All webinar purchases include a MP4 recording at no additional cost. Recordings for current and past webinars can be purchased individually through NHPCO’s Marketplace and can be used for In-service training. Recordings cover a variety of topics including: Supportive Care, Interdisciplinary Team, Community-Based Palliative Care, Quality, Regulatory & Compliance, Veterans, and Clinical. Note: Participation in the live webinar is required to obtain Continuing Education credit.

Self-Care and Resiliency  – Jan. 9
Developing Individuals to Cultivate Team Health – Jan. 28
Medicare Advantage Contracting Consideration – Feb. 13
Documenting and Defending GIP Status – Feb. 25
Design Thinking for QAPI – Give Your QAPI Program a Jumpstart – Mar. 12
Optimizing Medical Treatment at the End of Life – Mar. 31
Screening and Assessing for Spiritual Suffering: What All Staff Can Do-Apr. 9
Facilitating a Healthy Work-Life Balance – Apr. 28
Strategies for Engaging Referral Sources – May 14
Implementing the Hospice Election Statement Addendum – May 26
Benchmarking for Cost and Quality – June 11
Advances in Wound Care – June 23
Caring for Challenging Patients and Families –  July 9
Effective Team Meetings – July 28
Medication Management Expectations in Consultation vs. Co-management Arrangements – August 13
Hot Topics – August 25
Disaster Preparedness: Measuring Up –  September 10
Pain Management for People with Substance Use Disorders – September 22
Responding to Challenging Psychosocial Needs – October 8
Supporting Patient and Family Choices: Honoring Their Values – October 27
Partnerships Across the Care Continuum – November 12
Revocations, Live Discharges and Transfers – November 19

Self-Care and Resiliency - Jan. 9

Medication relatedness and coverage is not a black and white issue. This webinar will examine options for handling challenging cases and effectively communicating proposed changes or recommendations to patients, families and other prescribers. Participants will learn how to incorporate clinical assessment with relatedness tools for a patient-centered, symptom-focused process for determining medication coverage.

Learning Outcomes

  • Define medication relatedness and coverage for hospice patients
  • Describe how to effectively communicate proposed medication changes to patients, families and other prescribers
  • Apply a patient-centered, symptom-focused process for determining coverage of medications

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Developing Individuals to Cultivate Team Health - Jan. 28

Developing and sustaining team health takes time and intention. Whether one is new to leadership or has been at the helm for years, we are all challenged at times with complicated team dynamics. This interactive session will explore the components of team health and the impact of individual contributions, the leadership skill sets that are associated with high-performing teams, and ways to develop individual team members that can lead to stronger team performance.

Learning Outcomes

  • Describe leadership practices that contribute to individual and team health
  • Explain a coaching model that facilitates individual and team health
  • Identify three ways to promote a culture of team support

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Medicare Advantage Contracting Considerations - Feb. 13

As more and more Medicare beneficiaries choose Medicare Advantage and other risk-based models, business as usual is no longer an option for hospice and palliative care providers. This Webinar will examine Medicare reimbursement trends and identify challenges and opportunities for providers to contract with Medicare Advantage Plans. Faculty will discuss how hospice and palliative care providers are uniquely positioned to partner with Medicare Advantage Plans to provide palliative care services and hospice care for their members.

Learning Outcomes

  • Describe the evolution of the Medicare program and the increasing presence of Medicare Advantage and other risk-based models
  • Identify the challenges and opportunities for hospice and palliative care providers contracting with Medicare Advantage Plans and strategies to enhance positioning with potential partners
  • Discuss contract readiness for hospice and palliative care providers as they seek partnerships with Medicare Advantage Plans

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Documenting and Defending GIP Status - Feb. 25

General inpatient (GIP) care is one of the four levels of hospice care that the federal Medicare hospice regulations require a hospice to provide as a condition of their Medicare certification. The federal hospice guidance states that GIP may be required in order to manage acute pain and other symptoms that cannot be managed in any other setting, and is intended to be a short term intervention. Careful assessment and documentation of pain and other symptoms must be made by the interdisciplinary group (IDG) to determine GIP eligibility and is part of the patient’s plan of care. Hospices also face government scrutiny regarding proper use of GIP. This Webinar will provide guidance on identifying appropriate GIP situations, assessment and documentation requirements, and tips for compliance to avoid scrutiny if your records are audited.

Learning Outcomes

  • Describe the Medicare CoPs regarding GIP level of care
  • Identify clinical situations that do and do not quality for GIP level of care
  • Discuss assessment and documentation regarding GIP level of care

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Design Thinking for QAPI – Give Your QAPI Program a Jumpstart - March 12

In this Webinar, participants will learn about design thinking methodology to reframe problems and challenges into opportunities through empathy. Participants will learn about design thinking for process improvement and elevating satisfaction scores.

Learning Outcomes

  • Apply innovation methodologies to challenges of all shapes and sizes to build a better performance improvement plan
  • Take away at least five ideas for performance improvement projects in the next year that will further your organization’s mission, improve quality and elevate CAHPS scoresIn this Webinar, participants will learn about design thinking methodology to reframe problems and challenges into opportunities through empathy. Participants will learn about design thinking for process improvement and elevating satisfaction scores.

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Optimizing Medical Treatment at the End of Life - March 31

Medication relatedness and coverage is not a black and white issue. This webinar will examine options for handling challenging cases and effectively communicating proposed changes or recommendations to patients, families and other prescribers. Participants will learn how to incorporate clinical assessment with relatedness tools for a patient-centered, symptom-focused process for determining medication coverage.

Learning Outcomes

  • Define medication relatedness and coverage for hospice patients
  • Describe how to effectively communicate proposed medication changes to patients, families and other prescribers
  • Apply a patient-centered, symptom-focused process for determining coverage of medications

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Screening and Assessing for Spiritual Suffering: What All Staff Can Do - April 9

Existential suffering is common amongst patients in palliative care and hospice and research continues to demonstrate that effective spiritual care impacts outcomes, satisfaction, and the financial bottom line.  However, many staff feel uncomfortable with this topic and fear overstepping boundaries or having inadequate time or skills needed to respond if patients disclose distress or concerns. This webinar will discuss tools, techniques, and appropriate boundaries for all members of the team to easily and efficiently engage in identifying and responding to needs including how to navigate the Hospice Item Set, Initial Plan of Care, Plan of Care Updates, and every interaction every member of the team has with patients and their circle of care.

Learning Outcomes

  • Identify the ethical, regulatory, and fiscal responsibility all members of the team have to identify and respond to existential concerns in each visit
  • Evaluate tools and techniques for both indirect and direct screening by spiritual care generalists and assessment by spiritual care specialists
  • Develop protocols for all members of the team to participate in the spiritual plan of care by regularly performing indirect screening, responding appropriately, and coordinating care with the Spiritual Care Counselor

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Facilitating a Healthy Work-Life Balance - April 28

I wish I’d had the courage to live a life true to myself, not the life others expected of me” was quoted as the number one regret of the dying. As hospice professionals and caregivers, our passion to care for others often leads to an imbalance in our own lives. In this Webinar, faculty will discuss ways to bring our compassion for others to ourselves, in our lives, using a variety of tools to create a sustainable, authentic, self-care practice in order to create quality of life NOW!

Learning Outcomes

  • Define compassion satisfaction, compassion fatigue and burnout
  • Describe self-care, its requirement for those working in end of life, and the myths that block our ability to provide it for ourselves
  • Identify five key areas for self-care and activities which support each area
  • Develop a self-care plan to put into practice immediately

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Strategies for Engaging Referral Sources - May 14

Having a steady stream of an adequate number of referrals is a prerequisite to success (and survival) for any palliative care program. In most cases, success in this area depends on developing relationships with a range of individuals and organizations that provide or pay for clinical and social supports and services to seriously ill individuals who might benefit from palliative care. In this Webinar we will review strategies, promising practices and lessons learned for promoting appropriate referrals, information that could be incorporated into your referral promotion strategy.

Learning Outcomes

  • Appreciate variables that promote or impede referrals to palliative care
  • Identify examples of organizations that might be included in a patient identification/referral network
  • Describe a process for incorporating palliative care screening and referrals into the workflow for a potential referral partner

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Implementing the Hospice Election Statement Addendum - May 26

The Fiscal Year 2020 Hospice Payment Rate Update Final Rule included two changes in the admission process:  1) changes to the hospice election statement and 2) an election statement addendum entitled “Patient Notification of Hospice Non-Covered Items, Services, and Drugs”. Both are effective October 1, 2020 (FY 2021).  For admissions that occur October 1, 2020 or later, the hospice will be required to use the newly amended hospice election statement.  Upon the patient or representative’s request, the hospice will be required to provide the patient and/or representative with an election statement addendum, with details about the items, services, and drugs that the hospice has determined to be unrelated to the terminal illness and related conditions and will not pay for.  Information on beneficiary cost-sharing must also be included in the addendum. The goal of the addendum is to increase coverage transparency for beneficiaries under a hospice election. This Webinar will examine these new requirements and discuss strategies for compliance.

Learning Outcomes

  • Discuss the new changes in the hospice election statement
  • List the elements of the new hospice election statement addendum
  • Describe CMS’s rationale for the new requirements
  • Identify strategies for implementing both the hospice election statement changes and addendum

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Benchmarking for Cost and Quality - June 11

This Webinar will identify and benchmark key performance indicators to help analyze and measure costs while still maintaining quality care. Faculty will identify and benchmark those indicators which both the clinical and financial teams can monitor and analyze. In addition, this Webinar will provide strategies for effecting change within your organization to drive quality improvement.

Learning Outcomes

  • Determine and benchmark key indicators which will allow cost control while still providing quality care
  • Describe how to present and monitor key data points for all levels of management
  • Identify strategies to build “buy in” from both clinical and financial staff

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Advances in Wound Care - June 23

Research has driven significant advances in wound care and, subsequently, the development of advanced wound care products. Although marketed to promote wound healing, advanced wound care products can provide comfort to our palliative and hospice patients.  This webinar will review strategies for selecting and using advanced wound care products to manage common wound symptoms and improve quality of life in the palliative care and hospice population.

Learning Outcomes

  • Discuss literature driving current advances in wound care
  • Describe key strategies for selecting and using advanced wound care products to improve quality of life for palliative and hospice patients
  • Identify interventions to manage common wound symptoms – pain, heavy exudate, malodor, and bleeding

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Caring for Challenging Patients and Families -  July 9

At best, when a patient and family are facing serious illness, there can be some degree of disruption in family functioning that requires skillful care on the part of the hospice. The challenges increase when patients and families begin this journey from a place of instability or chaos. Added to that are additional stresses and challenges of COVID-19. Regardless of discipline, hospice professionals can develop skills and strategies to meet these patients and families where they are and find common ground.

Learning Outcomes

  • Identify common psychological concerns for patients and families facing serious illness
  • Describe two strategies to help you find common ground with these patients and families
  • Outline strategies for managing disruptive or emotionally charged situations

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Effective Team Meetings - July 28

Hospice interdisciplinary teams have been challenged to find creative ways to provide quality care during an unprecedented world crisis impacting each community. The origin of hospice team meetings was to gather disciplines with varied expertise to focus on patient/family care planning. This session will focus on key strategies for effective team meetings, keeping all team members engaged, effectively utilizing technology to collaborate and support patients, families, care partners, and each other.

Learning Outcomes

  • Outline key strategies for effective hospice team meetings
  • Engage all members of the team eliciting conversation and meeting regulations
  • Effectively use technology to conduct virtual team meetings

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Medication Management Expectations in Consultation vs. Co-management Arrangements - August 13

A community-based palliative care program must clearly and explicitly define and communicate its scope of services, including strategies for medication management. In this webinar faculty will explore several models of community based palliative care with particular attention to medication management expectations in the different models, including a purely consultative model, co-management arrangements, and a primary care model.

Learning Outcomes

  • Identify three models of community-based palliative care
  • Describe challenges inherent in medication management within three of the models of community-based palliative care
  • Discuss opportunities for collaboration and communication for effective medication management in the different models of community-based palliative care

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Hot Topics

Join this webinar for the latest regulatory and compliance issues for hospice providers, including waivers and other changes due to COVID-19, changes recommended in Part D and hospice, and a discussion on the FY2021 Hospice Wage Index Final Rule. Faculty will elaborate on the following:

  • COVID-19 status update — up-to-the-minute information on what waivers are in place for hospice, virtual visits, status of government funding and reporting, and what changes could remain permanent after the end of the public health emergency.
  • The challenge of Part D and hospice — what CMS is considering as a way to notify Part D plans earlier about the beneficiary’s hospice election.
  • Changes to the hospice election statement and addition of the addendum — what will the final rule say about the election statement and addendum. And the all-important question, what is the start date?  Will it be October 1, 2020 as planned or delayed.  We will only know the answer with the release of the final rule in early August!

Don’t miss this opportunity to hear from NHPCO experts about the pandemic and impact of these issues.

Learning Outcomes

At the completion of this Webinar, participants will be able to:

  • Discuss the FY2021 Hospice Wage Index Final Rule
  • Describe the challenge of Part D and hospice
  • Identify the waivers in place for hospice due to COVID-19

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Disaster Preparedness: Measuring Up

Has your organization been strained by depleted supplies, personnel shortages, and other challenges during the COVID pandemic? Emergency preparedness plans are there for a purpose – to help you maintain compliant, high-quality practices. This webinar will discuss the key requirements of a hospice emergency preparedness plan, strategies for risk assessment and response, and quality of care considerations for patients and families while also providing much needed staff support.

Learning Outcomes

At the completion of this Webinar, participants will be able to:

  • Outline the federal hospice requirements for a hospice emergency preparedness plan and clarify necessities for regulatory compliance
  • Discuss strategies for risk assessment and response
  • Identify quality of care considerations for patients and families

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Pain Management for People with Substance Use Disorders

Hospice and palliative care professionals have long identified concerns about drug diversion and misuse as challenging issues for patients with advanced illness. Symptoms related to end-stage disease are often treated with restricted medications. Such therapies can inadvertently increase suffering by exacerbating substance use disorders (SUD). Providing quality care and maintaining a sense of well-being can be further complicated by loved ones having SUD issues of their own. This Webinar will explore ways to balance these challenging issues by providing strategies for assessing and managing the risk for misuse, diversion, and SUD in patients treated for pain.

Learning Outcomes

  • Describe the features of substance misuse for patients and/or famil
  • List three risk factors for developing a substance use disorder
  • Describe three interventions to curb misuse and reduce the likelihood of diversion

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Responding to Challenging Psychosocial Needs

It seems like skillfully addressing psychosocial dynamics in the hospice and palliative care settings become more and more complex by the day. In this webinar, we will focus on utilizing an acuity scale to assist us in assessing and identifying levels of need. We will then translate the information into action plans for all staff. This approach also assists us in communicating with managers and team members about how we prioritize our time. We will also review common situations that create challenges for the team.

Learning Outcomes

  • Identify four common psychosocial challenges for the team
  • Explain the use of a scale to determine levels of acuity
  • Apply levels of acuity to skills sets, interventions and action plans

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Supporting Patient and Family Choices: Honoring Their Values

The ethical and regulatory requirement to remain focused on the needs, wishes, and values of patients and families can be difficult to maintain in the midst of our very busy, and often overwhelming work. Keeping that human touch and connection, and communicating it clearly, requires thoughtful attention. In this time of societal struggle when competing needs and beliefs have us feeling more divided from others, it is all the more reason to give this area our intentional focus. It begins with recognizing our own preferences around legally accelerated death, religious and political beliefs, cultural and racial attitudes, and more. We must deepen our emotional intelligence to find empathy for others and do some perspective-taking to better understand the values others hold and the choices they make. Then, we can be more thoughtful about communicating in a way that honors our professional intention to provide quality care. It also allows us to build bridges of trust in our clinical interactions and uphold our integrity, and theirs. This presentation will discuss how to do just that.

Learning Outcomes

  • Examine the role of values-neutral care as part of our professional mandate
  • Evaluate the components of emotional intelligence that will allow us to honor the values and choices of the patients and families
  • Apply effective communication strategies that enhance the satisfaction and other outcomes for all involved in providing care

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Partnerships Across the Care Continuum

Many hospice and palliative care organizations have expanded to offer a range of services for seriously ill individuals, such as home-based primary care, chronic care management, and transitional care management. Such diversification creates opportunities to access a range of revenue options beyond traditional fee-for service Medicare billings, such as contracting with Medicare Advantage plans and participation in federal value-based payment programs such as Direct Contracting. In this webinar faculty will describe operational and financial issues related to offering a portfolio of clinical services, including possible payment sources, the resources needed to establish and sustain multiple services, and lessons learned from early adopters.

Learning Outcomes

  • Describe the resources/infrastructure needed to support multiple clinical services for seriously ill patients
  • Identify payment sources available to support a range of clinicals services for the seriously ill
  • Discuss promising practices and potential pitfalls when partnering with payers to offer clinical services for the seriously ill

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Revocations, Live Discharges and Transfers

Hospice providers need to ensure their process for revocations, live discharges and transfers are compliant with regulations and user-friendly for patients and families. This webinar will discuss the regulatory framework and the union of compliance with best practices for hospice patients. Faculty will review regulations and look at real provider practices that promote a positive outcome when revocations, live discharges and transfers occur.

Learning Outcomes

  • Describe the process for revocations, live discharges and transfers that are compliant with the regulations
  • Discuss how to make revocations, live discharges and transfers user-friendly for both patients and families
  • Identify best practices for revocations, live discharges and transfers
  • Describe using live discharges as part of your QAPI program

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