2016 Midwest Regional

Conference on Palliative & End of Life

Care “Bridge Over Troubled Water”

October 2nd - 4th, 2016

Tan-Tar-A Resort

Lake of the Ozarks, MO

Letter from MHPCA President

The Midwest Regional Conference on Palliative and End of Life Care is sponsored by the Missouri Hospice &

Palliative Care Association. The conference is designed to assist health care professionals in understanding the

health care issues when treatment changes from curative to palliative care. Palliative care focuses on comfort

and quality of life rather than cure and prolongation of life. Palliative care is the foundation of hospice services,

however the principles are applicable to any setting where care is being provided to the terminally ill.

Purpose

The Midwest Regional Conference on Palliative and End of Life Care seeks to provide education for a

multidisciplinary group of health care professionals to increase the quality of end of life care.

Target Audience

Physicians and their staff, Hospital Nurses, Social Workers & Discharge Planners, Hospice Nurses, Social Workers,

Administrators, Medical Directors, Chaplains, Volunteer, Volunteer Coordinators, Bereavement Coordinators and

Nursing Home Administrators. Ethics Committees; Long-Term Care Nurses, Social Workers, Medical Directors,

and Administrators; Palliative Care Nurses, Physicians, Coordinator/Administrators.

About the Conference

I would like to personally thank everyone who is attending the conference this year. Our education

committee and board have worked very diligently to provide you with up-to-date information and

training you can take back to your staff. Hospice and palliative care is ever-changing in all aspects of the

care we provide. It is a challenging time for the industry due to regulatory changes, oversight and the

change in the demographics, etc. of patients we care for. Hopefully this conference will assist you with

meeting these challenges. I am very proud to be part of Missouri

Hospice and Palliative Care Association. MHPCA has been and will

be respected by other states and associations for our innovative

and educational endeavors. Please enjoy the conference!

Sincerely,

Diane Chappell, RN

President

Missouri Hospice and Palliative Care Association

Special Events/Important notices Handouts - Each registrant will be provided information on how to download conference handouts prior to the

conference. Anticipated posting date of handouts will be September 15, 2016. Registrants will need to print a copy

of the workshop handouts they have selected prior to arrival if they wish to have a hard copy while at the

conference. THERE WILL BE NO PRINTING CAPABILITIES ON SITE. If registrants would prefer to purchase a bound

copy, it is available for $50 and must be ordered on the Conference Registration Form at the time of registration.

Only conference registrants may purchase handouts.

Silent Auction - Hospice agencies donate many wonderful items for the silent auction. Conference attendees will

want to stop by on Monday afternoon and on Tuesday until 10:15 am. Bring your checkbook and carry home some

wonderful purchases, and have some fun. Please be sure to support us by coming by the silent auction!

Exhibitor’s Reception - Sunday, October 2nd from 5:30-6:30 pm—Each conference attendee is invited to attend the

Exhibitor’s Reception on Sunday, October 2nd from 5:30-6:30 pm. Attendees are encouraged to come meet the

“exhibitors” and share development ideas to improve the delivery of end-of-life care. This year’s entertainment will

be provided by “DJ Innovation”.

Game Night - Monday, October 3rd from 4:00-6:00 pm in the Exhibit Hall—Come and play fun games with the

exhibitors and our own fishing pond with prizes.

Networking Breakfast - Tuesday, October 4th from 7:00-8:00 am—Grab your breakfast in the ballroom pre-

function area and find your peers for an engaging conversation.

Networking Lunch - Tuesday, October 4th 12:00-1:00 pm will be time to discuss with peers information learned

over the conference.

Improve standards of practice through education of professionals and others

involved in providing end of life care;

Improve access to appropriate end of life care through the alignment of

individualized needs with available care; and

Stimulate dialogue on ethical issues related to end of life care.

Conference Goals

Participants attending the conference will be able to:

Describe and apply tools used to identify patients appropriate for end of life care;

Use effective pain and symptom management medications and treatments to improve

outcomes;

List communication tools to improve difficult and painful discussions of end of life concerns,

and apply to practice;

Recognize importance of coordination of care when multiple providers are involved, and

utilize in the clinical setting; and

Examine current policies and regulations for providers of end of life care.

Conference Objectives

TO REGISTER FOR THE CONFERENCE PLEASE GO TO www.mohospice.org. Registration for both the Pre-Conference & Conference will be online registration. If you pay by check, please include the name of the person you are registering or a copy of your email confirmation with your check.

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

Early registration ends September 7th, 2016. There is a $40.00 late fee assessed after Sept. 7th, 2016. Registration closes Sept. 23rd, 2016.

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

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

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

Registration for the MHPCA Conference does not include the Pre-Conference presentation on The Department of Health & Senior Services Updates.

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

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

For more information go to www.mohospice.org.

Important Information Regarding The Conference

WELCOMING RECEPTION Our Welcoming Reception will be on Sunday, October 2nd, from 5:30 pm to 6:30 pm. Please join us for an

opportunity to meet and network with other hospice colleagues and enjoy the wonderful view! Drinks and hors

d’oeuvres will be available.

Come join us and listen to

Powers Entertainment Group, LLC : DJ Innovation

PRE-CONFERENCE SPEAKER

“Missouri Department of Health & Senior Services Update”

Lisa Coots, RN, is the Bureau Administrator for the Missouri

Department of Health & Senior Services. Lisa has served as Administrator for the Bureau of Home Care and Rehabilitative Standards since 2004. Prior to her time working for state government, Lisa spent 7 years in the home health industry. This included RN case management, staff develop-ment, management and administration. Her first 11 years of nursing were spent providing direct patient care to oncology patients.

Game night Monday, October 3rd 4:00-6:00 pm in Exhibit Hall

Come and play fun games with the exhibitors and our own fishing pond

with prizes.

Count the Gators!! Bring the number of

Gators you counted within the brochure to

registration to get your name put in a drawing

for a prize by Tuesday Oct. 3rd @ 10:15 am.

Steve Yeatts, M.Ed. has spent the majority of his 24-year career in leading

healthcare sales and operations teams. He earned a Master’s degree in Education

from Middle Tennessee State University and holds a Bachelor’s degree in

Communications from Freed Hardeman University. He has also taught Public

Speaking at the college level. He specializes in delivering customized professional

coaching sessions in the arenas of customer experience, leadership, sales &

marketing, as well as keynote/motivational speaking. Steve often brings his

acoustic guitar to connect with the audience through music and to make the

message and the motivation even more memorable. Steve is the author of the

E-book, Take Me to Your Leader, a daily diary series on how to more effectively

connect with your team. Steve authors the motivational blog, Steve’s Corner.

Steve also hosts Motivational Minute, a video series designed to encourage and

inspire viewers to bring their best attitude to every situation, also available on his website.

KEYNOTE SPEAKER 10/3/2016 - 12:15 pm-1:15 pm- “Take Me to Your Leader: Inspirational Leadership in Challenging Times” – In this interactive leadership coaching presentation, Steve covers the Five L's of an inspiring leader: Love, Language, Learning, Listening & Legacy; the three "E.I.'s" necessary for effective leadership: Emotional Intelligence, Energy Index and Empowerment Insight; the power of giving/building trust, how to avoid "bulldog" and "seagull" leadership, how leaders determine the company culture, Top 10 Traits of Inspirational Leaders, how to strengthen the weakest link on the team, how to encourage a discouraged team and more.

BREAKOUT SESSION 10/3/16 - 1:45 pm-2:45 pm “All Hands on Deck: How to Create and Sustain a Customer-Centric Culture”

Jennifer Kennedy, MA, BSN, CHC, has sixteen plus years experience with professional education and staff

development for all members of the hospice interdisciplinary team and 28 years as a nurse/manager/director in the

hospice, home health, and community health care realm, with a focus on education, quality, compliance, and

operations.

KEYNOTE SPEAKER 10/4/2016 - 8:00 am-10:00 am “Hospice Regulatory

Update” This session will identify the “hot” regulatory issues in the hospice

industry and how they affect hospice providers and the hospice industry as a

whole. The scrutiny of hospice claims, provision of care, and on what "hot

spots" they are fixing focus. The climate within CMS and the federal

government about hospice care is very important. She will identify and locate

resources available. Also she will do a review of the current hospice pertinent

topics with detail such as new CMS guidance, survey and certification updates,

and quality reporting update.

BREAKOUT SESSION 10/4/16 - 10:30 am-12:00 pm “Developing Your

Compliance Dashboard”

Key Note Speakers

Members: $85.00 Non Members: $100.00

Members - Please use your Federal Medicare Number when registering. All registration will be done online.

Registrations are not refundable but substitutions are welcome.

This Pre-conference is NOT included in the conference registration.

Conference registration has a separate registration form.

If you do not register for the conference and only register for pre-conference, there will be a $10.00 additional

charge for CE hours if you wish to receive them.

Educational material will be placed on the website prior to the seminar for download.

This course is eligible for 3.0 Nursing Contact Hours and Social Work Contact Hours.

Early registration ends 9/7/16. Go to www.mohospice.org to register today!

Pre-Conference Registration

Sunday, October 2nd

5:30 pm - 6:30 pm Opening Reception with Exhibitors

Monday, October 3rd

7:00 am Registration Opens

8:00am - 11:00 am Pre-Conference-Seminar - DHSS Update

Lisa Coots, RN (3 CE Hours)

10:00 am - 6:00 pm Exhibit Area Opens on the Promenade

12:00 pm Conference Opens

12:15 pm - 1:15 pm Keynote Session—Take Me to Your Leader:

Inspirational Leadership in Challenging

Times - Steve Yeatts, M.Ed. (1 CE Hour)

1:15 pm - 1:45 pm Spotlighting Exhibit Area/ Marketplace

1:45 pm - 2:45 pm Concurrent Session I (1 CE Hour)

2:45 pm - 3:15 pm Break

Conference Schedule 3:15 - 4:15 pm Concurrent Session II (1 CE Hour)

4:00 - 6:00 pm Game Night Exhibit Hall

Tuesday, October 4th

7:00 am Registration Opens & Breakfast

7:00am - 1:00 pm Exhibit Area Opens on the Promenade

8:00 am - 10:00 am Keynote speaker —Hospice Regulatory Up-

date - Jennifer Kennedy, NHPCO (2 CE

Hours)

10:00 am Spotlighting Exhibit Area/Marketplace

10:15 am Silent Auction Closes

10:30 am - 12:00 pm Concurrent Session III (1.5 CE Hours)

12:00 pm Networking Lunch & Exhibit Area

1:15 pm - 2:45 pm Concurrent Session IV (1.5 CE Hours)

2:45 pm - 3:00 pm Break

3:00pm - 4:00 pm Concurrent Session V (1 CE Hour)

TRACK SESSION DESCRIPTIONS-MONDAY, OCTOBER 3RD

PRE-CONFERENCE TRACK:

8:00 AM - 11:00 AM

“Missouri Department of Health & Senior Services Update” will discuss what the top

deficiencies are in hospice in the last year and the trends the surveyors are seeing.

Track Session Descriptions Concurrent Session I-Monday, October 3rd 1-A All Hands on Deck: How to Create & Sustain a Customer-Centric Culture—Steve Yeatts, M.Ed.

This workshop will interact on topics such as which organizations are Hall of Fame vs. Hall of Shame regarding customer service, understanding customer service myths and customer service realities, what to leave behind and what to bring with you for each encounter with a customer, are you a “names in a hat” kind of culture, how to get rid of the "yes, buts," the fine art of listening, and meeting the customers where they are. - Intermediate

1-B Managing the Neuromuscular Conditions ALS, MS, and Huntington’s Disease: A Case-Based Approach– Lorin Yolch, Pharm D

This workshop will review the pharmacologic management of symptoms that are common to a patient with amyotrophic lateral sclerosis (ALS), with multiple sclerosis, and with Huntington’s disease. - Advanced

1-C Hospice Quality – Fitting All the Pieces Together —Cordt Kassner, PhD

This workshop will focus on how the various CMS hospice quality measures fit together and what is CMS hoping to accomplish with them. Dr. Kassner has served on three CMS Technical Expert Panels on Hospice Quality Measures, and this session is focused on the bigger picture of how quality measures impact the delivery of healthcare. - Intermediate

1-D Clinical Hospice Documentation from CGS — Sandy Decker, RN, BSN

This workshop will focus on successful hospice documentation and how to reduce/eliminate medical review denials. This workshop will discuss how to show the patient’s actual condition to support six months or less terminal prognosis. Let’s make ADRs a thing of the past for your agency! - Intermediate

Concurrent Session II-Monday, October 3rd 2-A The Arts & Craft of Grant Proposal Writing - Kathy Sims, Executive Director for HFO This workshop will show learners how to identify the right funding sources and will gain understanding of basic components of a strong grant application. Learners will be able to integrate this into a non-profit organization. Tips for developing the seven basic parts of a proposal, templates to use, and tips beyond the instructions. - Intermediate

2-B Rock, Paper, Scissors? - Judy Waechter, RN, CRRN

This workshop will show how to assess individual reactions to conflict in order to better manage attitudes, demonstrate how to analyze conflict solutions to determine best approach to achieve desired outcomes and develop a Conflict Resolution Strategy that fosters teamwork. - Intermediate

2-C Antipsychotic Use in Nursing Homes - Marisa Todd, PharmD, BCPS This workshop will provide an overview of behavioral and psychological symptoms of dementia. What causes it and the cognitive and behavioral symptoms of it. Discussing the FDA black box warnings on antipsychotic use in elderly patients with dementia and associated risks. - Intermediate

2-D Death with Dignity, the Euthanasia Question – Rev. Robert Reagan

This workshop will provide an awareness of the history euthanasia law in the USA and define the major terms associated with euthanasia. Covering the contrast of the pros and cons of the euthanasia questions to identify your own values and recognizing how they interact with patients and families. Discriminate personal values in relationship to patients and family values. - Intermediate

Concurrent Session III-Tuesday, October 4th 3-A Developing Your Compliance Dashboard - Jennifer Kennedy, NHPCO, MA, BSN, RN, CHC

This workshop will discuss auditor entities at the federal and state level who are scrutinizing the hospice industry and

identify “low hanging fruit” issues in the hospice industry that are prime targets for audit. We are going to also discuss

how to identify and locate resources available and receive answers to outstanding questions. - Intermediate

3-B Palliative Sedation - Dr. Jay Riseman, MD, FACS, FAAHPM

This workshop will define and discuss different types of palliative sedation and where they might be used. Understanding methods to achieve palliative sedation and to be familiar with ethical dilemmas and controversies surrounding palliative sedation while discussing different agents that can be used for palliative sedation and ethical dilemmas and controversies of each. - Advanced

3-C End-Stage Cardiac Disease: Medication Use and Symptom Management– Myra Belgeri, Pharm.D. This workshop will go over the common symptoms of end-stage heart failure and tell you about the drug classes used to treat heart failure. There are ways to formulate strategies to manage symptoms associated with end-stage heart failure with similarities to cancer patients. - Intermediate

3-D Continued Survey Readiness-Tips and Strategies - Sharon M. Litwin, RN, BSHS, MHA, HCS-D This workshop will discuss the CMS survey process and the differences between a standard level and condition level deficiency. What a condition level deficiency means for your agency and how to plan and organize to achieve Continued Survey Readiness. We are going to cover how to perform mock surveys, key to success to being prepared for a survey. Going over how to user your QI program to help you achieve success. - Intermediate

Track Session Descriptions

4-A Data–Driven Strategy for New Payment Models - Mark Sharp, BKD & Karen Vance, BKD This workshop will show Comprehensive Care for Joint Replacement mandate, the Centers for Medicare & Medicaid Services has made it clear that advanced payment models are your future. The use of claims data and case studies, this session will help hospice organizations understand the magnitude of their opportunities and risk as well as the necessary - Intermediate

4-B Survey Deficiencies and Plans of Correction-What Do We Do Now? - Kimberly Skehan, RN, MSN

This workshop shows that no one wants survey deficiencies, yet with the passage of the IMPACT Act which mandates

more frequent hospice surveys there has been a considerable increase in deficiencies, even for providers with no prior

issues. This interactive program will provide an overview of top survey issues impacting hospice providers, and outline the

survey process and timeline for responding into a CMS statement of deficiencies. - Intermediate

4-C Building a Comprehensive Palliative Care Program-A Phased Approach - Carol Quiring, President & CEO

This workshop will discuss out phased approach to building a palliative care program and address the following

components critical to success: access, education, advanced care planning, and culture change. - Advanced

4-D Patient-Centered Communication: Lessons Learned - Denise Sanders, APRN, BC, ACHPN

This workshop will discuss the importance of assessment in communication and identify 3 non-therapeutic

communication traps: talking too much, verbal message does not match non-verbal message, and directive

communication. As well as discuss three verbal and non-verbal techniques that can improve communication. - Advanced

Concurrent Session IV-Tuesday, October 4th

Concurrent Session V-Tuesday, October 4th 5-A Evidenced Based Prescribing of Corticosteroids in Hospice and Palliative Medicine - Patrick White, MD, FACP

This workshop will identify differences in side-effect profiles of commonly prescribed steroids as well as name the most commonly prescribed steroid, dosage, and duration for the treatment of painful bone metastases. Also will describe when gastro protection is indicated and identify the risk for gastrointestinal bleeding among various risk groups - Advanced

5-B Hospice Medicine in Prison-Missouri Experiment - Dr. Jay Riseman, MD, FACS, FAAHPM and Team

This workshop will discuss history of hospice in the prison system, special requirements, and issues in corrections. As well as discussing the requirements to be a prison hospice volunteer, and talk about the training development and implementation in Missouri. - Intermediate

5-C Assisted Nutrition in Advanced Dementia Can Be Considered Artificial Nutrition and Hydration - Elizabeth A. Huddleston, MS, RDN, LD

This workshop will help you understand how the brain controls appetite and hunger, as well as state the legal and moral justification of withholding assistance for food and drink in advanced dementia. It will also tell you how to utilize the expertise of the hospice dietitian. - Advanced

5-D ICD-10—One Year Later: Challenges Faced & the Road Forward - Sharon M. Litwin, RN, BSHS, MHA, HCS-D

This workshop will provide information about the changes in the ICD-10 rules since Oct., 2015. Make sure you know accurate coding that prevents incorrect codes and nonspecific codes from being rejected. Understand the common hospice coding scenarios as well as challenging coding areas, such as wounds, manifestation codes, etc. - Intermediate

CE INSTRUCTIONS: The conference will make available continuing education credits as listed below. Certificates will be issued after successful completion of sessions and evaluations are completed and returned to MHPCA upon completion of the conference. Certificates will be mailed with in 30 days to the address given on the evaluation form with credit hours documented after attendance is verified. Midwest Regional Conference on End of Life Care, a continuing education activity, has been submitted for approval to:

NURSES: Missouri Hospice & Palliative Care Association is an approved provider of continuing nursing education by the Midwest Multistate Division, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation for 12 contact hours for both conference and pre-conference. Attendees should only claim credit commensurate with the extent of their participation in the activity.

MEDICAL DIRECTORS: Missouri Hospice and Palliative Care is currently seeking CME approval.

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

Social workers participating in this course will receive up to twelve (12) continuing education clock hours.

CHAPLAINS, VOLUNTEER COORDINATORS, DIETITIANS, PHYSICAL THERAPISTS, AND OTHER DISCIPLINES: Upon completion of the conference attendance and evaluation form a Certificate of Successful Completion will be provided.

NURSING HOME ADMINISTRATOR: Missouri Hospice and Palliative Care Association is currently seeking CE approval.

CONTINUING EDUCATION

PAST CONFERENCE MEMORIES

Hotel Information

Members: $260 Main Conference (Includes Reception on Sunday and Breakfast and Lunch on Tuesday)

(Save by registering for both days!)

$130 Monday Only - (Includes Reception)

$175 Tuesday Only - (Includes Breakfast and Lunch)

Non Members: $300 Main Conference (Includes Reception on Sunday and Breakfast and Lunch on Tuesday)

$160 Monday Only - (Includes Reception)

$195 Tuesday Only - (Includes Breakfast and Lunch)

Volunteer/Med Student: $210 Main Conference –Non Member: $235

$100 Monday Only - (Includes Reception) - Non Member: $110

$135 Tuesday Only - (Includes Lunch) - Non Member $145

Hotel Registration:

Tan-Tar-A Resort

494 Tan-tar-a Drive , Osage Beach, MO 65065

By Phone: 1-800-826-8272 and reference group code MO

Hospice and Palliative Care Assn or the 2016 MHPCA

Annual Convention or go online to http://www.tan-tar-

a.com and use code HOSP.

Room Block - MHPCA has reserved a block of rooms for a

rate of $115.00 per night. The cut off date to get this

discounted rate is 09/03/16 (The group rate will not be

available after the cut-off date).

Limited Liability - MHPCA is not responsible for airline or

hotel reservations. Please confirm registration

acceptance prior to purchase of non-refundable or

penalty airline tickets. MINIMUM and MAXIMUM

ENROLLMENTS have been established. The liability of

MHPCA is limited to the conference registration fee.

Pricing Information

Missouri Hospice & Palliative Care Association

P.O. Box 105318

Jefferson City, MO 65110

2016 MIDWEST CONFERENCE ON

PALLIATIVE AND END OF LIFE CARE

REGISTER TODAY

AT

www.mohospice.org