Advance care planning and palliative care

Medical ethics and professional practice

Emerging issues in healthcare law (financial, guardianship, and care management)

Supported By:

www.endoflifelegalconference.com • Email: info@ghpnetwork.comA Division of IQPC Healthcare Inc.

September 17-18, 2015, The Westin Bonaventure, Los Angeles, CA

Strategies for resolving the ethical and legal complexities of end of life healthcare decisions

Featured Speakers Include:• Senator Bill Monning, State Senate Majority Leader

• Ira Byock, Institute for Human Caring of Providence Health and Services

• Paul Schneider, VA Greater Los Angeles Healthcare System

• Sarah Hooper, UC Hastings

• Bart Windrum, Axiom Action

• Helen Kao, UC San Francisco

• Marie T. Hilliard, National Catholic Bioethics Center

• Stefanie Elkins, Compassion & Choices

• Jenny Kraska, Colorado Catholic Conference

• Stanley A. Terman, Caring Advocates

• Amanda Ruiz, Cedars-Sinai

• Jennifer Ballentine, Hospice Analytics

• Amy Christianson, Cedars-Sinai

• Jim McGregor, Sutter Care at Home

• Lucille Lyon, National Guardianship Association

• Douglas Pace, Advancing Excellence in Long-Term Care Collaborative

• Judy Thomas, Coalition for Compassionate Care of California

• Senator Elizabeth Steiner Hayward, Oregon Legislature

Conference Highlights:

8:00am Registration & Complimentary Breakfast

8:20am Opening Ceremonies Welcome: Allison P. McGown, Research Director, GHP Network

8:25am Opening Remarks from program chair: Dr. Paul Schneider, Bioethicist, Greater Los Angeles VA

Healthcare System

8:30am KEYNOTE ADDRESS: Dying in America – A 21st Century Crisis and Opportunity for Leadership

At the conclusion of this presentation, participants will be able to:

· Identify three or more components of a public health crisis that surrounds dying in America

· Identify three or more characteristics of quality as defined by the Institute of Medicine

· Correctly identify shared-decision making as a core component of quality and a core skill of all physicians caring for seriously ill patients

· Define the fundamental nature of illness and dying as personal, rather than solely medical

· Define the Triple Aim of health care reform

· Identify meaningful opportunities for seriously ill people and families that may exist concomitant with the inherent difficulties of illness and dying

Identify three or more policy changes to substantially improve care and quality of experience for seriously ill people and their families

Ira Byock, MD, Executive Director and Chief Medical Officer for the Institute for Human Caring of Providence Health and Services

9:30am Medical and Legal Partnerships to Plan for End of Life Care

Session Objectives:

· Understand the medical-legal partnership (MLP) model, its history, and evidence base

· Understand the role of lawyers in addressing social determinants of health in patient-centered advance care planning

· Understand the legal issues impacting the health and quality of life of older adults

· Understand the particular approach to advance care planning taken by the UCSF-UC Hastings Medical-Legal Partnership for Seniors, and the potential for expanding the model.

Sarah Hooper, Assistant Director of UCSF / UC Hastings Consortium and Adjunct Professor, UC Hastings

Helen Kao MD, Associate Professor of Medicine, Medical Director, Geriatrics Clinical Programs, UC San Francisco

10:30am Break

10:50am An Individual’s Right to Decide: End of Life Option Act Session Objectives:

· Provide background and personal motivation for authoring SB 128, the End of Life Option Act.

· Detail provisions included in the legislation.

· Itemize the safeguards included in the legislation and the importance of these safeguards.

Senator Bill Monning, California’s 17th District, Senate Majority Leader, Chair of the Senate Committee on Legislative Ethics

9:00am- WORKSHOP: Moving ACP Upstream: Tools and Frameworks for Clinical Practice

Session Objectives:

· Describe model approaches to comprehensive advance c are planning

· Apply clinical and legal frameworks for assessing decision making capacities

· Define differences between ACP tools/documents

11:50am Companions on the Journey: Ethics of Health Care at Life’s End Session Objectives:

· Explore the dimensions of suffering, and the role of the care giver in its alieviation

· Differentiate between active and passive euthanasia and their moral dimensions

· Analyze the legal and ethical obligaitons of the care giver to alieviate suffering, not the sufferer

Marie T. Hilliard, PhD, JCL, RN, Director of Bioethics and Public Policy, National Catholic Bioethics Center

12:30pm Lunch

1:30pm SB-128 End of Life Option Act and what we have learned from the Oregon Death with Dignity Act Experience

Session Objectives:

· Provide a brief history of the Death with Dignitymovement in the States

· Provide overview of SB-128 End of Life Option Act andhighlight unique requirements and protections

· Showcase stories and results from the Oregon Deathwith Dignity Act experience

Stefanie Elkins, CA Medical Outreach and Organizing Manager, Compassion & Choices

2:10pm Physician Assisted Suicide Legislation – The Colorado Experience

Session Objectives:

· Background and general information regardingColorado’s 2015 PAS legislation

· The Colorado Catholic Conference’s position

· Support and opposition in the legislative arena

· Final Outcome and looking forward to 2016.

Jenny Kraska, Executive Director, Colorado Catholic Conference

2:50pm Break

3:10pm Respecting Patient Autonomy at End of Life: The Oregon POLST System

Participants will:

· Understand components of POLST System, gain knowledge of Oregon POLST System

· Understand differences between POLST and advanced directive

· Learn new ways to discuss end of life options with patients

Sen. Elizabeth Steiner Hayward, MD, Oregon Legislature, Oregon Health and Science University

3:50pm Panel Discussion: How the End of Life Option Act Affects the Healthcare Community

All speakers and delegates are invited to participate in this open floor discussion on the medical, legal, ethical, and spiritual effects of physician assisted suicide

4:50pm Closing Remarks from program chair: Dr. Paul Schneider, Bioethicist, Greater Los Angeles VA Healthcare

System System

5:00 pm Happy Hour & Networking Sponsored By GHP Network

· Define differences between types of legally recognized decision makers, and be able to list characteristics of “good” decision makers

· Understand the significance of socioeconomic status and other social determinants in patient-centered advance care planning

· Define ethical issues for interprofessional providers working with adults in advance care planning

Helen Kao, Associate Professor of Medicine, Medical Director, Geriatrics Clinical Programs, UC San Francisco

Sarah Hooper, Assistant Director of UCSF / UC Hastings Consortium and Adjunct Professor, UC Hastings

For exclusive insights on future GHP Network programs visit us at www.ghpnetwork.com or join us on social media.

DAY ONE: THURSDAY, SEPTEMBER 17, 2015

PRE CONFERENCE WORKSHOP: WEDNESDAY, SEPTEMBER 16, 2015

3:00pm

To register please visit www.endoflifelegalconference.com

8:00am Complimentary Breakfast & Networking

8:25am Opening Remarks from program chair: Dr. Paul Schneider, Bioethicist, Greater Los Angeles VA Healthcare

System

8:30am KEYNOTE ADDRESS: To avoid prolonged dying in Advanced Dementia: Overcoming legal, ethical, and religious challenges to Advance Care Planning

Session Objectives:

· Cite two challenges the terminal illness Advanced Dementia presents for Advance Care Planning.

· Name four features that help make Living Will requests effective.

· How does confusion with the similar end-of-life option, VSED, affect opinions about “Natural Dying”?

· What strategies can overcome some state laws, some religious teachings, and some organizations’ recommendations—so others will honor patients’ requests for “Natural Dying”?

Stanley A. Terman, PhD, MD, Medical Director and CEO of Caring Advocates

9:30am AIM- The Right Care at the Right Time and Place · Name 2 tools that can enhance patient engagement and patient

centered care.

· Learn about one model for care management across the continuum.

· Describe the importance and patient centered care and patient outcomes

Jim McGregor, Senior Medical Director AIM, Home Health and Hospice, Sutter Care at Home

10:10am Break

10:30am Psychiatry Initiatives for the End of Life Patient Session Objectives:

· Participant to discuss and consider the factors related to death with dignity (message of talk)

· Participant to understand factors considered in determination of capacity for medical decision making

· Participant will be able to discuss psychological ramifications of the diagnosis of a life-threatening illness

Amanda Ruiz, MD, Emergency Psychiatry, Cedars Sinai

Amy Christianson, MD, Transplant Psychiatry, Cedars Sinai

11:30am Navigating the Waters of End of Life Care for the Mentally Ill Patient

Session Objectives:

· Understand how dementia and other psychiatric illnesses may affect decision-making capacity about end of life care.

· Appreciate the complexity involved in making surrogate decisions for incapacitated, unrepresented patients regarding end of life care.

· Understand the unique role played by the Office of the Public Guardian in making surrogate decisions regarding end of life care for its conservatees.

Dr. Paul Schneider, VA Greater Los Angeles Healthcare System

12:10pm Lunch

1:10pm Windrum’s Matrix of Dying Terms™—Place Names for Navigating Our Dying Territory

Session Objectives:

· Understand the context for and genesis of Windrum’s Matrix, its structure and its language (landing names and their meanings)

· Personalize engagement with the Matrix by trying every landing name “on for size”

· Appreciate what the Matrix reveals about ownership and control over our dying

· Better distinguish between dying situations

Bart Windrum, End of Life Author and Speaker, Axiom Action

2:10pm Creating an Advance Care Planning Continuum that Works Objectives:

· Describe key elements & related strategies for effective ACP

· Describe difference between an Advance Directive & POLST

· Identify barriers and solutions to community, professional, and organizational engagement in ACP

Judy Thomas, Chief Executive Officer, Coalition for Compassionate Care of California

2:50pm Break

3:10pm The Importance of Quality Measures

Session Objectives:

· Obtain an overview of the AE Nursing Home Campaign

· Learn why quality measures are important in long-term services and supports

· Discuss the important of the National Heath Care Quality and Strategy Plan

· Review the Adverse Events in Skilled Nursing Facilities: National Incidence Among Medicare Beneficiaries Report

Douglas Pace, Executive Director, Advancing Excellence in Long-Term Care Collaborative

3:50pm A Public Fiduciary's Perspective on End of Life Decision-making using National Guardianship Standards · Overview of a Public Agencies Actions for End of Life Decision

-making in California.

· National Guardianship Standard of Practice for End of Life Decision-making

· Challenges faced by a Public Fiduciary

Lucille Lyon, Board of Directors, National Guardianship Association

4:30pm Lessons from the Dying: What Hospice Can Teach Healthcare about Responding to Suffering · Describe the Hospice philosophy of care

· Distinguish "suffering" from "pain" and "discomfort"

· Recognize pervasive sources of suffering in the conduct of health care

· Define and identify "existential suffering"

· Explore evidence-based responses to existential suffering

· Apply learning to improve practice and systems of care

Jennifer Ballentine, Vice President, Hospice Analytics

5:10pm Closing Remarks from program chair: Dr. Paul Schneider, Bioethicist, Greater Los Angeles VA Healthcare System

5:20pm Close of Conference

For exclusive insights on future GHP Network programs visit us at www.ghpnetwork.com or join us on social media. facebook.com/ghpnetworkus twitter.com/ghpnetwork linkedin.com/company/ghp-network

DAY TWO: FRIDAY, SEPTEMBER 18, 2015

OTHER UPCOMING GHP NETWORK EVENTS:

Hospital Mergers and Acquisitions Summit July 23rd and 24th, 2015, Chicago, IL

Meaningful Use Audit and Compliance Conference July 27th and 28th, 2015, Philadelphia, PA

Physician Recruitment and Engagement Conference July 30th and 31st, 2015, Austin, TX

National Falls Prevention Conference September 21st and 22nd, 2015, Los Angeles, CA

Medicare Advantage Plans Star Ratings Conference September 28-29, 2015, Chicago, IL

Hospital Purchased Services Conference September 28-29, 2015, Houston, TX

To register please visit www.endoflifelegalconference.com

A Division of IQPC Healthcare Inc.

Package Early Bird: Register and pay by July 17, 2015

Standard Rate: Register and pay after July 17, 2015

CONFERENCE ONLY (September 17-18) USD $1495 USD $1895

CONFERENCE and Workshop (September 16-18) USD $1895 USD $2295

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MAKE CHECKS PAYABLE IN US DOLLARS TO: IQPC HEALTHCARE, INC

Details for making payment via EFT or wire transfer: JPMorgan Chase Penton Learning Systems LLC dba ABA/Routing #: 021000021 Reference: IQPC: 25533.001

IQPC 535 5th Avenue, 8th Floor New York, NY 10017 Attn: Terence Wu Phone: 646-378-6021

Payment Policy: Payment is due in full at the time of registration and includes lunches and refreshment. Your registration will not be confirmed until payment is received and may be subject to cancellation.

For IQPC’s Cancellation, Postponement and Substitution Policy, please visit www.iqpc.com/cancellation.

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EMAIL: info@GHPNetwork.com

FAX: 1-646-378-60254

Conference Venue 404 S Figueroa St. Los Angeles, CA 90071213-624-1000For Reservations please visit:http://www.thebonaventure.com

Please note: GHP Network will never recommend, approve or appoint any third party rooming service to act on our behalf. Please be extremely wary if you are approached by any such companies. We will always endeavor to negotiate the best available rates for you so please use the Hotel´s website link provided.

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www.endoflifelegalconference.com Email: info@ghpnetwork.com