Past Webinars

Hospice Considerations in Advanced Parkinson’s Disease

Elizabeth Ragsdale, PharmD

Thursday, November 18, 2021 12 pm CDT

Webinar Description

Parkinson’s Disease affects nearly 1 million Americans, and many of those patients turn to hospice care in the advanced stages of the disease. During this webinar, we will review some of the most common symptoms in advanced Parkinson’s Disease and discuss some of the cost-effective medications to help manage these symptoms. We will examine disease specific factors to consider in medication selection for Parkinson’s Disease patients. We will also specifically highlight Parkinson’s Disease Psychosis and the current medications available for treatment.

Webinar Objectives

  • Explain the etiology and pathology of Parkinson’s Disease
  • Describe drug treatment for common motor symptoms associated with Parkinson’s Disease
  • Classify drug treatments for common non-motor symptoms associated with Parkinson’s Disease
  • Differentiate the presentation and treatment for delirium vs. Parkinson’s Disease Psychosis
  • Discuss hospice considerations when selecting drug treatments for patients with Parkinson’s Disease

About Elizabeth Ragsdale, PharmD

Elizabeth Ragsdale, PharmD is a clinical pharmacist partner at Hospice Pharmacy Solutions, LLC. She received her Doctor of Pharmacy degree from the University of Rhode Island and is a board-certified geriatric pharmacist.  Dr. Ragsdale has prior experience as a consultant pharmacist, working closely with multidisciplinary teams in the long-term care setting to improve patient outcomes through medication regimen reviews and consults. She also has experience as a clinical utilization pharmacist at Humana. In her current position, Dr. Ragsdale enjoys merging her expertise in geriatric pharmacy with utilization and formulary management guidance to benefit both the clients we serve in hospice as well as their patients.

FY 2022 Final Rule – a Discussion of Rates and Quality

Sherita D. Castille, PharmD

Thursday, October 28, 2021 12 pm CDT

Webinar Description

The U.S. Centers for Medicare & Medicaid Services (CMS) announces its proposed final rule for hospice payment every July.  Since 2019 HPS has been delighted to host our Formulary Management and Regulatory Pathway to Success series.  This year will be no different.  Join our annual October discussion on rebased payment rates, hospice conditions of participation (CoPs) updates and new quality measures.  Our goal is to provide guidance to hospice providers by demonstrating how to utilize the tools available on National Hospice and Palliative Care Organization’s (NHPCO) Quality Resource Center.

Webinar Objectives

  • Overview of CMS FY 2022 Final Rule
  • Put Hospice Quality Reporting into Perspective
  • Discuss Quality Reporting changes and the impact to hospice providers

About Stephanie Cheng, PharmD, MPH, BCGP

Stephanie Cheng is a Clinical Pharmacist Partner with Hospice Pharmacy Solutions and is board certified in geriatric pharmacy. She earned a dual degree with a Doctor of Pharmacy (PharmD) and a Bachelor of Science in Pharmaceutical Sciences from Purdue University. In addition, she earned a Master of Public Health (MPH) at Harvard T.H. Chan School of Public Health and attended one year of medical school at the University of Warwick in England. Dr. Cheng completed a Global Health Research Fellowship in Kenya and has extensive experience in global/public health, research analytics, clinical program development, and drug information.  She also has experience presenting or having her work presented at various healthcare organization conferences, such as the Georgia Hospice & Palliative Care Organization Annual Leadership and Clinical Conference, the Hospice & Palliative Care Federation of Massachusetts (HPCFM) and the International Diabetes Federation (IDF). She has journal publications in The Lancet, Diabetic Medicine, Clinical Diabetes, The Annals of Pharmacotherapy, The Journal of Clinical & Translational Endocrinology, and The International Union Against Tuberculosis and Lung Disease.

Inhaled Respiratory Medications: How to Simplify Inhaled Medication Regimens and Discuss Medication Changes with Patients

Stephanie Cheng, PharmD, MPH, BCGP
Clinical Pharmacist Partner at Hospice Pharmacy Solutions

Thursday, September 23, 2021 12 pm CDT

Webinar Description

There are a lot of different types and combinations of inhaled respiratory medications, and it is often confusing to know which respiratory medications patients should continue taking when they are on hospice to help manage their shortness of breath.  Patients are at risk of having duplicate therapies because of the many different combinations and formulations of inhaled respiratory medications.  Cost is also something that hospices often need to consider when managing a patient’s medications and handheld inhalers are very expensive. This webinar will address how to simplify a patient’s inhaled medication regimen to something that is both effective and cost-effective.  It will also provide the tools for you to discuss these medications changes with patients.

Webinar Objectives

  • Be able to list at least 3 major adverse effects of inhaled medications
  • Be able to classify the different inhaled medications into their proper medication classes
  • Be able to identify duplicate therapies in a patient’s respiratory medication regimen
  • Be able to state the risk and rationale of using or not using corticosteroids in the hospice population
  • Be able to discuss inhaled medication changes with patients
  • Be able to list the steps to appropriately manage dyspnea in a hospice patient

About Stephanie Cheng, PharmD, MPH, BCGP

Stephanie Cheng is a Clinical Pharmacist Partner with Hospice Pharmacy Solutions and is board certified in geriatric pharmacy. She earned a dual degree with a Doctor of Pharmacy (PharmD) and a Bachelor of Science in Pharmaceutical Sciences from Purdue University. In addition, she earned a Master of Public Health (MPH) at Harvard T.H. Chan School of Public Health and attended one year of medical school at the University of Warwick in England. Dr. Cheng completed a Global Health Research Fellowship in Kenya and has extensive experience in global/public health, research analytics, clinical program development, and drug information.  She also has experience presenting or having her work presented at various healthcare organization conferences, such as the Georgia Hospice & Palliative Care Organization Annual Leadership and Clinical Conference, the Hospice & Palliative Care Federation of Massachusetts (HPCFM) and the International Diabetes Federation (IDF). She has journal publications in The Lancet, Diabetic Medicine, Clinical Diabetes, The Annals of Pharmacotherapy, The Journal of Clinical & Translational Endocrinology, and The International Union Against Tuberculosis and Lung Disease.

Chronic Kidney and End Stage Renal Disease – Considerations in Hospice

Hennie Garza
VP of Clinical Operations

Thursday, August 26, 2021 12 pm CDT

Webinar Description

Patients entering hospice with Chronic Kidney Disease (CKD) or End Stage Renal Disease (ESRD) have the shortest days of care relative to other diagnoses. This presentation will review various data sources, including patient-reported symptoms at end of life, to empower the hospice team to improve clinical decision-making to make the biggest impact for this patient population.

Webinar Objectives

  • Review data sets to understand patient perspectives of chronic kidney disease (CKD) and hospice
  • Identify frequent and problematic symptoms in patients with CKD receiving hospice care
  • Identify medications commonly used to treat CKD and those medications used in hospice care that may require dose adjustments

Functional Medicine: Benefits for the Hospice Patient

Jenna Head BS, RPH, BCGP

Thursday, July 29, 2021 12pm CDT

Webinar Description

What is Functional Medicine?

Functional medicine determines how and why illness occurs and restores wellness by addressing the root causes of disease for each individual. This webinar is designed for hospice providers who are accepting patients on “natural” products who also have a different mindset concerning conventional medications. This program will provide an overview of functional medicine which addresses the underlying causes of diseases or symptoms using a patient-centered approach. We will explore alternative agents used to palliate symptoms as well as managing side effects of commercially available medications.

Webinar Objectives

  • Define Functional Medicine and compare it with conventional, alternative, and integrative medicine.
  • Discuss the nutritional costs of commercially available medications which cause a prescribing cascade.
  • Identify commonly used hospice medications with natural origins.
  • Explore specific examples of remedies for common symptoms that are palliated in hospice.

About Jenna Head BS, RPH, BCGP

Jenna Head is a Clinical Pharmacist Partner at Hospice Pharmacy Solutions. She received her Bachelor of Science in Pharmacy from Southwestern Oklahoma State University. Jenna brings a wealth of practice experiences including clinical and operational leadership in long-term care, community pharmacy, and specialty pharmacy practice.  Jenna has been practicing as a hospice consultant pharmacist since 2008 and has been Board Certified in Geriatrics for 9 years.  Jenna’s passion is collaboratively and creatively supporting nurses and physicians caring for patients in hospice.  Jenna has spent the last 16 years serving the geriatric and hospice communities providing education, symptom management consultations, as well as clinical and formulary management guidance for several interdisciplinary teams.

Opioid Pharmacotherapy in Hospice 2021: A New Era?

Kenny Jackson, PharmD, Editor in Chief of the Journal of Pain and Palliative Care Pharmacotherapy

Kenny Jackson, PharmD

Thursday, June 24th, 2021 12pm CDT

Webinar Description

Analgesia for hospice patients has traditionally been provided with full agonist opioid agents such as morphine. This approach has proven helpful for many patients and has been advocated for as long as hospice has existed. Over the course of the past decade opioid use in other patient populations has become less clear. This is in part due to guidelines and treatment approaches for managing patients in other settings and the increase in opioid misuse. This changing paradigm has led to patients being switched to or started on alternative agents to provide pain relief. This is now being seen in patient populations being referred to hospice. This seminar will provide an opportunity to learn about other forms of opioid pharmacotherapy that may be more commonly encountered by hospice clinicians.

Webinar Objectives

  • Describe pharmacology for full agonists, partial agonists, and mixed agonist-antagonist opioid medications.
  • Discuss opioid analgesics not historically seen in clinical practice for patients in hospice settings.
  • Determine appropriate opioid pharmacotherapy for patients with chronic/persistent pain in hospice settings.

About Kenny Jackson

Kenneth (Kenny) C. Jackson, II, PharmD is the Editor in Chief of the Journal of Pain and Palliative Care Pharmacotherapy and owner of an independent consultant practice. He received his B.S. Pharmacy from the University of Houston College of Pharmacy, and Doctor of Pharmacy from the Creighton University School of Pharmacy and Allied Health Professions. He completed an ASHP accredited residency in nutrition support at St. Mary Hospital in Lubbock, Texas and a post-doctoral research fellowship in pain and palliative care pharmacotherapy at the University of Utah. In 2010 Dr. Jackson completed the Academic Leadership Fellows Program with the American Association of Colleges of Pharmacy. Kenny has practiced in a variety of settings during his career, including ambulatory pain management, community pharmacy, health-system pharmacy, home infusion, hospice and palliative care. In his academic career he has been a tenured professor and a senior academic administrator. His teaching and scholarship interests focus on pain and palliative care therapeutics. A past active member of the American Pain Society, his is a founding and current member of the Society of Pain and Palliative Care Pharmacists. He has previously served as an editorial board member with the Cochrane Pain, Palliative and Supportive Care Review Group.

Medication Coverage Guidelines with a dash of PEPPER

Sherita D. Castille. PharmD
Hospice Pharmacy Solutions

Thursday, May 27, 2021 12pm CDT

Webinar Description

Everyday hospice providers must determine which medications should or should not be covered for their patients.  With increasing reports of misuse of federal funds and the ever-changing guidelines, it can be difficult to navigate and remain compliant.  According to the National Hospice and Palliative Care Organization (NHPCO), hospice is expected to evaluate each medication in relationship to the terminal diagnosis & prognosis and cover all medications that manage or palliate the terminal hospice diagnosis.   We will look at the various pathways to determine medication coverage, best practices for discontinuation and how these practices impact PEPPER reports.

Webinar Objectives

  • Gain a better understanding of medication coverage requirement
  • Look at how comprehensive relativeness and medication coverage rationale relates to addendum documentation
  • Review how these practices collectively effect PEPPER reports

About Sherita D. Castille

Sherita D. Castille, PharmD, is a Clinical Pharmacist Partner at Hospice Pharmacy Solutions, LLC.  Dr. Castille received her Doctor of Pharmacy at Xavier University of Louisiana.   After moving to North Dallas in 1997, Dr. Castille practiced as a Clinical Pharmacist at Methodist Health Systems Dallas, specializing in ICU and CCU.  She was the Pharmacist-in-Charge and manager of a retail pharmacy for 8 years where she was a preceptor, mentoring high school students. She also integrated Medication Therapy Management (MTM) services for the North Dallas district.  Since 2009, Dr. Castille’s focus has been the affordability of healthcare.  Her diligent work with PBM powerhouses Medco, Express Scripts and Humana has given her insight to current trends in managed care.  In her current position, Dr. Castille works closely with hospices providing educational training, symptom management consultations, as well as clinical and formulary management guidance for several interdisciplinary teams.  She is committed to Hospice Pharmacy Solutions’ continued success to bring innovative products to the clients we serve.

Methadone: Does it deserve the stigma it has?

Stephanie Cheng, PharmD, MPH, BCGP
Clinical Pharmacist Partner
Hospice Pharmacy Solutions

Thursday, April 22, 2021 12pm CDT

Webinar Description

Learn how and when to consider Methadone in Hospice

Webinar Objectives

  • State the advantages of using Methadone
  • Address the concerns that are associated with Methadone
  • Communicate important counseling points of Methadone to
    patients/caregivers
  • Be able to convert other opioids to Methadone

Actual case studies will be presented and discussed.

About Stephanie Cheng

Stephanie Cheng is board certified in geriatric pharmacy and holds a dual degree with a Doctor of Pharmacy and a Bachelor of Science in Pharmaceutical Sciences from Purdue. She also earned a Master of Public Health at Harvard T.H. Chan School of Public Health and attended one year of medical school at the University of Warwick in England. She completed a Global Health Research Fellowship in Kenya with the Academic Model Providing Access to Healthcare and has extensive experience in public health, research analytics, clinical program development, and drug information. She has experience presenting/having work presented at conferences, such as the Georgia Hospice & Palliative Care Organization, Hospice & Palliative Care Federation of Mass. And International Diabetes Federation. She’s published in The Lancet, Diabetic Medicine, Clinical Diabetes, Annals of Pharmacotherapy, Journal of Clinical & Translational Endocrinology and International Union Against Tuberculosis and Lung Disease.

The Broken Hearts Club – Medications to Manage Heart Failure in Hospice

Hennie Garza

Hennie Garza, M.S. Pharm., R.Ph.,
Vice President Clinical Operations
Hospice Pharmacy Solutions

Thursday, March 18, 2021 2pm CST

Webinar Description

Have a heart and don’t miss a beat! Join us for a discussion about Heart Failure and the medications used to help palliate symptoms.

Webinar Objectives

  • Describe the pathophysiology of heart failure and resulting symptoms
  • Describe the New York Heart Association (NYHA) Classification of heart failure with corresponding symptoms, function and treatments
  • List medications used to treat heart failure including non-traditional medications with new indications for heart failure

Actual case studies will be presented and discussed.

About Hennie Garza

Hennie Garza received her bachelor’s and master’s degrees in pharmacy from the University of Texas at Austin. She has spent the majority of her pharmacy career working to promote the safe use of medications in the geriatric population. Hennie is committed to the education of patients, families and healthcare professionals concerning safe medication use. She held the credential of Certified Diabetes Educator for 15 years and has held an adjunct Clinical Assistant Professor position with Texas Tech University Health Sciences Center School of Pharmacy since 2010 where she helps mentor and train P4 pharmacy student interns and PGY2 Geriatric Specialty Pharmacy Residents. Hennie’s robust clinical experiences include practicing as a credentialed provider in an Internal Medicine clinic for the DoD where she supported a disease state management service, and practicing as a consultant pharmacist in skilled nursing facilities communicating medication-related problems and medication management recommendations to physicians and other members of the interdisciplinary team. She especially enjoys collaborating with Medical Directors to promote clinical best practices to achieve positive outcomes.

Hennie currently holds the position of Vice President of Clinical Operations for Hospice Pharmacy Solutions, a clinical and education-focused pharmacy benefit manager providing 24-7 consultative services while coordinating pharmacy services for hospice agencies across the United States. A fun fact about Hennie is that she has experience working with Western Diamondback rattlesnake venom through the Natural Toxins Research Center at Texas A&M University in her hometown of Kingsville, Texas.

Taking a Step Back is the Best Way to Move Forward – A Review of Diabetes Management at End-of-Life

Christine Pham, PharmD, BCGP | Hospice Pharmacy Solutions

Christine Pham, PharmD, BCGP
Clinical Supervisor
Hospice Pharmacy Solutions

February 25th, 12 noon CST

Webinar Description

There are limited resources that discuss the appropriate management of diabetes at the end-of life. Many in the hospice care workforce are unfamiliar with how diabetes management changes when patients transition to hospice care. This session will review the goals of end-of-life diabetes care per guidance of the American Diabetes Association, identify a safe approach to medication management, and identify strategies for discussing medication management with patients and caregivers.

Webinar Objectives

  • Coordinate a safe and quality approach to managing diabetes at the end of life
  • Inform patients and caregivers on goals of end-of-life diabetes care
  • Identify strategies for having discussions around discontinuing diabetes medications
  • Review current updates to American Diabetes Association Standards of Medical Care in Diabetes as they pertain to end-of-life care

About Christine Pham

Christine Pham is a board-certified geriatric pharmacist with specialized focus on hospice and end-of-life care. She earned a Doctor of Pharmacy degree from the University of Colorado Skaggs School of Pharmacy in Denver, Colorado and a Bachelor of Science degree in Biochemistry from San Francisco State University. She has extensive experience in clinical program development, drug information, pharmacy education, curating clinical resources, and providing consultations on optimal pharmacotherapy. She has presented at several state and national hospice and palliative care organization and medical director conferences. She has also served as a mentor and preceptor to pharmacy students throughout her career and has worked closely with palliative care and hospice nurses to provide patient-centered care. She is committed to creating innovative methods of delivering clinical content to nurses, medical directors, patients, and caregivers.

What’s Holding You Back? Communicating Medication Appropriateness and Safety with Patients

Jenna C Head, RPH BCBP

Jenna C Head, RPH BCGP

January 28th, 12 noon CST

Webinar Description

Introduce nurses to resources to help them identify limited benefit medications (LBM), best routes of administration, common side effects of medications and more!

Webinar Objectives

  • Focus on establishing patient goals for their medication therapy
  • Learn how to communicate benefit of medication changes
  • Identify LBM medications
  • Identify unsuitable dosage forms of medications

About Jenna C Head

Jenna C Head, RPH BCGP is a Clinical Pharmacist Partner at Hospice Pharmacy Solutions, LLC. She received her Bachelor’s of Science in Pharmacy from Southwestern Oklahoma State University. Jenna brings a wealth of practice experiences including clinical and operational leadership in long-term care, community pharmacy and specialty pharmacy practice. Jenna has been practicing as a hospice consultant pharmacist since 2008 and has been Board Certified in Geriatrics for 9 years. Jenna’s passion is collaboratively and creatively supporting nurses and physicians caring for patients in hospice. Jenna has spent the last 16 years serving the geriatric and hospice communities providing education, symptom management consultations, as well as clinical and formulary management guidance for several interdisciplinary teams.

Filling a Gap in Pain Education for Patients & Their Caregivers, the Palliative Pain Primer

Marsha Farrell BSN, RN-BC, CHPN

Marsha Farrell BSN, RN-BC, CHPN

Wednesday, November 18th, 12 noon CST

Webinar Description

How well does your hospice agency educate patients and caregivers about their types of pain and appropriate pain management strategies? The US Department of Health and Human Services, Pain Management Best Practices Inter-Agency Task Force Report: Updates, Gaps, Inconsistencies, and Recommendations (May 2019) reports a lack of education for patients and the public along with recommendations to “fill the gap.” Is your pain education consistent, comprehensive, and concise? A new teaching tool, the Palliative Pain Primer, fills the pain education gap with easy to read and understand pain information for hospice care patients. As they learn the basics of pain management, clients are more likely to communicate their pain treatment preferences and function goals, leading to improved pain outcomes.

Webinar Objectives

  • Name the 2018 government report that identified pain management best practices.
  • Identify gaps in pain management in the HHS report.
  • Name two ways hospice/palliative care teams may use the Palliative Pain Primer (PPP.)
  • Identify four benefits that hospice/palliative patients may receive from using the PPP.

About Marsha Farrell

Marsha Farrell is a hospice nurse educator, speaker, and patient consultant from Madison, AL. In 2016, she began Marsha Farrell Care Consulting, LLC. Her mission is to promote excellence in end-of-life care and pain management by educating medical professionals and laypeople and providing family consults.  She is a certified hospice and palliative nurse (CHPN) and pain management nurse (RN-BC.) Marsha is the author of the Palliative Pain Primer, a guide for patients & caregivers (26-page booklet), and the creator of the End-of-Life Parables channel on YouTube. She is a selected CHPN Review Course National Faculty member and a former volunteer on HPNA’s RN Professional Development Advisory Board. However, being a grandma to five granddaughters is her favorite role.

Symptom or Side Effect?? Case Studies in Problem-Solving Medication – Related Problems

Hennie Garza

Hennie Garza, M.S. Pharm, R.Ph.

Thursday, October 29th, 12 noon CST

Webinar Description

Medications have side effects that can look and feel like the very symptoms of the conditions we try to palliate at end of life.  How do you know if the symptom you are trying to alleviate is really a side effect to a medication?  Using real case studies, the audience will learn to recognize and manage side effects of common medications masquerading as end of life symptoms.

Webinar Objectives

  • List and review side effects and frequency of side effects for medications commonly used in hospice and palliative care patients
  • Review medication strategies to alleviate problematic symptoms in hospice and palliative care patients
  • Apply knowledge of medication adverse effects to problem-solve new or worsening symptoms in hospice and palliative care patients

About Hennie Garza

Hennie Garza received her bachelor’s and master’s degrees in pharmacy from the University of Texas at Austin. The majority of her pharmacy career has been working to promote the safe use of medications in the geriatric population. She has held an adjunct Clinical Assistant Professor position with Texas Tech University Health Sciences Center School of Pharmacy since 2010 and was a Certified Diabetes Educator for 15 years. For 8 years, Hennie served as the Director of Pharmacy for one of the largest skilled nursing facility companies in Texas where she coordinated all pharmacy – related functions for 100 nursing facilities in Texas and 9 in Louisiana. As a consultant pharmacist in skilled nursing facilities, Hennie identified medication-related problems in the elderly and communicated with physicians and other prescribers making recommendations for safe and effective medication management including recommendations for patients at end of life.

Hennie currently holds the position of Vice President of Clinical Operations for Hospice Pharmacy Solutions, a clinical and education – focused pharmacy benefit manager providing 24-7 consultative services and medication reviews in addition to coordinating pharmacy services for hospice agencies across the United States. A fun fact about Hennie is that she has experience working with Western Diamondback rattlesnake venom through the Natural Toxins Research Center at Texas A&M University in her hometown of Kingsville, Texas.

High Hopes in Hospice: Could Medical Marijuana be the Answer?

Elhaum Khobahy

Elhaum Khobahy, PharmD., Richard Y. Cheng, JD, CHC

Thursday, September 24th, 12 noon CST

Webinar Description

The medical value of cannabis is slowly beginning to establish credibility within the healthcare field but, unbeknownst to many, the healing properties of cannabis dates to ancient times. A condensed and very eye-opening history lesson will start off this presentation to help understand how cannabis came into existence and what ultimately led to its tarnished reputation. We will then dive into the basics of this mysterious plant including the current regulations in America, how it is proposed to work in the body, the different products available (prescription and non-prescription), and the current literature regarding its medicinal potential. The goal of this webinar will be to serve as an introductory look into the world of cannabis and leave you to decide if we should have ‘high hopes’ into its use in the future.

Webinar Objectives

  • Review the history of cannabis and current legal status
  • Describe the mechanism(s) of action, pharmacokinetic profiles and pharmacodynamic effects of cannabis.
  • Discuss indications for use and safety considerations of medical cannabis, commercially available products, and synthetic analogues.
  • Examine current legal issues regarding patient/consumer self-use and healthcare provider administration of medical and non-medical cannabis products.
  • Review select clinical trials and the body of research to suggest potential therapeutic roles of cannabis for the geriatric patient population and patients at end of life.

About Elhaum Khobahy

Dr. Elhaum Khobahy has been working as a clinical pharmacist for Hospice Pharmacy Solutions in Richardson, Texas, for over 3 years. She graduated from UIW Feik School of Pharmacy in San Antonio, TX with honors. Prior to entering pharmacy school, she devoted 2+ years to clinical research at UT Southwestern Medical Center. She has retail, MTM, critical care experience and has been speaking to the use of medical marijuana for over 2 years at national conferences.

Richard Cheng is a member at Weaver Johnston Nelson, PLLC serving exclusively in the healthcare and cannabis industries. His practice is focused on corporate transactions, assessing healthcare and cannabis regulations, administrative appeals, and compliance matters. While Richard has primarily represented healthcare providers (e.g. hospices, pharmacies, SNFs, etc.), he developed a cannabis regulatory and corporate practice starting in late 2013, which has allowed him to represent and advise a broad base of cannabis related clients, including, physicians, private equity groups investing in the cannabis industry, cultivators, processors, wholesalers, retailers and ancillary providers (e.g. testing labs, biomass brokerage firms, MLM companies etc.) in regulatory and corporate matters. He formerly served as outside general counsel for the Texas Cannabis Industry Association, the National Cannabis Industry Association’s FDA coalition, and currently as an advisory board member to a hemp bio-pharmaceutical development company.

Palliative Care, Hospice, and Comfort Measures – The Terms We Use and the Difference it Makes

cory-taylor

Cory Taylor, MD

Thursday, August 20th, 11am MDT (12 noon CST)

Webinar Description

Frequently, people are using and hearing terms like palliative care, hospice, and comfort measures in nonspecific ways. In this presentation, we’ll cover the difference between these terms (and some others), how to explain the difference, and explore why it actually makes a difference.

Webinar Objectives:     

  • Describe the terms palliative care, hospice, palliative care services, comfort measures, and terms that are more specific to prognosis
  • Review how you might use advance care planning documents to capture patient preferences
  • Apply what has been discussed in two separate case studies

About Cory Taylor

Cory started his medical journey at Baylor College of Medicine in Houston, Texas. From there, he went to UC-Irvine Medical Center in Orange, California for a residency in internal medicine where he received an outstanding service award for collegiality. Realizing his passion for symptom management and patient communication, he completed a fellowship in hospice and palliative medicine with the University of Kansas in Kansas City. He will always maintain, though, that his real fellowship in communication was the two years he spent in the small-town cornfields of the Midwest preaching the Gospel of Jesus Christ. He is currently a palliative care physician for Intermountain Healthcare providing inpatient and home-based services. His special interests include program building and operations, systems innovation, specialty-level symptom management, and destigmatizing the topic of death. More than anything, he loves helping patients and their loved ones find peace and healing independent of the consequences of their serious illness.

Hospice PPP and CARES Act Funds

HPS Favicon

Jason E. Bring, J.D., Tenley Carp, J.D., Alex Foster, J.D.

Thursday, May 21st 12pm CST

Webinar Description

This webinar session will analyze the pros and cons of retaining The Paycheck Protection Program (PPP) and The Coronavirus Aid, Relief, and Economic Security (CARES) Act funding, including how to document to support retention of funds.

Webinar Objectives:      

  • Learn how to document for PPP loans
  • How to document for CARES Act funds
  • Understand risks of retaining funds
  • Discuss audit areas and exposure
  • Gain valuable hospice specific tips

About the Speakers

Jason E. Bring, J.D., Tenley Carp, J.D., Alex Foster, J.D., are leading healthcare attorneys at the firm of Arnall Golden Gregory, LLP. Their collective experience is with hospitals, hospices, and other institutional providers who know their reputation for precedent-setting legal results. They defend public and private organizations across the broad healthcare industry in litigation, governmental investigations, regulatory compliance, administrative disputes, government contracts, and audits. They also serve on various legal boards and committees of the healthcare industry’s most prominent organizations.

Cost-Effective Alternatives for Commonly Prescribed High-Cost Medications in Hospice

Stephanie Cheng, PharmD, MPH, BCGP

Thursday, April 30, 2020 – 12pm CST

Webinar Description:

Controlling medication costs is always a concern for hospices, particularly if a patient gets admitted to hospice with expensive medications and hospice providers want to switch these high-cost medications to cost-effective alternatives without compromising care.   This webinar will focus on commonly prescribed high-cost medications and their potential cost-effective alternatives for the following medication categories: cognitive enhancing agents for dementia, anticoagulants, pain medications, inhaled medications, Entresto and others. We will discuss when to deprescribe or switch to a cost-effective alternative.

Webinar Objectives:     

  • Identify when a medication should be deprescribed
  • List the cost-effective alternatives for medications in the following categories: anticoagulants, pain medications, inhaled medications, Entresto and others
  • Determine if the cost-effective alternative is appropriate for a patient and how to switch to the cost-effective alternative

About Stephanie Cheng

Dr. Stephanie Cheng is a clinical pharmacist with Hospice Pharmacy Solutions. She received a dual Doctor of Pharmacy (PharmD) and Bachelor of Science in Pharmaceutical Sciences degree from Purdue University. In addition, she earned a Master of Public Health (MPH) at the Harvard T.H. Chan School of Public Health and completed one year of medical school at the University of Warwick in England. Dr. Cheng finished a Global Health Research Fellowship in the resource constrained setting of western Kenya through the Academic Model Providing Access To Healthcare (AMPATH), which is a partnership between Indiana University and other American universities, Moi University, and Moi Teaching and Referral Hospital in Kenya. Dr. Cheng has extensive experience in global/public health, research analytics, clinical program development and drug information and had her work presented at various conferences, such as the Hospice & Palliative Care Federation of Massachusetts (HPCFM) and the International Diabetes Federation (IDF). She also has several research articles published in journals such as The Lancet, Diabetic Medicine, Clinical Diabetes, The Annals of Pharmacotherapy, The Journal of Clinical & Translational Endocrinology, and The International Union Against Tuberculosis and Lung Disease.

End-Stage Parkinson’s Disease

Dr. Ester Yagudayeva

Dr. Ester Yagudayeva, PharmD

Clinical Pharmacist, Hospice Pharmacy Solutions

Thursday, March 26th  10:00 AM – 11:00 AM (PDT)

Webinar Description:

Parkinson’s disease is one of the most common neurologic disorders, affecting approximately 1% of individuals older than 60 years. With no cure to this disease, our treatment goal is to help manage the condition and control symptoms. This webinar will focus on a brief overview of Parkinson’s disease, its signs and symptoms, and the appropriate treatment management. We will discuss an approach on how to manage autonomic disturbances that occur with this disease as well.

Webinar Objectives:

  1. Understand the disease progression and signs/symptoms of Parkinson’s Disease
  2. Discuss pharmacological treatment options
  3. How to manage autonomic disturbances in Parkinson’s Disease

About Ester Yagudayeva

Ester Yagudayeva, PharmD, is a clinical pharmacist at Hospice Pharmacy Solutions. She received her degree at Arnold and Marie Schwartz College of Pharmacy at Long Island University. She has been pharmacist for 4 years and has initially worked in retail pharmacy where she focused on acute and chronic disease management. In her current position, Dr. Yagudayeva works closely with hospices performing medication reviews, providing drug information/consultations and symptom management for hospice patients.

Pesky Problems in Palliative Care

Linda Tavel

Linda Tavel, MD MBA FAAHPM

Tuesday, February 25th noon CST, 10am PST

Webinar Description:

Symptom management is the hallmark of palliative and hospice care, but what do we do about those problematic, but maybe not – so – primary and downright pesky symptoms? Please join our February Pathways to Success webinar where the audience will learn about the prevalence of unusual symptoms in hospice and palliative care including assessment and treatment of:  urticaria/pruritis, hiccoughs and insomnia.

About Linda Tavel

Dr. Linda Tavel serves as National Medical Director for Accentcare Hospice, which has twenty-one sites in six states. She is Hospice Medical Director for Texas Home Health and Hospice in Houston, Texas. She graduated from the University of Texas Health Science Center at Houston, and completed a residency in Family Medicine at Memorial Hermann Southwest Hospital, where she trained alongside chaplain trainees at the Clinical Pastoral Education program. She obtained an MBA from University of Houston at Clear Lake in 1999. Dr. Linda Tavel has practiced hospice and palliative medicine since 2001—full time since 2004.  She is certified in Hospice and Palliative Medicine. Her interests are in performance improvement, patient safety and decision-making tools. She also has interests in creating a healing environment. Dr. Tavel is a proud native Houstonian and lives with a Geriatrician, a Web Designer, and two rescue cats.

Managing Insulin and Diabetes in Hospice

Hennie Garza

Hennie Garza, MSPharm, RPh; VP Clinical Operations Hospice Pharmacy Solutions

January 29th 10am PST, 11am MST, 12pm CST, 1pm EST

Webinar Description:

Have you ever admitted a patient new to hospice with 2 or 3 different insulin orders AND other medications to treat diabetes?  This presentation is designed to help nurses and other hospice care providers address, manage and monitor diabetes at end of life.  An insulin product “refresher” will be presented and evidence from medical literature regarding treatment goals will be discussed.  Tips for keeping patients safe with insulin and insulin dosing considerations in hospice will be high-lighted.

About Hennie Garza

Hennie Garza received her bachelor’s and master’s degrees in pharmacy from the University of Texas at Austin. She has spent the majority of her pharmacy career working to promote the safe use of medications in the geriatric population. She has held an adjunct Clinical Assistant Professor position with Texas Tech University Health Sciences Center School of Pharmacy since 2010 and was a Certified Diabetes Educator for 15 years. For 8 years, Hennie served as the Director of Pharmacy for one of the largest skilled nursing facility companies in Texas where she coordinated all pharmacy – related functions for 100 nursing facilities in Texas and 9 in Louisiana. As a consultant pharmacist in skilled nursing facilities, Hennie identified medication-related problems in the elderly and communicated with physicians and other prescribers making recommendations for safe and effective medication management including recommendations for patients at end of life.

Hennie currently holds the position of Vice President of Clinical Operations for Hospice Pharmacy Solutions, a clinical and education – focused pharmacy benefit manager providing 24-7 consultative services and medication reviews in addition to coordinating pharmacy services for hospice agencies across the United States.    A fun fact about Hennie is that she has experience working with Western Diamondback rattlesnake venom through the Natural Toxins Research Center at Texas A&M University in her hometown of Kingsville, Texas.

Hospice Wound Care 101

Nola Curry

Nola Curry, PharmD

November 21st 10am PST, 11am MST, 12pm CST, 1pm EST

Webinar Description:

Skin changes in terminally ill patient increases the risk for developing wounds. Quality of life is often negatively impacted physically, spiritually, and socially by the symptoms we see as a consequence of these wounds. This webinar will discuss basic guidelines to assist healthcare professionals in developing a realistic plan of care for the hospice population. We will discuss the common wounds seen in this population and explore treatment options.

Objectives:

  1. Define the term “skin failure” and be able to recognize common wounds in hospice patients
  2. Determine intrinsic and extrinsic factors that contribute to poor wound healing in the terminally ill
  3. Recognize common symptoms experience by hospice patients as a consequence of wounds and formulate a plan of care to manage those symptoms.

About Nola Curry

Nola Curry is a clinical pharmacist with Hospice Pharmacy Solutions. In 2017, she graduated from the inaugural class of the University of North Texas Health Science Center System College Of Pharmacy. Although new to the pharmacy field, Dr. Curry has over 15 years of experience in the health care field as a Licensed Vocational Nurse. The majority of her experience includes working with geriatrics in the long-term care setting.

Strategies for Having the Hard Conversations About Medication De-prescribing

Hennie Garza

Hennie Garza, MSPharm, RPh; VP Clinical Operations Hospice Pharmacy Solutions

October 24th 10am PST, 11am MST, 12pm CST, 1pm EST

Webinar Description:

Have you ever had to have the difficult discussion with a patient and/or family that the medication they have been using for 20 years may no longer be helping them to feel better?  Or have you avoided the discussion altogether?  Webinar participants will gain insights to strategies to have these difficult conversations.  This presentation will provide practical information for nurses working in hospice, from the pharmacist perspective around challenges addressing medication use and utility at end-of-life.  A review of medical evidence for de-prescribing will be provided as well as a discussion of “medication assessments” nurses can incorporate to help patients and families make informed decisions about continuing, changing or discontinuing long-standing medications.  Case studies will be incorporated to illustrate real-life examples of successful de-prescribing.

Objectives:

  1. Discuss the challenges addressing medications at end-of-life
  2. Describe evidence to support conversations for de-prescribing
  3. Describe strategies for having the hard conversations about medication management and de-prescribing in the following categories:
    • Related and palliative
    • Related not palliative
    • Not related, not palliative

About Hennie Garza

Hennie Garza received her bachelor’s and master’s degrees in pharmacy from the University of Texas at Austin. She has spent the majority of her pharmacy career working to promote the safe use of medications in the geriatric population. She has held an adjunct Clinical Assistant Professor position with Texas Tech University Health Sciences Center School of Pharmacy since 2010 and was a Certified Diabetes Educator for 15 years. For 8 years, Hennie served as the Director of Pharmacy for one of the largest skilled nursing facility companies in Texas where she coordinated all pharmacy – related functions for 100 nursing facilities in Texas and 9 in Louisiana. As a consultant pharmacist in skilled nursing facilities, Hennie identified medication-related problems in the elderly and communicated with physicians and other prescribers making recommendations for safe and effective medication management including recommendations for patients at end of life.

Hennie currently holds the position of Vice President of Clinical Operations for Hospice Pharmacy Solutions, a clinical and education – focused pharmacy benefit manager providing 24-7 consultative services and medication reviews in addition to coordinating pharmacy services for hospice agencies across the United States.    A fun fact about Hennie is that she has experience working with Western Diamondback rattlesnake venom through the Natural Toxins Research Center at Texas A&M University in her hometown of Kingsville, Texas.

Medication Considerations for the Older Adult in Hospice

HPS Sanderson

Shelby Anderson, PharmD

September 26th 10am PST, 11am MST, 12pm CST, 1pm EST

Webinar Description:

As the average age of the American population increases, so do the number of older adults admitted to palliative care and hospice services each year. As healthcare professionals, it is our job to understand the differences between treating older versus younger patients and what medications can be safely prescribed in this population. The aim of this presentation is to provide an overview of the pharmacological management of common symptoms seen at the end of life and how to appropriately treat these symptoms in the older adult.

Objectives:

  1. Describe key difficulties in treating the older adult
  2. Develop an appropriate treatment strategy for pain, nausea, and constipation for an older adult in hospice
  3. Identify common clinical pearls for medications used for appetite stimulation and insomnia in the older adult in hospice.

About Shelby Anderson

Dr. Shelby Anderson is currently working as a pharmacy consultant for Hospice Pharmacy Solutions. She received her Doctor of Pharmacy degree from Texas Tech University Health Sciences Center School of Pharmacy in May 2017. Following graduation, Dr. Anderson completed two years of post-graduate residency training, with her first year at Parkland Health & Hospital System in Dallas and her second year at Texas Tech in Dallas specializing in geriatric pharmacy. She has experience as a long-term care consultant pharmacist and her practice interests include psychiatry, pain management, and palliative care.

When Someone Dies – Helping Children and Teens Navigate Grief and Loss

Beth Vogel MN MPH PNP CHPPN

Beth Vogel, MN, MPH, PNP, CHPPN

Thursday, August 29th ,2019, 10 – 11 AM (PDT)

Webinar Description:

Serious illness and death are extraordinarily difficult for adults to manage– how on earth do we help children and adolescents navigate them? Through thoughtful intention and being present with the child, adults can support children in ways that can be transformational for all. Join us as we address children’s – and teen’s – understanding and responses to death, grief and loss at different developmental levels, and explore strategies and activities to help adults talk about loss with children – all the way from the very young to those who are young adults. Given the universality of loss, this webinar will be helpful to professionals of all disciplines or family members caring for grandparents, parents, or children themselves, and will be useful whether the child herself is sick, or has a sibling, parent or grandparent who is dying, or has experienced loss through other separation (e.g. divorce or a parent’s incarceration).

Objectives:

  1. Describe children’s understanding of death, grief, and mourning at different developmental levels.
  2. Discuss why talking with children about illness or death is important.
  3. Discern ‘what’ needs to be communicated with children at different ages.
  4. Explore strategies and activities helpful in talking with children and teens about death grief, and other loss.

About Beth Vogel

Children are not supposed to die, but sometimes they do. While most hospice professionals are very competent and comfortable caring for adults, few have that same level of expertise and confidence in caring for children. Beth founded ORION to provide customized training to close that gap.

Beth earned dual master’s degrees in child health nursing and public health, a pediatric nurse practitioner certificate, and a bachelor’s degree in nursing all from Emory University. She is certified as a pediatric hospice and palliative nurse (CHPPN). Before starting ORION, Beth served as the Director of The Children’s Hospice Program of a large metropolitan hospice. Prior to that, she spent nine years at Children’s Healthcare of Atlanta at Egleston, as coordinator of their multidisciplinary brain tumor clinic. She has extensive experience as a clinician working with children and their families at end of life, and supporting the staff and communities that care for them. She has been a facilitator at bereavement camps for children and families, and has led support groups with grieving children and parents.

Hospice 101:

Hospice Eligibility and Documentation

Kathy Ahearn has a bachelor’s degree both in Nursing and Social Work, working and serving the Healthcare Community for over 30 years.

Kathy Ahearn RN, BSN, PHN

Thursday, July 25th, 2019

Webinar Description:

The demand for Hospice Programs will continue to grow due to CMS Hospital re-admission penalties and Medicare Advantage plan expansion opportunities.  Agencies are challenged to meet the demands of onboarding new staff (Novices) or providing re-orientation for additional staff as it relates to Hospice Eligibility.  With an increased focus by CMS on Eligibility, it is critical that all staff is trained to identify who qualifies for the Hospice Medicare Benefit and what documentation is required.  In this presentation, webinar attendees will be able to:

  • Learn Medicare and Medicaid Hospice Conditions of Participation (regulations).
  • Know who is eligible for care and the different levels of care.
  • Know what documentation is required to support eligibility, and documentation required to support the different levels of care.
  • Identify difficulty situations to prevent potential ADR’s down the road.

About Kathy Ahearn

Kathy Ahearn has a bachelor’s degree both in Nursing and Social Work, working and serving the Healthcare Community for over 30 years.  Kathy started her Nursing career in Oncology obtaining her OCN and then moving into Home Health, Home Infusion and Hospice. Early in her nursing career, Kathy identified challenges with miss-management in the areas of pain.  She was tasked with participation on a National level of developing pain scales to standardize assessment of pain both with the American Pain Society and the Joint Commission, leading to identifying pain as the 5th vital sign. Kathy has worked in a variety of Post-Acute Care settings.  She has served as an Administrator and Director of Home Health, Hospice, Home Infusion, and Close Door Pharmacies servicing Skilled Nursing Facilities and Assisted Living Facilities.  Kathy later expanded into the Medical device industry as a Managed Care Director and worked to develop the first “real-time” data software system that allowed Diabetics to communicate with anyone on their care team.  Currently, Kathy has her own consulting company, Ahearn Advisement Partners (https://www.ahearnadvisors.com/) and has the talent to help agencies take their organizations to the next level.  Kathy teaches Nationally both through Webinar Networks and at State conferences with a focus on Hospice, Regulations, Licensing, and Business Development.  She served for many years on the Education Committee for CAHSAH, the California Association for Healthcare Services at Home.

The Gambler Perspective:

What meds to stop, what to keep, what to start, and why. 

Doctor John Mudler

John A. Mulder, MD, FAAHPM, HMDC

Wednesday, June 26th, 12pm CST

Webinar Description:

Managing the complexity of medication treatment for chronic diseases when patients enter hospice can present unique challenges to the hospice team.  What should we do with medications for the treatment of dementia and diabetes?  And what about aggressive treatments for CHF, anticoagulation, or management of acute infections?  To quote Kenny Rogers’ song, “The Gambler,” “you gotta know when to hold ‘em, know when to fold ‘em.”  In this presentation, we will discuss appropriate and effective means of addressing these issues in hospice patients, keeping the focus on patient comfort and effective symptom management, consistent with patient goals and values

About Dr. Mulder

Dr. John Mulder currently serves as the Medical Director for Trillium Institute, Chief Consultant for Hospice and Palliative Care for Holland Home, and the Medical Director of Palliative Services for MetroHealth in Grand Rapids, MI. John has an appointment as Assistant Professor in the Department of Family Medicine at Michigan State University College of Human Medicine, and is currently the Director of the Mercy Health Grand Rapids Hospice and Palliative Medicine Fellowship Program. Board certified in Family Medicine with CAQ in Hospice and Palliative Medicine (ABMS) and a Fellow of the American Academy of Hospice and Palliative Medicine, John is a frequent speaker on end of life, ethics, and palliative issues. He additionally serves as a member of the Board of Directors of the Michigan Homecare and Association of Michigan, and also chairs the Ethics Committees at Spectrum Health and MetroHealth. He previously served on the Michigan Advisory Committee on Pain and Symptom Management, and has testified in front of the US House of Representatives during deliberations related to the opioid crisis. He recently was acknowledged as the recipient of the 2019 Palliative Medicine Community Leadership Award by the American Academy of Hospice and Palliative Medicine

John’s scope of service has extended internationally, having traveled extensively to limited access and third world countries to participate in medical relief and development activities.
In his leisure time, John is involved in musical pursuits, performing as a singer/songwriter in the folk genre. He has recorded several albums. John is married to Lisa, a special education teacher; they are proud to claim eight children and seven grandchildren.

Marsha Farrell BSN, RN-BC, CHPN

Marsha Farrell BSN, RN-BC, CHPN

 

CARE PLANNING TOGETHER: The Task of Interdisciplinary Groups in Hospice/Palliative Care

May 23rd 10am PST, 11am MST, 12pm CST, 1pm EST

How effective is your hospice agency’s interdisciplinary group (IDG)? Is your IDG accomplishing its primary task or is your team meeting every two weeks to merely meet CMS compliance? Please join this Pathways to Success webinar to answer these questions more fully. The session will present a case study of Margaret, a 44-year-old hospice patient with metastatic breast cancer. See how her hospice team establishes a patient-centered care plan for her pain(s).

Webinar Objectives:

  • Identify the primary task of the Interdisciplinary Group (IDG) according to CMS’s Condition of participation 418.56.
  • Discuss how an unhealthy IDG is like “blind men and an elephant?”
  • Describe how patient-centered care in hospice is different from disease centered care.
  • List the 4 components of Cicely Saunders’ “Total Pain” concept
  • Identify IDG member contributions to Margaret’s individualized pain management care plan.

Marsha is a graduate of the University of North Carolina at Chapel Hill School of Nursing (class of ’79) and is currently the owner of Marsha Farrell Care Consulting, LLC in Madison, AL. Marsha has certifications in both Pain Management Nursing (RN-BC) and in hospice and palliative care (CHPN.) She promotes excellence in end-of-life care and pain management as a conference speaker, educator and consultant. Since starting her company in 2016, Marsha has developed teaching tools for patients and families who are facing serious illnesses. Her YouTube channel, End-of-Life Parables can be found online at https://bit.ly/2ksYHLm and her booklet, PALLIATIVE PAIN PRIMER a guide for patients and caregivers is currently available on her website, https://marshafarrellcareconsulting.com/

Dr. Elhaum Khobahy, PharmD

Clinical Pharmacist at Hospice Pharmacy Solutions

 

When Counting Sheep Doesn’t Suffice A Discussion on Insomnia and Restless Leg Syndrome

Thursday, April 25th, 2019 at 10:00 AM PST

With one in four Americans developing insomnia each year, it comes to no surprise that it is one of the top complaints for our hospice patients.  In this session we will discuss how to properly assess the signs and symptoms of insomnia, identify reversible causes, and develop a non-pharmacological and pharmacological treatment plan.  The focus will be on comparing and contrasting the many therapeutic agents available for insomnia and how to know which one is appropriate for each and every patient.  Also in this session will be a brief overview of the not-so-commonly diagnosed restless leg syndrome; characteristics, risk factors, and a look into first and second line agents.

Webinar Objectives:

  • Explain the pathophysiology of insomnia and restless leg syndrome (RLS).
  • Recognize the signs and symptoms associated with clinical presentation of patients with insomnia and RLS.
  • Compare and contrast appropriate use of the various types of non-pharmacologic approaches and classes of pharmacotherapy.
  • Given a patient case, determine an appropriate, evidence-based treatment regimen.

Dr. Elhaum Khobahy is a clinical pharmacist with Hospice Pharmacy Solutions. She graduated with honors from the University of the Incarnate Word in San Antonio with her Doctor of Pharmacy degree. Prior to entering pharmacy school, Dr. Khobahy conducted clinical research at UT Southwestern Medical Center in the Rheumatic Diseases Department for 2 years.  She has Retail, Compounding, MTM, and critical care experience. Dr. Khobahy specializes in medication and clinical trial research, pain management and new treatment development.

Nadia Nguessan, PharmD

Clinical Pharmacist at Hospice Pharmacy Solutions

 

DePrescribing, To Stop or To Continue?

Wednesday, March 27th, 2019 at 10:00 AM PST

Management of medications at end of life often presents some challenges for clinicians and caregivers. Many patients come on hospice service already using multiple medications, others get prescribed more medications during their hospice journey in addition to the e-kit every patient receives. What medications are no longer appropriate at the end of life? When should you consider discontinuing certain medications? When should tapering be considered? What talking points can we use with the patients and caregivers to introduce the topic of stopping some medications? This session will highlight some tips when it comes to deprescribing medications at the end of life.

Webinar Objectives:

  • When is the right time to bring up deprescribing and tips on how to start the conversation with the patient and caregivers
  • Identify the medications that should be targeted to be discontinued
  • Reasons why each category of medication should be evaluated to be discontinued
  • What medications should be tapered before being discontinuing

Nadia Nguessan is a clinical pharmacist with Hospice Pharmacy Solutions. She is a graduate of the University at Buffalo in New York, and originally from the Ivory Coast. Dr. Nguessan has been a mentor to students since her undergraduate studies and has a passion for teaching at any levels. She has Retail, Compounding, MTM experience as well as graduate level clinical research which she conducted through the NIH-Bridges program and has presented her work at multiple regional and national conferences. She currently works closely with hospices to provide innovative and excellent services to their patients through medication consults, pain management, pharmacy utilization call reviews and formulary management guidance. Dr. Nguessan is passionate about her work, and always looking for new ways to help her clients and patients.

Chinenye Emereole, PharmD

Clinical Pharmacist at Hospice Pharmacy Solutions

 

Fall Prevention in Hospice Patients – Pharmacologic and Non-Pharmacologic Approach

Wednesday, February 27th, 2019 at 10:00 AM PST

Over the years, there has been an increasing trend in falls in elderly patients. Falls continue to be the most common cause of nonfatal injuries for the geriatric population. This webinar will focus on the risk factors (intrinsic and extrinsic) of falls in hospice patients. Referencing the Beers list, we will discuss common medication classes used in hospice patients that can pose a risk of falls. We will also cover non-pharmacologic approaches in preventing falls.

Webinar Objectives:

  • Asses and identify hospice patients who are at risk for a fall
  • Identify disease states that put a patient at risk for a fall
  • Point out medications that should be used with caution and how to manage patients effectively
  • Identify environmental factors that can increase fall risk

Dr. Chinenye Emereole is a clinical pharmacist with Hospice Pharmacy Solutions. She has been a practicing pharmacist for 8 years and received her Doctorate degree at Ferris State University of Michigan. She has worked closely with the medical team and the geriatric population in long term care pharmacy settings. She also has worked in a compounding and retail pharmacy. She specializes in drug information, clinical research and pain management in hospice patients.

To Cover or Not to Cover? – A Review of Medication Coverage Guidelines

Wednesday, January 30th, 2019 at 10:00 AM PST

Dr. Sherita D. Castille, PharmD

Clinical Pharmacist at Hospice Pharmacy Solutions

 

Everyday hospice providers must determine which medications should or should not be covered for their patients.  With increasing reports of misuse of federal funds and the ever-changing guidelines, it can be difficult to navigate and remain compliant.  According to the National Hospice and Palliative Care Organization (NHPCO), hospice is expected to evaluate each medication in relationship to the terminal diagnosis & prognosis and cover all medications that manage or palliate the principle hospice diagnosis.   We will look at the various pathways to determine medication coverage and how your clinical team can be an effective tool in managing cost.

Webinar Objectives:

  • Define key Medicare hospice terms
  • Clarify how to determine if a medication should be covered per NHPCO guidelines
  • Demonstrate how certain formulary structures can eliminate coverage “grey areas”

Sherita D. Castille, PharmD, is a Clinical Pharmacist at Hospice Pharmacy Solutions, LLC.  Dr. Castille received her Doctorate of Pharmacy at Xavier University of Louisiana.   After moving to North Dallas in 1997, Dr. Castille practiced as a Clinical Pharmacist at Methodist Health Systems Dallas, specializing in ICU and CCU.  She was the Pharmacist-in-Charge and manager of a retail pharmacy for 8 years where she was a preceptor, mentoring high school students and integrating Medication Therapy Management (MTM) services.  Since 2009, Dr. Castille’s focus has been the affordability of healthcare.  Her diligent work with PBM powerhouses Medco, Express Scripts and Humana has given her insight to current trends in managed care.  In her current position, Dr. Castille works closely with hospices performing medication reviews, medication consultations as well as providing formulary management guidance.  She is committed to Hospice Pharmacy Solutions’ continued success to bring innovative products to the clients we serve.

Demystifying Opioid Conversion Calculations

Wednesday, November 28th, 2018 at 10:00 AM PST

Dr. Stephanie Cheng, PharmD, MPH, BCGP

Clinical Pharmacist at Hospice Pharmacy Solutions

 

The ability to convert the dose of one opioid to another is an important skill for healthcare providers in the hospice setting, especially when pain is a very common symptom at the end of life.  This presentation will primarily focus on the factors that affect which opioid to use, how to convert the dose from one opioid to another and adjuvant therapies.

Webinar Objectives:

  • Determine the relative strengths of different opioids by comparing their Oral Morphine Equivalents (OME)
  • State the pros and cons of different opioids
  • List the steps to convert the dose of one opioid to a different opioid
  • Perform the calculations to convert the dose of one opioid to another opioid
    • Simple conversion, Fentanyl, Methadone and IV opioid doses
  • Communicate the important counseling points of Methadone to patients/caregivers
  • List adjuvants therapies for neuropathic pain and bone pain

Dr. Stephanie Cheng is a clinical pharmacist with Hospice Pharmacy Solutions and is board certified in geriatric pharmacy. She earned a dual degree with a Doctor of Pharmacy (PharmD) and a Bachelor of Science in Pharmaceutical Sciences from Purdue University. In addition, she earned a Master of Public Health (MPH) at Harvard T.H. Chan School of Public Health and attended one year of medical school at the University of Warwick in England. Dr. Cheng completed a Global Health Research Fellowship in the Kenya with the Academic Model Providing Access To Healthcare (AMPATH). Dr. Cheng has extensive experience in global/public health, research analytics, clinical program development, and drug information.  She also has experience presenting or having her work presented at various healthcare organization conferences, such as the Georgia Hospice & Palliative Care Organization Annual Leadership and Clinical Conference, the Hospice & Palliative Care Federation of Massachusetts (HPCFM) and the International Diabetes Federation (IDF). She has journal publications in The Lancet, Diabetic Medicine, Clinical Diabetes, The Annals of Pharmacotherapy, The Journal of Clinical & Translational Endocrinology, and The International Union Against Tuberculosis and Lung Disease.

Complications of Cirrhosis: Ascites and Hepatic Encephalopathy

Wednesday, October 24th, 2018 at 10:00 AM PST

Dr. Ester Yagudayeva, PharmD

Clinical Pharmacist at Hospice Pharmacy Solutions

 

Patients with end-stage liver disease (ESLD) have a life-limiting illness. Quality of life is often negatively impacted by the symptoms we see with this disease, as well as by the psychological complications of the illness. This webinar will focus on the common complications that we see in hospice patients with Cirrhosis. We will discuss the pathophysiology and explore cost-effective treatment options.

Webinar Objectives:

  • Identify common complications of Cirrhosis
  • Understand the prognosis of ESLD
  • Discuss cost-effective pharmacological treatment options

Dr. Ester Yagudayeva, PharmD, is a clinical pharmacist at Hospice Pharmacy Solutions. She received her Doctor of Pharmacy degree at Arnold and Marie Schwartz College of Pharmacy at Long Island University. She has been a practicing for 3 years and has initially worked in retail pharmacy where she focused on acute and chronic disease management. In her current position, Dr. Yagudayeva works closely with hospices performing medication reviews, providing drug information, consultations and symptom management for hospice patients.

Cost Effective Medication Management

Wednesday, September 26th, 2018 at 10:00 AM PST

Lynn Williams, BSPharm

Clinical Pharmacist at Hospice Pharmacy Solutions

 

This 1 hour knowledge-based presentation will provide practitioners information and accepted treatment guidelines that will assist in selecting cost effective medications for the most commonly encountered symptoms in hospice patients.

Webinar Objectives:

  • Define Hospice Care
  • Determine Common Hospice Diagnoses
  • Review symptoms and conditions commonly treated in hospice patient population
  • Discuss cost-effective pharmacological treatment options

Lynn Williams earned her BS in pharmacy from the University of North Carolina Pharmacy School in 1986.  She is currently licensed to practice pharmacy in North Carolina and South Carolina.  She worked in hospital pharmacy for 10 years where she was the chairperson of the pharmacy and therapeutics committee and co-chairperson of the Clinical Council.   She has also been a Pharmacist-in-charge and manager of a community pharmacy for 6 years.  More recently Lynn has been a clinical pharmacist in the field of pharmacy benefit management.  She has served as a lecturer and preceptor of pharmacy students throughout her career.  In her current position with Hospice Pharmacy Solutions she is a clinical pharmacist and works closely with hospices performing medication reviews and consults as well as providing formulary management guidance.

The GI Journey: A Comprehensive Review of the Gastrointestinal Tract

Wednesday, August 22nd, 2018 at 10:00 AM PST

Dr. Nola Curry, PharmD

Clinical Pharmacist at Hospice Pharmacy Solutions

 

This webinar will focus on common gastro-intestinal illnesses encountered by many hospice patients. It will cover how to choose the most effective medications to palliate these symptoms based on the severity of symptoms and patient-specific factors. In addition, we will discuss cost-effective medications as well as frequent duplication of therapy seen in hospice patients.

Webinar Objectives:

  • Identify gastrointestinal illness frequently experienced by hospice patients.
  • Recognize common medications and dosing used to palliate gastrointestinal symptoms
  • Apply assessment findings to create an appropriate plan of care to palliate symptoms based on patient specified factors.

Dr. Nola Curry is a clinical pharmacist with Hospice Pharmacy Solutions. In 2017, she graduated from the inaugural class of the University Of North Texas Health Science Center System College Of Pharmacy. Although new to the pharmacy field, Dr. Curry has over 15 years of experience in the health care field as a Licensed Vocational Nurse. The majority of her experience includes working with geriatrics in the long-term care setting.

Is There A Place For Medical Marijuana In Hospice?

Wednesday, July 25th, 2018 at 10:00 AM PST

Dr. Elhaum Khobahy, PharmD

Clinical Pharmacist at Hospice Pharmacy Solutions

 

Medical marijuana has come to the forefront of the medical field as state laws have slowly began to shift towards its legalization. Medical marijuana’s claim to fame comes with the potential promise of providing patients with an alternative form of treatment for an array of conditions; however, a clear consensus is lacking in regards to the efficacy and health risks surrounding the use of medical marijuana. The goal of this session will be to explore current research and establish the direction medical marijuana will take in the world of hospice care.

Webinar Objectives:

  • Review the pharmacology of medical marijuana
  • Understand indications, efficacy, and safety of medical marijuana
  • Assess available clinical trials and research
  • Determine therapeutic role of medical marijuana for patients at end of life

Dr. Elhaum Khobahy is a clinical pharmacist with Hospice Pharmacy Solutions. She graduated with honors from the University of the Incarnate Word in San Antonio with her Doctor of Pharmacy degree. Prior to entering pharmacy school, Dr. Khobahy conducted clinical research at UT Southwestern Medical Center in the Rheumatic Diseases Department for 2 years.  She has Retail, Compounding, MTM, and critical care experience. Dr. Khobahy specializes in medication and clinical trial research, pain management and new treatment development.

Alternative Routes Of Medication Administration At The End Of Life

Wednesday, June 20th, 2018 at 10:00 AM PST
nadia

Dr. Nadia C Nguessan, PharmD

Clinical Pharmacist at Hospice Pharmacy Solutions

 

Administering medications at end of life often presents certain challenges for clinicians and caregivers. There is a diverse range of routes available, however, not all routes are practical especially in hospice patients. What common medications cannot be crushed? And which ones cannot be administered through certain routes? This session will present alternative routes available at the end of life, and will highlight some do’s and don’ts when it comes to delivering certain medications.

Webinar Objectives:

  • Identify the alternative routes available along with their advantages and disadvantages
  • Inform about the Macy catheter and when it can be used as an option
  • List of common medications that should not be crushed and why
  • When should certain routes of administration be avoided and why

Dr. Nadia Nguessan is a clinical pharmacist with Hospice Pharmacy Solutions. She is a graduate of the University at Buffalo in New York, and originally from the Ivory Coast. Dr. Nguessan has been a mentor to students since her undergraduate studies and has a passion for teaching at any levels. She has Retail, Compounding, MTM experience as well as graduate level clinical research which she conducted through the NIH-Bridges program and has presented her work at multiple regional and national conferences. She currently works closely with hospices to provide innovative and excellent services to their patients through medication consults, pain management, pharmacy utilization call reviews and formulary management guidance. Dr. Nguessan is passionate about her work, and always looking for ways to help her clients and patients.

Common drug-drug and drug-disease interactions found in hospice patients

Wednesday, April 18th, 2018 at 10:00 AM PST

Dr. Chinenye Emereole, PharmD
Clinical Pharmacist, Hospice Pharmacy Solutions

This webinar will focus on common drug-drug and drug-disease interactions encountered by hospice patients. It will cover the adverse drug events that can potentially occur with these interactions and how to manage therapy. Polypharmacy plays a huge role in these interactions and so caregivers should be able to understand when these interactions require close monitoring or when abrupt discontinuation of the medication is necessary.

Webinar Objectives:

  • Identify common drug-drug and drug-disease interactions found in hospice and the drug agents potentially causing these interactions.
  • Point out clinical presentation of these interactions
  • Understand when meds need to be discontinued vs when to continue/change to a different agent

Dr. Chinenye Emereole is a clinical pharmacist with Hospice Pharmacy Solutions. She has been a practicing pharmacist for 8 years and received her Doctorate degree at Ferris State University of Michigan. She has worked closely with the medical team and Geriatric population in Long term care pharmacy setting. She also has worked in a Compounding and Retail pharmacy. She specializes in drug information, clinical research and pain management in hospice patients.

New Palliative Care Guidelines on the Horizon: What you need to know now

Wednesday, March 28th, 2018 at 10:00 AM PST
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 Judy Thomas, JD

CEO of the Coalition for Compassionate Care of California

Amy Melnick, MPA

Executive Director of the National Coalition for Hospice and Palliative Care (NCHPC)

 

Palliative care is a growing and evolving field.  Learn about the development of national guidelines to formalize and delineate the provision of quality palliative care as it spreads across the continuum of care.  This webinar will provide an overview on the development of the National Consensus Project (NCP) Guidelines for Palliative Care, the specific domains covered by the NCP Guidelines, and possible  implementation strategies.  This webinar is one of the first presentations to nationally showcase the upcoming new NCP Guidelines.

Webinar Objectives:

  • Describe the history and development process for the NCP Clinical Practice Guidelines for Quality Palliative Care, 4th edition.
  • Describe the domains and changes in the NCP Clinical Practice Guidelines for Quality Palliative Care, 4th edition.
  • Identify possible strategies to apply the NCP Clinical Practice Guidelines for Quality Palliative Care, 4th edition.

Judy Thomas, JD, is CEO of the Coalition for Compassionate Care of California, a partnership of healthcare providers, non-profit organizations, associations, state agencies, and individuals working to ensure seriously ill people receive quality, compassionate care. Dr. Thomas is an attorney with over twenty years of experience in the healthcare industry. Today, she chairs the National POLST (Physician Order for Life-Sustaining Treatment) Paradigm Task Force and serves on the Donate Life California Advisory Board and was recently named a Practice Change Leader by the John A. Hartford Foundation.

Amy Melnick, MPA is the Executive Director of the National Coalition for Hospice and Palliative Care (NCHPC). Amy’s career has focused on health care policy, legislative and regulatory advocacy, and Coalition building with diverse stakeholders. Amy guides the Coalition efforts towards improved communication, coordination and collaboration within the 10 national organizations representing the interdisciplinary hospice and palliative care field. The Coalition was founded over a decade ago by leaders from hospice and palliative care field. One of the Coalition’s first successful projects was the publication of the Clinical Practice Guidelines for Quality Palliative Care

As the Coalition’s first Executive Director, Amy leads the Coalition’s efforts on behalf of the 10 Member organizations and engages with various internal and external partners to identify areas of common interest and consensus to collectively improve the care of people with serious illness and those at the end of life.  Amy guides the Coalition operations and stakeholder engagement efforts with various health care policy organizations such as Congress, Centers for Medicare and Medicaid Services, National Institutes of Health, National Academy of Sciences, National Quality Forum, The Joint Commission, Patient Centered and various philanthropic organizations.

Prior to joining the Coalition, Amy was the Vice President, Advocacy for the Arthritis Foundation in Washington DC where she successfully advocated for the creation of a congressionally directed federal research program for arthritis research at the Department of Defense. Amy has also represented physicians, scientists, and nurses while serving as the Vice President for Health Policy at the Heart Rhythm Society. She began her career on Capitol Hill as Committee Staff at the U.S. House of Representatives, Select Committee on Aging where she focused on issues affecting older Americans. Amy attended the London School of Economics and Political Science and received her undergraduate degree from Wellesley College and her Master of Public Administration from George Mason University.

Cancer Anorexia and Cachexia Syndrome

Wednesday, February 21st, 2018 at 10:00 AM PST
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 John Mulder, MD, FAAHPM, HMDC

Chief Medical Consultant for Hospice and Palliative Care, Holland Home

Grand Rapids, MI

This session will explore the common and ofttimes perplexing condition of Cancer Anorexia and Cachexia Syndrome (CACS).  We will discuss the pathophysiology, symptoms, and treatment of CACS.  We will also present effective communication strategies that will help clinicians discuss this issue with patients and families.

Webinar Objectives:

  • Define Cancer Anorexia and Cachexia Syndrome
  • Describe the pathophysiology of CACS and the basis for the symptoms it produces
  • Discuss management strategies for treating CACS

John Mulder, M.D. is a leader in the field of palliative care. Improving the quality of life for his patients has always been a matter of service to Dr. Mulder and his career reflects that. As a nationally recognized authority on end-of-life issues and pain management, Dr. Mulder has become a sought-after speaker on the topics. He began his engagement in hospice, end of life care, and palliative medicine in 1984.  He was certified as a hospice and palliative medicine specialist by the American Board of Hospice and Palliative Medicine in 2000. He previously has taught at the Vanderbilt University School of Medicine and Meharry Medical College, and currently teaches at Michigan State University of Human Medicine.  He is also the director of the Grand Rapids Hospice and Palliative Medicine Fellowship Program.

Effective Use of Medication Formulary

Wednesday, January 24th, 2018 at 10:00 AM PST
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Sherita Castille, PharmD

Hospice Pharmacy Solutions

 

Formularies have been used for hundreds of years.  The National Formulary consisted of a list of medicines that were approved for prescription throughout the country.   Today, the main function of a prescription formulary is to specify particular medications that are approved to be prescribed at a particular hospital, in a particular health system, or under a particular health insurance policy.  Used effectively, formularies can help manage drug costs.  This presentation will explore different formulary designs, demonstrating how effective utilization can lower costs and integrate prescribing practices.

Webinar Objectives:

  • Understanding different Formulary structure designs
  • Cost benefits of Formulary utilization
  • Compare cost-effective alternatives

Sherita D. Castille, PharmD, is a Clinical Pharmacist at Hospice Pharmacy Solutions, LLC.  Dr. Castille received her Doctorate of Pharmacy at Xavier University of Louisiana.   After moving to North Dallas in 1997, Dr. Castille practiced as a Clinical Pharmacist at Methodist Health Systems Dallas, specializing in ICU and CCU.  She was the Pharmacist-in-Charge and manager of a retail pharmacy for 8 years where she was a preceptor, mentoring high school students and integrating Medication Therapy Management (MTM) services.  Since 2009, Dr. Castille’s focus has been the affordability of healthcare.  Her diligent work with PBM powerhouses Medco, Express Scripts and Humana has given her insight to current trends in managed care.  In her current position, Dr. Castille works closely with hospices performing medication reviews, medication consultations as well as providing formulary management guidance.  She is committed to Hospice Pharmacy Solutions’ continued success to bring innovative products to the clients we serve.

The Impact of Evidence-Based Practices on Current and Future Hospice Trends

Wednesday, December 13th, 2017 at 10:00 AM PST
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Cordt T. Kassner, PhD

CEO, Hospice Analytics 

 

This webinar will review key outcome and clinical metrics, resulting in increased viability for your hospice. From Hospice Utilization to Hospice Compare, Medicare information will be analyzed to give you better understanding of how your hospice fits into the locally competitive, state, and national hospice landscape. Participants will be able to:
  • Discuss current Medicare hospice claims trends regarding hospice utilization, length of stay, percentage discharged alive, etc.
  • Increased awareness of how CMS, Program Integrity, and the OIG use similar claims information for investigation purposes.
  • Explore implications of ACO / bundled payments, physician reports, and payment incentives for hospice providers.

Dr. Kassner is a hospice and end-of-life healthcare industry analyst. He incorporated Hospice Analytics in 2008 to merge Medicare datasets in unique ways, and with other national databases, to better understand and explain how healthcare is delivered to those near the end of life.

 

He earned degrees in Social Work (BS, Illinois State University), Counseling (MA, Denver Conservative Baptist Seminary), and Health & Behavioral Sciences (PhD, University of Colorado-Denver).  His prior work experience includes serving as CEO of the Colorado Center for Hospice & Palliative Care, and clinical and research responsibilities at the University of Colorado at Denver and Health Sciences Center.  While co-chairing the University of Colorado Hospital Ethics Committee, Cordt founded the Colorado Healthcare Ethics Forum, serving as president for 5 years and a board member for 11 years.  He has served as a “translator” of information between administration/clinical healthcare professionals and researchers/statisticians for over 20 years.  Cordt serves and has served on numerous local, state, and national boards and committees and has facilitated over 150 workshops and presentations.  He currently serves on two Medicare Technical Expert Panels for Hospice Quality.  Cordt has served on the faculty of the University of Colorado-Denver Health Sciences Center since 1992, and in 2012 was also invited to serve on the faculty at Duke University.

Hospice and the Holidays: Helping Your Patients, Helping Yourself

Wednesday, November 22nd, 2017 at 10:00 AM PST
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Dianne Gray

President, Elisabeth Kubler-Ross Foundation; CEO, Hospice and Healthcare Communications

Current Clients Earn 1 Contact Hour per California Board of Registered Nursing

This presentation discusses research that will help you navigate the holidays by sharing research and resources that’ll help make your job easier through this sometimes-difficult season. In this presentation, webinar attendees will be able to:
  • List and describe four ways to expand the circle of support during the holiday season.
  • Describe research surrounding meaningfulness & why it can help all navigate the holidays successfully.
  • Describe research that explains why music is integral part to patient care during the holidays and throughout the care experience.
  • List free resources, apps & support content for patients and families on hospice care throughout the holidays.
Dianne Gray is a 15-year professional in the hospice and palliative care fields. She is an author, keynote speaker, researcher and global advocate who produces film, music, and publishing projects to teach both consumers and clinicians about building

Management of Delirium in Hospice Patients

Wednesday, October 25th, 2017 at 10:00 AM PST

 

P. Lynn Williams, BSPharm

Hospice Pharmacy Solutions

Current Clients Earn 1 Contact Hour per California Board of Registered Nursing

Delirium is defined as sudden severe confusion due to rapid changes in brain function. It is a common medical condition encountered in the hospice setting and is usually reversible. Untreated delirium may lead to an increase in short- and long-term mortality, a decrease in cognitive function, and an increase in complications of hospice care. This presentation will explore the underlying causes of delirium and discuss the non-pharmacological and pharmacological management for delirium in hospice patients.

Pain Management: Adjuvants

Wednesday, September 20th, 2017
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John Mulder, MD, FAAHPM, HMDC

Chief Medical Consultant for Hospice and Palliative Care

Holland Home, Grand Rapids, MI.

Current Clients Earn 1 Contact Hour per California Board of Registered Nursing

Optimal pain management is best achieved by the appropriate use of a number of adjuvant medications.  Especially with increased scrutiny directed toward opioid use, an understanding of alternative pharmacologic approaches to pain management will position providers to address complex pain issues in a more sophisticated fashion.  This session will identify a number of adjuvant medications that can be used in a variety of pain situations.

 

Hypertension Medication Management At The End of Life

Wednesday, August 16th, 2017

Christian Sinclair, MD, FAAHPM
Assistant Professor, Division of Palliative Medicine, University of Kansas Health System
Editor, Pallimed
Immediate Past President, AAHPM

Current Clients Earn 1 Contact Hour per California Board of Registered Nursing

Near the end-of-life, certain types of medication can cause confusion among patients, families, and clinicians—the medication doesn’t directly provide comfort, but stopping the medication could cause other unintended consequences. Anti-hypertensive medications are one of the most challenging classes because of the potential risk for stroke or heart attack and strong focus on getting to a normal blood pressure. In this webinar, we will review the which anti-hypertensive medications can easily be stopped at the end-of-life and those where caution might be urged before altering the dose. A strategy to help hospice staff communicate with patients, family, cardiologists and primary care physicians will also be covered.

Dr. Christian Sinclair is an assistant professor of Palliative Medicine at the University of Kansas Health System. His contributions to the field of hospice and palliative care have focused on using social media as a public health tool through his work as editor of the website Pallimed. He was recently the president of the American Academy of Hospice and Palliative Medicine.

The Role of Public Policy to Improve Care for Patients

Wednesday, July 19th, 2017

Judy Thomas
Chief Executive Officer
Coalition for Compassionate Care of California
Current Clients Earn 1 Contact Hour per California Board of Registered Nursing

In this presentation, webinar attendees will learn:
  • How to use the legislative process to improve care for patients, including:
    • Strategic Preparation
    • Impacting the legislative process
    • Planning for the implementation of new law
    • The importance of grassroots
    • Remembering the state budget
  • Role of the Regulatory Process
    • Do you need legislation?
    • What happens after legislation is passed?
    • How to work with regulators
Judy Thomas, JD, is CEO of the Coalition for Compassionate Care of California, a partnership of healthcare providers, non-profit organizations, associations, state agencies, and individuals working to ensure seriously ill people receive quality, compassionate care. Dr. Thomas is an attorney with over twenty years of experience in the healthcare industry. Today, she chairs the National POLST (Physician Order for Life-Sustaining Treatment) Paradigm Task Force and serves on the Donate Life California Advisory Board and was recently named a Practice Change Leader by the John A. Hartford Foundation.

A Visual Approach to Simplifying Respiratory Drug Regimens

Stephanie Cheng, PharmD, MPH, BCGP
Clinical Pharmacist
Hospice Pharmacy Solutions
Current Clients Earn 1 Contact Hour per California Board of Registered Nursing

This presentation provides a visual approach to identifying duplicate inhaled regimen therapies for the purpose of simplifying and improving the management of dyspnea in hospice patients.  In this presentation, webinar attendees will be able to:

  • List at least 3 major adverse effects of inhaled medications.
  • Visually separate the different inhaled medications into their proper classifications.
  • Identify duplicate therapies in a patient’s respiratory medication regimen.
  • State the risk and rational of using or not using corticosteroids in the hospice population.
  • List the steps to appropriately manage dyspnea in a hospice patient.

 

Dr. Cheng is a clinical pharmacist at Hospice Pharmacy Solutions. She specializes in hospice care, geriatric care, global and public health, research analytics, clinical program development, and drug information.

The Giant Leap Forward: From Care Provider to Care Manager

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Jennifer Hale, MSN, RN, CHPN
Vice President, Quality and Standards
Compassus, Hospice & Palliative Care
Current Clients Earn 1 Contact Hour per California Board of Registered Nursing

This topic is designed to help the hospice team — especially nurses and social workers — move from making visits to making visits count. In this presentation, webinar attendees will learn:
  1. The difference between being a care provider and a care manager
  2. How this differentiation supports the goals of hospice as a holistic service
  3. How this differentiation meets the needs of patients and families
Jennifer Hale joined Compassus in March 2017 as the Vice President, Quality and Standards.  Jennifer’s transition to Compassus was preceded by 3 years with Optum Palliative and Hospice Care as the Vice President of Clinical Services. In addition, Jennifer served as the Executive Director of the Georgia Hospice and Palliative Care Organization for 5 years.  Jennifer’s two decades of nursing, leadership and executive experience in long-term care, home health and hospice allow her to leverage both skills and knowledge in identifying trends in healthcare delivery, regulatory matters and systems changes which impact patient care outcomes.

Medical Prognostication: Balancing Certainty, Science and Experience

Wednesday, April 19, 2017

Christian Sinclair, MD, FAAHPM
Assistant Professor, Division of Palliative Medicine, University of Kansas Health System
Editor, Pallimed
Immediate Past President, AAHPM
Current Clients Earn 1 Contact Hour per California Board of Registered Nursing

The objectives of Dr. Sinclair’s webinar are:
  1.  Identify three barriers to effective medical prognostication
  2. Practice effective communication about medical prognostication with medical peers
  3. Examine how to improve medical prognostication
Dr. Christian Sinclair is an assistant professor of Palliative Medicine at the University of Kansas Health System. His contributions to the field of hospice and palliative care have focused on using social media as a public health tool through his work as editor of the website Pallimed. He was recently the president of the American Academy of Hospice and Palliative Medicine.

The Place for Methadone Therapy in the Hospice Setting

March 22, 2017

Esther Liu, PharmD, MSIA, BCGP
Clinical Pharmacist
Hospice Pharmacy Solutions

Current Clients Earn 1 Contact Hour per California Board of Registered Nursing

The use of Methadone in the hospice setting can be a challenging issue for healthcare professionals.

In her presentation, Dr. Liu will discuss:

  • The role of methadone in treating severe pain at the end of life
  • The pros and cons of methadone use with hospice patients
  • Potential drug interactions
  • Cardiac risk
  • Drug accumulation/toxicity risks
  • Clinical and economic advantages of methadone
  • Opioid-to-methadone conversions

Blue Mind

February 22, 2017
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Wallace J. Nichols, PhD
Research Associate at the California Academy of  Sciences
Co-founder of Ocean Revolution

Current Clients Earn 1 Contact Hour per California Board of Registered Nursing

Modern technology is now exploring the cognitive, emotional, psychological, social and spiritual benefits of time spent near, in, on and under water.

Like music therapy, water provides a wide range of useful, practical and cost-effective tools for healthcare providers.

In his presentation, Blue Mind, Dr. Nichols will explore the ways water can intersect with hospice care – for patient, families and practitioners.

Hope, Resilience and the Beauty of Living a Meaningful (Versus Simply Happy) Life

January 18, 2017
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Dianne Gray
CEO, Hospice and Healthcare Communications
President, Elisabeth Kubler-Ross Foundation

Current Clients Earn 1 Contact Hour per California Board of Registered Nursing

Dianne will share resources and research on the important topic of helping hospice patients and families find hope and meaning throughout their end-of-life journeys. This inspirational presentation will help hospice professionals better serve their patients and families in 2017.

Webinar Objectives:

  1. List and describe the Four Stages of Hope, as described by Cathleen Fanslow-Brunjes, RN
  2. Describe Dr. Elisabeth Kubler-Ross’ research on hope and how it applies to situations today
  3. Describe and list resources for helping hospice patients find meaning in their lives and why this is important

Discontinuing Medications for Hospice Patients

December 22, 2016
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Esther Liu, PharmD, MISA, CGP
Clinical Pharmacist
Hospice Pharmacy Solutions

Current Clients Earn 1 Contact Hour per California Board of Registered Nursing

As part of the comprehensive assessment for hospice patients at admission, hospice providers routinely make recommendations on discontinuing medications that are no longer appropriate for terminal patients.

This webinar will focus on discussing the common medications that are recommended for discontinuation at end of life. Dr. Liu will also explore the reason for medication discontinuation and how to weigh the risk vs benefit when discontinuing medications.

Dr. Liu is a clinical pharmacist at Hospice Pharmacy Solutions and is the coordinator for the Pathways to Success Live Webinar Series™. She is specialized in drug consultations, hospice care, geriatric care, pharmacy benefit management and research analytics.

Antibiotics in Hospice Care

November 16, 2016
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Dr. Margaret “Molly” Bourne
Chief Medical Officer
Hospice by the Bay
Current Clients Earn 1 Contact Hour per California Board of Registered Nursing

Learner will be able to:
  1. Understand the goal of hospice care is for the comfort of the patient, rather than for increased survival
  2. Consider when antibiotics help with symptom relief
  3. Understand which infections can be treated for symptom relief without antibiotics
  4. Review the most-common antibiotics used in hospice care
  5. Understand the importance of patient and family involvement in decision making surrounding antibiotics

Dr. Margaret “Molly” Bourne is board certified in Family Medicine, Addiction Medicine and Hospice and Palliative Care. After 10 years of practicing primary care and addiction medicine, Dr. Bourne joined Hospice by the Bay as medical director in 2003. She was named chief medical officer in 2014.

Hospice-Nursing Home Partnerships: What Hospice Programs Need to Know to Develop Strong Relationships

October 26, 2016
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Colleen McGreevy
CMC Health Partners

Current Clients Earn 1 Contact Hour per California Board of Registered Nursing

Learner will be able to:

  1. Understand some needs of the nursing facility and how hospice can help fulfill those needs
  2. Identify key leaders in the nursing facility and what is commonly important to each
  3. Identify three action steps to building a strong hospice-nursing home facility relationship

Colleen McGreevy is an operations and growth leader who, for the past 20 years, has held leadership positions with several large home health and hospice companies. Her extensive experience with market analysis, business planning and implementation has allowed her to help organizations reach more people who need and deserve excellent care.

Mastering Pain Management Skills: Safe Opioid Use Amid Opioid-Phobia

September 22, 2016
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Marsha Farrell, BSN, RN-BC, CHPN
Current Clients Earn 1 Contact Hour per California Board of Registered Nursing

Learner will be able to:

  1. Describe a proper opioid titration
  2. Find an opioid equivalent dose with an equivalency chart
  3. Calculate an approximate breakthrough dose for patients on a long-term opioid
  4. List 3 situations when an opioid rotation may be indicated
  5. Name 2 safety strategies for seniors on opioids

Marsha Farrell is a Clinical Consultant and Hospice, Palliative Care and Pain Management Educator with Marsha Farrell Care Consulting, LLC. She is board certified as a pain management nurse and as a hospice and palliative care nurse. Marsha has a background in oncology, home health and surgical nursing.

Grief-Induced Substance Abuse, Sickness, Death and Dying

August 17, 2016
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Dr. Mark Keep, MD
Current Clients Earn 1 Contact Hour per California Board of Registered Nursing

Bereavement stress can cause acute and profound adverse effects on our emotional, mental and spiritual well being.

Grief can lead to serious medical consequences and even life threatening disease and premature death. It also causes serious emotional and spiritual trauma, which can lead to chemical-induced numbing of the pain.

The unfortunate, and significant, increase in substance abuse, and potential for addiction due to grief will be reviewed as well as effective methods to prevent it, deal with it and recover from it. Support groups, self-care and medical care to prevent and treat these grief induced health and wellness problems will be discussed.

Objectives:

  1. Understand how grief affects us physically, mentally, emotionally, and spiritually.
  2. Understand how grief leads to biochemical changes that cause health issues and psychological affects such as anxiety, pain, and inflammatory stress.
  3. Understand substance use as coping mechanisms and the potential for addiction.
  4. Review ways to deal with grief induced stress and substance use.

Mark Keep, MD, is a board-certified physician specializing in Internal Medicine, Cardiology and Addiction Medicine. After dealing with the sudden loss of his seven-year-old daughter, Dr. Keep began studying grief, loss, PTSD and grief-induced substance abuse, as well as traditional complementary and alternative methods of evaluation and treatment.

Hospice CAHPS: A New Way to Think About the Patient and Caregiver Experience

July 27, 2016
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Karen Sorensen
Associate Vice President, National Initiatives

HealthStream
Current Clients Earn 1 Contact Hour per California Board of Registered Nursing

CMS is increasingly requiring that healthcare facilities conduct a Consumer Assessment of Healthcare Providers & Systems or CAHPS survey among their patients.

Since 2015, the Hospice CAHPS Survey has been a required measure under the Hospice Quality Reporting Program.

In this session, we will look at CMS’s goal for the survey, including plans for public reporting of scores and an eventual transition to pay-for-performance. Karen will explain how this survey impacts your facility and how you can maximize your performance.In addition to reviewing the fundamentals, we will review:

  1. The new performance standards (including the difference between experience and satisfaction).
  2. The key drivers of the patient and caregiver experience in the hospice setting.
  3. Where to focus improvement efforts.
  4. Tips to prepare and engage staff

Karen Sorensen is a national authority on the government-mandated Consumer Assessment of Health Providers and Systems® (CAHPS) surveys and CMS-quality reporting programs. In her 25-year healthcare career, Karen was deeply involved in the HCAHPS rollout and has successfully implemented research programs for some of the nation’s largest healthcare systems.

Contemporary Media and End-of-Life Care: Talking about Talking about Death

June 22, 2016
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Diane Gray
President, Hospice and Healthcare Communications

Current Clients Earn 1 Contact Hour per California Board of Registered Nursing

America is awash in information on the topic of “talking about talking about death.” For many, it’s downright confusing! Do we have one conversation or many? Who is educating our patients and families? What messages are they hearing?

Dianne Gray is the president of Hospice and Healthcare Communications, an organization that she created after a 10-year period where she cared for her son after his diagnosis of a terminal illness. That experience changed her views on death, dying – and living. Hospice and Healthcare Communications builds programs, partnerships and projects that better educate and inform families, care providers and businesses on all aspects of palliative and end-of-life care.

Referral Inquiry to Admissions: Growing Your Census

May 25, 2016
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Kurt Kazanowski
Hospice Advisors

Current Clients Earn 1 Contact Hour per California Board of Registered Nursing

Webinar Objectives:

  1. How to grow your census and revenue without spending another dollar on marketing + Case Study.
  2. How this process will advance your mission and business objectives.
  3. How the referral inquire to admission conversion rate is key indicator to the organization’s culture of growth.
  4. The key elements needed to build a productive referral inquiry to admission process.

Kurt Kazanowski has more than 30 years of experience as an executive leader. He has created and executed mission and business objectives on strategy development, marketing, sales, growth and business development tactics, merger and acquisitions, physician relationships and forming strategic partnerships between hospice providers and hospitals.

View from Washington: The Hospice Action Network and Congressional Activity

April 27, 2016
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Jonathan Keyserling
Sr. Vice President, Office of Health Policy and Counsel, NHPCO

Executive Director, Hospice Action Network
Current Clients Earn 1 Contact Hour per California Board of Registered Nursing

During this session, Jonathan Keyserling will analyze the upcoming elections and what it could mean for the hospice community. He’ll also try to look ahead to what’s coming for hospice providers from a policy perspective.

Jon will also discuss why hospice supporters must be proactive in engaging their members of Congress and lay out a roadmap of best practices in hospice advocacy.

Jonathan Keyserling is the Senior Vice President, Office of Health Policy and Counsel at the National Hospice and Palliative Care Organization. He is also the Executive Director of the Hospice Action Network, the NHPCO’s affiliated lobbying organization.

“Do-Re-Mi” Pain Management at End of Life: Starting at the Beginning

March 23, 2016
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Marsha Farrell, BSN, RN-BC, CHPN
Current Clients Earn 1 Contact Hour per California Board of Registered Nursing

As hospice providers, we all strive to provide the best pain and symptom management possible for our patients.

Pain management can be complicated at the end-of-life.

This presentation will lay the foundation for pain management choices by “starting at the beginning” with an assessment of pain(s) and classification of the pain(s). Only after the assessment and classification of pain can the hospice team plan a multimodal strategy to manage the patient’s pain. “Do-Re-Mi” Start at the beginning and you will be able to provide exceptional, appropriate pain management.

Marsha Farrell is a Clinical Consultant and Hospice, Palliative Care and Pain Management Educator with Marsha Farrell Care Consulting, LLC. She is board certified as a pain management nurse and as a hospice and palliative care nurse. Marsha has a background in oncology, home health and surgical nursing.

Drugs and Dementia in the Hospice Patient

February 24, 2016
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Jim Joyner, PharmD, CGP
Current Clients Earn 1 Contact Hour per California Board of Registered Nursing

This webinar covers the variety of medications that are used for management of symptoms of dementia.

A detailed discussion of symptom-targeted drug therapy will be made distinguishing between the drugs targeted at cognitive symptoms vs those drugs which are targeted at behavioral and mood symptoms.
The role of cognitive enhancing drug therapy will be presented in the context of the Functional Assessment Staging tool (FAST). The discussion about drugs targeted at behavioral symptoms will address the use of antipsychotics, anxiolytics, anti-epileptic drugs, antidepressants and more. Appropriate dosage range, duration of therapy, as well as risks and benefits of pharmacologic interventions will be thoroughly explored.

Everything You Ever Wanted to Know About Dementia

January 20, 2016
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Laura Wayman
The Dementia Whisperer
Current Clients Earn 1 Contact Hour per California Board of Registered Nursing

Laura Wayman, The Dementia Whisperer, is the Director of Dementia Care Services for Comfort Keepers in Sacramento, Calif. and is the author of A Loving Approach to Dementia Care.

This presentation dispels common myths about dementia, covers common causes and symptoms of dementia, discusses the changed perception and altered reality caused by the loss of normal brain function, understanding the dementia world, speaking and understanding the special language of dementia, and how to apply specialized approaches to your caregiving.

Hospice Payment Reform: How Does That Impact Me?

December 16, 2015
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Jenna Paladino
Paladino Public Affairs
Current Clients Earn 1 Contact Hour per California Board of Registered Nursing

Hospice payment reform sounds like a dreaded economics lesson, but it doesn’t have to be.

Jenna Paladino, a hospice advocate, lobbyist and public affairs expert boils down the new wage index final rule into more palatable bite size highlights. We are all impacted by changes in the payment structure and “service add-ons” to the Medicare Hospice Benefit.

Participate in this session and learn how to become a stronger advocate for our patients and families. In the hospice world, we don’t get a second chance and knowledge is power.

Jenna Paladino is the president at Florida-based Paladino Public Affairs, which provides advocacy, lobbying and communication consultations to healthcare organizations. At PPA, Paladino taps into her experiences as legislative aide, campaign consultant, communications director and hospice advocate to help organizations realize strategic goals while staying true to their missions.

If Only Someone Had Warned Us: Talking with Patients about Risks

November 4, 2015
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Dr. Daniel Hoefer
Chief Medical Officer, Outpatient Palliative Care Program

Sharp Healthcare
Current Clients Earn 1 Contact Hour per California Board of Registered Nursing

This webinar explores how to better recognize pre-terminal patients and the potential harm that can be caused by continuing traditional care. Daniel R. Hoefer, MD, talks about the importance of identifying a patient’s values prior to traditional interventions–especially in the advanced elderly–and when a patient is at risk for cognitive or functional decline.

The Life and Legacy of Dr. Elisabeth Kubler-Ross: Humanitarian, Psychiatrist and Hospice Pioneer

October 8, 2015
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Ken Ross
Founder, The Elisabeth Kubler-Ross Foundation

Current Clients Earn 1 Contact Hour per California Board of Registered Nursing

Ken Ross is the son of psychiatrist, humanitarian and hospice pioneer, Dr. Elisabeth Kubler-Ross.

Throughout his youth, he traveled with his mother to many of her speaking engagements, frequently meeting with those seeking her wisdom.
Ken was also the caregiver for his mother the last nine years of her life, which ended in 2004. Following her death, Ken founded the Elisabeth Kubler-Ross Foundation and subsequently, has traveled the world sharing his mother’s thoughts on compassionate care of the dying and the grieving. He also speaks on Elisabeth’s incredible life journey and how each of us has the power to live a life based on love versus fear. His message is poignant, humorous, and filled with inspiration. In addition, Ken is also a freelance photographer based in Sherman Oaks, California. In 2003, he co-authored a book with his mother entitled “The Real Taste of Life” which is available on Amazon.

The 7 Pillars of Growth: A Successful Future

September 22, 2015
kazanowski

Kurt Kazanowski
Hospice Advisors

Current Clients Earn 1 Contact Hour per California Board of Registered Nursing

The 7 Pillars are the important ingredients, a blend of business and

clinical approaches, that make up an Award Winning Recipe for Success for hospice organizations.

This is a proven framework on how to strengthen your growth pillars to serve more patients.

Kurt Kazanowski has more than 30 years of experience as an executive leader. He has created and executed mission and business objectives on strategy development, marketing, sales, growth and business development tactics, merger and acquisitions, physician relationships and forming strategic partnerships between hospice providers and hospitals.

*Each session of the Pathways to Success Live Webinar Series™ is accredited by the California Board of Registered Nurses for 1 Contact Hour.
Only current Hospice Pharmacy Solutions clients are eligible to earn CE credits.

Contact HPS

Toll Free: 866-877-2053
Outside US: 916-960-4020
Fax: 888-500-9023 or 916-960-4040
2201 N. Central Expressway Suite 250
Richardson, TX 75080

Want to see other topics?

Contact the HPS Clinical Team at
866-851-4866 or at pathways@hospicepharmacysolutions.com.