LMHPCO Conference. A conference designed for all levels of hospice and palliative care leadership and management.

Transcription

1 2013 LMHPCO Conference A conference designed for all levels of hospice and palliative care leadership and management. 1

2 7:00 8:30 Registration / Continental Breakfast/ Exhibit Hall Open 8:30-8:45 Opening Ceremony Color Guard 8:45 9:00 Welcome Ann Walker, RN, BSN, MBA LMHPCO President 9:00 10:00 Opening Keynote Session The American Hospice Journey: Mapping Our Past, Paving New Roads Stephen A. Leedy, MD, FAAHPM Executive VP & Chief Medical Officer, Tidewell Hospice Clinical Assistant Professor of Family Medicine, Florida State University College of Medicine The modern American hospice movement has grown and thrived due to the efforts of visionary, charismatic pioneers. To sustain our field into the future, it is imperative that our principles and practices be woven into the fabric of American healthcare through their incorporation into health policy. This requires the hospice movement to become mainstreamed and normalized, with procedures and regulations governing our industry s behavior. This lecture will review the path we have taken to get where we are today and then focus on the challenges ahead. Messaging strategies to amplify hospice advocacy and foster program growth will be described. 10:00 10:30 Break 10:30 12:00 A Concurrent Sessions A 1 Discharge, Transfer and Revocation in Hospice Jennifer Kennedy, MA, BSN, RN, CHC Regulatory & Compliance Director National Hospice & Palliative Care Organization 2 LEADERSHIP CONFERENCE Wednesday, July 24, 2013 Hospice live discharges are a reality and are happening more frequently, and CMS is watching live discharges very closely. This session will review the basic regulatory requirements of discharges, revocations, and transfers and complicating factors related to each process. Participants will learn when to issue the ABN and NONMC related to discharge and the components of expedited review (patient appeal) process. Faculty will discuss the role of the hospice, these changes in hospice service and how they relate to maintaining regulatory compliance. Finally, the session will identify resources available to hospice providers regarding hospice revocation, transfers and discharges. A 2 Jewish Responses to Death, Dying and End of Life Issues Rabbi Valerie Cohen Beth Israel Congregation Faith is integral in everything we do, but no more than at times of pain and grief. How an individual and their family respond to suffering is impacted by their faith institution. This session will address Jewish rituals and attitudes toward death, dying and end-of-life issues. A 3 Accountable Care Organizations (ACO s): The Basics? Emily Black Grey, J.D. Partner, Breazeale, Sachse & Wilson, L.L.P Stephen Angelette, J.D. Associate, Breazeale, Sachse & Wilson, LLP The Patient Protection and Affordable Care Act of 2010 (ACA) promotes new patient care models and mandates the creation of Medicare Shared Savings Programs. These programs allow qualified groups of providers to earn part of the savings when there is a reduction in the overall cost of providing care to certain Medicare beneficiaries. To participate in the Shared Savings Program, providers are banding together to form Accountable Care Organizations (ACOs). This presentation provides a walk-through of the basics of how to qualify to become eligible, how to structure the ACO entity, and how to avoid pitfalls associated with this innovative new patient care model.

3 A 4 The Long Goodbye: Understanding Anticipatory Grief Nancy Dunn, RN, MS, CT LMHPCO Education Director Connie Malcom, RN, CHPN Director, Hospice of Light Caring for an individual with a life-limiting illness can be overwhelming. Join us as we learn about anticipating losses including tools and resources to assist the hospice professional working with terminally ill patients and families experiencing anticipatory grief. A 5 Staying Healthy in the Workplace Naturally Betty Sue O Brian, B.S., M.S. Natural Physician Practitioner Master Sclerologist President International Iridology Practitioners This presentation will emphasize the need for dietary changes based upon current research in the fields of farming, manufacturing, and chemical changes in the environment. A 6 Planning for the Best Care Possible Susan E. Nelson, MD, FACP, FAAHPM Medical Director, PACE Baton Rouge Medical Director, Senior Services Franciscan Missionaries of Our Lady Health System Chair, LaPOST Coalition This presentation will introduce advance care planning documents as well as educating health care professionals regarding how to have conversations with families and improve advance care planning. A7 Pediatric Session TBA Details of this session were not complete as of the printing of this brochure but will be available prior to conference time 12:00 12:15 Break 12:15 1:15 Networking Lunch 1:15-1:30 Break 1:30 2:30 B Concurrent Sessions B 1 Brand Building is Everyone s Business Stan Massey, BA Partner/Chief Branding Officer Transcend Hospice Marketing Group Effective branding occurs inside and outside of your organization. Learn how brand building is the responsibility of staff at all levels of the organization. B 2 Controversies in Opioid Prescribing A. Reed Thompson, MD Palliative Care Clinical Champion, VA University of Arkansas for Medical Sciences After a successful campaign in the 1980 s and 1990 s to improve pain management, there are indications the pendulum has swung too far on opioid prescribing. Is hospice an unwary contributor to this national trend? B 3 Storytelling, A Means of Identifying Complicated Grief & Facilitating Healing Sue derada, RN, LMT, GC-C Bereavement Coordinator St. Joseph Hospice Northshore Identifying those most at risk, among end of life survivors, is essential to providing interventions for mourning and healing from loss and grief. The purpose of this session is to offer storytelling as a powerful resource for recognizing one s personal narrative as a tool for identifying the impact of grief, looking at stresses, and how to provide support through the healing process. Didactic discussion, storytelling, and role playing will be used as examples of how healing is facilitated by experiencing the truth in another s narrative. A content analysis study of 105 published narratives of providers in end-of-life care settings demonstrated that reflecting and evaluating our personal experiences often result in more learning than the actual event provides. The cumulative insight gained from experiencing storytelling will move us one step closer to relieving suffering. 3

4 B 4 There s More to Admissions than the LCD s - Using Ethical Principles Susan Drongowski, RN, MA Senior Consultant, Weatherbee Resources, Inc. Editor, LMHPCO Journal Kathleen Guidry, RN, BSN Director of Hospice Services, LHC Group Louisiana Hospice & Palliative Care of Jennings Hospices diligently educate staff and referral sources on LCD guidelines. Nevertheless, we struggle with admission decisions. What if we combined ethical principles with LCD guidelines? B 5 Physician Assisted Suicide: Let s Talk about This! Dominique Anwar, MD Associate Clinical Professor; Medical Director for Palliative Care Program, Tulane School of Medicine Medical Director, St. Margaret s Hospice Assistant Medical Director, Notre Dame Hospice Physician assisted suicide (PAS) is a very controversial and sensitive topic. This presentation will review the present situation using a review of the history/literature, real life examples, and a discussion of the arguments in favor/against PAS. B 6 Community Resiliency: Knowing Your Worth Doris Gray Brown, MEd, MS, RN, CNS Public Health Executive Director DHH/Office of Public Health This presentation will cover components to building a resilient community and discussing how hospice and end-of-life care providers can become involved. B 7 Mississippi Emergency Preparedness Update Wayne Vaughn Deputy Director, Emergency Planning and Response Mississippi Department of Health This presentation will provide valuable information regarding Emergency Preparedness efforts in the state of Mississippi. 2:30-2:45 Break 2:45 3:45 C Concurrent Sessions C 1 Have You Been ZPIC ed? Julie Bowman Mitchell, JD, LLM Health Law Healthcare Attorney Mitchell Day Law Firm, PLLC This presentation will give an overview of ZPIC, what they are targeting, and how to respond to their requests and in dealing with an ultimate denial. C 2 Cardiac Disease: A Palliative Care Approach to Medication Management John Redden, R.Ph, CGP, PharmD VP Clinical Practice HospiScript Services This presentation briefly reviews the pathophysiology of heart failure and discusses symptom management and treatment options for end stage heart failure. C 3 Grieving on the Internet: Using Web Memorials to Increase Supportive Tools Sarah McAllister, MSW Program Coordinator Tulane University How has the Internet impacted you and your relationships? This presentation will discuss incorporating web memorials and how grieving individuals find a larger supportive community. C 4 What Sort of Leader Am I? Jeff Sims, Reverend, BCC, M.Div. Board Certified Chaplain St. Tammany Parish Hospital This educational opportunity introduces the Enneagram and how the Enneagram can help one become aware of leadership style and decision-making. 4

5 C 5 Handling Difficult Conversations John P McNulty, MD, FACP, FAAHPM President, Palliative Care Institute of Southeast LA Donna Berbling, RN, BSN, CHPN Director of Nursing, Hospice of St. Tammany Alex Leigh, MD, FAAHPM Medical Director, Hospice of St. Tammany This roundtable panel discussion is designed for the IDT. Join us as we discuss the breaking of bad news, the change from curing to caring and withdrawing treatment when futile. C 6 Hospice in the Louisiana Legislature Elizabeth Harper, BA Louisiana State Director Alliance for the Advancement of End of Life Care The audience will learn about the legislative process and legislative issues affecting the hospice and palliative care industry. C 7 Impacting Legislative Outcomes: MS Legislative Update Samuel Crayton, BA Mississippi State Director Alliance for the Advancement of End of Life Care 4:00 5:00 Wednesday Afternoon Plenary Session Hospice Regulatory Update Jennifer Kennedy, MA, BSN, RN, CHC Regulatory & Compliance Director National Hospice & Palliative Care Organization As the regulatory requirement list grows, hospice providers can only ask, is this the new normal? Management of hospice regulatory issues is becoming increasingly challenging, and it is critical that hospice providers understand the issues for maximum compliance. This session will highlight the important regulatory issues on the hospice industry front today. Participants will receive cutting edge information from NHCPO s regulatory department about what is happening within CMS, the OIC and other federal entities that affect hospice care. 5:00 6:30 Exhibitor s Cocktail Reception/Art Experience This presentation will focus on legislative activity using the experiences from the 2013 legislative session and methods to make hospice benefactors more proactive. 3:45 4:00 Break Americans with Disabilities Act If you need special assistance or accommodations identified in the ADA, please contact LMHPCO office in advance at Near Death Experience Have you had or been witness to a distressing Near-Death Experience? Dr. Marilyn Mendoza in a continuation of her research will be at the conference on Wednesday, July 24th. Stop by. Say hi and share your story with her. IDT Sessions The interdisciplinary team (IDT) makes hospice a unique entity. The LMHPCO Education Committee recognizes the importance and significance of the IDT and is pleased to offer 3 roundtable panel presentations targeted for all members of the IDT. Check out these sessions to help make your team function more effectively. q There s More to Admissions than the LCD s: Using Ethical Principles (B4) q Handling Difficult Conversations (C5) q Coping When Coping is Challenged- Handling Difficult Families (E 5). 5

6 LEADERSHIP CONFERENCE Thursday, July 25, :30 8:30 Continental Breakfast & Exhibit Hall Open 7:45 8:30 LMHPCO Annual Business Meeting 8:30-9:00 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 Where Am I Going? Re-discovering Life s Roadmaps Keith Lowry, MA President/CEO Keith Lowry Seminars, Inc. Roadmaps are valuable in your life. This is a day to re-connect with what drives and empowers you by focusing on several key Covey principles such as planning, prioritizing and balancing. 10:00 10:30 Morning Break 10:30 12:00 D Concurrent Sessions D 1 Who s Driving You Out of Your Mind? Keith Lowry, MA President/CEO Keith Lowry Seminars, Inc. Who is your most difficult person? So many times we let our most difficult people get the best of us, which leaves the worst of us to go around to those we really care about. Come learn how to get better results with ANYONE and EVERYONE in your life. D 2 Ethics Versus Fraud and Abuse in Today s Hospice Environment Jennifer Kennedy, MA, BSN, RN, CHC Regulatory & Compliance Director National Hospice & Palliative Care Organization The healthcare environment is extremely competitive and it may be difficult to know whether a competitor s activity is a breach of ethics or a fraud and abuse violation. This session will discuss the differences between an ethical consideration and what is a definite fraud and abuse violation. D 3 Preventing Rehospitalizations Stephen A. Leedy, MD, FAAHPM Executive VP & Chief Medical Officer, Tidewell Hospice Clinical Assistant Professor of Family Medicine, Florida State University College of Medicine On October 1 st, 2012, Medicare began fining hospitals that demonstrated high rates of readmissions within 30 days of discharge. It has been projected that twothirds of hospitals will be affected by this new rule, with penalties averaging $125, 000 per facility per year. Readmission data is publically reported on Medicare s Hospital Compare website. Hospital readmission rates drop when patients are receiving hospice care. This lecture will begin by describing the factors that lead to fewer rehospitalizations in hospice patients and the strategies than can be used for messaging this benefit to your hospitals. We will then discuss hospice care of one of the most common causes of hospital readmissions: congestive heart failure. Prognostication challenges, disease management strategies and potential benefits to patients, families, hospitals, and the healthcare system will be described. 6

7 D 4 Knowing the Rules... Quality, Compliance and Peace of Mind Kim Weddle, RN, CHPCA Senior Clinical Product Specialist CareAnyware/Brightree, LLC This session will motivate participants to move their hospice program forward, positively impact the care they provide to patients and families, while meeting regulatory requirements. D 5 Disasters Happen! Are You Ready? Edward M. Kennedy, CGE, CQM Deputy Chief, Response Operations Office of the Asst. Sec. for Preparedness and Response, HHS This presentation will discuss insights in preparedness and Federal response that will help you prepare for the next disaster. D 6 Honoring Veterans at the End of Life Why? How? What Next? Suzanne Sims, MSSW, LMSW Social Worker/Volunteer Coordinator Hospice of Shreveport/Bossier This presentation considers the value and implementation of the We Honor Veterans program to improve and ensure individualized service delivery in our organization. D 7 Good Grief, Charlie Brown! Isabel Cordua, BA Director of Support Services Hospice Ministries, Inc. Children grieve the death of a loved one differently than adults. Learning how death affects children at different ages and the factors that affect the grieving process can help caregivers to provide support to facilitate healing. 12:00 12:15 Break 12:15 1:45 Heart of Hospice Awards (Lunch Provided) 1:45 2:00 Break 2:00 3:00 E Concurrent Sessions E 1 The False Claims Act: Understanding the Risks and Ways to Avoid Them Paul Weidenfeld, Esq. Partner, Liles Parker, PLLC This session discusses the False Claims Act, many of the risks that Hospice and Palliative Care providers face, and the best way to avoid them. E 2 Discontinuing Medications: Dialogues for Nurses, Physicians, Patients & Families John Redden, R.Ph, CGP, PharmD VP Clinical Practice HospiScript Services This presentation focuses on prioritizing medications to consider for discontinuation and how to talk to nurses, physicians, patients and families to accomplish that goal. E 3 StoryCorp Legacy: Preserving Your Life Story Ann Wallace, BS Volunteer Coordinator Ramona Rae Gremillion, BFA Director of Community Development Hospice of Acadiana, Inc. This presentation will focus on one agency s experience with the StoryCorp Legacy project and how the project was carried out. E 4 The State of the State in Joint Commission Palliative Care Certification David Eickemeyer, MBA Associated Director Tammy Croney, DNP, RN Certification Reviewer The Joint Commission Learn the basics of Joint Commission palliative care certification, what makes a good performance measure, and lessons learned from certification reviews so far. 7

8 E 5 Coping When Coping is Challenged: Handling Difficult Families and the Role of the IDT Debbie Merlan, LCSW Clinical Social Worker Christus Hospice & Palliative Care Rebecca Pardue, RN, AD Patient Care Manager, Forrest General Hospice Ken Roberts, ADIV Chaplain/Bereavement Coordinator, Forrest General Hospice The interdisciplinary team meeting and care planning sessions are integral components of hospice. It takes each team member participating in an orderly manner to solve difficult family crisis situations as well as providing everything possible to make the dying process meaningful and dignified. The goals of our round table are to bring examples of difficult situations and challenging problems (case studies) before the round table (IDT) and propose ways to solve or improve the challenges. E 6 Symptom Management Beyond Morphine L. Glen Mire, MD Medical Director, Hospice of Acadiana, Inc. Clinical Associate Professor, LSU Family Medicine E 7 Staying Alive While Embracing Death Jeff Sims, Reverend, BCC, M.Div. Board Certified Chaplain St. Tammany Parish Hospital This presentation seeks to acquaint the caregiver with the cost of caring for others, recognizing the signs of compassion fatigue and developing a personal plan for self-care. 3:00 3:30 Afternoon Break 3:30 4:30 Thursday Afternoon Plenary Session 2013 Hospice Updates: Applied Research Cordt T. Kassner, PhD Principal Hospice Analytics This session will take a look at progress and recommendations from Louisiana Medicaid and Mississippi Certificate of Needs project as well as review Medicare hospice claims and most current Palmetto hospice data. This presentation will focus on symptoms that are difficult to manage, including pain, delirium, nausea/ vomiting and constipation. 8

9 LEADERSHIP CONFERENCE Friday, July 26, :00-8:00 Continental Breakfast and Exhibit Hall Open 8:00-9:00 Friday Morning Closing Plenary Session Looking Into the Future Stephen A. Leedy, MD, FAAHPM and LMHPCO Board of Directors This presentation conducted by Dr. Leedy and the LMHPCO Board of Directors will be a panel discussion regarding how ACA is reshaping and will affect hospice providers of every type. You don t want to miss this closing session to learn how your agency may be impacted. 9:00 9:15 Break 9:15 10:45 F Concurrent Sessions F Palmetto GBA Hospice Workshop Series: Hospice Billing Tammy Tucci, BS Provider Outreach & Educator Senior Ombudsman Palmetto GBA This series is designed for hospice providers, billers, administrative staff and clinicians to equip them with the tools they need to be successful with Medicare billing. F 2 Surveys, Deficiencies, Complaints and Levels of Care: DHH Update Marian Tate, RN. BSN Medical Certification Program Manager DHH HSS This presentation will discuss deficiencies cited during FY 2012 recertification and complaint surveys, complaints and levels of care. F 3 MSDH Hospice Licensure and Certification Update Roger W. Smith, BA Division Director, Non-Long Term Care Division Bureau of Health Facilities Licensure & Certification Mississippi State Department of Health This session will discuss where hospice is now and what can be expected in the future for hospice providers in the state of Mississippi. F 4 Benefits and Burdens of Artificial Nutrition and Hydration L. Glen Mire, MD Medical Director, Hospice of Acadiana, Inc Clinical Associate Professor, LSU Family Medicine When can artificial nutrition/hydration improve quality of life? When can artificial nutrition/hydration prolong suffering? This presentation will provide a framework to answer these questions for each individual. F 5 Legacy of Love: Bereavement Implications for Spouses of Long Term Marriages Mitzi Crawford Spears, LCSW, ACHP Bereavement Services Social Worker Forrest General Hospice Long term marriages ending in the death of a spouse leave surviving spouses isolated. The need for bereavement information is essential with the aging of our population. F 6 Pediatric Palliative Care- Striving to Provide Picture Perfect Healthcare in the Eyes of the Beholder Timothy McGregor, M.Div. BCC President, MS Chaplains Association Hospital Chaplain, University of MS Medical Center Palliative Care is a comprehensive approach to providing care for patients that are faced with life threatening illnesses. Pediatric Palliative Care strives to offer care to 9

10 adolescents that are faced with these types of challenges. Some of these patients may decide to strive for fullness in life through further medical procedures that lead to recovery, to provide comfort care to enjoy the time they have left to the best of their ability, or to do a combination of the two. No matter where they are along this journey in search of more holistic health, which includes spiritually, emotionally, and physically, it is the job of the chaplain as the spiritual companion to provide a safe place for them to explore those options. The chaplain also helps the team develop an approach to care that will look like a masterpiece in the eyes of the patient and family. This presentation will discuss a brief history of Palliative Care and Pediatrics, hands on scenarios, and a brief verbatim of patients. At the end of this session you will understand how to provide pastoral care to patients that benefit from Pediatric Palliative Care. F 7 Ethical Engagement in Social Work Laury A. Bourgeois, LCSW-BACS Social Work Consultant Adjunct Faculty, Tulane School of Social Work Participants will explore their career history to present in Ethical Engagement through group activities and scenarios. 10:45 11:00 Break 11:00 12:30 G Concurrent Sessions G Palmetto GBA Hospice Workshop Series - Clinical Topics Charles Canaan, RN, MPH Senior Provider Education Consultant Palmetto GBA This presentation is designed for hospice providers, administrators and clinicians to equip them with the tools they need to be successful with Medicare documentation. G 2 The Current State of Louisiana Hospice Including Concurrent Care for Persons under 21 Rene M. Huff, JD Medicaid Program Manager 2 Louisiana Department of Health and Hospitals This presentation will cover the changes hospice has gone through in the last year, where the program currently stands, where it is going and how the state is handling concurrent care for persons under 21. G 3 MS Medicaid Update 2013 James C. Horton Special Projects Officer III Division of Medicaid (LTC), State of Mississippi Randy Ponder Provider Services Regional Coordinator Mississippi Medicaid Project This session will provide attendees an update on Mississippi Medicaid and current updates available from ACS. G 4 Hospice Physician Update Jennifer Kennedy, MA, B.S.N., RN Regulatory & Compliance Director National Hospice & Palliative Care Organization The hospice physician role has become substantial in the past three years due to increasing hospice regulations. Are your hospice physicians on top of these regulatory requirements and do they understand the importance of their role? This session will review current physician regulatory requirements as they relate to hot spots in the hospice industry and delve into the components issue of relatedness to the terminal diagnosis. G 5 Spiritual Care for Veterans David Allen, M.Div. Staff Chaplain G.V. Sonny Montgomery Veterans Medical Center This presentation will help to raise the awareness of the special needs of the Veterans we care for. 10

11 G 6 Local Collaborative Clinical Research Projects: New Data and Tools to Improve Our Patient s Care Dominique Anwar, MD Associate Clinical Professor; Medical Director for Palliative Care Program, Tulane School of Medicine Medical Director, St. Margaret s Hospice Assistant Medical Director, Notre Dame Hospice G 7 SW Cultural Diversity TBA Details of this session were not complete as of the printing of this brochure but will be available prior to conference time Clinical research has been underrepresented in Louisiana/Mississippi. This presentation will review the results of recent local studies, and will explore options to strengthen collaboration among local institutions/ hospices, and to obtain funding to develop state-of-the art local research projects. 11

12 Regulatory Assistance Office Hours with Jennifer Kennedy Do you have a regulatory question or need assistance with a hospice patient or operations scenario? Schedule an appointment for a 1:1 with Jennifer Kennedy, Director, Regulatory and Compliance Ask for the appointment sign up form at the registration desk! 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. COMFORT: Bring a jacket/light sweater for your comfort as the temperature of the rooms can vary LMHPCO Conference Photos: Scott Threlkeld 12

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14 Conference Objectives Participants attending this conference will be able to: 1 Understand the challenges facing the hospice industry 2 Understand the regulatory issues/ requirements affecting hospice care 3 Articulate the value of effective leadership tools 4 Learn recent influential hospice research tools Target Audience Physicians, Nurses, 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 and Pharmacists. CONTINUING EDUCATION LMHPCO has made application for 14 hours continuing education with the associations listed below. In order to receive continuing education credits, the person must be a duly registered attendee of the conference AND complete a conference evaluation form for each session attended. Evaluation booklets must be turned in before leaving the conference. Certificates will be mailed to attendees requesting continuing education who sign the workshop session attendance sheet, have been in attendance throughout the session and returned an evaluation form. Persons who must leave early will receive credit proportional to their actual attendance. Social Worker Continuing Education Credit Application has been submitted and approval is pending NASW LA Chapter.. Nursing Continuing Education Credit Up to 14.0 hours Nursing Continuing Education provided through Louisiana~Mississippi Hospice and Palliative Care Organization. LMHPCO is 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 This conference is recognized by the Association of Professional Chaplains state leadership of LA and MS as an accepted educational event for chaplains. A certificate will be awarded for each contact hour the chaplain is in attendance. Nursing Facility Administrators Continuing Education for Nursing Facility Administrators is pending approval by the State of Louisiana Board of Examiners of Nursing Facility Administrators (LABENFA). 14

15 Conference Hotel Loews Hotel, New Orleans Registrants can book rooms on line or by calling The LMHPCO Conference Rate of $ per night is available through June 22, The LOEWS NEW ORLEANS HOTEL has again been selected as this year s conference site. Conveniently located in the heart of the New Orleans business district at 300 Poydras Street, the conference site is easily accessible to numerous tourist attractions, great shopping and fabulous food! Hotel Reservation & Cancellation Policy The cancellation of guaranteed reservations must be received 72 hours prior to arrival in order to avoid a charge equal to one night s room and applicable taxes. All no show reservations will be billed to each individual s account. Check in and check out time Check-in time for all attendees is 4:00PM. Attendees may be checked in earlier depending on occupancy levels and availability. Check out time is 12:00PM. Any guests checking out after 12:00PM may be assessed a fee equal to one night s room and tax. 15 Conference Registration Information Mail conference registration and payment to: LMHPCO Attn: 2013 Annual Leadership Conference 717 Kerlerec New Orleans, LA FAX Registration with credit card info to LMHPCO at On Line Registration may be accessed 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 18, 2013 will receive a full refund, less a processing fee. Cancellations between June 19, 2013 and July 16, 2013 will receive a 50% refund. No refunds will be made in registration cancellations postmarked after July 16, Substitutions are welcomed. Please submit your request in writing. All refunds will be processed within 30 days after the 2013 Leadership Conference.

16 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, 2013) July 1, 2013) June 30, 2013) July 1, 2013) Full Conference $400 $450 $500 $600 $650 $700 (Wednesday-Friday) Wednesday, July 24 $200 $250 $300 $400 $450 $500 (Day 1 ONLY) Thurday, July 25 $200 $250 $300 $400 $450 $500 (Day 2 ONLY) Friday, July 26 $100 $150 $200 $200 $250 $300 (Day 3 ONLY) Are you a 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. 4 Please check the Concurrent Breakout sessions you plan to attend each day: Registration rate includes all Conference materials, Receptions, 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. Wednesday Concurrent Session A (10:30-12:00) A1 A2 A3 A4 A5 A6 A7 Wednesday Concurrent Session B (1:30-2:30) B1 B2 B3 B4 B5 B6 B7 Wednesday Concurrent Session C (2:45-3:45) C1 C2 C3 C4 C5 C6 C7 Thursday Concurrent Session D (10:30-12:00) D1 D2 D3 D4 D5 D6 D7 Thursday Concurrent Session E (2:00-3:00) E1 E2 E3 E4 E5 E6 E7 Friday Concurrent Session F (9:15-10:45) F1 F2 F3 F4 F5 F6 F7 Friday Concurrent Session G (11:00-12:30) G1 G2 G3 G4 G5 G6 G7 Administrator Finance/Information Systems Social Worker Bereavement Professional Nurse Spiritual Caregiver CEO/Executive Director Quality Assessment/Performance Improvement VA Partnership Hospice Aide Pharmacist Volunteer Manager Development/Marketing ADMIN FIN/INF SW BER/PRO RN/LPN SPIR/CARE Registrant s Name: Mailing Address: City: State: Zip: Telephone: address: Hospice Agency Affiliation: Discipline Code: Payment by Check (made payable to LMHPCO) Check# Amount: $ LMHPCO 2013 Conference Rates Physician 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: CEO/EXEC QAPI VA HA PHAM VOL DEV/PRM MD