Caring for Our Kūpuna:
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1 The St. Francis International Center for presents Caring for Our Kūpuna: Balancing Human Dignity and Economics 10th Biennial International Bioethics Conference Sheraton Waikiki Hotel Honolulu, Hawaii Friday, August 9, a.m. - 5 p.m. Register online at StFrancisHawaii.org
2 Aloha and Welcome to the 10th International Bioethics Conference presented by The St. Francis International Center for Caring for Our Kūpuna: Balancing Human Dignity and Economics Confronting the Challenges of Our Kūpuna (Elders) Hawaii has a world-wide reputation for being the land of beautiful beaches, clean air, sunshine and pure water. The Islands healthful environment may be a contributing factor to the state being blessed with one of the fastest growing older adult populations in the nation. Yet, living longer on a fixed income with chronic conditions and diseases presents unique challenges. Increasingly, as people live longer, many realize they cannot rely on their children to tend to their physical and financial needs as they approach their twilight years. In many cases, their adult children are supporting their own children, and in some cases, they are beginning to develop physical or financial challenges of their own. This conference will probe for solutions and share best practices from home and abroad. Join us as we explore topics such as: Intergenerational Ethics: Should Children be Forced to Support their Elderly Parents The Singapore Model, Medicare Apocalypse, and a panel discussion on What would Granny Want? Respecting the Patient s Wishes. Significance of the Conference Date This event is being held on August 9, the death anniversary of Mother Marianne Cope, foundress of St. Francis Healthcare System, who was canonized by the Vatican on October 21, St. Marianne restored dignity to those torn from their families and stripped of their rights due to the social stigma associated with Hansen s Disease. St. Francis Healthcare System carries on the legacy of St. Marianne today, bringing hope to the underserved and marginalized, inspired by the mission to create healthy communities in Hawaii. Course Objectives Upon successful completion of this program, participants will be able to: 1) Gain a historical perspective of how cultures and societies provided healthcare to marginalized individuals 2) Analyze whether there is a way to improve existing payment systems for the medical expenses of the elderly based on the Singapore Model 3) Compare real-life dilemmas in Hawaii and Singapore in carrying out the wishes of the elderly for medical treatment when they are unable to speak for themselves 4) Evaluate ongoing financial viability of long-term care insurance 5) Apply knowledge of what agencies and programs in Hawaii do to ensure non-institutional elderly receive appropriate access to food, shelter, and medical care 6) Understand the rationale for the growing acceptance of physician-assisted suicide Continuing Education Credits For Physicians: St. Francis Healthcare System is accredited by the Hawaii Medical Association to provide continuing medical education for physicians. St. Francis Healthcare System designates this live activity for a maximum of 7.0 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity. All participants will receive a certificate of attendance. St. Francis Healthcare System is ADA compliant. If you have any special needs (including dietary preferences), please contact Katherine Korenaga at (808) at least one month prior to the conference (July 15, 2013). Register online at StFrancisHawaii.org
3 Program 7 am Registration 8 am Hawaiian Chant S. Kalani Brady, MD 8:15 am St. Marianne Cope video 8:30 am St. Marianne Lectureship: Identifying with Society s Most Vulnerable: Modeling the Care of Saints Damien and Marianne Faith Fitzgerald, MD 9:30 am Intergenerational Ethics: Should Children be Forced to Support their Elderly Parents - The Singapore Model Jing Jih Chin, MBBS, FRCP, FAMS 10:15 am Break 10:30 am Medicare Apocalypse Timothy Taylor, M.Econ 11:15 am Panel Discussion: What would Granny Want? Respecting the Patient s Wishes Moderator: Faith Fitzgerald, MD. Panelists: Cullen Hayashida, PhD; Carolin Hubbard, MD; Anna Loengard, MD; and Hilton R. Raethel, M.P.H., M.H.A. Noon Lunch 1 pm Ethical Issues in Caring for the Aged: Singapore Case Vignettes Jing Jih Chin, MBBS, FRCP, FAMS 2 pm The Unstable Economics of Long- Term Care Insurance Timothy Taylor, M.Econ 2:45 pm Break 3 pm Panel Discussion: Making Tough Choices: Food, Shelter, or Medical Care? Presenter: Connie Mitchell, MS, APRN Moderator: Zoë Hammatt, JD, MPhil Panelists: Alvin Fuse, MD; Wes Lum, PhD; and Stella Wong, ACSW, LSW 4 pm Physician-assisted-suicide legislation: Still D.O.A. (dead on arrival)? S. Y. Tan, MD, JD Featured Guest Speakers Jing Jih Chin, MBBS, FRCP, FAMS (Geriatric Medicine), Certified Health Care Ethics President, Singapore Medical Association (SMA) 53rd Council; Adjunct Associate Professor, Chairman, Division of Integrated & Community Care; Senior Consultant Geriatrician, Department of Continuing and Community Care, Tan Tock Seng Hospital. Dr. Chin is a member of the National Medical Ethics Committee and Course Director for the Advanced Specialty Training (AST) Course on medical ethics, professionalism and health law. At the Singapore Medical Association (SMA), he serves as Executive Director of the Centre for Medical Ethics and Professionalism, and is Chairperson of the SMA Ethics Committee. Faith Fitzgerald, MD, FACC, MACP Professor of Internal Medicine and Associate Dean of Humanities and Bioethics, University of California, Davis, School of Medicine; Alpha Omega Alpha Honor Medical Society, Editorial Board of The Pharos; Director, University of California Medical Humanities Consortium. Dr. Fitzgerald became an internist because of the diagnostic and therapeutic challenges of complex diseases. She also enjoys having the opportunity to talk with and listen to men and women from all different walks of life. Her philosophy of care centers on applying rigorous thought and the knowledge of both medicine and the human experience to making people feel better and fulfill their full potential. She believes a lot of good health is good luck -- economic, social and genetic. Dr. Fitzgerald likes helping the unlucky. Timothy T. Taylor, M.Econ Originating managing editor, Journal of Economic Perspectives published by the American Economic Association. Lecturer for economics courses recorded for The Teaching Company, Chantilly, Virginia. Professor Taylor published the second edition of his Principles of Economics textbook, designed for colleges and universities. He also was a participant in the Stanford Workshop for High School Teachers of Economics (one-week workshop) and the Development Editor of the Hamilton Project, based at the Brookings Institution in Washington, D.C.
4 Hawaii Faculty S. Kalani Brady, MD, MPH Associate Professor, Native Hawaiian Health John A. Burns School of Medicine, University of Hawaii Alvin Fuse, MD Ethics Fellow, The St. Francis International Center for Zoë Hammatt, JD, MPhil Director, Research Integrity Program Office of Research Compliance University of Hawaii Ethics Fellow, The St. Francis International Center for Cullen Hayashida, PhD Professor, Kapiolani Community College Founder, Kupuna Education Center Carolin Hubbard, MD Internal Medicine & Hospice and Palliative Medicine Kaiser Permanente Hawaii Lucy Lessard, MScPT, MBA Manager, In-Patient Rehabilitation Services The Queen s Medical Center Ethics Fellow, The St. Francis International Center for Anna U. Loengard, MD Chief Medical Officer St. Francis Healthcare System Wes Lum, PhD Director, Executive Office on Aging Hawaii State Department of Health Connie Mitchell, MS, APRN Executive Director The Institute of Human Services Hilton R. Raethel, MPH, MHA Senior Vice President HMSA Blue Cross Blue Shield of Hawai i S.Y. Tan, MD, JD Emeritus Professor of Medicine, John A. Burns School of Medicine, University of Hawaii Adjunct Professor of Law (former), William S. Richardson School of Law, University of Hawaii Director, The St. Francis International Center for Stella Wong, ACSW, LSW Vice President of Programs Catholic Charities Hawaii About the Ethics Center The St. Francis International Center for is a component of St. Francis Healthcare System, providing leadership in the area of healthcare and organizational ethics in Hawaii and the Pan Pacific region. The Ethics Center serves as a resource for caregivers and scholars. The Ethics Center offers expertise and services in healthcare ethics consultations, education, research, and policy development. It provides a forum for scholarly dialogue and reflection of healthcare ethics and related issues for the Catholic community and community at large. The Ethics Center offers advice and assistance on difficult cases encountered by hospital ethics committees regarding patient care and organizational ethics. It also provides seminars for physicians, nurses, social workers and other healthcare workers in the community. These one-hour programs are designed to provoke dialog among the attendees. The Ethics Center interacts actively with local, national and international centers of bioethics. Its library of texts, journals as well as video and audio tapes provides basic information for the study of contemporary and multi-cultural ethical issues. The Ethics Center appoints the Fellows by invitation, who serve for two years, collaborating with visiting scholars, presenting community educational sessions, conducting research for publication, and supervising trainees in Ethics Center activities. They meet monthly to review and analyze the latest literature in healthcare ethics and related issues. Scholarly debate over controversial issues highlights their lively discussions.
5 % Join us for the 10th International Bioethics Conference at the Sheraton Waikiki Hotel, 2255 Kalakaua Avenue, Honolulu. Register early and take advantage of the early bird rates! You may register by mail, by facsimile, or online at Registration fee includes conference materials, morning and afternoon refreshments, and lunch. St. Francis Healthcare System reserves the right to cancel or reschedule programs, and to change faculty or program content due to unforeseen circumstances. Information: Katherine Korenaga, Ethics & Education Coordinator, St. Francis Healthcare System, 2230 Liliha Street, Suite 102, Honolulu, Hawaii Phone: (808) Fax: (808) stfrancishawaii.org Sheraton Waikiki Hotel Room Reservations Registration Information Hotel Information Hawaii residents: Please call (808) and ask for the Kama aina rate. Rates vary depending on time of inquiry and availability. International and U.S. residents please Katherine Korenaga at with dates of arrival and departure. We will work on the best rates available at time of inquiry. Registration Fees Early bird registration: $100 (Must be received by July 15, 2013) General registration: $135 (After July 15, 2013) Late registration: $175 (Received after July 31, 2013) Hotel parking: $8 (All day) Registration fees are refundable, less $75 cancellation fee if written notice is received five (5) working days (on or before August 2, 2013) prior to the date of the conference. Refunds will be issued after the conference has concluded. Registration Form Name Title Organization Address City State Zip Code Phone ( ) Fax ( ) St. Francis Healthcare System is ADA compliant. If you have any special needs (including dietary restrictions), please contact Katherine Korenaga, Conference Coordinator at (808) , fax (808) , or at kkorenaga@stfrancishawaii.org at least 2 weeks prior to the start of the conference. Conference fee enclosed: $ Please make checks payable to: St. Francis Healthcare System of Hawaii. If paying by credit card, pay online at
6 Non Profit Organization U.S. Postage PAID Honolulu, Hawaii Permit No The St. Francis International Center for c/o St. Francis Healthcare System of Hawaii 2226 Liliha Street, Suite 227 Honolulu, Hawaii Caring for Our Kūpuna: Balancing Human Dignity and Economics 10th Biennial International Bioethics Conference Early Bird Registration: $100 Send payment before July 15, 2013 Presented by The St. Francis International Center for Save the Date! Friday, August 9, a.m. - 5 p.m. Sheraton Waikiki Hotel Honolulu, Hawaii Information: Katherine Korenaga (808) kkorenaga@stfrancishawaii.org
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