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Community-Based Palliative Care: A Hospice-Nursing Home Partnership

Title: Community-Based Palliative Care: A Hospice-Nursing Home Partnership with Janet Bull, MD             

CE/CME Offered:

CE/CME Credit Available: Nurse Physician, and Non-Physician Healthcare Professional CE credit

Member Price: $105.00
Non-Member Price: $210.00

Payment Options:

Add to Cart without CE/CME
Add to Cart with Nurse CE
Add to Cart with Physician CME credit
Add to Cart with Non-Physician Healthcare Professional Certificate

Length: 1.0 hours
This session was originally presented at NHPCO’s 2015 Virtual Event 'Creating the Future of Palliative Care.' In this session, participants will explore the unique aspects of providing palliative care in the nursing home environment.  Faculty will examine the changes that are occurring as a result of healthcare reform that may lead to potential collaborative relationships with palliative care programs. Additionally, faculty will discuss a Quality Transitional Care (QTC) program and highlight strategies to prevent readmissions and increase hospice transitions. This session will also provide details about a sustainable model of care delivery and will cover specific process and outcome metrics that are important to track.


  • Describe nursing home environments, the impact of healthcare reform, and the alignment of palliative care services
  • Demonstrate the success of the QTC program in two nursing homes is based on a case management approach and discuss Four Seasons’ CMS Innovations model of care
  • Define tools, process and outcome metrics that are useful in improving care and demonstrating success.

Janet Bull, MD, FAAHPM

Janet H Bull, MD FAAHPM is Chief Medical Officer at Four Seasons, a hospice and palliative medicine organization serving western North Carolina. Board-certified in HPM, she is an active clinician recognized for clinical excellence by the Sharon O. Dixon Award (2007) and the Hastings Center Cuniff-Dixon Award (2012). An educator, Dr. Bull is consulting Assistant Professor in Internal Medicine at Duke University Medical Center, Clinical Instructor in Medicine at University of North Carolina Henderson Family Practice Residency Program, and Program Director of the Palliative Care Immersion Course, a 40-hour experiential curriculum for clinical providers. She directs Four Seasons’ Center of Excellence which offers consulting services nationally in hospice, palliative care, and research. Dr. Bull is at the forefront of research in HPM. As Director of the Four Seasons research department, she has served as Principle Investigator on over 30 clinical trials. She is a founding member of the NIH-funded Palliative Care Research Cooperative (PCRC), serves on its Steering Committee, and chairs its Membership Committee. She is a Fellow of the Academy of Hospice and Palliative Medicine (AAHPM), chairs its Research Committee, and is Associate Editor of PC-FACS, the AAHPM multi-journal digest summarizing cutting-edge palliative care research. Dr. Bull is first author or co-author of multiple peer-reviewed publications, with a focus on HPM program sustainability and quality reporting. She is a frequent speaker at state and national meetings, sits on the Hospice Intermediary Advisory Committee, and is a member of the Chief Medical Officers group of the National Hospice Work Group.

Disclosure: Planners: Barbara L. Bouton, MA, FT, and Jennifer Kennedy, MA, BSN, RN, have no relevant financial relationships to disclose.

Faculty: Janet Bull, MD, FAAHPM has relevant financial relationships to disclose (Speaker’s Bureau & Scientific Advisory Board).

CE/CME Credit Hours: Nurse:  1.0 Contact Hour
Social Worker: 1.0 Contact Hour
Physicians:  1.0 AMA PRA Category 1 Credits™
Completion: In order to complete this online activity, participants must view the course in its entirety, correctly answer all case studies and quiz/test questions (as appropriate) and complete the evaluation. You will have access to the course for 90 days from the date of purchase.
CE/CME Info:


Nurse: NHPCO is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

NHPCO designates this enduring material for a maximum of 1.0 contact hour. Nurses should claim only the contact hour commensurate with the extent of their participation in the activity. Accredited status by ANCC refers only to continuing nursing education and does not imply endorsement of any commercial product discussed in conjunction with this activity.


Physician: The National Hospice and Palliative Care Organization is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

NHPCO designates this enduring material for a maximum of 1.0 AMA PRA Category 1 credit(s) ™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Certificate of Participation for Non-physician Healthcare Professionals: 
For participants* whose disciplines are other than counselor, nurse, physician, and social worker, you may request a Certificate of Participation for Non-physician Healthcare Professionals to submit to your accrediting bodies/licensing boards for continuing education credit. This certificate will indicate the Webinar was certified for AMA PRA Category 1 Credit(s) TM. It is the responsibility of participants to submit the certificates to their accrediting bodies/licensing boards for approval. Unfortunately, NHPCO cannot guarantee its acceptance. To receive this certificate, you must complete all CE/CME requirements and indicate your desire to receive this certificate on the evaluation form. *including bereavement professionals, finance professionals, physician assistants, spiritual care givers, etc.

Release Date: 11/25/2015
course review date:  11/25/2018 

Expiration Date:


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