The Future of POLST: Challenges and Opportunities 1 2016 National POLST Conference The Future of POLST: Challenges and Opportunities February 3, 2016 11:30am 1:30pm National POLST Paradigm Task Force Meeting (Lunch Served) - Task Force Members Only 1:00 5:00pm Registration 2:00 2:10pm Opening Remarks/Welcome Kate O Malley, RN, MS, CHPN Senior Program Officer, High-Value Care California HealthCare Foundation 2:10 3:35pm POLST Research: Recent Studies and Future Directions Terri Schmidt, MD, MS (Moderator) Professor, Departments of Emergency Medicine & Hematology/Oncology Dana Zive, MPH Research Assistant Director, Center for Policy and Research in Emergency Medicine Susan Tolle, MD Director, OHSU Center for Ethics in Health Care Susan Hickman, PhD Professor, Indiana University School of Nursing Executive Director, Indiana Patient Preferences Coalition 3:40 5:00pm POLST & Catholicism: Not So Far Apart Alvin H. Moss, MD, FACP, FAAHPM Professor of Medicine, West Virginia University School of Medicine Director, West Virginia University Center for Health Ethics and Law Executive Director, West Virginia Center for End-of-Life Care Joseph F. Prevratil, JD (Moderator) President and CEO, Archstone Foundation Elliot Bedford, MA, PhD Systems Director for Ethics Integration for St. Vincent Health Rev. Thomas Nairn, OFM, PhD Senior Director, Theology & Ethics, Catholic Hospital Association
The Future of POLST: Challenges and Opportunities 2 Nickijo Hager, RN, MSN Vice President, Mission & Organizational Development, Mayo Clinic Health System Mark A. O Rourke, MD Medical Director, Center for Integrative Oncology and Survivorship Greenville Health System Cancer Institute 5:00 7:00pm Attendee Reception 6:45 8:30pm Speaker Appreciation Dinner (By Invitation Only)
The Future of POLST: Challenges and Opportunities 3 February 4, 2016 7:30 9:00am Continental Breakfast 7:30 10:00am Registration 8:00 8:10am Welcome and Recognitions 8:10 9:00am Attendee Introductions 9:00 9:55am Keynote Speech Judy Thomas, JD CEO, Coalition for Compassionate Care of California NPPTF Chair Amy Vandenbroucke, JD Executive Director, National POLST Paradigm Judy Thomas, JD CEO, Coalition for Compassionate Care of California NPPTF Chair Martha L. Twaddle, MD, FACP, FAAHPM, HMDC Senior Vice President of Medical Excellence & Innovation, JourneyCare Introduction by: Julie Goldstein, MD Ethics and ACP Educator, Advocate Health Care Chair, POLST Illinois Task Force 9:55 10:25am National POLST Paradigm: The Next Phase 10:25 10:35am BREAK Amy Vandenbroucke, JD Executive Director, National POLST Paradigm Judy Thomas, JD Chair, National POLST Paradigm Task Force 10:35 12:10pm Mini Breakout Sessions: Engagement 1. Session 1: 10:35 11:20am 2. Session 2: 11:25 12:10pm Engagement of Legislators Stephanie Anderson, MSN, RN, CHPN Senior Faculty Consultant, Respecting Choices
The Future of POLST: Challenges and Opportunities 4 Charles P. Sabatino, JD Director, ABA Commission on Law and Aging, American Bar Association Chris Laskowski Project Director, DC Appleseed Center for Law and Justice Engagement of Consumers Patty Barnett Mouton Vice President, Outreach & Advocacy, Alzheimer s Association Orange County Engagement of Disability Community: Nothing About Us Without Us Kristi L. Kirschner, MD Clinical Professor Department of Disability and Human Development & Department of Medical Education University of Illinois Chicago Physiatrist, Schwab Rehabilitation Hospital, Chicago IL Rahnee Patrick Director of Independent Living, Access Living Engagement of Rural Communities Valerie Satkoske, MSW, LSW, PhD Director of Ethics, Wheeling Hospital Engagement of Technology for POLST Dana Zive, MPH Research Assistant Director, Center for Policy and Research in Emergency Medicine National POLST Paradigm Task Force Technology Advisor Engagement of Funders Amy Berman, BS, RN Senior Program Officer, John A. Hartford Foundation Rachael Watman, MSW Senior Program Officer, John A. Hartford Foundation Nancy R. Zweibel, PhD Senior Program Officer, The Retirement Research Foundation Kate O Malley, RN, MS, CHPN Senior Program Officer, High-Value Care, California HealthCare Foundation
The Future of POLST: Challenges and Opportunities 5 Q&A National POLST Paradigm: The Next Phase Amy Vandenbroucke, JD Executive Director, National POLST Paradigm Richard W. Cohen, MD Chair of the Georgia POLST Program 12:10pm 1:10pm Lunch 1:10 2:00pm Panel: Root Cause Analysis David Koets, MD (Moderator) Susan Tolle, MD Director, OHSU Center for Ethics in Health Care Patricia A. Bomba, MD, FACP Vice President & Medical Director, Geriatrics, Excellus BlueCross BlueShield Chair, NY MOLST Statewide Implementation Team & emolst Program Director Charles P. Sabatino, JD Director, ABA Commission on Law and Aging, American Bar Association 2:00 2:30pm Introduction: Using POLST to Honor Patient Wishes Across the Care Continuum This quick session will set the stage for the next breakout session. Amy Vandenbroucke, JD (Moderator) Executive Director, National POLST Paradigm 2:45 3:45pm Break Out Session: Using POLST to Honor Patient Wishes Across the Care Continuum POLST Use in Long Term Care Facilities Jane Dohrmann, LISW, ACHP-SW Director, Honoring Your Wishes, Iowa City Hospice Mercedes Bern-Klug POLST Use in Hospice Kandyce Powell, RN, MSN Executive Director, Maine Hospice Council and Center for End of Life Care Nicole Peterson
The Future of POLST: Challenges and Opportunities 6 3:45 4:00pm BREAK POLST Use by Primary Care Physicians Patricia A. Bomba, MD, FACP Vice President & Medical Director, Geriatrics, Excellus BlueCross BlueShield Chair, NY MOLST Statewide Implementation Team & emolst Program Director Kathryn Borgenicht, MD, CHMD Medical Director, Bozeman Health Palliative Care Consultants POLST Use in Hospitals Suzanne Labriola, DO POLST Chair, AHN Division of Supportive Care & Geriatrics POLST Use in Trauma & Emergency Department Settings & EMS Angela Fera, BA, NRP Battalion Chief Training and Public Information Officer MED-ACT-Emergency Medical Services Terri Schmidt, MD, MS Professor, Departments of Emergency Medicine & Hematology/Oncology Art Derse, MD, JD Professor, Bioethics and Emergency Medicine Director, Center for Bioethics and Medical Humanities Katrina Altenhofen, MPH, Paramedic West Chester First Responder State of Iowa EMS for Children Program Director 4:00 5:00pm POLST Regional Meetings This session allows our POLST leaders to meet with their regional cohorts in person. We invite everyone to attend one of these groups. Western Region Central Region Bruce Smith, MD, FACP Executive Medical Director, Regence BlueShield of Washington Stephanie Anderson, MSN, RN, CHPN Senior Faculty Consultant, Respecting Choices
The Future of POLST: Challenges and Opportunities 7 Kim Callanan, MA Consultant to Texas MOST Coalition Northeast Region Patricia A. Bomba, MD, FACP Vice President & Medical Director, Geriatrics, Excellus BlueCross BlueShield Chair, NY MOLST Statewide Implementation Team & emolst Program Director Southeast Region Susan E. Nelson, MD, FACP, FAAHPM Medical Director, PACE Baton Rouge Medical Director, Senior Services Franciscan Missionaries of Our Lady Health System Cindy Munn, MHA Chief Executive Officer, Louisiana Health Care Quality Forum
The Future of POLST: Challenges and Opportunities 8 February 5, 2016 7:30 9:00am Continental Breakfast 8:00 9:30am Panel: If We Had To Do It Over Again, We Would. Judy Thomas, JD (Moderator) CEO, Coalition for Compassionate Care of California Alvin H. Moss, MD, FACP, FAAHPM Professor of Medicine, West Virginia University School of Medicine Director, West Virginia University Center for Health Ethics and Law Executive Director, West Virginia Center for End-of-Life Care Richard W. Cohen, MD Chair of the Georgia POLST Program Judith S. Black, MD, MHA Allegheny Health Network, Medical Director of Geriatric Service Line David Koets, MD 9:30 10:00am Communication Strategy 10:00-10:15am BREAK National Digital Communication Strategy Presentation Kris Austin National POLST Paradigm Media Consultant Strategies for Connecting with Local Media: Creating Linkages Through Patient Stories Susan Tolle, MD Director, OHSU Center for Ethics in Health Care 10:15am -12:00pm Mini Breakout Sessions: How To 1. Session 1: 10:15 11:05am 2. Session 2: 11:10 12:00pm Conducting POLST Quality Assurance Activities for Non-Academics Kim Callanan, MA Consultant to Texas MOST Coalition Susan Hickman, PhD Professor, Indiana University School of Nursing Executive Director, Indiana Patient Preferences Coalition
The Future of POLST: Challenges and Opportunities 9 Natalie Wilkins, MHA Administrator Director of Clinical Programs, North Texas Specialty Physicians Best Practices and Lessons Learned in Developing POLST Forms Rick Bassett, MSN, APRN, ACNS-BC, CCRN Critical Care Clinical Nurse Specialist Judith S. Black, MD, MHA Allegheny Health Network, Medical Director of Geriatric Service Line Opportunities and Pitfalls of POLST Registry Legislation Judy Thomas, JD CEO, Coalition for Compassionate Care of California Patricia A. Bomba, MD, FACP Vice President & Medical Director, Geriatrics, Excellus BlueCross BlueShield Chair, NY MOLST Statewide Implementation Team & emolst Program Director Bruce Smith, MD, FACP Executive Medical Director, Regence BlueShield of Washington Alvin H. Moss, MD, FACP, FAAHPM Professor of Medicine, West Virginia University School of Medicine Director, West Virginia University Center for Health Ethics and Law Executive Director, West Virginia Center for End-of-Life Care Session 1: Session 2: Dana Zive, MPH Research Assistant Director, Center for Policy and Research in Emergency Medicine Terri Schmidt, MD, MS Professor, Departments of Emergency Medicine & Hematology/Oncology Leveraging Social Media Tools to Advocate for Your Program Liz Salmi Director of Communications, Coalition for Compassionate Care of California Kris Austin National POLST Paradigm Media Consultant Katie Orem, MPH Geriatrics & Palliative Care Program Manager, Excellus BlueCross BlueShield emolst Administrator for New York State
The Future of POLST: Challenges and Opportunities 10 12:00 1:20pm LUNCH 1:20 1:30pm Thank You Remarks 1:30 1:40pm Transition Time 1:40 2:45pm Case Studies Practice the Conversation (Script Practice) Shirley Otis-Green MSW, ACSW, LCSW, OSW-C Clinical Director of Consulting Services Coalition for Compassionate Care of California Modifying California s Train the Trainer Program For Your State Kandyce Powell, RN, MSN Executive Director, Maine Hospice Council and Center for End of Life Care Jeannette Koijane, MPH Executive Director, Kokua Mau, Hawaii Hospice and Palliative Care Organization Judy Thomas, JD CEO, Coalition for Compassionate Care of California NPPTF Chair Addressing Reciprocity Valerie Satkoske, MSW, LSW, PhD Director of Ethics, Wheeling Hospital Completing POLST with the Developmentally Delayed: Key Considerations and Issues Rick Bassett, MSN, APRN, ACNS-BC, CCRN Critical Care Clinical Nurse Specialist POLST in the Pediatric Population Dana Zive, MPH Research Assistant Director, Center for Policy and Research in Emergency Medicine Honoring the Patient Wishes When the Surrogate Changes Their Mind Susan E. Nelson, MD, FACP, FAAHPM Medical Director, PACE Baton Rouge Medical Director, Senior Services Franciscan Missionaries of Our Lady Health System
The Future of POLST: Challenges and Opportunities 11 Hospital Based Palliative Care Case: Intubated Patient in the ICU on a Breathing Machine had Treatment Refocused on Comfort as a Result of a POST form Alvin H. Moss, MD, FACP, FAAHPM Professor of Medicine, West Virginia University School of Medicine Director, West Virginia University Center for Health Ethics and Law Executive Director, West Virginia Center for End-of-Life Care Harriett s Unwanted Intubation: Using Cases to Secure Administrative Support for Systems Change Susan Tolle, MD Director, OHSU Center for Ethics in Health Care