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California Hospice and Palliative Care Association

2021 Virtual Conference

January 19-20, 2021

About the Conference
How to Register
At-A-Glance Agenda

About the Conference

Join us for two days full of Live workshops, a virtual exhibit hall featuring industry partners offering their latest products and services, and opportunities to earn CE credits. CHAPCA’s 2020 Education Committee has been hard at work planning a schedule full of content-rich professional development workshops, covering clinical, regulatory, operational, and administrative education. Be sure to check the agenda below and plan your day.

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How to Access the Conference through your TPN.Health Profile:

Step 1:  On the day of the conference, log into your TPN.Health profile and hover over the "Events" dropdown menu, or hover over your account name.

Step 2: Click on "My Events" which will direct you to all of your registered events. This includes all upcoming, active, and on-demand content.

Step 3: Under "Active Events", there will be a live link that, when clicked, will navigate to the main conference hall.

Step 4: Click "Sessions Hall" to be directed to the sessions page. Then, click the button "Join Now" on any session you'd like to attend. Enjoy!

How to Register

To register for the CHAPCA Conference, you will need to complete the following steps:

Member and non-member registration is available on CHAPCA/TPN.Health registration button.

Prior to registering for CHAPCA conference, you will be asked to register for TPN.Health. Please be sure to visit the TPN.Health Privacy Policy.

If you purchase more than one ticket, you will need to provide each attendee's full name, work email, Hospice (agency) Name, title, and CDPH hospice License Number for each additional person registered.

Once you have created a profile for TPN.Health, you will be directed back to your ticket selection page to complete CHAPCA conference registration.

Continue through the checkout process and enter your payment details.

You MUST use the email address associated with your TPN.Health profile at checkout.

You will receive a confirmation email for your CHAPCA conference purchase provided by TPN.Health.  CHAPCA conference access link will be available through the My Events page within your TPN.Health profile.

Please feel free to contact [email protected] or [email protected] if you need assistance with registration.

How to Register Multiple Attendees

How to Register Multiple Attendees:

1. Add item to cart.

2. Click blue cart in top right-hand corner.

3. Increase to desired quantity using arrows to the side of the item within the cart.

4. Select "Checkout"

5. Enter the First/Last Name, Email, Organization, Title, and CDPH License Number of each additional registrant corresponding to the number of tickets being purchased.

6. Once additional information is entered, click "Proceed to Checkout".

7. Continue through the checkout process and enter your payment details.

8. Each additional registrant will receive an email to complete their TPN.Health profile. Once this step is completed, they will receive individual confirmation emails.

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Payment/Cancellation Policy

CHAPCA Annual Conference Pricing

Early Bird Pricing: October 15, 2020 through January 15, 2021

Member Price:
Individual: $300
BRN CE Fee: FREE

Non-Member Price:
Individual: $450
BRN CE Fee: $40/individual

Regular Pricing: January 15, 2021 through January 18, 2021

Member Price:
Individual: $355
BRN CE Fee: $35/individual

Non-Member Price:
Individual: $500
BRN CE Fee: $40/individual

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Sponsors

Legislative Update Sponsor
CHAPCA Annual Awards MC Sponsor
Break Sponsor
Angela Duckworth, GRIT: The Power of Passion and Perseverance” Book Sponsor
Keynote Speaker Sponsorship

Exhibitors

Opening Keynote Speaker

Lauren-Eskreis-Winkler-294x364

Lauren Eskreis-Winkler
"Grit Intervention: Developing Grit in Yourself and Your Organization"

Grit is a personality trait defined as passion and perseverance for long-term goals, predicting success across multiple domains. Sales reps who are high in grit are less likely to quit or move to another company, and gritty Special Forces officers in the US army are less likely to drop out. In this interactive talk, Lauren Eskreis-Winkler explores cutting-edge research on the science of grit, and reviews intervention techniques that have been shown to make people grittier. These interventions can be used to promote grit in individuals, or to nurture a corporate-wide culture of grit. You will walk away from this session able to:

1) Articulate what grit is and why it matters.

2) Understand the difference between grit and talent, and their relative importance to success.

3) Recognize key qualities that differentiate gritty individuals on a micro-level.

How do gritty people think in the face of challenge? How do they interpret setbacks? What is their response to frustration? With this knowledge set, you can recruit, staff, and build stronger teams. You will come away understanding how to build grit—in yourself, your team and within your organization’s culture.

At-A-Glance Agenda

We’re excited to have our opening keynote speaker, Lauren Eskreis-Winkler, as she speaks on the topic of “Grit Intervention: Developing Grit in Yourself and Your Organization".

Tuesday, attendees will have 15 workshops to choose from – 3 every hour.  Can’t make them all? Don’t worry. These workshops will be recorded and available for all registered attendees to view after the conference.

We are looking forward to our Virtual Exhibit Hall.  Our exhibitors have produced amazing virtual booths to visit filled with product descriptions, special offerings just for attendees, and some options to WIN prizes.

Wednesday starts the day with our keynote address from the California Department of Public Health, speaking on "CDPH and COVID-19… A Whole New World".  We will have our Annual Meeting followed by our Annual Awards, 6 workshops, and two keynote speaker presentations. Peter Kellison from Clear Advocacy will be delivering a California Legislative Update.  Finally, our day will end with a National Government Services (NGS) update provided by Shelly Dailey.

Tuesday, January 19th

Opening Session

9:00 am to 10:00 am

Opening Keynote: "Grit Intervention: Developing Grit in Yourself and Your Organization"

Presented By: Lauren Eskreis-Winkler

10:00 am to 10:10 am

Break

Concurrent Workshops

10:10 am to 11:10 am

Workshop 1: COVID-19 Vaccine Distribution POD Planning for Hospice and Home Health Agencies

Presented By:
Karen Garrison, Connect Consulting Services
Nora O’Brien, Connect Consulting Services

Description
Home Health and Hospice agencies are on the front lines of providing care to patients with the a variety chronic health conditions as well as the COVID-19 so it is crucial that they are prepared for the next wave of not only COVID-19 transmissions but also for the eventuality the disbursement of vaccines both organizationally and community. Attendees will develop core competency to assess their own organizational capacity, gaps, and strengths in terms of POD planning.
• Attendees will gain an understanding of the elements of an effective Point of Dispensing (POD) planning process.
• Attendees will understand how to interface with local and state officials to access COVID-19 vaccines.
• This presentation will guide hospice and home health agencies how to to:
• Assess your organizational capacity for POD planning and distribution
• Point of Dispensing (POD) parameters
• How your organization can access vaccines in your county or state
• POD planning for your organization
• Prioritizing vaccine distribution your community.

Workshop 2: Deprescribing: Less is More

Presented By: Brandon Copeland, Optum Hospice Pharmacy Services

Description
Optimal medication utilization is a constant challenge for most end of life patients today. This webinar will focus on the topic of deprescribing, medications to be considered for deprescribing, and communication techniques exploring how to have difficult conversations at end of life.
• List barriers to deprescribing
• Identify medications to consider for discontinuation
• Describe communication techniques for deprescribing medications at end of life

Workshop 3: HIS: Pain Assessment and Screening

Presented By: Adria Loertscher, Silverado Hospice-Irvine

Description
Pain assessment and screening is fundamental to hospice and palliative care. Why do we struggle to complete the required HIS data elements when it comes to pain screening and assessment? How can we ensure that we are adequately screening and assessing for pain? We have developed a system within our organization to adequately and consistently screen and assess pain. We have been recognized by The Joint Commission on our outstanding HIS scores in this area due to our success with our standardized process and would be happy to share what we do to help your organization be successful in screening and assessing pain.
• Understand what the HIS pain screening and assessment questions are asking.
• Learn different ways to implement a process in your program to ensure pain screening and assessment is done every time.
• Learn how to engage you team and leadership team on the importance of pain screening and assessment

11:10 am to 11:20 am

Break

11:20 am to 12:20 pm

Workshop 4: Strategies for Optimizing Hospice Operations Management During an Emergency

Presented By: Zaundra Ellis, AXXESS

Description
Hospice agencies are required to have an Emergency Preparedness Plan to ensure the safety of their staff, patients and operations during an emergency. In this session, attendees will understand role everyone plays in the safe and efficient operations of a hospice agency during a crisis.
• Participants will be able to describe two ways that they are able to formulate an emergency response that will optimize operations during an emergency.
• Participants will be able to list three ways in which community liaisons and volunteers can be used to support their organization during an emergency.
• Participants will be able to describe how they will use their Incident Response team to carry out their organization’s Emergency Preparedness Plan.

Workshop 5: Medical Aid in Dying: A Physician's Perspective

Presented By: David Grube, Compassion & Choices

Description
Medical aid in dying is a medical practice that provides a terminally ill (with six months or less to live), mentally capable adult with the option to request a doctor's prescription for medication they can decide to self-ingest to peacefully end unbearable suffering. It is now legal in 9 states and the District of Columbia; one in five Americans can choose this end of life option. There is now more than 40 years of combined clinical experience for medical aid in dying, and evidence has shown that it allows for a more complete discussion between the clinician and dying person of his or her end of life choices, which improves end of life care, increased use of palliative care and hospice, and less suffering. The clinical team should be aware of the process, guidelines, and barriers to medical aid in dying.
• Define medical aid in dying, its clinical and regulatory components
• Discuss medical aid in dying protocols, risks, and possible complications
• Explore barriers to access for dying patients
• Review appropriate clinician's response to patient requests for medical aid in dying

Workshop 6: Interdisciplinary Team Meeting - Physician's Perspective

Presented By: Howard Homler, Seasons Hospice and Palliative Care

Description
The physician's perspective and needs from the IDT meeting and its participants. Understanding what is the physician is looking for and how to help your physician be a star.
• Attendee will be able to anticipate the data the doctor is looking for with recertification
• Attendee will understand how the information he/she provides the doctor influences what the doctor recommends
• Attendee will understand the doctor's decision-making reliance on the chaplain and SW
• You will be more effective at your next IDT

12:20 pm to 1:00 pm

Lunch Break

1:10 pm to 2:10 pm

Workshop 7: Improving Racial and Ethnic Inclusion

Presented By:
Dr. M. Courtney Hughes, Northern Illinois University
Dr. Erin Vernon, Seattle University

Description
Racial and ethnic minorities use hospice less than White people. This session summarizes the challenges and opportunities hospices face in addressing this disparity. The speakers will discuss recent findings based on national interviews and surveys of hospice executives along with specific strategies for improving hospice utilization and quality for all.
• Upon completion of this program, the attendee will be able to describe the challenges associated with racial and ethnic minority use of hospice.
• Upon completion of this program, the attendee will be able to understand the data findings and policy implications of racial and ethnic minority use of hospice.
• Upon completion of this program, the attendee will be able to discuss strategies that hospices can use to improve racial and ethnic minority inclusion.

Workshop 8: GIP in SNFs and CHC in ALFs: Eligibility, Risks, Opportunities, and Expectations

Presented By: Kevin Gulliver, Weatherbee Resources

Description
Higher Levels of Care in hospice have received considerable attention from Medicare due to both under and over utilization. In this workshop, participants will apply standards and best practices for delivery of General Inpatient and Continuous Home Care in Skilled Nursing and Assisted Living settings.
• Upon completion of this session, participants will be able to describe the eligibility criteria for the general in patient and continuous home care in hospice.
• Upon completion of this session, participants will be able to identify the service delivery expectations for general inpatient and continuous home care levels of care in hospice.
• Upon completion of this session, participants will be able to describe best practices for compliant delivery of higher levels of care in hospice.
• Upon completion of this session, participants will be able to identify higher level of care service delivery opportunities, risks, and misunderstandings.

Workshop 9: Intro to Livanta – Working with your QIO

Presented By: Bryan Fischer, Livanta

Description
In this workshop, Bryan will provide an introduction to Medicare's Quality Improvement Program. Bryan will discuss Livanta’s role as a Medicare Beneficiary and Family Centered Care - Quality Improvement Organization (BFCC-QIO).

In this workshop, Bryan will describe Livantra’s QIO roles for appeals and quality of care complaints. In addition, provide a thorough review of key provider action items for Medicare compliance.

2:10 pm to 2:20 pm

Break

2:20 pm to 3:20 pm

Workshop 10: Leadership Training for a High-Performing IDG Team

Presented By: Carol Javens, Axxess

Description
A high-performing IDG team is crucial to excellent patient care. Attendees will learn how to recognize opportunities to lead your team by cultivating growth and best practices to determine which leadership role is best suited for your daily operations.
• Identify four styles of developing team members and identify when each style is appropriate.
• Identify the risks to outcomes when development of team members is not a prioritized.
• Describe situations in your daily routine that provide development opportunities to the team.

Workshop 11: Caring for Caregivers During COVID-19 and Beyond

Presented By:
Lisa Meadows, ACHC
Dr. Andrew Awoniyi, AXXESS

Description
Frontline caregivers work intimately with patients to ensure positive outcomes. In the process, they deal with significant personal challenges with little respite, and risk burnout during stressful events, including national disasters and pandemics such as COVID-19. Adequately supporting caregivers is imperative for the success of in-home care organizations. Participants will learn how to better understand care provider needs and support them through challenging times.
• Upon completion of this program, the attendee will be able to identify key challenges of healthcare providers and organizations during the pandemic
• Upon completion of this program, the attendee will be able to identify key signs of caregiver burnout
• Upon completion of this program, the attendee will be able to identify strategies to reduce and manage caregiver burnout during the pandemic
• Upon completion of this program, the attendee will be able to describe strategies for long-term success both personally and organizationally to reduce caregiver burnout

Workshop 12: Palliative Care to the People: Partnering with a Patient Experience Department to Raise Awareness of Palliative Care in the Community

Presented By:
Grant Smith, Stanford University School of Medicine
Ashley Bragg, Stanford Health Care
Claire Bleymaier, Stanford Health Care

Description
In this session, we describe how a unique partnership between a clinical department of palliative care and a department of patient experience leveraged our clinical expertise and knowledge of patient outreach methods to increase awareness and knowledge of palliative care in the community within and beyond our medical center.
• Describe the development and implementation of a novel partnership between a clinical department of palliative care and a department of patient experience.
• Describe a systematic approach to developing, implementing, and evaluating a multifaceted strategy to improve palliative care awareness in the community.
• Identify novel ways to increase awareness of palliative care in the community.

3:20 pm to 3:30 pm

Break

3:30 pm to 4:30 pm

Workshop 13: Let's Get the Data Right! 

Presented By:
Mark Sharp, Partner BKD, LLP
Aaron Little, Managing Director, BKD, LLP

Description
This session will focus on correctly reporting and the annual OSHPD data, as this data provides a representation of the important work done by hospices in the State of California. Additionally, this session will focus on how to use the data for benchmarking and analytic purposes.

Workshop 14: There is Nothing Artificial About AI Improving Patient Care in Hospices

Presented By: Tim Blackmon, Mumms Software

Description
Many different forms of Artificial Intelligence (AI) have been applied to the acute care domain for decades. They vary from diagnosis assistance, outcome predictions, dynamic cohort groupings, and imaging reviews to mention a few. However, the hospice industry has been traditionally slow adopters of such technologies, simply because the AI solutions were not aligned with the primary mission of hospice to provide the very best care to patients and families during end of life. Typically, most AI solutions have concentrated on the cure or preventative measures of treatment. AI's influence is steadily expanding into other domains including hospice. The state of hospice is clear: a steady increase in an aging population, a constant shift of regulations, and a shrinking skilled workforce is outpacing the ability for hospice providers to be effective in business and more importantly in patient care. This situation provides an opportunity to leverage technology to be more efficient, profitable and provide the better care. AI is an old science that is finding its way into unlikely spaces because of a steady increase in compute capabilities and a decrease of compute cost. For those hospices that are innovative and forward-thinking, it may be time to stretch the legs of creativity and embrace in the new wave of technical solutions that will improve care, operations, and the bottom line. This presentation will serve as a brief primer to Artificial Intelligence, dispelling the myths and mysteries, and will focus on solutions emerging in the hospice industry, all of which are aligned with improving end of life care, improving quality scores, making day-to-day operations more efficient, and increasing revenue.
• Describe the basics of Artificial Intelligence, specifically deep learning
• Understand the limitations and future direction of Artificial Intelligence in Hospice
• Describe the results of a research project centered around improving SIA patient care
• Assess other areas of hospice where AI could apply

Workshop 15: Psychedelics in Palliative Care

Presented By: Dr. Joshua Biddle, Medical Director, Outpatient Palliative Care, Marin Health Medical Network

Description
This presentation will give an overview of psychedelic assisted therapy and how it relates to palliative care. It will define and classify psychedelics, introduce pre-modern indigenous use, give an overview of 20th century research, discuss the “mystical experience”, highlight one recent RCT, and conclude with thoughts for the future.

Wednesday, January 20th

Opening Session

9:00 am to 10:00 am

California Department of Public Health and COVID-19...A Brave New World

Presented By: Heidi Steinecker, Deputy Director, California Department of Public Health

Description
The California Department of Public Health (CDPH), has been front and center during the COVID-19 Pandemic. Deputy Director of CDPH, Heidi Steinecker, will recap the new, proactive, strategies used, and discuss how the pandemic has provided new opportunities for the healthcare delivery system to reform.
•Learning Objective 1: Upon completion, health care leaders will understand how to have more agile models to react to an emergency.
•Learning Objective 2: Upon completion, health care administrators will understand more about COVID-19 and ways to reduce it in their facility.
•Learning Objective 3: Upon completion, health care staff will understand how to make new changes to adapt to a new healthcare work environment.

10:00 am to 10:10 am

Break

Concurrent Workshops

10:10 am to 11:10 am

Workshop 16: They Keep Asking for Money Back?  How to calculate your proportional CAP

Presented By: Jill Schuerman, Schuerman Business Consulting, LLC

Description
Each year many agencies receive a letter from their MAC that they have to repay monies due to the CAP limitations. This session will provide information on how the CAP is calculated, and how you can use those calculations to be proactive in monitoring your admissions to help prevent CAP overpayment.
• To Learn what the Statutory Cap Is
• To learn how the Statutory Cap is Calculated
• To learn how to monitor your CAP to manage your intake of patients to prevent repayment of CAP overpays

Workshop 17: Making a Virtue of Resistance: Creating Pathways for Family Members Who are Not on Board

Presented By: Sara K. Schneider, The Human Journey

Description
How tempting it can be to sidestep some family members very human issues of denial, resistance, and disengagement. This active session draws on adult learning and group theory, as well as on invitational processes we have developed at THE HUMAN JOURNEY, to offer tools for hospice and palliative care professionals to engage more resistant family members.
Upon completion of this session, participants will be able to:
1.) Articulate at least one of the positive sides of denial, resistance, and disengagement.
2.) Practice reframing commands, directives, and instructions in invitational language.
3.) Collaborate to create achievable wins for resistant family members.

Workshop 18: Issues Concerning Opioids/Controlled Substances and Hospice/Palliative Care

Presented By:
Clement B.K. Sze, DEA Tactical Diversion Squad
Brian Glaudel, Diversion Investigator

Description
DEA Tactical Diversion Squad

11:10 am to 11:20 am

Break

11:20 am to 12:20 pm

CHAPCA Annual Meeting and Awards

12:20 am to 1:10 pm

Lunch Break

1:10 pm to 2:10 pm

Workshop 19: Hospice Vulnerabilities and How to Avoid Them

Presented By: Maureen Kelleher, Black Tree HealthCare Consulting LLC

Description
This presentation will review key vulnerabilities found in the 2018 OIG report, how to develop a Compliance program, and offer some tools to help hospice programs avoid those vulnerabilities.
• OIG Vulnerabilities for Hospice
• An effective Compliance Program
• Steps to Compliance

Workshop 20: Helping Others Heal When Life Feels Raw

Presented By: Tiffany Coughran, Grief Systems

Description
Today people are raw with emotion. Patients and care providers alike, feel unquieted, triggered, and exposed. How can we serve in an escalated environment? How can we provide care while at the same time, offering support to those who feel animated with high emotions? In this presentation, ideal for care providers, chaplain Tiffany Coughran shares 5 tools to intervene and de-escalate high tensions. Sharing insights from multiple studies, Tiffany will assist your team in additionally identifying how their own RAW emotions may be addressed.
• Understand the reactive brain (Acronym RAW)
• Recognize and de-escalate reactivity(RAW) in others
• Identify 5 FREE actions that de-escalate
• Identify 2 factors to our own "armoring up"

Workshop 21: Pilot Implementation of a Low-Literacy Zone Tool for Self-Management

Presented By: Dan Weiss, Sharp Hospice Transitions Program

Description
For this QI project, an interdisciplinary team developed, implemented, and evaluated a low-literacy zone tool for heart failure (HF) self-management with home-based palliative care patients. Participants found the zone tool easy to understand and helpful in recognizing HF symptoms. Similar zone tools were developed for other chronic conditions.
• Describe a Zone Tool for Self-Management
• Identify two ways that a Zone Tool can help patients and caregivers identify and manage symptoms of CHF exacerbations at home
• Describe one way that Zone Tools can be used to improve home management of other chronic conditions

2:10 pm to 2:20 pm

Break

2:20 pm to 3:20 pm

Closing Keynote: California Legislative Update

Presented By: Peter Kellison

3:20 pm to 3:30 pm

Break

3:30 pm to 4:30 pm

National Government Services (NGS) Update

Presented By: Shelly Dailey

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