Page 9 - 2019AnnualConventionBrochure

The Future of Hospice & Palliative Care

A5 - Documentation and Care Planning: The Integration of E6 - Treatment of Dyspnea and Usage of Ventilators in Hospice
Quality Directed Toward Improved Outcomes Samuel Petteway, RPh, MBA, CEO
Tina Marrelli, MSN, MA, RN, FAAN Qualis Management
Kim Corral, RN, BSN, MA Ed Tuesday, April 30 | 1:30-3:30pm
Marrelli and Associates, Inc.
Monday, April 29 | 10:30-12:00pm $2 per patient per day is spent on oxygen for hospice patients in treating
dypsnea. When does it work, when is it non-effective, and what are the best
Why is effective care planning so important and sometimes elusive in practice? practice protocols? What does an oxygen protocol look like? Who is using
Care planning is the process and driver all directed toward meeting patient them? What are their results? Oxygen is an icon for hospice. How do we change
goals. What exactly should an effective care plan look like? This foundational the psychological mindset within us, our patients and their family members?
presentation lays the groundwork for assessing and improving care plans. And what is going on with ventilator usage in hospice? This presentation will
With examples and patient case scenarios the presenters will try and make cover the clinical evidence for best practice treatment of dypsnea in hospice
care planning fun, instructive and interactive. Whether experienced or new to and palliative care patients. We will focus much of the discussion on oxygen
care planning, care planning is the structure from which all care is planned, therapy and when it is appropriate. Lastly, we will discuss observation in the
provided, evaluated and documented. Join us for everything you wanted to increased usage of ventilators in home hospice patients.
know about effective and results-oriented care planning.
F3 - Hospice Regulatory Review and
B5 - Analyzing Claims, Cost Reports and PEPPER Reports for Compliance Issues for 2019
Quality Improvement Iain Stauffer, Of Counsel, Poyner Spruill
Teresa Craig, Director/Post-Acute Community Strategist, Tuesday, April 30 | 3:15-4:15pm
Netsmart
Monday, April 29 | 1:45-3:15pm This presentation will review hospice regulations and compliance
issues encountered by hospice agencies.
Do you view standard CMS information as “compliance only”? Many agencies
do, and they fail to use the data as a quality improvement tool. CMS gathers a
great deal of information about hospices from claims, cost reports, the Hospice F4 - How Does Hospice Pharmacy Pricing REALLY Work?
Item Set and surveys. PEPPER reports are also available and widely underused Drew Mihalyo, PharmD
by agencies. This session will outline how leaders can use this data to maximize President & COO, Delta Care Rx
the quality and effectiveness of their own programs and improve quality of Tuesday, April 30 | 3:15-4:15pm
care.
With the advent of what has been an ever-changing relationship between
C3 - Staying Steady: Hospice Falls Performance Improvement Medicare Part D and the hospice benefit, re-evaluating current or properly
navigating entry into new hospice pharmacy purchasing arrangements has
Keeping Patients Safe at Home been at the top of every hospice administrator’s to-do list. This presentation
Melissa Coursey, MSW, LCSW, Emily Bowers, MPH, CHQ will uniquely equip participants with insider knowledge necessary to craft
Atrium Health - Carolinas Hospice & Palliative Care Network economical and therapeutically effective medications purchasing models with
Monday, April 29 | 3:30-4:30pm industry specific vendors and pharmacies.
This session will review the organization’s Hospice Home Care Fall Performance G3 - Hospice Documentation:
Improvement project which consisted of three key areas: accurate and complete Who What Where Why and When?
reporting of falls; education for teammates, patients, and families/caregivers on
fall prevention tactic and strategies; and ensuring a comprehensive approach to Susan M. Fradenburg, Attorney
the safety of patients by focusing beyond the fall event itself and concentrating Fox Rothschild, LLP
on root causes. The presenters will explain the concepts and results of the Tuesday, April 30 | 4:30-5:30pm
project so that attendees can identify and target areas of improvement within
their agencies for hospice home care falls prevention. Good documentation in hospice records is key to providing quality services to
the client and assuring compliance with federal regulations and payment. This
D4 - Top 5 Hospice Medical Review Denials and program will focus on what information needs to be included in the Hospice
record and provide suggestions regarding how to appropriately document
How to Avoid Them care. The program will also specifically address documentation considerations
Melinda Gaboury, COS-C, Co-Founder/CEO when a client’s stay in the hospice program exceeds six months. Practical
Healthcare Provider Solutions examples will be provided of good and poor documentation based on actual
questions raised in False Claims actions against hospice providers. The program
Tuesday, April 30 | 10:45am-12:15pm should provide attendees with guidance regarding creating a complete and
In the current environment of targeted and third party reviews, there is a compliant record.
constant concern of reviews that could result in recoupment of payments
already made to hospices. This session will narrow the focus to the top five G4 - Professional Boundaries:
denial reasons, go into depth on each one and provide broader concepts. This
session will highlight the documentation requirements to avoid the denials and Protecting You and the Clients You Serve
the regulations that support. If your hospice is currently in a review or is just Melissa Coursey, MSW, LCSW
looking to improve the quality review standards, this session is a must. Ric Durham, M. Div, BCC
Hospice & Palliative Care of Cabarrus County
E3 - Enriching Your Bereavement Program by Tuesday, April 30 | 4:30-5:30pm
Thinking Outside the Box When providing end-of-life care, healthcare professionals are particularly
Heather Calhoun, RN, BSN, COSC, HCSD, HCSH, Home Health susceptible to boundary concerns due to the environment of care and the
Solutions intensity of the care situation. Understanding the importance of healthy
Tuesday, April 30 | 1:30-3:00pm boundaries and recognizing the negative outcomes of boundary violations is
crucial to ensuring the best quality of care for Hospice recipients, as well as
Bereavement programs often do not get the attention they deserve. These combating compassion fatigue. In this interactive session, we will explore the
programs can be a vital aspect of both the bereaved and the community. This importance of healthy boundaries in the professional/client relationship. We
presentation will delve into ways to develop a robust bereavement program will discuss the potential outcomes of boundary concerns. We will also explore
that will not only address the requirements by Medicare but also increase the difference between a “boundary crossing” versus a “boundary violation.”
exposure in the community that you serve. This session will: review the COPs Practical tips for maintaining a therapeutic relationship will be provided.
in relation to bereavement; how to effectively use the agency bereavement
program to increase referrals; identify unique ways to both document and
create care plans to address the bereaved needs; define how to measure
effectiveness of agency program; and the importance of incorporating the
bereavement program into your QAPI program. 9