2016 Midwest Regional
Conference on Palliative & End of Life Care
“Bridge Over Troubled Water
October 2nd – 4th, 2016
Tan-Tar-A Resort
Lake of the Ozarks, MO

The Midwest Regional Conference on Palliative and End of Life Care is sponsored by the Missouri Hospice & Palliative Care Association.   The conference is designed to assist health care professionals in understanding the health care issues when treatment changes from curative to palliative care.  Palliative care focuses on comfort and quality of life rather than cure and prolongation of life.   Palliative care is the foundation of hospice services, however the principles are applicable to any setting where care is being provided to the terminally ill.

Purpose
The Midwest Regional Conference on Palliative and End of Life Care seeks to provide education for a multidisciplinary group of health care professionals to increase the quality of end of life care.

Target Audience
Physicians and their staff; Hospital Nurses, Social Workers & Discharge Planners; Hospice Nurses, Social Workers, Administrators, Medical Directors, Chaplains, Volunteer, Volunteer Coordinators, Bereavement Coordinators and Nursing Home Administrators.  Ethics Committees; Long-Term Care Nurses, Social Workers, Medical Directors, and Administrators; Palliative Care Nurses, Physicians, Coordinator/Administrators.

Conference Goals

• Improve standards of practice through education of professionals and others involved in providing end of life care;
• Improve access to appropriate end of life care through the alignment of individualized needs with available care; and
• Stimulate dialogue on ethical issues related to end of life care.

Conference Objectives

Participants attending the conference will be able to:

• Describe and apply tools used to identify patients appropriate for end of life care;
• Use effective pain and symptom management medications and treatments to improve outcomes;
• List communication tools to improve difficult and painful discussions of end of life concerns, and apply to practice;
• Recognize importance of coordination of care when multiple providers are involved, and utilize in the clinical setting ;  and
• Examine current policies and regulations for providers of end of life care.

Speakers:
KEYNOTE SPEAKER: “Take Me to Your Leader: Inspirational Leadership in Challenging Times” –  Steve Yeatts, M.Ed., Chief Modivational Officer  – Intermediate (CE Credit for SW, RN and MD)

• Identify the purpose to enhance the leadership skill set, acumen and awareness of the attendees.
• Identify the 5 L’s of Leadership, the Language of Leadership, the Love of Leadership, the Learning of Leadership, the Listening of Leadership, and the Legacy of Leadership.
• Discover the key traits of a leader with emotional intelligence.

1-A: “All Hands on Deck: How to Create & Sustain a Customer-Centric Culture” – Steve Yeatts, M.Ed., Chief Modivational Officer  – Intermediate (CE Credit for SW, RN and MD)

• Determine the purpose of this activity is to enhance the customer service focus, understanding and application of the attendees.
• Explain Hall of Fame or Hall of Shame Game Regarding Customer Service.
• Identify Customer Service Myths and Customer Service Realities.

I-B: “Managing the Neuromuscular Conditions ALS, MS & Huntington’s Disease: A Case-Based Approach”  – Lorin Yolch, Pharm D, CGP, FASCP – Director of Professional Education, Delta Care Rx  – Advanced (CE Credit for SW, RN and MD)         

• Identify the pharmacologic management of symptoms that are common to a patient with amyotrophic lateral sclerosis (ALS).
• Identify the pharmacologic management of symptoms that are common to a patient with multiple sclerosis.
• Identify the pharmacologic management of symptoms that are common to a patient with Huntington’s disease.

I-C: “Hospice Quality – Fitting All the Pieces Together” – Cordt Kassner, PhD – CEO, Hospice Analytics, Inc. – Intermediate(CE Credit for MD and RN)

• Explain how various hospice quality measures (e.g., Hospice Item Set, CAHPS, etc.) align and overlap to meet CMS goals of care.
• Discover quality measures missing from current tools.
• Determine how public reporting of hospice quality will occur.

I-D: “Clinical Hospice Documentation from CGS”  – Sandy Decker, BSN, RN – Senior Provider Education Consultant, CGS  – Intermediate (CE Credit for MD and RN)

• Describe current Medicare regulations.
• Demonstrate knowledge of documentation to support services.
• Explain concerns with assimilating information presented into individual scenarios.

II-A: “The Arts & Craft of Grant Proposal Writing” – Kathy Sims – Executive Director, Hospice Foundation of the Ozarks  – Intermediate (CE Credit for SW, RN and MD)

• Identify the right funding sources.
• Apply understanding of basic components of a strong grant application.
• Integrate this into a non-profit organization.

II-B: “Rock, Paper, Scissors?” – Judy Waechter, RN, CRRN – Community Educator, Crossroads Hospice & Palliative Care – Intermediate (CE Credit for SW, RN and MD)

• Classify individual reactions to conflict in order to better manage attitudes.
• Demonstrate how to analyze conflict solutions to determine best approach to achieve desired outcomes.
• Develop a Conflict Resolution Strategy that fosters teamwork.
• Describe the use of the STAR technique.

II-C: “Antipsychotic Use in Nursing Homes” – Marisa Todd, Pharm D, BCPS – Director of Clinical Education, Enclara Pharmacia – Intermediate (CE Credit for SW, RN and MD)

• Develop an overview of behavioral and psychological symptoms of dementia (BPSD) and differentiate it from delirium and psychosis.
• Explain the FDA black box warnings on antipsychotic use in elderly patients with dementia and associated risks.
• Identify discontinuation strategies and alternatives to using antipsychotics in patients with dementia.

II-D: “Death with Dignity, the Euthanasia Question” – Rev. Robert Reagan, BS – Pastoral Care Director and Community Resource Coordinator, Comfort Care Hospice  – Intermediate (CE Credit for SW, RN and MD)

• Explain the history of euthanasia laws in the USA.
• Define the major terms associated with euthanasia.
• Contrast pros and cons of the euthanasia question.
• Discriminate personal values in relationship to patient, family and co-worker’s values.

KEYNOTE SPEAKER: “Hospice Regulatory Update” – Jennifer Kennedy, MA, BSN, RN, CHC – Director, Regulatory & Compliance, NHPCO – Intermediate (CE Credit for SW, RN and MD)

• Identify the “hot” regulatory issues in the hospice industry and how they affect hospice providers and the hospice industry as a whole.
• Describe the climate within CMS and the federal government about hospice care.
• Identify/ locate resources available and receive answers to outstanding questions.

III-A: “Developing Your Hospice Compliance Dashboard” – Jennifer Kennedy, MA, BSN, RN, CHC – Director, Regulatory & Compliance, NHPCO – Intermediate(CE Credit for MD and RN)

• Explain auditor entities at the federal and state level who are scrutinizing the hospice industry.
• Identify “low hanging fruit” issues in the hospice industry that are prime targets for audit.
• Identify/ locate resources available and receive answers to outstanding questions.

III-B: “Palliative Sedation” – Dr. Jay Riseman, MD, FACS, FAAHPM – Medical Director, Kansas City Hospice and Palliative Medicine – Advanced (CE Credit for SW, RN and MD)

• Identify/locate resources available and receive answers to outstanding questions.
• Apply methods to achieve palliative sedation.
• Determine ethical dilemmas and controversies surrounding palliative sedation.

III-C: “End-Stage Cardiac Disease: Medication Use and Symptom Management” – Myra Belgeri, Pharm D., CGP, BCPS, FASCP – Clinical Pharmacist, HospiScript  – Intermediate (CE Credit for SW, RN and MD)

• Explain the common symptoms of end-stage heart failure.
• Describe the drug classes used to treat heart failure.
• Formulate a strategy to manage symptoms associated with end-stage heart failure.

III-D: “Continued Survey Readiness- Tips & Strategies” – Sharon M. Litwin, RN, BSHS, MHA, HCS-D – Senior Managing Partner, 5 Star Consultants – Intermediate(CE Credit for MD and RN)

• Describe the CMS survey process and what a Condition Level Deficiency means for your agency.
• Create a plan and organize to achieve Continued Survey Readiness.
• Classify common deficiencies seen in the industry.
• Develop Mock Surveys – key to success to being prepared for a survey.
• Use your QI program to help you achieve success and perform concurrent ongoing chart reviews process.

IV-A: “Data-Driven Strategy for New Payment Models” – Mark Sharp, CPA – Partner, BKD – Intermediate(CE Credit for MD and RN)

• Explain an understanding of current forms of new payment models, including bundling arrangements.
• Apply knowledge of how these new payment models can impact your hospice agency.
• Put into list items to consider in making strategic and operational plans to prepare for the new payment models.

IV-B: “Survey Deficiencies and Plans of Correction-What Do We Do Now?” – Kimberly Skehan, RN, MSN – Senior Manager, Simione Healthcare Consultants  – Intermediate(CE Credit for MD and RN)

• Develop an overview of the key regulatory issues facing hospices which may have an impact on their survey findings.
• Describe the process for post survey follow up, components of the plan of correction and timeline for drafting a plan of correction.
• Describe hospice staff and management involvement and roles in implementation of the plan of care and ensure readiness for future Medicare hospice surveys.

IV-C: “Building a Comprehensive Palliative Care Program-A Phased Approach” – Carol Quiring President and CEO, PJ Longman, Strategic Planning Consultant and Corie Moody, MHSA, Strategic Planning Analyst, Saint Luke’s Health Systems – Advanced (CE Credit for SW, RN and MD)          

• Define palliative care.
• Organize and build a strong core palliative team.
• Explain methods to help break down cultural barriers that would prevent palliative care program success.
• Apply metrics to understand the value and impact of a palliative program.

IV-D: “Patient-Centered Communication: Lessons Learned” – Denise Sanders, APRN, BC, ACHPN – Adult Nurse Practitioner, Northcare Hospice – Advanced (CE Credit for SW, RN and MD)

• Explain the importance of assessment in communication.
• Identify 3 non-therapeutic communication traps.
• Demonstrate 3 verbal and non-verbal techniques that can improve communication.
• Describe 4 concepts that enhance patient-centered communication.

V-A: “Evidenced Based Prescribing of Corticosteroids in Hospice and Palliative Medicine” – Patrick White, MD, FACP, Chief Medical Officer/Assistant Professor of Medicine, BJC Hospice – Advanced CE Credit for MD and RN)           

• Identify differences in side-effect profiles of commonly prescribed steroids.
• Explain the most commonly prescribed steroid, dosage, and duration for the treatment of painful bone metastases.
• Identify when gastroprotection is indicated and identify the risk (odds ratio) for gastrointestinal bleeding among various risk groups.
• Identify the evidence for the use of corticosteroids in nausea, fatigue, and appetite stimulation.
• Describe three important areas of assessment for patients started on corticosteroids.

V-B: “Hospice Medicine in Prison-Missouri Experiment” – Dr. Jay Riseman, MD, FACS, FAAHPM, Medical Director, Kansas City Hospice and Palliative Care, Val Criswell, MSW, Support Services Director, Crossroads Hospice Erin Kling, RN, Hospice Director, Evergreen Hospice, Melissa Bowers, Chaplain, Crossroads Hospice, Jane Moore, CEO, MHPCA, Debbie Joy, Hospice Director, Benton County Hospice  – Intermediate (CE Credit for SW, RN and MD)

• Identify Hospice and Palliative medicine values.
• Identify correctional issues.
• Identify inmate volunteers and responsibilities.
• Identify volunteer and offender training.

V-C: “Assisted Nutrition in Advanced Dementia Can Be Considered Artificial Nutrition and Hydration” – Elizabeth A. Huddleston, MS, RDN, LD – Registered Dietitian Nutritionist, Compassus Hospice and Palliative Care – Advanced (CE Credit for SW, RN and MD)          

• Describe how the brain controls appetite and hunger.
• Explain the legal and moral justification of withholding assistance for food and drink.
• Apply the expertise of the hospice dietitian.

V-D: “ICD-10-One Year Later: Challenges Faced & the Road Forward” – Sharon M. Litwin, RN, BSHS, MHA, HCS-D – Senior Managing Partner, 5 Star Consultants – Intermediate (CE Credit for MD and RN)

• Describe the changes in the ICD-10 rules since October 2015.
• Apply accurate coding that prevents incorrect codes and nonspecific codes from being rejected.
• Describe the common hospice coding scenarios.
• Identify challenging coding areas, such as wounds, manifestation codes, etc.

2016 Midwest Conference on Palliative and End of Life Care Brochure

Members
$260    Main Conference (Includes Reception on Sunday, and Breakfast and Lunch on Tuesday) (Save by registering for both days!)
$130    Monday Only  –  (Includes Reception)
$175 Tuesday Only  –  (Includes Breakfast and Lunch)

Non Members:
$300 Main Conference (Includes Reception on Sunday, and Breakfast and Lunch on Tuesday)
$160 Monday Only  –  (Includes Reception)
$195 Tuesday Only  –  (Includes Breakfast and Lunch)

Volunteer/Med Student:
$210  Main Conference –Non Member: $235
$100 Monday Only  –  (Includes Reception)  –  Non Member: $110
$135 Tuesday Only –  (Includes Lunch) – Non-Member $145

An MHPCA member rate is provided for Missouri, Kansas, Iowa, Oklahoma, Arkansas and Illinois Hospice Association members and NHPCO members.

Early registration ends September 9th, 2016.  There is a $40.00 late fee assessed after Sept. 9th,  2016.  Registration closes Sept. 23rd, 2016.

There is a $50.00 printing charge for bound copies.  All bound copies should be ordered at the time of this registration.  Only a limited number will be available at the time of the conference.

There is a $25.00 fee for processing continuing education credits.

Hotel registration should be done through the Tan-Tar-A Resort by calling  1-800-826-8272  and reference group code MO Hospice and Palliative Care Assn or the 2016 MHPCA Annual Convention  or go online to http://www.tan-tar-a.com and use code HOSP. Room rates are $115.00 a night. There is no charge for parking. Our room block cut off date is September 3rd, 2016, so book your room early!

End of Life Conference registration is a separate registration from the Pre-Conference on Department of Health & Senior Services Updates.

Please be aware that seminar fees are non-refundable, but substitutions are welcome.

Please be sure to use your Medicare Federal ID number as your membership number or you will be charged the non-member rate.

Please fully complete your evaluation form given to you at registration to indicate (X) which of the accredited workshops you have attended during the conference AND complete the appropriate workshop evaluation form(s).   After completing both this form and ALL the evaluation forms for each workshop attended, submit booklet to the registration desk at the conference.   Attendance will be verified and a certificate will be mailed to you.

For more information about ADA accessibility or to request ADA accommodations please contact the MHPCA office.

If you have any questions or concerns please contact crystal at crystal@missourihospice.org.

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Missouri Hospice & Palliative Care Association 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.

Missouri Hospice and Palliative Care Association, #1359, is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB) www.aswb.org, through the Approved Continuing Education (ACE) program. Missouri Hospice and Palliative Care Association maintains responsibility for the program.  ASWB Approval Period: 2/28/2016 – 2/28/2017.   Social workers should contact their regulatory board to determine course approval for continuing education credits.

Social workers participating in this conference will receive up to 12 (3 pre-conference; 9 conference) continuing education clock hours.