is one of the most common reasons why people consult a physician today, yet frequently it is inadequately treated, leading to enormous social cost in the form of lost productivity, needless suffering, addiction, and excessive pain.

Description
The growing opioid crisis, non-opioid analgesic drugs, techniques for acute and chronic pain management. Electroanalgesia, history, devices and treatment alternatives.

Target Audience
Physicians, Chiropractors, Physical Therapists, Rehab specialists, healthcare administrators, office managers, billing specialists, Practice consultants, Advanced Practice Registered Nurses, Registered Nurses, Licensed Practical Nurses, Medical Assistants, Certified Nurse Assistants.

The science of Electroanalgesia

Introduction
Worldwide, Pain is one of the most common reasons why people consult a physician today, yet frequently it is inadequately treated, leading to enormous social cost in the form of lost productivity, needless suffering, addiction, and excessive pain.

Description
Electroanalgesic theories (The gate control theory, the endorphin release theory). Specific Parameter Electrical Signaling, Electrophysiology of the Neuron, Mechanisms of Electromedical Pain Management (Counter-irritation, Release of neuropeptides, Nerve fiber block), and Cell Membrane Hyperpolarization vs. Depolarization.

Target Audience
Physicians, Chiropractors, Physical Therapists, Rehab specialists, healthcare administrators, office managers, billing specialists, Practice consultants, Advanced Practice Registered Nurses, Registered Nurses, Licensed Practical Nurses, Medical Assistants, Certified Nurse Assistants.

Conditions and Treatments

Introduction
Worldwide, Pain is one of the most common reasons why people consult a physician today, yet frequently it is inadequately treated, leading to enormous social cost in the form of lost productivity, needless suffering, addiction, and excessive pain.

Description
Pain relieving effect (motor nerve and muscle activation and simulation, Increase blood flow, circulation, effects on muscle, biological influence.

Target Audience
Physicians, Chiropractors, Physical Therapists, Rehab specialists, healthcare administrators, office managers, billing specialists, Practice consultants, Advanced Practice Registered Nurses, Registered Nurses, Licensed Practical Nurses, Medical Assistants, Certified Nurse Assistants.

Application

Introduction
Worldwide, Pain is one of the most common reasons why people consult a physician today, yet frequently it is inadequately treated, leading to enormous social cost in the form of lost productivity, needless suffering, addiction, and excessive pain.

Description
Most common diagnosis and services. Sample cases and studies. Incorporation of electroanalgesia into patient care.

Target Audience
Physicians, Chiropractors, Physical Therapists, Rehab specialists, healthcare administrators, office managers, billing specialists, Practice consultants, Advanced Practice Registered Nurses, Registered Nurses, Licensed Practical Nurses, Medical Assistants, Certified Nurse Assistants.

Fall Prevention

Introduction
With the new emphasis towards Providers assuming the risks and the benefits, of costs of their patients, fall prevention is becoming a go to program to reduce costs and complications of older patients. Granted, falls are not limited to old patients but identifying, and minimizing risk factors has already been determined to be a winning combination for Providers and patients alike. Yet, there are very few programs available and even less professionals trained and capable to handle this crisis.

Description
Fall Prevention by the numbers, actuaries (epidemiology, incidence, morbidity, and mortality), and forecasts. History of falls. Importance of a fall prevention program. How will fall prevention work in the medicine of the future?

Falls and anatomy
Basic anatomy/mechanism that influences balance. Conditions and medications that increase the risk of falls. Musculoskeletal impairment and myofascial pain. Balance, neuromuscular and mental conditions that increase fall risks. Expected changes that increase fall potential that occur with aging.

Target Audience
This program is designed for physical therapists, nurse practitioners, athletic trainers, nurses, rehabilitation professionals and physician assistants.

Assessment of Risks

Introduction
With the new emphasis towards Providers assuming the risks and the benefits, of costs of their patients, fall prevention is becoming a go to program to reduce costs and complications of older patients. Granted, falls are not limited to old patients but identifying, and minimizing risk factors has already been determined to be a winning combination for Providers and patients alike. Yet, there are very few programs available and even less professionals trained and capable to handle this crisis.

Description
Conducting fall risk and balance assessments. Standardized Assessment tools (Tinetti Gait and Balance Assessment tool, Steadi, Berg, timed up and go, others). Evaluation components (balance, visual spatial-function, vestibular function, gait and mobility, age-related conditions, home safety, medications, feet and footwear, others).

Target Audience
This program is designed for physical therapists, nurse practitioners, athletic trainers, nurses, rehabilitation professionals and physician assistants.

Post Fall Rehab

Introduction
With the new emphasis towards Providers assuming the risks and the benefits, of costs of their patients, fall prevention is becoming a go to program to reduce costs and complications of older patients. Granted, falls are not limited to old patients but identifying, and minimizing risk factors has already been determined to be a winning combination for Providers and patients alike. Yet, there are very few programs available and even less professionals trained and capable to handle this crisis.

Description
Working with specific injuries and conditions (traumatic brain injury, stroke, spinal cord injury, diabetes, pain, Parkinson’s disease, others). Recovery techniques and therapies.

Target Audience
This program is designed for physical therapists, nurse practitioners, athletic trainers, nurses, rehabilitation professionals and physician assistants.

Prevention of risks

Introduction
With the new emphasis towards Providers assuming the risks and the benefits, of costs of their patients, fall prevention is becoming a go to program to reduce costs and complications of older patients. Granted, falls are not limited to old patients but identifying, and minimizing risk factors has already been determined to be a winning combination for Providers and patients alike. Yet, there are very few programs available and even less professionals trained and capable to handle this crisis.

Description
Neuromuscular re-education. Integrating multiple approaches (balance and gait training, home exercise programs, nutrition, biomechanical alignment, manual therapies, home modifications, overcoming vision problems, etc.). Introducing alternative modalities (tai chi, podpoi training, exercise programs, etc.)

Developing a fall prevention program
Documentation (assessment, plan of action) , workflow, and coding. Identifying potential customers and business considerations (marketing, finances, space, equipment, others).

Target Audience
This program is designed for physical therapists, nurse practitioners, athletic trainers, nurses, rehabilitation professionals and physician assistants.

Remote Monitoring

Introduction
The genie is out of the bottle! What we mean with this statement is that telemedicine is here to stay and with telemedicine and the current advances in technology the need for remote monitoring shows an untapped potential.

Description
One of the results of the COVID 19 pandemic has been the evolution and implementation of remote services. The Centers for Medicare & Medicaid Services (CMS) has been looking at this “opportunity” and agreed to make changes in their fee schedule to accommodate these services. One of CMS major changes has been the incorporation of “remote therapeutic monitoring (RTM).” The CPT codes proposed by CMS for RTM are:

• CPT code 989X1: Remote therapeutic monitoring (e.g., respiratory system status, musculoskeletal system status, therapy adherence, therapy response), initial set-up and patient education on use of equipment;
• CPT code 989X2: Remote therapeutic monitoring (e.g., respiratory system status, musculoskeletal system status, therapy adherence, therapy response), device(s) supply with scheduled (e.g., daily) recording(s) and/or programmed alert(s) transmission to monitor respiratory system, each 30 days;
• CPT code 989X3: Remote therapeutic monitoring (e.g., respiratory system status, musculoskeletal system status, therapy adherence, therapy response), device(s) supply with scheduled (e.g., daily) recording(s) and/or programmed alert(s) transmission to monitor musculoskeletal system, each 30 days;
• CPT code 989X4: Remote therapeutic monitoring treatment management services, physician/ other qualified health care professional time in a calendar month requiring at least one interactive communication with the patient/caregiver during the calendar month; first 20 minutes; and
• CPT code 989X5: Remote therapeutic monitoring treatment management services, physician/other qualified healthcare professional time in a calendar month requiring at least one interactive communication with the patient/caregiver during the calendar month, each additional 20 minutes (List separately in addition to code for primary procedure).

The key of this presentation and the important point to focus on is that remote monitoring provides healthcare providers opportunities to improve patient care while simultaneously increase their income opportunities.

Target Audience
Physicians, Chiropractors, Physical Therapists, Rehab specialists, healthcare administrators, office managers, billing specialists, Practice consultants.

Compliance Tools

Introduction
It should not be a surprise to anyone when we state that healthcare is the most regulated industry in the United States. This means that healthcare professionals, organizations and affiliates in this industry face challenges that at times may be seen as impossible to follow. Add to that cybercrime, shifting regulations, documentation and accountability and you have the perfect storm.

Description
The focus of this presentation is to familiarize our audience with some of these requirements as dictated by legislation. We will also discuss Corrective Action Plans (CAP), available resources, and activities that should reduce your liability.

Target Audience
Physicians, Chiropractors, Physical Therapists, Rehab specialists, healthcare administrators, office managers, billing specialists, Practice consultants, Information Technology Professionals, Compliance Officers, Professionals that create, receive, maintain, or transmit electronic patient health information

Wound Care

Introduction
Wound Care deals with the stages the body go thru to health itself and the variables to consider that may affect this healing process.

Description
It is the intent of this presentation to discuss the basics of wound care. From identifying and assessing wounds to creating a wound care management plan the goal is to create awareness and the ability to identify potential treatment alternatives for wound care patients.

Target Audience
Physicians, Chiropractors, Physical Therapists, Physician Assistants, Rehab specialists, healthcare administrators, office managers, Advanced Practice Registered Nurses, Registered Nurses, Licensed Practical Nurses, Medical Assistants, Certified Nurse Assistants

Electroanalgesic

Introduction
Worldwide, Pain is one of the most common reasons why people consult a physician today, yet frequently it is inadequately treated, leading to enormous social cost in the form of lost productivity, needless suffering, addiction, and excessive pain.

Description
The focus of this presentation is to familiarize our audience with treatment alternatives using electroanalgesia as a resource. Electroanalgesia treatments involves the use of higher frequencies above 8,000 pulses per second to as high as 10,000 pulses per second. When using the correct dosage and electrodes, these specialized medical devices, can safely and effectively treat many pain and circulatory conditions.

Target Audience
Physicians, Chiropractors, Physical Therapists, Rehab specialists, healthcare administrators, office managers, billing specialists, Practice consultants, Advanced Practice Registered Nurses, Registered Nurses, Licensed Practical Nurses, Medical Assistants, Certified Nurse Assistants

Pulse Insulin

Introduction
Pulsatile intravenous insulin therapy, sometimes called metabolic activation therapy, or cellular activation therapy describes in a literal sense the intravenous injection of insulin in pulses versus continuous infusions. Injection of insulin in pulses mimics the physiological secretions of insulin by the pancreas into the portal vein which then drains into the liver .

Description
The focus of this presentation is to familiarize our audience with a groundbreaking approach designed to provide physicians with a tool that addresses the primary cause of metabolic disorder instead of only suppressing the symptoms.

Target Audience
Physicians, healthcare administrators, office managers, billing specialists, Practice consultants, Advanced Practice Registered Nurses, Registered Nurses, Licensed Practical Nurses, Medical Assistants, Certified Nurse Assistants

Legally Mine

Introduction
It should not be a surprise to anyone when we state that healthcare is the most regulated industry in the United States. This means that healthcare professionals, organizations and affiliates in this industry face challenges that at times may be seen as impossible to follow. Add to that cybercrime, shifting regulations, documentation and accountability and you have the perfect storm.

Description
Legally Mine refers to the largest, most respected, experienced, and comprehensive lawsuit protection company in America. At this presentation a legally mine representative will present specialized consulting resources, packages and tools to help businesses and practices manage risk.

Target Audience
Physicians, Chiropractors, Physical Therapists, Rehab specialists, healthcare administrators, office managers, Practice consultants, Dentists, and all type of professionals and executives.

Telemedicine and Mental Health

Introduction
Telemedicine is defined as the exchange of medical information between two parties using electronic communication. During the COVI 19 crisis the healthcare community embraced telemedicine as a way to reach out to patients. Legislations such as HIPAA also touches on this subject but the problem with it is that rules keep changing and at times may dictate how these interactions are to take place.

Description
During this session, representatives of Panacea Alliance will discuss the use of electronic communications in a way that meets legislation and security challenges. They will also cover the world of mental health and potential resources that may be used the footprint coverage of these services.

Target Audience
Physicians, Chiropractors, Physical Therapists, Rehab specialists, healthcare administrators, office managers, billing specialists, Practice Consultants, Information Technology Professionals, Compliance Officers.