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CONCURRENT #A

Session A: Thursday, May 15, 10:15 - 11:45 am

1. Is Hospice Leaving You Stress Filled Or Fulfilled? Judith Skretny, Center for Hospice & Palliative Care, Buffalo, New York Purpose: At the close of the session learners will be able to:
   • Identify your level of stress
   • Describe factors that make us vulnerable to stress
   • Construct a holistic model of stress management
2. High Risk Compliance Connie Raff, JD, LLM, Arent Fox, New York, NY Purpose: At the close of the session learners will be able to:
   • Identify why a hospice program should implement a compliance program.
   • Identify government entities that enforce compliance actions.
   • Describe the sanctions that can be given
   • Describe the elements of a compliance plan.
   • Describe OIG Risk Areas for hospice programs
3. Building a Palliative Care Case Management Team Susan Wing, Laurie Carollo, Christine Nolin, GuildNet Purpose: At the close of the session learners will be able to:
   • Outline what GuildNet is and what it offers
   • Identify the GuildNet population and their associated challenges needing care
   • Identify solutions GuildNet offers for gaps in services
   • List goals and dreams for the GuildNet program
4. Weaving the Threads of Our Future: Involving Employees in the Strategic Planning Process Kelly McGraw, Catskill Area Hospice Purpose: At the close of the session learners will be able to:
   • Explain the benefits of engaging employees/constituents in a collective visioning process
   • Describe 3 ways to integrate employee input into the strategic planning process
   • Determine what specific actions might be needed to ensure employees at all levels contribute to the overall success of the plan
5. The Application of Solution-Focued Brief Practice to Beareavement Joel Simon Purpose: At the close of the session learners will be able to:
   • Explain the philosophical and historical foundations of Solution-focuses practice
   • Compare brief and short-term as concepts
   • Name 8 basic assumptions of solution building
   • Explain the relevance of solution-focused practice to bereavement work
   • Name 2 characteristics of an achievable and realistic goal
   • Name 6 useful questions
6. Methdone: A Review of the Science, Stories and Strategies for Success Connie Beehler, Stephen Kaufman Purpose: At the close of the session learners will be able to:
   • Identify situations where methadone may be an opiod of choice
   • List concerns and risks associated with use of methadone
   • Outline strategies to minimize risks of methadone use
   • Describe clinical approaches that may increase tolerance and efficacy of methadone therapy

CONCURRENT #B

Thursday, May 15, 2:15 - 3:45 pm

7. Culturally Competent Care in A Global World Carol Shenise, Alicia Sauer, The Community Hospice, Albany, NY Purpose: At the close of the session learners will be able to:
   • Explain shared language through key definitions
   • Outline components of culturally competent care
   • Explore diversity dimensions required for providing culturally competent care
   • Discuss how cultural beliefs and practices may impact patients and families at end-of-life health and health behaviors
8. Hospice in Utero: The Birth of A Program Scott Klein, MD, Mary Gravina LCSW, Donna Dobkowski, Hospice care Network Purpose: At the close of the session learners will be able to:
   • Describe perinantal programs and how hospice services can be of benefit.
   • Identify barriers to carrying a child with adverse diagnosis to term
   • Outline strategies that will assist women who choose to carry to term despite adverse diagnosis
   • List the ways in which to market a perinatal program
9. Creating a Culture of Change: Demonstrating Change Leadership in Hospice William Finn, Margaret Brady, Center for Hospice and Palliative Care Purpose: At the close of the session learners will be able to:
   • Describe the imperative for embracing change leadership
   • Detail the process to gain commitment throughout the organization for change leadership
   • Provide a list of specific action items required for change leadership to thrive
   • Explain the process for measuring success with change leadership
   • Describe the pitfalls and traps of change leadership
   • Outline change leadership strategies with the priorities of participant's own agency
10. A Compassionate Heart Vince Corso, VNSNY Purpose: At the close of the session learners will be able to:
    • Describe how mortality creates the need for a higher being.
    • Discuss spiritual anxieties at the end of life
    • Provide alternative expressions for practice of spiritual care in hospice
11. The Elephant in the Room: Unraveling the Myths and Misconceptions about Hospital-Based Palliative Care and Hospice Cynthia Pan, Jane Morris, Maureen Hinkleman, Hospice Care Network Purpose: At the close of the session learners will be able to:
    • Describe a successful model of a hospice and palliative care partnership within a health care system
    • Discuss the myths and misconceptions about hospice and palliative care
    • Identify perspectives and experiences of clinicians who have worked in both (hospital based and home based)
12. Delirium Happens Christopher Kerr, MD, Medical Director, Center for Hospice and Palliative Care, Buffalo, NY Purpose: At the close of the session learners will be able to:
    • Describe one limitation of a purely medical approach to the diagnosis and treatment of delirium
    • Identify some typical symptoms of delirium
    • Outline steps in assessment of a delirious patient
    • Evaluate caregiver fatigue, guilt, regret
    • Discuss pharmacological treatment of delirium

CONCURRENT #C

Thursday, May 15, 4:00 - 5:00 pm

13. Grief Toolbox, Part 2 Mary K. Jones, CT, Hospice Bereavement Coordinator, Hospice and Palliative Care of Saint Lawrence Valley, Potsdam, NY Purpose: At the close of the session learners will be able to:
    • Describe 4 key tools essential to develop relationships with schools
    • State 3 strategies useful in cultivating healthy grievers
14. VA 101: A Toolkit for Veterans at End of Life Diane Jones, Therese Cortez NP, Carol Luhrs MD, VA NY Harbor Healthcare System, Brooklyn, NY Purpose: At the close of the session learners will be able to:
    • Describe the purpose and content of the VA 101 Toolkit
    • Describe the purpose and content of the VA Assessment Checklist
    • Demonstrate how to use the toolkit and the assessment checklist
15. Analyzing Cost Patrick Brown, VNSNY, New York, NY Purpose: At the close of the session learners will be able to:
    • Demonstrate how to calculate hospice cost per day by payer, diagnosis and length of stay
16. Advanced Dementia John Tangeman, MD, Center for Hospice and Palliative Care, Buffalo, NY Purpose: At the close of the session learners will be able to:
    • List several types of dementia
    • Explain the natural course of dementia and cite indicators of progressive decline
    • Identify criteria of those patients with dementia who are appropriate for hospice services
    • Describe treatment options for dementia
    • Identify unique EOL issues related to dementia care
17. Anticipating the Unthinkable: Grief and Bereavement Services in a Pandemic Avian Flu Vincent Corso, VNSNY, New York, NY Amber Jones, Med, Albany, NY Theo Munson, CompassionNet, Rochester, NY Purpose: At the close of the session learners will be able to:
    • Define and discuss the implications of pandemic flu outbreak for palliative care and hospice grief and bereavement coordinators in NY State
    • Identify resources and tools to support grief and bereavement staff in responding to pandemic flu demands and how to access them
    • Discuss assumptions about 'business as usual' under atypical circumstances
18. Inpatient Pediatric Pallaitive care Nursing Education and Support John Saroyan, MD Michelle Besmer Purpose: At the close of the session learners will be able to:
    • Describe what knowledge deficiencies may exist for nurses in pediatric oncology
    • Describe what emotional and spiritual supports nurses in pediatric oncology may require in hospitals without a pediatric palliative care team
    • Describe how to educate and support busy inpatient staff with limited resources

CONCURRENT #D

Friday, May 6, 10:30 - 11:30 am

1. Internal Cardia Defibbrillator Devices Elizabeth Maher, MD, Center for Hospice and Palliative Care, Buffalo, NY Purpose: At the close of the session learners will be able to:
   • Describe ICD devices
   • Identify risk assessment tools prior to ICD insertion
   • Describe the ongoing management of patients with ICDs
   • Describe treatment guidelines for deactivation at end-of-life
2. Training to Care for the Dying Child Kelley Clem, RN, BSN, The Center for Hospice and Palliative Care, Buffalo, NY Purpose: At the close of the session learners will be able to:
   • Describe the growing need for training in pediatric palliative care
   • Identify the educational needs and strategies necessary to train health care workers in pediatric palliative care
   • Identify the unique role the educator plays in the training process
3. Your Patient, The Veteran Louisa Daratsos, Alice Beal, MD Purpose: At the close of the session learners will be able to:
   • Identify the role of the VA in the lives of vets and state the benefits offered to vets when enrolled in palliative care
   • Identify ways the vets experience may impact a vet when diagnosed with a terminal illness
   • Develop a "veteran centric" protocol for assessing and treating terminally ill veterans
4. Management of Diabetes at End of Life Daniel Cogan, BSN, MSN, VNSNY, New York, NY Purpose: At the close of the session learners will be able to:
   • State the epidemiology, pathophysiology, assessment and treatment guidelines for diabetes mellitus (DM).
   • Describe the goals of care for terminally ill patients with diabetes.
   • Describe the interventions that are appropriate for diabetes management for terminally ill patients
5. Hospice and Developmental Disabilities: The Discussion Continues Joan Dacher Purpose: At the close of the session learners will be able to:
   • Identify the role of Hospice and Palliative Care for individuals with lifelong disabilities
   • Describe the differences between the agency world of hospice and the agency world of developmental disabilities
   • Apply key concepts above through the use of case studies
6. CR 5567 and Data Collection Mary Ann Starbuck Purpose: At the close of the session learners will be able to:
   • Describe changes to Medicare regulations by the implementation of CR-5567
   • Define "visit" as determined by CMS
   • Explain the impact of CR 5567 on both clinical practice and on documentation
   • Demonstrate the application of cost reports as a data source

CONCURRENT #E

Friday, May 16, 1:30 - 3:00 pm

25. Upstreaming End of Life Education with Creative Funding Sources Roger Sullivan, Jennifer Heidenrich, Carol Matthews, Good Shepherd Hospice Purpose: At the close of the session learners will be able to:
    • Identify potential funding streams
    • Identify agency needs and relate to a funding stream
    • Describe how successful grants have been implemented in the community
    • Describe lessons learned
26. Sound Strategies for providing Quality Hospice Volunteer Services to Your Contracted Nursing Homes Taryn Sterry, Janeen Thompson, VNSNY, New York , NY Purpose: At the close of the session learners will be able to:
    • Describe strategies for recruiting a volunteer core for long-term care
    • Outline the steps to provide an on-site training for volunteers working with low-functioning patients.
    • List strategies that can be used for support and retention of volunteers working in long-term care
27. Legal and Regulatory Issues Surrounding Opiod Prescribing Judith Setla, MD, Hospice of Central NY Purpose: At the close of the session learners will be able to:
    • Describe some hospice physician concerns regarding opioid prescribing in the hospice setting
    • Discuss NYS and federal pharmacy regulations regarding dispensing of opioid and other controlled substances
    • List issues facing the NYS Bureau of Controlled Substances
28. QAPI Starter Kit: Part III Beth Dorsheid, Lois Rudolph, Pat Vigilante Purpose: At the close of the session learners will be able to:
    • Describe procedures which can help identify the need for performance improvement projects
    • List steps to undertake when documenting performance improvement projects
    • Explain benefits of reviewing project outcomes and incorporating results into 360 degree QAPI plan
29. Expanding the Experience of Prayer for the Patient and the IDG Rev. Will Feinberg, Sr. Marge Caulson, Michael Kersten Purpose: At the close of the session learners will be able to:
    • Describe scope of prayer and its impact
    • Identify modalities of prayer