Palliative Care: A Call to Action7th Annual Summit

APRIL 14-15, 2015

The Coalition for Compassionate Care of California and leaders in the palliative care community joined together and answered a call to action and explored opportunities to shape the future of health care in California and across the nation.

Keynote & General Sessions

Title Speaker(s) Session Description
Keynote | Discussing Goals of Care: Differentiating Strategies from Goals Bob Arnold, MD End-of-life conversations may result in family battles, with the same questions being asked again and again, and no decision-making in sight. Dr. Arnold will show you how to help families move a conversation from a fight over who is right, to a conversation where families are working together to make decisions. Presentation PDF
The State of Palliative Care in California Judy Thomas, JD A report on the current status of palliative care in California, how we compare with the rest of the country, and where we are going in the future. Presentation PDF
Current Community-Based Palliative Care Capacity and Resources to Bridge the Gap Kathleen Kerr and Kate Meyers, MPP Based on the popular Palliative Care Access Project (PCAP) webinar series, this session begins with a review of recent research addressing the questions, “How much community-based palliative care is currently available in California, and what do we know about how much is needed?” The session focuses on topics pertinent to bridging the gap between capacity and need, with emphasis on practical strategies for engaging patients, collaborating with non-palliative care providers, and assessing impact. Presentation PDF
Eliminating Barriers to Palliative Care for Underserved Populations Cardinale Smith, MD, MSCR Racial and ethnic disparities in health care have been well documented, but little is known about disparities in access to and use of specialty palliative care. As the number of older adults within our nation’s minority populations continues to grow, many will have to deal with the challenges of serious illness. Learn how we can meet this population’s needs and ensure access to high-quality palliative care. Presentation PDF
Public Policy & Palliative Care in California Diana Dooley Learn how palliative care is being incorporated into public policy at the state level from the secretary of California’s Department of Health and Human Services Agency.
Community-Based Palliative Care: A Natural Progression Christine Ritchie, MD We believe in the benefits of community-based palliative care, but how can we prove its worth to even the biggest skeptics? Learn how a community-based palliative care model can span both inpatient and outpatient settings, and reduce use of healthcare resources. Presentation PDF
Bringing It All Together: Integrating the Summit into Your Day-to-Day Work Shirley Otis-Green, MSW, LCSW, ACSW, OSW-C As palliative care professionals, we support patients and families as they deal with life-altering changes, but may feel powerless in creating meaningful organizational change. To provide quality care, we must also hone skills as change agents, advocates and leaders. Use this closing session to reflect upon what matters most and to develop strategies to implement lessons learned from the Summit into your daily practice. Presentation PDF

Breakout Sessions

Title Speaker(s) Session Description
Achieving Best Care for Persons with Advanced Illness Using Video Advance Care Planning Tools Rae Sietz, MD There is a substantial misalignment between medical care people want at the end of life and medical care they actually receive. Advance Care Planning is one potential solution to this problem. This session reviews the efforts that HMSA is undertaking to improve ACP conversations using videos, and reviews how informed choices about end-of-life care result in care delivered in patient-centered and cost effective ways. Presentation for this session not available by request of presenter.
Using Data to Drive Quality Improvement:
The Next Frontier in Palliative Care
Kara Bischoff, MD, and Ashley Bragg In the past, simply having a palliative care service was a marker of quality. In the current healthcare environment, however, all clinical services are expected to demonstrate and improve quality, and palliative care is no exception. Learn how to use patient-level data collection to benchmark, identify best practices, drive quality improvement and support sustainability and growth of palliative care services. Presentation PDF
Improving Hospitalists’ and Emergency Physicians’ Palliative Care Skills: A Palliative Care Pathway Shauna Conry, MD, and Jeff Frank, MD This interactive session introduces CEP’s Palliative Care Pathway and shows how it can be used in clinical settings to provide an innovative, streamlined approach to managing palliative patients, improving access to palliative therapy in the acute care setting and optimizing care. Presentation PDF
Mindfulness Integrative Practice: A Workshop of Compassionate Self Care Betsy Chang Ha, RN, MS, MBB, RYT This session introduces Mindfulness Integrative Practices to promote self-care for professionals at risk of Compassionate Fatigue or burnout. The workshop includes a relaxing experiential session to induce parasympathetic nervous system response, using methods such as deep breathing and mindfulness practice techniques that can be practiced individually or used with patients in home or hospital settings. Presentation PDF
Communication, Dying & Dementia: Can We Talk? Shelley Garone, MD, FACP Communication is a crucial part of providing comfort for one who is dying. But what if the individual who is dying is demented? There are specific ways to communicate during each stage of dementia. Learn how to communicate more effectively and to comfort those who have dementia. Presentation PDF
When Your Dying Patient is a Substance Abuser: Currently or Historically G. Jay Westbrook, MS, RN Dying patients who are historical substance abusers are often resistant to taking opiates, fearing they may lose their sobriety. Current abusers may lie to get more. This session offers an exploration of substance abuse and problems associated with current and historical substance abuse in hospice/palliative care patients, including veterans and incarcerated patients. Learn meaningful interventions for these problems as well as ways that palliative care teams can use their encounters with these patients to help them overcome feelings of judgment and contempt. Presentation PDF
Four Conversation Tools to Help “See” Options and Consequences Viki Kind, MA There is a lot of hope and wishful thinking when it comes to making medical decisions. This session presents four tools healthcare providers can use to help patients visualize paths towards treatment. Presentation PDF
Health Plan Innovations: Integrating Palliative Care into Care Management Rebecca Schupp, William Henning, MD, George Fields, MD Thanks to Senate Bill 1004, palliative care can now be offered alongside curative care in counties where the Coordinated Care Initiative is being implemented for dually-eligible Medicare and Medi-Cal consumers. For both the Inland Empire Health Plan and CareMore, palliative care is not a separate program, but an integral part of their care management. This session looks at changing the delivery system within Medi-Cal, and how palliative care fits into the continuum of the medical model. Presentation PDF

Office Hours

Facilitator Topic
Angelo Volandes, MD, Harvard Medical School, ACP Decisions, Author of The Conversation: A Revolutionary Plan for End-of-Life Care Working with Videos
Christine Ritchie, MD, University of California, San Francisco Community-Based Palliative Care Models
Karl Steinberg, MD, Stone Mountain Medical Associates Using Decision Guides in Goals of Care Conversations
Shirley Otis-Green, MSW, ACSW , LCSW, OSW-C, Coalition for Compassionate Care of California Interprofessional Education & Leadership
Kathleen Kerr, healthcare consultant Measuring Value in Community-Based Palliative Care
KJ Page, RN, NHA, Chaparral House Palliative Care in Skilled Nursing
Cardinale Smith, MD, MSCR, Icahn School of Medicine at Mount Sinai Working With Diverse Populations
Pat Forman, MPH, MA, The Schwartz Center for Compassionate Healthcare Caregiver Support: Schwartz Center Rounds
Caroline B. Isbey, RN, MSN, CDE, The Joint Commission Joint Commission Palliative Care Certification
Jeffrey Yee, MD, and Joanne Hatchett, MSN, RN, FNP, ACHPN, Woodland Healthcare New Tools for POLST
Judy Thomas, JD Coalition for Compassionate Care of California Integration of Advance Care Planning into Organizations and Communities
Anastasia Dodson, California Department of Health Care Services SB 1004 (Hernandez): Palliative and Hospice Care Benefit under Medi-Cal
Robert Moore, MD, MPH, Partnership HealthPlan of California Working with Health Plans to Increase Access to Palliative Care
Sandy Chen Stokes, RN, MSN, PHN, Chinese American Coalition for Compassionate Care, and Catherine Russell-McGregor, RN, MSN, Sutter Health Palliative Care Program Conversation Tools: Heart-to-Heart and Go Wish
Vicki Nelson, Compassionate Care Alliance Engaging Your Community in Advance Care Planning
Judy Thomas, JD, Coalition for Compassionate Care of California Public Policy & Palliative Care
Mark Apfel, MD, Anderson Valley Health Center Billing for POLST Conversations
Angelo Volandes, MD Using Video to Document Wishes
Liz Salmi, Coalition for Compassionate Care of California Amplifying the Palliative Care Message Using Social Media

Continuing Education Information (CEUs and CMEs)

Type Details
Nursing Provider approved by the California Board of Registered Nursing. Provider Number CEP 15403 for 12 contact hours.
Social Work This course meets the qualifications for 12 hours of continuing education credit for LMFTs and LCSWs as required by the California Board of Behavioral Sciences, Provider PCE 4576.
Nursing Home Administrators Approved by the Nursing Home Administrator program for 12 hours of continuing education credit – NHAP# CEP1735. CCCC is an approved NHAP provider.
Physicians This Live activity, “7th Annual Summit – Palliative Care: A Call to Action,” with a beginning date of 04/14/2015, has been reviewed and is acceptable for up to 12.00 prescribed credit(s) by the American Academy of Family Physicians. Physicians should claim only the credit commensurate with the extent of their participation in the activity.