Concurrent Workshops

Disclaimer: The material presented in the educational sessions represents the opinions of the speakers and not necessarily the views of the Hospice and Palliative Care Association of New York State. All faculty are required to disclose to program participants any relationship, including financial interest or affiliations with a commercial company, as well as discussion of unlabeled uses. A copy of the disclosure information will be made available to attendees at the meeting.


CONCURRENT A
Thursday, May 13, 10:15 - 11:45 am
  1. A-1 Advanced Illness Management Model Jeanne Dennis, MSW; Karol DiBello, FNP, BC, ACHPN and Miriam Ryvicker, PhD, VNSNY Hospice Care, New York, NY Learn a model of Advanced Illness Management (AIM) for persons cared for by a Certified Home Health Agency. The model embeds AIM resource nurses in the home care teams using Nurse Practitioners who are certified in Hospice & Palliative Care as trainer/coach for team based designated AIM resource nurses. Purpose: At the close of the session learners will be able to:
    • Describe the AIM Model and its goals
    • Identify milestones and "stumbling stones" of the AIM
    • Discuss the outcomes of the AIM
  2. A-2 Hospice Physician, Nurse Practitioner and Other Billing Issues Rachel Hold-Weiss, PA-C, JD, Arent Fox LLP, New York, NY Hospice and Palliative Care programs are one of the fastest growing areas in health care. Physician and Nurse Practitioner billing for these services is complex because Medicare Part A and Part B both may be implicated. Physicians and Nurse Practitioners may serve as attending physicians, and physicians may also serve as the Hospice Medical Director. Areas covered include: who may serve as an attending physician, the difference in billing rules for a physician who is a hospice employee, consultant or independent contractor, vs. an independent attending physician; what Medicare Part A payment covers for hospice care; new requirements for certifying a patient as terminally ill; steps you must take to bill for care plan oversight; limits on nurse practitioner billing; and legal issues impacting palliative care programs and contract provisions. Purpose: At the close of the session learners will be able to:
    • Describe the appropriate circumstances for billing the four levels of hospice care
    • Describe physician and nurse practitioner billing
    • Describe billing for pre-hospice consultation visit
    • Describe CAP and cost report issues related to billing
    • Describe palliative care billing
    • Describe how to identify billing fraud and abuse risks
  3. A-3 E-Learning for Cultural Competency at End of Life Toby Weiss, MSOD and Elizabeth Packer, RN, CHPN, Metropolitan Jewish Hospice, New York, NY Providing effective cultural competency training for professional practitioners can be challenging due to cost, lack of classroom training space and scheduling difficulties. Agencies must find a way to overcome these difficulties as cultural competency training increases access to hospice and palliative care services by raising awareness and also increases patient satisfaction by training practitioners to provide culturally sensitive care. This presentation will demonstrate how an electronic learning system can be utilized to provide cultural competency training. Developments of the system will be discussed and a live demonstration will be given. Participants will be able to view the course, pre and post course surveys and tests and learn how to run reports to capture data for compliance and outcome measures. Purpose: At the close of session learners will be able to
    • Describe the development of an electronic learning cultural competency training course
    • Describe examples of electronic training courses
    • Discuss the benefits and challenges of electronic training
  4. A-4 _Nurturing Mind Body and Spirit Diane McNamara, LCSW and Elissa Giotis, LCSW, Good Shepherd Hospice, Melville, NY Burnout, stress, aches and pains, confusion: these can be the results of caring for dying patients and their families. It has become common knowledge that there is a connection between the mind, body and spirit. In this workshop we will explore several practice modalities which can be used to lower stress levels, enhance performance, increase insight and nurture the spirit. Come and experience the power of a drumming circle. Relax through a guided imagery you can use in your daily practice as well as with patients and families. Learn simple chi gong postures and share your own methods of nurturing the mind, body and spirit. Purpose: At the close of the session learners will be able to:
    • Discuss the nurturing of mind, body and sprit
    • Identify modalities used for nurturing mind, body and spirit
    • Identify venues for use and demonstrate modalities
  5. A-5 Comfort Foods: Nutrition in Hospice Care Daniel Cogan, MSN, GNP, ACHPN, VNSNY Hospice Care, New York, NY During the final months of life, nutritional issues may become a source of great pleasure or frustration for patients, family members and health care providers. This workshop will discuss the common problems related to nutrition, including emotions, social and spiritual concerns. Participants will learn nutritional assessment, intervention for common problems and indications for referral to specialists such as registered dieticians and speech language pathologists. The workshop will include a detailed discussion of the implications of artificial nutrition and hydration in end-of-life care, and guidance for interdisciplinary care planning which meets patient and family goals. Purpose: At the close of the session learners will be able to:
    • Describe assessment, goals of care and interventions related to nutrition for hospice patients
    • Describe the indications and contraindications of parenteral hydration during imminent death
    • Identify appropriate indications for referral to registered dieticians for nutritional counseling
  6. A-6 Vigiling at the Bedside Debra Epstein and Padma Dyvine, RN, MA, CHPN, Hospice of Orange and Sullivan Cos., Newburgh, NY The Vigil Volunteer Program of HOSC has increased the quality and scope of services offered to people at end of life. Our 10 hour training program prepared Vigil Volunteers to be fully present with a person/family during the last 72 hours of life. The Vigil Volunteer adds support to those on our hospice program living in the community, nursing homes, hospitals or our residence. No one has to die alone. The workshop is didactic and experiential - creating a program, challenges to anticipate, practice and exercises. Bring questions! Purpose: At the close of the session learners will be able to:
    • Describe the vigil volunteer program
    • Explore ways to center the body for a deeper experience of caring
    • Describe the experience of loss
CONCURRENT B
Thursday, May 13, 1:45 - 2:45 pm
  1. B-7 State Regulatory Review Rebecca Fuller Gray, RN, BSN, MBA; Maureen Duffy, RN, MA; and Diane Jones, RN, BSN, NYS Department of Health, Delmar, NY This workshop addresses review of the revised state regulations and the strategies used in the surveillance process assuring quality hospice care in New York State. Purpose: At the close of the session learners will be able to:
    • Identify significant changes to hospice regulations found in 10 NYCRR
  2. B-8 Moral Distress in Hospice and Palliative Care Scott Klein, MD, FAAP, Hospice Care Network, Woodbury, NY Among the difficulties faced by practitioners is coping with their own moral distress related to care of patients at end of life. At times conflict occurs between practitioners, patients and families regarding ethical issues such as decision-making, autonomy, beneficence and suffering. Moral distress is more likely to occur in situations where the cultural and social differences between the patient and professionals are great. Recognizing how our moral beliefs can be challenged by the difficult choices our patients make is important in order to reduce the risk of burnout. The session will discuss the issue and propose strategies for identifying and handling moral distress. Purpose: At the close of the session learners will be able to:
    • Define moral distress
    • Identify risks for suffering from moral distress
    • Identify support mechanisms for moral distress
  3. B-9 "All I Want to Do Is Eat"...A Palliative Approach to the Management of Intestinal Obstruction Pedro Calves, MD; Veronica Hojnacki, RN, BS, CHPN; and Cindy Saraceno, RN, CHPN, Good Samaritan Hospital Medical Center, W. Islip, NY Burdensome symptoms associated with bowel obstructions secondary to end stage disease are very distressing to patients. These patients may suffer with abdominal pain, nausea, vomiting gastric and intestinal distention, severe constipation and retained flatus resulting in decreased quality of life. The Palliative Care Interdisciplinary Team, in conjunction with family members, brainstormed ideas to symptomatically treat outpatients suffering with these symptoms due to physical obstruction of the intestine associated with tumor load or secondary effects such as bowel ischemia or (the products of) inflammation resulting in decreased peristalsis. Due to their disease process and terminal diagnoses, surgical interventions were thought not to be appropriate. Medical decompression has been an effective approach used by the palliative care team to enhance patient comfort and improve quality of life in this patient population. This workshop will discuss pharmacologic interventions used by our team. Purpose: At the close of the session learners will be able to:
    • Describe the syndrome of functional intestinal obstruction in patients with advanced disease
    • List options available to relieve the symptoms of paralytic ileus
    • Describe Medical Decompression
  4. B-10 Contemplative Care Buddhist Style Holly Huzar, Interfaith Minister, Licensed Massage Therapist, E. Greenbush, NY What can we learn from the Buddhist approach to death and dying? 2,500 years ago, a set of life skills was created to help people address illness, suffering and dying. Buddhist practices are particularly helpful today for hospice and healthcare workers who have a unique role to play in the way our culture views death and dying. Whether you are a nurse, social worker, health aide, physician, or chaplain, learning to deepen your present moment awareness and empathic listening skills can transform your work and your life. This workshop examines principles which Buddhist practitioners use in their work to increase peace and balance. NOTE: Buddhist practices do not replace or conflict with one's own personal religion. Purpose: At the close of the session learners will be able to:
    • Describe basic Buddhist principles related to care-giving
    • Describe Buddhist style practices
    • Create a plan to incorporate Buddhist principles in participant's life
  5. B-11 End-of-Life Care for Children on CompassionNet, a Community Base Pediatric Palliative Care Program David Korones, MD, University of Rochester Medical Center, Rochester, NY Despite strides in pediatric palliative care, there are few published data on community-based care of dying children. This session will focus on community-based pediatric palliative care by (1) providing an overview of published literature on such care; (2) summarizing results of a recent descriptive study of care during the last six months of life for children enrolled in CompassionNet; and (3) discussing future research in home-based pediatric palliative care. The presenter will provide an overview of published literature on care of terminally ill children in the home, followed by a review of results of our own descriptive study, of the course of 36 children who died while enrolled in CompassionNet. The session concludes with an interactive discussion of gaps in knowledge about quantity and quality of home-based pediatric palliative care services, potential areas of research and methodologies that might result in improvements on our home-based service. Purpose: At the close of the session learners will be able to:
    • Provide an overview of published literature on home-based pediatric palliative care
    • Discuss results of a study of home-based pediatric care in Rochester, NY
    • Discuss additional research opportunities in home-base pediatric palliative care
  6. B-12 Creating a Veteran-Centric Culture in Your Agency Carol Luhrs, MD; Therese Cortez, APRN and Diane Jones, MSW, VA NY Harbor Healthcare System, Brooklyn, NY Veterans present unique challenges for care of their physical, social and psychological needs at the end of life. The video, "A Veteran's Story," developed at the Palo Alto VA, recounts the life experience of a Korean War Veteran with post traumatic stress disorder. Using this video as a foundation, we will explore the unique medical and psychosocial experience of veterans and discuss ways in which VA, hospice agencies and other community services can work together to improve care at the end of life. This presentation will demonstrate that successful partnering among VA, hospice agencies and other community organizations focuses on veteran-centric care. The partnership facilitates continuity, coordination and communication, assures that veterans' needs are being met, prevents duplication of services and maximizes utilization of healthcare resources. Purpose: At the close of the session learners will be able to:
    • Describe the unique needs of Veterans at the end of life
    • Describe practices that hospice organizations can create for Veterans
    • Describe the benefits of an effective partnership between VA and hospice to meet the needs of Veterans at the end of life
CONCURRENT C
Thursday, May 13, 3:00 - 4:30 pm
  1. C-13 Increasing Admissions Through Creative Feedback Kate Colburn, MA and William Dawes, BS, BA, MTh, MDiv, Hospice of Westchester, White Plains, NY Hospice & Palliative Care of Westchester designed a field study to assess the effects of information, feedback and reinforcement in meeting their monthly goals for admission and referrals. Using visual aids, voice communication and positive updates, the agency built a team spirit and an agency admission team." On a monthly basis, thematic posters were placed where staff could visually track the progress of referrals and admissions. Buy-in was the objective. Through presentations, regular recognition of the importance of all staff involvement and voice messages, staff were encouraged, supported and included in the process of meeting the goal. Referral goals were met 100% for 21 months and admission goals 18 of 21 months. Two of these unmet months were one admission below goal and during short months. The results were impressive given that the goal was increased by 14.5% and in 2009 the goal was increased by an additional 10%. Purpose: At the close of the session learners will be able to:
    • Describe how to determine monthly admission and referral goals based on targeted average daily census
    • Describe staff responses with use of positive feedback and reinforcement
    • Create a monthly theme and sample props
    • Participate in mock monthly staff meeting
  2. C-14 Recovery Audit Contractor and Other Contractors: What You Need to Know to Survive Connie Raffa, JD, LLM and Rachel Hold-Weiss, PA-C, JD, Arent Fox LLP, New York, NY As part of the new Medicare integrity program, Congress has authorized CMS to contract with private entities as Recovery Audit Contractors (RACs). There are four RACs responsible for conducting automated (data mining), and complex (medical review) audits of all fee-for-service providers and suppliers under Medicare Part A & B. RACs will review a percentage of claims, depending on provider/supplier type, retroactive to three fiscal years from the date of service, but not any claims with dates of service before 10/01/07. RACs can determine overpayments based on statistical samplings. RACs will authorize recoupments against pending Medicare remittances by MACs, Fish and Carriers. RACS are rewarded a percentage of recoupments collected. There are appeal rights. However, stay of recoupments is limited to the first two levels of appeal and only under certain circumstances. Interest is never stayed. Learn more about RACs and how to prepare your organization so that your audit won't result in a significant overpayment. Also learn about the other alphabet soup contractors, their audits and how to prepare so that your organization is in compliance. Purpose: At the close of the session learners will be able to:
    • Describe the legislative background leading to RACs (Recovery Audit Contractors)
    • Outline audit criteria
    • Describe rules of automated and complex medical audits
    • Describe the appeals process
    • Describe best defense to avoid an audit
    • List the RACs and the states they oversee
  3. C-15 Herding Cats - Comprehensive Assessments and Team Systems Deborah Childs, RN, MS, NEA-BC; Lois Rudolph, RN, BSN and Mary Keeney, RN, MSN, CHPN, Hospice Buffalo, Cheektowaga, NY Demonstrating integration between the Comprehensive Assessment and the Interdisciplinary Team Meetings involves systematic and documentation changes as well as paradigm changes for the IDG members. Overcoming the barriers to change using unique solutions based on the Comprehensive Assessment findings involves input from all team members inclusive of collaborating with the attending physician in order to maintain adherence to the new Federal Conditions of Participation. Having been recently surveyed resulted in more clearly defining processes to meet regulatory compliance related to the Interdisciplinary Care Planning and Comprehensive Assessment Standards. Purpose: At the close of the session learners will be able to:
    • Describe practical processes to assure implementation of 418.54 Comprehensive Assessment and 418.56 Interdisciplinary Group Care (IDG) Planning and Coordination of Services
    • Describe tools used to effect communication with the IDG in collaboration with the attending physician
    • Identify time management techniques implemented to assure efficient and effective team meetings
  4. C-16 Wound Care at End of Life Heather Flexer, PT, CWS, American Medical Technologies, Troy, NY The prevalence of patients with skin care issues increases as death approaches. Wound care at end of life can be difficult to document, but is essential for maximum comfort care. Organ failure includes the skin, but this can be an overlooked area. Learn the latest in dressing selection and documentation components. Purpose: At the close of the session learners will be able to:
    • List the essentials of wound documentation
    • Describe key concepts related to wound bed preparation based on the DIME acronym
    • Explain rationale for dressing selection based on wound characteristics
  5. C-17 Grief and Bereavement in Latino and Asian Communities Elizabeth Santana, LCSW-R, CASAC and Pamela Yew Schwartz, PhD, LMHC, VNSNY Hospice Care, New York, NY Although grief is a universal experience, variations do exist in how different cultures experience death, grief and bereavement. When Latino and Asian families experience the death of a loved one, they often turn to their cultural traditions, beliefs and rituals as they attempt to make meaning of the death, integrate the loss, and reinvest in life. Rituals and mourning practices during the grief process enables the bereaved to maintain a sense of continuity with family history at a time when individuals are most vulnerable in their bereavement. It is important to note Latinos and Asians are quite diverse and originate from many culturally diverse countries, nevertheless there are culturally-based attitudes instrumental in how families manage their grief and bereavement. The purpose of this workshop is for health care professionals to become more culturally competent in their care of grieving individuals and families from these diverse cultures. In this workshop participants will learn about cultural specific traditions, values and beliefs related to grief and bereavement. Participants will also learn to conduct culturally sensitive assessments and to incorporate clinically appropriate and effective strategies when working with the bereaved in these two communities. Purpose: At the close of the session learners will be able to:
    • Describe specific Hispanic and Asian cultural beliefs, values and rituals in the bereavement process
    • Identify key areas to include in making a culturally competent assessment for bereavement work
    • Describe specific strategies in the clinical care of cultural grief
  6. C-18 Opioid and Non-Opioid Pain Therapy Jill Astolfi, PharmD, Hospice Pharmacia, Philadelphia, PA Pain is the most common complaint of the patient at end of life. According to the NHPCO's Family Evaluation of Hospice Care survey, over 87% of respondents report that the patient had pain or was being treated for pain. In this workshop, you will learn effective strategies for treating pain. Purpose: At the close of the session learners will be able to:
    • Discuss the various barriers to pain management
    • Describe how pain is classified
    • Discuss proper pain assessment
    • Discuss appropriate non-opioid and opioid pain therapies
CONCURRENT D
Friday, May 14, 10:30 - 11:30 am
  1. D-19 Enhancing Community Outreach: Facts Formulas and Best Practices Jan Miller, RN, MPA, CPHQ, Catskill Area Hospice & Palliative Care, Oneonta, NY Based on information from the Community Outreach Questionnaires conducted on behalf of HPCANYS in the spring of 2009, the HPCANYS Community Outreach Task Force has been working to develop a number of strategies to assist hospices to enhance their outreach activities. Constantly faced with the need to raise community awareness on all aspects of hospice care, participants in this workshop will be provided tips on how to prepare for a radio interview; how to use public relation interns; understanding the difference in community outreach to the general public, clinicians, legislators and funders; planning for a documentary film; how to do a film press release; and how to compute your market penetration. A bibliography of articles and where to find relevant statistics for use in community outreach will also be shared. The goals of maximizing best practices in community outreach are to increase referrals, volunteers and donations. Purpose: At the close of the session learners will be able to:
    • Discuss the Community Outreach Survey
    • Describe best practices to use in hospice outreach (participants' own hospice agency)
    • Calculate market penetration and describe ways to point out benefits to community
  2. D-20 Terminal Diagnosis: Refractory Anorexia Nervosa - A Case Presentation Judith Setla, MD, MPH; Layne Hamilton, MSW, MDiv; Jeanne Moore, Rev., Chaplain; Valerie Findlay, RN, CHPN and Sonia Kragh, MD, Hospice of Central NY, Liverpool, NY This hospice team will present the rare journey from referral to the death of a 44 year old eating disorder patient who chose hospice services rather than continue traditional treatment. They will review the epidemiology and end-of-life issues surrounding eating disorder patients as well as the particular concerns with their patient. There will be focus on some of the unique physiologic problems and symptoms they encountered as well as how the team approached her considerable psychological and spiritual pain. This workshop will also address more general concerns involving patients who voluntarily stop eating as part of their disease trajectory. Purpose: At the close of the session learners will be able to:
    • Discuss the frequency of severe eating disorders, deaths from the disorder, and rate of hospice use
    • Describe the unique symptom management problems that were encountered with eating disorder patients
    • Discuss the various and extensive psychosocial and spiritual challenges this case presented
  3. D-21 How to HEAL: A One-Day Multi-Modal Family Bereavement Event Mary Kay King, LMSW; Christine Gallagher, LMFT and Janeen Thompson, MPA, MT-BC, VNSNY Hospice Care, New York, NY The death of a family member is a distressful and often very disruptive event in the life of a family. HEAL Day (Helping Each other After Loss) is a one-day event filled with multi-modal experiences designed to help families with school-aged children manage their grief following a death. The presenters will provide information on the history of the event, current research supporting healthy grieving as a family unit, the nuts and bolts of a successful HEAL Day, the utilization of volunteers, as well as lessons learned. The session will conclude with an open brainstorming discussion among participants. Purpose: At the close of the session learners will be able to:
    • Describe HEAL Day and its importance
    • Describe the nuts and bolts of creating a multi-modal family bereavement event
    • Define the volunteers' role in the overall success of the day event
  4. D-22 The Elephant in the Room: Talking with Seriously Ill Children About Death Philene Cromwell, RN, MSN, PNP, Lifetime Care Hospice of Rochester, Rochester, NY Many healthcare providers that care for the sickest children have no formal education and/or training in conducting conversations with children and families about death and dying. Providers will often admit extreme discomfort when broaching difficult end-of-life discussions with this population. In this workshop, the presenter will identify children's concepts of death and discuss the evolution of these concepts. Professional vignettes will be shared to illustrate the significance of discussing death with children within a cognitive developmental framework. A review of relevant clinical research will be shared. Effective strategies will be provided that will enable the learner to conduct or participate in end-of-life discussions with terminally ill children and their families. The learner will be guided through various scenarios addressing the needs of dying children and specific questions that children often ask. Effective communication skills in ascertaining and addressing their questions will be shared. Purpose: At the close of the session learners will be able to:
    • Identify children's concepts of death
    • Discuss relevant clinical research that will help guide clinicians care for serious ill children
    • Describe effective communication strategies when discussing end-of-life issues with children and their families
  5. D-23 Federal Regulatory Review Jennifer Kennedy, BSN, NHPCO, Alexandria, VA What's new in Federal Regulations? Have you implemented the latest Change Request? Is your documentation all that it should be? All of your latest compliance questions answered. Purpose: At the close of the session learners will be able to:
    • Identify the current and proposed federal hospice regulatory requirements for the hospice industry
    • Describe specific standards, proposed changes to regulations and the climate within CMS and federal entities regarding hospice care
    • Identify/locate resources available for support for the hospice
  6. D-24 Hospice and Developmental Disablitites Joan Dacher, PhD, RN, Sage Colleges, Troy, NY and Roger Sullivan, LCSW, Good Shepherd Hospice, Melville, NY Collaboration between the systems of the developmental disability world and the world of hospice are integral to providing the best end-of-life care for this underserved population. Purpose: At the close of the session learners will be able to:
    • Describe the process for assisting community-based agencies develop readiness to provide end-of-life care to individuals with Intellectual and Development Disability
    • Explain a process for working with the community-based agency to identify potential concerns (organizational and focused on the individual) with regards to providing care at the end of life.
    • List strategies for partnering with the community-based agency to make hospice an integral part of end- of-life care
CONCURRENT E
Friday, May 14, 1:30 - 3:00 pm
  1. E-25 Increasing Access: The Use of Diagnosis Specific Programming Robin Stawasz, BS, LMSW and Suzanne Scheib, RN, Southern Tier Hospice & Palliative Care, Corning, NY Short length of stays and late referrals are compelling hospices to find new and effective ways to increase penetration into underserved populations, all while dealing with blockages surrounding specific diagnoses, such as heart disease, dementia and COPD. Southern Tier Hospice & Palliative Care has been developing and implementing innovative ways to increase access to hospice for these populations. In this workshop, we will explore Diagnosis Specific Programming, such as Life Beat-Cardiac Palliative Care, which has been successful in increasing referrals and lengths of stay for these populations by easing the hospice stigma and by increasing appeal for providers. Using an interactive exchange, we will examine internal and external obstacles and how to best overcome them to maximize access to hospice for all patients. Participants will leave with tools and ideas for bringing these strategies to work for their own organizations. Purpose: At the close of the session learners will be able to:
    • Describe diagnosis-specific hospice programming
    • Identify internal and external blockages to timely hospice referrals
    • List ideas and strategies to increase access
  2. E-26 The Legal Aspects of Marketing: Advantages and Consequences Connie Raffa, JD, LLM, Arent Fox LLP, New York, NY What is marketing vs. public relations? Why is marketing a legal issue? How can marketing help or hurt your organization? Identify legal and illegal marketing practices. Become aware of how employees, customers and competitors can become whistleblowers of illegal marketing practices. Federal and state governments also police marketing practices. Learn what you can and cannot do from OIG guidance such as Advisory Opinions, Work Plan, Fraud Alerts, Bulletins, Safe Harbors against kickbacks and OIG Compliance Plans. Purpose: At the close of the session learners will be able to:
    • Describe the marketing issues in health care
    • Describe the OIGs guidance on anti-kickback law
    • Describe sanctions that are associated with fraud and abuse
    • Describe good marketing practices to avoid non-compliance
  3. E-27 Manage Your Time, Reduce Your Stress Judith Skretny, MA, Hospice Buffalo, Cheektowaga, NY How often have you heard yourself or others say, "I just don't have enough time." "I start the day with good intentions and then things happen that interrupt my schedule." "Why do people keep bothering me? Don't they know I have work to do?" If you recognize yourself in these statements, you are probably a busy hospice professional who is trying to balance work and a personal life without literally running out of time. A recent survey conducted by Work and Family Connection, Inc. found that time management, or the lack of it, was the number one source of stress for 47% of the survey respondents. During this session, we will identify some typical time wasters, discuss the "real" reasons why people procrastinate and explore the benefits of a daily "to do" list. Purpose: At the close of the session learners will be able to:
    • Identify the link between time management, lifestyle, personality and stress
    • Discuss some common challenges to effective time management
    • Describe the role of procrastination in time management
    • Create a plan of improvement through the use of time audit and a "to do" list
  4. E-28 The Virtual IDT: Using Technology to Bring Your Team Together John Chermack, MA and Chuck Jackson, Hospice of New York, Long Island City, NY Hospice has entered the 21st century, implementing electronic medical records. Now is the time to take the next step in utilizing technology through the Virtual Interdisciplinary Team (IDT) meeting. This workshop will demonstrate the advantages and concerns when an agency attempts to bring its team together electronically. This session will include presenters in different cities conducting the workshop through high-speed internet conferencing. Choices of hardware and software will be listed as well as pitfalls to avoid. The time and cost savings and improvements in staff availability to patients make the Virtual IDT a smart choice for today's hospice. Purpose: At the close of the session learners will be able to:
    • Discuss the advantages and shortcoming of implementing a Virtual IDT
    • Describe the hardware and software options that are available to implement a Virtual IDT
    • Explain the pitfalls to avoid when setting up and implementing a Virtual IDT
  5. E-29 Social Work Assessment Toolbox for Spirituality Wayne Moore, MSW, PhD, NC A&T State University and Janet Kanode, MSW, CCSW, Univ. of NC at Greenesboro, Greenesboro, NC This workshop is designed to increase social workers' sensitivity and comfort level in incorporating or reviewing spiritual assessment tools and methods in hospice practice. Participants will examine the competencies and skills necessary to enable patients to explore their spiritual, religious and transpersonal needs at end of life. Many hospice programs complete the required minimum assessment to identify a patient's denomination but gather little materials to assess a patient's spiritual beliefs and practices. Unfortunately, social workers receive little exposure to spiritual assessment as part of their graduate education and recently current practitioners have voiced a need for assessment tools and models to add to their repertoire of knowledge and skills. Purpose: At the close of the session learners will be able to:
    • Outline the difference between religiosity versus spirituality
    • Identify competencies to explore spiritual, religious and personal beliefs of patients
    • Analyze current spiritual assessment tools for intake and planning
    • Apply various strategies to further engage spiritual assessment, discussion and intervention with patients
  6. E-30 Delirium and Dementia Christopher Kerr, MD, and John Tangeman, MD, Hospice Buffalo, Cheektowaga, NY Delirium and dementia are two of the most troubling conditions at end of life. Though they may share some of the same manifestations, they are different and should be treated differently. Join Drs. Kerr and Tangeman to learn the progression and prognosis of dementia and delirium and how these patients are best handled within a hospice program. Purpose: At the close of the session learners will be able to:
    • Define various forms of dementia and delirium
    • Describe the progression and prognosis of advanced dementia and delirium
    • Describe the admit criteria for hospice using dementia and or delirium as a diagnosis


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