2021 Webinar Recordings

When it comes to a crisis, we may not always be able to control the outcome, but we can control our response to it. That is resilience. As we continue to face the global pandemic, we must find ways to endure the never-ending marathon of Covid19. This webinar will give you the top 5 tips on how to endure uncertainty for the long haul and become resilient to carry on no matter the chaos or crisis.

Learning Outcomes

• • • Discuss the difference between endurance and resilience
    • List 3 things you can do to remain resilient
    • Identify the importance of self-care first in endurance training
    • Discuss ways to find physical, emotional and spiritual self-care and support

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The Circle of Life Award celebrates innovation in palliative and end-of-life care by recognizing programs that can serve as models for other health care organizations working to embed palliative and end-of-life care in a variety of settings. This webinar will showcase 2020 honoree Caring Circle, a community-based hospice and palliative care organization, that strives to provide seamless transitions between primary care, inpatient and home-based palliative care and hospice care settings. Faculty will discuss their organization’s innovative patient assessment program and community bereavement center. In addition, faculty will discuss the application process and impact of receiving the Circle of Life Award.

Learning Outcomes

• • • Discuss two of Caring Circle’s innovative programs
    • Identify the benefits of receiving the Circle of Life Award
    • Describe the application process for the Circle of Life Award

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We often pigeonhole who can do what task inside hospice with much of it going to nurses. How can we extend the RNs ability to reassign tasks that can be done by others while also having the appropriate buy-in from the other members of the team? How do we prepare the other disciplines to do these tasks? Learn how to drive change in your organization to work effectively as a truly cohesive IDG team.

Learning Outcomes

• • • Drive cultural change in your organization
    • Identify benefits of all IDG members working at the top of their license
    • Create a game plan for your organization

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This webinar will examine implementation issues and lessons learned by hospices when providing patients and/or their representative with an election statement addendum. Faculty will share strategies for providing details about the items, services, and drugs that the hospice has determined to be unrelated to the terminal illness and related conditions. In addition, the webinar will provide clarifications on items, services or drugs that are related but the hospice will not be providing as they are considered not medically reasonable and necessary. In addition, faculty will discuss the recently released Hospice Medication Deprescribing Toolkit, a companion resource to the NHPCO Medication Flow Chart – Determination of Hospice Medication Coverage, which will be very helpful with the ”not medically reasonable and necessary” drugs.

Learning Outcomes

• • • Discuss lessons learned from the implementation of the hospice election statement
    • Identify strategies for successfully implementing and monitoring the hospice election statement addendum
    • Distinguish between unrelated and no longer medically necessary
    • Identify resources for hospice medication deprescribing

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What is the customer service philosophy of your organization? Do you have a plan for when things may go wrong? Customer service is an important dimension in health care delivery. Customer satisfaction is measured by the hospice CAHPS and reflects the perception of quality of care by patient families and caregivers and willingness to recommend your hospice to others. Partner satisfaction can be measured by future referrals and willingness to engage in contractual agreements. In today’s competitive market, hospice providers must ensure they are delivering not only the highest quality of care but also the best customer service.

Learning Outcomes

• • • Identify opportunities to enhance customer service to patients, families, and community partners
    • Discuss strategies that could minimize poor CAHPS results
    • Examine components of a customer service recovery plan

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The COVID-19 pandemic led to rapid adoption of telehealth across all health care sectors, including hospice and palliative care. A year later, hospice and palliative clinicians continue to incorporate telehealth into their daily practice.  This webinar traces the beginnings of telehealth expansion in 2020 to the present, illustrates telehealth use cases, describes access issues and other barriers, and appllies best practices for effective virtual visits. Faculty will also present an update of the regulatory and payment environment related to telehealth and attempt to predict what the future holds for other in-home care technology.

Learning Outcomes

• • • Illustrate the value that telehealth brings to hospice and community-based palliative care
    • Discuss barriers to telehealth and apply best practices for effective virtual visits
    • Describe the current regulatory and payment environment related to telehealth

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There are two unique aspects about being a health care or human service professional that workers in other industries do not experience to the same degree. The first is the in-depth use of self and as Arlie Hochschild describes “emotional” labor that our work requires, and second, that we cannot avoid being personally affected by caring for vulnerable people who are suffering in some way. The emotional burden of grief in the workplace has become even greater as a result of the COVID-19 pandemic. This webinar will describe both the personal benefit and the burden inherent in this work and how COVID-19 has presented a unique challenge to the health care professional. Faculty also will describe helpful personal and professional strategies for building resilience and discuss what organizations can do to support grieving staff.

Learning Outcomes:

• • • Identify the unique professional burden for front-line healthcare workers (HCWs) during COVID-19
    • Describe common emotional, cognitive and physical reactions related to COVID- 19 stress among HCWs in general.
    • Explore the unique skillset required to develop resiliency and remain effective at work.
    • Identify specific self-care and coping strategies for healthcare workers during the Pandemic and beyond!

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• • • COVID-19 status update
    • Hospice program integrity provisions and their implementation
    • HQRP updates and what is in the quality pipeline
    • How these proposed changes apply to your hospice

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

• • • Discuss the FY2021 Hospice Wage Index Proposed Rule
    • Describe updated related to the COVID-19 PHE
    • List hospice program integrity components for surveys and intermediate remedies
    • Identify changes to the hospice QRP

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Changes this past year disrupted long-held boundaries for how we provide end-of-life care. Today and ahead, what new boundary considerations can improve your person-centered care with the patients and families you serve? What boundaries can be healthier for you with your colleagues? Join us with an open mind and heart, and a willingness to grow.

Learning Outcomes

• • • Describe new boundary challenges for end-of-life care professionals due to the pandemic
    • Discuss a healthy boundary to improve upon with patients and families
    • Identify a healthy boundary to improve upon with colleagues

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The MCCM third report demonstrates the model’s success in improving quality and reducing cost. NHCPO, in collaboration with the National Coalition of Hospice, & Palliative Care is actively engaged with CMMI to advocate for a next generation of the MCCM. This webinar will include providers that have been successful in the MCCM. Please join to learn from their experience as you consider opportunities to implement, sustain, or expand community-based palliative care services. 

Learning Outcomes:

• • • Identify at least one positive outcome from the MCCM
    • Discuss challenges of the MCCM and mitigation strategies
    • Describe the implications of learnings from the MCCM that are applicable to other CBPC opportunities

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Health care has become more complex in the last year due to the pandemic, community protests, and life in general. Now, more than ever, it is crucial for hospice providers to pay attention to risk situations in the home that 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 current risks hospice care teams encounter in homecare delivery
    • Identify strategies for staff training when working in potentially threatening situations
    • Review safety precautions for COVID-19 and how to address patient/family staff concerns for safety

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Amyotrophic Lateral Sclerosis (ALS, Lou Gerhig’s Disease) is a difficult, sometimes tragic illness for patients and families living with this disease. It creates challenges for hospice agencies caring for these patients and families, as they attempt to manage the extent of limitations and symptoms that are expected parts of the disease trajectory. This session will acquaint participants with the nature of ALS, including the expected course of the disease, management strategies, prognosis, and hospice-specific issues regarding this illness.

Learning Outcomes:

• • • Gain an understanding of ALS and its natural disease trajectory.
    • Describe treatment strategies and approach to the management of patients with ALS.
    • Identify unique issues facing caregivers caring for loved ones with ALS.
    • Discuss hospice eligibility for ALS and factors impacting the hospice plan of care for ALS patients.

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Join members of the NHPCO End-of-life Doula Council for this interactive and informative webinar about End-of-Life Doulas. This 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. Learn how doulas compare and contrast with members of the hospice IDT, and hear from Amanda s. with CHI Hospice of Lincoln, NE about how and why they are incorporating doulas into the care model.

Learning Outcomes

• • • List the key elements of the definition of an end-of-life doula.
    • Differentiate between a community doula and a hospice volunteer.
    • 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.

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• • • A better understanding of barriers some communities face in accessing hospice and palliative care.
    • Utilization rates of acute care for racial and ethnic minority populations as well as dual-eligible beneficiaries.

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Compassion fatigue (CE) occurs when healthcare workers, exposed to multiple and ongoing traumatic events, develop declining empathetic ability from the repeated exposure to other’s suffering.  Some might suggest that the work of hospice and palliative care professionals creates a contagious vulnerability for CE across disciplines. This session with discuss strategies to recognize and mitigate compassion fatigue and the importance of boosting resilience within ourselves and our care teams.

Learning Objectives:

• • • The learner will be able to verbalize understanding of the depth and complexity of compassion fatigue.
    • The learner will be able to implement strategies to assist the interdisciplinary group in identifying and preventing compassion fatigue.

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Hospice providers need to know what is on the table and in the pipeline related to the FY2022 Final Hospice Rule so they can plan their strategy for success.  Join this webinar for a discussion of the content in the FY2022 Hospice Wage Index Final Rule.

Faculty will elaborate on the following:

• • • Regulatory and COVID-19 PHE waiver update
    • HQRP updates and what will be implemented in 2022
    • How these proposed changes apply to your hospice

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

• • • Discuss the FY2021 Hospice Wage Index Final Rule
    • Describe updated related to the COVID-19 PHE
    • Identify changes to the hospice QRP

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COVID-19 has shown a spotlight on the health care disparities and inequities experienced by our communities of color.  Care delivery is also impacted by implicit biases that are held by patients, caregivers and the staff that serve them.  We will explore best practice strategies that can be employed to build bridges and open access for those who need our services.  We will explore best practices that will cultivate a culture of empathy that leads to enhanced person-centered care.

Learning Outcomes

Upon completing this session, participants will be able to:

• • • Understand the how implicit biases play a role in the community and how we as hospice providers can cultivate a culture of empathy that will lead to patient centered care.
    • Utilize the suggested best practices to help fill in the gaps with reaching out patients the need all areas.

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The webinar will provide education on opioid and pain management for patients receiving hospice and palliative care with a particular focus on the impact that Covid has had on the opioid epidemic (when a pandemic exacerbates an epidemic) and the implications for providers in this setting. Case based learning will be utilized to illustrate learning objectives.

Learning Outcomes

• • • Describe the impact that Covid has had on the opioid epidemic and delivery of care in the hospice & palliative care arenas.
    • Know available tools for opioid risk assessment and stratification.
    • Be able to explain strategies that can be utilized to mitigate risk when providing care for patients with a history of substance misuse/abuse.

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This presentation will focus on the concepts of moral distress and moral resiliency and provide attendees with practical information on how to cope with pandemic stress and anxiety.  Identifying and addressing moral distress can lead to positive changes both personally and professionally and can create an environment where hospice personnel can optimize their contribution to the patient care and to the families in which they serve.

Learning Outcomes:

• • • Understand moral distress, moral courage, and moral resilience
    • Learn how the stress of the pandemic can affect someone both in their personal and professional life.
    • Discuss the impact of moral distress
    • Understand how to stay positive, cope with pandemic stress and anxiety and develop moral resilience
    • Gain useful tools in decreasing the risk of moral distress during and post pandemic.

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Adults tend to be the primary population on caseload for many hospices, while pediatric patients account for a much smaller and sometimes infrequent portion. When a pediatric patient is referred, some adult hospices need to adjust quickly to serve the unique needs of a pediatric patient and their family. Join this panel of experts from multiple disciplines as they discuss what adult providers need to know when they are referred a pediatric patient and how best to care for them and their family.

Learning Outcomes:

• • • The goal is to create a sense of confidence in caring for children referred to an adult program that infrequently cares for children
    • To highlight some of the similarities and differences to allow planning for the occasional child referred to your program
    • To encourage forming collaborative partnerships with your local center of pediatric expertise

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The webinar will highlight the experiences and learnings of hospice organizations and Medicare Advantage organizations who are initial participants in the hospice component of Medicare’s Value-Based Insurance Design (VBID) Model, also known as the hospice carve-in. NHPCO convened over 50 leaders across provider organizations, health plans, and policymakers to discuss the first 7 months of the carve-in from their respective vantage points with a focus on:

• • • Beneficiaries and Families – Quality Measures & Consumer Impact
    • Seamless Transition of Care – Palliative Care Core Services
    • Network Adequacy
    • Innovative Contract Arrangements

Learning Outcomes:
By attending the webinar, attendees will:

• • • Better understand the current viewpoints of hospice providers and health plans with the evolution of the hospice carve-in
    • Recognize the additional aspects of hospice, palliative, and concurrent care that might be available for patients and their families who are part of the model

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In 2020, Congress passed the Consolidated Appropriations Act, 2021 which included hospice survey reform and enforcement provisions.  The CY 2022 Home Health final rule now provides regulations for the new law.  This webinar will focus on the two sections of the final affecting hospice providers:

• • • reforms to the hospice survey process, including changes to the reporting of survey deficiencies by accrediting organizations, surveyor training and competency, surveyor conflict of interest, and multi-disciplinary survey teams.
    • Hospice enforcement remedies, including a directed plan of correction, directed in service education, temporary management, civil monetary penalties, and suspension of payments for all new admissions.  Finally, the webinar will address how a hospice can prepare for these changes.

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

• • • Identify two changes in the survey process that are now in effect.
    • List the possible disciplines that could be considered to be part of the survey team.
    • Describe four of the enforcement remedies and when they could be used by the surveyor or CMS.

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Organizations have the greatest opportunity for success when operations and finance work cohesively towards a common goal—this is especially within a hospice agency. There is a lot of room for communication, collaboration, and coordination to provide the highest level of care. Data can become the common language spoken across a variety of departments that allows your organization to reach their strategic goals.

Learning Outcomes

• • • Identify and understand the most valuable and critical metrics to measure and analyze.
    • Develop strategies for communicating metrics to each department and build a data-driven culture.

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This panel will discuss the effects of COVID-19 on hospice and palliative care interdisciplinary teams and patients. Conversation will focus on how practitioners responded to fear and uncertainty throughout the pandemic, discuss operational and change management that was put in place, and review both lessons learned and lasting changes brought about by the pandemic. With the ongoing public health emergency, panelists will also discuss COVID-19 topics relevant at that time.

Learning Outcomes:

• • • Describe operation and change management techniques that better serve hospice and palliative care patients and teams because of the COVID-19 pandemic.
    • Describe three ways that hospice and palliative care will need to transform due COVID-19 pandemic.

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