2019 Palliative & Hospice Care Congress
Exploring Excellence in Leadership, Strategy and Innovation
January 17-18, 2019 * Encore at Wynn * Las Vegas, NV

Palliative and Hospice Care Congress

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About the Conference

Our nation is experiencing an increase in the need for hospice and palliative care services. What began fifty years ago as a grassroots movement to better care for the dying is now an integral part of the U.S. healthcare landscape and the expansion of community-based palliative care services provides further opportunities to ensure we are providing the best possible care for those facing serious and life-limiting illness.

This conference will bring together professionals in hospice and palliative care to explore excellence in leadership, strategy, and innovation, share models of care and best practices, explore the integration of palliative care across disciplines and settings, and help providers accelerate change in a value-based system. Topics will include tools and resources to improve quality outcomes; leading and enhancing teams, the impact of opioid use in palliative care; how to build a sustainable palliative care program; billing, coding and payment models and payer partnerships; staying in compliance; how to build a resilient workforce; and more.

Who Should Attend?

From Palliative Care/Hospice Care/Hospitals/Health Systems/Health Plans

  • Medical Directors
  • CFO
  • COO
  • Social Workers
  • Case Management
  • Counseling
  • Director of Nursing
  • Director of Hospice Care
  • Director of Palliative Care
  • Pharmacists
  • Physicians
  • Quality Assurance
  • Administrators
  • Hospice Health Aides
  • End-of-Life-Care
  • Operations Director
  • Outpatient Services
  • Palliative Medicine
  • Clinical Director
  • Compliance Director

Also of Interest to Vendors; Consultants; Solution Providers within the Hospice/Palliative Care.

Conference Agenda

Day One – Thursday, January 17, 2019

7:15am – 8:00am
Conference Registration & Networking Breakfast

8:00am – 8:15am
Chairperson’s Opening Remarks

8:15am – 8:55am
Keynote: How to Build and Engaged and Resilient Workforce

An engaged and resilient workforce leads to greater patient satisfaction and better outcomes. This session will discuss the relationship between patients’ experience/satisfaction and workforce engagement/resilience. Topics to be discussed will include:
– Strategies that you can put into place to have a positive impact on patient and care as well as on the staff that deliver it
– Ensuring that staff has confidence in their skills and ability to provide high quality services for patients as well as resources for their own resilience
– How to effectively communicate to enhance patients’ experience and satisfaction
– Enhance resilience in individuals and teams

Jan Jones, RN, BSN
President/CEO
The Elizabeth Hospice

8:55am – 9:40am
Innovative Collaborations: Expanding Mental Health in Hospice

The impact of advanced illness, caregiving, and grief on someone’s mental and emotional well-being can be extensive and most hospice agencies do not have the resources to adequately support those in their community dealing with these concerns. This session will explore ways to collaborate within your community to develop innovative financially sustainable ways of enhancing these services for your organization. At the completion of this session, participants will be able to:
– Describe the unmet grief and mental health needs of your hospice organization and community
– Discuss the benefits of collaborative program development
– Identify innovative program options to help meet the psychosocial needs of your patients

Chelsea E. Ambrose, LCSW, CT, AHCP-SW
Director of Counseling Services and Collaborative Services
CareFirst

9:40am – 10:10am
Networking & Refreshments Break

10:10am – 10:50am
Operationalizing and Sustaining a Community-Based Palliative Care Program

This session will explore success and new models of community-based palliative care programs. Topics to be addressed will include:
– Successful practices when providing community-based palliative care services
– How to enhance partnership to support your program’s sustainability
– Building the business case
– Program delivery model evolution
– The use of metrics to demonstrate program value
– How key partnerships are essential to sustainability
– Reimbursement, including regulatory and compliance considerations and payer/provider relationships.
– Tools and resources to implement an action plan

Suzi Johnson
Vice President
Sharp HospiceCare

10:50am – 11:30am
The Opioid Crisis and Hospice and Palliative Care

Our nation’s communities are working tirelessly to respond to the opioid epidemic. Hospice and palliative care providers have an important role in this. Ensuring access to opioids for pain management must be balanced with issues of increasing numbers of overdose victims leading to more family members joining the ranks of the bereaved. Understanding the unique aspects of bereavement for this population of grievers and providing outreach to them is a potential extension of hospice care into the community. Topics to be discussed will include:
– The potential impact of opioid use in palliative care on the opioid crisis
– Evaluating a palliative care patient’s risk for opioid misuse and abuse
– Innovative work being done to support this population
– The nature of addiction on family systems and the community
– The impact of opioid overdose deaths and unique features of bereavement for impacted families.

Ronald J. Crossno, MD, CMD, HMDC, FAAFP, FAAHPM
Chief Medical Officer
Kindred at Home

11:30am – 12:10pm
“Yes, Even You”- Personal Death Awareness

This presentation in interactive in nature and the objective is to provide participants with an opportunity to explore their own finitude and discover how this awareness affects their living, relating and caring for others. Our attitudes, values, fears etc. (those both in and out of our awareness) surrounding our own dying and death, can and do have a profound quality on our living and the quality of our care for others. We will utilize experiential exercises, reflection and discussion to gain more clarity and through the group a greater range of understanding differences as well.

Amy Kitsembel, M Ed, CSW, FT
Bereavement Coordinator
Aspirus Comfort Care and Hospice Services

12:10pm – 1:00pm
Luncheon

1:00pm – 1:40pm
Telemedicine and Remote Hospice and Palliative Care

This session will address tools to create a more cohesive team and improve patient and staff outcomes. Topics to be discussed will include:
– Leading and enhancing interdisciplinary teams
– How to effectively manage the complexities in the hospice organization
– Managing programs, systems and people
– Regulations and standards
– Understanding a value-based approach to management
– Compliance and accountability

Tarrah Lowry-Schreiner
President and CEO
Sangre de Cristo Hospice and Palliative Care

1:40pm – 2:20pm
The Experience of Compound Loss Within the Hospice Team

There are numerous studies regarding compassion fatigue for caregivers of the terminally ill, however few focus upon the experience of the paid caregivers – the hospice team. Employee turnover rates in hospice and palliative care have been reported to be as high as 30% within the first five years. Providing care to those at the end of life and their families is intimate work, and it is not uncommon for clinicians to foster bonds on this journey. Compassionate caregiving is at the crux of skillful clinicians which results in the unique challenge of coping with loss on a regular basis. Each patient death compounds the next, and though psychosocial clinicians frequently engage in tools of self-awareness drawn from their studies, it is not an emphasis in medical and nursing programs. This session will explore how hospice professionals incorporate the experiences of death into their personal and professional lives, how they develop resilience and set effective boundaries, and challenge the responsibilities of hospice agencies in navigating compound loss on part of their employees.

Ryana Goldberger, LCSW, ACHP-SW
National Director, Supportive Care and Patient Experience
Seasons Healthcare Management, Inc.

Yelena Zatulovsky, MA, LCAT, MT-BC, CCLS, HPMT
Vice President of Patient Experience
Seasons Healthcare Management, Inc.

2:20pm – 3:00pm
Methadone: Safe and Effective Use for Pain Management
This session will address the use of methadone in hospice patients. Topics to be discussed will include:
– Dosing and monitoring strategies for safe and effective use of methadone
– Identifying appropriate patients to consider for methadone use
– Risks and benefits of methadone use for pain management

Sorin Buga, MD, FACP, FAAHPM
Program Director, City of Hope Fellowship in Hospice and Palliative Medicine
Associate Clinical Professor, Department of Supportive Care Medicine
City of Hope

3:00pm – 3:30pm
Networking & Refreshments Break

3:30pm – 4:30pm
Panel: Hospice and Palliative Care Collaboration and Integration Within Large Healthcare Systems

While most hospices are freestanding, large healthcare systems are increasingly interested in integration with hospices. There are a number of different models for a hospice and palliative care and large health system to work together. They can range from contractual affiliation/joint venture to a merger or asset purchase. This panel will discuss the various models, as well as its positives and negatives aspects. Topics to be addressed will include:
– Reasons why large healthcare systems are interested in collaborating with hospice and palliative care providers
– The pros and cons of a hospice aligning with a hospital system
– Common problems that occur when a hospice is acquired by a healthcare system

Panelists:
Greg Bellomy
Chief Strategic Growth Officer
BAYADA Home Health

Bronwyn Long, RN, DNP, MBA
Palliative Care and Oncology Clinical Nurse Specialist
National Jewish Health

Nancy Zaborowski, RN
Director Inpatient/Clinic Palliative Care
Advocate Aurora Health Care

4:30pm – 5:10pm
Assessment and Alleviation of Suffering in those with Endstage Dementia

As the population ages and the numbers suffering from dementia increase, there is an increasing need for palliative care in this population. The presentation will review of a therapeutic approach to those with advanced dementia.
– Review of Dementia as a terminal illness and how that commonly presents
– Identify and assess strengths and weaknesses, select interventions, apply them then monitor
– Specific tools to be reviewed: PAIN-AD and Mini Suffering State Exam
– Review of which behavioral/non-pharmacological interventions
– Review of symptoms amenable to pharmacological interventions
– Review of appropriate use of medications including dementia specific medications.

Maureen C. Nash, MD, MS, FAPA, FACP
Medical Director
Providence Elderplace Oregon

5:15pm
End of Day One

Day Two – Friday, January 18, 2019

7:15am – 8:00am
Networking Breakfast

8:00am – 8:15am
Chairperson’s Recap

8:15am – 9:00am
Keynote: Palliative Medicine and the Rational Reimbursement of Inpatient Care

Palliative medicine is increasingly recognized in the medical community at large as central to the care of seriously ill people. It has been shown to improve quality scores, increase patient, family, and staff satisfaction, save money, and rationalize the use of medical resources. Yet, the specialty continues to lag behind other medical specialties, such as cardiology, pulmonology, and critical care that have long been viewed as at the core of the care of the seriously ill. This presentation will illustrate the ways the reimbursement of medical care, particularly inpatient care, continue to incentivize the provision of aggressive and often non-beneficial interventions in critically ill people, poses a revenue losing dilemma for institutions wanting to ramp up palliative medicine services, and proposes means of reimbursing palliative medicine that both preserves revenues while allowing institutions to “do the right thing.”

Joseph Sacco, MD, ABFM, ACQ-HPM
Acting President and CEO, Chief Medical Officer
The Connecticut Hospice, Inc.

9:00am – 9:45am
Using Telehealth to Extend Compassionate Care

CareConnectMD seeks to provide best care for its frail and vulnerable peers and elders wherever a patient calls home, and recognizes the need to develop efficient practices that deliver compassion, competency and superior patient centered and population metrics for those with serious illness and near the end of life. Dr. Dheeriya will present CareConnectMD’s model of care, highlighting the use of telehealth, for its home based supportive care programs and long-term care programs in nursing facilities, as they prepare to launch a Geriatric Accountable Care Organization in 2019.

Ujjwala Dheeriya, MD, FACP
Internal Medicine and Palliative Care, Senior Medical Officer
CareConnectMD

9:45am – 10:15am
Networking & Refreshments Break

10:15am – 11:00am
Leveraging Benchmark Data & Metrics to Drive Excellence

Hospice requires a structured approach that integrates financial, clinical operational and administrative teams to collaborate to achieve higher levels of performance. This session will identify successful benchmarks and key performance indicators for measurement and reporting that drive organizational excellence. Topics to be discussed include:
– Clinical and financial benchmarks to measure performance
– How to best integrate data into clear and concise reports to provide for better decision-making by management
– Identify strategies to foster engagement of all levels in the reporting and monitoring of data to successfully adjust operations and clinical practice on a timely basis
– Tools for using benchmark data to improve the performance of your home health agency
– Key performance indicators that drive success

Kraig Langheinrich, MSPH
Director of Operations
Suncrest Hospice, A Bristol Hospice Company

11:00am – 11:45am
PACE: A Different Model of Care For Frail Elders

With an aging population who wishes to remain at home, PACE (Program for All-Inclusive Care for the Elderly) is an alternate care option for families that wish to keep their nursing home eligible loved ones at home through end of life. By providing highly coordinated care, breaking the mold of rigid “insurance guidelines,” and focusing on developing a plan of care that is truly individualized, PACE provides medication management, medical equipment and in home care support that is designed to meet the needs of each individual. By emphasizing the importance of the individuals’ goals of care, PACE aims to educate families about creative strategies to mitigate risk while focusing on autonomy and quality of life.
Topics of discussion:
– The philosophy and origins of PACE, an expanding healthcare model
– The Interdisciplinary Team, Assessment and Care Plan Development for PACE Participants
– Risk, Autonomy and Advanced Care Wishes in guiding medical decisions
– How ongoing education for patients and families can help to improve outcomes and decrease suffering

Kaitlin Swistak, RN, BSN
Clinic Manager
Trinity Health PACE

11:45am – 12:30pm
Voluntarily Stopping Eating and Drinking: Death with Dignity or Without?

Perhaps in an ideal world every patient with a life-limiting illness would receive optimal hospice and palliative care so that no one would ever wish to hasten their own death. Unfortunately, the reality is that despite provision of optimal hospice and palliative care, individuals with terminal illness may experience suffering, loss of meaning, or deterioration in quality of life to the extent where they express the desire to expedite the dying process. While there has been extensive discussion surrounding physician-aid in dying (PAD), there has been less attention paid to the practice of voluntarily stopping eating and drinking (VSED) near the end of life. Topics to be discussed will include:
– Definition of Voluntarily Stopping Eating and Drinking
– Clinical course and common symptoms
– Ethical and legal aspects
– Clinical risks and benefits

Mark Corbett, MD, MA, HMDC, FAAHPM
Medical Director
Kate B. Reynolds Hospice Home
Trellis Supportive Care

12:30pm
Conference Concludes

Workshop – Thursday, January 17, 2019

5:30pm – 7:30pm
Quality Programs and Practices to Stay in Compliance

Palliative care programs and hospice must understand compliance within their program that would include development of policies and procedures that address regulations and standards of care; amelioration of risk within the program; quality measures and reporting of same; and provider documentation necessary to stay in compliance and be reimbursed. Learning objectives of the workshop:
– To review current regulations and implications for individual organizations
– Understanding of ethics related to the program and compliance
– Understanding of reducing risk
– How documentation can impact the organization positively or negatively
– Development of a robust documentation program
– Presentation of powerful quality reporting mechanisms and dashboard tools

Laura Page-Greifinger, RN, BSN, MPA
President/CEO
Quality in Real Time

About the Speaker:

Laura Page-Greifinger, RN, BSN, MPA has more than 30 years of experience in senior-level healthcare management experience, including the development of multiple new programs and the provision of a variety of services and programs to clients resulting in positive outcomes. These services encompassed integrated health care services designed to mesh with individual operating entities’ missions and goals. At times these programs were the first of their kind in a region, necessitating education at all levels of professionals and community organizations, as well the education of referral inlets for those in need of the program for care. Laura’s focus is post-acute organizational structure, the education and support of staff needed to succeed in this structure, key indicator development, quality outcomes for patients within the structure, project management, financial analysis, and profitability. This is the basis for QIRT’s quality cycle management (QCM©) approach to post-acute organizational support.
Laura Page-Greifinger has served on multiple boards of directors and has been faculty for Community Health Programs at the baccalaureate and graduate level. The most current years of Laura’s career have been devoted to consulting with corporate entities to lay the foundation for industry success, whether through start-up, strategic planning, strategic positioning of the organization, quality management, compliance monitoring, policy and processes, financial viability, or operational process flow. Laura is founder and principle of QIRT, a premier post-acute coding, billing, and consulting provider.
Laura’s extensive experience in the post-acute health care field includes executive management, program development, educational programs, strategic positioning and operational and strategic planning for companies, no matter the auspice. She has expertise in operational processes, program applications for regulatory approval, team building, organization start-up, policy and process development and flow, and she specializes in strategic planning, quality oversight and compliance, and analysis of operational processes to build impressive patient outcomes and improvement of financial results.

QIRT (Quality In Real Time) leads the post-acute industry in coding, billing, and consulting. Serving agencies across the United States, QIRT provides multi-level coding/MDS/UAS reviews, quality assurance, appeals, outsourced billing, consulting, and education. With Quality Cycle Management (QCM) and the unique QIRT Advantage Platform, QIRT monitors agency processes and checkpoints for end-to-end solutions to compliance and success.

Featured Speakers

Jan Jones, RN, BSN

Jan Jones, RN, BSN

President/CEO

The Elizabeth Hospice
Chelsea Ambrose, LCSW, CT, AHCP-SW

Chelsea Ambrose, LCSW, CT, AHCP-SW

Director of Counseling Services and Collaborative Services

CareFirst
Suzi Johnson

Suzi Johnson

Vice President

Sharp HospiceCare
Ronald J. Crossno, MD, CMD, HMDC, FAAFP, FAAHPM

Ronald J. Crossno, MD, CMD, HMDC, FAAFP, FAAHPM

Chief Medical Officer

Kindred at Home
Amy Kitsembel, M Ed, CSW, FT

Amy Kitsembel, M Ed, CSW, FT

Bereavement Coordinator

Aspirus Comfort Care and Hospice Services
Tarrah Lowry-Schreiner

Tarrah Lowry-Schreiner

President and CEO

Sangre de Cristo Hospice and Palliative Care
Ryana Goldberger, LCSW, ACHP-SW

Ryana Goldberger, LCSW, ACHP-SW

National Director, Supportive Care and Patient Experience

Seasons Healthcare Management, Inc.
Yelena Zatulovsky, MA, LCAT, MT-BC, CCLS, HPMT

Yelena Zatulovsky, MA, LCAT, MT-BC, CCLS, HPMT

Vice President of Patient Experience

Seasons Healthcare Management, Inc.
Sorin Buga, MD, FACP, FAAHPM

Sorin Buga, MD, FACP, FAAHPM

Program Director, City of Hope Fellowship in Hospice and Palliative Medicine Associate Clinical Professor, Department of Supportive Care Medicine

City of Hope
Greg Bellomy

Greg Bellomy

Chief Strategic Growth Officer

BAYADA Home Health
Maureen C. Nash, MD, MS, FAPA, FACP

Maureen C. Nash, MD, MS, FAPA, FACP

Medical Director

Providence Elderplace Oregon
Joseph Sacco, MD, ABFM, ACQ-HPM

Joseph Sacco, MD, ABFM, ACQ-HPM

Acting President and CEO, Chief Medical Officer

The Connecticut Hospice, Inc.
Ujjwala Dheerijya, MD

Ujjwala Dheerijya, MD

Senior Medical Office for Palliative Care, Inland Empire Regional Medical Director

CareConnectMD
Kraig Langheinrich

Kraig Langheinrich

Director of Operations

Suncrest Hospice
Kaitlin Swistak, RN, BSN

Kaitlin Swistak, RN, BSN

Clinic Manager

Trinity Health PACE
Mark Corbett, MD, MA, HMDC, FAAHPM

Mark Corbett, MD, MA, HMDC, FAAHPM

Medical Director

Kate B. Reynolds Hospice Home
Laura Page-Greifinger, RN, BSN, MPA

Laura Page-Greifinger, RN, BSN, MPA

President/CEO

Quality in Real Time
Bronwyn Long, RN, DNP, MBA

Bronwyn Long, RN, DNP, MBA

Palliative Care and Oncology Clinical Nurse Specialist

National Jewish Health
Nancy Zaborowski, RN

Nancy Zaborowski, RN

Director Inpatient/Clinic Palliative Care

Advocate Aurora Health Care

Venue

Wynn

Encore at Wynn
3131 Las Vegas Blvd. South
Las Vegas, NV 89109
702-770-7171

“Mention BRI Network to get the discounted rate of $199/night”

Sponsors and Exhibitors

TBA

FAQ

Are there group discounts available?

  • Yes – Register a group of 3 or more at the same time and receive an additional 10% off the registration fee

Are there discounts for Non-Profit/Government Organizations?

  • Yes – please call us at 800-743-8490 for special pricing

What is the cancellation policy?

  • Cancellations received 3 weeks prior to the event will receive a refund minus the administration fee of $185. Cancellation received less than 3 weeks prior to the event will receive a credit to a future event valid for one year.

Can the registration be transferred to a colleague?

  • Yes – please email us in writing at info@brinetwork.com with the colleague’s name and title

Where can I find information on the venue/accommodations?

  • Along with your registration receipt you will receive information on how to make your hotel reservations. You can also visit individual event page for specific hotel information. The conference fee does not include the cost of accommodations.

What is the suggested dress code?

  • Business casual. Meeting rooms can sometimes be cold so we recommend a sweater or light jacket

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