2019 Webinar Recordings
Bereavement Care Following Opioid-Related Deaths – Jan. 10
Creating a Thriving IDT Culture – Jan. 29
Improving Access for Diverse/Marginalized Populations – Feb. 14
Building a Culture of Accountability – Feb. 29
Aligning Business and Clinical Practices – March 14
End-Stage Alzheimer’s/Dementia Management – March 26
Life Review and Closure – April 11
Challenges in Establishing and Maintaining Professional Boundaries – April 23
Challenges to Assessing Quality and Possible Solutions – May 9
Visits at the End of Life – May 28
Orientation and Onboarding – June 13
Clinical Assessment and Documentation – June 25
Caregivers: A Key Focus of Care – July 11
Improving IDT Practice through Patient/Family Inclusion – July 23
The Palliative Care Value Equation for ACOs and MCOs – Aug. 8
Quality and Regulatory Hot Topics – Aug. 27
Revenue Cycle Management – Sept. 12
Integrative Therapies – Sept. 24
Providing Culturally Sensitive Care – Oct. 10
Staff Competencies – Oct. 22
Target Populations for Growth and Expansion – Nov. 14
Comprehensive Assessment and Plan of Care – Nov. 21
Personnel, Performance and Productivity – Dec. 12
Advanced Pain Management – Dec. 19
Bereavement Care Following Opioid-Related Deaths - Jan. 10
More than 49,000 Americans died of opioid overdoses in 2017, a statistic that continues to rise. Our nation’s communities are working tirelessly to respond to the opioid epidemic, while each day more family members join the ranks of the bereaved. In addition to providing expert care and support to hospice families after death, hospice bereavement programs are expected to respond to community bereavement needs. Many programs have begun to include those grieving death by opioid overdose to their groups, commemorative events, bereavement camps and other programming as well as to offer specialized services. Collaborating with local service providers who understand addictive family systems, these hospices are responding to the needs of a growing population of bereaved family members of all ages.
This Webinar will highlight the innovative work being done to support this population and introduce opportunities for other programs to join their ranks. Understanding the unique aspects of bereavement for this population of grievers and providing outreach to them is an important extension of hospice care into the community.
- Describe the nature of addiction on family systems and the community
- Discuss the impact of opioid overdose deaths and unique features of bereavement for impacted families
- Describe selected hospice bereavement programs’ efforts to address the bereavement needs of this population
Creating a Thriving IDT Culture - Jan. 29
Hospice and palliative care teams can transform end-of-life experiences. Beyond a disease approach, the “Experience Approach” to care is grounded in an interdisciplinary model driven by patient/family values, goals and wishes for how they want to live out their lives. Whether the patient has nine hours, days, or months to live – an interdisciplinary team (IDT) that continually focuses on what is most important to the patient and family will help to create transformative experiences. This Webinar will discuss components of creating and maintaining a culture where hospice interdisciplinary practice thrives, supports patient and family values, goals, and wishes, and enriches the lives of staff and volunteers.
- Describe the specialty of hospice interdisciplinary care that focuses on transforming patient/family end-of-life experiences
- Identify components that create and hardwire an effective interdisciplinary team culture, including IDT meetings
- Demonstrate the value of interdisciplinary practice for patients/families, staff/volunteers, and the hospice organization
Improving Access for Diverse/Marginalized Populations - Feb. 14
Changing demographics means that organizations can no longer plan only for the familiar, comfortable and traditional ways of doing business. Implementing strategies to improve access and eliminate disparities in end-of-life care faced by patients and families of color should become a priority for all hospices and palliative care services. This Webinar will address the importance of increasing your staff and volunteer workforce to reflect the diversity of the communities you serve and provide strategies and examples of how you can build trust with these populations.
- Discuss end-of-life care through the lens of patients and families from various cultural and ethnic backgrounds
- Describe the role of cultural humility in caring for patients and families
- Identify challenges and issues related to access with these patient populations
Building a Culture of Accountability - Feb. 29
Is everyone on your team accountable for providing high quality care for patients and families facing life-limiting illness? This Webinar will examine the different types of accountability at both the staff and organizational levels including accountability to management, communities, government agencies and accrediting bodies. Faculty also will offer strategies on how to utilize your compliance and QAPI teams to build and strengthen the culture of accountability in your hospice and palliative care program.
- Define what accountability means for the staff and organization as a whole
- Describe the relationship between compliance and QAPI teams as it relates to accountability
- Identify strategies and processes to ensure accountability and high-quality care for patients and families
Aligning Business and Clinical Practices - March 14
Great hospice and palliative care organizations allow the business AND the care to thrive, grow and contribute to the communities they serve. This Webinar will discuss the crucial components of creating and maintaining a culture where hospice clinical practice thrives in cooperation with the successful management of the organization. By focusing on the mission of your work, you will support the extraordinary care of patients and families and their values, goals and wishes.
- Describe the responsibility of the clinical team to the business success of an organization
- Discuss how adhering to your mission can enhance the margin
- Identify exemplary practices both management and front-line staff must share for success
End-Stage Alzheimer’s/Dementia Management - March 26
Alzheimer’s disease and related dementias necessitate a unique approach based upon the natural history of the disease, symptom burden, and the dementia itself, especially dementia related agitation and aggression, and the related pharmacologic treatment. This Webinar will increase participants’ understanding of the evidence surrounding the natural history of the disease including clinical complications that support hospice appropriateness of dementia, pharmacologic and non-pharmacologic management of dementia related behaviors, and the role of medications to treat dementia. After this Webinar, participants will be able to better apply evidence-based medicine to the care of dementia patients near the end of life.
- Identify clinical choice points that indicate a poorer prognosis and hospice appropriateness in persons with dementia
- Describe an approach to the assessment and management of dementia related behaviors
- Discuss the burdens and benefits of dementia medications to incorporate rational utilization of these treatments
Life Review and Closure - April 11
We know getting past assessment forms and required check boxes to have meaningful conversations with patients and families leads to greater satisfaction and outcomes and can reduce the risk for complicated grief. Yet doing so in the face of short lengths of service, expanding caseloads, increased compliance requirements, and risks for re-traumatization can be challenging. This Webinar will examine fresh ideas and practical tools to equip you and your team to provide opportunities for persons to find resolution and say goodbye in a way that meets their needs and our current reality.
- Discuss the importance of communication and listening skills in the care relationship
- Analyze the challenges and risks of providing reminiscence and life review
- Develop new strategies to add to your clinical toolbox
Challenges in Establishing and Maintaining Professional Boundaries - April 23
Often boundaries are subtle, grey and difficult to manage. This Webinar will address common boundary issues within end-of-life care and examine how to manage these situations for the best outcomes of the patient and family. Participants will consider areas within their own practice in which they are most vulnerable to boundary issues and identify strategies to address them.
- Explain the boundary expectations in end-of-life care
- Identify boundary violations that can occur in end-of-life care
- Define when there is a boundary violation and what practitioners should do about it
Challenges to Assessing Quality and Possible Solutions - May 9
While there is significant consistency across palliative care programs in overall measurement goals, there is variation in the resources available to support those goals and in the challenges programs encounter when trying to measure. Faculty will review common measurement challenges and possible solutions, based on the experiences of active palliative care programs. Through case studies, this Webinar will focus on the strategies used to address these challenges, given variation in organization type, available resources, and the needs of stakeholders who have an interest in palliative care metrics. Participants will gain insight into the degree to which these challenges are impacting their ability to measure palliative care processes and outcomes, to support development of a local remediation strategy.
- List common measurement challenges in palliative care
- Describe at least one possible solution for each measurement challenge
- Develop a plan for overcoming challenges in measuring your program’s processes and outcomes
Visits at the End of Life - May 28
Data from NHPCO’s Facts and Figures indicate that short LOS for patients receiving hospice care is rising in the United States. Data from NHPCO (2016) showed that 55% of patients received hospice care for 30 days or less. This data is concerning from a compliance and quality of care perspective. This Webinar will present NHPCO’s Imminent Death Protocol and show hospice providers how to improve the quality of patient/family care in the last 7 days of life.
- Define the issue related to short length of stay in hospice (7 days or less)
- Discuss the NHPCO Imminent Death Protocol
- Demonstrate methods for providing high quality of care to patients in their last 7 days of life
Orientation and Onboarding - June 13
Think back to your first day at work. Were there pieces missing from your onboarding and orientation that could have improved your experience? Now think about the present employee welcome strategy at your organization. Does your onboarding journey match the expectations of your new employees? In this webinar, learn to realize the full potential of your team by bridging the gap between new employee expectations and your current onboarding strategies.
- Identify and resolve barriers that impact the ability of new employees achieving their fullest potential
- Increase efficiencies and recover trapped productivity by accelerating the onboarding and orientation process
- Implement modern people strategies that enhance retention and cultural connection
Clinical Assessment and Documentation - June 25
Comprehensive assessment is essential to the effective management of our patients in hospice and palliative care. Likewise, documentation of that assessment and of our interventions can promote better IDT care, demonstrate our adherence to COPs/Comprehensive Assessment Quality Measures/Accreditation Standards, as well provide evidence to reviewers of the appropriateness for hospice care and/or the level of service provided. Join us for this Webinar as we review these essential components of care and provide tips for improving our overall clinical assessment and documentation.
- Describe the essential components of a comprehensive clinical assessment
- Compose documentation which meets regulatory requirements
- Discuss specific areas which should always be included in clinical documentation
Caregivers: A Key Focus of Care - July 11
We know unpaid caregivers play a critical role in end-of-life experiences for those family and friends for whom they provide care. But while the focus of hospice and palliative care, by necessity, is on the patient, too often the needs of caregivers go unrecognized. For them, hospice caregiving often presents a complexity of emotions, demanding physical obligations, and expanded responsibilities and commitments. This Webinar will introduce data on caregiving as a framework for the experiences and emotions of unpaid caregivers participating in hospice care for their loved one and offer a glimpse into one caregiver’s journey through the hospice paradigm.
- Identify regulations framing unpaid caregivers in hospice and palliative care services in the U.S.
- Discuss statistics about the impact of caregiving on the caregiver’s health and well-being
- Describe the experiences and needs of unpaid caregivers in the hospice setting
Improving IDT Practice through Patient/Family Inclusion - July 23
Hospice promotes the participation of patients and family members in decisions related to their care; however, they are usually not present in the regular interdisciplinary team meetings where care decisions are made. Join this Webinar to learn about a current research project that is demonstrating feasibility and testing outcomes of the use of technology to include patients and /or family members in the IDT while also facilitating shared decision-making. Participants also will discover the benefits and challenges of engaging patients and families in the IDT.
- Discuss a protocol from the use of web-conferencing to engage patients and family members in the hospice IDT
- Identify challenges to the inclusion of patients and families in team meetings
- Interpret the preliminary data pointing to potential benefits of participation in IDT meetings
The Palliative Care Value Equation for ACOs and MCOs - Aug. 8
This Webinar will examine the opportunities for collaboration with health plans to provide palliative care services for their seriously ill beneficiary population. Key concepts include identifying high risk individuals, core team members and interventions, measurement and metrics to demonstrate value and reimbursement models. Considerations include how data is shared, frequency of communication, program cost, methods of program evaluation and contract negotiation.
- Describe the opportunity to partner with health plans and program considerations necessary to negotiate a contract
- Identify three data elements needed to stratify the high risk/seriously ill patient population
- Develop an action plan to secure a contract with a health plan
Quality and Regulatory Hot Topics - Aug. 27
Join this Webinar for an in-depth discussion on the FY2020 Hospice Wage Index Final Rule. Faculty will elaborate on the final rule’s proposal to rebase Continuous Home Care (CHC), Inpatient Respite (IRC) and General Inpatient Care (GIP); reduce Routine Home Care (RHC) rates by -2.71%; require an addendum to the hospice election statement to provide transparency for patients when the hospice determines that a service, item or medication is not related to the terminal illness and related conditions and must be paid for by the beneficiary; request information on the role of hospice and coordination of care at end-of life; hospice future measure development; claims based measures in development; hospice assessment tool update; Hospice Compare update; and possible CAHPS Survey changes. Don’t miss this opportunity to hear from NHPCO experts about the potential impact of these proposals.
- Discuss the FY2020 proposed payment increases and cuts
- Describe challenges if using claims data in the HQRP
- Identify potential changes in the CAHPS survey
Revenue Cycle Management - Sept. 12
Balancing effective regulatory compliance with optimum cash flow is a constant challenge for hospice providers. The Medicare Hospice Benefit continues to receive scrutiny from CMS and program integrity contractors, including new Targeted Probe & Educate (TPE) initiatives by Medicare Administrative Contractors. This Webinar will focus on assessing cash flow effectiveness and typical compliance and revenue cycle process weaknesses, and will offer strategies for optimizing the revenue cycle, including providing industry revenue cycle performance benchmarks.
- Identify typical threats to cash flow
- Discuss hospice revenue cycle performance benchmarks
- Apply strategies for effective ongoing revenue cycle management
Integrative Therapies - Sept. 24
Use of integrative therapies in hospice and palliative care settings is ubiquitous due to popular demand by patients and families as well as the growing evidence of benefit for symptom management and quality of life. As a result, multidisciplinary health care providers need to be prepared to support informed decisions about appropriate use of integrative therapies when planning patient care as well as answering questions from patents and families. This Webinar will review the state of the evidence for the most common integrative therapies used in hospice and PC settings, their potential risks or harmful effects and decision criteria for care planning and referral.
- Describe the state of the evidence for the most common integrative therapies
- Describe the potential risks or harmful effects of common integrative therapies
- Describe criteria for selecting integrative therapies according to indication, safety and individual patient preferences
Providing Culturally Sensitive Care - Oct. 10
Providing excellent high-quality care throughout a patient’s end-of-life journey is the goal of every hospice organization. At times, however, even well intentioned professionals lack awareness of cultural norms that compromise best practice and lead to negative consequences in the patient-provider relationship. This Webinar will offer an opportunity to explore best practices for providing patient-centered, culturally sensitive and informed care.
- Analyze cultural influences, attitudes and beliefs around illness, death and dying
- Discuss tools and resources to improve cultural sensitivity for healthcare professionals
- Describe the importance of active listening in respecting a patient’s cultural needs
Staff Competencies - Oct. 22
Since staff competence is a major determinant of hospice provider performance, measuring competence is essential for determining the ability and preparation of the hospice interdisciplinary team. In this Webinar, learn how competence is defined, measured, and evaluated in conjunction with the Medicare Conditions of Participation and best practice recommendations.
- Define competence as it relates to the interdisciplinary team members and their functions
- Describe the role of the Quality Safety and Education Network (QSEN) as it relates to competent nursing practice and systems thinking
- Identify the Conditions of Participation relating to the competency and training of employees, contracted staff, and volunteers
- Describe the types of competency assessment methods and the pros and cons of each
Target Populations for Growth and Expansion - Nov. 14
Moving upstream to provide hospice and non-hospice palliative care delivers the right care at the right time for patients and families. Much too often, families coping with serious illness are not accessing palliative care until they are acutely ill and at the end stages of their disease process. But this can change. By offering diversified service lines, integrating into healthcare networks, identifying patients earlier through data analysis and building workflows with providers, hospices can not only survive but become valued and powerful allies, perfectly positioned to take advantage of the evolving healthcare landscape.
- Identify opportunities for hospices to meet the needs of healthcare partners and payers, thus building their value and prospects
- Describe how hospices fit within healthcare’s new payment systems and value-based culture, and how to become a peer within that continuum
- iscuss how to embrace innovation while remaining focused on mission, building on hospices’ inherent strengths to serve families in new ways
Comprehensive Assessment and Plan of Care - Nov. 21
Comprehensive assessments and the plan of care are more than regulatory requirements, they are the foundational components of hospice care. Done well, they provide a roadmap of care provision and the ability to ensure the care is making a difference. The OIG gave us a wakeup call this past July by highlighting the ongoing survey deficiencies related to these areas and how they effected the patient’s care. This Webinar will address the regulatory requirements and the importance of understanding the needs of patients and families in assessing and developing an ongoing plan of care that makes a difference for patients and families at end of life. One hospice’s experience in modifying their EMR’s provided care plans to provide individualized disease focused care plans will be shared along with other resources.
- Identify the Medicare requirements for comprehensive assessments and care planning
- Describe the role of the IDG in the cycle of care in identifying patient and family problems, goals and interventions
- Explain how you can make a difference in patients’ and families’ hospice experience through effective care planning with measurable goals
Personnel, Performance and Productivity - Dec. 12
This Webinar will equip you with fresh ideas and new strategies for improving your performance review processes and empowering your staff to achieve their greatest potential. Faculty will examine how to successfully marry the need for high productivity levels with the need to be supportive of staff. In addition, you will learn how to deal with some of the most challenging situations and staff through case-based discussion.
- Discuss how to improve your performance review processes
- Identify new strategies for empowering your staff
- Describe tactics for managing difficult staff
Advanced Pain Management - Dec. 19
Pain is one of the primary symptoms experienced by patients with a serious illness. In the majority of cases, we can achieve satisfactory pain control with tried and true pharmacologic and non-pharmacologic interventions. Occasionally we have patients who experience complex pain, pain that doesn’t seem to respond to our normal bag of tricks. Participants in this Webinar will learn about best practices in the assessment of complex pain, how determination of the pathogenesis of the pain drives therapeutic decision-making, how to switch between opioids, and how and when to deploy use of medications such as methadone and ketamine. Not for the faint of heart, all practitioners should participate in this Webinar. Warning: buckle your seatbelt!
- Describe best practices in the assessment of complex pain
- Describe how identifying the likely pathogenesis of pain complaints drives management strategies (pharmacologic and non-pharmacologic)
- Given a simulated patient, use current data to recommend an equianalgesic opioid regimen
- Identify drug therapies for complex pain syndromes including methadone and ketamine