CAMBIA PCCE NEWSLETT ER

We begin our Spring season with some very exciting news! The leader-ship of the Cambia PCCE is thrilled to announce that in March, all four UW Medicine hospitals—Harborview Medical Center, Northwest Hos-pital and Medical Center, University of Washington Medical Center and Valley Medical Center—achieved Joint Commission Advanced Certifi-cation in Palliative Care. UW Medicine is the first healthcare system in the country to have all of its hospitals achieve this certification. This important accomplishment honors the work of the palliative care clinicians and staff at all four UW Medicine hospitals. They have worked toward this certification for past couple of years under the lead-ership of the Palliative Care Clinical Strategic Planning Committee, and achieving it is key to the Center’s mission of ensuring all UW Medicine patients with serious illness—and their families—have access to the best possible palliative care. Founded in 1951, The Joint Commission evaluates and accredits nearly 21,000 healthcare organizations and programs in the United States. An independent, not-for-profit organization, The Joint Commission is the nation's oldest and largest standards-setting and accrediting body in health care and launched the Advanced Certification Program for Pallia-tive Care in 2011. UW Medical Center became the first hospital in Washington state to be certified in palliative care in 2014 and was recer-tified in 2015 and again in 2016. We are also excited that in May we will host our annual HMC Palliative Care Conference. This yearly event is co-sponsored by the Harborview Medical Center Palliative Care Committee and welcomes Betty Ferrell as our keynote speaker. Dr. Ferrell has been in nursing for 37 years and has focused her clinical expertise and research in pain management, quality of life, and palliative care. Dr. Ferrell is the Director of Nursing Research & Education and a Professor at the City of Hope Medical Cen-ter in Duarte, California. She is a Fellow of the American Academy of Nursing and she has over 370 publications in peer-reviewed journals and texts. In 2013 Dr. Ferrell was named one of the 30 Visionaries in the field by the American Academy of Hospice and Palliative Medicine. Two years ago, the HMC Palliative Care Conference moved off of the Harborview campus to accommodate its growing attendance and was expanded to a two-day event. This year we expect to have 250+ at-tendees! Be sure to register early as seating is limited. Details including a downloadable flyer and a link to registration are included below. Day 1 is designated for clinical education and focuses on community and diversity. The morning of day 2 is all about palliative care research with over 20 researchers presenting new and ongoing studies. Each day the attendees will break into small groups for focused discussion and learn-ing activities. We are looking forward to a fantastic interactive educational experience! As always, thank you for your support and interest in the Cambia Palliative Care Center of Excellence. We welcome your feedback and look forward to your participation in the ongoing implementation of our Center

and in providing excellent care to all patients with serious illness and their families. J. Randall Curtis, MD, MPH Director, Cambia Palliative Care Center of Excellence at UW A. Bruce Montgomery – American Lung Association Endowed Chair in Pulmonary and Critical Care Medicine

www.uwpalliativecarecenter.com

A Message from the Director

April 2016

UW Medicine Hospitals Receive Join Commission Advanced Certification in

Palliative Care

On March 22-25, 2016, all 4 hospitals of UW Medicine, Uni-versity of Washington Medical Center (UWMC), Northwest Hospital, Valley Medical Center and Harborview Medical Center became the first health system in the country to have all of its hospitals achieve Joint Commis-sion Advanced Palliative Care (PC) Certification. All 4 hospi-tals demonstrated strong inter-disciplinary clinical care and teaching, with resulting excel-lent clinical care. Team mem-bers of each palliative care ser-vice were critically involved with preparing for this certifica-tion and events during the sur-vey. Dr Wayne McCormick, Lisa Robinson and Cindy An-giulo were instrumental in or-ganizing joint commission ef-forts at all 4 hospital. Job well done!

Newsletter Spotlight

Ardith Doorenbos Receives Mayday Fund Grant

HMC Palliative Care Conference—May 9 & 10

Dr. Ardith Doorenbos has received a 2-year, $140,000 Mayday Fund research grant entitled, “Tele-Coaching

for the Optimization of Pre-and Post-Operative Pain Management.” Dr. Doorenbos will be Co-PI on the pro-

ject. Ardith is also Co-Director of the Research Operations of the Cambia PCCE.

The Mayday Fund is dedicated to alleviating the incidence, degree and consequence of human physical pain.

The Mayday Fund was established in 1992 to further Shirley Steinman Katzenbach’s commitment to social and

medical causes. The Trustees decided to adopt Mrs. Katzenbach’s special interest in the treatment of pain as the

Fund’s mission. The name Mayday commemorates the date of her birth and is the international word signaling

a cry for help, taken from the French "m'aidez" or "help me."

Geriatric/Palliative Medicine Physician Opportunity in Tacoma

The VA Puget Sound Health Care System (VAPSHCS) is pleased to announce an opening for a full-time phy-sician with advanced training and/or experience in Geriatric Medicine and Palliative Medicine to join our Geriatrics and Extended Care Service as our Palliative Care Consultation Team Physician as well as our Geri-atric Medicine Team which includes an outpatient Patient Aligned Care Team (PACT) function as well as Attending and teaching duties on the Community Living Center (CLC). This is an outstanding opportunity in the beautiful lakeside setting of the American Lake Division, where year round recreation, entertainment, arts, and culture abound in a spectacular natural setting. The successful candidate will serve as faculty for the VA-Department of Defense Geriatric Medicine Fellowship Program and will hold clinical privileges at VAP-SHCS. Address inquiries to: Sharon Falzgraf, MD Chief, Geriatrics and Extended Service VA Puget Sound Health Care System, S-182-GEC 1660 S. Columbian Way Seattle, WA 98108 Or email to: sharon.falzgraf@va.gov

Highlights of Cambia PCCE Members at the Annual American Academy of Hospice and Palliative Medicine Assembly in Chicago

A team from the Cambia PCCE presented a session at the Annual American Academy of Hospice and Pallia-

tive Medicine Assembly in Chicago, IL, in February 2016. The presentation covered a new comfort care order

set which incorporated excellent clinical information with tandem teaching points for staff and learners using

the order set in hospitals, especially at UWMC and Harborview Medical Center (HMC). The team also pre-

sented research findings of surveys of nurses and providers on their knowledge and confidence of using com-

fort care orders. The team consisted of Dr. Melissa Bender, Dr. Caroline Hurd, Nicole Solvang, RN, Kathy

Colagrossi, RN, Diane Matsuwaka, PharmD.

Lu Marchand, MD presented a poster on “Existential suf-

fering in advance cancer: the buffering effects of narrative”

with Meg Wise, PhD, from the University of Wisconsin.

The poster summarized their findings on a randomized

clinical trial of dignity therapy/life review in advanced

cancer patients. Their work found that this intervention

increased a sense of meaning, and buffered against increas-

ing depression.

Lu Marchand, MD and Greg Malone, MA, MDiv, BCC, spiritual

care provider on UWMC PC service, participated and were on the

planning committee for the annual Service of Remembrance that

honors patients and colleagues who have died in the previous year.

Dr Marchand presented a tribute to Dr Stu Farber, who created the

UWMC PC service in 2005. He died one year ago. It was a moving

and wonderful service which featured music and art.

Congratulations to James Fausto

for being recognized as a Fel-

low of the American Academy

of Hospice and Palliative Medicine. This distinction is one of the highest

honors the Academy can bestow on a physician. This honor is achieved by

physicians whose professional activity is devoted to the practice of hospice

and palliative medicine.

REGISTER NOW for the 2016 HMC Palliative Care Conference!!! ATTENDANCE IS LIMITED TO 250 PARTICIPANTS!!! Keynote: BETTY FERRELL, PhD RN Sponsored by Cambia Palliative Care Center of Excellence & Harborview Medical Center Palliative Care Committee Monday May 9th 8:00am-5:00pm Tuesday May 10th 8:00am-5:00pm ***Pre-Registration required for Tuesday afternoon workshops*** Swedish Cultural Center 1920 Dexter Avenue N, Seattle WA 98109 To download the flyer which includes logistics and the agenda, click on the image to the right. CLICK HERE to go directly to the registration page.

Tony Back Receives John A. Hartford Foundation Award

The John A. Hartford Foundation has announced a $3.5 million initiative to cre-ate a collaborative, led by Dr. Anthony Back, Co-Director of the Cambia Pallia-tive Care Center of Excellence, that brings together a team of innovators who will work cooperatively to greatly accelerate and expand better end-of-life and serious illness care. Founded in 1929 by John and George Hartford of the Great Atlantic & Pacific Tea Company (A & P), The John A. Hartford Foundation, based in New York City, is a private, nonpartisan philanthropy dedicated to improving the care of older adults. The John A. Hartford Foundation believes that investments in ag-ing experts and innovations will transform how care is delivered, lowering costs and improving outcomes for older adults and their families. To read more about this important work, CLICK HERE.

Dr. Rashmi Sharma Receives Cunniff -Dixon Award

Dr. Rashmi Sharma, Assistant Professor (General Internal Medicine) has been

selected to receive a 2016 Hastings Center Cunniff-Dixon Early Career Physi-

cian Award for improving the care of patients near the end of life. She is one of

only three early-career physicians in the country recognized with this award.

The Cunniff-Dixon Foundation was created in 2005 in memory of Carley Cun-

niff and in recognition of Dr. Peter S, Dixon. Carley died after a 3-year battle

with breast cancer and Peter Dixon was her attending physician who enabled her

to die a peaceful death at home with her family and loved ones. The founda-

tion’s mission is to enrich the doctor-patient relationship near the end of life.

Cambia PCCE Members Bibliography

*Articles listed are 2016 publications in peer-reviewed journals and book chapters. If you have an article you would like to have featured, please email pallcntr@uw.edu. Back AL, Steinhauser KE, Kamal AH, Jackson VA. Building Resilience for Palliative Care Clinicians: An Approach to Burnout Prevention Based on Individual Skills and Workplace Factors. J Pain Symptom Man-age. 2016 Feb 26. Bloise R, Davis MP. Dysgeusia #304. J Palliat Med. 2016 Apr;19(4):462-3. Epub 2016 Mar 7. Bock C, Demiris G, Choi Y, Le T, Thompson HJ, Samuel A, Huang D. Engaging older adults in the visuali-zation of sensor data facilitated by an open platform for connected devices. Technol Health Care. 2016 Mar 11. PMID: 27002473. Chan KS, Aronson Friedman L, Dinglas VD, Hough CL, Morris PE, Mendez-Tellez PA, Jackson JC, Ely EW, Hopkins RO, Needham DM. Evaluating Physical Outcomes in Acute Respiratory Distress Syndrome Survivors: Validity, Responsiveness, and Minimal Important Difference of 4-Meter Gait Speed Test. Crit Care Med. 2016 May;44(5):859-68. Chi NC, Demiris G. Family Caregivers' Pain Management in End-of-Life Care: A Systematic Review. Am J Hosp Palliat Care. 2016 Mar 14. PMID: 26975303. Chung J, Demiris G, Thompson HJ. Ethical Considerations Regarding the Use of Smart Home Technologies for Older Adults: An Integrative Review. Annu Rev Nurs Res. 2016;34:155-81. Creutzfeldt CJ, Robinson MT, Holloway RG. Neurologists as primary palliative care providers: Communica-tion and practice approaches. Neurol Clin Pract. 2016 Feb;6(1):40-48. Review. Curtis JR, Downey L, Engelberg RA. The importance and challenge of measuring family experience with end-of-life care in the ICU. Intensive Care Med. 2016 Apr 7. [Epub ahead of print] PMID: 27056551 Curtis JR, Engelberg RA, Teno JM. Understanding variability of end-of-life care in the ICU for the elderly. Intensive Care Med. 2016 Mar 31. [Epub ahead of print] PMID: 27033890 Demiris G, Chaudhuri S, Thompson HJ. Older Adults' Experience with a Novel Fall Detection Device. Tele-med J E Health. 2016 Mar 9. PMID: 26959299. Dinglas VD, Hopkins RO, Wozniak AW, Hough CL, Mor ris PE, Jackson JC, Mendez-Tellez PA, Bienvenu OJ, Ely EW, Colantuoni E, Needham DM. One-year outcomes of rosuvastatin versus placebo in sepsis-associated acute respiratory distress syndrome: prospective follow-up of SAILS randomised trial. Thorax. 2016 May;71(5):401-10. Epub 2016 Mar 2. PMID: 26936876 Ernecoff NC, Witteman HO, Chon K, Chen YI, Buddadhumaruk P, Chiarchiaro J, Shotsberger KJ, Shields AM, Myers BA, Hough CL, Carson SS, Lo B, Matthay MA, Anderson WG, Peterson MW, Steingrub JS, Arnold RM, White DB. Key stakeholders' perceptions of the acceptability and usefulness of a tablet-based tool to improve communication and shared decision making in ICUs. J Crit Care. 2016 Mar 8. PMID: 27037049 Ganzini L, Back AL. The Challenge of New Legislation on Physician-Assisted Death. JAMA Intern Med. 2016 Apr 1;176(4):427-8. Haozous, E. A., Doorenbos, A. Z., & Stoner, S. (2016). Pain management experiences and the acceptability of cognitive behavioral strategies among American Indians and Alaska Natives. Journal of Transcultural Nursing, 27(3), 233-240. Herridge MS, Moss M, Hough CL, Hopkins RO, Rice TW, Bienvenu OJ, Azoulay E. Recovery and outcomes after the acute respiratory distress syndrome (ARDS) in patients and their family caregivers. Intensive Care Med. 2016 May;42(5):725-38. Epub 2016 Mar 30. Review. PMID: 27025938 Jolley SE, Bunnell A, Hough CL. Intensive Care Unit Acquired Weakness. Chest. 2016 Apr 7. Review. PMID: 27063347 Katz, R. S. & Johnson, T.J. (2016) When Professionals Weep: Emotional and Countertransference Respons-es in Palliative and End-of-Life Care. New York: Routledge/Taylor & Francis. Loggers ET, LeBlanc TW, El-Jawahri A, Fihn J, Bumpus M, David J, Horak P, Lee SJ. Pre-transplantation palliative care consultation for high-risk hematopoietic cell transplant patients. Biol Blood Marrow Trans-plant 2016, in press. Needham DM, Colantuoni E, Dinglas VD, Hough CL, Wozniak AW, Jackson JC, Morris PE, Mendez-Tellez PA, Ely EW, Hopkins RO. Rosuvastatin versus placebo for delirium in intensive care and subsequent cogni-tive impairment in patients with sepsis-associated acute respiratory distress syndrome: an ancillary study to a randomised controlled trial. Lancet Respir Med. 2016 Mar;4(3):203-12. Epub 2016 Jan 29.PMID: 26832963 O'Hare AM, Szarka J, McFarland LV, Taylor JS, Sudore RL, Trivedi R, Reinke LF, Vig EK. Provider Per-spectives on Advance Care Planning for Patients with Kidney Disease: Whose Job Is It Anyway? Clin J Am Soc Nephrol. 2016 Apr 15. [Epub ahead of print] Morrison RS, Bowman B, Meier DE, Back AL. Educational Offerings and Technology. J Palliat Med. 2016 Mar 30. Oliver DP, Demiris G, Washington KT, Clark C, Thomas-Jones D. Challenges and Strategies for Hospice Caregivers: A Qualitative Analysis. Gerontologist. 2016 Apr 5. PMID: 27048707.

2016 NINR Director ’s Lecture—Dr. Marie Nolan

On May 5, 2016, the NINR is holding second of this year’s four Director’s Lectures. This event is free, open to

the public, and will be held at the National Institutes of Health (NIH) main campus in Bethesda, MD.

The Director’s Lecture will feature Dr. Nolan, professor and executive vice dean at the Johns Hopkins School

of Nursing, who will present:

“Reframing Shared Decision Making at the End of Life”

Thursday, May 5, 2016, 1:00 p.m. to 2:00 p.m.

Lipsett Amphitheater (Building 10)

NIH Campus, Bethesda, MD

For more information about the event and speaker CLICK HERE.

Ira Byock to Speak at Seattle Museum of Flight

“Touching Fear, Finding Hope—The Transformation of Late Life Care” - Ira Byock, MD

Thursday, May 19, 2016

6:00–8:00 PM Museum of Flight, Skyline Room

9404 E. Marginal Way South, Seattle

***Free Parking***

CLICK HERE to view a downloadable flyer for the event

Join us for an evening with Dr. Ira Byock for a poignant presentation, conversation and book signing.

“When we contemplate the last stages of our lives, dementia and nursing homes are two of the things we most

fear.” Dr. Byock will explore how efforts such as the Pioneer Network can help our culture reimagine dementia

care and late life care in game-changing ways.

All are Welcome!

• $15 to Attend

• 2 DSHS CEU’s

• Refreshments

Space is limited, please RSVP by May 16th.

RSVP and for Questions/Directions at (206) 938-

6194 or PMSVFoundation@providence.org

Founder and Chief Medical Officer Providence

Institute for Human Caring As seen on 60

Minutes, featured in the New York Times and ex-

tensively quoted, Dr. Byock is one of the foremost

Palliative Care physicians in the country.