FINAL PROGRAM - California State Hospice Association

Palliative Care & Hospice:
FOCUS
on the Patient Experience
California Hospice and Palliative Care Association
FINAL PROGRAM
Annual Conference
October 4-6, 2012
Hyatt Regency Santa Clara
Santa Clara, California

HOME CARE EQUIPMENT
Low Air Loss Beds
Home Care Beds
Over Bed Tables
Wheelchairs
Patient Lifts
Commodes
Walkers
RESPIRATORY EQUIPMENT
Concentrators
Compressors
Suction Units
Nebulizers
Bi PAPS
Quiet &
Compact
2

A Welcome
from the CHAPCA Board President
Palliative
Welcome to Santa Clara!
We are so glad that you have joined us for our 2012 California Hospice
and Palliative Care Conference. CHAPCA is known for offering quality
education for hospice staff, volunteers and administrators and this year’s
program builds on that tradition. We feel that this year theme: Palliative
Care and Hospice: Focus on the Patient Experience fits with hospice’s
commitment to providing quality services for our patients and families.
Over the last year, the Education Committee, ably chaired by Dr. Jim
McGregor, has been meeting to develop program content and to select
innovative and practical presentations that respond to the needs of each
discipline of the hospice team. We have been gratified by the high caliber
of workshop proposals reviewed by our committee.
We are thrilled to welcome Dr. Daniel Hoefer to our Friday morning general
session. We’ll hear first hand from a hospice leader who has firmly
integrated their palliative and end of life care services into an ACO, and
with the organization’s strong support, has developed award winning
services for the community and their patients. On Saturday at lunch, we
will hear the latest on health care reform and its impact on hospice from
Don Schumacher, PsyD, President and CEO of NHPCO. Don will give
us an insider’s perspective on the trends and issues facing hospice on
the national level. Over the two and a half days of this year’s conference,
three master speakers and 31 individual workshops will cover a wide
range of issues hospice staff needs to know to stay current with the concerns
facing our patients and their families.
In addition to program content, we have built in time for networking and
for just plain fun. Plan to join us for our opening reception in the exhibit
hall on Thursday night, and end your busy day on Friday by joining the
CHAPCA board as we present our awards for 2012 at the reception.
Martin McDonough of Outcome Resources is once again pouring his
favorite wines for this event. Be sure to visit Grace Before Dying:
A Traveling Exhibition outside the second floor meeting rooms. This
special exhibition looks at how, through the power of hospice, prison
inmates assert and affirm their humanity in an environment designed to
isolate and punish.
Please enjoy the next three days and take the opportunity to learn, relax
and renew your spirit!
Suzi Johnson
CHAPCA President
3

Contents
President’s Message........................ 3
General Information........................... 5
Schedule at a Glance....................... 8
Keynote Speakers.......................... 10
Hotel Meeting Rooms..................... 12
Program by Day............................. 13
Faculty List..................................... 25
Exhibitor List................................... 28
Index to Advertisers
AseraCare Hospice..................................... 16
Enclara Hospice Pharmacy Services.......... 21
Horizon Oxygen and
Medical Equipment Inc.................................. 2
Outcome Resources.................................... 33
ProAction Insurance.................................... 18
Suncoast Solutions............................... 15, 32
Sutter Care at Home................................... 35
Victoria Hospice.......................................... 24
2012 CHAPCA Board of Directors
Suzi Johnson, RN, MPH
President
Sharp HospiceCare
Carolynn Peterson, RN, MS, AOCN
Vice-President and Region 3 Director
Community Hospice, Inc. – Modesto
Patricia A. Shader, RN, BSN
Secretary and Region 8 Director
The Elizabeth Hospice
Scott German, CPA, Treasurer
Sharon Beattie, RN
Region 7 Director
VNA of the Inland Counties
Kathryn M Beck, RN, BSN, CHPN
Professional Member Representative
St Mary’s Hospice of Northern Nevada
Vanessa Bengston, RN
Community Member
Hospice of the Foothills
Linda Gibson
Region 1 Director
Napa Valley Hospice and Adult Day
Services
Ann Hablitzel, RN, BSN, MBA
Region 6 Director
Hospice Care of California
James Hallenbeck, MD
Palliative Care Representative
V.A. Palo Alto Health Care System
Hospice
Stephanie Hanson, RN
Region 9 Director
Tahoe Forest Hospice
Martin McDonough, PharmD
Associate Member Representative
Outcome Resources, Inc.
James McGregor, MD
Community Member
Sutter Care at Home-Sacramento
Dawn R Metcalfe
Region 10 Director
Nathan Adelson Hospice
Karen Nolan, RN
Region 5 Director
Hospice of the Valley
Lynda Tanner
Community Member
Visiting Nurse & Hospice Care of Santa
Barbara
Pat Watters, RN
Region 2 Director
Paradise Hospice
2012 CHAPCA Education Committee
James McGregor, MD, Chair
Sutter VNA & Hospice
Jamie Andrews
Providence TrinityCare Hospice
Dennis Cox, LCSW, MSW
Sutter Care at Home – Roseville
Caroline Davidson, MS, RN
Seasons Hospice and Palliative Care,
LLC-Pasadena
Patti Herbst
Kaiser Permanente
Joyce Holleman, RN, CHPN
Hospice of the Valley
Catherine McGregor, RN, MSN
Sutter Auburn Faith Hospice
Linda McLean, LVN
Kirkwood Assisted Living RCFE
Brian Murphy, MD
Nathan Adelson Hospice
Penny V. Phillips, MA, MDiv, BCC
V.A. Palo Alto Health Care System,
Hospice Care Center
E. Alessandra Strada, PhD, FT, McP
Beth Israel Medical Center
CHAPCA & CHF Staff
Susan Negreen, CAE
President/CEO
Laura Fisher
Director of Administration
Barbara Souza
Manager of Member Programs and
Services
Rachel Henry
Administrative Assistant
Paul Graller
Exhibits Manager
Tina Vickery
Conference Manager
4

GENERAL INFORMATION
Registration/Information
Desk Hours
The Registration/Information Desk will be open
during the following times:
Wednesday, October 3............... 4:00 p.m. – 6:00 p.m.
Thursday, October 4................... 8:00 a.m. – 5:30 p.m.
Friday, October 5........................ 8:00 a.m. – 5:30 p.m.
Saturday, October 6................... 8:00 a.m. – 2:00 p.m.
Name Badges and Tickets
Your name badge is your admission ticket to sessions.
Please wear your badge at all times during
the conference. Tickets, as well as your name
badge, are required for admission to Saturday’s
luncheon.
Your Comfort is Our Concern
Hotel staff does their best to provide a comfortable
climate for our meeting, however, sometimes
it may be warmer or cooler than you prefer. Please
layer your clothing to give you options.
Cell Phones and Pagers
Conference attendees are asked to turn off cell
phones and pagers, or set them to vibrate mode
during workshop sessions. Individuals talking on
cell phones during workshop sessions will be
asked to leave the room.
Message Center
A Conference Message Center has been set up in
the CHAPCA registration area. Please check the
message board periodically for program changes
and announcements.
What Does That Colored Dot Mean?
Do you have a colored dot on your conference
badge? That means you’ve paid your $15
continuing education certificate fee. If you want
continuing education or attendance certificates
and don’t have a dot, come by the CHAPCA Registration
Desk and pay your fee.
Smoking Policy
For the comfort and health of all attendees, smoking
is not permitted at any CHAPCA function. This
policy includes general sessions, concurrent sessions,
meals, social functions, meetings and in
the exhibit hall.
Exhibit Hall
A variety of up-to-date products and services for
hospice will be on display by conference exhibitors.
Exhibit hours are Thursday, October 4, 2012,
5:00 p.m.- 7:00 p.m., and Friday, October 5, from
9:30 a.m.- 7:00 p.m. The hall will not be open on Saturday.
Don’t miss the fun as we offer special surprise
activities and special prizes in the exhibit hall. You
MUST be present to win! Two special events in the hall
will give you an opportunity to network with exhibitors
and fellow conference goers. They include:
Exhibit Hall Grand Opening Reception
Thursday, October 4, 2012
5:00 p.m. – 7:00 p.m.
Join us as we celebrate with a number of familiar vendors
and the many new ones who provide the products
and services you need for your work. Enjoy appetizers
and drinks with your old and new friends as we begin
another great CHAPCA conference. This reception is
included in your conference registration.
5

Awards Reception
Friday, October 5, 2012
5:30 p.m. – 7:00 p.m.
Exhibit Hall
Come celebrate the winners of CHAPCA’s annual
awards. You’ll have an opportunity to meet and chat
with this year’s winners and members of the CHAPCA
boards of directors and staff. You will enjoy wine and
hors d’oeuvres. Martin McDonough, of Outcome
Resources, will again be pouring his personal favorites
from his extensive wine collection.
Workshop Handouts
Handouts from the various workshops are available
on the CHAPCA website, www.calhospice.org/education/annual_conference.php.
Annual Membership Meeting
Annually, CHAPCA conducts a meeting of the membership
in conjunction with the conference. The 2012 Annual
Meeting will be held on Saturday, October 6, 2012 during
the closing luncheon. CHAPCA mem bers are invited to
participate in this meeting. This is your opportunity to
hear from the leadership and to express your interests.
While everyone may attend this meeting, only provider
members are eligible to vote. Onsite, one representative
from each provider member will be asked
to sign in at the registration desk in order to receive a
voting delegate card.
Grace Before Dying: A Traveling Exhibition
October 4-6, 2012
Grace Before Dying, an award-winning traveling exhibition, will be on display at the
Santa Clara Hyatt during the 2012 conference. The display chronicles the prisonerrun
hospice program launched in 1998 at Louisiana’s infamous Angola Penitentiary.
Grace Before Dying looks at how, through the power of hospice, inmates assert and
affirm their humanity in an environment designed to isolate and punish. The book
will be available for sale at the registration area.
6 GENERAL INFORMATION

Thank you to our conference sponsors
Silver Sponsors
$2000 - $4999
American Hospice Foundation
AseraCare Hospice
Weatherbee Resources
Bronze Sponsors
$500 - $1999
CareAnyware, Inc.
CareRx
Enclara Health Pharmacy
Edgewood Partners Insurance Center-EPIC
Fairhaven Memorial Park
Home Healthcare Solutions
Outcome Resources, Inc.
7

SCHEDULE AT A GLANCE
THURSDAY, OCTOBER 4, 2012
8:00 a.m. – 5:30 p.m. Registration Open
8:30 a.m. – 4:45 p.m. Full Day Workshops
1A. Compassion Care for the Caregiver
1B. The Compliance Framework: An Elegantly Simple Path to Better Patient Care
8:30 – 11:45 a.m. Half Day Workshop
1C. Pain and Dementia: A Challenge with Opportunities
10:15 a.m. – Noon 90 Minute Workshop
2D. Culturally Diverse Communities’ Views on End of Life Care
12:00 – 1:30 p.m. LUNCH ON YOUR OWN
1:30 – 3:00 p.m. 90 Minute Workshops
3C. Palliative Sedation Case Studies: What to Consider When Implementing Palliative Sedation
3D. Coordinated Outreach Through Ambassadorship
3:15 – 4:45 p.m. 90 Minute Workshops
4C. Advance Care Planning for People with Developmental Disabilities
4D. Social Media for Hospice and Palliative Care
5:00 – 7:00 p.m. Exhibit Hall Grand Opening Reception
FRIDAY, OCTOBER 5, 2012
8:00 a.m. – 5:30 p.m. Registration Opens
8:00 – 9:30 a.m. Keynote Address: The Challenge and Opportunity for Hospice with Accountable
Care: Insights from an ACO Leader
Dr. Daniel Hoefer, Associate Medical Director, Sharp HospiceCare - San Diego
9:30 a.m. – 7:00 p.m. Exhibit Hall Opens
9:30 – 10:30 a.m. Break with Exhibitors
10:30 – 11:30 a.m. Master Speaker Sessions
5A. Hospice at Risk: What Hospice Staff Need to Know and Do
Holly Swiger, PhD, MPH, RN
5B. Goals First: Building a Better, More Patient Centered Plan of Care
Michael Nisco, MD, MBA, DABHPM
5C. Hospice Journey-The Challenge of Caring
Dale Larson, PhD
11:30 a.m. – 1:30 p.m. Visit the Exhibit Hall
Poster Sessions
1:45 – 5:15 p.m. Half Day Workshop
6A. Case Studies in Symptom Management
1:45 – 3:15 p.m. 90 Minute Workshops
6B. How to Lose a Million Dollars: A Case Study in Cost Containment
6C. Disenfranchised Grief & LGBT Survivors: Exploring Clinical Considerations
6D. Improving Hospice Access and Outreach to Chinese Americans
6E. Integrating Psychology and Spirituality for Palliative Care Patients
8

3:15 – 3:45 p.m. Break with Exhibitors
3:45 – 5:15 p.m. 90 Minute Workshops
7B. Effective Privacy Law Compliance in Health Information Management
7C. Windows and Mirrors: Understanding the Extraordinary Experiences of the Dying
7D. Peace of Mind: Including Animals in Extended Family
7E. Medical Use of Cannabinoids in Palliative Care
5:30 – 7:00 p.m. Awards Reception in Exhibit Hall
SATURDAY, OCTOBER 6, 2012
8:00 a.m. – 2:00 p.m. Registration Opens
8:30 – 11:45 a.m. Half Day Workshop
8A. Beyond Clichés: The Meaning of Self-Care for Palliative Care Providers
8:30 – 10:00 a.m. 90 Minute Workshops
8B. Prognostication: You Don’t Have to Guess
8C. Measuring Hospice Quality: Don’t Fall Off Your Ladder!
8D. PTSD, Moral Injury and Spiritual Care At End Of Life
8E. Bringing in the Boomers: How to Recruit Them as Volunteers
10:00 – 10:15 a.m. Break
10:15 – 11:45 a.m. 90 Minute Workshops
9B. A Case Study of Judy: Schizophrenia and a Terminal Diagnosis
9C. The Risk Areas – Assessing Internal Readiness
9D. Nimble Servant: Attentive Listening to Music for Hospice Patients, Families and Those
Who Care for Them
9E. An Exploration of Suffering and Forgiveness
11:45 a.m. – 1:45 p.m. Luncheon, CHAPCA Annual Meeting and Closing General Session
J. Donald Schumacher, PsyD, President and CEO, National Hospice and Palliative Care
Organization
The View from Washington: Hospice and Palliative Care Trends
1:45 p.m. Conference ends
9

KEYNOTE SPEAKERS
General Session
The Challenge and Opportunity for Hospice with Accountable Care: Insights from an ACO Leader
Friday, October 5, 2012
8:30 a.m. – 9:30 a.m.
The transition from fee-for-service to a more “accountable” healthcare
system seems inevitable, especially given the broad support for valuebased
reimbursement among payers. The most widely embraced answer
so far has been the Accountable Care Organization (ACO). We’ll hear first
hand from a hospice leader who has firmly integrated their palliative and
end of life care services into an ACO, and with the organization’s strong
support, has developed award winning services for the community and
their patients. In this program, Dr. Daniel Hoefer, Chief Medical Officer
for Sharp HealthCare’s outpatient palliative care program, Transitions,
and Associate Medical Director for Sharp HospiceCare, will provide his
insights addressing the many questions from hospice about where or if
they fit within an ACO.
Dr. Daniel Hoefer
Chief Medical Officer and
Associate Medical Director
Sharp HospiceCare, San Diego
Dr. Hoefer is a board certified family practice physician and is part of
Sharp Rees-Stealy Medical Group in San Diego. His background includes
participation on the Risk Management and Utilization Review Committees
for Sharp Rees-Stealy since 1994. He has spent over 25 years working in
nursing homes and with geriatric patients. Dr. Hoefer is an EPEC trained
physician who has been the visionary for the development of an evidencebased
disease management care model for late stage illness. He frequently
presents educational conferences on a local, state and national
level to physicians and other healthcare providers on issues surrounding
the timely provision of end-of-life care and innovative care models.
Dr. Hoefer received his undergraduate degree from UCLA and his medical
degree from Eastern Virginia Medical School. He completed his residency
at Northridge Family Practice.
10

Luncheon, CHAPCA Annual Meeting and Closing General Session
The View from Washington: Hospice and Palliative Care Trends
Saturday, October 6, 2012
11:45 a.m. – 1:45 p.m.
As Health Care Reform continues to unfold, Hospice and Palliative Care
providers are looking to confirm their roles as THE most skilled and appropriate
providers of end of life care. This presentation will begin with an
overview of the basic data that will inform decisions that are being made
by providers, insurers, Accountable Care Organizations and the American
public. The impact of the growth of the hospice and palliative care
industry on Medicare, MedPac and Congress will be reviewed. Areas of
caution for all provider groups will be described and prioritized.
While health care continues to evolve, participants will be encouraged
to maintain their commitment to meeting the regulations established
by CMS. Opportunities for developing programs that will encourage up
stream palliative care will be described.
Dr. Schumacher has more than 30 years experience in hospice and
palliative care administration. Since 2002, he has served as the President
and Chief Executive Officer of The National Hospice and Palliative
Care Organization (NHPCO), which is the largest nonprofit membership
organization representing hospice and palliative care programs and professionals
in the world.
From 1989 until he joined NHPCO in 2002, Dr. Schumacher served as
the President and CEO of The Center for Hospice and Palliative Care,
Buffalo, New York. During his tenure, he led the development of an
integrated hospice campus in the Buffalo, New York area, launching a
variety of hospice-related organizations including nursing homes and
mental health and pediatric care facilities, as well as a stellar bereavement
education program. Among his other notable professional endeavors,
Dr. Schumacher was the President and Founder of The Hospice
of Mission Hill, Boston, Massachusetts, which was established as one
of the first HIV/AIDS hospices in the U.S.
J. Donald Schumacher, PsyD
President and CEO
National Hospice and Palliative
Care Organization
Dr. Schumacher is a licensed clinical psychologist in New York and
Massachusetts and holds a doctorate degree in psychology from the
Massachusetts School of Professional Psychology, Boston, Massachusetts.
In 2005, he received the Distinguished Alumni Award from the State
University of New York at Buffalo, where he earned his M.S. degree in
counseling psychology.
11

Hotel Meeting Rooms
POSTER SESSIONS
GRAND BALLROOM
EXHIBITS & RECEPTIONS
12

PROGRAM BY DAY
Thursday, October 4, 2012
8:00 A.M. – 5:30 P.M. Registration Open
LOBBY WEST
8:30 A.M. – 4:45 P.M. Workshops
1A. Compassion Care for the Caregiver
LAFAYETTE
James Hallenbeck, MD, Director, Palliative Care, VA Palo Alto
HCS, Faculty, Stanford Center for Compassion and Altruism
Research and Education, Palo Alto, CA; Leah Weiss, MSW,
Director, Education Stanford Center for Compassion and
Altruism Research and Education, Stanford University,
Palo Alto, CA.
In this workshop we will present the core elements of
Stanford's Compassion Cultivation Course. Participants will
be exposed to basic meditative practices associated with
compassion cultivation and various exercises designed to
foster compassion cultivation. The relevance of these practices
to compassion fatigue and burnout in caregivers will
be addressed. Following discussion and orientation to the
course, participants will be given material for home self
study, including a series of meditation trigger tapes, corresponding
to the series of modules in the full course.
Learning Objectives: Learners will be familiar with and able
to practice certain exercises to assist with the cultivation of
compassion for self and others. Learners will better understand
the connection among compassion fatigue, burnout
and compassion cultivation.
1B. The Compliance Framework: An Elegantly
Simple Path to Better Patient Care
SAN TOMAS
Susan Balfour, RN, Partner, Hospice Fundamentals;
Roseanne Berry, MSN, RN, Partner, Hospice Fundamentals,
Raleigh-Durham, NC.
Do you think the only person in the hospice responsible
for compliance is the compliance officer? Think again! Establishing
an effective compliance framework is a cost-effective
agency-wide initiative that can reap handsome rewards—
improved patient care, enhanced agency communication,
effective human resource management and, last but not least,
a better night’s sleep for the CEO. Regardless of your hospice’s
challenge—establishing a new compliance program or
reviving an existing one—this workshop provides you with the
knowledge, tools and approaches that lead to success. Send
a team—you will be amazed at what can happen!
Learning Objectives: At the end of this session, participants
will be able to identify the regulatory and investigatory
bodies that impact every hospice. The participants will know
the OIG’s seven compliance plan elements and the OIG risk
areas. Participants will learn the key framework of The Path
of the Prudent Hospice, its key monitors and audits and
will be able to establish a timeline for compliance.
8:30 A.M. – 11:45 A.M. Workshop
1C. Pain and Dementia: A Challenge with
Opportunities
STEVENS CREEK
Keela A. Herr, PhD, RN, AGSF, FAAN, Professor and Associate
Dean for Faculty, College of Nursing, University of Iowa,
Iowa City, IA.
This workshop focuses on the problem and challenges
of pain in persons with dementia and introduces best practice
recommendations to promote positive outcomes in this
vulnerable population. The challenges of recognizing and
assessing pain, including misbeliefs, aging changes, impact
of dementia on the experience of pain, and differentiating
dementia and delirium, are identified. Best practice recommendations
for assessing pain in those with mild, moderate
and severe cognitive impairment, including a hierarchy
approach to recognizing pain and the use of pain behavior
tools, are shared. Treatment challenges are highlighted, followed
by discussion of nondrug and analgesic approaches
to pain management appropriate for use with persons with
dementia. Best practice resources will be shared and application
of pain assessment and management strategies will
be illustrated through case study presentations. This workshop
is sponsored by the American Hospice Foundation.
Learning Objectives: Describe challenges associated with
pain recognition and assessment in persons with dementia.
Describe approaches to treatment of pain in persons with
dementia. Apply principles of best practices for assessment
and management of pain in older persons with dementia.
13

10:15 A.M. – Noon Workshop
2D. Culturally Diverse Communities’ Views on
End of Life Care
LAWRENCE
Jatana Williams, BS, Sr. Community Educator; LeeAnne
Bielar, AD, Nursing Community Educator, Silverado Hospice,
San Diego, CA.
Culture fundamentally influences how individuals make
meaning out of illness, suffering and dying. Professionals
providing end-of-life care to patients across diverse settings
are keenly aware that this phase of life is usually accompanied
by intense emotions, the need to make decisions
for future care involving family and coping with anticipated
grief and loss. This presentation will assist attendees in better
understanding cultural influences and how to collaborate
with community organizations and team members to
decrease misunderstandings surrounding end-of-life care.
Learning Objectives: Define diversity and discuss sources
of diversity such as ethnicity, class, sexual orientation, religion
and disability. Describe the ways that cultural diversity
both can complicate and facilitate end-of-life experiences.
Discuss what topics to address when doing a cultural
assessment. Discuss the knowledge, sensitivities and skills
necessary to work with culturally-diverse populations in endof-life
care.
Noon – 1:30 P.M. Lunch on your own
1:30 P.M. – 3:00 P.M. Workshops
3C. Palliative Sedation Case Studies:
What to Consider When Implementing
Palliative Sedation
STEVENS CREEK
Veronica Giron-Stone, MSN, Regional Manager; Frederic
Jackson, DO, Regional Medical Director; Angela Akbarian,
MSW, LCSW, Social Worker; Dee Crimmel, M.Div., MA,
Chaplain; Suzanne Mitchell, RN, CHPN, Team Supervisor;
The Elizabeth Hospice, Escondido, CA.
When all conventional treatment efforts have been
exhausted and failed to provide relief, palliative sedation may
be considered as an intervention to control unendurable suffering.
This presentation will share our Standard of Practice,
checklist and consent for initiating Palliative Sedation. Interdisciplinary
team members will discuss challenges they face
and learning outcomes from actual palliative sedation cases.
Learning Objectives: Define the purpose of Palliative
Sedation. Describe Standard of Practice Who, What, When,
Where and How to start a Palliative Sedation case. Name
3 challenges staff may voice when introducing Palliative
Sedation. Explain the importance of the Debriefing Meeting
following each Palliative Sedation case.
3D. Coordinated Outreach Through
Ambassadorship
LAWRENCE
Vanessa Bengston, ADN, RN, CPHQ, Certified Hospice
Administrator, Executive Director; Aimee Retzler, BS, Marketing/
Outreach Development Consultant, Hospice of the Foothills
Come learn about our recently launched Ambassador
Program, arguably the single most important component of
our strategic community outreach development plan. Trained
ambassadors, including staff and volunteers, are used to
deliver a variety of informative and motivational messages
to target audiences, supported by a collection of integrated
tools and collateral designed to move the audience along an
engagement continuum. This program is having a positive
impact on the business critical goals of service expansion,
access and increased ADC while achieving the objective of
increasing awareness among community and professional
target groups that our agency is the expert in the provision of
hospice and palliative care.
Learning Objectives: How to build branded, integrated
communication tools that support audience-targeted messages.
How to evaluate the effectiveness of the Ambassador
Program. Who among staff and volunteers would make good
Ambassadors. The value of an Ambassador Program in community
outreach.
3:15 P.M. – 4:45 P.M. Workshops
4C. Advance Care Planning for People with
Developmental Disabilities
LAWRENCE
Elaine Lewis, Executive Director, Developmental Services
Continuum, Inc., San Diego, CA; David Lopez, Consumer
Advocate, Alta California Regional Center, Sacramento, CA.
This workshop will challenge stereotypes that people with
developmental disabilities can’t make independent decisions.
Learn about the Thinking Ahead workbook and how to
access the skills and resources you need to feel comfortable
and confident talking about end-of-life issues with a person
with developmental disabilities.
Learning Objectives: Describe how the death and dying
process is changing for persons with developmental
disabilities. Explain the importance of advance care planning
for people with developmental disabilities. List which
tools can help ensure that a person’s healthcare treatment
wishes are honored. Learn how to use the Thinking Ahead
workbook to ensure that a person’s wishes for healthcare
treatment are respected.
14 PROGRAM BY DAY—THURSDAY, OCTOBER 4, 2012

4D. Social Media for Hospice and Palliative Care
STEVENS CREEK
Vanessa Callison-Burch, BA, Executive Director, What
Matters Now, Cupertino, CA; Renee Berry, BS, CEO,
BeMoRe, Menlo Park, CA.
Twitter, Facebook, LinkedIn, blogs, personal patient
websites—how many of these online tools are actually valuable
to hospice organizations? Discover how new media
tools can benefit your patients, their families, your program,
the community and the hospice and palliative care movement
as a whole.
Learning Objectives: Describe how online tools can support
the well-being of hospice patients and families. Discuss
the integration of traditional and new media strategies to
engage the local community. Identify strategies to leverage a
national participatory audience.
5:00 P.M. – 7:00 P.M. Grand Opening,
Exhibits
GRAND BALLROOM
Enjoy appetizers and drinks with your old and new friends
on the first day of a great CHAPCA conference. This reception
is included in your conference registration.
Friday, October 5, 2012
8:00 A.M. – 5:30 P.M. Registration Open
LOBBY WEST
8:30 A.M. – 9:30 A.M. Keynote Address
SANTA CLARA BALLROOM
The Challenge and Opportunity for Hospice with
Accountable Care: Insights from an ACO Leader
Dr. Daniel Hoefer, Chief Medical Officer and Associate Medical
Director, Sharp HospiceCare, San Diego
The transition from fee-for-service
to a more “accountable” healthcare
system seems inevitable, especially
given the broad support for valuebased
reimbursement among payers.
The most widely embraced answer
so far has been the Accountable Care
Organization (ACO). We’ll hear first
hand from a leader who has firmly
integrated their palliative and end of
life care services into an ACO, and with the organization’s
strong support, has developed award winning services for
the community and their patients.
Dr. Daniel Hoefer is a Family Physician with over 23 years of
experience in healthcare. He has been an associate medical
director for Sharp HospiceCare for the past 11 years, and
has worked with Sharp Rees-Stealy for the past 20 years
including 17 years in utilization management. In this program,
he will provide his insights addressing the many questions
from hospice about where or if they fit within an ACO.
9:30 A.M. – 7:00 P.M. Exhibits Open
GRAND BALLROOM
9:30 A.M. – 10:30 A.M. Break with Exhibitors
GRAND BALLROOM
Come enjoy coffee with the vendors who serve hospice.
Sponsored by Enclara Health Pharmacy
Don’t Miss This Important Class
on Hospice Quality and QAPI
“Measuring Hospice Quality:
Don’t Fall Off Your Ladder”
By
Deb Leyva, RN, BSN, Quality Leader
Saturday 8:30—10:00am
PROGRAM BY DAY—FRIDAY, OCTOBER 5, 2012
15

10:30 A.M. – 11:30 A.M.
Master Speaker Sessions
Master speakers are noted experts in the hospice field who
have been invited to present at this year’s conference.
5A. Hospice at Risk: What Hospice Staff Need
to Know and Do
STEVENS CREEK
Holly Swiger, PhD, MPH, RN, Vice President, Regulatory
Initiatives, Weatherbee Associates
Does your documentation clearly
demonstrate your patient’s eligibility
for hospice? Are you clear on the
requirements and process you must
follow to support your claims for your
patients? The scrutiny in healthcare
is intensifying. Audits for hospice
continue to expand in number, type
and frequency. In our role as hospice
consultants, we are seeing a significant
rise in technical denials, some
of which have resulted in hospices going out of business.
Come and hear about the expanding audit environment and
learn the importance of sound technical and clinical eligibility
so that your agency is best prepared for any audit.
Co-Sponsored by Edgewood Partners Insurance Center—EPIC
5B. Goals First: Building a Better, More Patient
Centered Plan of Care
LAWRENCE
Michael Nisco, MD, MBA, DABHPM, Medical Director,
Saint Agnes Hospice and Palliative Care Services
Are your plans of care truly patient
centric? Come to this session to learn
how to have a better conversation
with patients and families about their
end of life wishes. You’ll leave the
session with a clearer understanding
of the role of DNR orders such
as POLST, and how your hospice
can better adapt to the expanding
hospice continuum of care. Bring a
difficult case example, and be prepared to participate in an
interactive program focused on better aligning hospice services
with patients’ treatment preferences.
Sponsored by AseraCare Hospice
5C. Hospice Journey-the Challenge of Caring
SAN TOMAS
Dale Larson, PhD, Professor of Counseling Psychology, Coordinator
Health Psychology Emphasis, Santa Clara University
As end-of-life care enters its “second
wave,” hospice and palliative care
services continue to expand, bringing
better quality of life to increasing
numbers of dying persons and
their families. Patients and families
are increasingly achieving the kinds
of outcomes they say matter most—
better symptom management, clearer
communication about the patient’s
condition, greater sensitivity to spiritual and cultural issues,
and control over the site of death. Despite this progress,
many challenges remain. We will explore some of these key
challenges, and strategies for meeting them, with special
attention to the challenge of caring: finding a way to maintain
our sense of compassion, and to grow personally and professionally,
while courageously assisting others to live with hope
in a world in which loss, and often trauma, are inescapable.
Co-Sponsored by Fairhaven Memorial Park
Helping families cherish life.
AseraCare Hospice provides
compassionate end-of-life care in:
• Concord
• Fresno
• Stockton
www.AseraCare.com
Equal opportunity provider of healthcare services.
AHS-09700-12
16 PROGRAM BY DAY—FRIDAY, OCTOBER 5, 2012

11:30 A.M. – 1:30 P.M. Visit the Exhibit Hall
GRAND BALLROOM
This time is set aside for you to enjoy lunch, available for
purchase, and to visit with this year’s exhibitors.
POSTER SESSIONS
GRAND BALLROOM
The following posters will be able for review in the back of
the exhibit hall. You’ll have an opportunity to chat with those
who prepared the poster during this time-slot. Posters will be
taken down after 1:30 P.M.
Scheduled posters include:
1-P. A Rectal Medication Administration
Device for Symptom Management
Bradford Macy, RN, BSN, CHPN, Clinical Registered Nurse III–
Hospice; Debi Clancy RN BSN, RN-Hospice, Kaiser
Permanente, Martinez, CA.
A quality study is presented evaluating a new intervention
for intermittent delivery of medications to hospice patients
when the oral route fails. Reports by hospice staff suggest a
rectal medication administration device (RMAD) is an effective
intervention, providing management of end-stage symptoms
while allowing for a peaceful, dignified death at home.
The results of this study, a description of the RMAD and the
physiology of the distal 1/3 of the rectum are presented.
Learning Objectives: Describe indications for the use of an
RMAD. Describe what is a Rectal Medication Administration
Device (RMAD). List the benefits of RMAD placement and
compare with the use of suppositories, gels or injections.
Discuss the results of the RMAD Quality Study and its implications
for improving the quality of the death experience for
patients and their caregivers.
2-P. Hospice Clinical Provider Job Descriptions:
Addressing 21st Century Needs
Suzanne Brunzie, BSN, BSRN, PHN, CHPN, Patient Care
Manager, Pathways Home Health and Hospice, South San
Francisco, CA; Jamie Bachman, MSW Supervisor, Pathways
Home Health and Hospice, Oakland, CA.
Clinical provider job descriptions (RN, RN case manager,
admit RN, preceptor RN, weekend RN, LVN, Continuous
Care LVN, MSW, spiritual care counselor, After Hours and
Weekend/Holiday Triage) may lag behind what hospice staff
is actually accomplishing in the field. Stakeholders within the
organization may identify goals that translate to behaviors by
clinical providers. This poster will demonstrate the process
for linking job descriptions to performance and to meeting
organizational needs.
Learning Objectives: Participants will understand the close
connection between meeting internal stakeholder needs and
coaching for behaviors in the field by clinical providers to
meet these organizational needs. Participants will be able to
understand the process that linked job descriptions to useful
performance evaluations.
3-P. Integrating CAM into Palliative Care and
Hospice
Jenny Sill-Holeman, MBA, Owner, Blue Rose Healing Arts,
Redwood City, CA.
Integrative Therapies, also known as CAM, prove to be
very effective in managing symptoms for hospice and palliative
care patients. The efficacy of many of these modalities is
increasingly evidence-based. Selecting modalities, locating
practitioners and marketing the program are keys to success.
Learning Objectives: Identify at least five symptoms for
which complementary modalities can be beneficial. Identify
at least three complementary modalities that are proven to
be effective for symptom management. Describe at least five
basic steps necessary for setting up an effective integrative
therapies program.
4-P. Use of Aromatherapy and Flower
Essences in Palliative Care
Maggie Smith, Certified Aromatherapist, Flower Essence
Practitioner, Owner, Flower Essence Energy, Felton, CA.
Aromatherapy is a profound healing modality that has
demonstrated its ability to reduce stressful symptoms of
pain, anxiety, agitation, depression, grief, nausea and
insomnia. Flower Essences gently rebalance emotional
states without contraindications for other medications or
treatment modalities.
Learning Objectives: Describe the benefits of using aromatherapy
in hospice and palliative care settings. Explain
the definition of an essential oil and a flower essence. Explain
the basic understanding of aromatherapy oils and their uses
in specific situations. Demonstrate practical application and
safety precautions.
5-P. The Ghosts of Grief
Nerice Kaufman, MA, M.Div, D.Min., Executive Director,
Hospice of the North Coast, Carlsbad, CA.
Our experience of family shapes our perspective on grief
and loss. When we identify the messages we received growing
up we can draw insight and strength for the journey that
is healing.
Learning Objectives: Discuss the current theories in grief
counseling and how they can relate to modern family systems
theory. Expand your interventions for working with people
who are high risk for complicated grief. Recognize barriers
that may inhibit your clients’ grief process. Acquire an understanding
of how to use this information in a clinical setting.
PROGRAM BY DAY—FRIDAY, OCTOBER 5, 2012
17

6-P. Pain? Yes. Substance Abuse? Yes.
What Next...
Brian W. Murphy, MD, MBA, Chief Medical Officer,
Nathan Adelson Hospice, Las Vegas, NV.
Patients in both hospice and palliative care can exhibit
the challenging combination of need for pain management
in the setting of known or suspected substance abuse. This
can create much angst for care giving staff and potential for
liability. A brief history of selected clinical cases and publicized
examples will help illustrate the problem. Recommendations
for clinical care and helpful resources will be
reviewed, including contracts, urine testing, pill counts, dispensing
practices and the like.
Learning Objectives: Enhance one's knowledge and confidence
in techniques used to provide pain management in
the setting of substance abuse. Improve one's knowledge
and understanding of the risks of inadequate pain management
for or improper dispensing of opioids to patients.
7-P. Methadone for Severe Pain Pros & Cons
Jim Joyner, Pharm.D., Director of Clinical Operations,
Outcome Resources, Rocklin, CA.
The role of methadone in the treatment of chronic severe
pain will be explored. A thorough and balanced review of the
advantages and potential risks of methadone use in hospice
patients will be presented. Methadone dosing and opioid
conversion methods will be discussed in detail. An effective
method for converting patients from other opioids to methadone
will be demonstrated.
Learning Objectives: List 3 risks or potential pitfalls associated
with the use of methadone for severe chronic pain.
Demonstrate ability to work through a series of case study
problems about converting from other opioids to methadone.
List at least 3 potential advantages of methadone over
other long-acting opioids in managing severe chronic pain.
9-P. Circles of Trust
Arlene Stepputat, M.A., Manager of Volunteers, Visiting
Nurse and Hospice Care, Santa Barbara, CA.
Based on the work of Parker Palmer in A Hidden Wholeness,
a circle of trust follows a unique set of touchstones that
allow each member of the group to be part of a safe container
for deep reflection and sharing. Often in the course of our
careers or aspects of our lives there is a separation between
soul and role. Using Circles of Trust, group members have a
way of being in community and yet able to hear one’s own
inner voice. Authentic revelations shared result in a connection
that unifies a group and reminds each member of what
is truly important to that person. Healing and the chance to
truly hear and be heard is a rare gift that is sorely needed in
our busy lives. Learn and experience it for yourself.
Learning Objectives: Participants will understand the
Touchstones for meetings and how they create group safety.
Participants will have an opportunity to experience firsthand
how a circle of trust works. Participants will learn ways to
apply this to volunteer programs.
8-P. Meaning-Centered and Values-Guided
Approach to Enhance the Patient Experience
Meghan A. Marty, Ph.D., Postdoctoral Fellow, Julia
Kasl-Godley, Ph.D., Staff Psychologist, Palo Alto Veterans
Affairs Health Care System, Palo Alto, CA; Kimberly
E. Hiroto, Ph.D., Staff Psychologist, Santa Rosa Veterans
Affairs Community Based Outpatient Clinic, Santa Rosa, CA.
People with advanced or life-limiting illness often experience
multiple forms of suffering. Sources of this emotional
distress often include questions about their purpose or
meaning in life and concerns for how they will be remembered.
Their illness experience can often affect their view of
themselves and their life. This presentation will address specific
therapeutic approaches and techniques to highlight the
patient’s sense of meaning and recognition that their sense
of self can continue in the presence of their illness.
Learning Objectives: Identify types of suffering commonly
experienced by persons at end-of-life. Describe three
approaches that can assist with different types of suffering
and determine the appropriate intervention to use depending
on the type of suffering. Practice specific techniques consistent
with these therapeutic approaches.
18 PROGRAM BY DAY—FRIDAY, OCTOBER 5, 2012

1:45 P.M. – 5:15 P.M. Workshops
6A. Case Studies in Symptom Management
STEVENS CREEK
James McGregor, MD, Medical Director, Dennis Cox,
LCSW, MSW, Bereavement Coordinator, Sutter Care at
Home, Roseville, CA; Krista Jones, RN, Sutter VNA &
Hospice, Sacramento, CA; Martin McDonough, PharmD,
DAAPM, GCP, CEO, Outcome Resources, Inc., Rocklin, CA.
Come to this session prepared to think, to dialog and
to learn. Using case studies, the panel and audience will
explore complex clinical issues in hospice care including
patient agitation (with and without dementia), cardiac care
management, dyspnea, pain management, patient assessment
and psychosocial distress.
1:45 P.M. – 3:15 P.M. Workshops
6B. How to Lose a Million Dollars: A Case
Study in Cost Containment
WINCHESTER
Denis Viscek, MBA, Chief Financial Officer, Michelle Martinez,
MBA, Controller, Michael Christman, BA, Assistant Controller,
Hospice By The Bay, Larkspur, CA.
Hospices face continued rate cuts, increased regulatory
controls, competition for fundraising and other threats to
their long-term financial viability. This session will examine
successful strategies to greatly reduce overhead and patient
related costs without sacrificing the delivery of quality care.
Learning Objectives: Articulate at least four reasons why
cost containment is more important than ever. Recall the
six steps to cost containment. Recount at least ten areas to
look for potential savings. Recount real life examples of how
implementing a cost containment approach has strengthened
other hospices.
6C. Disenfranchised Grief & LGBT Survivors:
Exploring Clinical Considerations
LAFAYETTE
Bryan McNutt, MA, GC-C, Director of Family & Support
Services, Silverado Hospice, San Diego, CA.
Recent clinical research, including the growing relevance of
minority stress theory, has identified the phenomenon of disenfranchised
grief as a contributing factor to the experience
of complicated mourning among social minority populations,
particularly sexual minorities within the lesbian, gay, bisexual
and transgender (LGBT) community. This session will explore
the psychosocial phenomenon of disenfranchised grief among
LGBT bereaved partners. Particular attention will be given to
the diagnostic relationship between disenfranchised grief and
complicated grief, as well as exploring effective approaches of
clinical application through bereavement counseling and grief
therapy. Clinical case studies will be utilized.
Learning Objectives: Participants will be able to identify
the psychosocial phenomenon of disenfranchised grief, particularly
as it may be experienced among LGBT bereaved
partners. Participants will be able to identify and describe
the diagnostic indicators of disenfranchised grief as it
relates to complicated forms of mourning. Participants will
demonstrate an understanding of effective clinical application
in working with disenfranchised grief among bereaved
LGBT partners through specific approaches of bereavement
counseling and grief therapy. Participants will demonstrate
an understanding of how to effectively address anticipatory
grief concerns among LGBT patients and their partners or
significant others.
6D. Improving Hospice Access and Outreach to
Chinese Americans
LAWRENCE
Sally Adelus,RN, President and Chief Executive Officer,
Monique Kuo, MD, Medical Director, Victoria Wild, BA, Director
of Volunteer Services, Jeanne Wun, Community Relations
Manager, Hospice of the Valley, San Jose, CA; Sandy Chen
Stokes, RN, MSN, Founder and Executive Director, Chinese
American Coalition for Compassionate Care, Cupertino, CA.
One of the guiding principles of hospice is to promote
inclusiveness by ensuring that all people have access to
hospice care. Systemic barriers still exist for underserved
populations. Utilizing an innovative program model to outreach
to Chinese Americans, the panel will define strategies,
collaborative partnerships, program tools and resources to
increase access to underserved Chinese Americans.
Learning Objectives: Identify the common barriers to
hospice and palliative care access for Chinese Americans.
Describe the history, mission and services of the Chinese
American Coalition for Compassionate Care. Describe the
innovative model, strategies, collaborative partnerships and
programs of the Chinese American Coalition for Compassionate
Care. Identify the strategies, tools and resources to
implement a program targeting underserved populations.
6E. Integrating Psychology and Spirituality for
Palliative Care Patients
SAN TOMAS
Penny V. Phillips, Master of Divinity, Hospice and Palliative
Care Chaplain, Palo Alto Veterans Hospital, Palo Alto, CA;
E. Alessandra Strada, PhD, FT, MCP, Assistant Professor of
Neurology, Albert Einstein Medical Center, Bronx, NY.
Spirituality and psychology represent two important
domains in the palliative care setting. However, they often
do not work closely thus missing the opportunity to integrate
assessments that can contribute to the plan of care. In
this interactive presentation, two experienced palliative care
team members will discuss how a palliative and hospice care
team can utilize the expertise of the psychologist and chaplain
in conjunction with the goals of care. If you do not have
a chaplain or psychologist on your team, practical options to
enhance the plan of care will be shared.
Learning Objectives: Determine two practical options for
including psychology and chaplaincy as part of your core
care team. Explain the benefits of including a psychological
initial assessment in addition to a spiritual assessment for
end of life patients. Name three ways that psychologists and
chaplains differ in their assessments of the end of life patient.
PROGRAM BY DAY—FRIDAY, OCTOBER 5, 2012 19

7C. Windows and Mirrors: Understanding the
Extraordinary Experiences of the Dying
WINCHESTER
Annette Childs, Ph.D., LCSW, Fellow in Thanatology,
Diplomat of the American Psychotherapy Association,
Director of Education, One Candle, LLC, Reno, NV.
We will explore many psycho-spiritual experiences common
to the liminal period between life and death. True case
examples will show the rich, symbolic, transcendent world
that unfolds at life's end. Topics include Nearing Death
Awareness, Death Bed Visions, symbolic language and other
psycho-spiritual experiences common among the dying.
Learning Objectives: Participants will be able to identify
common themes/behaviors that indicate the dying are experiencing
some of the phenomenon inherent to Nearing Death
Awareness (NDA). Participants will become familiar with the
metaphorical language the dying often use to communicate
as death becomes imminent. Participants will be able to
identify common themes in death bed visions and be familiar
with research data that provides a framework for understanding
how common these visions are.
3:15 P.M. – 3:45 P.M. Break with Exhibitors
GRAND BALLROOM
3:45 P.M. – 5:15 P.M. Workshops
7B. Effective Privacy Law Compliance in
Health Information Management
LAWRENCE
Diane M. Racicot, JD, Procopio, Cory, Hargreaves & Savitch,
LLP, San Diego, CA; Jean M. Piekarz, BS, RHIA, Executive
Director HIM & Compliance Officer, San Diego Hospice and
the Institute for Palliative Medicine, San Diego, CA.
Regulatory agency auditing and enforcement of health
care provider compliance with state and federal privacy laws
has increased in the last few years. Also, recent changes to
state and federal privacy laws and regulations (e.g. California
Medical Information Act, Health Information Portability
and Accountability Act of 1996 (HIPAA)) require hospice programs
to re-evaluate current operational practices related to
the use and disclosure of patient health information (PHI). As
covered entities, hospice programs often face unique privacy
compliance challenges including those involved in responses
to requests and legal demands for patient medical records.
Complex legal issues arise with unrepresented incapacitated
hospice patients and third party record requests by asserted
personal representatives of the deceased hospice patient.
Learning Objectives: Learn about state and federal privacy
and security laws (including proposed and recent changes)
impacting hospice program health information management
practices. Understand the hospice program's privacy and
security obligations from patient admission to the hospice
program and continuing thereafter. Review common privacy
and security scenarios encountered by hospice programs and
examine legally appropriate responses to those situations.
Learn how to verify and handle unrepresented, incapacitated
patient and personal representative issues (including health
care powers of attorney and advance directives).
7D. Peace of Mind—Including Animals in
Extended Family
LAFAYETTE
Kris Kington-Barker, Executive Director, Hospice of San Luis
Obispo County, San Luis Obispo, CA.
Family pets are often a lifeline, not only for those coping
with a life threatening illness, but also for other members of
the household. As families attempt to deal with illness, issues
related to an unknown future, major changes in finances and
trying to deal with the day to day, a pet that offers comfort
and companionship can become "one more thing to deal
with." Many hospice organizations find themselves dealing
with issues related to animal members of the family without
the existence of an organized approach or program. Including
animals in the extended family can benefit agencies,
clients and the community. We will discuss a step-by-step
process planning and implementation, the public relations
benefits of the program, costs and how to cover them.
Learning Objectives: Identify how including family pets
in hospice services benefits both patients and impacts the
organization. Discuss the psychosocial benefits of including
structured pet services. Describe a successful planning and
implementation process for establishing a program.
20 PROGRAM BY DAY—FRIDAY, OCTOBER 5, 2012

7E. Medical Use of Cannabinoids in
Palliative Care
SAN TOMAS
Neal E Slatkin, MD, Chief Medical Officer, Hospice of the-
Valley, San Jose, CA; Michelle Rhiner, RN, MSN, GNP-BC,
ACHPN, CCM, Palliative Care Practitioner, Loma Linda
University Medical Center, Loma Linda, CA.
Although the American public has repeatedly voted to
legalize the personal use of marijuana for medical purposes,
many healthcare professionals remain poorly informed about
the pharmacology of the cannabinoids, the medical evidence
surrounding their use in symptom management and
of the spectrum of side effects which may be associated with
this pharmacologic agent class. The purpose of this session
is to review the natural occurrence of the cannabinoids, the
classification of these compounds, the scientific evidence
supporting their use in the palliative care setting and their
potential side effects.
Although participants will not be expected to have prior
knowledge of the pharmacology or medical use of the cannabinoids,
those interested may wish to review the first
several chapters of the 1999 Institute of Medicine report on
Marijuana and Medicine: Reviewing the Scientific Base prior
to the session.
Learning Objectives: Be able to discuss some of the cannabinoids
found in the cannabis plant and their potential
pharmacologic effects. Be familiar with the scientific data
supporting the use of marijuana and the commercially available
cannabinoids in the palliative care setting. Be familiar
with current laboratory research on the anti-nociceptive
effects of cannabinoids and the future of this class of agents
as potential analgesic agents.
5:30 P.M. – 7:00 P.M. Awards Reception
GRAND BALLROOM
Come celebrate the winners of CHAPCA’s annual awards.
You’ll have an opportunity to enjoy wine and hors d’oeuvres
and to visit with exhibitors one last time for this year’s conference.
Martin McDonough, Outcome Resources, will again be
pouring his personal favorites from his extensive wine collection.
The Exhibit Hall closes for 2012 at 7:00 P.M.
Co-Sponsored by Outcome Resources
There is a Difference in
Hospice Pharmacy Providers.
One Company . . . Two Solutions
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Cost Savings + Operational Efficiencies =
a Smart Pharmacy Partnership, in a changing market.
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www.enclarahealth.com
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PROGRAM BY DAY—FRIDAY, OCTOBER 5, 2012
21

Saturday, October 6, 2012
8:00 A.M. – 2:00 P.M.
Registration Open
MEZZANINE EAST
8:30 A.M. – 11:45 A.M. Workshop
8A. Beyond Clichés: The Meaning of Self-Care
for Palliative Care Providers
SAN TOMAS
E. Alessandra Strada, PhD, FT, MCP, Assistant Professor of
Neurology, Albert Einstein Medical Center, Bronx, NY.
Palliative care providers face personal and professional
challenges in the course of their work; therefore, developing
an individualized plan to prevent and address distress is an
important skill. This interactive, case based presentation will
go beyond listing general self-care strategies. Using an integrative
model based on Jungian Archetypes and Chakras
Theory, it will allow participants to identify personal and
professional risk factors. Differentiating between preventive
and restorative self-care, it will describe in detail practical
ways to address each risk factor, developing an individualized
self-care plan. Participants will be able to immediately
apply the strategies to improve their professional and personal
well-being.
Learning Objectives: Identify personal risk factors. Recognize
institutional risk factors. Describe preventive and restorative
self-care. Develop individualized self-care plan.
8:30 A.M. – 10:00 A.M. Workshops
8B. Prognostication: You Don't Have to Guess
STEVENS CREEK
Mark Blum, MD, FAAHPM, Medical Director; Dawn Lambie,
RN, MSN, Senior Director Patient Care Services, Bristol
Hospice, Sacramento, CA.
Being asked by patients and families to provide an estimate
of how long they might survive usually causes great
anxiety for clinicians providing care to patients in hospice
or palliative care settings. This session will provide data and
tools to help alleviate this discomfort. Diagnostic categories
to be discussed include cancer, heart failure, COPD,
dementia, end-stage renal and liver disease, stroke and
CPR. We will offer a strategy to use these tools in the setting
of an interdisciplinary team which needs to certify/recertify
patients receiving the Medicare hospice benefit.
Learning Objectives: Know why it is important to provide
prognostic information. Explore typical error patterns in prognostication.
Be able to use disease-specific information in
assessing prognosis. Understand the usefulness of this data
in assessing eligibility for the Hospice Medicare benefit.
8C. Measuring Hospice Quality: Don’t Fall Off
Your Ladder!
LAWRENCE
Deborah Leyva, RN, BSN, Solutions Intelligence Consultant,
Suncoast Solutions, Clearwater, FL.
Understand quality measures for hospice agencies and
the tools used to collect and analyze patient data for physical,
psychosocial, emotional and spiritual patient and family
needs. Medical and clinical informatics quality trends
that can have a positive impact on clinical improvement and
agency compliance will also be discussed.
Learning Objectives: Making the complex simple: learn
the “language” of healthcare informatics. Understand how
Informatics can improve Hospice Quality Assurance and
Performance Improvement (QAPI) programs.Compare use of
technology and its impact on the “human element.”
8D. PTSD—Moral Injury and Spiritual Care At
End Of Life
WINCHESTER
Jennifer Fargo Lathrop, Master of Divinity, Chaplain Fellow
in Hospice and Palliative Care, Penny V. Phillips, Master of
Divinity, Staff Chaplain, Palo Alto VA Hospice Care Center,
Palo Alto, CA.
This interactive presentation will discuss PTSD and Moral
Injury in Veterans. Actual cases from the Palo Alto Veterans
Hospital who demonstrate PTSD or Moral Injury or both will
be presented and specific interventions for spiritual care at
end of life will be introduced to participants.
Learning Objectives: Name 3 symptoms of PTSD and 3
characteristics of moral injury. Describe two spiritual care
interventions for veterans who wish to speak of their combat
experience.
8E. Bringing in the Boomers—How to Recruit
Them as Volunteers
LAFAYETTE
Arlene Stepputat, MA, Manager of Volunteer Services,
Visiting Nurse and Hospice Care, Santa Barbara, CA.
With baby boomers retiring at a rate of 10,000 a day
beginning with January 1 of 2011, there are healthy, active,
individuals looking for the right way to use some of their new
found time. How do you make sure that your volunteer program
attracts and most importantly retains the boomers as
part of your team? Learn what makes baby boomers who
they are and why they are so different than “the greatest generation”
volunteers.
Learning Objectives: Participants will understand the
unique needs of baby boomers as volunteers. Participants
will identify one action step to implement in their program.
22 PROGRAM BY DAY—SATURDAY, OCTOBER 6, 2012

10:15 A.M. – 11:45 A.M. Workshops
9B. A Case Study of Judy: Schizophrenia and a
Terminal Diagnosis
STEVENS CREEK
Mary G. Madrigal, PhD, Clinical Psychologist, Phoenix Rising
Institute, Garden Grove, CA.
This session will present a case study of a woman with a
terminal lung cancer and a 40 year history of schizophrenia.
Humanistic and existential approach to working with people
with complex mental health conditions will be discussed.
Learning Objectives: Greater awareness about providing
end-of-life care for people with severe and persistent mental
health conditions. Greater understanding of humanistic and
existential approaches to working with special populations.
Greater knowledge in severe and persistent mental health
conditions.
9C. The Risk Areas—Assessing Internal
Readiness
WINCHESTER
Susan Balfour, RN, Partner, Hospice Fundamentals; Roseanne
Berry, MSN, RN, Partner, Hospice Fundamentals,
Raleigh-Durham, NC.
As the list of operational risk areas grows, how does a
hospice know if its internal processes and practices can
withstand increased scrutiny? This session provides information
on the key risk areas—what the regulations say and
the common vulnerabilities—and provides participants with
the right questions to ask as they conduct internal analysis.
Specific areas include election and certification, live discharges
and care planning.
Learning Objectives: Identify three high-risk areas for
hospices. Describe five common problem-prone practices.
Explain techniques to minimize risk. List three key monitors
that every hospice should have in place.
Sponsored by Home Healthcare Solutions
9D. Nimble Servant: Attentive Listening to
Music for Hospice Patients, Families, and
Those Who Care for Them
LAFAYETTE
Gayle Heuser, MA, Senior Chaplain, Silverado Hospice,
Orange County, Irvine, CA.
Music serves well during the sacred time of the hospice
journey; it communicates through metaphor, arouses imagination,
supports through unsupportable times of distress
and awakens an unfolding spectrum of wonder that words
cannot always capture—it may even palliate pain. This healing
gift is within everyone’s reach, including patients with
varying degrees of responsiveness and awareness.
Learning Objectives: Enhance capacity to listen to music
and identify personal imagery. Increase ability to identify
basic elements in music and the language of reflection.
Improve facility at being present in the “here and now.” Augment
lists of musical selections that are especially well suited
for reflective listening.
9E. An Exploration of Suffering and Forgiveness
LAWRENCE
G. Jay Westbrook, M.S., R.N., Clinical Director, Compassionate
Journey, Lake Balboa, CA.
Suffering is spoken of without clear definition, and is seen
through the eyes of the discipline discussing it. This session
will create working definitions of suffering & forgiveness,
identify the link between the two and provide specific tools
for approaching both. The role of Pema Chodron’s Tonglen
techniques, and reframing & forgiveness practices will be
offered as a means to transform suffering, and the powerful
Forgiveness Inventory Worksheet TM will be introduced.
Attendees will leave with a set of tools to help the dying have
a more tender and gentle passing, and with which to help
grieving families—and colleagues—recover.
Learning Objectives: Identify at least 5 distinct perspectives
on suffering. Integrate spiritual tools & approaches in
linking suffering with forgiveness to journey towards wholeness.
Master the use of the Forgiveness Inventory Worksheet.
PROGRAM BY DAY—SATURDAY, OCTOBER 6, 2012 23

11:45 A.M. – 1:45 P.M. Luncheon,
CHAPCA Annual Meeting and
Closing General Session
GRAND BALLROOM
The View from Washington:
Hospice and Palliative Care Trends
J. Donald Schumacher, PsyD, President and CEO,
National Hospice and Palliative Care Organization
As Health Care Reform continues to
unfold, Hospice and Palliative Care
providers are looking to confirm their
roles as THE most skilled and appropriate
providers of end of life care.
This presentation will begin with an
overview of the basic data that will
inform decisions that are being made
by providers, insurers, Accountable
Care Organizations and the American
public. The impact of the growth of the hospice and palliative
care industry on Medicare, MedPac and Congress will
be reviewed. Areas of caution for all provider groups will be
described and prioritized.
While health care continues to evolve, participants will be
encouraged to maintain their commitment to meeting the
regulations established by CMS. Opportunities for developing
programs that will encourage up stream palliative care
will be described.
Dr. Schumacher has more than 30 years experience in hospice
and palliative care administration. Since 2002, he has
served as the President and Chief Executive Officer of The
National Hospice and Palliative Care Organization (NHPCO),
which is the largest nonprofit membership organization representing
hospice and palliative care programs and professionals
in the world.
Dr. Schumacher is a licensed clinical psychologist in New
York and Massachusetts and holds a doctorate degree in
psychology from the Massachusetts School of Professional
Psychology, Boston, Massachusetts. In 2005, he received
the Distinguished Alumni Award from the State University of
New York at Buffalo, where he earned his M.S. degree in
counseling psychology.
VicHospice19thICPA_HalfPageADclr.pdf 1 05/09/12 3:11 PM
24
PROGRAM BY DAY—SATURDAY, OCTOBER 6, 2012

FACULTY LIST
Angela Akbarian, MSW, LCSW,
Social Worker, The Elizabeth Hospice,
Escondido, CA. Session 3C
Sally Adelus, RN, President and Chief
Executive Officer, Hospice of the Valley,
San Jose, CA. Session 6D
Jamie Bachman, MSW, Supervisor,
Pathways Home Health and Hospice,
Oakland, CA. Session 2P
Susan Balfour, RN, Partner, Hospice
Fundamentals, Raleigh-Durham, NC.
Session 1B, 9C
Vanessa Bengston, ADN, RN, CPHQ,
Executive Director, Hospice of the
Foothills, Grass Valley, CA. Session 3D
Renee Berry, BS, CEO, BeMoRe, Menlo
Park, CA. Session 4D
Roseanne Berry, MSN, RN, Partner/
Consultant, Hospice Fundamentals,
Raleigh-Durham, NC. Session 1B, 9C
LeeAnne Bielar, AD, RN, Nursing
Community Educator, Silverado Hospice,
San Diego, CA. Session 2D
Mark Blum, MD, FAAHPM, Medical
Director, Bristol Hospice, Sacramento,
Roseville, CA. Session 8B
Suzanne Brunzie, RN, BSRN, PHN,
CHPN, Patient Care Manager, Pathways
Home Health and Hospice, South San
Francisco, CA. Session 2P
Vanessa Callison-Burch, BA, Executive
Director, What Matters Now, Cupertino,
CA. Session 4D
Sandy Chen Stokes, RN, MSN,
Founder and Executive Director, Chinese
American Coalition for Compassionate
Care, Cupertino, CA. Session 6D
Annette Childs, PhD, LCSW, Director
of Education, One Candle, LLC, Reno, NV.
Session 7C
Michael Christman, Assistant Controller,
Hospice By The Bay, Larkspur, CA.
Session 6B
Debi Clancy, RN, BSN, RN- Hospice,
Kaiser Permanente, Martinez, CA.
Session 1P
Dennis Cox, LCSW, MSW, Bereavement
Coordinator, Sutter Care at Home,
Roseville, CA. Session 6A
Dee Crimmel, M.Div., MA, Chaplain,
The Elizabeth Hospice, Escondido, CA.
Session 3C
Jennifer Fargo Lathrop, MDiv,
Chaplain Fellow in Hospice and Palliative
Care, VA Hospice Care Center, Palo Alto,
CA. Session 8D
Veronica Giron-Stone, MSN, RN,
Regional Manager, The Elizabeth Hospice,
Escondido, CA. Session 3C
James Hallenbeck, MD, Director,
Palliative Care, VA Palo Alto HCS, Faculty,
Stanford Center for Compassion and
Altruism Research and Education, VA Palo
Alto HCS, Palo Alto, CA. Session 1A
Keela Ann Herr, PhD, RN, AGSF,
FAAN, Professor and Associate Dean for
Faculty, College of Nursing, University of
Iowa, Iowa City, IA. Session 1C
Gayle Heuser, MA, Senior Chaplain,
Silverado Hospice, Orange County, Irvine,
CA. Session 9D
Kimberly E. Hiroto, PhD, Staff
Psychologist, Santa Rosa Veterans Affairs
Community Based Outpatient Clinic,
Santa Rosa, CA. Session 8P
Daniel Hoefer, MD, Associate Medical Director,
Sharp HospiceCare, San Diego, CA.
Frederic Jackson, DO, Regional
Medical Director, The Elizabeth Hospice,
San Diego, CA. Session 3C
Krista Jones, RN, Sutter VNA & Hospice,
Sacramento, CA. Session 6A
Jim Joyner, PharmD, Director of Clinical
Operations, Outcome Resources, Rocklin,
CA. Session 7P
Julia Kasl-Godley, PhD, Staff
Psychologist, Palo Alto Veterans Affairs
Health Care System, Palo Alto, CA.
Session 8P
Nerice Kaufman, MA, MDiv, DMin,
Executive Director, Hospice of the North
Coast, Carlsbad, CA. Session 5P
Kris Kington-Barker, Executive Director,
Hospice of San Luis Obispo County, San
Luis Obispo, CA. Session 7D
Monique Kuo, MD, Medical Director,
Hospice of the Valley, San Jose, CA.
Session 6D
Dawn Lambie, RN, MSN, Senior Director
Patient Care Services, Bristol Hospice
Sacramento, Roseville, CA. Session 8B
Dale Larson, PhD, Professor of
Counseling Psychology, Coordinator,
Health Psychology Emphasis, Santa Clara
University, Santa Clara, CA. Session 5C
Elaine Lewis, Executive Director,
Developmental Services Continuum, Inc.,
San Diego, CA. Session 4C
Deborah Leyva, RN, BSN, Solutions
Intelligence Consultant, Suncoast
Solutions, Inc., Clearwater, FL. Session 8C
David Lopez, Consumer Advocate, Alta
California Regional Center, Sacramento,
CA. Session 4C
Bradford Macy, RN, BSN, CHPN,
Clinical Registered Nurse III –Hospice,
Kaiser Permanente, Martinez, CA.
Session 1P
Mary G. Madrigal, PhD, Clinical Psychologist,
Phoenix Rising Institute, Garden
Grove, CA. Session 9B
Michelle Martinez, MBA, Controller,
Hospice By The Bay, Larkspur, CA.
Session 6B
Meghan A. Marty, PhD, Postdoctoral
Fellow, Palo Alto Veterans Affairs Health
Care System, Palo Alto, CA. Session 8P
Martin McDonough, PharmD, DAAPM,
GCP, CEO, Outcome Resources, Inc.,
Rocklin, CA. Session 6A
James McGregor, MD, Medical Director,
Sutter Care at Home, Roseville, CA.
Session 6A
Bryan McNutt, MA, GC-C, Director
of Family & Support Services, Silverado
Hospice, San Diego, CA. Session 6C
Suzanne Mitchell, RN, CHPN; Team
Supervisor, The Elizabeth Hospice,
Escondido, CA. Session 3C
Brian W. Murphy, MD, MBA, Chief
Medical Officer, Nathan Adelson Hospice,
Las Vegas, NV. Session 6P
Michael Nisco, MD, MBA, DABHPM,
Medical Director, Saint Agnes Medical
Center Hospice & Palliative Care Services,
Fresno, CA. Session 5B
25

Penny V. Phillips, MDiv, Hospice and
Palliative Care Chaplain, Palo Alto Veterans
Hospital, Palo Alto, CA. Session 6E, 8D
Jean M. Piekarz, RHIA, Executive
Director HIM & Compliance Officer, San
Diego Hospice & The Institute for Palliative
Medicine, San Diego, CA. Session 7B
Diane M. Racicot, JD, Attorney,
Procopio, Cory, Hargreaves & Savitch,
LLP, San Diego, CA. Session 7B
Aimee Retzler, BS, Marketing/Outreach
Development Consultant, Hospice of the
Foothills, Grass Valley, CA. Session 3D
Michelle Rhiner, RN, MSN, GNP-BC,
ACHPN, CCM, Palliative Care Practitioner,
Loma Linda University Medical
Center, Loma Linda, CA. Session 7E
J. Donald Schumacher, PsyD, President
& CEO, National Hospice & Palliative Care
Organization (NHPCO), Alexadria, VA.
Jenny Sill-Holeman, MBA, Owner, Blue
Rose Healing Arts, Redwood City, CA.
Session 3P
Neal Slatkin, MD, Chief Medical Office,
Hospice of the Valley, San Jose, CA.
Session 7E
Maggie Smith, Certified Aromatherapist,
Flower Essence Practitioner, Owner,
Flower Essence Energy, Felton, CA.
Session 4P
Arlene Stepputat, MA, Manager of
Volunteer Services, Visiting Nurse and
Hospice Care, Santa Barbara, CA.
Session 9P, 8E
E. Alessandra Strada, PhD, FT, MCP,
Assistant Professor of Neurology, Albert
Einstein College of Medicine, Bronx, NY.
Session 6E, 8A
Holly Swiger, PhD, MPH, RN, Vice
President, Regulatory Initiatives, Weatherbee
Associates, Murrieta, CA. Session 5A
Denis Viscek, MBA, Chief Financial
Office, Hospice By The Bay, Larkspur, CA.
Session 6B
Leah Weiss, MSW, Director, Education
Stanford Center for Compassion & Altruism
Research and Education, Stanford
University, Palo Alto, CA. Session 1A
G. Jay Westbrook, MS,RN, Clinical
Director, Compassionate Journey, Lake
Balboa, CA. Session 9E
Victoria Wild, BA, Director of Volunteer
Services, Hospice of the Valley, San Jose,
CA. Session 6D
Jatana Williams, BS, Sr. Community
Educator, Silverado Hospice, San Diego,
CA. Session 2D
CONTINUING EDUCATION CREDITS
This activity is offered by the California Hospice Foundation,
an accredited provider. In order to receive continuing education
credits, the applicant must be registered for the conference AND
complete a conference evaluation form for each session attended.
Attendees may complete the evaluation forms for the sessions they
attended online. CEU certificates will be e-mailed no later than six
weeks after the conference is completed and forms are received.
Please note a separate fee of $15 is required for each individual
wishing to obtain CEU credits.
Physicians
Physicians attending this conference may report up to 14.5 hours
of Category 1 credits toward the California Medical Association’s
Certificate in Continuing Medical Education and the American Medical
Association’s Physician’s Recognition Award.
Registered Nurses
Provider approved by the California Board of Registered Nursing,
Provider #CEP 11389. RNs may report up to 14.5 hours of continuing
education credit for this conference.
Social Workers
California Hospice Foundation has been approved as a provider
of continuing education through the Board of Behavioral Science
Examiners, PCE 370. LCSWs, MSWs and MFTs may report up to
14.5 hours of continuing education credit for regular conference
sessions.
Licensed Vocational Nurses
The Board of Vocational Nurses and Psychiatric Technical Examiners
(BVNPTE) will accept courses offered by approved BRN providers
for LVN license renewals. LVNs may report up to 14.5 hours of
continuing education credit for regular conference sessions.
CNA/HHA
The Aide and Technician Certification Unit, Licensing and Certification
Program in the California Department of Health Services
(DHS) has established that BRN approved providers meet DHS’s
criteria to offer continuing educational courses to CNA’s. CNAs and
HHAs may report up to 14.5 hours of continuing education credit
for regular conference sessions.
CHAPLAINS
Application has been made with the Association of Professional
Chaplains for up to 14.5 hours of Continuing Chaplaincy Education
Units (CCEs) for regular conference sessions.
Jeanne Wun, Community Relations
Manager, Hospice of the Valley, San Jose,
CA. Session 6D
26

ENTRANCE
27

EXHIBITOR LIST
As of September 17, 2012
Accreditation Commission for Health Care
4700 Falls of Neuse Road, Suite 280
Raleigh, NC 27609
PH: 855-YES-ACHC
Email: hbrendle@achc.org
Web: www.achc.org
Booth Rep: Harrison Brendle, Marketing Associate
ACHC is a deeming authority for Medicare Certified Home
Health and Hospice Agencies. Our service specific accreditation
standards are patient-focused, provider-friendly and straightforward.
Visit www.achc.org.
BOOTH #: 111
American Medical Technologies
995 Windmill Drive
Dixon, CA 95620
PH: 707-372-1783
Email: ken.manzella@amtwoundcare.com
Web: www.amtwoundcare.com
Booth Rep: Ken Manzella, Regional Manager
AMT offers wound care supplies and education to long-term care
nursing facilities and hospices and helps treat serious wounds in
more than 14,000 patients per month.
BOOTH #: 402
AseraCare Hospice
1000 Fianna Way
Fort Smith, AR 72919
PH: 479-201-3819
Email: carol.freemer@aseracare.com
Web: www.aseracare.com
Booth Rep: Carol Freemer, Employment Manager
AseraCare provides home health and hospice care to patients that
improves their quality of life within the comfort of their own homes.
BOOTH #: 311
Barney & Barney
1999 Harrison Street, Suite 1230
Oakland, CA 94612
PH: 510-466-6049
Email: ryan.spink@barneyandbarney.com
Web: www.barneyandbarney.com
Booth Rep: Ryan Spink, Client Executive
Specializing in professional liability, workers’ compensation and
employee benefits for hospices. Our Risk & Loss Advisors and
exclusive programs can help lower your total cost of risk.
BOOTH #: 306
Beyond This Day
1520 South York Road
Gastonia, NC 28052
PH: 877-416-0157
Email: jbarnes@beyondthisday.com
Web: www.beyondthisday.com
Booth Rep: Jay Barnes, National Sales Manager
Beyond This Day is a memorial gift for families of patients who
have passed away. It leaves a lasting impression of your care and
concern.
BOOTH #: 215
Bonnie’s Comfort
4141 Swenson Street
Las Vegas, NV 89119
PH: 702-796-3170
Email: lbrowder@nah.org
Web: www.nah.org
Booth Rep: Karen Rubel, VP, Development
Products that contain essential oils designed by a licensed
aromatherapist for use in the hospice setting.
BOOTH #: 407
Broda Seating
560 Bingemans Center Drive
Kitchener, ON N2B 3X9 Canada
PH: 800-668-0637
Web: www.seatingisbelieving.com
Broda manufactures tilt and recline positioning chairs that offer
superior comfort and pressure redistribution.
BOOTH #: 304
California Hospice & Palliative Care Association
California Hospice Foundation
3841 North Freeway Boulevard, Suite 225
Sacramento, CA 95834
PH: 916-925-3770
Email: info@calhospice.org
Web: www.calhospice.org; www.cahospicefoundation.com
Booth Reps: Barbara Souza, Membership Manager
Information on the services provided by CHAPCA and CHF,
including newsletters, upcoming professional educational
programs, market report order forms, membership applications
and community education resources.
BOOTH #: 101/103
28

CareAnyware, Inc.
5001 Hospitality Court, Suite 100
Morrisville, NC 27560
PH: 919-678-0222
Email: rob@careanywhere.com
Web: www.careanyware.com
Booth Rep: Rob Harriman, Territory Manager
CareAnywhere is the pioneer in cloud-based solutions for home
care and hospice. Our technology helps you to be compliant,
enable growth and provide the best care.
BOOTH #: 300
CellTrak Technologies, Inc.
1051 Perimeter Drive, Suite 950
Schaumburg, IL 60173
PH: 847-240-0400
Email: klamont@celltrak.com
Web: www.celltrak.com
Booth Rep: Keri Lamont, Regional Sales Director
CellTrak is a leading provider of GPS integrated, mobile solutions
for the home health care markets. Simple and easy to use, field
staff have delivered millions of successful visits.
BOOTH #: 404
Delta Health Technologies, LLC
400 Lakemont Park Boulevard
Altoona, PA 16602
PH: 814-944-1651
Email: scott.knackstedt@dealtahealthtech.com
Web: www.deltahealthtech.com
Booth Rep: Scott Knackstedt, Account Executive
Delta Health Technologies is the specialist in home care, hospice
and private duty solutions. Our products allow providers to
focus on what they do best, providing the best possible care to
their patients.
BOOTH #: 406
Dignity Memorial Funeral Providers
1929 Allen Parkway
Houston, TX 77019
PH: 713-525-5517
Email: karen.carter@dignitymemorial.com
Web: www.dignitymemorial.com
Booth Rep: Karen Carter, Director, Community Relations
The Dignity Memorial Network of more than 1,800 funeral,
cremation and cemetery service providers is North America’s
most trusted source for funeral and memorialization services.
BOOTH #: 207
Elder Pages Online, LLC
215 Golden Ridge Avenue
Sebastopol, CA 95472-3521
PH: 707-477-0700
Email: tasha@elderpagesonline.com
Web: www.elderpagesonline.com
Booth Rep: Natasha (Tasha) Beauchamp, Owner
Make the most of the Internet with an e-newsletter, online video,
content marketing and a mobile Referral App. We make Internet
marketing easy.
BOOTH #: 305
Enclara
1480 Imperial Way
West Deptford, NJ 08066
PH: 888-ENCLARA
Email: knelson@enclarahealth.com
Web: www.enclarahealth.com
Booth Rep: Kristin Nelson, Director, New Business Development
BOOTH #: 310
Glatfelter Healthcare Practice
PO Box 2726
York, PA 17405
PH: 717-741-0911
Email: bwilliams@glatfelters.com
Web: www.glatfelterhealthcarepractice.com
Booth Rep: Bruce Williams, President
Property and liability insurance for hospices and home health care
agencies and senior living facilities.
BOOTH #: 403
HEALTHCAREfirst
5340 North Town Centre Drive
Ozark, MO 65721
PH: 800-841-6095
Email: meredith.vanderbilt@healthcarefirst.com
Web: www.healthcarefirst.com
Booth Rep: Meredith Vanderbilt, Account Executive
HEALTHCAREfirst provides industry-leading Web-based software
and services that ensure technology is not a barrier to patient
care, but a powerful tool.
BOOTH #: 308
Heffernan Insurance Brokers
1350 Carlback Avenue
Walnut Creek, CA 94596
PH: 925-295-2543
Email: melanic@heffins.com
Web: www.heffins.com
Booth Rep: Melani Conti, Broker
Heffernan Insurance Brokers is one of the largest independent
brokerage firms in the U.S. We specialize in home health and
hospice and provide comprehensive insurance and financial
services products to a wide range of businesses and individuals.
BOOTH #: 105
Home Care Assistance
14777 Los Gatos Boulevard, Suite 104
Los Gatos, CA 95032
PH: 408-356-0127
Email: jicban@homecareassistance.com
Web: www.homecareassistance.com
Booth Rep: Jayne Icban, Client Care Manager
Home Care Assistance promotes graceful aging by providing
seniors with quality care that enables them to live happier,
healthier lives at home.
BOOTH #: 209
EXHIBITOR LIST 29

Homecare Homebase
6688 North Central Expressway, Suite 1200
Dallas, TX 75206
PH: 214-239-6709
Email: jkast@hchb.com
Web: www.hchb.com
Booth Rep: Jennifer Kast, VP, Sales
Homecare Homebase offers a Web-based software that enables
real-time, wireless information exchange between office, field
and physicians; automates workflow; accurate, timely billing; and
management reporting tools.
BOOTH #: 301
Home Healthcare Solutions
11880 Lackland Road
Atlanta, GA 95843
PH: 916-757-4888
Email: gberger@hh-solutions.com
Web: www.hh-solutions.com
Booth Rep: Gary Berger, Regional Development Manager
Our innovative Mobile Supply Closet Program allows all hospice
agency staff members conducting visits to have the medical
supplies they need on hand, without having to ever go to the office.
BOOTH #: 401
Horizon Oxygen & Medical Equipment
1060 North Kramer Place
Anaheim, CA 92806
PH: 714-575-8901
Email: phuante@horizonoxygen.com
Web: www.horizonoxygen.com
Booth Rep: Paul Huante, President
Specializing in home medical equipment for hospice.
BOOTH #: 202
Hospice Fundamentals
119 Boldleaf Court
Cary, NC 27513
PH: 919-491-0699
Email: susan@hospicefundamentals.com
Web: www.hospicefundamentals.com
Booth Rep: Susan Balfour, RN, BA, Partner
Regulatory monitoring, expert analysis and support in unique and
affordable subscription packages. Our subscribers minimize risk
and improve quality of care – the perfect combination. Consulting
and education services also available.
BOOTH #: 408
Hospice Management Suite
224 South Main, Suite 205
Springville, UT 84663
PH: 888-264-3491 x155
Email: kcarney@q90.com
Web: www.hospicesoft.com
Booth Rep: Kyle Carney, Regional Marketing & Account Manager
The most user-friendly hospice software available. We streamline
your charting, billing and reporting, allowing you to spend more
time serving your patients and their families.
BOOTH #: 302
Hospice Pharmacia
1601 Cherry Street, Suite 1700
Philadelphia, PA 19102
PH: 877-882-7822
Email: wleung@excellerx.com
Web: www.hospicepharmacia.com
Booth Rep: Warren Leung, Client Relations Liaison
Hospice Pharmacia (HP), a division of excelleRx, is a whollyowned
subsidiary of Omnicare, Inc., one of the largest U.S.
providers of professional pharmacy-related consulting and
medication management services for institutional health care
providers. HP is a business unit within the Specialty Care Group
of Omnicare, Inc.
BOOTH #: 206
Hospice Pharmacy Solutions
7304 Belle Meade Drive
Colleyville, TX 76034-6357
PH: 972-742-3003
Email: kkirkpatrick@hospicepharmacysolutions.com
Web: www.hospicepharmacysolutions.com
Booth Rep: Kevin Kirkpatrick, Director, Sales and Marketing
Hospice Pharmacy Solutions is a privately owned, full service
PBM. Our hallmark is our transparent pass-through pricing.
BOOTH #: 115
Hospice Source
3635 San Gabriel Parkway
Pico Rivera, CA 90660
PH: 213-256-6084
Email: mwilliams@hospicesource.net
Web: www.hospicesource.net
Booth Rep: Michael Williams, Territory Manager
We are a hospice only DME company. We partner with hospice
agencies to provide comfort and compassionate care to those
in need.
BOOTH #: 205
HospiScript, a Catamaran Company
4525 Executive Park Drive, Suite 100
Montgomery, AL 36116
PH: 866-970-7500
Email: jheckman@hospiscript.com; fmartin@hospiscript.com
Web: www.hospiscript.com
Booth Reps: John Heckman, Manager, Business Development;
Frank Martin, Account Manager
HospiScript, a Catamaran Company, is a leading pharmacy benefit
management company working exclusively with hospices and
dedicated to improving patient care and reducing pharmacy costs.
BOOTH #: 307
iReferDR
4141 Swenson Street
Las Vegas, NV 89119
PH: 702-947-6938
Email: rorozco@ireferdr.com
Web: www.ireferdr.com
Booth Rep: Ruth Orozco, Project & Product Manager
Provider of secured and customizable mobile applications for
health care organizations. Specialized in patient referrals and
branding. Serving organizations throughout the United States.
BOOTH #: 405
30 EXHIBITOR LIST

Lockton Insurance Brokers
4275 Executive Square, Suite 600
La Jolla, CA 92037
PH: 858-587-3150
Email: lsommars@lockton.com
Web: www.lockton.com
Booth Rep: Lee Sommars, Senior Vice President
Insurance and risk management services.
BOOTH #: 409
MasterCare Services
143 Triunfo Canyon Road, Suite 224
Westlake Village, CA 91361
PH: 805-496-4033
Email: reedbrown@itotsolutions.com
Booth Rep: Reed Brown, IT Vice President
Hospice administrative and billing software. HIPPA compliant,
JCAHO approved.
BOOTH #: 410
McKesson Home Care Division
32820 Keel Drive
Lake Elsinore, CA 92530
PH: 951-816-7598
Email: leslie.larson@mckesson.com
Booth Rep: Leslie Larson, Home Care Specialist, Western Region
McKesson Homecare Division partners with HHA’s and
Hospice providers offering cost savings solutions and supply
management. We reduce cost, streamline process and enhance
quality care.
BOOTH #: 200
MedCure, Inc.
18111 NE Sandy Boulevard
Portland, OR 97230
PH: 866-560-2525
Email: colleen.shannon@medcure.org
Web: www.medcure.org
Booth Rep: Colleen Shannon, Education Director
MedCure, a non-transplant tissue bank covers all costs for
families and returns cremains in a heart shaped urn in 4-6 weeks.
Donations benefit medical education and research.
BOOTH #: 309
Neptune Society of No CA
1353 East 8th Street
Chico, CA 95928
PH: 530-345-7200
Email: mmundt@stei.com; ilong@stei.com
Web: www.neptune-society.com
Booth Rep: Margaret Mundt; Ironda Long, Funeral Director/
Manager
Cremation and memorial services.
BOOTH #: 100
Odyssey Hospice, A Gentiva Company
7077 Orangewood Avenue, Suite 201
Garden Grove, CA 92841
PH: 714-934-8070
Email: wendy.araiza@gentiva.com
Web: www.gentiva.com
Booth Rep: Wendy Araiza, Recruitment Manager, West Region
Hospice health care.
BOOTH #: 411
Outcome Resources
2210 Plaza Drive, Suite 300
Rocklin, CA 95765
PH: 866-877-2053
Email: aspence@outcomeresources.com
Web: www.outcomeresources.com
Booth Rep: Autumn Spence, National Director,
Business Development
We help hospices succeed by reducing pharmacy costs and
providing customized plan designs, 24/7 pharmacist and account
support, personalized education programs, and detailed reporting.
BOOTH #: 201
Professional Healthcare at Home Hospice
395 Taylor Boulevard, Suite 118
Pleasant Hill, CA 94523
PH: 925-771-8295
Email: maria.chang-calderon@kindred.com
Web: www.professionalhc.com
Booth Rep: Maria Chang-Calderon, National Recruitment
Director
Professional Healthcare at Home Hospice is committed to hiring
top talent to service our communities.
BOOTH #: 211
Science Care
21410 North 19th Avenue, Suite 126
Phoenix, AZ 85027
PH: 310-490-8180
Email: sade.obanwo@sciencecare.com
Web: www.sciencecare.com
Booth Rep: Sade Obanwo, Community Relations Specialist
Science Care is a leading whole body donation program for
medical research and education. Our no-cost, accredited
program is available nationwide. Visit www.sciencecare.com.
BOOTH #: 107
Seniors at Home
2150 Post Street
San Francisco, CA 94115
PH: 415-449-3777
Email: carolynj@jfcs.org
Web: www.seniorsathome.org
Booth Rep: Carolyn Jasculca, Community Outreach Coordinator
Comprehensive continuum of services to help seniors live more
independently—including award-winning home care, care
management, palliative care, money management, and more.
BOOTH #: 109
Summit Business Group, LLC
PO Box 130
Penfield, NY 14526
PH: 800-689-6747
Email: lhumphrey@sbg-llc.com
Web: www.sbg-llc.com
Booth Rep: Laura Humphrey, Administrator
Summit Business Group, more than a decade of hospice
leadership, providing Hospice Compliance Network, Hospice
House Network, Hospice Market Atlas and Hospice Consulting.
BOOTH #: 214
EXHIBITOR LIST 31

StateServ
2130 East University Drive
Tempe, AZ 85281
PH: 877-633-7250
Email: info@stateserv.com
Web: www.stateserv.com
Booth Rep: Andy Spencer, Regional Development Associate
StateServ provides DME management services for hospices
across the United States.
BOOTH #: 102
Suncoast Solutions
19337 US Highway 19 North, Suite 450
Clearwater, FL 33764
PH: 727-599-2500
Email: tmower@sncoast.com
Web: www.sncoast.com
Booth Rep: Tracy Mower, Director, Business Development
Suncoast Solutions offers innovative Hospice and Palliative
care software. Capabilities include intuitive point-of-care
documentation, QAPI measurement, business intelligence,
scheduling, inpatient and bereavement management.
BOOTH #: 303
Sutter Care at Home
1900 Powell Street, Suite 300
Emeryville, CA 94608
PH: 916-614-1442
Email: darnelt@sutterhealth.org
Web: www.suttercareathome.org
Booth Rep: Tara Darnell, Recruitment Manager
Sutter Care at Home was founded in 1906, and is committed to
compassion and excellence in home care, hospice and home
medical equipment. Visit www.SutterCareAtHome.org.
BOOTH #: 210
Victoria Hospice Society
Richmond Pavilion, 1952 Bay Street
Victoria, BC V8R 1J8 Canada
PH: 250-370-8952
Email: brenda.pengelly@viha.ca
Web: www.victoriahospice.org
Booth Rep: Brenda Pengelly, Manager, Education Services
Victoria Hospice, creator of the Palliative Performance Scale (PPS)
and hospice/palliative care publications, delivers week-long, CME
accredited courses in Victoria and Greater Vancouver, BC.
BOOTH #: 400
VITAS Innovative Hospice Care®
1343 Grand Avenue, Suite 100
Covina, CA 91724
PH: 626-974-2027
Email: terry.mort@vitas.com
Web: www.vitas.com
Booth Rep: Terry Mort, Regional Recruitment Manager
VITAS Innovative Hospice Care®, the nation’s leading hospice
provider, delivers comprehensive care for patients facing life-limiting
illness. Services include Intensive Comfort Care(SM), after-hours
Telecare to speak with clinicians, specialized offerings for veterans,
educational in-services, grief/loss programs and more. For more
information, please visit us at VITAS.com or call 800.93.VITAS.
BOOTH #: 104
The Leader in Hospice
Information Technology
32 EXHIBITOR LIST
Stop By Booth #303
Enter to Win A Gift Card
Weatherbee Resources / Hospice Education
Network (HEN)
259 North Street
Hyannis, MA 02601
PH: 508-778-0008
Email: hswiger@weatherbeeresources.com
Web: www.weatherbeeresources.com
Booth Rep: Holly Swiger, PhD
Weatherbee Resources provides hospice-specific products and
consulting services related to regulatory compliance. The Hospice
Education Network (HEN) is a leading provider of online education.
BOOTH #: 208
Zen Hospice Project
273 Page Street
San Francisco, CA 94102-5616
PH: 415-913-7682
Email: diane@zenhospice.org
Web: www.zenhospice.org
Booth Rep: Diane Mailey, Director, Strategy & Development
Zen Hospice Project brings mindfulness and compassion to those
facing advanced illness, their loved ones and their caregivers
through direct care, education and inspirational support.
BOOTH #: 203

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33

34
NOTES

Sutter VNA & Hospice is now
Sutter Care at Home, offering you
the most comprehensive range of
home care services available.
Home Care • Home Infusion Therapy
Hospice • Private & Geriatric Care
Flu & Wellness Programs • Lifeline
Home Medical Equipment & Respiratory Care
Not For Profit, Locally Based
Providing service throughout 21 counties in Northern California
• Alameda
• Amador
• Contra Costa
• El Dorado
• Lake
• Marin
• Napa
• Nevada
• Placer
• Sacramento
• San Francisco
• San Joaquin
• San Mateo
• Santa Clara
• Santa Cruz
• Solano
• Sonoma
• Stanislaus
• Sutter
• Yolo
• Yuba
800.698.1273 • www.SutterCareAtHome.org
www.facebook.com/SutterCareAH
35