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TheJournalJournalTheJournalTheTheJournalJuly 2010

in this issue

Leadership Conference

next month: 717 Kerlerec, N.O., LA 70116 Toll Free 1-888-546-1500(504) 945-2414 Fax (504) 948-3908 www.LMHPCO.org

Not yet a Member?Get more information about LMHPCO at www.LMHPCO.org

Liver Disease

of the Louisiana-Mississippi Hospice & Palliative Care OrganizationPalliative Care Organization

Imagine. Think out of the box. Let your mind soar. This is what the LMHPCO Education Committee had in mind beginning with the first planning meeting for the 2010 Annual Leadership Conference. What will hospice look like in 5 years from now? 10 years? What does it take to make a great hospice? What can we do differently to improve our services? What other programs can we offer? What about all of the regulatory changes?

The agenda for this year’s conference promises to be one that will help conference attendees as they began to Imagine. There are sessions to challenge you, to help you understand new There are sessions to challenge you, to help you understand new There are sessions to challenge you, to help you understand new There are sessions to challenge you, to help you understand new regulations, to help you think out of the box and to give you regulations, to help you think out of the box and to give you insight into potential new program areas. We are excited about insight into potential new program areas. We are excited about the VA programs being offered this year and extend a warm the VA programs being offered this year and extend a warm the VA programs being offered this year and extend a warm welcome to all, especially our VA friends.

As the Education Committee worked diligently in preparing this As the Education Committee worked diligently in preparing this As the Education Committee worked diligently in preparing this As the Education Committee worked diligently in preparing this As the Education Committee worked diligently in preparing this As the Education Committee worked diligently in preparing this As the Education Committee worked diligently in preparing this year’s agenda, we never imagined we would be faced with the year’s agenda, we never imagined we would be faced with the year’s agenda, we never imagined we would be faced with the year’s agenda, we never imagined we would be faced with the year’s agenda, we never imagined we would be faced with the year’s agenda, we never imagined we would be faced with the year’s agenda, we never imagined we would be faced with the year’s agenda, we never imagined we would be faced with the year’s agenda, we never imagined we would be faced with the year’s agenda, we never imagined we would be faced with the unexpected death of our keynote speaker, Dr. Carlos Gomez. unexpected death of our keynote speaker, Dr. Carlos Gomez. unexpected death of our keynote speaker, Dr. Carlos Gomez. unexpected death of our keynote speaker, Dr. Carlos Gomez. unexpected death of our keynote speaker, Dr. Carlos Gomez. unexpected death of our keynote speaker, Dr. Carlos Gomez. unexpected death of our keynote speaker, Dr. Carlos Gomez. unexpected death of our keynote speaker, Dr. Carlos Gomez. unexpected death of our keynote speaker, Dr. Carlos Gomez. The committee was deeply impacted. While we had never The committee was deeply impacted. While we had never The committee was deeply impacted. While we had never The committee was deeply impacted. While we had never The committee was deeply impacted. While we had never The committee was deeply impacted. While we had never The committee was deeply impacted. While we had never The committee was deeply impacted. While we had never met him in person, we had spoken with Dr. Gomez at length. met him in person, we had spoken with Dr. Gomez at length. met him in person, we had spoken with Dr. Gomez at length. met him in person, we had spoken with Dr. Gomez at length. He had conferenced in on an Education Committee call so He had conferenced in on an Education Committee call so He had conferenced in on an Education Committee call so He had conferenced in on an Education Committee call so He had conferenced in on an Education Committee call so He had conferenced in on an Education Committee call so committee members could share their expectations of what he committee members could share their expectations of what he committee members could share their expectations of what he committee members could share their expectations of what he committee members could share their expectations of what he committee members could share their expectations of what he could bring to the conference. We had truly made a new friend could bring to the conference. We had truly made a new friend could bring to the conference. We had truly made a new friend could bring to the conference. We had truly made a new friend could bring to the conference. We had truly made a new friend could bring to the conference. We had truly made a new friend could bring to the conference. We had truly made a new friend could bring to the conference. We had truly made a new friend and colleague in the end-of-life care arena.and colleague in the end-of-life care arena.

We are grateful to Dr. Marcia Levetown for her desire to see the conference move forward in spite of such a great loss. Dr. Levetown was a colleague and personal friend of Dr. Gomez. Dr. Levetown was expedient in providing the information necessary for all of the continuing education requirements

and has been a delight to work with. In the face of tragedy, LMHPCO has made yet another friend in the end-of-life care arena. The Education Committee wishes to publicly thank Dr. Levetown for her passion, expertise and help extended to LMHPCO in our time of need. Dr. Levetown will

issue a challenge to us as she helps us Imagine who we are issue a challenge to us as she helps us Imagine who we are issue a challenge to us as she helps us Imagine who we are as end-of-life care providers and where we are headed in the as end-of-life care providers and where we are headed in the as end-of-life care providers and where we are headed in the future. Her passion is contagious.future. Her passion is contagious.future. Her passion is contagious.future. Her passion is contagious.future. Her passion is contagious.future. Her passion is contagious.

The LMHPCO Education Committee would like to express its The LMHPCO Education Committee would like to express its The LMHPCO Education Committee would like to express its The LMHPCO Education Committee would like to express its The LMHPCO Education Committee would like to express its The LMHPCO Education Committee would like to express its The LMHPCO Education Committee would like to express its The LMHPCO Education Committee would like to express its The LMHPCO Education Committee would like to express its The LMHPCO Education Committee would like to express its gratitude to NHPCO and the American Hospice Foundation as gratitude to NHPCO and the American Hospice Foundation as gratitude to NHPCO and the American Hospice Foundation as gratitude to NHPCO and the American Hospice Foundation as gratitude to NHPCO and the American Hospice Foundation as gratitude to NHPCO and the American Hospice Foundation as gratitude to NHPCO and the American Hospice Foundation as they immediately came forward to offer their assistance. they immediately came forward to offer their assistance. they immediately came forward to offer their assistance. they immediately came forward to offer their assistance. they immediately came forward to offer their assistance. they immediately came forward to offer their assistance. they immediately came forward to offer their assistance. they immediately came forward to offer their assistance. they immediately came forward to offer their assistance.

On behalf of the entire organization, the LMHPCO Education On behalf of the entire organization, the LMHPCO Education On behalf of the entire organization, the LMHPCO Education On behalf of the entire organization, the LMHPCO Education On behalf of the entire organization, the LMHPCO Education On behalf of the entire organization, the LMHPCO Education On behalf of the entire organization, the LMHPCO Education On behalf of the entire organization, the LMHPCO Education On behalf of the entire organization, the LMHPCO Education Committee extends our deepest sympathy to the family of Dr. Committee extends our deepest sympathy to the family of Dr. Committee extends our deepest sympathy to the family of Dr. Committee extends our deepest sympathy to the family of Dr. Committee extends our deepest sympathy to the family of Dr. Committee extends our deepest sympathy to the family of Dr. Committee extends our deepest sympathy to the family of Dr. Committee extends our deepest sympathy to the family of Dr. Committee extends our deepest sympathy to the family of Dr. Carlos Gomez.Carlos Gomez.Carlos Gomez.Carlos Gomez.Carlos Gomez.Carlos Gomez.

It is the desire of the LMHPCO Education Committee that you It is the desire of the LMHPCO Education Committee that you It is the desire of the LMHPCO Education Committee that you It is the desire of the LMHPCO Education Committee that you It is the desire of the LMHPCO Education Committee that you It is the desire of the LMHPCO Education Committee that you It is the desire of the LMHPCO Education Committee that you It is the desire of the LMHPCO Education Committee that you It is the desire of the LMHPCO Education Committee that you It is the desire of the LMHPCO Education Committee that you It is the desire of the LMHPCO Education Committee that you It is the desire of the LMHPCO Education Committee that you receive valuable, useful information from this year’s conference receive valuable, useful information from this year’s conference receive valuable, useful information from this year’s conference receive valuable, useful information from this year’s conference receive valuable, useful information from this year’s conference receive valuable, useful information from this year’s conference receive valuable, useful information from this year’s conference receive valuable, useful information from this year’s conference receive valuable, useful information from this year’s conference receive valuable, useful information from this year’s conference receive valuable, useful information from this year’s conference receive valuable, useful information from this year’s conference that will be of help to you as you continue to provide quality that will be of help to you as you continue to provide quality that will be of help to you as you continue to provide quality that will be of help to you as you continue to provide quality that will be of help to you as you continue to provide quality that will be of help to you as you continue to provide quality that will be of help to you as you continue to provide quality that will be of help to you as you continue to provide quality that will be of help to you as you continue to provide quality that will be of help to you as you continue to provide quality that will be of help to you as you continue to provide quality that will be of help to you as you continue to provide quality care to your patients and their families. We hope you enjoy the care to your patients and their families. We hope you enjoy the care to your patients and their families. We hope you enjoy the care to your patients and their families. We hope you enjoy the care to your patients and their families. We hope you enjoy the care to your patients and their families. We hope you enjoy the care to your patients and their families. We hope you enjoy the care to your patients and their families. We hope you enjoy the care to your patients and their families. We hope you enjoy the care to your patients and their families. We hope you enjoy the care to your patients and their families. We hope you enjoy the care to your patients and their families. We hope you enjoy the care to your patients and their families. We hope you enjoy the care to your patients and their families. We hope you enjoy the care to your patients and their families. We hope you enjoy the conference!conference!conference!conference!

There are sessions to challenge you,to help you understand new

regulations, to help you think out of the box and to give you insight into

potential new program areas.


The Louisiana-Mississippi Hospice and Palliative Care Organization is a 501(c)3 non-profit organization governed by a board of directors representing all mem-ber hospice programs. It is funded by membership dues, grants, tax-deductible donations and revenues generated by educational activities. LMHPCO exists

to ensure the continued development of hospice and palliative care services in Louisiana and Mississippi. LMHPCO provides public awareness, education,

research, and technical assistance regarding end-of-life care, as well as advocacy for terminally ill and bereaved persons, striving to continually improve the qual-

ity of end-of-life care in Louisiana and Mississippi. EXECUTIVE BOARDPresident, Stephanie SchedlerMemorial Hospice & Palliative Care1045 Florida Avenue • Slidell, LA 70458Phone: 985-847-0174 888-643-2041Fax: 985-649-0671 • E-mail: [email protected], Belinda PattersonHospice Ministries450 Town Center Boulevard • Ridgeland, MS 39157Phone: 601-898-1053 • 800-273-7724Fax: 601-898-1805E-mail: [email protected], Ann WalkerMagnolia Regional Health Center & Hospice2034 East Shiloh Road • Corinth, MS 38834Phone: 662-293-1405 • 800-843-7553Fax: 662-286-4242 • E-mail: [email protected], Martha McDurmondHospice of Shreveport/Bossier3829 Gilbert (Madison Park)Shreveport, LA 71104-5005Phone: 318-865-7177 • 800-824-4672Fax: 318-865-4077 • E-mail: [email protected] LOUISIANA AT LARGE MEMBERSLarry Durante, St. Joseph Hospice and Palliative Care, LLC 824 Elmwood Park Boulevard, Suite 155New Orleans, LA 70123 Phone: 504-734-0140 • Toll-Free: 866-734-0140Fax: 504-734-0320 • [email protected] Kathleen GuidryLouisiana Hospice & Pallaitive Care Jennings422 Kade Dr. Ste. 4 • Jennings, LA 70546Phone: 337-616-3482 • Fax: 337-616-9399E-mail: [email protected] Phelps, Christus Cabrini Hospice4801 Jackson Street Extention, Suite BAlexandria, LA 71302(318) 448-6764 • (318) [email protected] MISSISSIPPI AT LARGE MEMBERSMike DavisOdyssey Healthcare of Jackson5 Old River Place, Suite 200 • Jackson, MS 39202-3449Phone: 601-973-3550 • Toll Free: 866-973-3550Fax: 601-973-3551 • [email protected] Melita Miller, RN, Forrest General Hospital1414 South 28th Avenue • Hattiesburg, MS 39402Tel (601) 288-2421 • Fax (601) 288-2401(800) 844-4663 • [email protected] Cindy Clark Van WoeartDelta Regional Medical Center Hospice 300 South Washington Avenue / PO Box 5247 Greenville , MS 38704-5247Phone: 662-725-1200 • Toll-Free: 888-516-9229Fax: 662-725-2309 • [email protected]

Executive Director, Jamey Boudreaux717 Kerlerec • New Orleans, LA 70116

Phone: 504-945-2414 • Toll-Free: 888-546-1500Fax: 504-948-3908

E-mail: [email protected] Director, Nancy Dunn

P.O. Box 1999 • Batesville, MS 38606Phone: 662-934-0860 • Fax: 504-948-3908

E-mail: [email protected] F F

The Journal is produced monthly by Noya Design, Inc.Newsworthy submissions are encouraged. Please contact

Glenn Noya with questions, comments and submissions atph: 504-455-2585 • Em: [email protected]

The Leslie Lancon Memorial Education Nursing Scholarship was established in 2005 by LMHPCO. The annual scholarship will be awarded to support hospice nursing excellence and education throughout Lousisiana and Mississippi. The awards will focus not only on excellence for those seeking academic degrees in hospice nursing, but also those seeking advanced certification in hospice and palliative care nursing.

Donations may be sent payable to LMHPCO, 717 Kerlerec • New Orleans, LA 70116

2009-2010 Education Committee MembersLMHPCO gratefully acknowledges the Education Committee

Members for their time and expertise in the planning and implementation of this year’s conference.

Sandra Bishop, DNSLMHPCO Outgoing President;Assistant Professor, University of Southern Mississippi, School of Nursing

Jamey Boudreaux, MSW, M. DivLMHPCO Executive Director

Isabel Cordua, BADirector of Support Services,Hospice Ministries, Inc.Ridgeland, MS

Rev. Tim DixonAdministrator, Legacy Hospice of the South, Corinth, MS

Susan Drongowski, RN, BS, MAIndividual Member, New Orleans, LA

Nancy Dunn, RN, MS, CTLMHPCO Education Director,Committee Chair

Larry Grubbs, D. MIN, MSW, LCSW-BACSProfessor of Social Work, Grambling State University School of Social Work

Kathleen Guidry, RN, BSN, DONLA Hospice & Palliative Care, Jennings, LA

Tammy LeBouef, RN, CHPN Individual Member, Lake Charles, LA

Jack McNulty, MD, FACP, FAAHPM Medical Director, Hospice of St. Tammany, Covington, LA

Glen Mire, MD, ABFMMedical Director, Hospice of Acadiana, Lafayette, LA

Stephanie Schedler, CHCELMHPCO Incoming President; CEO,Glendale Healthcare, Mandeville, LA

Glenda Sinclair, RNExecutive DirectorHospice Compassus, McComb, MS

Rev. Amy ZiettlowCOOHospice of Baton Rouge

Louisiana-Mississippi Hospice & Palliative Care Organization

Conference Objectives1. Understanding of the hospice history and philosophy as well as the challenges providers face in attempting to re-capture the spirit of hospice in today’s regulatory environment

2. Identification of philosophy and scope of service for PACE programs as well as a comparison of hospice/PACE similarities and differences

3. Understanding of the purpose, goals and structure of the VA’s Comprehensive End-of-Life Care (CELC) initiative as well as the VA’s strategy for the establishment and sustainable infrastructure for its Hospice and Palliative Care programs

4. Understanding of the hospice data analysis for Louisiana and Mississippi and implications of exceeding the hospice cap



2010 LEADERSHIP CONFERENCE SESSIONS-AT-A-GLANCE

12:00 – 1:00 Registration

1:00-2:30 Concurrent Sessions

PR 1 Evaluation & Management of Pain in Patients with Life Limiting IllnessJack McNulty, MD, FAAHPM, Medical Director, Hospice of St. Tammany; President, Palliative Care Institute of Southeast LA PR 2 Special Psychosocial Issues for VeteransH H H Amos Bailey, MD, FACP, FAAHPMDirector, Palliative Care, Birmingham VAMC, Assistant Professor Geriatric, Gerontology and Palliative Care, University of Alabama at Birmingham

PR 3 Professional Boundaries: Helping Your Staff Not to Step over the LineNita Fowler, BSN, RN, Home Health & Hospice Manager, Accreditation Commission for Health Care (ACHC)

PR 4 Leadership Development Sandra Bishop, D.N.S., RNAssistant Professor, The University of Southern Mississippi School of Nursing, LMHPCO Outgoing PresidentStephanie Schedler, CHCEMemorial Hospital and Palliative Care, LMHPCO Incoming President

PR 5 Advance Care PlanningLarry Grubbs, D. Min., MSW, LCSW-BACSProfessor of Social Work, Graduate FacultyGrambling State University School of Social WorkSusan Nelson, MD, FACP, FAAHPMFranciscan Missionaries of Our Lady Health System

2:30-3:00 Break


PR 6 The Management of Non Pain Symptoms in Patients with Life Limiting IllnessGlenn Mire, MD, ABFM, Medical Director, Hospice of Acadiana, Inc., Clinical Associate Professor, LSU Family Medicine

PR 7 Psychiatric Medications at the End of LifeH H H Amos Bailey, MD, FACP, FAAHPM, Director, Palliative Care, Birmingham VAMC, Assistant Professor Geriatric, Gerontology and Palliative Care, University of Alabama at Birmingham PR 8 Plan for the Future: How an Estate Plan Puts You in ControlNicholas LaMothe, CFS, RNWilliam Duncan, MBA, BSNTroy Macaluso, PhD, CFPAmeriprise Financial

PR 9 Achieving Performance Excellence and Sustaining Compliance through CHAP Hospice AccreditationLinda Scott, MSHA, RNChief Operating Officer, Community Health Accreditation Program (CHAP)

PRE-CONFERENCETuesday, July 27, 2010

GOING GREENIn an effort to be more

environmentally conscious, no paper handouts will be available at this year’s conference. Attendees will receive a CD of all submitted

conference handouts.

Marketplace Bookstore

NHPCO Marketplace Bookstore will be located in the Acadia Room on the 9th

floor, next to the registration desk. Be sure to stop by and check out the great resources.




7:00 – 8:30 Registration / Breakfast/ Exhibit Hall Open

8:30-8:45 Opening Ceremony—Color Guard 8:45 – 9:00 Welcome – Sandra Bishop, D.N.S., RN, LMHPCO Outgoing PresidentStephanie Schedler, CHCE, LMHPCO Incoming President

9:00 – 10:00 Opening Plenary: “The Prevention and Relief of Suffering: Revisiting the Mission of Hospice Care”Marcia Levetown, MD, FAAP, FAAHPM Principal, HealthCare Communication Associates

10:00 – 10:30 Morning Break

10:30 – 12:00 Morning Concurrent Sessions

A 1 Eyes Wide Open: Treating Insomnia in the Hospice/Palliative Care PatientMyra T. Belgeri, PharmD., CGP, BCPS, FASCPHospiScript, Services, LLC A 2 Culture of the VeteranH H H Amos Bailey, MD, FACP, FAAHPMDirector, Palliative Care, Birmingham VAMC,Assistant Professor Geriatric, Gerontology and Palliative Care, University of Alabama at Birmingham A 3 Ethical Issues in Pediatric Palliative Care: Interactive Case StudiesMarcia Levetown, MD, FAAP, FAAHPMPrincipal, HealthCare Communication Associates

A 4 RACs, MACs, MICs, ZPICs & More Julie B. Mitchell, J.D., LL.M, Health LawMitchell Day Health Law FirmD. James Blackwood, Jr. J.D.Copeland, Cook, Taylor & Bush, P.A A 5 It Takes a Village (The Hospice Team) Donna R. Evans, LSW, Hospice Ministries, Inc. A 6 LMHPCO Legislative AdvocacyJohn Sullivan, BS, MA, GPAC Owner/Principle, Director of the Alliance A7 Hospice Patients in the Home Care Setting who may be at Risk of Abuse, Neglect and Exploitation (Part 1 of 2)Nancy Gustafson, BSN, MPHMSDH State Surveyor, MSDH Complaint InvestigatorJoe Sanderson, Criminal InvestigatorOffice of the Attorney General, Jackson, MSRob Rushton, BS, Law Enforcement Investigator,Senior Office of the Attorney General, Jackson, MS

12:00 – 12:15 Break

12:15 – 1:30 Lunch/LMHPCO Annual Meeting(Lunch provided), Fashion Show

1:30 - 1:45 Break

1:45 – 3:15 Afternoon Concurrent Sessions

B 1 Palliative SedationJohn Redden, RPh, CGP, PharmD, VP Clinical Practice, Hospiscript

B 2 Building a Veteran-centric Culture in H H H Your Hospice AgencyDiane Jones, MSW, Palliative Care Consultant, Ethos Consulting Group

B 3 Leadership Strategies for Today’s Regulatory EnvironmentSusan Drongowski, RN, BS, MA, Associate Consultant, Weatherbee Resources, Inc.

B 4 Spirituality & Body Image Following a Medical CrisisJeffery Murphy, M.DIV., BCC, Clinical Chaplain, University of MS Medical Center

B 5 MS Emergency Management Update and Expectations for HospicesC.J. Davis, Ph.D., Office of Emergency Planning and Response, Mississippi Department of Health

B 6 LA Emergency Management Update and Expectations for HospicesDoris G. Brown, MS, M.Ed, RN, CNSPublic Health Executive Director, Louisiana Department of Health and Hospitals Office of Public Health-Center for Community Preparedness

B 7 Hospice Patients in the Home Care Setting who may be at Risk of Abuse, Neglect and Exploitation (Part 2 of 2)Nancy Gustafson, BSN, MPHMSDH State Surveyor, MSDH Complaint InvestigatorJoe Sanderson, Criminal InvestigatorOffice of the Attorney General, Jackson, MSRob Rushton, BS, Law Enforcement Investigator, SeniorOffice of the Attorney General, Jackson, MS

3:15 – 3:45 Afternoon Break

3:45 – 4:45 Afternoon Plenary: H H H VA’s Comprehensive End-of-Life Care Initiative: Honoring Veterans’ Preferences in VA and the Community Carol A. Luhrs, MD, Chief, Hematology/Oncology, Brooklyn Campus, New York Harbor HCS, Director, Palliative Care, VISN 3, Director, VA CELC Implementation Center, Associate Professor of Clinical MedicineState University of New York at Downstate Medical Center

4:45 – 6:30 Exhibitor’s Cocktail Reception

CONFERENCEWednesday, July 28, 2010

3030 Severn Ave. • Metairie, LA 70002(504) 779-1234

www.uastores.comCarrie Dunn - [email protected]




7:30 – 8:15 Breakfast & Exhibit Hall Open

8:15-8:30 Morning Remarks: “Navigating the LMHPCO Website”Jamey Boudreaux, MSW, M.Div.,LMHPCO Executive DirectorNancy Dunn, RN, MS, CTLMHPCO Education Director

8:30 – 10:00 Morning Plenary Hospice and PACE – Fraternal Twins?Samira K. Beckwith, LCSW, FACHEPresident/CEO Hope HealthCare ServicesLinda Todd, RN, BADirector for Hospice of Siouxland/Siouxland PACEKarren Weichert, President/CEO, Midland Care Connections



C 1 Evaluation & Management of Constipation in Patients with Life Limiting IllnessGlenn Mire, MD, ABFM, Medical Director, Hospice of Acadiana, Inc., Clinical Associate Professor, LSU Family Medicine

C 2 The Bereaved Family Survey: A comprehensive approach to Quality Improvement in the VAH H H Carol A. Luhrs, MD, Director, Palliative Care, VISN 3, Director, VA CELC Implementation Center C 3 Fundamental Health Law for Hospice and Palliative CareChristopher DeMeo, JDAttorney, Munsch Hardt Kopf & Harr, P.C.

C 4 Imagine the Healing PowerRev. Ruth L. Lovell, M. Div., Family Care Coordinator, Mid-South Transplant FoundationTiffany Bozoudes, CTBS, Tissue Recovery Coordinator, Transplant Foundation, Inc.

C 5 DHH UpdateMarian Tate, RN, BSN, DHH Medical Certification Program Manager

C 6 Recovery Audit Contractors and MedicareScott Wakefield, Project Officer CMS, Division of Recovery Audit Operations, Provider Compliance Group, Office of Financial Management Centers for Medicare and Medicaid Services

C7 Quality Assessment-Performance Improvement: Keep it Simple, SmartyCindy McCarville, BS, CHAProgram Liaison, Secure Computing/mumms


12:15 – 1:30 Lunch/ Heart of Hospice Awards (Lunch Provided)

1:30 – 1:45 Break


D 1 Introduction to Opioid & Non-Opioid Pain TherapyCurt Bicknell, BS, PharmD.Client Relations Liaison, Hospice Pharmacia

D 2 Heroes Among UsH H H Deborah Grassman, ARNP, Director of Hospice & Palliative Care, Bay Pines VAMC

D 3 African Americans and End-of-Life CareAngelita H. Brown, MSProgram Manager, LSUHSC School of Nursing

D 4 Strategic PlanningSandra Bishop, D.N.S., RN, Assistant Professor, The University of Southern Mississippi School of Nursing

D 5 Reshaping Medicaid: LA Medicaid UpdateRodney Wise, MD, Medicaid Medical DirectorAnn Donley, RN, Medicaid Coordinated Care

D 6 MS Medicaid UpdateJ. Courtney Horton, III, MS, Division of MedicaidRandy Ponder, ACSProvider Services Regional Coordinator

D 7 Regulatory Compliance for the Hospice Medical DirectorJennifer Kennedy, MA, BSN, RNNHPCO Regulatory & Compliance Director


3:45 – 4:45 Closing Plenary: “Medical Review Update: Analysis of Hospice Claims for LA and MS” Mary Jane Schultz, RNDirector, Medical Review, Palmetto GBA

CONFERENCEThursday, July 29, 2010




7:30 -8:30 Registration

8:30-10:00 Morning Concurrent Session

PC 1 Managing Difficult SymptomsLaurence Durante, MDMedical Director, St. Joseph Hospice and Palliative Care

PC 2 Palmetto GBA: Investigating the Basics of Medicare (Part 1 of 2)Marilyn Jeske, BSOmbudsman, Palmetto GBAMary Jane Schultz, RNDirector, Medical Review Palmetto GBA

PC 3 How Medicare Data Can Help YOUR Hospice (Part 1 of 2)Cordt T. Kassner, PhDHospice Analytics, Inc.

PC 4 Ethical/Legal Issues in End of Life CareTanya Schreiber, DNS (c), PHCNS-BC, ACHPNAssistant Professor, Dept. of Nursing,Nicholls State University

PC 5 Psychosocial/Spiritual Resilience for Hospice Caregivers: An Overview for Clinicians, Clergy, and Administrators (Part 1 of 2)Kathleen Regan Figley, MS, DMinPresident/Founder Figley InstituteAdjunct Faculty Tulane University

PC 6 Regulatory Guidance for Hospice Volunteer ManagersJennifer Kennedy, MA, B.S.N., RNNHPCO Regulatory & Compliance Director

PC 7 End of Life Care: The Catholic Perspective (Part 1 of 2)Most Reverend Gregory M. AymondArchbishop of New Orleans

10:00 – 10:30 Break 10:30 – 12:00 Concurrent Sessions PC 8 Principles of Pediatric Palliative Care Marcia Levetown, MD, FAAP, FAAHPM Principal, HealthCare Communication Associates

PC 9 Palmetto GBA: Investigating the Basics of Medicare (Part 2 of 2)Marilyn Jeske, BS, Ombudsman, Palmetto GBAMary Jane Schultz, RNDirector, Medical Review Palmetto GBA

PC 10 How Medicare Data Can Help YOUR Hospice (Part 2 of 2)Cordt Kassner, PhD., Hospice Analytics, Inc.

PC 11 Documentation for Hospice EligibilityJennifer Kennedy, MA, BSN, RNNHPCO Regulatory & Compliance Director

PC 12 Psychosocial/Spiritual Resilience for Hospice Caregivers: An Overview for Clinicians, Clergy, and Administrators (Part 2 of 2)Kathleen Regan Figley, MS, DMinPresident/Founder Figley Institute,Adjunct Faculty Tulane University

PC 13 Communication Concepts for VolunteersRev. Amy Ziettlow, M.Div.Kristin Gibbs, BALaura Savage, BAHospice of Baton Rouge

PC 14 End of Life Care: The Catholic Perspective (Part 2 of 2)Most Reverend Gregory M. AymondArchbishop of New OrleansSusan Nelson, MD, FACP, FAAHPMFranciscan Missionaries of Our Lady Health System

POST-CONFERENCEFriday, July 30, 2010



LMHPCO Pre-COnferenCe

12:00 – 1:00 Registration


PR 1 Evaluation & Management of Pain in Patients with Life Limiting Illness

Jack McNulty, MD, FAAHPM, Medical Director, Hospice of St. Tammany; President, Palliative Care Institute of Southeast LAThe undertreatment of pain, especially of chronic pain in those patients suffering from life-threatening conditions requires changes in physician’s attitudes and knowledge of

modern pain management. The standard of care for the treatment of pain is changing as new advances are imple-mented.At the end of this activity the learner will be able to:• Be reassured that the “Barriers” to treating pain

should no longer prevent safe, effective treatment of pain

• Become comfortable treating pain in patients who may be dying

• Recognize the differences between acute pain and chronic pain

• Apply modern principles to the selection and use of opioids for pain unresponsive to other treatment modalities

PR 2 Special Psychosocial Issues for VeteransH H H Amos Bailey, MD, FACP, FAAHPM

Director, Palliative Care, Birmingham VAMC, Assistant Professor Geriatric, Gerontology and Palliative Care, University of Alabama at BirminghamThis presentation will discuss issues such as PTSD, Military Sexual Trauma, Traumatic Brain Injury, Substance Use Disorders, and

Suicidal Issues as they relate to Veterans and End-of-Life care.At the end of this activity the learner will be able to:• Have a recognition of PTSD• Describe and have an understanding of Military

Sexual Trauma• Have a better understanding of Traumatic Brain Injury• Identify Substance Use Disorders• Better understand Suicidal Issues

PR 3 Professional Boundaries: Helping Your Staff Not to Step over the Line

Nita Fowler, BSN, RN, Home Health & Hospice Manager, Accreditation Commission for Health Care (ACHC)Providing hospice care to patients in their place of residence is a job like no other. This presentation will help you and your staff to remain the professional and not a “member

of the family”.At the end of this activity the learner will be able to:• Define professional boundaries• Understand consequences of stepping over the line• Identify staff education techniques

PR 4 Leadership Development Sandra Bishop, D.N.S., RNAssistant Professor, The University of Southern Mississippi School of Nursing, LMHPCO Outgoing PresidentStephanie Schedler, CHCEMemorial Hospital and Palliative Care, LMHPCO Incoming PresidentThis session is a must for those aspiring for leadership positions such as being a mem-ber of a Board of Directors, Committee membership, or program administrators. The importance of fiduciary responsibility, strate-gic planning and conflict management will be addressed.

At the end of this activity the learner will be able to:• Discuss the 10 basic responsibilities of nonprofit

boards• Define the importance of the board’s strategic

management of the organization• Explore the fiduciary responsibilities of a nonprofit

board• Examine the process and procedure for board

meetings• Discuss two main types of board conflicts• Explore the emotional elements of board member

conflicts• Describe the concept of “communication in a

fishbowl” as it relates to nonprofit boards

PR 5 Advance Care PlanningLarry Grubbs, D. Min., MSW, LCSW-BACSProfessor of Social Work, Graduate FacultyGrambling State University School of Social WorkSusan Nelson, MD, FACP, FAAHPMFranciscan Missionaries of Our Lady Health System

Advance care planning is gaining an increase in promi-

Tuesday, July 27, 2010


LMHPCO Pre-COnferenCe

nence in today’s culture. This session will focus on the role of advance care planning in providing quality end of life care.At the end of this activity the learner will be able to:• Discuss the importance of addressing End-of-life Advance Care Planning from the

perspective of the combined IDT• Examine the various documents most often used in

Advance Care Planning• Discuss the difficulty and challenging issues and

experiences in End-of-life Advance Care Planning• Discuss the aspects of cultural sensitivity in Advance

Care Planning• Discuss POLST paradigm• Examine Legislative process, LA POLST and

implementation

2:30-3:00 Break


PR 6 The Management of Non Pain Symptoms in Patients with Life Limiting Illness

Glenn Mire, MD, ABFM, Medical Director, Hospice of Acadiana, Inc., Clinical Associate Professor, LSU Family Medicine Common non-pain symptoms in patients with a life-limiting illness include anorexia/cachexia, anxiety, constipation, delirium, depression, dyspnea, fatigue/asthenia, and

nausea/vomiting. Pharmaceutical and non-pharmaceutical methods of symptom control are reviewed. Evidence-based methods are presented when available.At the end of this activity the learner will be able to:• Identify common non-pain symptoms that occur in

patients with life-limiting illness• Describe effective strategies to manage non-pain

symptoms in patients with life-limiting illness

PR 7 Psychiatric Medications at the End of LifeH H H Amos Bailey, MD, FACP, FAAHPM, Director,

Palliative Care, Birmingham VAMC, Assistant Professor Geriatric, Gerontology and Palliative Care, University of Alabama at BirminghamThis session will address depression, delir-ium, dementia and agitation in veterans as well as the selection of medications, poten-

tial benefits and side effects of medication choices.At the end of this activity the learner will be able to:

• Identify patients at EOL who have depression and benefit from psycho stimulants

• Identify patients at EOL who have depressions and benefit from SSRI or Atypical antidepressants

• Identify patients at EOL who have delirium• Identify patients at EOL who have agitation with pro-

gressive dementia• Understand Pocket card for psychiatric medication PR 8 Plan for the Future: How an Estate Plan Puts

You in ControlNicholas LaMothe, CFS, RNWilliam Duncan, MBA, BSNTroy Macaluso, PhD, CFP Ameriprise FinancialThis presentation is designed to help Social Workers and other IDG members, assist the patient and family to better understand the components of estate planning and prepare for the future. Issues to be discussed will include Social Security, Retirement Plans, Life Insurance, Health Insurance and Taxes.At the end of this activity the learner will be able to:• Identify patients/family who need estate help• Identify widowhood basics (ie, Social Security, Retirement Plans, Life Insurance and Health Insurance)• Understand taxes and the key roles played by financial advisors, attorneys and

tax advisors• Identify the overall complexity of estate planning

PR 9 Achieving Performance Excellence and Sustaining Compliance through CHAP Hospice Accreditation

Linda Scott, MSHA, RNChief Operating Officer, Community Health Accreditation Program (CHAP)At the end of this activity the learner will be able to:• Define CHAP Accreditation• Describe basic understanding of CHAP

Core and Hospice Standards of Excellence• Discuss CMS deeming and CHAP’s integration of

CoPs into the Standards of Excellence• Discuss the CHAP accreditation process including the

new Plan of Correction process• Review the most common CHAP deficiencies cited

for hospice organizations and learn how to avoid them

• Learn how to apply and prepare for CHAP Accreditation

Tuesday, July 27, 2010

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LMHPCO COnferenCe

7:00 – 8:30 Registration / Breakfast/ Exhibit Hall Open

8:30-8:45 Opening Ceremony – Color Guard 8:45 – 9:00 Welcome –

Sandra Bishop, D.N.S., RNLMHPCO Outgoing PresidentStephanie Schedler, CHCELMHPCO Incoming President

9:00 – 10:00 Opening Plenary: “The Prevention and Relief of Suffering:

Revisiting the Mission of Hospice Care”Marcia Levetown, MD, FAAP, FAAHPM Principal, HealthCare Communication AssociatesDame Cicely Saunders saw hospice care as a response to a human need – not as a gov-ernment program, nor an exercise in “alter-native” care. People who are terminally ill

require what they require, and our job is to get it to them. This presentation will trace the history of hospice, includ-ing hospice care in the West, and then challenge the audience to think about ways in which we can re-capture that spirit – even in the face of regulations, budget cut-backs, etc.At the end of this activity the learner will be able to:• Participants will be more aware of the sources of

suffering for patients with life-threatening conditions and their families

• Participants will understand the benefits and burdens of evaluating and incorporating patient and family perspectives in their care delivery models

• Participants will understand the need for and value the use of rapid cycle change initiatives in hospice settings

• Participants will use creative problem solving to better address patient and family suffering and bereavement needs within the existing structure and payment of hospice care



A 1 Eyes Wide Open: Treating Insomnia in the Hospice/Palliative Care Patient

Myra T. Belgeri, PharmD., CGP, BCPS, FASCPHospiScript, Services, LLCEffective treatment of insomnia relies on proper assessment of an individual patient. This presentation will focus on identifying sleep difficulties and insomnia in the hospice

or palliative care patient and will provide a brief back-ground on the physiology of sleep and the pathophysiol-ogy of sleep disorders. We will also discuss the available treatment options used for the management of insomnia and how to choose the best pharmacotherapy for a spe-cific patient.At the end of this activity the learner will be able to:• Describe the factors that influence and alter normal

sleep architecture• Identify the differences of various primary sleep disor-

ders• Discuss the techniques of assessing a patient’s insom-

nia or sleep complaint• Discuss the various treatment options for the manage-

ment of insomnia in the hospice/palliative care patient A 2 Culture of the VeteranH H H Amos Bailey, MD, FACP, FAAHPM

Director, Palliative Care, Birmingham VAMC,Assistant Professor Geriatric, Gerontology and Palliative Care, University of Alabama at BirminghamThis session is designed to give attendees a better understanding of the cultural charac-teristics of military/veteran experience. The

topics to be discussed will include different theaters of battle, different battles, race, sex and atomic weapons.At the end of this activity the learner will be able to:• Understand the common cultural characteristics of

the military/ veteran experience• Understand unique aspects of WWII Veterans• Understand unique aspects of Korean Veterans• Understand unique aspects of Viet Nam Veterans• Understand The New Veteran A 3 Ethical Issues in Pediatric Palliative Care:

Interactive Case StudiesMarcia Levetown, MD, FAAP, FAAHPMPrincipal, HealthCare Communication AssociatesThis session is designed to improve ethical thinking regarding care decisions for chil-dren living with life-threatening conditions

At the end of this activity the learner will be able to:• Recognize the legal and ethics rights of children• Be able to apply ethical principles to common pedi-

atric palliative care challenges• Consider and discuss the benefits and burdens of

ANH more objectively• Be aware of resources to help clarify ethical and legal

issues in PHPC

Wednesday, July 28, 2010



LMHPCO COnferenCe

A 4 RACs, MACs, MICs, ZPICs & More Julie B. Mitchell, J.D., LL.M, Health LawMitchell Day Health Law FirmD. James Blackwood, Jr. J.D.Copeland, Cook, Taylor & Bush, P.AThis session will familiarize providers with the basics of increased government auditing efforts and upcoming government auditing and fraud and abuse initiatives.At the end of this activity the learner will be able to:• Understand the basics of MACs, RACs, MICs and ZPICs• Understand the nuts and bolts of RAC and MAC

• Understand RAC beginning with the demo through nationwide implementation and appeals

• Understand the future with regards to fraud and abuse efforts

A 5 It Takes a Village (The Hospice Team)

Donna R. Evans, LSWHospice Ministries, Inc.The news of a terminal diagnosis to a patient and family can be as catastrophic as an earthquake. This session will focus on iden-tifying team approach strategies to help patients and families deal with options, con-cerns and fears after the news of a terminal

diagnosis. At the end of this activity the learner will be able to:• Identify initial reactions and responses regarding ter-

minal diagnosis news• Identify role of family/support system• Explore options for family after the death

A 6 LMHPCO Legislative AdvocacyJohn Sullivan, BS, MAGPAC Owner/Principle, Director of the AllianceThis session will help attendees understand the importance of legislative advocacy at the state level as well as helping organizations understand the impact legislative advocacy

has on hospice and palliative care providers.At the end of this activity the learner will be able to:• Understand Mississippi Civics 101/Louisiana Politics• Understand Healthcare-Hospice Advocacy• Understand winning and damage control• Understand how to get involved in the Legislative

Committee

A7 Hospice Patients in the Home Care Setting who may be at Risk of Abuse, Neglect and Exploitation (Part 1 of 2)

Nancy Gustafson, BSN, MPHMSDH State Surveyor, MSDH Complaint InvestigatorJoe SandersonCriminal InvestigatorOffice of the Attorney General, Jackson, MSRob Rushton, BSLaw Enforcement Investigator, SeniorOffice of the Attorney General, Jackson, MSThis session will focus on identifying appro-priate patients for personal care home settings while looking at admission and discharge criteria as well as medication han-dling. The session will focus on the issues that hospice providers need to be aware of as we care for our vulnerable patients at the end of life. Attendees will be better able to formulate plans to diminish hospice patient risks primarily in personal care home set-tings.

At the end of this activity the learner will be able to:• Define the key characteristics of a PCH and the key

elements of the Vulnerable Adult Act• Report at least three (3) potential behaviors in a PCH

that could lead to a reportable event by a Health Care Employee and be able to report the Agency(s) which must be notified

12:00 – 12:15 Break

12:15 – 1:30 Lunch/LMHPCO Annual Meeting (Lunch provided) Fashion Show by

1:30 - 1:45 Break


B 1 Palliative SedationJohn Redden, RPh, CGP, PharmD

VP Clinical Practice, HospiscriptThis program discusses the clinical, emo-tional and ethical issues surrounding the use of Palliative Sedation as a symptom man-agement strategy. It covers various terms and definitions associated with Palliative Sedation; looks at criteria for initiation and

provides guidance to identify truly refractory symptoms. We also discuss medications that are considered appro-priate to use for Palliative Sedation.At the end of this activity the learner will be able to:• Understand the “Definition” of Palliative Sedation• Understand the criteria for initiating Palliative

Sedation


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3030 Severn Ave. • Metairie, LA 70002(504) 779-1234

www.uastores.comCarrie Dunn - [email protected]


LMHPCO COnferenCe

• Understand the difference between Respite Sedation and Palliative Sedation and how survival is impacted

• Understand the medications considered appropriate to use in Palliative Sedation

B 2 Building a Veteran-centric Culture in H H H Your Hospice AgencyDiane Jones, MSW

Palliative Care Consultant, Ethos Consulting GroupThe purpose of this presentation is to dem-onstrate that successful partnering among VA and community organizations focuses on veteran-centric care, facilitates continuity, coordination and communication, creates

the commitment and buy-in to assure veterans’ needs are being met, prevents duplication of service and maximizes utilization of resources. At the end of this activity the learner will be able to:• Communicate understanding of the unique needs of

veterans at the end of life• Implement specific ideas and practices within hos-

pice organizations that help facilitate a “veteran-cen-tric” culture and mindset

• Describe the partnership needed between hospice and VA to meet veterans’ needs

B 3 Leadership Strategies for Today’s Regulatory Environment

Susan Drongowski, RN, BS, MAAssociate Consultant, Weatherbee Resources, Inc.With increased regulatory scrutiny, it is more important than ever to engage your staff in the pursuit of organizational sustainability. This session will focus on how to transition your organization from fear or organizational viability to the pursuit of long-term sustain-

ability.At the end of this activity the learner will be able to:• List 4 federal entities and the types of hospice-related

investigation each one conducts• Convey the importance of sustainability to leadership

and interdisciplinary teams• Describe 2 strategies to ensure organizational sus-

tainability• Identify 2 opportunities for team empowerment

B 4 Spirituality & Body Image Following a Medical Crisis

Jeffery Murphy, M.DIV., BCCClinical Chaplain, University of MS Medical CenterSpiritual and emotional issues often emerge when a medical crisis alters the body. This session will assist hospice chaplains and other members of the IDG in affirming the

personhood of an individual when the body is altered. At the end of this activity the learner will be able to:• Express theological and spiritual concepts of the holi-

ness of the physical body• Identify the cultural pressure to have “the perfect

body”• Identify emotional and spiritual issues that often

emerge when the body is altered by a medical crisis• Identify ways to affirm the patient’s personhood when

the body is altered due to a medical crisis

B 5 MS Emergency Management Update and Expectations for Hospices

C.J. Davis, Ph.D.Office of Emergency Planning and ResponseMississippi Department of HealthThis session will provide valuable information regarding Emergency Preparedness efforts in the state of Mississippi.At the end of this activity the learner will

be able to:• UnderstandEmergencyPlanning• UnderstandthecriticalbasisofanEmergency

Operations Plan development• Discussspecificissuesrelatedtohospicecareand

emergency planning• ExaminetheMSDHEmergencyOperationsPlan

template for hospice

B 6 LA Emergency Management Update and Expectations for Hospices

Doris G. Brown, MS, M.Ed, RN, CNSPublic Health Executive Director, Louisiana Department of Health and Hospitals Office of Public Health-Center for Community PreparednessThis session will provide valuable information regarding Emergency Preparedness efforts in the state of Louisiana.

At the end of this activity the learner will be able to:• Define ESF 8 and the role of the Office of Public

Health• Discuss the current catalogue of “Playbooks” the

State has developed in regards to emergency pre-paredness.

• Review important terms and concepts involved in Louisiana’s emergency preparedness efforts.


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LMHPCO COnferenCe

• Provide updates and current planning efforts of the Louisiana Department of Health and Hospitals, Office of Public Health, Center for Community Preparedness.

B 7 Hospice Patients in the Home Care Setting who may be at Risk of Abuse, Neglect and Exploitation (Part 2 of 2)

Nancy Gustafson, BSN, MPHMSDH State Surveyor, MSDH Complaint InvestigatorJoe SandersonCriminal InvestigatorOffice of the Attorney General, Jackson, MSRob Rushton, BSLaw Enforcement Investigator, SeniorOffice of the Attorney General, Jackson, MSThis session will focus on identifying appro-priate patients for personal care home settings while looking at admission and discharge criteria as well as medication han-dling. The session will focus on the issues that hospice providers need to be aware of as we care for our vulnerable patients at the end of life. Attendees will be better able to formulate plans to diminish hospice patient risks primarily in personal care home set-tings.At the end of this activity the learner will

be able to:• Identify at least three (3) implications from the infor-

mation in session I that impact Hospice Residents and use additional case studies to identify ways to care and protect vulnerable adults in the PCH setting

• Formulate plans to diminish Hospice Patient Risk in PCH settings through knowledge of PCH regulations and the Vulnerable Adults Act


3:45 – 4:45 Afternoon Plenary: H H H VA’s Comprehensive End-of-Life Care

Initiative: Honoring Veterans’ Preferences in VA and the Community

Carol A. Luhrs, MD Chief, Hematology/Oncology, Brooklyn Campus, New York Harbor HCSDirector, Palliative Care, VISN 3Director, VA CELC Implementation CenterAssociate Professor of Clinical MedicineState University of New York at Downstate Medical Center

The VA’s Comprehensive End-of-Life Care (CELC) initia-tive was designed in an effort to meet and improve the end-of-life care for Veterans. This plenary session will help attendees better understand the CELC initiative, as well as the structure of the VA’s Hospice and Palliative Care Programs. At the end of this activity the learner will be able to:• Summarize the purpose, goals, and structure of VA’s

Comprehensive End-of-Life Care (CELC) initiative• Describe VA’s strategy to establish a sustainable

infrastructure for its Hospice and Palliative Care pro-gram

• Identify at least two key outcomes of the CELC initia-tive that impact on community hospice programs

4:45 – 6:30 Exhibitor’s Cocktail Reception


Special VA track for the 2010 LMHPCO Annual Leadership Conference is made possible by a generous grant from the CARPENTER FOUNDATION. This grant provides full schol-arships, as well as accommodation support to key palliative care professionals within the 6 VA medical facilities located in LA and MS. Focusing on our conference theme of “Imagine”, we strive for new ways of thinking, partnering and working with others to improve end of life care for everyone, including and especially our veterans.

These sessions are marked with H H H

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LMHPCO COnferenCe

7:30 – 8:15 Breakfast & Exhibit Hall Open

8:15-8:30 Morning Remarks: “Navigating the LMHPCO Website”

Jamey Boudreaux,MSW, M.Div.LMHPCO Executive DirectorNancy Dunn, RN, MS, CT LMHPCO Education Director

8:30 – 10:00 Morning Plenary Hospice and PACE – Fraternal Twins?

Samira K. Beckwith, LCSW, FACHEPresident/CEO Hope HealthCare ServicesLinda Todd, RN, BADirector for Hospice of Siouxland/Siouxland PACEKarren WeichertPresident/CEO, Midland Care ConnectionsIn this session participants will get an over-view of PACE basics and learn form three hospice CEO’s who embraced PACE as an addition to the continuum of services provid-ed by their organizations. Understand how hospice and PACE within one organization can work together to enhance care and ser-vices to clients. Also, learn some necessary next steps if considering becoming a PACE provider.At the end of this activity the learner will be able to:• Identify basic elements of PACE, philoso-

phy and scope of services• Describe 3 hospice/PACE programs• Compare hospice/PACE similarities and differences• Describe elements for consideration to move forward

with PACE• Identify resources for implementation and help



C 1 Evaluation & Management of Constipation in Patients with Life Limiting Illness

Glenn Mire, MD, ABFMMedical Director, Hospice of Acadiana, Inc.Clinical Associate Professor, LSU Family MedicineIneffective communication regarding consti-pation often leads to unnecessary suffering for the terminally ill patient. This session will

focus on the signs and symptoms associated with con-stipation as well as effective treatment options for health care providers to consider.

At the end of this activity the learner will be able to:• Describe the physiologic mechanisms leading to con-

stipation especially opioid-induced constipation• Recommend and implement nonpharmacologic and

pharmacologic management of constipation, espe-cially opioid-induced constipation

C 2 The Bereaved Family Survey: A comprehensive approach to Quality Improvement in the VAH H H Carol A. Luhrs, MD, Director, Palliative Care,

VISN 3, Director, VA CELC Implementation CenterThis session will focus on the Bereavement and Spirituality Quality initiatives. The his-tory of the Bereaved Family Survey will be discussed as well as the structure of the VA’s Comprehensive End-of-Life Care (CELC)

PROMISE center.At the end of this activity the learner will be able to:• Describe the process for evaluating and improv-

ing end-of-life care through use of the National VA Bereaved Family Survey

• Discuss ways in which national quality improvement activities are being implemented and sustained in VA

• Discuss how VA’s Comprehensive End-of-Life Initiative incorporates data generation, analysis and application to create a learning healthcare system

C 3 Fundamental Health Law for Hospice and Palliative Care

Christopher DeMeo, JDAttorney, Munsch Hardt Kopf & Harr, P.C.The presentation is intended to educate and inform administrators of hospice and pal-liative care organizations regarding health law in general and the specific issues they may face in the operation of their organiza-

tions. Specifically, the presentation is intended to advise on administrative and regulatory issues related to hospice and palliative care including Regulatory Compliance, Healthcare Fraud Enforcement and Reimbursement Issues.At the end of this activity the learner will be able to:• Identify and gain basic understanding of regulatory

compliance issues related to patient care and billing for same

• Identify and gain basic understanding of recent legal development in healthcare fraud enforcement

• Identify and gain basic understanding of issues affect-ing reimbursement from governmental sources and recoupment action regarding same

• Discuss status of U.S. healthcare reform and what may be on the horizon

Thursday, July 29, 2010



LMHPCO COnferenCe

C 4 Imagine the Healing PowerRev. Ruth L. Lovell, M. Div.Family Care CoordinatorMid-South Transplant FoundationTiffany Bozoudes, CTBS Tissue Recovery CoordinatorTransplant Foundation, Inc.This session will focus on donor registry awareness in the role of palliative care. The concept of “companioning” the bereaved will be explored along with mourner’s rights, religion and faith. Tips for caregivers will be discussed.At the end of this activity the learner will be able to:

• Understand the importance of palliative care in the donation process

• Identify and address issues of spirituality as related to end of life care for donor families

• Think creatively about new and innovative ways to take care of donor families and transplant recipients

• Evaluate the uses and value of tissue donation

C 5 DHH UpdateMarian Tate, RN, BSNDHH Medical Certification Program Manager This session will focus on most frequently cited deficiencies in Louisiana as well as fed-eral deficiencies. Attendees will learn steps to avoid getting cited.

At the end of this activity the learner will be able to:• Identify the situations requiring Coordination of Care

and pitfalls with lack of coordination• Describe the QA Process & Waiver Process• Evaluate your agency’s On Call Procedures • Discuss Alternative Delivery Sites and steps to estab-

lish alternative sites and Change of Address• List ways to allow the survey process with electronic

health records• Define Hospice Services and discuss hospice revoca-

tion vs discharge

C 6 Recovery Audit Contractors and MedicareScott Wakefield, Project Officer CMS, Division of Recovery Audit Operations, Provider Compliance Group, Office of Financial Management Centers for Medicare and Medicaid Services This session will discuss the basics of the RAC process and will introduce the Region C contractor for hospice.

At the end of this activity the learner will be able to:• Discuss RAC Program Background • Identify RAC Processes • Explain RAC Program Keys to Success• Describe Strategies to Prepare for RAC Audits

C7 Quality Assessment-Performance Improvement: Keep it Simple, Smarty

Cindy McCarville, BS, CHAProgram Liaison, Secure Computing/mummsThis presentation will assist attendees in the development of their QAPI program, and in taking their current program to a new level. At the end of the presentation, attendees should be better able to understand trend-

ing and analysis of data, and be able to utilize the tips provided to transform their hospice practices.At the end of this activity the learner will be able to:• Identify the key principals of the Quality Assessment

and Performance Improvement Standard of the Hospice Conditions of Participation

• Understand how data can assist the hospice in defin-ing “quality” and be able to identify new data collec-tion methods for those indicators that define “quality”

• Use examples provided to better understand how a hospice can make organizational changes, based on data, to improve their performance


12:15 – 1:30 Lunch/ Heart of Hospice Awards (Lunch Provided)

1:30 – 1:45 Break


D 1 Introduction to Opioid & Non-Opioid Pain Therapy

Curt Bicknell, BS, PharmD.Client Relations Liaison, Hospice PharmaciaThis presentation focuses on managing pain with non-pharmacologic and pharmaco-logic methods, including opioid and non-opioid medications. The adverse effects of each medication will be covered in depth,

including strategies for the minimization of each. Barriers to pain management will be discussed, which include clinician-related, patient/caregiver-related and health sys-tem-related. Finally, the presentation focuses on the vital importance of performing a complete pain assessment, with special interest in those patients who are greatest at risk for poor assessment.At the end of this activity the learner will be able to:• Recognize the various barriers to pain management• Describe how pain is classified• Discuss and perform a proper pain assessment• Recommend appropriate non-opioid and opioid pain

therapies


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LMHPCO COnferenCe

D 2 Heroes Among UsH H H Deborah Grassman, ARNP, Director of Hospice

& Palliative Care, Bay Pines VAMCJoin Deborah Grassman, author of Peace at Last: Stories of Hope and Healing for Veterans and Their Families, for an exciting learning opportunity that presents age-old concepts in a new and refreshing way. You will learn concepts about the process of abid-

ing, reckoning, and beholding suffering so that suffering can be redeemed. The role of therapeutic letter-writing and forgiveness so that at-one-ment can occur will be explored. Techniques for penetrating stoicism so veterans can accomplish healing will also be addressed. This is an inspiring presentation you won’t want to miss.At the end of this activity the learner will be able to:• Identify at least 3 processes that support successful

suffering• Describe the essential elements of abiding, reckon-

ing, and beholding• Discuss process of forgiveness and tools that facili-

tate at-one-ment• Verbalize and demonstrate use of letter-writing as a

tool for dying healed

D 3 African Americans and End-of-Life CareAngelita H. Brown, MSProgram Manager, LSUHSC School of NursingThis session will focus on the historical view of end-of-life issues in the African American community and will identify some of the fears, myths, religious beliefs and trainings.

At the end of this activity the learner will be able to:• To understand the importance of Culture in provid-

ing effective Palliative Care • To have a knowledge of the history of palliative care

in the African American community• To understand the Barriers to palliative care in

African American community• To explore approaches needed to overcome the bar-

riers• To have an opportunity to explore the audiences

experiences with culturally diverse patients

D 4 Strategic PlanningSandra Bishop, D.N.S., RNAssistant Professor, The University of Southern Mississippi School of NursingThis session will assist hospice leaders in learning to think strategically. The manage-ment functions of formulating a strategic plan will be discussed.

At the end of this activity the learner will be able to:• Define the term “strategy” as it relates to strategic

planning

• Understand the principles of strategic management• Discuss the levels of strategy• Formulate a strategic plan D 5 Reshaping Medicaid: LA Medicaid Update

Rodney Wise, MD, Medicaid Medical DirectorAnn Donley, RN, Medicaid Coordinated Care This session will focus on Louisiana’s Medicaid movement toward coordinated care networks.At the end of this activity the learner will be able to:• Recognize the need to reshape the Medicaid health system• Identify the goals of Coordinated Care Networks (CCNs)• Differentiate the types of Coordinated

Care Networks• Identify what patients and services the reshaping to

CCNs will affect and how reshaping will affect you• Comprehend changes being planned with the

Louisiana Medicaid hospice program• Identify changes in hospice care resulting from

national reform (PPACA)

D 6 MS Medicaid UpdateJ. Courtney Horton, III, MS, Division of MedicaidRandy Ponder, ACSProvider Services Regional CoordinatorThis session will focus on the current Mississippi Medicaid hospice process and access to the provider policy manual. Attendees will also learn about the current updates available from ACS.At the end of this activity the learner will be able to:• Understand the services administered by the Bureau of Long Term Care• Identify current Medicaid hospice pro-

cesses and procedures effective 7/1/09• Know how and when to access the current Medicaid

hospice provider policy manual.• Understand the changes made during 2010 MS

Legislative Session and how they may impact Medicaid hospice in MS

• Identify current updates/enhancements available from ACS and how/who to contact for information


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Thursday and Friday morning enjoy your breakfast at a networking meeting for hospice providers and representatives of the VA. This will be a time to meet and discuss integration

of the two services for Veterans.


LMHPCO COnferenCe

D 7 Regulatory Compliance for the Hospice Medical Director

Jennifer Kennedy, MA, BSN, RNNHPCO Regulatory & Compliance DirectorThe role of the hospice medical director is more important than ever! The recent changes and additions to the hospice medi-cal director’s responsibilities by CMS speak volumes and there are more changes on the

horizon! We will explore the current regulatory and com-pliance issues facing today’s hospice medical director.At the end of this activity the learner will be able to:• Identify regulatory and compliance issues facing

today’s hospice medical director• Review current physician billing issues• Discuss potential compliance risk areas• Identify tools and resources for the hospice medical

director


3:45 – 4:45 Closing Plenary: “Medical Review Update: Analysis of Hospice

Claims for LA and MS” Mary Jane Schultz, RNDirector, Medical ReviewPalmetto GBAThis presentation is designed to give partici-pants a better understanding of the hospice utilization data for Louisiana and Mississippi as well as better understanding of the impli-

cations of exceeding the hospice cap.At the end of this activity the learner will be able to:• Understand utilization data for MS and LA• Increase knowledge of common medical review deni-

als• Understand the implications of exceeding the hos-

pice cap• Understand the providers responsibility related to

CERT requests


The LOEWS NEW ORLEANSHOTEL has again been selected as this year’s conference site. Conveniently located in the heart of the New Orleans business district at 300 Poydras Street, the conference site is easily accessible to numerous tourist attractions, great shopping and fabulous food!

Registrants can book rooms on line or by calling866-211-6411. The LMHPCO Conference Rate of $104.00 per night is guaranteed through July 8, 2010.

Hotel Reservation & Cancellation PolicyThe cancellation of guaranteed reservations must be received 72 hours prior to arrival in order to avoid a charge equal to one night’s room and applicable taxes. All “no show” reserva-tions will be billed to each individual’s account.

Check in and check out timeCheck-in time for all attendees is 4:00PM. Attendees may be checked in earlier depending on occupancy levels and availability. In order to streamline the check-in process, the Hotel would appreciate receiving flight arrival times for attendees, if possible. Check out time is 12:00PM. Any guests checking out after 12:00PM

may be assessed a fee equal to one night’s room and tax.Early DeparturesAt check-in, each guest has the opportunity to reconfirm his or her departure date. Any guest departing prior to that date will be assessed one night’s room rate. This charge will be posted to the guest’s individual account.Hotel ParkingOvernight/valet parking for Conference guest is $14 per day.

CONFERENCE HOTEL

http://www.loewshotels.com/en/Hotels/New-Orleans-Hotel/GroupOffers/LMHPCO.aspx


PHOTOGRAPHY:LMHPCO will be taking photos throughout the

entire conference. Registration implies consent to be photographed and permission for LMHPCO to use the

photos in its printed materials.

LMHPCO recommends bringing asweater/light jacket for your comfort as

the temperature of the rooms cansometimes feel too cool.


LMHPCO POst-COnferenCe

7:30 -8:30 Registration

8:30-10:00 Morning Concurrent Session

PC 1 Managing Difficult SymptomsLaurence Durante, MDMedical Director, St. Joseph Hospice and Palliative CareThis session will review the latest interven-tions in managing some of the most distress-ing symptoms at the end of life, including refractory pain and nausea, fatigue, and

the appropriate uses of palliative sedation. This session is designed for hospice physicians and hospice medical directors.At the end of this activity the learner will be able to:• Describe the palliative treatment modalities for

nausea and vomiting in the hospice patient• Describe the palliative treatment modalities for

agitation and delirium in the hospice patient

PC 2 Palmetto GBA: Investigating the Basics of Medicare (Part 1 of 2)

Marilyn Jeske, BSOmbudsman, Palmetto GBAMary Jane Schultz, RNDirector, Medical Review Palmetto GBA This series is designed for both new to Medicare and intermediate billers, adminis-trative staff and clinicians to equip them with the tools they need to be successful with Medicare billing, Medical Review and docu-mentation. At the end of this activity the learner will be able to:• Discuss Medicare Updates

• Identify Key Coverage and Billing Issues• Discuss and Understand Departmental Processes at

Palmetto GBA and More about the Recovery Audit Contractor (RAC)

• Identify and Utilize Important Resources and Tools Available for Providers

PC 3 How Medicare Data Can Help YOUR Hospice (Part 1 of 2)

Cordt T. Kassner, PhDHospice Analytics, Inc.This presentation will explain Medicare Hospice claims data and other public data resources specific to Louisiana and Mississippi, focusing on hospice utilization,

patient characteristics, and access to hospice services.At the end of this activity the learner will be able to:• Describe changing trends in hospice utilization and

hospice patient characteristics• Identify ways to work effectively with Medicare

data to increase access to hospice services in local communities

• Identify ways CMS may use this data to evaluate individual hospices and the hospice industry

PC 4 Ethical/Legal Issues in End of Life CareTanya Schreiber, DNS (c), PHCNS-BC, ACHPNAssistant Professor, Dept. of Nursing,Nicholls State UniversityThis ELNEC module will discuss key ethical issues and legal concerns in end-of-life care and resources to address these in practice.

At the end of this activity the learner will be able to:• Define the role of the nurse in supporting ethical

practice in end-of-life care• Explain ethical issues and dilemmas that may arise in

end-of-life care • Describe advance directives and their role in prevent-

ing ethical dilemmas • Apply ethical principles utilized in addressing end-of-

life dilemma, including models for case presentation and use of ethics committees

PC 5 Psychosocial/Spiritual Resilience for Hospice Caregivers: An Overview for Clinicians, Clergy, and Administrators (Part 1 of 2)

Kathleen Regan Figley, MS, DMinPresident/Founder Figley InstituteAdjunct Faculty Tulane UniversityParticipants will learn how to recognize the negative impact of hospice work on caregiv-ers, recognize factors which increase resil-ience to caregiver fatigue, and identify the

critical elements of a comprehensive resilience plan,At the end of this activity the learner will be able to:• Recognize the impact of hospice work on caregivers• Recognize factors which increase caregiver resilience• Recognize essential elements of personal caregiver

resilience plans• Recognize essential elements of comprehensive

agency-wide resilience program

Friday, July 30, 2010




PC 6 Regulatory Guidance for Hospice Volunteer Managers

Jennifer Kennedy, MA, B.S.N., RNNHPCO Regulatory & Compliance DirectorThis session will offer Volunteer Coordinators current information about regulatory compli-ance for hospice volunteers, resources for management, and an opportunity to discuss the challenging issues facing hospice volun-

teering today.At the end of this activity the learner will be able to:• Review and explain current regulations and guidance

related to hospice volunteers• Review NHPCO resources for Volunteer Coordinators• Answer questions and provide clarification related to

program material

PC 7 End of Life Care: The Catholic Perspective (Part 1 of 2)

Most Reverend Gregory M. AymondArchbishop of New OrleansThis session will focus on end-of-life deci-sion-making and care within the Catholic tradition, providing insights for hospice chaplains and clergy working with terminally ill patients, caregivers and their families.

At the end of this activity the learner will be able to:• Articulate an understanding of the US Catholic

Bishops’ Conference “Ethical and Religious Directives for Catholic Health Care Services” document

• Discuss the implications of this church document for patients receiving care within a Catholic institution

• Distinguish the moral implications for patients in a chronic state and those who are dying

10:00 – 10:30 Break 10:30 – 12:00 Concurrent Sessions PC 8 Principles of Pediatric Palliative Care

Marcia Levetown, MD, FAAP, FAAHPM Principal, HealthCare Communication AssociatesThis session reviews the most common pre-sentations of children who are enrolled in hospice care, and discusses appropriate interventions to manage their symptoms. This

session is designed for hospice physicians and hospice medical directors.At the end of this activity the learner will be able to:• Recognize pediatric patients who are good candi-

dates for Pediatric palliative care and address the

issues of ICU palliative care• Discuss family dynamics and decision-making affect-

ing the acceptance of pediatric palliative care and know strategies to better meet the needs of such patients and families

• Discuss common symptoms and their management in PPC

• Discuss principles of symptom management in chil-dren that differ from adults

• creatively think through the management of real case scenarios

PC 9 Palmetto GBA: Investigating the Basics of

Medicare (Part 2 of 2)Marilyn Jeske, BS, Ombudsman, Palmetto GBAMary Jane Schultz, RNDirector, Medical Review Palmetto GBA This series is designed for both new to Medicare and intermediate billers, adminis-trative staff and clinicians to equip them with the tools they need to be successful with Medicare billing, Medical Review and docu-mentation. At the end of this activity the learner will be able to:• Discuss the Hospice Election and Screening Process

• Discuss the changes in the Physician Certification Requirements

• Discuss the Update of Covered Services• Discuss the Going Beyond Diagnosis® Concept• Discuss the Hospice Adult Failure to Thrive LCD

and How To Document To Support the Terminal Prognosis

• Discuss the Palmetto GBA Medical Review Process and the Process of Requesting Medical Records

• Discuss the Top Medical Review Denials and How to Avoid Them

PC 10 How Medicare Data Can Help YOUR Hospice (Part 2 of 2)

Cordt Kassner, PhD., Hospice Analytics, Inc.This presentation will explain Medicare Hospice claims data and other public data resources specific to Louisiana and Mississippi, focusing on hospice utilization, patient characteristics, and access to hospice services.

At the end of this activity the learner will be able to:• Describe changing trends in hospice utilization and

hospice patient characteristics• Identify ways to work effectively with Medicare

data to increase access to hospice services in local





communities• Identify ways CMS may use this data to evaluate

individual hospices and the hospice industry

PC 11 Documentation for Hospice EligibilityJennifer Kennedy, MA, BSN, RNNHPCO Regulatory & Compliance DirectorEvery day, every note, documentation is more important than ever! Providers con-tinue to wrestle with developing systems for assessing eligibility and admission to the hospice program, completing the initial

and comprehensive assessment and providing the docu-mentation necessary to update the plan of care and pro-vide information for continuing eligibility. Learn tips for managing the process of assessment and care planning. Learn tips for documenting levels of care and meeting the requirements in the Local Coverage Determination (LCDs). Here the latest in what FIs/MACs are looking for when they conduct medical reviews.At the end of this activity the learner will be able to:• Review tips for documenting to the level of care and

the Local Coverage Determinations (LCDs)• Discuss systems needed to assess eligibility, admis-

sion, comprehensive assessment, and care planning and documentation to support each component

• Discuss who watches hospice documentation and how documentation impacts the hospice whole

• Learn about resources and tools that support hospice documentation

PC 12 Psychosocial/Spiritual Resilience for Hospice Caregivers: An Overview for Clinicians, Clergy, and Administrators (Part 2 of 2)

Kathleen Regan Figley, MS, DMinPresident/Founder Figley Institute,Adjunct Faculty Tulane UniversityParticipants will learn how to recognize the negative impact of hospice work on caregiv-ers, recognize factors which increase resil-ience to caregiver fatigue, and identify the

critical elements of a comprehensive resilience plan,At the end of this activity the learner will be able to:• Recognize the impact of hospice work on caregivers• Recognize factors which increase caregiver resilience• Recognize essential elements of personal caregiver

resilience plans• Recognize essential elements of comprehensive

agency-wide resilience program

PC 13 Communication Concepts for VolunteersRev. Amy Ziettlow, M.Div.Kristin Gibbs, BALaura Savage, BAHospice of Baton RougeIn hospice care, volunteers are the face of the local community for the patients and their caregivers. Volunteers should be aware of societal trends in end of life care as well as the trends in the diseases and medical conditions that prevail at end of life. This knowledge can provide a frame of reference for a volunteer as they prepare to serve a hospice patient and his/her caregivers. This knowledge can help shape how a volunteer uses four core concepts in communication in relating to patients and caregivers.At the end of this activity the learner will be able to:• Understand the role of the volunteer as the face of the community

• Make volunteer programs more successful through better communication

• Improve volunteer training by improving communica-tion methods

PC 14 End of Life Care: The Catholic Perspective (Part 2 of 2)

Most Reverend Gregory M. AymondArchbishop of New OrleansSusan Nelson, MD, FACP, FAAHPMFranciscan Missionaries of Our Lady Health SystemThis session will focus on end-of-life deci-sion-making and care within the Catholic tradition, providing insights for hospice chaplains and clergy working with terminally ill patients, caregivers and their families.At the end of this activity the learner will be able to:• Discuss POLST paradigm

• Examine Legislative process, LA POLST and implementation

• Understand the church’s support for LA POLST





LA RecipientCindy Gaspard

Cindy Gaspard was inspired by the hospice care her stepmother received and wanted “to give something back”. She has been a faithful volunteer for Pointe Coupee Hospice for three years, traveling over 16,000 miles and making 820 direct

care and bereavement visits in that time. She averages 400 miles per month. However, her strength for the hospice team lies not in numbers, but in the extraordinary compassionate end-of-life care she brings to her patients and families.

Cindy cares for her patients and their families in ways that cannot be quantified by numbers or miles. An unhurried manner at the bedside, superb listening skills and a comforting and supportive presence are just a few examples of what she contributes both in the home and the office. Her presence and sharing in the IDT meetings assist the team in providing for the physical, emotional, and spiritual needs of the patient.

Cindy is the embodiment of the hospice philosophy. Her focus as a hospice volunteer is always on maximizing each patient’s quality of life. Cindy has a gift in connecting with others. She is the kind of person you meet for the first time and you immediately feel like you’ve known her for a lifetime.

A special treat for her patients is when she is joined by her partner, “Wrinkles” during her visits. “Wrinkles” is the volunteer hospice hound of Pointe Coupee Hospice. When Cindy brings him to visit hospice patients in the nursing homes, he is in full dress. His festive nature is reflective in the costume he wears that coincides with the current holiday or season. Patients and residents alike beam with excitement to see “Wrinkles”. Cindy and Wrinkles are just examples of how hospice volunteers bring love, compassion, and joy to patients and families at the end of life.

Cindy thinks of her hospice work as a “ministry,” quoting Mother Theresa: “It is not how much we do, but how much love we put in the doing. It is not how much we give, but how much love we put in the giving.”

Congratulations to Cindy Gaspard, the 2010 Louisiana Heart of Hospice Award recipient.

x2010 Heart of Hospice

x

MS RecipientKen Roberts

Brother Ken Roberts has been chaplain for Forrest General Hospice for 5 years. Before becoming chaplain for Forrest General Hospice he was a volunteer chaplain at Forrest General Hospital. Bro. Ken is a very caring individual and that is very

obvious to the patient’s under his care.He demonstrates dedication, compassion and human

dignity in the care of his patients, family members and coworkers. His coworkers show the ultimate respect for him and the leadership he provides.

We know in hospice we can’t reverse the irreversible brokenness but we can take our patient’s on a walk through the secret garden of the self and teach them surrender and acceptance. Brother Ken uses these human traits to help patient’s reclaim their integrity, maintain dignity and restore meaning and purpose to their lives to help them endure.

He has performed Baptism in home, weddings and is often asked to perform the funeral service. He makes himself available even with a tremendously busy schedule.

Brother Ken’s patients look forward to each visit he makes. He often speaks of fishing, gardening, food and spirituality. He eloquently ministers to his patients and helps

recreate beautiful life memories.Brother Ken contributes so much to his community and

hospice. He is cheerful, a great storyteller, especially when it comes to Alabama TIDE Football, and he is also a great listener. He always has a big smile and an encouraging word.

Bro Ken has a very simple philosophy of ministry. He believes that any ministry must start with love. He provides spiritual support to patients and their families because he cares about these individuals. Bro. Ken believes that when one loves those being ministered to, then the deeds become part of the ministry. He believes end-of-life care and bereavement provide opportunities to let those who are suffering know that someone cares and can help them through the pain.Congratulations to Bro. Ken Roberts, the 2010 Mississippi

Heart of Hospice Award recipient.

Previous Heart of HosPice reciPients2003 Susan Eftink (Baptist Home Care & Hospice; Oxford, MS)2004 Jean Berch (Hospice Ministries; Ridgeland, MS)2005 Leslie Lancon’s Family (Hospice of Acadiana; Lafayette, LA)2006 Dr Jack McNulty (Hospice of St Tammany & The Palliative Care Institute of Southeast Louisiana; Covington, LA)2007 Sr. Kathleen Spurlin–Mississippi; Joe White–Louisiana2008 June Stevens–Mississippi; Susan Stephens–Louisiana2009 Allen Gordy–Mississippi; Ellarose Carden–Louisiana


The Alliance for the Advancementof End of Life CareJohn SullivanPO Box 3026 • Jackson, MS 39207601-352-7646 • [email protected] alliances that ensure the best care for patient and families facing the end of life

ACHC, IncStacey Hahn / Nita Fowler4700 Falls of Neuse, Suite 280 • Raleigh, NC 27609919-785-1214 • [email protected] Deeming Authority is Here! ACHC is proud to announce that CMS has granted them Deeming Authority, giving you another choice for home health and hospice Deemed Status Accreditation. ACHC takes a multidisciplinaary approach to hospice accreditation that includes social and nursing components. Download ACHC’s standards for FREE at ACHC.orgOur address is spelled “Falls of Neuse” not Fals of Neuse.

AvaCare, IncTammi M. Summers / Rebecca Pace7355 West Friendly Avenue • Greensboro, NC 27410866.794.1044 • [email protected] • [email protected] is a revolutionary kind of PBM, created by a hospice owner and clinical team. Our extensive hospice background ensures we know your clinical, financial and operational challenges. As a low cost, fee for service pharmacy manager our PharmD clinical services are complimentary. Experience the Advantage of AvaCare

CareAnyware, Inc.Shellee Fischetto / Milton Antonakos1903 N. Harrison Ave., Suite 200 • Cary, NC 27513919-678-0222 • 866-260-4630 • Fax [email protected], Inc. is the pioneer in web-based solutions for home care and hospice. Our comprehensive web-based technology focuses on the needs of your clinicians and your business. But, unlike traditional client/server solutions, CareAanywhere’s comprehensive on-demand solution is offered as a subscription-based service that accelerates implementation times, reduces ongoing maintenance costs, and keeps you focused on patient care.

Enclara Health, IncCurran Teretzian1480 Imperial Way • West Deptford, NJ 8066888-362-5272 • [email protected] Health is the nation’s fastest growing hospice pharmacy provider. We are exclusively dedicated to meeting the unique and changing needs of the hospice market and truly “Delivering More than Medications” through new, innovative tools such as MyCareCommunity, our online caregiver support program. Simply talk with our customers to hear how our combination of cost-effective and service-oriented features are continuously exceeding expectations.

First Choice Medical SupplyMark Crick / Jim Rowley127 Interstate Drive • Ridgeland, MS 39218800-809-4556 • 800-921-2334www.fcms.com • [email protected] Choice Medical Supply is a national distributor of medical supplies, equipment, OTC drugs, and personal care items.

Gulf South Medical SupplyJohn D. Boudreaux104 Cottage Ct. • Lafayette, LA 70503Cell: (337) 230-0452 • [email protected]; [email protected] national supplier of medical supplies which includes but not limited to: nursing supplies, wound care, incontinence, exam gloves, IV supplies, orthopedic, personal care, sutures, urological, syringes, needles, infection control as well as durable medical equipment.

Hospice & Community Insurance ServicesBruce Williams / Jason WilksPO Box 2726 • York, PA 17405717-741-0911 • [email protected] and liability insurance for hospice and home health agencies.

Hospice PharmaciaShelley West / Curt Bicknell1601 Cherry Street, #1700 • Philadelphia PA 19102215-282-1627 • 215-282-1586www.hospicepharmacia.com • [email protected] Pharmacia is the market leader in comprehensivepharmacy services for hospice, providing expert clinicalconsultation and medication distribution services and drugprofile review documentation for CoP compliance. Hospice trained pharmacists are available 24/7 to respond to the needs of nurs-es, patients, and physicians. Hospice Pharmacia share the risk of medication costs and ensures appropriate use of medication.

2 0 1 0exHibitOrs


HospiScript Services, LLCLouis Caruso / Casandra Blanchard1460 Ann Street • Montgomery, AL 36107334-956-7500 • 800-887-4113www.hospiscript.com • [email protected] is a leading pharmaceutical service company working exclusively with hospices and dedicated to improving patient care and reducing pharmacy cost. HospiScript empowers hospices with the ability to reduce their drug cost and gain administrative efficiencies by providing access to a nationwide network of pharmacies as well as integrating powerful educational tools and administrative resources.

Mumms SoftwareCori Couret / Mark BellamieP.O. Box 56097 / 822 Camp StreetNew Orleans LA 70156504-525-0620 • 504-528-9704www.mumms.com • [email protected]® Software is a multi-user medical management system that offers complete clinical and business software to the hospice and palliative care community. Developed in 1989, the mumms® EHR System is the most innovative and customizable in the field and was the first to use the Application Software Provider (ASP) model.

Oasis Medical Supply, IncBob Schmidt / Mark BairnsfatherPO Box 8755 • Metairie, LA 70011504-236-3457 • [email protected] supplier for hospitals, hospices, physicians, home health equipment and pharmaceuticals, etc.

Outcome ResourcesPenelope Gatlin / Autumn Spence2210 Plaza Drive, Suite 300 • Rocklin, CA 95765866.877.2053 • [email protected] Resources partners exclusively with hospices, managing pharmacy services and providing unlimited clinical expertise to achieve the goals of quality patient care and decreased costs.

Palliative Drug CareTim Sanderson / Kristen Bagwell10810 E 45th Street, Ste. 300 • Tulsa, OK 74146888-901-2092 • 918-605-9544www.pdcrx.com • [email protected] Drug Care manages pharmacy services for hospices by providing clinical tools to improve care and reduce medication costs. Using local pharmacies or custom delivery solutions, PDC clients consistently experience the lowest per patient day costs in the industry. Your team can manage patient care more easily, more quickly, and achieve the best clinical outcomes with innovative tailored solutions provided by PDC.

ProCare HospiceCareChuck Pisa3090 Premiere Pkwy., Ste. 100 • Duluth, GA [email protected] HospiceCare specializes in pharmacy technology supporting hospices around-the-clock by our real-time systems and team of hospice-only professionals. Our easy-to-use program will reduce medication cost while allowing you to maintain your current provider. We are driven by a passion for patient care and possess the pharmacy management expertise that organizations want and need. Improve care AND lower costs by making us part of your IDT.

Southern Eye BankColleen Oltmann / Joy Fragola / Christy Castillo RN2701 Kingman Street • Metairie, LA 70006504-891-3937 • [email protected] • [email protected] and education regarding eye donation and the hospice patient. Southern Eye Bank recovers, evaluates and distributes ocular tissue to those in need.

Suncoast SolutionsNate Truitt19337 US Hwy. 19N, Suite 450 • Clearwater, FL 33764 727-599-2500 • 727-599-2576www.sncoast.com • [email protected] SUNCOAST SOLUTIONS offers innovative hospice and home care software. Capabilities include comprehensive interdisciplinary clinical point-of-care, outcome measurement, client data management, scheduling, billing and receivables management. The software incorporates extensive reporting and interfacing capabilities. Solutions is the most comprehensive, user-friendly, end-of-life software ever created.

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LMHPCO CONFERENCE FLOOR PLAN

ACCCreditAtiON NOtiCeSocial Worker Continuing Educational Credit This conference, Imagine, is approved for a total of 17.0 conference contact hours ( 7.5 Clinical Contact hours and 9. 5 General contact hours) of continuing education credit by the National Association of Social Workers—Louisiana Chapter as authorized by the Louisiana State Board of Social Work Examiners. Nursing Continuing Educational Credit This conference is approved for a maximum of 16.5 hours for this continuing education offering by Louisiana~Mississippi Hospice & Palliative Care Organization (LMHPCO), an approved provider of nursing continuing education by the Louisiana State Board of Nursing. LSBN CE Provider Number 46. Physician Continuing Medical Education This activity, Imagine, with a beginning date of July 27, 2010, has been reviewed and is acceptable for up to 16.75 Prescribed credits by the American Academy of Family Physicians. AMA/AAFP Equivalency: AAFP Prescribed credit is accepted by the American Medical Association as equivalent to AMA PRA Category 1 Credit™ toward the AMA Physician’s Recognition Award. When applying for the AMA PRA, Prescribed credit earned must be reported as Prescribed, not as Category 1. Chaplaincy Education Credit This conference is recognized by the Association of Professional Chaplains state leadership of LA and MS as an accepted educational event for chaplains. A certificate will be awarded for each contact hour the chaplain is in attendance. Nursing Facility Administrators Continuing Education for Nursing Facility Administrators is approved by the State of Louisiana Board of Examiners of Nursing Facility Administrators (LABENFA).

9TH FLOOR 10TH FLOOR



20102010201020102010201020102010201020102010lmhpcoMARKETREPORT

2010201020102010 KNOW YOUR HOSPICE SERVICE AREA

For the purposes of this sample, Keweenaw Home Nursing & Hospice asked for a MHPCO Market

h fReport to increase access to hospice care forMichigan Upper Peninsula Residents.Keweenaw Home Nursing & Hospice would also like to better understand demographic trends among those served by hospices in their area.For this report, data is from the 2006 Medicare 100% Hospice Standard Analytic File only – no trending, utilization, or state/national benchmarking is included. These additional items may be included in a more extensive report.

Michigan Hospice & Palliative Care Organization

Michigan Hospice & Palliative Care OrganizationMichigan Hospice & Palliative Care Organization

++++++++++++++++++++++++++++

The LMHPCO Market Report will give your hospice organization access to detailed, county/parish level and hospice data for your select service area based on the latest Medicare100% Hospice Analytic file (claims data) from 2008 (the most current year available). New for 2010, Specialty Reports (2008 data) for Skilled Nursing Facilities, Home Health Agencies or Hospital Inpatient, for only $199.00 per setting, when ordered with your 2010 Market Report. With the reports in hand, you will have the tools to compare your program to others in your service area including invaluable details on patients served, total patient days, & Medicare deaths for each hospice in selected counties, length of stay, diagnosis information, patient demographics, revenue per patient, and much more. Perfect for developing QAPI programs, marketing and strategic plans.

Your ring-bound report includes 48 slides which presents data in understandable full color charts and graphs, and includes a PowerPoint CD for easy presentations to board members, community leaders, staff and political representatives. You will also receive the complete data tables for developing your own charts and graphs. This critical data will provide insight into who is served by hospice in your geographic area and help your organization identify under-served patient populations.


How to report on a large city (e.g., Detroit)

with multiple providers?p pPricing?Custom reports?Other questions / concerns?






with multiple providers?p pPricing?Custom reports?Other questions / concerns?







County # Hospice PatientsDays of Care Mean Days / Pt

Marquette211

16,89880

Delta132

4,92137

,Houghton

1257,666

61

Chippewa81

3,19539

Dickinson45

77417

Mackinac38

2,01753

Alger36

1,05929

Baraga21

40319

Schoolcraft21

72134

Luce15

74950

Luce15

74950

Iron

*93

13

Ontonagon*

49699

Gogebic*

5318

Menominee*

**

TOTAL740

39,04553

* Indicates cell <12, unreportable per CMS data use requirements.Michigan Hospice & Palliative Care Organization





Sample Basic Hospice Report:

Michigan Upper Peninsula, 11/6/08

The Michigan Hospice & Palliative Care

Organization (MHPCO) serves as a recognized

g

g

authority on end-of-life issues. MHPCO also

strives to advocate for supportive public

policies and to provide education to both

consumers and professionals which increases

awareness and understanding of the

philosophy and principles of hospice and

philosophy and principles of hospice and

palliative care.














County# Hospice

PatientsDays of Care Mean Days /

Pt

Marquette211

16,89880

Delta

1324,921

37

,

Houghton125

7,66661

Chippewa

813,195

39

Dickinson

45774

17

Mackinac

382,017

53

Alger

361,059

29

Baraga

21403

19

Schoolcraft21

72134

Luce

15749

50

Luce

15749

50

Iron

*93

13

Ontonagon

*496

99

Gogebic

*53

18

Menominee

**

*

TOTAL740

39,04553

* Indicates cell <12,

unreportable per CMS

data use requirements.


2010 market report (2008 data) $699 OR SAVE with 3 year trend report (‘06 ,‘07,‘08) $1,499 *Report examples available upon request

Contact LMHPCO to learn more • 888.546.1500

Understand who is served by hospice in your area, and who isn’tCompare yourself to other hospices in revealing detailEasy to follow colorful charts and graphs for presentationsComes complete with a prepared PowerPoint presentation CDIncludes all data tables for your own internal research

•••••

FREE National vs. state data & CD that includes customized PowerPoint &

data tables with every order!data tables with every order!data tables with every order!data tables with every order!

BENEFITS TO PURCHASING A MARKET REPORT

New for 2010, Specialty Reports (2008 data) for Skilled Nursing Facilities, Home Health Agencies or Hospital Inpatient, for only $199.00 per setting, when

ordered with your 2010 Market Report.

*


conference notesVA-Hospice Partnership

Committee –2010

Mike DavisOdyssey Healthcare of JacksonJackson, Mississippi Kathleen GuidryLouisiana Hospice andPalliative Care-JenningsJennings, Louisiana

Martha McDurmondHospice of Shreveport/BossierShreveport Louisiana

Jamey BoudreauxExecutive Director LMHPCO Nancy DunnEducation Director LMHPCO

Isabel CorduaCommittee ChairHospice Ministries, Inc.Ridgeland, Mississippi

Mary EngelVISN 16 GEC Deputy Manager


Americans withDisabilities Act

If you need special assistance or accommodations identified in the

ADA, please contact LMHPCO office in advance at 888-546-1500.

July 13, 2010 LA Chaplain’s Association MeetingBaptist BuildingAlexandria, LAFor more information contact Roger Mitchell at 225-773-7927 or [email protected]

July 27, 2010 LMHPCO’s Annual Leadership Pre-Conference 1:00 – 4:30 pmLoew’s New Orleans HotelNew Orleans, LA

July 28-29, 2010LMHPCO’s Annual Leadership ConferenceLoew’s New Orleans HotelNew Orleans, LA

July 30, 2010 LMHPCO’s Annual Leadership Post-Conference 8:30 am – 12:00 noonLoew’s New Orleans HotelNew Orleans, LA

September 11-12, 2010NHPCO’s 11th Annual Clinical Team Pre-ConferenceOmni Hotel at CNN CenterAtlanta, GAwww.nhpco.org/ctc2010

September 13-15, 2010NHPCO’s 11th Annual Clinical Team ConferenceOmni Hotel at CNN CenterAtlanta, GAwww.nhpco.org/ctc2010

Calendarwww.LMHPCO.org

Become a Hero. . .by providing educational support for the continued

development of End-of-Life Care within Louisiana and Mississippi Correctional facilities.

Your donations fund scholarships for continuing educational opportunities among hospice professionals

within corrections.

send donations to:

LMHPCO-Hero Fund717 Kerlerec • New Orleans, LA 70116

IOIOIO


2010 PROVIDER MEMBERS:A&E Hospice, Inc, Olive Branch, MSAgape Hospice of Ruston, LAAgape Hospice of Shreveport, LAAgape Northeast Hospice, West Monroe, LAAgape Northwest Regional Hospice, Minden, LAAmedisys Hospice, LLC, Gonzales, LAAmedisys Hospice Services, Metairie, LAAmeraCare Family Hospice, Covington, LAAngel Care Hospice, Inc, New Iberia, LAAngelic Hospice & Palliative Care, Greenwood,

MSAseracare , Senatobia, MSAseracare, Corinth, MSAseracare, Tupelo, MSBaptist Hospice Golden Triangle, Columbus, MSBaptist Memorial Healthcare, Batesville, MSBrighton Bridge Hospice, Oberlin, LACamellia Home Health & Hospice, Bogalusa, LACamellia Home Health & Hospice, Columbia, MSCamellia Home Health & Hospice, Hattiesburg, MSCamellia Home Health & Hospice, Jackson, MSChristus (St. Patrick) Homecare, Lake Charles, LAChristus Hospice & Palliative Care Schumpert,

Shreveport, LAChristus Hospice & Palliative Care St. Frances

Cabrini, Alexandria, LACircle of Life Hospice, Inc, Shreveport, LAClarity Hospice, Baton Rouge, LAComfort Care Hospice, Laurel, MSComprehensive Hospice Services, Olive Branch, MSContinue Care Hospice, Hollandale, MSCrossroads Hospice, Delhi, LADeaconess Hospice, Biloxi, MSDeaconess Hospice, Brookhaven, MSDeaconess Hospice, Hattiesburg, MSDelta Regional Medical Center Hospice,

Greenville, MSDoctors Livingston Hospice Associates, LLC,

Walker, LAFaith Foundation Hospice, Inc, Alexandria, LAForrest General Hospice, Hattiesburg, MSGeneration Hospice Service Corporation, Denham

Springs, LAGentiva Hospice, Flowood, MSGentiva Hospice, Tupelo, MSGuardian Hospice Care, LLC, Alexandria, LAGuardian Hospice, Inc, , LAGulf Coast Hospice, LLC, D’Iberville, MSH.L. Haydel Memorial Hospice, LLC, Houma, LAHeart of Hospice, Lafayette, LAHeart to Heart Hospice (A Gentiva Company),

Starkville, MSHeart to Heart Hospice (A Gentiva Company),

Tupelo, MSHospice Associates, Baton Rouge, LAHospice Care of Avoyelles Parish, Alexandria, LAHospice Care of Avoyelles Parish, Marksville, LAHospice Care of Avoyelles Parish, Opelousas, LAHospice Compassus, Baton Rouge, LAHospice Compassus, Lafayette, LAHospice Compassus, New Orleans, LAHospice Compassus, Alexandria, LAHospice Compassus, Shreveport, LAHospice Compassus, Slidell, LAHospice In His Hands, Magee, MSHospice In His Hands, Walnut Grove, MS

Hospice Ministries, Brookhaven, MSHospice Ministries, McComb, MSHospice Ministries, Ridgeland, MSHospice of Acadiana, Lafayette, LAHospice of Caring Hearts, LLC, Dubach, LAHospice of Light, Gautier, MSHospice of Light, Lucedale, MSHospice of Many, Many, LAHospice of Natchitoches, Inc, Natchitoches, LAHospice of Shreveport/Bossier, LAHospice of South Louisiana, Houma, LAHospice of St Tammany, Covington, LAHospice TLC, Inc, Winnsboro, LAIBC Hospice, Youngsville, LAJordan Crossing Hospice, LLC, Shreveport, LAJourney Hospice, Alexandria, LAJourney Hospice, Lafayette, LALife Path Hospice Care Services, Shreveport, LALife Source Services, Baton Rouge, LALouisiana Hospice & Palliative Care, Jennings, LALouisiana Hospice & Palliative Care, Mamou, LALouisiana Hospice & Palliative Care, Opelousas,

LALouisiana State Penitentiary Hospice, Angola, LAMagnolia Regional Health Center Home Health &

Hospice, Corinth, MSMemorial Hospice & Palliative Care, Slidell, LAMemorial Hospital at Gulfport Hospice, Gulfport,

MSMid-Delta Hospice, Batesville, MSMid-Delta Hospice, Belzoni, MSMid-Delta Hospice, Canton, MSMid-Delta Hospice, Charleston, MSMid-Delta Hospice, Clarksdale, MSMid-Delta Hospice, Cleveland, MSMid-Delta Hospice, Greenville, MSMid-Delta Hospice, Greenwood, MSMid-Delta Hospice, Indianola, MSMid-Delta Hospice, Lexington, MSMid-Delta Hospice, Yazoo City, MSNew Covenant Hospice, LLC,North Mississippi Hospice, Oxford, MSNorth Mississippi Hospice, Southaven, MSNorth Mississippi Medical Center Hospice, Tupelo,

MSOdyssey Healthcare of Lake Charles, LAOdyssey Healthcare of New Orleans, LAOdyssey Healthcare of New Orleans, Mandeville,

LAOdyssey Healthcare of Northwest Louisiana.

Shreveport, LAOdyssey Healthcare of the Gulf Coast, Gulfport,

MSOdyssey Healthcare, Jackson, MSPatient’s Choice Hospice & Palliative Care,

Vicksburg, MSPatient’s Choice Hospice & Palliative Care of

Tallulah, LAPax Hospice, Madison, MSPointe Coupee Hospice, New Roads, LAPremier Hospice, LLC, Bastrop, LAProvidence Hospice South, Hattiesburg, MSQuality Hospice Care, Inc, Philadelphia, MSRegional Hospice & Palliative Services-SE,

Lafayette, LARichland Hospice, LLC, Rayville, LARiver Region Hospice, LLC, River Ridge, LA

Sanctuary Hospice House, Inc, Tupelo, MSSerenity Hospice Services, LLC, New Orleans, LASt Catherine’s Hospice, LLC, La Place, LASt Joseph Hospice & Palliative Care Northshore,

Covington, LASt Joseph Hospice & Palliative Care, New Orleans,

LASt Joseph Hospice of Acadiana, LLC, Lafayette,

LASt Joseph Hospice of CENLA, LLC, Alexandria,

LASt Joseph Hospice, LLC, Baton Rouge, LASt Theresa’s Hospice & Palliative Care, Lafayette,

LAStill Waters Hospice, Alexandria, LAUnity Hospice Care, LLC, Grenada, MSUnity Hospice Care, LLC, Oxford, MSUnity Hospice Care, LLC, Southaven, MSUnity Hospice Care, LLC, Starkville, MSUnity Hospice Care, LLC, Tupelo, MSVital Hospice, Inc, Hammond, LAWillis-Knighton Hospice of Louisiana, Shreveport,

LAWord of Deliverance Hospice, Inc, Cleveland, MS

2010 ASSOCIATE MEMBERSAccreditation Commission for Health Care, Inc

(ACHC), Raleigh, NCEnclara Health, Inc, West Deptford, NJGulf South Medical Supply, Lafayette, LAHealthcare Consulting, LLC, Ridgeland, MSHospice Analytics, Colorado Springs, COHospice Pharmacia, Philadelphia, PAHospiScript Services, Montgomery, ALMUMMS Software, New OrleansOutcome Resources, Rocklin, CAProCare Hospice Care, Duluth, GASantrax, Port Washington, NYSouthern Eye Bank, Metairie, LASouthern Patient Care, Tupelo, MSSuncoast Solutions, Clearwater, FL

2010 ORGANIZATIONAL MEMBERSALS Association – LA / MS Chapter, Baton

Rouge, LA Palliative Care Institute of Southeast Louisiana,

Covington, LA

2010 PALLIATIVE CARE ORGANIZATIONSOur Lady of the Lake Regional Medical Center,

Baton Rouge, LA

2010 PROFESSIONAL MEMBERSSusan Drongowski, New Orleans, LAGerry Ann Houston, MD, Jackson, MSMarilyn A Mendoza, PhD, New Orleans, LAJo-Ann D Moore, MSW, GSW, Chalmette, LASusan Nelson, MD, Baton Rouge, LALinda Glick Schmitz, Water Valley, MSDebbie Thibodeaux, Lafayette, LA 2010 INDIVIDUAL MEMBERSPatricia Andrews, New Orleans, LADelaine Gendusa, Springfield, LA

Members make the work of LMHPCO possible!(2010 memberships received as of 7/8/2010)


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