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Session Details - Hospice and Palliative Care Services
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Education Sessions |
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Course Schedules |
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113. Hospice and Palliative Care Services
Management of Seizures in End-of-Life Care
This program defines and discusses the ussues surrounding seizures and provides a review of the non-pharmacological and pharmacological treatment regimens in this area of end-of-life care. The basic patho-physiology behind seizure development and its possible etiologies will be reviewed as well as AED therapy.
Objectives:
- Review background of seizures.
- Discuss causes of seizures.
- Review basic patho-physiology
Faculty: Rebecca Lewis, BS, PharmD, Vice President, Business Development, excelleRx, Inc., Philadelphia, PA
Course Level: Intermediate; 1.8 Nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)
114. Hospice and Palliative Care Services
Family Caregiver: Managing Uncertainty During End-of-Life Care
This session explores uncertainty faced by family caregivers. Hospice interventions designed to support caregivers through these critical life experiences (derived from reports from caregivers, palliative care and hospice experts, and literature) provide guidelines for supporting caregivers as they progress through one of life's most difficult journeys: living with the uncertainties experienced while caring for a dying loved one.
Objectives:
- Describe the essential characteristics of the concept of uncertainty
- Describe major transitions and phases that mark the trajectory of family care giving through the end-of-life.
- Describe interventions to support family caregivers through experiences of uncertainty.
Faculty: Melinda Steis, RN, MS, Susquehanna Home Care & Hospice, Williamsport, PA; Janice Penrod, RN, PhD, Assistant Professor, Pennsylvania State University, University Park, PA; Judith Hupcey, EdD, CRNP, Associate Professor of Nursing, College of Health, Pennsylvania State University, Hershey, PA
Course Level: Intermediate; 1.8 Nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)
212. Hospice and Palliative Care Services
Using Outcome Measures to Drive Operating Strategy
Outcomes measurement is evolving in hospice and regulators, payers, and boards are starting to take notice. Hospices that adopt accepted outcome measures and illustrate superior and improving performance will emerge as respected leaders. Benchmarking will become the definitive approach for differentiating agencies' outcomes. In this workshop, we'll share the current set of outcome benchmarking standards, demonstrate analysis that drives improved outcomes, and illustrate how outcomes fit into an agency-wide strategic performance benchmark.
Faculty: Martha Tecca, President, Perforum, Lyme, NH
Course Level: Intermediate-Advanced; 1.8 nursing CEs (MNA Approval Pending)
213. Hospice and Palliative Care Services
Using Integrative Therapies at the End-of-Life
The profound effect integrative therapies offer to patients will be demonstrated through case study and end-of-life task review. A template for creating an integrative therapies program is included. Participants at this workshop will obtain knowledge of how integrative therapies may be used at the end-of-life and the rationale for using specific methods by exploring case studies of actual hospice patients.
Objectives:
- Describe five to seven integrative therapies that are used in Pathways Hospice's Integrative Therapies program.
- Cite five to ten developmental landmarks at the end-of-life created by Ira Byock, Palliative Care MD.
- Cite three benefits of integrative therapies for each case study provided.
Faculty: Esther Johnson, RN, BC, BSN, PHN, Hospice Case Manager & Integrative Therapies Specialist, Pathways Hospice, Mountain View, CA
Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)
311. Hospice and Palliative Care Services
How to Become a Medicare Part B Provider
Have you considered being a Medicare Part B provider for physician services? Home care agencies and hospice programs are developing physician services to provide palliative care consultations. This program will give you the how to's on the process: how to apply for the provider number; how to structure the program; how to bill for services; how to manage the program; and how to establish the medical records and office system.
Objectives:
- List the elements of a Part B application.
- Discuss the legal and contractual considerations of Part B services.
- Evaluate the operational components of Part B services.
Faculty: Carla Braveman, RN, MEd, CHCE, Executive Director, VNA & Hospice of Cooley Dickinson, Northampton, MA; Mary Sheehan, RN, MSN, MBA, Senior Vice President of Clinical Services, Palliative CareCenter and Hospice of the North Shore, Evanston, IL
Course Level: Intermediate–Advanced; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)
409. Hospice and Palliative Care Services
Using Operational Benchmarks to Strengthen Your Hospice Program
This presentation will include methods for looking at business efficiencies, comparison to national and regional benchmarks, and suggestions for developing internal measures to improve hospice operations. Expense management, diagnosis mix, shifts in lengths of stay, and location of service and trends in referral patterns are some of the measures hospice leaders need to be tracking. This presentation will give you important knowledge to build a foundation for your program's business decisions.
Objectives:
- Describe vital management information used to determine your hospice program's strengths and areas for development.
- Identify three important indicators to monitor operational efficiencies.
- Cite five valuable financial indicators to measure effective financial performance.
Faculty: Patti Gray, Senior Manager, Simione Consultants, LLC, Vancouver, WA
Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)
412. Hospice and Palliative Care Services
Introducing Point of Care Automation in a Hospice Setting
Discover how to overcome clinical barriers to point-of-care technology in a hospice setting and realize the benefits — better communication, improved clinical efficiency, and increased cost accuracy. Ensuring that every member of the care team recognizes the patient's status at any given moment is essential for quality care. Automating clinicians at the point of care provides greater standardization and consistency of care, enhances communication, improves efficiency, facilitates regulatory compliance, optimizes clinical resources, and improves patient/caregiver satisfaction.
Objectives:
- Identify the documentation needs of individual hospice disciplines.
- Discuss the traditional barriers to POC technology that have arisen in hospice settings.
- Discuss one agency's successes in overcoming objections and implementing various documentation devices.
Faculty: Margaret Mercer, RN, MSN, Systems Analyst, Mary Greeley Medical Center, Ames, IA; Angela Doran, RN, Clinical Services Manager, Mary Greeley Medical Center, Ames, IA; Pamela Aipperspach, RN, BSN, CCM, Clinical Consultant, McKesson Corp, Springfield, MO
Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)
607. Hospice and Palliative Care
Touching Our Wounds Gently: Transforming Emotional, Social & Spiritual Pain
This presentation draws upon dialogue, reflection, and viewing selections of films with emphasis on grief and loss, eliciting awareness/ experience and transformation of emotional, social, and spiritual pain. Participant will develop awareness of personal and environmental cues to help identify structures in relationships. Participants will have the opportunity to cognitively recognize the principles discussed, emotionally empathize with the types of suffering being portrayed, and experience the transformative effect of unconditional goodness or presence through this workshop.
Objectives:
- Identify emotional, social and spiritual pain.
- Discuss definitions of spirituality.
- Describe healing response to these types of pain.
Faculty: George Wheeler, MSW, Hospice Social Worker, Providence Hospice & Home Care of Snohomish County, Everett, WA; Mark Power, Hospice Chaplain, Providence Hospice & Home Care of Snohomish County, Everett, WA
Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)
612. Hospice and Palliative Care Services
The Art of Hospice Certification and Recertification of Non-Cancer Diagnoses
A Hospice Provider and a Hospice Fiscal Intermediary Medical Director will discuss the processes of certifying and recertifying patients with non-cancer diagnoses. Information regarding assessment and documentation of signs and symptoms that validate a six-month prognosis will be shared. This interactive workshop will include lecture, case study, discussion, and questions and answers.
Faculty: James Cope, MD, Medical Director, United Government Services, Milwaukee, WI; Tim Boon, RN, BS, CRNH, Vice President for Hospice and Palliative Care, Connecticut VNS, Wallingford, CT
Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending)
708. Hospice and Palliative Care Services
Starting a Hospice Program: Issues to Consider
This workshop will provide you with practical information needed to start a hospice program. We will review the process of conducting a feasibility study and what to look for in your marketplace. Our discussion will include key issues including how hospice differs from home health, what are core services, what operational models look like, what are the steps for creating a budget, how to decide which budget assumptions to use, how to conduct a cash flow analysis, and what it takes to be financially viable.
Objective:
- Identify the services provided by a hospice and how they differ from home care services.
- Describe initial steps required in evaluating the market place for a start-up hospice program.
- Explain the major operational, clinical and business office issues associated with a start-up hospice program.
- Describe the hospice budgeting process and the key assumptions needed to create a hospice budget.
- Discuss the financial issues associated with a hospice program.
Faculty: Robin Seidman, RN, MSN, MBA, LNCC, Simione Consultants, LLC, Westborough, MA; Robert J. Simione, Simione Consultants, LLC, Hamden, CT.
Course Level: Novice; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)
714. Hospice and Palliative Care Services
What Should I Do? Difficult and Challenging Cases in the Hospice Environment
All hospices deal with patients that exhibit symptoms difficult to treat. In addition, hospices are often confronted with prescribed treatments that may appear aggressive in nature and fall outside the "universal but unwritten standards" of hospice care, including the use of chemotherapeutic agents, erythropoietin, and other expensive and aggressive interventions. This presentation will utilize case reports to discuss these difficult patients and the dilemmas that evolve with their care.
Faculty: Paul Rousseau, MD, Palliative Care Physician, Carl T. Hayden VA Medical Center, Glendale, AZ
Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending)
804. Hospice and Palliative Care Services
Best Practice: Wound Care at End-of-Life
Guidelines for management of pressure ulcers and other types of wounds in hospice patients will be presented utilizing evidence-based best practices for individualized care delivery. The pressure ulcer guidelines that have been published by agencies such as AHRQ do not specifically address pressure ulcer wound care management at end-of-life. Hospice patients and caregivers could benefit from applying evidence-based practice guidelines for symptom management related to pressure ulcers and other types of wounds. Hospice professionals have a responsibility to improve wound care symptom management outcomes at end-of-life. By promoting standards through best practice and individualized care delivery, this can be achieved.
Objectives:
- Describe current practice challenges and the need for an evidence-based approach to wound care at end-of-life.
- Discuss treatment management strategies for pressure ulcers and other types of wounds at end-of-life.
- Apply pressure ulcer algorithms to guide would care for a patient approaching end-of-life.
Faculty: Linda Hoplamazian, RN, BSN, MHA, WCC, Vice President of Wound Care Services, Hospice Pharmacia, Philadelphia, PA; Tracey Wissman, RN, BSN, CHPN, Director of Patient Care, Lighthouse Hospice, Inc., Cherry Hill, NJ
Course Level: Intermediate–Advanced; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)
813. Hospice and Palliative Care Services
The Gift of Dying at Home Alone
With extra planning and coordination, agencies can provide the "gift of dying at home." These presenters will illustrate real stories of patients who successfully managed to die at home, and cases where dying at home alone did not go well and why. A one-page assessment will be presented. It will cover caregiver support, financial resources, functional living accommodations, and the legal and ethical consideration of patient's rights.
Objectives:
- Discuss challenges presented by terminally ill individuals who want to return home, yet live alone.
- Explore particular issues of caring for terminally ill individuals who live alone through case studies.
- Identify the crucial factors and tools that determine outcome.
Faculty: Joan Smith Reese, BA, President, Keystone Home Health Services, Inc., Wyndmoor, PA; Mindi Rovinsky, RN, Nurse Liaison, Keystone Hospice, Wyndmoor, PA
Course Level: Intermediate–Advanced; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)
814. Hospice and Palliative Care Services
New Medicare Hospice Benefit Proposed Conditions of Participation
CMS has stated the new proposed Hospice Conditions of Participation (CoP) will be printed in the Federal Register in May 2005. The draft is the closest the new CoP have been to publication since the rewrite was begun in 1995. This workshop will review the changes and compare them with the current regulations to explore how they will impact a hospice's day-to-day operations.
Objectives:
- Describe the changes in the new Hospice CoPs.
- Identify differences between the old and new CoPs.
- Discuss the impact of the new CoPs on hospice operations.
Faculty: Carla Braveman, BSN, RN, MEd, CHCE, Executive Director, VNA & Hospice Alliance of Cooley Dickinson, Northampton, MA; Mary Rossi-Coajou, MS, RN, Nurse Consultant, Office of Clinical Standards and Quality, CMS, Baltimore, MD (invited); and Danielle N. Shearer, Health Insurance Specialist, Office of Clinical Standards and Quality, CMS, Baltimore, MD (invited).
Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)
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