MNHPC ALERT - Constant Contact

MNHPC ALERT

March 1, 2017 Monthly eNewsletter

MNHPC is grateful to be celebrating 37 years of being a trusted leader and advocate in hospice and palliative care.

IN THE NEWS

? Conference updates ? Chrastek and Schwantes honored ? Pediatric hospice in Brooklyn Park ? Report on hospital palliative care

HIGHLIGHTS

? Evolving laws and ethics of alimentation ? Dream Foundation ? Difference between ABN and NOMNC ? 911 calls can save trips to the ER

WHAT WE'RE READING

Dealing with Doctors, Denial, and Death by Aroop Mangalik

RESOURCE OF THE MONTH

CAPC's Payment Accelerator

POETRY CORNER

"The Dead Man's Clothes" by Pat Boran

CYCLICAL ITEMS

CONFERENCE UPDATES

Don't miss out on discount conference pricing!

Discount pricing ends tomorrow, March 2, at 11:59 PM.

IN THE NEWS

JODY CHRASTEK AND DR. SCOTT SCHWANTES RECOGNIZED AS FELLOWS BY HPNA AND AAHPM

Joan "Jody" Chrastek, RN,DNP,CHPN, Coordinator of the Pediatric Advanced Complex Care Team (PACCT) with Fairview Home Care and Hospice/ University of Minnesota Masonic Children's Hospital and Dr. Scott Schwantes, Associate Medical Director ? Pediatrics, Diplomate, American Board of Pediatrics and Diplomate, American Board of Hospice and Palliative Medicine with Gillette Children's Specialty Healthcare, were both named as Fellows at the recent Hospice and Palliative Nurses Association (HPNA) and American Academy of Hospice and Palliative Medicine (AAHPM) 2017 assembly.

This distinctive award is rarely given to two experts in pediatrics.

Congratulations to both of you!

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MNHPC ALERT

March 1, 2017 Monthly eNewsletter

? Michael Anderson

MINNESOTA'S FIRST PEDIATRIC HOSPICE AND RESPITE HOME PLANNED FOR BROOKLYN CENTER

After years of planning and fundraising, Crescent Cove is in the process of buying a facility in Brooklyn Center that will one day house the state's first community children's hospice and respite home -- one of only a few such facilities in the country.

The facility in Brooklyn Center will offer services at no cost to families, thanks to donations, grants, and such fundraising events as the nonprofit's annual gala. It will provide care for as many as six patients at a time, as well as respite for their parents and siblings.

The 6,700-square-foot facility near Twin Lakes was for years an adult residential hospice owned and operated by North Memorial Health Care. Once the sale is complete, expected this spring, the facility must be renovated. Crescent Cove expects to welcome its first families in October.

Star Tribune article

HOW WE WORK: TRENDS AND INSIGHTS IN HOSPITAL PALLIATIVE CARE

This free report, provided by the CAPC and NPCRC, was recently released with the goal to provide actionable information to promote standardization and improve the quality of hospital palliative care.

Key findings include:

? Steady increase in palliative care service penetration, with programs reaching a larger proportion of hospitalized patients in need

? Two-thirds of palliative care consults completed within one day of referral

? Growth in service capacity as measured by increases in staffing levels, and more programs reporting complete interdisciplinary teams

? Increase in palliative care certification across team disciplines

See the full report

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MNHPC ALERT

March 1, 2017 Monthly eNewsletter

HIGHLIGHTS

EVOLVING ETHICAL AND LEGAL IMPLICATIONS FOR FEEDING AT THE END OF LIFE

This paper examines the unique issues raised at the interface between law and ethics as it relates specifically to the controversial issue of alimentation (providing food and nourishment) at the end of life. This analysis is based, in part, on a historical case involving Margot Bentley, an 82-year-old Canadian residing in a long-term care facility.

This case exposed a number of concerns: the questionable utility and limits of living wills, surrogacy decision making, the actual meaning of implied consent, and what exactly constitutes medical treatment versus basic care. What is unique about this case is that it does show gaps in both ethical and judicial analysis which has resulted in a legal decision to provide a level of care the family believes would be untenable and lacking in dignity for Ms. Bentley.

Full article

DREAM FOUNDATION GRANTS END-OF-LIFE WISHES FOR TERMINALLY-ILL ADULTS

Dream Foundation, the only national dreamgranting organization for terminally-ill adults, fulfills final Dreams that provide inspiration comfort and closure at the end of life.

Over the past two decades, the Dream Foundation, with support of the Christopher and Dana Reeve Foundation, a nationwide network of volunteers, hospices, health care organizations and donors, the Dream Foundation has given life to more than 25,000 Dreams, including those of veterans, through their Dreams for Veterans program.

Dream Foundation website

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MNHPC ALERT

March 1, 2017 Monthly eNewsletter

HIGHLIGHTS

DIFFERENCE BETWEEN ABN AND NOMNC ADDRESSED IN PODCAST

The Centers for Medicare and Medicaid require a provider to notify Medicare beneficiaries when a service may not be covered under the Medicare program. The Advance Beneficiary Notice of Non-coverage (ABN) must be completed by the provider, or his/her representative, and signed by the patient, before a service is rendered.

The appropriate situation to use the Notice of Medicare Non Coverage form can be confusing. NHPCO's Judi Lund Person and Jennifer Kennedy discuss these commonly confused forms and learn more about the requirement to inform a patient when Medicare will no longer pay for a service.

Listen

FOR SOME HOSPICE PATIENTS, A 911 CALL SAVES A TRIP TO THE ER

In Fort Worth, TX, paramedics trained for hospice support -- part of a local partnership with VITAS Healthcare, the country's largest hospice organization -- are tasked with spending a longer stretch of time on the scene to determine if symptoms that triggered the 911 call can be addressed without a trip to the emergency room.

MedStar Mobile Healthcare, a governmental agency created to provide ambulance services for Fort Worth and 14 nearby cities, is one of several ambulance providers nationwide that have teamed up with local hospice agencies. The paramedic backup, enthusiasts argue, not only helps more hospice patients remain at home, but also reduces the potential for costlier and likely unnecessary care.

These emerging programs rely upon a new type of emergency responder. Dubbed community paramedics, they can offer a range of in-home care and support for home health patients, frequent 911 callers and others to reduce unnecessary ambulance trips.

In Ventura, CA, a similar hospice initiative is being piloted through a state agency -- part of a larger multicity effort to study the use of community paramedics. That pilot, which has worked with some 20 hospice agencies since 2015, sends out a community paramedic to any 911 call involving a hospice patient.

Patients can still go to the emergency room, and sometimes they do. Of the 287 patients enrolled in Fort Worth's program for the first five years -- all of whom had been prescreened as highly likely to go to the hospital -- just 20 percent, or about 58 patients, were transported, according to MedStar data. In Ventura, ambulance transports for hospice patients calling 911 also have declined -- from 80 percent shortly before the program's start to 37 percent from August 2015 through December 2016.

Read full article

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MNHPC ALERT

March 1, 2017 Monthly eNewsletter

WHAT WE'RE READING

DEALING WITH DOCTORS, DENIAL, AND DEATH

by Aroop Mangalik

Mangalik, a seasoned doctor and researcher, looks at the ways in which we are accustomed to treating illness at all costs, even at the expense of the quality of a patient's life. He considers our culture of denial, the medical profession's role in over-treating patients and end-of-life care, and the patient's options and role in these decisions.

This profoundly empowering book will help people make informed decisions about their lives and medical care. Incorporating specific questions for patients to ask their doctors and discuss with their families, the book provides an analysis of various forces that influence our decision-making. The book also examines the professional, psychological, economic, and social pressures that influence physicians treating seriously ill patients, including those that lead doctors to recommend treatments that may be futile.

The book concludes with resources that seriously ill patients and their families can call upon to give them support and assist with the logistical, emotional, and spiritual challenges of end-of-life care.

Order

RESOURCE OF THE MONTH

CAPC PAYMENT ACCELERATOR: SUPPORTING PALLIATIVE CARE PROGRAMS IN VALUE-BASED PAYMENT AND CONTRACTING

As value-based payments rapidly replace the fee-for-service payment model, palliative care providers have a prime opportunity to ensure adequate payment for specialty palliative care. With that in mind, CAPC announced this week that applications are now open for the CAPC Payment and Contracting Accelerator, an innovative new program to help community-based palliative care programs secure sustainable financing.

The CAPC Accelerator kicks off with a two-day workshop November 7-8, 2017, in Phoenix, AZ, followed by yearlong support from legal, contracting, and financial experts. Through immersive workshops, a suite of practical tools, targeted webinars, and scheduled office hours, Accelerator participants will learn to identify good partnership opportunities, modify operations for population management, price effectively, protect from undue risk, and negotiate agreements.

Learn more and apply

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