2022 Webinar Recordings

It is evident that virtual services will still be in use long after the pandemic. This webinar delivers virtual programming ideas from memorial services to special events that can enhance your bereavement support program and enrich the lives of attendees.

Learning Outcomes:

Upon completing this session, participants will be able to:

• • • Name a variety of platforms and tools to provide virtual services.
    • Identify specialty programs to augment your traditional grief support offerings using music, mindfulness, and expressive arts.
    • Explore the concept and importance of the “Languages of Grief” to inform program development.

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With the publication of the Grab & Go Toolkit, both palliative care clinicians and specialists have the most commonly used palliative care screening tools at their fingertips.  But once you have screened, what comes next?  Have you wondered how to share the results of these screening tools after you have used them, or are you curious as to how to talk about these tools with executives at your organization?  Join us during this webinar as NHPCO faculty discuss practical suggestions for how to talk about the Core Screening Tools with a variety of stakeholders in patient care: internal colleagues, external referral sources/specialists and members of the c-suite

Learning Outcomes:

• • • List the most commonly used palliative care screening tools
    • Explain the importance of each of the various tools
    • Describe how the tools can be utilized with various stakeholders: internal colleagues, external colleagues/referral sources, c-suite leaders

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In this webinar faculty will share the findings of the Transforming Serious Illness and End of Life Care in America paper. Faculty will review how the holistic model has historically created value and explain how challenges of providing hospice services and the ongoing trends have reshaped the delivery of end-of-life care in the United States. Learn how innovators are translating the value of hospice’s holistic care outside the hospice benefit and leave with recommendations on how to move forward.

Access the corresponding paper, Transforming Serious Illness and End of Life Care in America, in NHPCO’s Press Room.

Learning Outcomes:

• • • Understand the history of hospice and the changes in serious illness and end-of-life care that are happening today
    • Understand elements of the new payment models
    • Gain knowledge of ventures and partnerships available for hospices
    • List examples of how the workforce informs the future of hospice and serious illness care

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The hospice survey process is changing.  CMS has designated particular Conditions of Participation for surveyor focus and later this year, surveyors will begin recommending penalties for some deficiencies found on surveys.  Now is the time to prepare, to learn about the new survey process, to hear from a hospice who has been preparing for their next survey, and to hear more about the resources NHPCO has just released to support providers in the survey readiness process.

Learning Outcomes:

• • • Describe 3 conditions of participation that have been designated as high priority for surveyors.
    • List 4 of the enforcement remedies surveyors will use when a hospice has a serious deficiency or deficiencies.

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Health care has become more complex in the last year due to the pandemic, and life in general. Now, more than ever, it is crucial for hospice providers to pay attention to risk situations in the home, specifically drug diversion and workplace violence as they can impact delivery of patient care and patient, family, and staff safety. This webinar will identify risks, strategies for mitigation, and maintaining safety for all.

Learning Outcomes:

• • • Discuss the ongoing Opioid Crisis and its impact on home care and other healthcare providers
    • Discuss regulatory impact related to drug diversion in homecare
    • Describe workplace violence
    • Discuss strategies to address workplace violence in home  healthcare

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The Hospice Medication Deprescribing Toolkit supports patient care by documenting specific to particular classes of medications that can assist hospice agencies when evaluating if medications could be continued or deprescribed. Once you have determined which medications to deprescribe, how do you communicate that information and to whom? Join us during this webinar as NHPCO faculty discuss how to use the toolkit to make deprescribing decisions and why a collaborative communication approach with the interdisciplinary team is important when working with a patient’s family. Faculty will explain how to use the toolkit and role play how to communicate deprescribing chronic maintenance medications.

Learning Outcomes:

• • • Describe how the toolkit can be utilized in the decision-making process for deprescribing.
    • Facilitate communication amongst the interdisciplinary team to understand the decision process for deprescribing and compliment family communication.

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Join members of the NHPCO End-of-life Doula Council for this interactive and informative webinar on how End-of-Life Doulas are an integral part of the interdisciplinary team. Doulas are a fast-growing profession of innovative, community-based, lay caregivers complement both palliative care and hospice teams and help to improve the lives, and deaths, of those they serve. In this era of workforce issues, learn how doulas can be a cost effective complement the interdisciplinary team you already have in house.

Learning Outcomes:

• • • Describe how the services end-of-life doulas offer are the same as, different from, and collaborative with the hospice or palliative care interdisciplinary team.
    • List ways end-of-life doulas can compliment the interdisciplinary care team.

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Several Part B 2022 fee schedule changes impact palliative care providers billing and payment, the range of services that may be provided, and are a call to tighten up compliance programs to avoid losing Medicare billing privileges.  Join us as Jean Acevedo walks us through new remote monitoring services, enhanced Medicare billing privileges enforcement, a major change to Split/Shared Visits, and more.  This will be an information-packed hour you don’t want to miss.

• • • Distinguish between remote physiologic and remote therapeutic monitoring
    • Understand when a split/shared visit can be reported
    • Develop a plan for routinely checking the OIG’s exclusion list to avoid revocation of Medicare billing privileges.

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Effectively making a connection and aligning on expectations with caregivers will lead to a more amicable experience. From language choice to active listening, learn how to improve communication with caregivers to drive successful outcomes.

Learning Outcomes:

• • • Gain a better understanding of the caregiver experience to deepen connection and deliver effective care.
    • Learn how to improve communication with caregivers to drive successful outcomes.

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Join the faculty as they decode the regulatory mishaps from one family’s hospice experience. Participants will watch a family member describe their hospice experience and determine which aspects of the hospice staff’s discussion and instruction to the family are different from the Hospice Medicare regulations. After viewing the video, faculty will point out regulatory fact versus myth and provide teachable moments to the audience.

Learning Outcomes:

• • • Determine fact versus myth for hospice Medicare compliance from the family’s hospice experience.
    • Recognize the impact of misinformation on family and caregiver’s hospice experience.
    • Identify ways to use this video and fact versus myth handout for new staff orientation and in-service education.

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Whether we realize it or not, all hospices care for LGBTQ+ patients. And treating everybody the same does not foster individualized, compassionate end-of-life care. Hospice organizations are called on to recognize the unique challenges sexual and gender minority people face in healthcare settings, and to strive to build the trust of these communities. We must make organizational changes at multiple levels, as part of an ongoing quality improvement plan, to demonstrate our commitment to equitable, inclusive LGBTQ+ care. This presentation will address how to make your hospice a safe place for LGBTQ+ people to be their authentic selves as they travel their unique end-of-life journey.

Learning Outcomes:

• • • Recognize the challenges sexual and gender minority (SGM) people face in healthcare settings.
    • Implement organizational practices and communication skills that build trust with LGBTQ+ people.
    • Formulate mechanisms to collect, document, and communicate sexual orientation and gender identity (SOGI) data across interdisciplinary teams.

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In this webinar, faculty will share their experience and the challenges of integrating outpatient telemedicine services in a palliative medicine inpatient practice. With advancing technology and easy access to information, people expect health care to be equally easy and accessible. Telemedicine allows clinicians to be in touch with the patients and to resolve complex issues through these interactions. This helps to improve patient outcomes, lower cost, and easily reach a community in their own setting. Come learn how one practitioner uses telehealth to improve the patient experience.

The webinar will conclude with an update on the omnibus spending package and the extension of the flexibility for hospices to use telehealth to meet the requirement for a face-to-face visit for recertification of eligibility for an additional 151 days after the end of the COVID-19 Public Health Emergency (PHE).

Learning Outcomes:

• • • Describe how to optimize telemedicine encounter with patient, making it professional and compassionate.
    • Illustrate ways to create room for new ideas to germinate to innovate and expand these services in novel ways.

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NHPCO and AAHPM are partnering on a complimentary two-part webinar series designed to provide practical cases and tools to advance diversity, equity, and inclusion.

Our world is reshaping before our eyes

• • • What have we learned from patients and families that improved our patient-centered care and DEI focus?
    • How do you respond if treated disrespectfully by a patient or family-member?
    • How do we acknowledge and recover when we offend a patient, family-member, or colleague?
    • How do we measure success?
    • How do we enhance the communication between administrative and clinical teams?
    • How do we improve the patient and family experience?
    • How do we continue to connect to purpose?

We all have stories, some good and some not so good. This webinar series will feature candid, authentic conversations around real world diversity, equity, and inclusion experiences from your peers. The first webinar will provide learners with definitions and level-setting information needed to pursue diversity, equity, and inclusion within their organizational culture – through roleplaying, storytelling, and sharing of experiences. Two weeks later, join the panel for examples of how organizations are using diversity, equity, and inclusion tools and resources to address and change cultures. Each webinar will include tangible next steps and actions you can take to be a champion for health equity and the opportunity to chat with faculty after the formal webinar has concluded. 

Exploring Multiple Perspectives

Content will include both clinical and programmatic perspectives creating an opportunity for the interdisciplinary team to explore each unique viewpoint and how they intersect.

Join your interdisciplinary peers to explore the numerous ways hospice and palliative care is transforming diversity, equity, and inclusion. 

Learning Outcomes

At the completion of these webinars, participants will be able to:

• • • List two or more key challenges in the development and delivery of diversity, equity, and inclusion within hospice and palliative care programs;
    • Identify strategies to enhance leadership and staff engagement with diversity, equity, and inclusion initiatives into everyday practice;
    • Describe two or more practical solutions on how diversity, equity, and inclusion transform patient outcomes in hospice and palliative care.

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This presentation will use the framework of specialists and generalists to highlight ways in which social workers provide specialist psychosocial care and resource support on hospice and palliative care teams. Key social work training and approaches will be reviewed as well as examples of how social work skills can be integrated into the interdisciplinary team in providing hospice and palliative care to the whole person, which includes the patient and family system. Social workers can be used strategically on interdisciplinary teams to problem solve concerns with coping, resources, and family dynamics which supports the team’s overall goals of care.

Learning Outcomes:

• • • Name 1 social work specific approach to patient and family care
    • Identify 1 way that social workers can be used in conjunction with other team member’s roles or interventions
    • Understand the framework of generalist vs specialist supports for the members of the interdisciplinary team

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Promoting a culture of quality and delivery of high-quality palliative requires understanding what data to collect, how to understand the data you are collecting, and what action is needed to continuously improve the quality of care being served.  During this session, we will discuss this spectrum and how the Palliative Care Quality Collaborative implements standards across these three areas to foster high-quality palliative care.

Learning Outcomes:

• • • Provide an overview of the spectrum of quality data, reporting, and improvement practice that promotes a culture of quality.
    • Discuss best practices in capturing and reading data, as well as a QI structure to turn data into care improvement.

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Learn about the innovative Occupational Therapy program at Providence Hospice Ministries in Washington state. The faculty will share the benefits, clinical and operational, of having an occupational therapist as part of the hospice interdisciplinary team. Faculty will provide practical tips on how Providence Hospice approaches therapy for other programs to emulate.

Learning Outcomes:

• • • Understand the Medicare Condition of Payment for hospices to provide rehabilitation therapy services.
    • Recognize the benefits of employing Therapists as part of the hospice interdisciplinary team versus contract services.
    • Identify the benefits of having an OT versus other therapy disciplines.
    • Know the role and benefits of occupational therapy in end-of-life care.

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CMS has issued the final FY 2023 Hospice Wage Index and Quality Reporting final rule.  What changes are now final?  How did CMS respond to NHPCO comments submitted in the FY 2023 comment letter?  What updates in the hospice quality reporting program (HQRP) were included in the final rule?  What summary did CMS provide on health equity, based on comments and suggestions from NHPCO and from providers?  In addition to the final rule, hospice enforcement remedies will begin on October 1, 2022.  Learn more about these changes as well as remedies and their application during the hospice survey process.  Join this webinar for a discussion of the content in the FY 2023 Hospice Wage Index Final Rule and hospice enforcement remedies, set to begin on October 1, 2022.

Learning Outcomes:
At the completion of this webinar, participants will be able to:

• • • Identify the rate percentage increase and the final decision on the maximum decrease on wage index values.
    • Describe upcoming changes in the Hospice Quality Reporting Program (HQRP) and the implementation of Star ratings for hospice CAHPS®
    • List three enforcement remedies that will be implemented on October 1, 2022.

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A look at some barriers to both quality of care and how it impacts quality scores as related to cultural factors. We will look in depth at the challenge of language and cultural awareness within the Latino/Hispanic community. Lastly, we will offer some suggestions for agency quality audits and how to encourage increased awareness and accessibility to care and education for both in the agency and in the community.

Learning Outcomes:
At the completion of this webinar, participants will be able to:

• • • Participants will be able to identify strengths and opportunities for improvement in their agency’s QA program
    • Participants will learn about how language creates barriers to access and quality of care while on hospice and palliative care service
    • Participants will learn on how these factors affect the Latino/Hispanic community
    • Participants will be able to identify at least 2 ways to increase access to underserved populations in their area

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Hospice and palliative care providers are often called upon to switch a patient from one opioid regimen to a different opioid regimen. This may be due to poorly controlled pain, development of an adverse effect, need to change the route of administration among other reasons. Participants will learn about a five-step process that guides opioid conversion calculations, that aims to achieve pain relief as quickly and safely as possible. Recent data on opioid switching will be discussed and illustrated through case examples.

Learning Outcomes:
At the completion of this webinar, participants will be able to:

• • • Describe the rationale for rotating patients from one opioid to another when treating chronic pain.
    • Interpret recent research on retrospective opioid conversions and its impact on use of an equianalgesic opioid resource.
    • Given a simulated patient, calculate a new opioid regimen using the same opioid but with a different dosage formulation or route of administration.
    • Given a simulated patient, calculate a new opioid regimen that reflects switching between opioids, dosage formulations and/or routes of administration.

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In this webinar, faculty will discuss the use of survey data like NHPCO’s STAR survey and others as a way to shape strategy for employee engagement.  Faculty will elaborate on LCAAR – Listen/Collaborate/ Act/Assess/Repeat and how this simple algorithm was used to help drive culture at Agrace. Examples will be provided that the hospice created based on feedback from staff to drive Agrace forward.

Learning Outcomes:
At the completion of this webinar, participants will be able to:

• • • Develop a better understanding of the value of measuring employee engagement including the NHPCO’s STAR survey
    • Examples of how Agrace has successfully taken data and turned it into action

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Description:

Providing pediatric palliative and hospice care in states and rural areas without established pediatric teams can be challenging. Join us for a unique learning session to review how one program’s journey started within an adult hospice and developed into a statewide program. We will discuss many challenges including staffing, geography, and growth. 

Learning Outcomes:
At the completion of this webinar, participants will be able to:

• • • Understand a unique pediatric care delivery model serving the child and family across the continuum
    • Define unique challenges to delivering pediatric care within an adult care model
    • Review approaches to support adult staff caring for pediatric patients

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A focus on safety in delivering care at any level, by any clinician and in any care setting is crucial. The role of open communication, transparency, collaboration and trust is pivotal in establishing safety standards. A just culture provides an environment where clinicians and the interdisciplinary care team feels safe in reporting not only safety hazards but also near misses, which could have impacted safe care. In such an open environment, near misses and unfortunate events are seen as an opportunity for learning and continuous quality improvement. In today’s webinar, we discus the role of a Just Culture and what it takes to establish and sustain an environment that supports continuous growth, collaboration and transparency leading to the highest standards of safety and efficiency in care.

Learning Outcomes:

• • • Define Just Culture
    • Outline the role of Just Culture in improving safety in care and at the same time enhancing staff satisfaction and preventing burnout
    • Outline the steps that lead to a strong, Just Culture embedded in the organization at all levels.

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The Program for Evaluating Payment Patterns Electronic Report (PEPPER) is released each year in April. The Hospice PEPPER report can play an important part in shaping your internal compliance program. In a year of increased scrutiny across post-acute settings, accessing and understanding your PEPPER report can not only help you compare your organization to others but also help you identify risks and vulnerabilities to address now and avoid an audit problem later.

Watch this on-demand session to hear Carrie Cooley, RN, MSN, Principal of Weatherbee Resources, review the PEPPER 2021 report, explore key insights and how to review/analyze the report, and discuss how the PEPPER Report can be used to mitigate payment-related scrutiny risk.

Learning Outcomes:
At the completion of this webinar, participants will be able to:

• • • Review the FY2021 PEPPER Report’s key elements
    • Discuss how to read and analyze PEPPER findings for your hospice organization
    • Recall how to leverage the PEPPER Report to mitigate payment-related scrutiny

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In an aging population with increasingly complex illnesses, hospice physicians often struggle to determine clinical eligibility when solely relying on the Local Coverage Determination (LCD) guidelines. The role of the hospice physician is to determine the prognosis of a patient based on the totality of the patient’s condition – not determining which LCD guideline(s) the patient meets (or fails to meet).  Although the information contained in LCD guidelines is helpful in supporting the terminal status of the patient in the clinical record documentation, the role of LCD guidelines in the physician’s determination of a terminal prognosis is fairly limited. This webinar will address how hospices can confidently serve patients who do not meet the traditional LCD guidelines.

Learning Outcomes:
At the completion of this webinar, participants will be able to:

• • • Apply disease trajectories of the dying in determining eligibility of the hospice patient.
    • Recognize the limitations and the applications of the LCD guidelines.

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