Polypharmacy: A Practical Approach to Deprescribing

Intensive Sessions

Location
Oasis Hotel and Conference Center
Speakers
  • Melissa Gaines - MD FACP
    Dr. Gaines is the Director of Hospice and Palliative Care and medical director for the General Inpatient Hospice program for the CoxHealth system. She is an instructor regarding palliative care and geriatrics as Volunteer Faculty with the Springfield Clinical Campus School of Medicine University of Missouri and with the CoxHealth Family Medicine Residency. She enjoys traveling, spending time with family, exercising and reading.
Summary
This session discusses the strong relationship with negative clinical consequences in patients with polypharmacy and will give practical tips to address polypharmacy and start a de-prescribing process.

Developing Resilience in Professional Hospice & Palliative Caregivers.

Intensive Sessions

Location
Oasis Hotel and Conference Center
Speakers
  • Tyler Staples - PsyD
Summary
Developing Resilience in Professional Hospice & Palliative Caregivers. This session discusses research regarding job stress- related resilience in healthcare professionals and the ways that professionals can develop resilience in themselves, their agencies, and/or their clients.

25 Years of Prison Hospice programs created/lessons learned and how it has enhanced hospice care

Monday Keynote Session

Location
Oasis Hotel and Conference Center
Speakers
  • Jamey Boudreaux - Executive Director
    Jamey Boudreaux has led the Louisiana Mississippi Hospice & Palliative Care Organization since its founding in 2001. He is trained as a hospice social worker and bereavement coordinator with an undergraduate degree in political science and graduated degrees in theology and social work. He advocates not only for better end of life care within corrections, but for greater patient safety with state and local Emergency Managers and Responders.
Summary
This session is an overview of LMPCO’s Prison Support Projects over the past 25 years, highlighting various successes and failures along the way. It will discuss lessons learned and applied, as well as strategies for the future.

1-A Integrating Mindfulness Based Interventions with Palliative Care Patients, Caregivers, and Clinicians

Session 1

Location
Oasis Hotel and Conference Center
Speakers
  • Stephanie Clark - MSW LCSW
    Stephanie has a Masters degree in Social Work and currently is an inpatient palliative care social worker at Barnes Jewish Hospital. She supervises MSW practicum students and co-leads the BJH palliative care fellowship wellness program. In addition, she has served pediatric and adult oncology populations. She has completed a certificate program in Mindfulness Based Stress Reduction from the University of Denver.
Summary
Palliative Care social workers are uniquely positioned to introduce Mindfulness-Based Interventions to patients and caregivers. This presentation will explore how to integrate MBIs into clinical practice.

1-B Bringing HOPE to Your Hospice

Session 1

Location
Oasis Hotel and Conference Center
Speakers
  • Angela Huff - RN
    Angela has spent nearly 20 years, of her 30-year career as a registered nurse, in executive leadership positions in home health and hospice operations as well as software development in the post-acute space. She has global experience in the UK, Finland, Canada and Australia in community care. She performs operations improvement assessments and compliance-focused reviews of home health and hospice documentation, including audits and appeals related to the OIG and program integrity as well as compliance risk assessments related to mergers and acquisitions.
Summary
Join this session to learn about and how to implement the HOPE tool (proposed for implementation in 2025). HOPE will replace HIS and expand documentation requirements that CMS utilizes to collect data to enhance HQRP.

1-C What’s Old is New Again: Pharmacist's Favorite Five Meds

Session 1

Location
Oasis Hotel and Conference Center
Speakers
  • Michelle Mikus - PharmD
    Michelle has experience in medication therapy, interdisciplinary teamwork and organizational management. She has a Doctor of Pharmacy degree and is working on her master’s degree in Public Health. Currently, she oversees clinical operations of Delta Care and is an information resource for pharmacists at both Delta Care and client hospices. She is also adjunct faculty at Duquesne University allowing her students to focus their learning on opioids and palliative care.
Summary
This session is an in-depth discussion of five medications that aren’t new but are reemerging in lite of increasingly complex patient symptom management issues and drug shortages.

2-A: DHSS – Hospice Surveyors Hospice Top Deficiencies

Session 2

Location
Oasis Hotel and Conference Center
Speakers
  • Mike Fields - RN
    Michael has been a nurse for over 30 years working and has served as a consultant for a large healthcare corporation regarding workflow, regulatory compliance, and quality improvement. Since 2010 he has been a regulator with the Missouri Department of Health & Senior Services with a focus on Bureau of Home Care and Rehabilitative Standards.
Summary
This session will provide insight into the new hospice survey process released in 2023 focusing on areas that will be encountered during your next survey. It will also share statistics, the most frequently cited deficiencies and provide examples of immediate jeopardy findings. The bureau staff will be available to answer regulatory

2-B: Managing Less Common but Troublesome Symptoms

Session 2

Location
Oasis Hotel and Conference Center
Speakers
  • Caren Martin - PharmD
    Dr. Martin has her doctor of Pharmacy degree, is board certified in geriatric pharmacy and has completed an executive residency with the American Society of Consultant Pharmacists. She has worked in nonconventional clinical roles, including pharmacy association management, senior care, pharmacy benefits management, ambulatory care, value-based care and hospice. She currently serves as Senior Clinical Manager at Enclara Pharmacia and has authored hundreds of articles for national pharmacy publications
Summary
This session will discuss management of some of the more challenging symptoms of hospice and palliative care patients and enable hospice and palliative care teams to understand the clinical data behind various treatment options.

2-C: Hospice Death Vigils: The Final 7 Days

Session 2

Location
Oasis Hotel and Conference Center
Speakers
  • Debra Oliver - PhD
    Debra’s work in the fields of end-of-life, hospice and palliative care has earned national recognition. Her research which promotes shared decision-making for families and caregivers has been awarded funding from the National Institute of Nursing Research, National Institute on Aging and National Cancer Institute and the NIH.
Summary
The final days of hospice are filled with demands and emotion for not only family members but also staff. This session with discuss conversations with over 50 former hospice caregivers about the good, the bad and the ugly of the final seven days. This session will discuss and brainstorm how to make the final days easier for both family and staff who face it every day.

Bridging the Staffing Gap: Insights from the Hospice Nurse Survey

Tuesday Keynote Speaker

Location
Oasis Hotel and Conference Center
Speakers
  • Shelley Henry - RN, CPHRM, CHPN
    Shelley is the Owner and President of The Amity Group, an innovative staffing firm dedicated exclusively to serving the hospice sector. She has authored two seminal works on hospice documentation and pioneered the groundbreaking Hospice Nurse Your Opinion Matters Survey, an initiative aimed at amplifying the voices of hospice nurses and driving positive change within the industry.
Summary
This session will explore insights from the 3rd Annual Hospice Nurse Survey, analyzing responses from 1,349 hospice nurses nationwide, understanding their top concerns and discuss strategies to achieve staffing stability.

3-A CGS – Updates to J15 Medicare Contract MAC

Session 3

Location
Oasis Hotel and Conference Center
Speakers
  • Ariel Taylor - BA
    Ariel has a Bachelor of Arts degree in Psychology and an Associates Degree in Medical Billing & Coding. She is the HH&H Senior Provider Relations Representative for CGS Administrators. Her role is to educate the aid HH&H providers and partners with their billing and technical needs. She has a background in Medicare with her most recent role as Home Health and Hospice Insurance Services Specialist working directly with providers to ensure compliance with federal regulations, working aged accounts and maximizing provider reimbursement.
  • Nykesha Scales - MBA
    Nykesha is the Provider Outreach and Education Manager for CSG J15 and has worked with the Medicare Program for over 20 years. She holds a MBA as well as a Bachelor’s degree in business management with concentrations in Organizational Communication and Human Resources.
Summary
This session will cover essential compliance requirements for the hospice benefit under Medicare. It will include topics such as eligibility criteria, benefits coverage, compliance guidelines, and various audit entities.

3-B: Technology Enhanced Wound & Ostomy Care: Quality, Compliance and Telehealth Enhancements

Session 3

Location
Oasis Hotel and Conference Center
Speakers
  • Julie Roskamp - RN, BSN, CWOCN
    Julie has been a Certified Wound, Ostomy, Continence Nurse for 30 years and has practiced in acute care, skilled nursing facilities and home health and hospice. She is the founder and president of Twin City Wound & Ostomy Associates, a private practice in Minneapolis until she joined the Wound Company Provider Group . She was recently published in STAT and McKnight’s Home Care highlighting a growing problem of wounds for hospice patients and urging a change in the payment structure for agencies providing wound and ostomy care.
Summary
This session will review the history of telemedicine and review an initiative to improve quality of care, reduce supply costs and improve compliance with wound, ostomy and continence care.

3-C: When Grief Remains: Holistic Bereavement Care

Session 3

Location
Oasis Hotel and Conference Center
Speakers
  • Katie Gholson - BCC
    Katie is a Board certified palliative care chaplain at Barne Jewish Hospital. She is currently a doctoral student at Eden Theological Seminary and has a background in pastoral studies and social work.
Summary
This session is an overview of the new DSM IV TR, “Prolonged Grief Disorder” and the ideas surrounding it as well as a didactic about grief and ways to offer holistic care to the bereaved.

4-A: Successfully Navigating Hospice Audits

Session 4

Location
Oasis Hotel and Conference Center
Speakers
  • Angela Huff - RN
    Angela has spent nearly 20 years, of her 30-year career as a registered nurse, in executive leadership positions in home health and hospice operations as well as software development in the post-acute space. She has global experience in the UK, Finland, Canada and Australia in community care. She performs operations improvement assessments and compliance-focused reviews of home health and hospice documentation, including audits and appeals related to the OIG and program integrity as well as compliance risk assessments related to mergers and acquisitions
Summary
This must attend session will cover documentation pitfalls seen in TPE, RAC and UPIC audits, provide ways to solidify your agency’s documentation now and provide suggested strategies to respond to ADRs that can improve affirmation rates.

4-B Documenting Decline (for All Clinical Teammates)

Session 4

Location
Oasis Hotel and Conference Center
Speakers
  • Dianne Wojciechowski - MSW, LCSW
    Dianne is a lead consultant at Hospice Support Specialists bringing 30 years of operations leadership experience consistently demonstrating a pursuit of high-level patient care services, patient experience and operational efficiency. Her areas of expertise include strategic planning and execution, program/project management, continuous process improvement, profit/revenue generation, business optimization, regulator compliance, budget management, team building and leadership, cross-functional collaboration, risk assessment and mitigation, and multi-directional communication.
  • Jeanine Kiehl - MBA, BSN RN
    Jen is a dynamic healthcare clinical, operations, quality and compliance expert. She is owner, CEO and managing consultant at Hospice Support Specialists where she shares her 20 year’s experience in hospice, home health and palliative care working with non-profit, for-profit and national-level organizations. Her experience with various organizations structures and cultures has allowed her to adapt her management style to different situations ensuring her methodology remains effective and relevant.
Summary
This presentation will assist all clinicians (nursing, social work, spiritual care and more) to understand the importance of and learn strategies to appropriately document decline and support eligibility.

4-C: Maintaining a Leadership Compass: Navigating Professional Boundaries for Hospice Leaders

Session 4

Location
Oasis Hotel and Conference Center
Speakers
  • Cynthia Campbell - MHA, BSN
    Cindy is a recognized thought-leader and management consultant to the continuum of healthcare at home. She holds a Master of Health Administration with specialty in Healthcare Informatics and a Bachelor of Science in Nursing. Cindy has served as a Board member of the National Association for Homecare & Hospice, Chair of the Pediatric Homecare & Hospice Association of America and a member of the Executive Committee of the American Telemedicine Association’s Homecare and Remote Monitoring Special Interest Group.
  • Katherine Morrison - MSN, RN, CHPN
    Katherine is the Director of Hospice Consulting Operations for WellSky. She is registered nurse and holds a Master of Science in Nursing with a major in Nursing Informatics. She has a certificate in hospice compliance from the National Hospice and Palliative Care Organization and is a Certified Hospice and Palliative Care Nurse and an End-of-Life Nursing Education Consortium trainer. She serves on the National Association for Home Care and Hospice Advisory Council and Diversity, Equality and Inclusion Council. She has been in hospice leadership roles with expertise in regulator, compliance and operational issues.
Summary
This session will assist leaders who bear the responsibility of safeguarding the well-being of patients, teams and ourselves through maintaining clear boundaries.

5-A: The Use of Artificial Intelligence in the Hospice and Palliative Care Settings: Opportunities and Challenges

Session 5

Location
Oasis Hotel and Conference Center
Speakers
  • Patrick White - MD, PhD
    Dr. White is the Stokes Family Endowed Chair in Palliative and Supportive Care and chief of the division of Palliative Medicine at Washington University School of Medicine and Chief Medical Officer of BJC Home Care and Hospice. He also has a PhD in comparative effectiveness research and cost effectiveness. He provides clinical oversight and oversees education for physicians, nurse practitioners, therapists, nurses and supporting staff at BJC hospitals.
Summary
This session will the use of AI in palliative care including its impact, obstacles to implementation and uses to enhance patient delivery.

5-B: Raising Transformational Funds for Hospices with a Small Staff

Session 5

Location
Oasis Hotel and Conference Center
Speakers
  • Jake Lyons - CFRE, CNP
    Jake is the President and CEO of PRIDE Philanthropy and is an educator, performer and wellness enthusiast. His educational background is in Communications & Public Speaking and is a Certified Fundraising Executive and Certified Nonprofit Professional. He works full-time as a philanthropy professional and educator creating and engaging in education content for the PRIDE Development Institute, offering seminars, workshops and academy programs.
Summary
This session with discuss key strategies to boost fundraising, optimize team efforts and make a significant impact using actionable examples and insights from successful organizations.

5-C: How to Make a Social Impact by Looking at Your Agency

Session 5

Location
Oasis Hotel and Conference Center
Speakers
  • Patty Poore - RB BSN
    Patty has been a hospice nurse for over 25 years and is the Director of Clinical Service for a large hospice & palliative care agency. She is a leader on the DEI/ERG task group for her agency.
  • Tammi Watkins - MSN, NP-C, ACHPN
    Tammi has 24 years experience in hospice and palliative care. She is on the DEI/ERG task group of her agency and is currently on a national task force with Hospice & Palliative Credentialing Center.
Summary
This session will discuss the results on one hospice & palliative care agency’s multidisciplinary workgroup to evaluate internal practices, policies, culture and structure to address conscious and unconscious biases.
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