Rheumatology Association of Iowa Annual Meeting

Cedar Rapids, IA US
March 1, 2019 to March 2, 2019


Cost: $25 - $50

Click here to register.

If you have questions, please contact Lorene Harder at lorene@wjweiser.com or 847-264-5912.

Educational Need

Effective management in ANCA-associated vasculitis (AAV), specifically Granulomatosis with Polyangiitis (GPA) and Microscopic Polyangiitis (MPA) include not only the use of evidence-based treatments but also rigorous application of monitoring and preventive strategies to reduce the risk of infection and medication-specific toxicities. Rheumatologists need to be aware of these strategies to provide their patients with the best outcomes.

For the two main forms of Large-vessel vasculitis (LVV), Giant Cell Arteritis (GCA) and Takayasu Arteritis (TAK), non-medical management should be considered for disease that is threatening a critical organ or for significant symptoms impacting quality of life.

Today’s challenging health care environment is affecting the way physicians manage their practices, interfering with access to care and forcing them to make difficult decisions. Physicians seek to continue to provide quality care while contending with reduced Medicare reimbursement rates, medical claims, process errors and inefficiency, and legislative and regulatory changes. Rheumatologists need to be aware of emerging trends in practice management, payer reform, and administrative simplification of impact to the success of their practices and quality of patient care.


  1. Recognize federal efforts to improve value in healthcare delivery and payment through programs established under the Medicare Access and CHIP Reauthorization Act (MACRA)
  2. Distinguish and contrast pathways for Rheumatologists to be reimbursed under the Quality Payment Program (i.e., the Merit-Based Incentive Payment System (MIPS) and Alternative Payment Models (APMs).
  3. Evaluate the potential impact of MACRA on Rheumatology practices and estimate the significance of engagement in current and future value-driven delivery and payment models.
  4. Identify opportunities for state and national advocacy, legislative action and our need for representation at the state national level.
  5. Identify the clinical features of ANCA-associated vasculitis.
  6. Describe the approach to diagnosis for ANCA-associated vasculitis.
  7. List the treatment options for ANCA-associated vasculitis.
  8. Describe the diseases that can be associated with large vessel vasculitis.
  9. Identify the clinical features associated with giant cell arteritis and Takayasu arteritis.
  10. Discuss the treatment approaches to giant cell arteritis and Takayasu arteritis.


All sessions will be located in the Amphitheater unless otherwise noted. Speakers and times are subject to change.

Friday, March 1
5 pm

Welcome and Opening Remarks

Michael S. Brooks, MD, FACP, FACR
Rheumatologist, UnityPoint

5:05 pm

How Current Iowa Laws Passed Affect Those Practicing Rheumatology Today

Doug Ommen
Chair of the National Association of Insurance Commissioners’ Life Insurance and Annuities Committee

6 pmAdjourn
Saturday, March 2
7:30 amRegistration
9 am

Welcome and Announcements

9:15 am

ANCA-Associated Vasculitis: Clinical Aspects and Management

Carol A. Langford, MD, MHS, FACP
Rheumatologic and Immunologic Disease, Cleveland Clinic

10:15 am


10:45 am

Large Vessel Vasculitis in 2019

Carol A. Langford, MD, MHS, FACP
Rheumatologic and Immunologic Disease, Cleveland Clinic

11:45 amRAI Annual Business Meeting and Lunch
2 pm

Advocacy Panel

  • Kevin Daley, Government Relations, WJ Weiser & Associates, Inc.
  • Bharat Kumar, MD, MME, FACP, RhMSUS, Associate Program Director of the Rheumatology Fellowship Training Program, University of Iowa
  • Michele Guadalupe, MPH, Vice President of Advocacy, Iowa Arthritis Foundation
  • Dennis Tibben, Director, Government & Public Affairs, Iowa Medical Society
4 pmAdjourn
    Course summary
    Available credit: 
    • 5.00 AMA PRA Category 1 Credits
    • 5.00 AOA Category 2­A
    • 5.00 CE Contact Hour(s)
    • 5.00 IBON
    Course opens: 
    Course expires: 
    Event starts: 
    03/01/2019 - 5:00pm CST
    Event ends: 
    03/02/2019 - 3:30pm CST
    The Hotel at Kirkwood Center
    7725 Kirkwood Blvd. S.W.
    Cedar Rapids, IA 52404
    United States
    +1 (877) 751-5111

    The Hotel Kirkwood Center is offering RAI attendees a special conference rate of $134.00, plus applicable state and local taxes. This discounted group rate applies until the reservation deadline of February 7, 2019, or until all so-designated rooms are booked, whichever occurs first. RAI encourages you to make your reservations early, as after this date reservations will be accepted based on hotel availability and/or higher rates may apply.


    Dr. Michael S. Brooks graduated from Loyola University, Stritch School of Medicine in Maywood, Illinois and continued on to complete residency in internal medicine with Loyola University Affiliated Hospitals. He then went on to complete a fellowship in rheumatology at Indiana University School of Medicine in Indianapolis, Indiana. Dr. Brooks’s special interests include rheumatoid arhtritis; connective tissue diseases, treatment of osteoporosis and metabolic bone diseases, and clinical trials for rheumatoid arthritis and forms of inflammatory arthritis. Dr. Brooks is certified by the American Board of Internal Medicine and is a certified clinical densitometrist.

    Kevin Daley is Director of Government Affairs at WJ Weiser & Associates where he tracks and analyzes state and federal legislation and regulation of impact to clients, including CSRO. He began his career in politics and government in 2010 working for the Illinois Republican gubernatorial candidate. He spent the next six years working in Illinois legislature and campaigning for the Illinois House Republican Organization. Mr. Daley graduated from Illinois State University with a degree in political science and is currently working towards earning his MPA degree from the University of Illinois.

    Michele Guadalupe is Advocacy Alliance Development Director, where she is responsible for developing national and state advocacy partnerships. She has been with the Arthritis Foundation for 13 years, first in a regional capacity in many of the Midwest and Pacific Southwest states, State Director of Advocacy and Access and most recently as Director of State Legislative Affairs. In 2016 and 2017, Guadalupe played a key role in passing step therapy legislation in Illinois, Indiana, Iowa and Missouri. Michele holds an undergraduate degree in health education from Illinois State University and completed her Masters of Public Health from the University of Illinois at Chicago.

    Dr. Bharat Kumar is the Associate Program Director of the Rheumatology Fellowship training program at the University of Iowa in Iowa City. He completed medical school at Saba University, followed by internal medicine residency at the University of Kentucky in Lexington, KY, and most recently finished fellowship at the University of Iowa in both rheumatology and allergy/immunology. He is an active member of the American College of Rheumatology’s Government Affairs Committee and helps to run the “Advocacy 101” Course for Fellows, Residents, and Program Directors. He has a particular interest in medical education, journalism, leadership development, and advocacy.

    Dr. Carol A. Langford received her medical degree at the University of California Los Angeles in 1987 and trained in internal medicine at the University of Michigan from 1987 to 1990. She was a fellow in rheumatology at Duke University from 1990 to 1994 where she also received a Master’s degree in health sciences in 1995. From 1994 to 2004, Dr. Langford was a senior investigator at the National Institutes of Health where her research focused on vasculitic diseases. In 2004, Dr. Langford joined the Cleveland Clinic to become Director of the Center for Vasculitis Care and Research within the Department of Rheumatic and Immunologic Diseases. She is an Associate Professor of Medicine of the Cleveland Clinic Lerner College of Medicine of Case Western Reserve University and became Vice-Chair of Rheumatology for Research in 2007. In 2011, she was named the Harold C. Schott endowed Chair in Rheumatic and Immunologic Diseases.

    Douglas Ommen was appointed by Governor Terry Branstad asInsurance Commissioner in January 2017, after serving as Interim Commissioner since December 2016. Mr. Ommen has a strong and varied public service background. His dedication and desire to serve the public began in seeking justice for victims of fraud in the Missouri Attorney General’s Office, where as an assistant attorney general and then as chief counsel, he led the fight to protect consumers over the course of three decades. Mr. Ommen served as Deputy Insurance Commissioner at the Iowa Insurance Division from August 2013 to December 2016. He also served in the Missouri Department of Insurance during 2005 – 2008, and as Missouri’s Insurance Director was instrumental for several key regulatory reforms. Mr. Ommen currently serves as the Chair of the NAIC’s Life Insurance and Annuities (A) Committee. Mr. Ommen obtained his law degree in 1985 from the Saint Louis University School of Law, and is licensed to practice law in both Iowa and Missouri.

    Dennis Tibben is the Director of Government Affairs for the Iowa Medical Society. In this role, he coordinates policy development and advocacy efforts before the Iowa General Assembly, and represents IMS before a number of state boards and stakeholder health care organizations. Prior to joining the Iowa Medical Society, Mr. Tibben served as Correspondence and Judicial Appointments Coordinator in the Iowa Governor’s Office, as well as a Legislative Assistant in the Iowa Senate. Dennis received his bachelor’s degree in Political Science, with an emphasis in American Government, from Iowa State University and his Master of Public Administration, with an emphasis in Public Policy, from Drake University.


    Relevant to the content of this educational activity, the following individuals have no conflict of interests with commercial interests to disclose.

    • Michael S. Brooks, MD, FACP, FACR, Activity Director, Planning Committee Member, and Moderator
    • Kevin Daley, Panelist
    • Michele Guadalupe, MPH, Panelist
    • Lorene Harder, Planning Committee Member
    • Bharat Kumar, MD, MME, FACP, RhMSUS, Panelist
    • Candace Milbourn, Planning Committee Member
    • Doug Ommen, Speaker
    • David B. Staub, MD, Planning Committee Member
    • Dennis Tibben, Panelist

    Relevant to the content of this educational activity, the following individuals a conflict of interest with commercial interests to disclose.

    • Carol A. Langford, MD, MHS, FACP, Speaker - Receives grant/research support from Bristol-Myers Squibb, ChemoCentryx, Genentech, and GlaxoSmithKline

    Accreditation Statements

    • DO: Des Moines University (DMU) is accredited by the American Osteopathic Association (AOA) to provide osteopathic continuing medical education for physicians. DMU designates this program for a maximum of 5.0 AOA Category 2-A credits and will report CME and specialty credits commensurate with the extent of the physician’s participation in this activity.
    • MD: This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Iowa Medical Society (IMS) through the joint providership of Des Moines University (DMU) and the Rheumatology Association of Iowa. DMU is accredited by IMS to provide continuing medical education for physicians. DMU designates this live activity for a maximum of 5.0 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
    • Nurse: Des Moines University is Iowa Board of Nursing approved provider #112. This live activity has been reviewed and approved for 5.0 continuing education contact hour(s). No partial credit awarded.
    • Other: This live activity is designated for 5.0 AMA PRA Category 1 Credit(s)TM


    No commercial interest company provided financial support for this continuing education activity.


    Everyone in a position to control the content of this educational activity will disclose to the CME provider and to attendees all relevant financial relationships with any commercial interest. They will also disclose if any pharmaceuticals or medical procedures and devices discussed are investigational or unapproved for use by the U.S. Food and Drug Administration (FDA). Determination of educational content and the selection of speakers is the responsibility of the activity director. Firms providing financial support did not have input in these areas. The information provided at this CME activity is for continuing education purposes only and is not meant to substitute for the independent medical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition. The content of each presentation does not necessarily reflect the views of Des Moines University.

    Available Credit

    • 5.00 AMA PRA Category 1 Credits
    • 5.00 AOA Category 2­A
    • 5.00 CE Contact Hour(s)
    • 5.00 IBON


    Please login or Create an Account to take this course.

    Cost: $25 - $50

    Click here to register.

    If you have questions, please contact Lorene Harder at lorene@wjweiser.com or 847-264-5912.