CAPC National Seminar: Transforming Ideas. Achieving Excellence

IN COOPERATION WITH

American Cancer Society

American Hospital Association

UHC

SPONSORED BY

Center to Advance Palliative Care

Mount Sinai School of Medicine designates this live activity for a maximum of 15.5 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This activity has been submitted for approval to award contact hours. New Jersey State Nurses Association (NJSNA) is accredited as an approver of continuing nursing education by the American Nurses Credentialing Center’s COA.

This program is approved by the National Association of Social Workers (NASW) for 13.5 continuing education contact hours.

NOVEMBER 1–3, 2012MIAMI, FLORIDA

CAPC NATIONAL SEMINAR

Transforming Ideas. Achieving Excellence.

The Center to Advance Palliative Care (CAPC) is a national organization dedicated to increasing the availability of quality palliative care services for people facing serious, complex illness. Located in New York City, CAPC provides health care professionals with the tools, training and technical assistance necessary to start and sustain successful palliative care teams in hospitals and other health care settings.

CAPC is supported by a consortium of foundations, including Aetna Foundation, Brookdale Foundation, the John A. Hartford Foundation and the Robert Wood Johnson Foundation. Direction and technical assistance are provided by Mount Sinai School of Medicine, New York City.

Get the knowledge and networking experience you need to make your palliative care service succeed. Visit www.capc.org for more information about all of our professional resources.

This educational activity has received no commercial support.

www.capc.orgwww.getpalliativecare.org

The Nation’s Leading Resource for Palliative Care Development and Growth

Who should attend?

• Hospital and hospice physicians, nurses, social workers,

financial managers and administrators involved in starting

or running an adult or pediatric palliative care program

• ICU, ED and outpatient clinic staff

• PCLC–trained team members

• Palliative care managers

• Those wanting to restart a program

• Past CAPC seminar attendees

Choose from a host of new topics and attend focused intensive,

concurrent and plenary sessions that address your particular needs,

including: Joint Commission certification; financial analysis techniques;

adult and pediatric care across the continuum; mental health–palliative

care interface; inpatient units; outpatient palliative care; team

sustainability; hospice-hospital issues; integration of palliative care into

rural communities; skills for program managers; palliative care in the ED

and ICU; working with oncologists; and more!

The CAPC National Seminar offers in-depth content, rich networking opportunities and one-on-one access to expert faculty.

Selected abstracts will be chosen for presentation in many of this year’s intensives and concurrent sessions. You will hear directly from peers who are developing new models and methods to ensure sustainability and growth. Submit an abstract online and share your experience!

• CAPC National Seminar •

Plenary sessions offer powerful presentations by leading experts.

Intensives offer in-depth exploration of special topics.

Concurrent sessions offer solutions for real-world, mission-critical issues.

Office hours offer small-group discussion time with expert faculty.

Special events include a lively Poster Session and Reception.

Networking opportunities abound throughout the seminar.

Peer presentations offer the opportunity to hear from team leaders.

Joint Commission sessions allow you to hear from hospitals that have successfully completed certification.

•Apply family systems concepts

•Develop a plan for Joint Commission Palliative Care certification

•Measure staff productivity

•Develop a productive interface with mental health professionals

• Integrate palliative care with oncologists

•Develop a successful outpatient service

• Integrate palliative care into pediatric practice

•Overcome barriers to integrating palliative care in the ICU/ED

• Interface with your finance staff to calculate program impact

•Consider team and hospital needs when designing an inpatient unit

•Develop a plan for team sustainability

•Develop a plan for generalist nursing palliative care education

•Work with administrators on new financing models

Learn to:

Take advantage of highly interactive, personalized training.The CAPC National Seminar is designed to help you develop solutions to your specific issues and challenges. In addition to focusing on core operational elements that are integral to program success and sustainability, every seminar offers new cutting-edge content and topics.

The seminar’s highly interactive format gives you multiple opportunities to garner the expertise of faculty and peers.

SEMINAR OVERVIEWTRANSFORMING IDEAS. ACHIEVING EXCELLENCE.

7:30 AM – 8:30 AM Registration and Breakfast

8:30 AM – 9:30 AM Plenary

9:30 AM – 10:15 AM Coffee Break

10:15 AM – 12:15 PM Intensives

12:15 PM – 1:30 PM Networking Lunch

1:30 PM – 3:30 PM Intensives

3:30 PM – 3:45 PM Stretch Break

3:45 PM – 4:45 PM Office Hours

5:00 PM – 7:00 PM Poster Session and Reception






11:30 AM – 12:30 PM Office Hours

12:30 PM – 2:00 PM Lunch on Your Own

2:00 PM – 3:15 PM Concurrent Sessions

3:15 PM – 3:45 PM Coffee Break

3:45 PM – 5:00 PM Concurrent Sessions




10:15 AM – 11:30 AM Concurrent Sessions

11:30 AM – 11:45 AM Stretch Break

11:45 AM – 1:00 PM Concurrent Sessions

Day 3 - Saturday

November 1

November 2

November 3

Day 2 - Friday

Day 1 - Thursday

• Schedule at-a-Glance •

Thursday, November 1 | 8:30 AM – 9:30 AM

Welcome: Palliative Care 2013

Faculty: Diane E. Meier, MD, FACP

The growth and sustainability of palliative care programs is essential for improving the care of seriously ill patients. Dr. Meier will discuss the role of palliative care in the era of health reform and how palliative care clinicians can spread palliative care concepts throughout the entire fabric of American medicine.

• Identify the status of palliative medicine within current health care legal, regulatory and policy initiatives.

•Describe three key features necessary for growth and sustainability.

•Define two action steps that can jump-start the spread of core palliative care concepts.

Friday, November 2 | 8:30 AM – 9:00 AM

Findings from the National Palliative Care Registry™: An Update

Faculty: R. Sean Morrison, MD

The National Palliative Care Registry™ has been collecting hospital palliative care data since 2008. Dr. Morrison will discuss national findings from the Registry along with strategies for data collection and utilization at the local level.

•Describe data from the first three years of Registry data collection.

•List two methods of using data to support team sustainability and growth.

• Identify two strategies to simplify data collection.


Successful Strategies for Outpatient Palliative Care: Introducing IPAL-OP

Faculty: Michael W. Rabow, MD, and Lynn Hill Spragens, MBA

Changes in payment rules are creating innovation opportunities for designing and planning a sustainable outpatient service. This session launches IPAL-OP and provides an overview of outpatient models.

•List key elements of a needs assessment to identify gaps and resources.

•Describe three outpatient models and how each aligns with health system priorities.

• Identify four challenges to sustainability.

DAY 1

DAY 2

PLENARY SESSIONSNOVEMBER 1–3, 2012

1

2

3


Honoring the Horizontal and Vertical Planes of the Patient Experience: Maximizing the Power of Our Interventions

Faculty: Terry Altilio, LCSW, ACSW

This session will challenge you to honor both the horizontal and vertical aspects of the patient and family illness experience. As palliative care enters the lives of patients and families, there is an opportunity to enhance continuity through transitions and minimize unintended abandonment by inviting participation of the “extended family” of providers.

•Examine the continuity of relationships through transitions in goals and systems of care.

•Apply family systems concepts to assessment, advocacy and consultation.

•Describe the risks and rewards of integrating palliative care into new settings and specialties.

Saturday, November 3 | 8:30 AM – 9:30 AM

Working with Referring Clinicians

Faculty: Charles F. von Gunten, MD, PhD, FACP, FAAHPM

Consultant etiquette is an important skill for hospital-based palliative medicine. The rules of etiquette will be explored, along with common breaches by consulting clinicians. Different personality styles will be described, with advice for improving referring clinician–consultant interactions.

• Identify five rules of hospital consultation etiquette.

•Explore the consequences of two common breaches of consultation etiquette.

•Describe the impact of two common clinician personality styles.

DAY 3

4

5

“I attend numerous seminars and conferences, and this was my first CAPC conference and the most outstanding of any I’ve attended. All I can say is, ‘WOW.’ Thank you.”

—Seminar 2011 Attendee

Starting a Palliative Care Service (Session will continue at 1:30 PM)

Faculty: Lyn Ceronsky, DNP, GNP, CHPCA, FPCN, and David E. Weissman, MD, FACP

Key components of a successful palliative care service, including a range of clinical models, staffing and program finances, will be described. Attendees will leave the session with a customized action plan for starting their own team.

•List three components of a needs assessment process to best align your mission with the needs of your clinical setting.

• Identify three different models of clinical service delivery.

•Evaluate two approaches to integrating care between hospitals and hospices.

Overcoming the Challenges of Pediatric Palliative Care Services during Launch or Relaunch (Session will continue at 1:30 PM)

Faculty: Margaret Farrar-Laco, RN, MSN, CPNP-AC/PC; Sarah Friebert, MD, FAAP; Kaci Osenga, MD; and Stacy S. Remke, LICSW, ACHP-SW

This interactive intensive will address needs and questions unique to pediatric palliative care teams during key development phases. Intrateam collaboration and opportunities for growth with community partners will be examined.

•Explain the roles of individual specialties and how they can function together.

•Describe strategies for effective planning during key development phases.

•Explore expansion through the outpatient clinic, hospice and community agency partnership.

Meeting the Challenges of ICU and Emergency Department Integration

Faculty: Judith E. Nelson, MD, JD, and Tammie E. Quest, MD

The intensive care unit and the emergency department are care delivery sites for acute and chronic exacerbations of serious illness. In both settings palliative care team integration can be challenging. This workshop will focus on presentations and idea sharing from attendees who have been actively integrating palliative care into the ICU and ED.

•Describe how the needs assessment process can facilitate palliative care integration in the ICU and ED.

•Analyze three examples of project features that enhanced or inhibited successful integration.

•Develop an action plan for starting or improving an existing ICU or ED integration project.

Creating a Continuum: Collaborative Models

Faculty: Todd R. Coté, MD, FAAFP, FAAHPM; Amber B. Jones, MEd; and Lori Yosick, LCSW

Several successful cross-organizational models of palliative care integration, including best practices and common pitfalls, will be examined. You will be challenged to design strategies to establish, extend and/or sustain local palliative care partnerships.

•Create a list of current and future palliative care partners across the continuum.

• Identify two methods to strengthen existing partnerships and start new ones.

•Specify how new and existing partnerships will be expected to contribute their resources.

Data Dashboards and Measurement Principles

Faculty: R. Sean Morrison, MD, and Lynn Hill Spragens, MBA

This interactive workshop will use the CAPC consensus guidelines for operational, clinical and customer metrics; demonstrate data use that can drive quality improvement; and help you use local data to successfully participate in the National Palliative Care Registry™.

•Complete a self-assessment of data collection strengths and obstacles.

•List three methods to improve your use of data to obtain resources.

•Develop the first steps in a data management work plan.

Choose one of the following.10:15 AM – 12:15 PM

• DAY 1 - Thursday Intensives •

Office Hours 3:45 PM – 4:45 PM

Office hours offer one-on-one discussion time with expert faculty.

Starting a Palliative Care Service (Continued from 10:15 AM session)

Faculty: Lyn Ceronsky, DNP, GNP, CHPCA, FPCN, and David E. Weissman, MD, FACP

Key components of a successful palliative care service, including a range of clinical models, staffing and program finances, will be described. Attendees will leave the session with a customized action plan for starting their own team.

(For full information, see Intensives 10:15 AM–12:15 PM session.)

Overcoming the Challenges of Pediatric Palliative Care Services during Launch or Relaunch (Continued from 10:15 AM session)

Faculty: Margaret Farrar-Laco, RN, MSN, CPNP-AC/PC; Sarah Friebert, MD, FAAP; Kaci Osenga, MD; and Stacy S. Remke, LICSW, ACHP-SW

This interactive intensive will address needs and questions unique to pediatric palliative care teams during key development phases. Intrateam collaboration and opportunities for growth with community partners will be examined.

(For full information, see Intensives 10:15 AM–12:15 PM session.)

Meeting the Challenges of ICU and Emergency Department Integration

Faculty: Judith E. Nelson, MD, JD, and Tammie E. Quest, MD

The intensive care unit and the emergency department are care delivery sites for acute and chronic exacerbations of serious illness. In both settings palliative care team integration can be challenging. This workshop will focus on presentations and idea sharing from attendees who have been actively integrating palliative care into the ICU and ED.

•Describe how the needs assessment process can facilitate palliative care integration in the ICU and ED.

•Analyze three examples of project features that enhanced or inhibited successful integration.

•Develop an action plan for starting or improving an existing ICU or ED integration project.

Creating a Continuum: Collaborative Models

Faculty: Todd R. Coté, MD, FAAFP, FAAHPM; Amber B. Jones, MEd; and Lori Yosick, LCSW

Several successful cross-organizational models of palliative care integration, including best practices and common pitfalls, will be examined. You will be challenged to design strategies to establish, extend and/or sustain local palliative care partnerships.

•Create a list of current and future palliative care partners across the continuum.

• Identify two methods to strengthen existing partnerships and start new ones.

•Specify how new and existing partnerships will be expected to contribute their resources.

Data Dashboards and Measurement Principles

Faculty: R. Sean Morrison, MD, and Lynn Hill Spragens, MBA

This interactive workshop will use the CAPC consensus guidelines for operational, clinical and customer metrics; demonstrate data use that can drive quality improvement; and help you use local data to successfully participate in the National Palliative Care Registry™.

•Complete a self-assessment of data collection strengths and obstacles.

•List three methods to improve your use of data to obtain resources.

•Develop the first steps in a data management work plan.

1:30 PM – 3:30 PM

• DAY 1 - Thursday Intensives •

Poster Session and ReceptionStroll from poster to poster while enjoying a catered reception—a great way to share your accomplishments and learn from your peers.

Submit an abstract at www.capc.org by July 30!

Thursday, November 1 | 5:00 PM–7:00 PM

SPECIAL EVENT

Choose one of the following.

Quality Improvement: You Can Do It!*Faculty: Colleen M. Mulkerin, MSW, LCSW, and Judith E. Nelson, MD, JD

The success of a quality-improvement initiative depends on careful planning, organization and attention to facilitators and barriers. Examples from the field will highlight a structured approach to palliative care quality improvement.

• Identify four key elements necessary for success.

•Analyze quality-improvement projects that enhanced or inhibited project outcome.

•Prepare a preliminary action plan for a quality-improvement project.

Choosing the Next Team Project: The Art of Strategic Planning*Faculty: David E. Weissman, MD, FACP

Deciding how to prioritize new project opportunities, often with limited staff, is a vexing problem for team leaders. This workshop will provide an organized approach to the art of strategic planning.

•Describe a three-step approach to the strategic planning process.

•List criteria for making choices among different project priorities.

• Identify three best practices for monitoring progress toward strategic planning implementation.

Analyzing the Financial Impact of Consultative Services*Faculty: Kathleen Kerr, BA, and J. Brian Cassel, PhD

An overview of five analyses, and step-by-step instructions for conducting two “must-do” analyses, will be described. Discussion will also include identification of common errors in data collection and interpretation.

•Develop a work plan to collaborate with hospital fiscal analysts.

•Describe common errors in understanding and conducting financial analyses.

•Describe how hospital financial metrics fit within an array of processes and outcome metrics.

Palliative Care–Emergency Department Integration: One Size Doesn’t Fit All . . .Find Your Size*Faculty: Tammie E. Quest, MD

Palliative care interventions are increasingly being integrated into ED culture/practice. Integration can occur with or without a palliative care consultation service. In this interactive session, participants will examine common models and learn new strategies for optimizing partnerships.

• Identify two common models and learn the perils and pitfalls of each.

•Describe three strategies to initiate or optimize an ED–palliative care partnership.

• Identify two important operational, clinical and customer service metrics.

Getting Your Team Joint Commission Certified: The Inside Story (Session is repeated at 3:45 PM–5:00 PM)

Faculty: Jay R. Horton, ACHPN, FNP-BC, MPH

Joint Commission certification helps validate and improve the quality of care you provide. You will hear inside stories of how several institutions achieved certification. You will also learn how to assess your readiness.

•Describe the purpose and process of The Joint Commission Advanced Certification for Palliative Care.

•Complete a team self-assessment to determine your level of readiness.

• Identify three proven success strategies.

Playing in Both Ends of the Pool: Palliative Care Teams for Peds and Adults*Faculty: Margaret Farrar-Laco, RN, MSN, CPNP-AC/PC, and Rodney O. Tucker, MD, MMM

There is a growing need for palliative care programs that can meet the needs of both adult and pediatric patients. This session will explore the common goals and unique needs of each population.

•Describe two models of resource sharing among adult and pediatric teams within a single institution.

•List opportunities to provide efficient transitions from pediatric to adult providers.

•Compare and contrast billing issues between pediatric and adult teams.

2:00 PM – 3:15 PMChoose one of the following.

• DAY 2 - Friday Concurrent Sessions •

*Session is repeated on Saturday, Day 3, from 10:15 AM – 11:30 AM.

A Golden Opportunity: Health Care Reform and Palliative Care

Faculty: Diane E. Meier, MD, FACP

National health care reform is providing opportunities that can lead to improved care of patients throughout the continuum. This workshop will provide an overview of these opportunities for palliative care teams.

•Describe three health reform initiatives that can engage hospital leadership.

•Describe local and national data that help make the case for integrating palliative care into local health reform initiatives.

•Develop an action plan for making palliative care a health reform–related hospital priority.

Integrating Palliative Care and Oncology Practice**Faculty: Charles F. von Gunten, MD, PhD, FACP, FAAHPM

Medicine is tribal, thus the integration of palliative care with oncology requires cultural competency. Characteristics of both the oncology and palliative care tribes will be explored and skills to prevent or resolve conflict will be demonstrated.

•Compare and contrast the cultures of oncology and palliative care.

• Identify two different oncology practice styles and learn communication skills.

•Describe two different models of inpatient and outpatient collaborative relationships.

Integrating Outpatient Palliative Care** Faculty: Constance Dahlin, APRN, BC, FAAN, and Michael W. Rabow, MD

This session will include presentations from leaders across the country. The workshop will demonstrate how outpatient services integrate with their larger institutional culture, mission and financial models.

•Describe methods to align outpatient services with the needs of the organization.

• Identify three different models for providing outpatient services.

•List three opportunities and three challenges in starting an outpatient program.

3:45 PM – 5:00 PM

**Session is repeated on Saturday, Day 3, from 11:45 AM – 1:00 PM.

Integrating Psychosocial Services into Palliative Care Teams*Faculty: Scott Irwin, MD, PhD

The need for psychosocial services is a core function of palliative care in all settings. This session will examine successful strategies for incorporating psychosocial services into palliative care teams.

•Describe the need for psychosocial services within the palliative care service model.

•Describe two different strategies for incorporating psychosocial services into palliative care teams.

•Develop a plan for improving palliative care psychosocial services.

To Burnout and Back: Strategies for Long-Term Survival in Palliative Care*Faculty: Stacy S. Remke, LICSW, ACHP-SW, and Constance Dahlin, APRN, BC, FAAN

Palliative care places enormous demands on practitioners. The development stage and team size influence the impact. This session will describe challenges and explore strategies for promoting resiliency and sustainability.

•Describe the daily challenges that require proactive strategies.

•List three opportunities to promote team sustainability.

•Develop a multidimensional plan to promote ongoing resourcefulness and resiliency.

• DAY 2 - Friday Concurrent Sessions •

Office Hours 11:30 AM – 12:30 PM

Office hours offer one-on-one discussion time with expert faculty.



Measuring Workforce Productivity: Walking a Fine Line between the Art and Industry of Medicine**Faculty: Lynn Hill Spragens, MBA

Staff productivity is a routine health care metric. This session will provide an overview of productivity measures that can best support healthy team function and value.

• Identify three ways volume-based models can help you meet current challenges.

•List the pros and cons of volume-based models in palliative care along with one alternative metric.

•Develop a personalized action plan to apply at home.

What I Wish I Knew about Running a Palliative Care Service

Faculty: Lori Yosick, LCSW, and Lyn Ceronsky, DNP, GNP, CHPCA, FPCN

This session will offer a framework for blending leadership and management principles. Unique aspects of palliative care team management, practical tools and resources for personal skill development will be discussed.

• Identify manager functions that support successful implementation and growth.

•Describe two methods to leverage changes in health care that strengthen your service.

• Identify three opportunities for enhancing the team manager role.

Getting Your Team Joint Commission Certified: The Inside Story (Session is repeated from 2:00 PM–3:15 PM)


Joint Commission certification helps validate and improve the quality of care you provide. You will hear inside stories of how several institutions achieved certification. You will also learn how to assess your readiness.

(For full information, see Day 2, Concurrent Sessions 2:00–3:15 PM)

Palliative Care Patient Transitions: Implications of New Hospice Requirements

Faculty: Amber B. Jones, MEd, and Todd R. Coté, MD, FAAFP, FAAHPM

This session will describe recent federal policy changes that may facilitate or impede hospice-hospital partnerships. Case studies will identify strategies for expediting transfers between palliative care and hospice providers. Implications of the growth of palliative care services offered by community-based providers will be explored.

•Describe new federal hospice policies that impact hospice referrals and continuing care.

• Identify three patient populations that would benefit from enhanced inpatient palliative care service/hospice collaboration.

•Specify three strategies to improve collaborative hospice–palliative care practice.

“I Think, Therefore I Am”: Maximizing the Influence of Cognitive Processes in the Care of Patients, Families and Self

Faculty: Colleen M. Mulkerin, MSW, LCSW, and Terry Altilio, LCSW, ACSW

This workshop will ask participants to appraise the impact of unexamined cognitive processes. Clinicians will learn to maximize their ability to enhance care of patients, families and themselves by identifying and altering ineffective cognitive frameworks.

•Examine cognitive patterns and communication styles.

•Describe how clinicians and teams utilize language that can either enhance or diminish care.

•Practice using a cognitive-process screening tool for self-assessment.

3:45 PM – 5:00 PM

• DAY 2 - Friday DAY 3 - Saturday Concurrent Sessions •

**For full description of this repeat session, see Day 2, 3:45 PM – 5:00 PM.

Quality Improvement: You Can Do It!* Faculty: Colleen M. Mulkerin, MSW, LCSW, and Judith E. Nelson, MD, JD

The success of a quality-improvement initiative depends on careful planning, organization and attention to facilitators and barriers. Examples from the field will highlight a structured approach to palliative care quality improvement.

Choosing the Next Team Project: The Art of Strategic Planning*Faculty: David E. Weissman, MD, FACP

Deciding how to prioritize new project opportunities, often with limited staff, is a vexing problem for team leaders. This workshop will provide an organized approach to the art of strategic planning.

Analyzing the Financial Impact of Consultative Services*Faculty: Kathleen Kerr, BA, and J. Brian Cassel, PhD

An overview of five analyses, and step-by-step instructions for conducting two “must-do” analyses, will be described. Discussion will also include identification of common errors in data collection and interpretation.

Palliative Care–Emergency Department Integration: One Size Doesn’t Fit All . . . Find Your Size*Faculty: Tammie E. Quest, MD

Palliative care interventions are increasingly being integrated into ED culture/practice. Integration can occur with or without a palliative care consultation service. In this interactive session, participants will examine common models and learn new strategies for optimizing partnerships.

Playing in Both Ends of the Pool: Palliative Care Teams for Peds and Adults*Faculty: Margaret Farrar-Laco, RN, MSN, CPNP-AC/PC, and Rodney O. Tucker, MD, MMM

There is a growing need for palliative care programs that can meet the needs of both adult and pediatric patients. This session will explore the common goals and unique needs of each population.

Community-Based Palliative Care

Faculty: Lyn Ceronsky, DNP, GNP, CHPCA, FPCN, and Amber B. Jones, MEd

Quality health care requires clinicians to design models that create access to palliative care in hospitals, nursing facilities and at home. This session will describe community approaches to meet patient and family needs while achieving quality palliative care.

•Discuss assets that can be considered in building a community-based approach.

•Describe competencies for nurses, social workers and spiritual-care professionals.

• Identify goals and strategies for developing palliative care in your community

To Burnout and Back: Strategies for Long-Term Survival in Palliative Care*Faculty: Stacy S. Remke, LICSW, ACHP-SW, and Constance Dahlin, APRN, BC, FAAN

Palliative care places enormous demands on practitioners. The development stage and team size influence the impact. This session will describe challenges and explore strategies for promoting resiliency and sustainability.

Integrating Psychosocial Services into Palliative Care Teams*Faculty: Scott Irwin, MD, PhD

The need for psychosocial services is a core function of palliative care in all settings. This session will examine successful strategies for incorporating psychosocial services into palliative care teams.

10:15 AM – 11:30 AM

*For full description of this repeat session, see Day 2, 2:00 PM – 3:15 PM.

• DAY 2 - Friday DAY 3 - Saturday Concurrent Sessions •


So You Want to Work in the ICU: Tips and Techniques for Getting Started

Faculty: Judith E. Nelson, MD, JD

ICU patients, families and professionals favor delivery of palliative care as an integral component of comprehensive critical care. In this workshop we will focus on key strategies and resources for successful integration.

•Review the spectrum of models for creating/enhancing capacity in the ICU.

•Analyze examples from the field to highlight strategies and resources.

•Develop an initial work plan for an integration project in your setting.

Integrating Palliative Care and Oncology Practice**Faculty: Charles F. von Gunten, MD, PhD, FACP, FAAHPM

Medicine is tribal, thus the integration of palliative care with oncology requires cultural competency. Characteristics of both the oncology and palliative care tribes will be explored and skills to prevent or resolve conflict will be demonstrated.

Integrating Outpatient Palliative Care**Faculty: Constance Dahlin, APRN, BC, FAAN, and Michael W. Rabow, MD

This session will include presentations from leaders across the country. The workshop will demonstrate how outpatient services integrate with their larger institutional culture, mission and financial models.

Measuring Workforce Productivity: Walking a Fine Line between the Art and Industry of Medicine**Faculty: Lynn Hill Spragens, MBA

Staff productivity is a routine health care metric. This session will provide an overview of productivity measures that can best support healthy team function and value.

What I Wish I Knew about Running a Palliative Care Service**

Faculty: Lori Yosick, LCSW, and Lyn Ceronsky, DNP, GNP, CHPCA, FPCN


11:45 AM – 1:00 PM

**For full description of this repeat session, see Day 2, 3:45 PM – 5:00 PM.

Integrating Palliative Care into Pediatric Subspecialty Practice

Faculty: Kaci Osenga, MD, and Sarah Friebert, MD, FAAP

This session will guide learners through common barriers, reflecting on barriers within your own institution and developing strategies for successful integration.

• Identify three common barriers.

•Complete a needs assessment of local barriers to subspecialty integration.

•Develop a one-year action plan to guide integration strategies.

Improving the Palliative Care Knowledge and Skills of Bedside Nurses in Hospitals and Long-Term-Care Settings


Improving bedside palliative care skills of all nurses (i.e., generalist palliative care) in hospitals and long-term-care settings is essential to reaching all people with serious illness. In this session we will explore the pros and cons of different models for meeting this challenge.

•Describe the roles and responsibilities of the bedside nurse.

•Develop a needs assessment that identifies gaps in knowledge and skills.

•Learn education and mentoring intervention models.

Inpatient Palliative Care Units: What Are the Options?

Faculty: Rodney O. Tucker, MD, MMM


• Identify manager functions that support successful implementation and growth.

•Describe two methods to leverage changes in health care that strengthen your service.

• Identify three opportunities for enhancing the team manager role.

• DAY 3 - Saturday Concurrent Sessions •


Terry Altilio, LCSW, ACSW, is Coordinator of Social Work for the Department of Pain Medicine and Palliative Care at Beth Israel Medical Center in New York City. She is a recipient of a Mayday Pain and Society Fellowship Award (2006) and a Social Work Leadership Award from the Open Society Institute’s Project on Death in America. In 2003 she received the Social Worker of the Year Award from the Association of Oncology Social Work and a Professional Volunteer Recognition Award from the American Cancer Society. In 2009 she was elected to the National Academies of Practice. Terry has coauthored publications on pain and symptom management, psychosocial issues and caregiver advocacy and is coeditor of the Oxford Textbook of Palliative Social Work (2011).

Diane E. Meier, MD, FACP, is director of the Center to Advance Palliative Care (CAPC), a national organization devoted to increasing the number and quality of palliative care programs in the United States. She is also a professor of Geriatrics and Internal Medicine and Catherine Gaisman Professor of Medical Ethics at Mount Sinai School of Medicine in New York City. Dr. Meier is the recipient of numerous awards, including the National Institute on Aging Academic Career Leadership Award, the Open Society Institute Faculty Scholar’s Award of the Project on Death in America and the Alexander Richman Commemorative Award for Humanism in Medicine. She is the recipient of a five-year NIA Academic Career Leadership Award and is principal investigator of an NCI-funded five-year multisite study on the outcomes of hospital palliative care services in cancer patients. She was honored with a MacArthur Fellowship in 2008. As a 2009–10 Health and Aging Policy Fellow, Dr. Meier worked with the Senate HELP committee and the Department of Health and Human Services.

R. Sean Morrison, MD, is director of the Lilian and Benjamin Hertzberg Palliative Care Institute and director of the National Palliative Care Research Center (NPCRC) at Mount Sinai School of Medicine in New York City. Dr. Morrison chaired the NIA-C Study Section of the National Institutes of Health (2007–9) and is the scientific officer of the Palliative and End-of-Life Care Review Panel of the Canadian Institutes of Health Research (CIHR). He is the immediate past president of the American Academy of Hospice and Palliative Medicine. In addition to his research and administrative activities, Dr. Morrison maintains an active clinical practice. Dr. Morrison has received numerous awards for his research in geriatrics and palliative care, edited the first textbook on geriatric palliative care, and has published more than one hundred research articles. He is a frequent commentator on issues related to palliative care and geriatrics.

PLENARY SESSION

SPEAKER BIOS

Michael W. Rabow, MD, is a professor of Clinical Medicine in the Division of General Internal Medicine at the University of California, San Francisco. Board-certified in internal medicine and hospice and palliative care, he founded and directs the Symptom Management Service at the UCSF Helen Diller Family Comprehensive Cancer Center. He is also associate director of the UCSF Palliative Care Leadership Center (PCLC) and a member of the curriculum development committee for the PCLC initiative nationally. In addition to his clinical palliative care work, Dr. Rabow has an active outpatient primary care medicine practice. Dr. Rabow was assistant editor for the bimonthly section in the Journal of the American Medical Association titled “Perspectives on Care at the Close of Life.” He serves as director of the Center for the Study of the Healer’s Art at the Institute for the Study of Health and Illness at Commonwealth in California.

Lynn Hill Spragens, MBA, is president/CEO of Spragens & Associates, LLC, based in Durham, North Carolina. She is a health care business consultant who, prior to founding her firm, spent ten years as an executive within an integrated health system. Since 1998 Ms. Spragens has provided business and operations consultation to nonprofit and health care organizations across the nation. For the past eight years she has devoted a considerable amount of her consulting efforts to the support of palliative care initiatives through the Center to Advance Palliative Care, and works individually with palliative care programs at various stages of implementation and development.

Charles F. von Gunten, MD, PhD, FACP, FAAHPM, is provost, Institute for Palliative Medicine, San Diego Hospice; chairman of the Test Committee, Hospice & Palliative Medicine, American Board of Medical Specialties; co-principal of the Education for Physicians on End-of-Life Care (EPEC) Project and its revision for oncology, EPEC-O; medical director of the Doris A. Howell Service, a palliative care consultation service at the UCSD Medical Center; and a past president of the American Association for Cancer Education. Dr. von Gunten received a lifetime achievement award from the American Academy for Hospice and Palliative Medicine in 2011, and that same year was named a “top doctor” by US News & World Report. He has published and spoken widely on the subjects of hospice, palliative medicine and pain and symptom control and is the editor-in-chief of the Journal of Palliative Medicine. Currently Dr. von Gunten is Clinical Professor of Medicine, UC San Diego, where he is a member of the NIH-designated Moores Cancer Center.

PLENARY SESSION

SPEAKER BIOS

Terry Altilio, LCSW, ACSW Social Work Coordinator Department of Pain Medicine and Palliative Care Beth Israel Medical Center

J. Brian Cassel, PhDSenior Analyst, Massey Cancer Center Assistant Professor, Quality Health Care, School of Medicine Palliative Care Leadership Centers™ Virginia Commonwealth University

Lyn Ceronsky, DNP, GNP, CHPCA, FPCN System Director, Palliative Care Palliative Care Leadership Centers™ Fairview Health Services

Todd R. Coté, MD, FAAFP, FAAHPMChief Medical Officer Hospice of the Bluegrass

Constance Dahlin, APRN, BC, FAANClinical Associate Professor MGH Institute of Health Professions Faculty, HMS Ctr. for Palliative Care Advanced Practice Nurse Palliative Care Service North Shore Medical Center

Margaret Farrar-Laco, RN, MSN, CPNP-AC/PC Certified Pediatric Nurse Practitioner A Palette of Care Program Haslinger Division of Pediatric Palliative Care Akron Children’s Hospital

Sarah Friebert, MD, FAAPDirector, A Palette of Care Program Haslinger Division of Pediatric Palliative Care Associate Professor of Pediatrics Pediatric Hematology/Oncology Palliative Care Leadership Centers™ Akron Children’s Hospital

Jay R. Horton, ACHPN, FNP-BC, MPHDirector, Palliative Care Consult Service Lilian and Benjamin Hertzberg Palliative Care Institute The Brookdale Department of Geriatrics and Palliative Medicine Mount Sinai School of Medicine

Scott Irwin, MD, PhDChief of Psychiatry & Psychosocial Services Institute for Palliative Medicine at San Diego Hospice Assistant Clinical Professor of Psychiatry University of California, San Diego, School of Medicine

Amber B. Jones, MEdHealth Care Liaison Consultant Center to Advance Palliative Care

Kathleen Kerr, BASenior Research Analyst, Faculty, Palliative Care Leadership Centers™ University of California, San Francisco

Diane E. Meier, MD, FACPDirector, Center to Advance Palliative Care Vice Chair for Public Policy and Professor, Brookdale Department of Geriatrics and Palliative Medicine Catherine Gaisman Professor of Medical Ethics Mount Sinai School of Medicine

R. Sean Morrison, MDDirector, National Palliative Care Research Center Director, Hertzberg Palliative Care Institute Hermann Merkin Professor of Palliative Care Professor of Geriatrics and Medicine Brookdale Department of Geriatrics and Palliative Medicine Mount Sinai School of Medicine

Colleen M. Mulkerin, MSW, LCSWDirector, Palliative Medicine Consult Service Hartford Hospital Advisory Board Member The IPAL-ICU Project™

Judith E. Nelson, MD, JD Associate Director, Medical Intensive Care Unit Professor of Medicine Mount Sinai School of Medicine

Kaci Osenga, MDAssociate Medical Director Pain and Palliative Care Palliative Care Leadership Centers™ Children’s Hospitals & Clinics of Minnesota

Tammie E. Quest, MDAssociate Professor Department of Emergency Medicine Emory University School of Medicine Chief, Section of Palliative Medicine Atlanta VAMC Interim Director, Emory Palliative Care Center

Michael W. Rabow, MDProfessor of Clinical Medicine Attending Physician, General Medicine Practice Palliative Care Leadership Centers™ UCSF/Mount Zion Director, Symptom Management Service, Helen Diller Family Comprehensive Cancer Center

Stacy S. Remke, LICSW, ACHP-SW Coordinator, Children’s Institute for Pain and Palliative Care Palliative Care Leadership Centers™ Children’s Hospitals & Clinics of Minnesota

Lynn Hill Spragens, MBAPresident and Chief Executive Officer Spragens & Associates, LLC

Rodney O. Tucker, MD, MMMDirector, Inpatient Palliative Care Programs Associate Professor Center for Palliative and Supportive Care Palliative Care Leadership Centers™ University of Alabama at Birmingham

Charles F. von Gunten, MD, PhD, FACP, FAAHPMProvost, Institute for Palliative Medicine at San Diego Hospice Clinical Professor of Medicine, UCSD

David E. Weissman, MD, FACPProfessor Emeritus, Palliative Care Center Medical College of Wisconsin Palliative Care Education, LLC

Lori Yosick, LCSW Executive Director Hospice and Palliative Care Services Mount Carmel Hospice and Palliative Care

• Seminar Faculty •

LocationDoral Golf Resort & Spa 4400 NW 87th Avenue Miami, FL 33178 Phone: 305.592.2000 Fax: 305.591.6653

www.doralresort.com

Retreat to a tranquil Florida spa and golf resort designed to offer peaceful rest and relaxation in a tropical atmosphere. Situated on 650 lush acres, the world-renowned Doral Golf Resort & Spa provides guests with premier Miami resort amenities and golf-course views. This scenic venue showcases five championship eighteen-hole courses, including the prestigious TPC Blue Monster, which has hosted the PGA tour for more than forty-five years.

Dive into a world of fun at the Blue Lagoon, an outdoor water complex for the whole family to enjoy. Discover the ultimate Miami spa resort experience at the Spa, boasting decadent European-designed treatments in a classic Italian villa setting. Savor delectable cuisine at Mesazul, a Latin-American steakhouse, or enjoy a drink outside with friends at Champions Sports Bar & Grill.

Hotel ReservationsA room block has been reserved at the Doral Golf Resort & Spa for Wednesday, October 31, through Saturday, November 3. The rate is $175 per night, single or double occupancy, plus 13% occupancy taxes. Hotel reservations must be made by Tuesday, October 5. The discount rate is guaranteed only until the group room block is sold or expires.

For reservations, a dedicated booking website, Passkey, has been created:

https://resweb.passkey.com/Resweb.do?mode=welcome_ei_new&eventID=8441473

The site allows you to make, modify and cancel your hotel reservations online, as well as take advantage of any room upgrades, amenities or other services offered by the hotel. Alternatively, you may phone in your reservation at 888.789.3090; ask for the program “CAPC Seminar” to receive the group rate.

TransportationThe Doral Golf Resort & Spa is located seven miles from the Miami International Airport. Taxi service and scheduled vans, such as Super Shuttle, are available.

ClimateAverage temperatures in Miami this time of year range between 70˚F and 79˚F. Casual business attire is encouraged for the entire conference.

RegistrationRegister online at www.capc.org/miami

Two ways to pay: Payment is by credit card or check.

Registration deadline: Monday, October 1, 2012.

“Early Bird” rate of $950 (individual) or $875 (special rate*) will be available through Monday, September 17.

Fee after Monday, September 17, is $1,100 (individual) or $950 (special rate*).

Program registration fee includes Thursday evening Poster Session and Reception, breakfast and coffee breaks each day, lunch on day one only and educational materials.

*Special rates apply to the following:

• Attendees with membership in American Cancer Society; American Hospital Association; UHC

• Two or more attendees from UHC.

Note: Confirmation of program enrollment will be emailed to you within 24 hours of registration receipt. If you do not receive registration confirmation, please call our Events Line at 212.201.2680.

Cancellation PolicyA $150 administration fee will apply to all cancellations. A full refund, less the administration fee, will be made for cancellations submitted on or before October 1.

No refunds will be made on cancellations received after this date. All cancellations or substitution requests must be submitted in writing, via fax (212.426.1369) or email ([email protected]). Substitutions are welcome. Please allow 30–60 days for processing refunds. Refund requests for registrations paid by check must be accompanied by the W-9 of the institution from which the check was drawn.

Cancellation of hotel reservation is the registrant’s responsibility.

• Seminar Information •

AccreditationMount Sinai School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Credit Designation Mount Sinai School of Medicine designates this live activity for a maximum of 15.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Verification of attendance will be provided to all professionals.

Special Needs Mount Sinai School of Medicine fully complies with the legal requirements of the Americans with Disabilities Act and the rules and regulations thereof. Participants with special needs are requested to contact CAPC at 212.201.2680 or [email protected].

Faculty DisclosureIt is the policy of Mount Sinai School of Medicine to ensure objectivity, balance, independence, transparency and scientific rigor in all CME-sponsored educational activities. All faculty members participating in the planning or imple-mentation of a sponsored activity are expected to disclose to the audience any relevant financial relationships and to assist in resolving any conflict of interest that might arise from the relationship. Presenters must also make a meaningful disclosure to the audience of their discussions of unlabeled or unapproved drugs or devices. This information will be available as part of the course material.

Technical assistance provided by Mount Sinai School of Medicine. REGISTER TODAY!

www.capc.org/miami

NON-PROFITU.S. POSTAGE

PAIDLIC, NY 11101

PERMIT NO. 159

1255 Fifth Avenue, Suite C-2, New York, NY 10029

A national organization with direction and technical assistance provided by Mount Sinai School of Medicine

REGISTER NOW!CAPC National Seminar

Customized training and yearlong mentoring for teams at every stage.

Learn more and enroll at

www.capc.org/pclc

™

Documents

CAPC National Seminar: Transforming Ideas. Achieving Excellence