Leadership Conference July 26-28, 2017 Loews New Orleans Hotel New Orleans, Louisiana LMHPCO conference mailer.indd 1 5/12/17 9:10 AM

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1 Leadership Conference 2017 July 26-28, 2017 Loews New Orleans Hotel New Orleans, Louisiana 2017 LMHPCO conference mailer.indd 1 5/12/17 9:10 AM

2 2 Wednesday, July 26, :00 8:30 Registration / Continental Breakfast/Exhibit Hall Open 8:30-8:45 Opening Ceremony 8:45 9:00 Welcome Melita Miller, RN LMHPCO President 9:00 10:00 Opening Keynote Session Would You Like Some Cheese with the Whine? Strategies for Overcoming Negativity Jenny Nolen, BS Trainer/Speaker Statistics tells us that 78% of daily conversation is negative (Good Grief!). Are you part of the problem or part of the solution? Join Jenny as she discusses workplace hostility and negativity and how you can help make the atmosphere more positive, productive and supportive. 10:00 10:30 Break 10:30 12:00 A Concurrent Sessions A 1 Jenny Nolen, BS Trainer/Speaker The Seven L s of Leadership To be an effective leader, you must master the ability to laugh at yourself despite adversity. Peppered with personal life stories, Jenny will guide you through a self-assessment of your leadership skills and bring you back to a place of re-commitment. A 2 Regulatory Compliance (LDH Hospice Update) Marian Tate, RN, BSN Medical Certification Program Manager Louisiana Department of Health This presentation will discuss regulatory compliance for hospices in Louisiana and potential ways to achieve compliance. A 3 Building Bridges with Long Distance Family Members Joy Berger, DMA, FT, BCC, MT-BC Owner/Principal Composing Life Out of Loss Do you provide bridges or barriers to your patients long distance family members? Join Joy as she examines common challenges and caring interventions. Let s build some bridges! A 4 Being Mortal Jamey Boudreaux, MSW, M.Div. (Facilitator) Executive Director Louisiana Mississippi Hospice & Palliative Care Organization (LMHPCO) PANEL: Cindy Preis, MSN, FNP, APHMCNS Family Nurse Practitioner Hospice of Acadiana Ken Roberts, ADIV Chaplain / Bereavement Coordinator Forrest General Hospice/Asbury Hospice House Regina Stanphill, RN Hospice Coordinator Magnolia Regional Health Center Hospice Being Mortal investigates the practice of caring for the dying and explores the relationships between patients and providers. This presentation will enable participants to be part of a national dialog taking place in our community that helps clinicians address difficult end-of-life decisions LMHPCO conference mailer.indd 2 5/12/17 9:10 AM

3 LMHPCO Leadership Conference 3 A 5 Creating a Culture of Growth Kurt A. Kazanowski, MS, RN, CHE Hospice Coaching and Consulting Hospice Advisors Most all organization want to grow, but not all organizations are willing to do what is necessary. This presentation will help you serve more patients, grow and strengthen financial performance. A 6 Lisa Sigsworth, RN, Cht Director of Nursing Ameracare Family Hospice Final Hours This End of Life Nursing Education Curriculum (ELNEC) module focuses on care at the actual time of death emphasizing the preparation necessary to insure the best care at this critical event in the trajectory of illness. A 7 Bridging Documentation and Compliance: An Interdisciplinary Approach Lisa Meadows, MSW Clinical Compliance Educator Accreditation Commission for Health Care (ACHC) Hospice is an interdisciplinary approach to care and therefore it requires an interdisciplinary approach to documentation to avoid the pitfalls associated with the most commonly cited deficiencies. 12:00 12:15 Break 12:15 1:15 Networking Lunch (Lunch Provided) Recognition of Veterans 1:15-1:30 Break Comfort: Bring a jacket/ light sweater for your comfort as the temperature of the rooms can vary. 1:30 2:30 B Concurrent Sessions B 1 Opening the Dialogue How Can We Better Serve our Shared Clientele? Valerie Miller, LCSW Building Director Sacred Heart Apts (UNITY of Greater New Orleans Susan Drongowski, RN, MA Journal Editor Louisiana Mississippi Hospice & Palliative Care Organization (LMHPCO) Hospice providers will learn how they can better serve their underserved, precariously housed, and homeless patients by better understanding and developing a relationship with the homeless system in their community. B 2 Hospice in Mississippi (MSDH Hospice Update) Pam Shell, RN Nurse Surveyor IV MS State Department of Health This presentation will enhance a person s knowledge of the hospice survey process in MS and identify problematic state and federal citations. B 3 Delirium: Evaluation and Management L. Glen Mire, MD, HMDC Clinical Associate Professor, Family Medicine / LSUHSC Medial Director, Hospice of Acadiana Delirium is common at the end of life. This presentation will offer helpful suggestions to manage this very distressing symptom. B 4 QAPI: A Simple Path to Success Kathy Scarborough, RN, BA-HCA Director of Medical Review Heart of Hospice Cindy Frazier, BA Chief Compliance Officer Heart of Hospice This presentation will review the QAPI regulatory requirements and HQRP measures with a focus on utilizing HIS and CAHPS data to drive performance improvement LMHPCO conference mailer.indd 3 5/12/17 9:10 AM

4 4 B 5 Working with Inpatient Palliative Medicine Teams: What Hospices Can Expect Sonia Malhotra, MD, MS, FAAP Medical Director & Associate Section Chief Ochsner Palliative Medicine This presentation aims to provide hospice providers information on what inpatient palliative medicine teams provide and how to work collaboratively with physicians and providers on inpatient services. B 6 Loss, Grief and Bereavement Amber Chancellor, RN, MSN, CHPN Director of Palliative & Support Care Services Forrest General Hospital This presentation addresses the challenging aspect of grief, loss and bereavement of patients and families as well as the loss experiences of healthcare professionals. B 7 Brandon Melancon RN Senior Administrator Heart of Hospice, LLC IDG What s My Role? This presentation will help participants understand the details, responsibilities and roles of the interdisciplinary group (IDG). This will help to appropriately care plan for the patients and caregivers to help meet their needs at the end of life. 2:30-2:45 Break 2:45 3:45 C Concurrent Sessions C 1 Anatomy of a Law Suit Gaye Nell Currie, J.D. Shareholder/Attorney Wise Carter Child & Caraway Eugene Naylor, J.D. Shareholder/Attorney Wise Carter Child & Caraway C 2 Remembering to Care for Yourself Stephanie Bailey, RN, CHPN Administrator Heart of Hospice Caring for others is challenging and rewarding all in one. We must continually care for ourselves in a healthy way. Our attitude and views directly determine our health This session will outline how to best care for ourselves so we can continue to care for our patients and others. C 3 PPP Public-Private Partnerships: The Bridge to Effective Disaster Health Services Doris Gray Brown, Med, MS, APRN-BC Public Health Executive Director Louisiana Department of Health This presentation examines public-private partnerships in providing disaster health services during recent floods in Louisiana and Mississippi. C 4 Hospice Medication Management Ly Dang, Pharm D VP Operations Hospice Pharmacy Solutions This session will provide an overview of hospice medication management. Discussions will center around the clarification of relatedness and medical necessity. The session will include interactive case studies to assist with group discussion. C 5 Palliative Care for Children with Neuromuscular Disease W. Richard Boyte, MD, MA Palliative and Support Care Team Forrest General Hospital This session will discuss how children with progressive neuromuscular disease can benefit from a palliative care approach that endeavors to enhance quality of life and medical decision making. What happens when you get sued? A walk through the process from notice through trial. Tips on how to minimize your risks LMHPCO conference mailer.indd 4 5/12/17 9:10 AM

5 2017 LMHPCO Leadership Conference 5 5 C 6 How Can I Help? Cultural Influences on Grief Bryan Johnson, BSBA Bereavement Coordinator Heart of Hospice - Acadiana An exploration of how cultural influences shape an individual s acceptance of death and manifestation of grief with discussion on regional differences in Louisiana and Mississippi. C Legislative Update Elizabeth Harper, BA Louisiana Director Alliance for the Advancement of End of Life Care John Morgan Hughes, MBA Mississippi Director Alliance for the Advancement of End of Life Care This presentation will provide an update on the 2017 Louisiana and Mississippi Legislative Sessions and current issues regarding hospice and end-of-life care. 3:45 4:00 Break 4:00 5:00 Wednesday Afternoon Plenary Session A Leader Worth Following Bill Terry, BS Leadership Consultant/Life Coach Magnolia Regional Health Center This presentation will challenge the learner from a unique perspective. As the Servant Leadership story unfolds the listener will become emotionally involved to the point of looking at their leadership in a different way. 5:00 6:30 Exhibitor Cocktail Reception CONTINUING EDUCATION To receive continuing education credits, the person must be a duly registered attendee of the conference AND complete an electronic conference evaluation form for each session attended. Certificates will be available on line to attendees requesting continuing education who sign the course attendance sheet, been in attendance throughout the course and returned an evaluation form. Persons who must leave early will receive credit proportional to their actual attendance. Social Worker Continuing Education Credit Application for up to 13.5 hours has been submitted and approval is pending NASW LA Chapter. This organization. LMHPCO, DP# 12003, has approved this conference for up to 13.5 hours continuing education clock hours (General hours). LMHPCO is approved as a provider for continuing education by the Mississippi Board of Examiners for Social Workers. Approval period: 5/1/2017. Nursing Continuing Education Credit Up to 13.5 hours Nursing Continuing Education approved through Louisiana~Mississippi Hospice and Palliative Care Organization (LMH- PCO), an approved provider of nursing continuing education by the Louisiana State Board of Nursing. CE Provider number 46. Physician Continuing Medical Education Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending. Chaplaincy Education A certificate will be awarded for each contact hour the chaplain is in attendance. Nursing Facility Administrators Up to 13.5 hours Continuing Education for Nursing Facility Administrators is pending approval by the State of Louisiana Board of Examiners of Nursing Facility Administrators (LABENFA) LMHPCO conference mailer.indd 5 5/12/17 9:10 AM

6 6 Thursday, July 27, :30 8:30 Registration/Continental Breakfast & Exhibit Hall Open 7:45 8:45 LMHPCO Annual Business Meeting 8:45-9:00 Morning Remarks: Jamey Boudreaux, MSW, M.DIV. LMHPCO Executive Director Nancy Dunn, RN, MS, CT LMHPCO Education Director 9:00 10:00 Thursday Morning Plenary Session The Future of Health Care, A Place for Hospice and Palliative Care? Edo Banach, JD CEO National Hospice and Palliative Care Organization (NHPCO) With or without the Affordable Care Act, healthcare is dramatically shifting. We see the beginning of these changes as other health care providers adopt the patient-centered, interdisciplinary approach we ve long championed. Along these lines, we can expect care of the terminallyill, once considered peripheral, will become closely integrated into the broader healthcare system. To retain its vital role, hospice and palliative care will need to evolve nimbly and quickly along with the rest of health care. I will focus on my vision for this evolution, and how hospices and palliative care providers and clinicians can best position themselves to own this shift and thrive under new care models. 10:00 10:30 Morning Break 10:30 11:30 D Concurrent Sessions D 1 A Leader Worth Following (Part 2) Bill Terry, BS Leadership Consultant/Life Coach Magnolia Regional Health Center This interactive session will address the effectiveness of leadership while exploring the question Why Lead? D 2 Emergency Preparedness: Prepare for New CoP Compliance Jennifer Kennedy, MA, BSN, RN, CHC Senior Director, Regulatory & Quality National Hospice & Palliative Care Organization Edward Kennedy Senior Emergency Management Specialist U.S. Department of Health and Human Services A new Condition of Participation (CoP) is coming this year... will you be ready? There is a lot to complete between now and November and this session will provide information and suggestions for CoP implementation, compliance, and playing effectively in your state and local emergency preparedness sandboxes. In addition, you will hear from a US Health and Human Resources Disaster expert about how to plug into your state and county emergency preparedness system. Photography: LMHPCO will be taking photos throughout the entire conference. Registration implies consent to be photographed and permission for LMHPCO to use the photos in its printed materials LMHPCO conference mailer.indd 6 5/12/17 9:10 AM

7 LMHPCO Leadership Conference 7 D 3 From Clinician to Caregiver: Overcoming Obstacles and Building Bridges to Positive and Effective Communication Nancy Dunn, RN, MS, CT Education Director LMHPCO Mary Lee, BSN, RN Hospice/Palliative Care Coordinator, VA Gulf Coast Veterans Health Care System (Retired) LaDonna Murphree, LSW Social Worker/Bereavement Coordinator/ AseraCare Hospice Caregiving can be rewarding but it is not without its own set of obstacles and challenges. Join us as we look at the lives of 3 hospice professionals and their adventure into their new career title Caregiver. Attendees will be able to identify effects of caregiving as well as ways to promote self-care. D 4 Deprescribing and Communicating Medication Changes in Hospice Terri Maxwell, PhD, APRN VP, Clinical Education Enclara Pharmacia The ability to discuss the rationale for deprescribing and using a patient-centered approach are the foundations of effective communication with patients and families. This presentation uses a case-based approach to discuss the risks and benefits of selected drug classes and illustrates communication strategies when discussing deprescribing in hospice. D 5 The Role of the Social Worker on the IDT Dawn Marcelle Wilson, MSW, LMSW Medical Social Worker Heart of Hospice Northeast Participants will know and understand the role of the Social Worker on the Interdisciplinary Team (IDT) as it relates to core values and ethical guidelines of social workers. Americans with Disabilities Act If you need special assistance or accommodations identified in the ADA, please contact LMHPCO office in advance at D 6 Providing Spiritual & Bereavement Care in the Inpatient Hospice Setting Ken Roberts, ADIV Chaplain/Bereavement Coordinator Forrest General Hospice /Asbury Hospice House Ken Thomas, M.A., M.Div. Chaplain Forrest General Hospice/Asbury Hospice House Blake McDaniel, BA Christian Ministry Chaplain Forrest General Hospice/Asbury Hospice House This session will promote open discussion on the differences in providing spiritual and bereavement care in the inpatient setting compared to outpatient care. D 7 Talking with Children about Serious Illness and Death W. Richard Boyte, MD, MA Physician Member Palliative and Support Care Team Forrest General Hospital Talking with children about serious illness and death presents challenges, especially emotional ones, that should be addressed with honesty and an age directed approach. 11:30 11:45 Break 11:45 1:15 Heart of Hospice Awards Sponsored by (Lunch Provided) 1:15 1:30 Break 1:30 2:30 Concurrent Sessions E 1 Pressure Ulcers and Wound Care L. Glen Mire, MD, HMDC Clinical Associate Professor, Family Medicine / LSUHSC Medial Director, Hospice of Acadiana This presentation will attempt to provide some practical strategies to minimize the added suffering caused by pressure ulcers LMHPCO conference mailer.indd 7 5/12/17 9:10 AM

8 8 E 2 Pediatric Palliative Care: Bridging the Gap Between Palliative and End of Life Care Cori A. Morrison MD Assistant Professor of Pediatrics, Hematology/Oncology Director, Palliative Care Program LSUHSC - Children s Hospital There are many advances that need to be made in pediatric palliative care. The aim is to discuss some of the challenges of providing this invaluable resource. E 3 Late Night Widows & Widowers Ron James Smith, (BA Pending) Social Media Support Group Leader So, what happens when you can t sleep at 2:00 am and there s no one to talk to? What happens when the traditional model support group isn t what s needed? This powerful presentation will share a personal story of how one mourner took his grief experiences and created a social media support group. Attendees will learn about the innovative approach and impact of a social media grief support group and the vast following it can have. E 4 Caring for Veterans at End of Life Kim Smith, M.Div. Bereavement Coordinator/ WHV Coordinator Heart of Hospice New Orleans Through examining some physical and emotional challenges faced by Veterans participants will be better equipped to address those challenges as they provide end-of-life care. E 5 The Anatomy of a Hospice Benefit Period Ann Walker, RN, BSN, MBA Consultant, LMHPCO + Martha McDurmond, BSW, NFA, IHEC Consultant, LMHPCO + A hospice benefit period will be dissected from the time of the initial contact to the discharge at time of death. The presentation will focus on effective interventions to cover the bases to meet regulatory compliance. E 6 Palmetto GBA 2017 Medicare Update Charles Canaan, BSN, RN, CCA, CPC, CPM Senior Provider Education Consultant Palmetto GBA Kim Campbell, MA, MHP Manager, EDI Operations Palmetto GBA This session will discuss current Medicare topics to include national, jurisdictional and state level data, along with Electronic Data Interchange (EDI) concerns. E 7 What Works for Me as a Volunteer Coordinator Ginger Clampit Volunteer Coordinator Heart of Hospice Northeast This presentation will focus on how to recruit the appropriate volunteers and tips for placing the right volunteer with the right patient. The session will discuss balancing percentage rates while meeting the needs of the patient and caregiver. 2:30 3:00 Afternoon Break 3:00 4:00 Thursday Afternoon Plenary Session Hospice Regulatory Update Jennifer Kennedy, MA, BSN, RN, CHC Senior Director, Regulatory & Quality National Hospice & Palliative Care Organization (NHPCO) Quality and Regulatory issues are at the forefront for hospice providers in This session will answer these questions and more. Faculty also will discuss the eight CAHPS survey measures that recently were endorsed by the National Quality Forum and that will be included in Hospice Compare LMHPCO conference mailer.indd 8 5/12/17 9:10 AM

9 2017 LMHPCO Leadership Conference 9 9 Friday, July 28, :00-8:00 Continental Breakfast and Exhibit Hall Open 8:00-9:00 Friday Morning Closing You Need Care Too Barbara Karnes, RN Award Winning Hospice Nurse, National Speaker on Dynamics of Dying, Author BKBooks As professional caregivers working with people who are dying we face challenges other health care professionals do not. We must keep ourselves balanced and healthy amid constant sadness. We must create a fulfilling work environment. And we must maintain a happy, engaged, personal life. Health care workers are traditionally trained to make people better, not participate in their patient s dying and eventual death. End of life work goes against all we as professionals have been taught. This presentation is filled with ideas and guidance for the nurse, social worker, nurse s aide, chaplain, physician, end of life doula, or Eleventh Hour volunteer. Anyone who is immersed in the responsibilities of supporting, educating, and guiding a person and their family through the dying experience can find insight into making their work healthier. 9:00 9:15 Break 9:15 10:45 F Concurrent Sessions F 1 Dying is Not a Medical Event (Part 1) Barbara Karnes, RN Award Winning Hospice Nurse, National Speaker on Dynamics of Dying, Author BKBooks Dying is not a medical event. Dying is a social, communal event. And when we re at the bedside of someone who s dying it is all about the community about the togetherness. Not about the medical stuff that s going on. But families don t know that. There are new rules for end of life care. Taking care of someone in the last months of their life is not like taking care of someone who s going to get better. But most people don t know this. This presentation will offer a different perspective on dying and death. F 2 Palmetto GBA Jurisdiction M 2017 Medicare Hospice Workshop Series Getting It Right the First Time! (Part 1) Charles Canaan, BSN, RN, CCA, CPC, CPM Senior Provider Education Consultant Palmetto GBA Palmetto GBA is pleased to announce our 2017 Hospice Workshop Series. These workshops are designed for hospice providers and their staff to equip them with the tools they need to be successful with Medicare billing, coverage and documentation requirements. During the workshop series, Palmetto GBA will provide information related to the most common errors identified through a variety of data analysis and some hints and tips on the reasons why these errors occur. Palmetto GBA s ultimate goal is to have educated and astute providers who know how to accurately and skillfully apply the information they learn to their documentation and billing practices! F 3 The Future of Hospice Quality Reporting Jennifer Kennedy, MA, BSN, RN, CHC Senior Director, Regulatory & Quality National Hospice & Palliative Care Organization (NHPCO) Hospice quality reporting is here to stay, but what will the future look like? This session will provide an overview of current hospice quality reporting requirements, what s on the horizon, and how it will impact hospices LMHPCO conference mailer.indd 9 5/12/17 9:10 AM

10 10 F 4 I m Grieving, Sad and Depressed and You Want Me to Laugh? Judy Newman, M.S., CLYT Speech/Language Pathologist Self Employed Laughter yoga is an aerobic exercise you choose to do that improves the immune system increases good hormones and reduces bad hormones. Join Judy as she teaches how to improve general health. F 5 Set the Atmosphere for Success Phillip L. Carr, RN VP of Operations Hospice Camellia Healthcare Sour apples have no place at the team table. This presentation will assist participants in team motivation, principles for leaders to follow as well as anticipating conflict in team work. F 6 Planning for the Best Care Possible Susan Nelson, MD, FACP, FAAHPM Director Senior Services Division FMOLHS This presentation will discuss the causes of potentially avoidable hospitalization in post-acute care and strategies to avoid them. F 7 Palliative Care Nursing Lisa Sigsworth, RN, Cht Director of Nursing Ameracare Family Hospice This End of Life Nursing Education Curriculum (ELNEC) module is an overview of the need to improve palliative care and the role of the nurse as a member of an interdisciplinary team in providing quality care. Basic definitions and principles of hospice and palliative care are presented within a quality of life (QOL) framework. 10:45 11:00 Break 11:00 12:30 G Concurrent Sessions G 1 Dying is Not a Medical Event (Part 2) Barbara Karnes, RN Award Winning Hospice Nurse, National Speaker on Dynamics of Dying Author, Gone from My Sight Dying is not a medical event. Dying is a social, communal event. And when we re at the bedside of someone who s dying it is all about the community about the togetherness. Not about the medical stuff that s going on. But families don t know that. There are new rules for end of life care. Taking care of someone in the last months of their life is not like taking care of someone who s going to get better. But most people don t know this. This presentation will offer a different perspective on dying and death. G 2 Palmetto GBA Jurisdiction M 2017 Medicare Hospice Workshop Series Getting It Right the First Time! (Part 2) Dan George Senior Provider Education Consultant Palmetto GBA Palmetto GBA is pleased to announce our 2017 Hospice Workshop Series. These workshops are designed for hospice providers and their staff to equip them with the tools they need to be successful with Medicare billing, coverage and documentation requirements. During the workshop series, Palmetto GBA will provide information related to the most common errors identified through a variety of data analysis and some hints and tips on the reasons why these errors occur. Palmetto GBA s ultimate goal is to have educated and astute providers who know how to accurately and skillfully apply the information they learn to their documentation and billing practices! G 3 Is Your Hospice in Jeopardy? Ann Walker, RN, BSN, MBA Consultant, LMHPCO + Martha McDurmond, BSW, NFA, IHEC Consultant, LMHPCO + Participants will receive information and test their knowledge on what is needed to accomplish a deficitfree survey LMHPCO conference mailer.indd 10 5/12/17 9:10 AM

11 LMHPCO Leadership Conference 11 G 4 How Does Hospice Pharmaceutical Pricing Work? Cordt T. Kassner, PhD CEO Hospice Analytics Drew Mihalyo, PharmD President/COO Delta Care RX Hospice pharmacy expenses are second only to personnel. As one of the most important expenses related to a hospice provider s sustainability, this session will explore at least four different ways pharmaceutical companies structure pricing for hospice providers. G 5 Legal Documents Crucial to End-of-Life Care Kathy C. Peneguy, Notary Public Owner Benefit Solutions Nancy F. Riffe, BS, CNI, CREI Owner Notary Institute of Louisiana This presentation will help educate the hospice team about end-of-life legal documents, their importance and the rules that govern them. G 6 MS Medicaid Update 2017 James C. Horton Division Director 2, Long Term Care Mississippi Division Randy Ponder Provider Services Regional Coordinator Mississippi Medicaid Project This session will provide attendees an update on Mississippi Medicaid as it pertains to hospice. G 7 Payment-Related Scrutiny: How to Respond, Survive, and Thrive Carrie Cooley, RN, MSN Chief Operating Officer, Weatherbee Resources, Inc. An external investigation of any kind is disruptive to a hospice organization, may damage your reputation in the community, and could seriously threaten the financial viability of the program. The degree to which your hospice can ensure regulatory compliance, demonstrate patient eligibility, and mitigate risk is directly proportional to its long-term viability. This course will explore an appropriate response strategy to audits and strategies to survive and thrive during the challenging times associated with external paymentrelated scrutiny. Target Audience Physicians, Nurses, Nurse Practitioners, Clinical Managers, Social Workers, Chaplains, Volunteer Managers/Coordinators, Bereavement Coordinators, Administrators, Community Liaisons and all professionals dedicated to providing and improving end of life care. This includes Hospice and related fields such as Nursing Home Administrators/staff, Veterans Associations, Corrections, Pharmacists, Geriatricians, Palliative Care Providers, Advocates for better end of life care and services, individual and professionals interested in end of life issues LMHPCO conference mailer.indd 11 5/12/17 9:10 AM

12 12 Loews New Orleans Hotel Registrants can book rooms on line or by calling The LMHPCO Conference Rate of $ per night is available through June 25, CONFERENCE HOTEL 2017 LMHPCO conference mailer.indd 12 5/12/17 9:10 AM

13 Heart of Hospice rt award of Hospice awa 2017 Nomination Form 2017 LMHPCO Leadership Conference 13 Heart of Hospice Awards Lunch Thursday, July 27, 2017 (11:45-1:15) Sponsored by Deadline for Nomination is Friday, May 26, 2017 The Heart of Hospice Award recognizes an individual from each of the two states who has sustained repeated out-standing achievements in hospice and end-of-life care. This award will be presented on Thursday, July 27, 2017 at the Lunch Meeting of the LMHPCO Annual Leadership Conference in New Orleans. Award recipients from each state will receive complimentary overnight accommodations for two at the Loews New Orleans Hotel on Wednesday, July 26, Information requested includes ALL of the following: (Incomplete Applications will be Disqualified) Name of Nominee: Hospice/Palliative Care Program Affiliation: Mailing Address: City: State: Zip: Phone number: Fax: address: Nominee s Curriculum Vitae/Resume Narrative Please include a narrative describing the nominee s history and relationship to hospice/palliative care, highlighting accomplishments and contributions to hospice/palliative care that go above and beyond his/her everyday job duties. This is a vital component of the nomination. Narrative not to exceed 1000 words. Reference Letters (at least 1) Name of Nominator (Your Name): Hospice/Palliative Care Program Affiliation: Mailing Address: City: State: Zip: Phone number: Fax: address: COMPLETE ONLY IF YOU SUBMITTED A NOMINEE IN 2016 AND WANT HIM/HER RECONSIDERED FOR 2017 Name of 2016 Nominee: Agency Affiliation: 13 Your Name: Your Address: Will You Be Supplying Any Updated Information? n YES n N0 All requested materials must be ed, faxed or postmarked by May 26, 2017 to: Nancy@LMHPCO.org Fax : Mail : LMHPCO P.O. Box 1999 Batesville, MS LMHPCO conference mailer.indd 13 5/12/17 9:10 AM

14 14 Conference Objectives Participants attending this conference will be able to: 1. Strengthen executive leadership and management skills 2. Discuss changes in reimbursement and payment models that effect hospice and palliative care 3. Identify regulatory requirements/changes that impact hospice and palliative care CONFERENCE REGISTRATION INFORMATION Mail conference registration and payment to: LMHPCO Attn: 2017 Annual Leadership Conference 717 Kerlerec New Orleans, LA FAX Registration with credit card info to LMHPCO at On Line Registration may be accessed at For registration questions contact Kimberly with Event Resources of New Orleans at Registration/Cancellation Policy Information: All cancellations must be submitted in writing. A $50 processing fee will apply to all cancellations. Cancellations made on or before June 16, 2017 will receive a full refund, less a processing fee. Cancellations between June 17, 2016 and July 14, 2017 will receive a 50% refund. No refunds will be made in registration cancellations postmarked after July 15, Substitutions are welcomed and apply to this conference ONLY. Please submit your request in writing. All refunds will be processed within 30 days after the 2017 Leadership Conference LMHPCO conference mailer.indd 14 5/12/17 9:10 AM

15 2017 LMHPCO Leadership Conference 2017 CONFERENCE RATES CONFERENCE RATE: MEMBER EARLY BIRD MEMBER MEMBER NON-MEMBER EARLY BIRD NON-MEMBER NON-MEMBER (received by (received on/after On-site (received by (received on/after On-site June 30, 2017) July 1, 2017) June 30, 2017) July 1, 2017) Full Conference $400 $450 $500 $700 $750 $800 (Wednesday-Friday) Wednesday, July 26 $200 $250 $300 $500 $550 $600 (Day 1 ONLY) Thursday, July 27 $200 $250 $300 $500 $550 $600 (Day 2 ONLY) Friday, July 28 $100 $150 $200 $300 $350 $400 (Day 3 ONLY) Are you an LMHPCO Member? Yes No Total: $ Are you a Veteran? Yes No If yes, please indicate Branch of Service: Army Navy Air Force Marines Coast Guard Dietary Restriction: Check if Vegetarian Lunch required. Registration rate includes all Conference materials, Exhibitor Reception, Continuing Education Credit (Physicians, Nurses, Nursing Facility Administrators, Social Workers & Chaplains), as well as Continental Breakfast and Lunch on Wednesday and Thursday, Continental Breakfast on Friday. 4 Please check the Concurrent Breakout sessions you plan to attend each day: Wednesday Concurrent Session A (10:30-12:00) A1 n A2 n A3 n A4 n A5 n A6 n A7 n Wednesday Concurrent Session B (1:30-2:30) B1 n B2 n B3 n B4 n B5 n B6 n B7 n Wednesday Concurrent Session C (2:45-3:45) C1 n C2 n C3 n C4 n C5 n C6 n C7 n Thursday Concurrent Session D (10:30-11:30) D1 n D2 n D3 n D4 n D5 n D6 n D7 n Thursday Concurrent Session E (1:30-2:30) E1 n E2 n E3 n E4 n E5 n E6 n E7 n Friday Concurrent Session F (9:15-10:45) F1 n F2 n F3 n F4 n F5 n F6 n F7 n Friday Concurrent Session G (11:00-12:30) G1 n G2 n G3 n G4 n G5 n G6 n G7 n Administrator ADMIN Finance/Information Systems FIN/INF Social Worker SW Bereavement Professional BER/PRO Nurse RN/LPN Nurse Practitioner NP Spiritual Caregiver SPIR/CARE CEO/Executive Director CEO/EXEC Quality Assessment/Performance Improvement QAPI VA Partnership VA Hospice Aide HA Pharmacist PHAM Volunteer Manager VOL Development/Marketing DEV/PRM Physician Assistant PA Physician MD Registrant s Name: Mailing Address: City: State: Zip: Telephone: Agency Affiliation: Discipline Code: Payment by Check (made payable to LMHPCO) Check# Amount: $ Payment by Credit Card: n VISA n MasterCard n American Express n Discover Total Charge: $ Card # Security Code Exp. Date: (located on back of credit card) Name: (please print) Signature: LMHPCO conference mailer.indd 15 5/12/17 9:10 AM

16 717 Kerlerec New Orleans, LA PRE-SORTED STANDARD U.S. POSTAGE PAID NEW ORLEANS, LA PERMIT NO LMHPCO conference mailer.indd 16 5/12/17 9:10 AM