Hospice Educational Sessions

Data-driven hospice performance management: QAPI beyond the CoPs

The proposed hospice Conditions of Participation (CoPs) require a hospice to develop, implement, and maintain an effective, on-going agency wide data-driven quality assessment and performance improvement (QAPI) program. Hospices must prepare now to meet these requirements before the new CoPs are released in 2007. This full day workshop will provide details on how to do it. Part I will focus on Quality Assessment and Part II will cover Performance Improvement. The presenter will include detailed case studies and time for interactive group discussion - a valuable component for this highly important subject matter, given the evolving nature of the regulations, measurement standards, and agency practices. This is a full day's worth of education - needed by most hospices.

Part I - 8:30 am - 11:15 am

Quality Assessment

• Defining hospice quality (frameworks)
• Selecting appropriate measures
• Organization-wide assessment
• Operations
• Outcomes
• Satisfaction
• Integrated summary
• Patient-level assessment
• Comprehensive assessment
• Ongoing care-planning
• Determining target performance levels
• Internal trend analysis
• Benchmarks
• Data management systems, processes, and organization

11:30 am - 12:30 pm - Lunch on Your Own

Part II - 12:45 pm - 2:45 pm

Performance Improvement

• Managing the organization against gaps in the quality assessment
• Benchmarking to drive performance improvement
• Appropriate benchmarks
• The process of high-level assessment and drilling down to details
• Peer networking to identify best practices
• - Selecting appropriate performance improvement projects (PIPs)
• Patient care
• Clinical
• Non-clinical
• Conducting PIPs
• Organizational involvement in PIPs

Course Level: Intermediate

Build An In-Patient Facility or Hospice & Palliative Care Residence? Two Successful Perspectives

Two hospice & palliative care agencies will share how they built their respective sites and successfully operate in their communities. The pros and cons of new construction vs remodeling will be reviewed. The new in-patient facility will discuss their process from architectural design, to ever-changing costs of materials and construction, site limitations, certification/accreditation hoops and Life and Safety Code requirements. The established hospice residence will share their construction issues, why they chose a residence rather than an inpatient facility and steps taken to ensure financial viability. Presenters will give an account of how to find the middle ground on disagreements through compromise and negotiation to make their dreams a reality.

Objectives:

• Describe the unknown obstacles involved in building a facility in relation to the local, state, and certification/accreditation regulations, Life and Safety Codes and changes in the original plan.
• Discuss the pros and cons of new construction vs remodeling.
• Describe strategies for ongoing financial viability.

Faculty: Raymond Clark, RN, BSN, MA, Vice President, Universal Health Services, Fort Worth, TX; Kathy Walls, RN, BSN, CHPN, CEO/President, Universal Health Services, Fort Worth, TX; Merry Beth Rucker, Chief Executive Officer, Visiting Nurse Association of Middlesex-East, VN Hospice, Wakefield, MA.

What's New in Hospice Medical Review?

Expansion in the provision of hospice services has resulted in increased medical review of hospice claims. Attendees will learn from a Fiscal Intermediary Medical Director what types of claims are drawing attention and how to properly document to ensure payment. The Medical Director and a Hospice Provider will discuss specific case examples to clarify billing for appropriate levels of care. This interactive workshop will include lecture, case study, discussion and questions and answers.

Learning Objectives: Attendees will be able to:

• Identify types of hospice claims attracting medical review.
• Discuss effective documentation of care provided.
• Describe examples of appropriate level of care billing.

Faculty: James Cope, MD, Medical Director, United Government Services, Milwaukee, WI; Timothy Boon, RN, BS, CRNH, Vice President for Hospice and Palliative Care, Connecticut VNS, Wallingford, CT.

Course Level: Intermediate

Access to Care: Hospice Program Strategy for Earlier Referrals

Two hospice programs will share how they have successfully broadened their admission criteria to accept palliative care patients not quite ready for hospice. Attendees will learn how to begin from one very established program and one that has newly initiated such a service this year. Marketing and reimbursement strategies will be shared. This workshop offers attendees the opportunity to learn from a very established palliative care program and the techniques of one just showing positive results.

Objectives: Attendees will be able to:

• Discuss palliative services provided prior to hospice admission.
• Identify reimbursement sources for palliative care.
• Discuss the effects of broadened admission criteria on earlier hospice admissions.

Faculty: Mary Sheehan, Chief Operating Officer, Midwest Palliative and Hospice Care Center, Glenview, IL; Lisa Butler, Director of Hospice, Providence SoundHomeCare and Hospice, Olympia, WA.

Course Level: Intermediate

BEING FASHIONABLE: Recruiting and Retaining 30-50 Something Volunteers

Baby Boomer demographics challenge volunteer leaders to design programs that will attract and maintain the 30-50 something volunteer. Every level of your hospice organization can be energized by the presence of committed and enthusiastic young adults. Join these dynamic presenters to learn successful ways to bring enthusiasm to your volunteer corps.

Objectives:

• Discuss components of innovative programs that will attract volunteers, ages 30-50 years old.
• Identify 3 new recruitment sources.
• Describe innovative, effective training and retention techniques.

Faculty: Gail Rink, MSW, Executive Director, Hospice of Santa Barbara, Inc.-a volunteer hospice organization; Cindy Skovgard, Executive Director, Pathways Volunteer Hospice, Long Beach. Sponsored by the Volunteer Hospice Network.

Course Level: Beginner-Intermediate

Telehealth & Technology, Quality & Outcomes, Hospice

Point of Care Technology: The Key to Outcome Improvement

Agencies are feeling pressure to invest in systems that can help them achieve their organizational goals but need options that are affordable and cost-effective. Fortunately, point of care systems are becoming more sophisticated in terms of functionality that create an environment for improved outcomes with integrated disease management programs, care planning and reporting. Systems today can provide greater accountability and inter-disciplinary communications that ensure the team is working together to improve care as the presenters will show.

Objectives:

• Discuss the advantages and disadvantages of current hardware and wireless technology choices for use by the clinical field staff.
• Formulate a strategy for evaluating their agency's point of care needs, determining if their system meets those needs and what options are available now.
• Design, implement and measure a clinical outcomes improvement plan by more effectively utilizing point of care systems available today.

Faculty: Robin Finkelstein, Marketing Director, Homecare Homebase, Dallas , TX; Susan Freeman, RN and IT Director, Director of Information Technology, Alacare Home Health and Hospice, Birmingham, AL; April Anthony, CPA, Chief Executive Officer, Advanced Homecare Management Inc, Dallas, TX;

Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending);

Hospice, Financial

Be Proactive in Containing Drug Costs: Preferred Drug Lists and Capitation Fees

In light of rising pharmacy drug costs, a program was developed to allow close management of drug costs and keep drug costs in check. Hospice, pharmacy, and the medical director developed a comprehensive list of drug categories used by the presenter's hospice patients. Average patient drug costs were calculated based on current charges. Patient drug capitation rates were developed after comparing the existing drug rates to the rates based on using the new preferred drug list. A benchmark dollar figure was calculated to cover all of the patient drug expenses. Cost sharing was put in place so that both pharmacy and hospice would cost share the gains and/or the losses if the benchmark was not met. Collaborative efforts between hospice staff and pharmacy resulted in improved patient care and drug cost containment.

Objectives:

• Develop a tool for preparing a preferred drug list for hospice patients.
• Explain how pharmacies can interact with hospice providers to apply a preferred drug list to their hospice setting.

Faculty: Karen Truesdell, Pharmacist, Fellow American Consultant Pharmacists, Manager, Pharmacy, Genesis First Med Pharmacy, Davenport, IA;

Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA);

Legal, Regulatory & Risk Management, Hospice

Hiring Practices: Safely Navigating the Immigration Laws

Workforce shortages in health care have lead to increased use of foreign staff. Nurses from the Philippines, Ireland, and other far off locations have been a significant resource to the home care community. Personal care service providers may be tempted to hire low cost caregivers. This program provides the essential knowledge to safely navigate the complex rules when hiring immigrants.

Objectives:

• Identify federal laws applicable to hiring immigrant workers.
• Explain standards to follow when hiring a foreign worker with a proper visa.
• Discuss the consequences of hiring an illegal immigrant .

Faculty: TBD ;

Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA);

Hospice, Clinical & Disease Management

Beyond Opioids: Adjuvant Drug Therapy

Approximately one in five adults or 48 million Americans suffer from chronic pain and over 30 million Americans suffer from chronic, non-malignant pain. Untreated pain can cause detrimental effects on a patient's social and spiritual well-being. Pain is a subjective experience and it is whatever the patient says it is. Choosing a pain management regimen should include adjuvant therapy whenever possible if it can maximize total pain relief. Adjuvants can be used to manage neuropathic, bone and visceral pain syndromes. By the end of the course, each participant should be able to recognize the effects of untreated pain and ineffective pain management; describe how pain is classified, and recommend appropriate adjuvant therapies based on the suspected pain etiology, type of pain and various patient specific factors.

Objectives:

• Discuss the effects of untreated pain and ineffective pain management.
• Describe how pain is classified.
• Recommend appropriate adjuvant therapy.

Faculty: Rebecca Lewis, PharmD MBA, VP, New Business Development, Excellerx, Philadelphia, PA; Nippa Doshi, RPh, PharmD (c), Assistant Director, New Business Development, Hospice Pharmacia, Philadelphia, PA;

Course Level: Advanced; 1.8 nursing CEs (MNA Approval Pending);

Emergency & Pandemic Preparedness, Financial, Management & Human Resources, Hospice

Business Resiliency: The Key to Surviving a Disaster

This seminar will focus on effective business continuity and resiliency planning skills. Agencies need to be prepared for any and all types of disasters. This means having the ability to resume business as usual, as quickly as possible. Statistics show that 80 percent of businesses that are not up and running within one to two weeks after a disaster will most likely go out of business. Topics to be discussed in this session are communications, notification systems, financial reserves, insurance, and much more.

Objectives:

• Identify the key variables in business resiliency.
• Develop an agency specific recovery plan.
• Discuss management's role in business resiliency.

Faculty: Barbara Citarella, RN, BSN, MS, CHCE, CHS-III, President, RBC Limited, Staatsburg, NY; Patricia W. Tulloch, RN, MSN, Senior Consultant, RBC Limited, Staatsburg, NY;

Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA);

Marketing & Business Development, Hospice

How to Win Accounts from Your Competitors without Saying Anything Bad about Them

Mediocre service benefits no one! Learn how to get the competition fired! Participants will discover how to win new business by getting your prospects to see they are being underserved without saying anything bad about the competition. Learn the selling strategies of how to drive a wedge between your customer and your competitor.

Objectives:

• Identify how to drive a wedge between your prospect and inferior providers.
• Identify the research you need to find your competitive advantage.
• Discuss the six steps of the Wedge Sales Call and the five money-making activities of sales people.

Faculty: Judy Wilson, RN, BSN, Vice President Business Development, Restorative Health Care, San Antonio, TX; Greg Mazick, RN, BSN, Director of Pediatric Services, Restorative Healthcare, San Antonio, TX;

Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending);

Hospice

LifeWorks: A Planetree Palliative Care Model for a Rural Outpatient Population

Palliation of mind/body/spirit distress and discomfort is often helpful when patients continue seeking curative therapies including surgery, chemotherapy, and radiation therapy. An interdisciplinary team is used to respond to patient needs, provide pain management, facilitate end-of-life care planning, and maximize quality of life/patient vitality. The team also works to prepare the patient, his or her family, and physician for the transition to hospice in keeping with patient readiness, eligibility, end of life care planning, and physician orders. Availability of private/public funding partnerships will also be shared.

Objectives:

• Describe the LifeWorks Palliative Care Program Model.
• Discuss integrative medicine approaches to pain and symptom management.
• Discuss patient outcomes and highlight plans for the future.

Faculty: Joyce Stone, RN BSN, RN Case Manger, MidColumbia Medical Center, The Dalles, OR; Susan Shipman, RN, M.Div, Director of Spiritual Care, MidColumbia Medical Center, The Dalles, OR; Kathleen Martin, MSW, LCSW, Social Worker, MidColumbia Medical Center, The Dalles, OR;

Course Level: Novice; 1.8 nursing CEs (MNA Approval Pending);

Hospice

Bereavement Care in Hospice

In order to understand the complexities of bereavement, concepts and theories of grief and loss will be explored, focusing on Kubler-Ross and Worden's theories. Hospice professionals and volunteers who support patients, families, and survivors will be educated on the normal expressions of grief, the different styles of grieving, disenfranchised grief, and grief in the workplace (particularly the hospice setting). The hospice bereavement program will be discussed, including a comprehensive bereaved risk assessment upon which the plan of care is based, and methods of supporting survivors, both in hospice and in the community.

Objectives:

• Define two concepts of grief and loss.
• Identify three manifestations of grief.
• Identify three aspects of a hospice bereavement program.

Faculty: Susan Blakeslee, MA, LMHC, Clinical Associate, UHSA, Inc., Atlanta, GA; Melanie Gossard, RNC, Director of Nursing, UHC, Inc., Bellefontaine, OH;

Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending);

Quality & Outcomes, Financial, Clinical & Disease Management, Hospice

Outcome Management: Achieving Financial and Clinical Accountability

In this fast paced workshop, participants will learn why Outcome Management is an ideal management system for home care, hospice, private pay, and other health sectors, how it works and why it has such a positive effect on staff morale and retention. More importantly, attendees will learn first hand how one home care agency leader opted to move from traditional management to the highly accountable Outcome Management System and the impact it had on her agency's operation and outcomes.

Objectives:

• Discuss the major challenges and limitations to traditional management systems.
• Identify the fundamental components of an Outcome Management type of management system.
• Describe implementation of a new management system and the impact on quality and financial outcomes.

Faculty: Robert Fazzi, BA, M. Ed. and Ed.D., President/CEO, Fazzi Associates, Northampton, MA; Carla Braveman, RN, MEd and CHCE, President and CEO, VNA and Hospice Care of Cooley Dickinson, Northampton, MA;

Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA);

Legal, Regulatory & Risk Management, Hospice

Staying Alive: Avoiding Risks of Fraud & Abuse

Home Care and Hospice present unique opportunities to improve the lives of the elderly and disabled. They also are opportunities for unethical and illegal conduct designed to secure great wealth. In between are the complex myriad of rules and regulations requiring constant attention to achieve compliance. This program focuses on today's risk areas for fraud and abuse in Medicare, Medicaid, and other government funded programs with real life experiences and helpful recommendations on how to stay alive through an open-eyed approach to compliance.

Objectives:

• Identify federal and state laws addressing fraudulent or abusive conduct in health care.
• Recognize current home care and hospice activities that are subject to oversight and prosecution.
• Explain actions that aid in the prevention of unintentional non-compliant conduct.

Faculty: William A. Dombi, Esq., Director, Center for Health Care Law, National Association for Home Care & Hospice, Washington, DC; Denise Bonn, JD, Deputy Director, Center for Health Care Law, National Association for Home Care & Hospice, Washington, DC;

Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA);

Quality & Outcomes, Clinical & Disease Management, Leadership, Hospice

The Service Call: A Radical Approach to Admission Delays

This session focuses on one of the most difficult challenges for agencies today: How to deal with increasing demand and the capacity limits imposed by a nursing shortage. One of the more innovative approaches is to ease the burden of the admission for the nurse by using non-nurse talent to get the admission process going. The service rep model is also very helpful in the hospital setting, when liaisons are finding less time for marketing because of heavy referral volume. This program looks at a different response that can help the referral source while facilitating the admission process.

Objectives:

• Create training tools to help the rep identify key patient and caregiver needs.
• Assess value of admissions nurses and develop training program for them.
• Utilize the service rep in hospital settings and for discharged home care patients.

Faculty: Polly Rehnwall, BA, MA, Senior Consultant, Polly Rehnwall Inc., Salt Lake City , UT;

Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending);

Emergency & Pandemic Preparedness, Clinical & Disease Management, Management & Human Resources, Hospice

Emergency Preparedness for Home Care and Hospice

This presentation will describe the critical elements of emergency preparedness for home care agencies as identified by New Jersey's Home Care Association through a state-funded Emergency Preparedness Grant Project. Particular attention to special needs population plans were addressed in year two of the grant project and will be shared in the presentation. Lessons learned will also be shared to understand the necessary role that home care must hold in every state to ensure the needs of the community's vulnerable patients are met.

Objectives:

• Identify home care and hospice's responsibilities in emergency preparedness planning, including special needs.
• Explain home care's role in planning for special needs populations.
• Illustrate appropriate documentation for emergency situations.

Faculty: Josephine Sienkiewicz, RN, MSN, Director of Education and Clinical Practice, Home Care Association of NJ, Princeton Junction, NJ; Carol Kientz, RN, MA, Executive Director, Home Care Association of NJ, Princeton Junction, NJ;

Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA);

Telehealth & Technology, Hospice

Implementing Technology to Improve Patient Care in Hospice

This session will detail the successful transition from a paper-based management system to an electronic technology solution. Saint John's installed a home care software package that improved patient quality of care while enhancing organizational and financial performance. Increasing access to critical patient data, this system allows home care and hospice workers to capture and integrate data in real-time. The presenter will outline needed components of a balanced program, and provide an outline for ensuring that technology enhancements equal better patient care.

Objectives:

• Identify the challenges hospices face transitioning from a paper-based management system to an electronic solution.
• Describe how hospices automated their management systems to improve operations and overall patient care under a case study.
• Illustrate how hospice patient care is positively affected after installing an electronic home care system.

Faculty: Kim Jule, M.H.A., Executive Director, St. John's Hospice of Indiana, Anderson, IN;

Course Level: Advanced; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA);

Leadership, Hospice

Embracing the Future, Leaving the Past

This workshop will address the human responses that occur during change in the business environment. It analyzes the effects of system changes, mergers, acquisitions and changes in ownership on employees. Using the tasks of grief as a model, it proposes a process that management can facilitate to help the change proceed smoothly. It discusses the type of staff reactions and behavior as well as activities that will address staff issues. A case study is presented as an example of how one agency director facilitated change in clinical operations when clinical management was replaced.

Objectives:

• Identify the stages and process employees go through during change.
• Describe the tasks of grief.
• Discuss strategies and activities for facilitating change.

Faculty: Kate Colburn, MA, President, Strategic Options, Kings Park, NY; Denise Palsgaard, BSN, President, California Home Care and Hospice, Merced, CA;

Course Level: Advanced; 1.8 nursing CEs (MNA Approval Pending);

Hospice, Legal, Regulatory & Risk Management

Strategic Electronic Methods to Meet Hospice Conditions of Participation

The Proposed Conditions of Participation (CoPs) for hospices were announced by the Centers for Medicare & Medicaid Services in 2005. The Hospice CoPs ensure that hospice patients receive high quality of care during the dying process. The goal of this presentation is to help the hospice community understand what the new CoPs include and how an electronic medical record can help agencies meet the CoPs.

Objectives:

• Describe an overview of the proposed CoPs and how it will affect agencies.
• Discuss how an electronic system can help hospices meet the CoP's.
• Identify methods for implementing an electronic system in the hospice setting.

Faculty: Sarah D'Orvilliers, Senior Solutions Designer, Cerner BeyondNow, Overland Park, KS; Catherine J. Boyne, President, Hospice of Baltimore, Baltimore, MD;

Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending);

Hospice

BEING FASHIONABLE: Recruiting and Retaining the 30-50 Something Volunteers

Baby Boomer demographics challenge volunteer leaders to design programs that will attract and maintain the 30-50 something volunteer. Every level of your hospice organization can be energized by the presence of committed and enthusiastic young adults. Join these dynamic presenters to learn successful ways to bring enthusiasm to your volunteer corps.

Objectives:

• Discuss components of innovative programs that will attract volunteers, ages 30-50 years old.
• Identify 3 new recruitment sources.
• Describe innovative, effective training and retention techniques.

Faculty: Gail Rink, MSW, Executive Director, Hospice of Santa Barbara, Inc.-a volunteer hospice organization, Santa Barbara, CA; Cindy Skovgard, Executive Director, Pathways Volunteer Hospice, Long Beach, CA;

Course Level: Novice; 1.8 nursing CEs (MNA Approval Pending);

Quality & Outcomes, Hospice

CMS Quality Improvement Update

The Centers for Medicare and Medicaid Services is focusing ever-increasing attention and resources on improving the quality of care delivered by Medicare home health and hospice providers. During this session representatives from the Centers for Medicare & Medicaid Services will provide the latest available information about CMS quality initiatives. The presentation will focus on, but will not be limited to: a P4P update; up-to-the-minute results from the QIO 8th SoW including resultant collaboratives and initiatives; and current special projects such as the "Hospice Quality Improvement," "Transitions of Care," "Home Health STAR," and "Care Management Across the Continuum." A look into plans for future work on home health quality, including stakeholder partnerships, will also be presented.

Objectives:

• Identify CMS plans for implementing P4P in home health.
• Describe the QIO 8th Scope of Work.
• Discuss the CMS Hospice Quality Improvement initiative.

Faculty: Debbra Hattery, Deputy Director, Quality Measurement and Health Assessment Group, CMS, Baltimore, MD; LT. David Dietz, Government Task Leader, Home Health Quality Improvement, Quality Improvement Group, CMS, Baltimore, MD; Cynthia Pamon, Home Health/Nursing Home Quality Improvement Specialist, Quality Improvement Group, CMS, Baltimore, MD;

Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending);

Marketing & Business Development, Hospice

How to Sell and Market Hospice Services

Sales and marketing tactics proven to drive more hospice referrals & get them earlier. This is a fast paced session packed with practical methods used nationally by successful hospices. Differentiating the hospice by distilling a clear story that can be used in the community will cement referral relationships. Crafting a message that will resonate in the community is important to successful marketing program development. Tracking and calculating results is the next step in the process, including calculating return on investment (ROI). Attendees will build a plan to implement upon return to their hospice.

Objectives:

• Distinguish between sales and marketing; and define the importance of each.
• Identify the nuances of building the sales team and arm them with top notch collateral materials.
• Describe successful ways to work with skilled nursing facilities to build strong referral relationships.

Faculty: Michael Ferris, Home Care Marketing Solutions, Chapel Hill, NC; Elizabeth Brennen, MSBA, Business Development, Treasure Coast Hospices, Jupiter, FL;

Course Level: Novice; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA);

Leadership, Telehealth & Technology, Management & Human Resources, Hospice

Don't Pull Your Hair Out: Implementing Technology and Process Change

Successful introduction of new technology in the operation of a home care organization is dependent upon three key factors. The organization must apply the principles of change management, address the organizational culture change required by the technology initiatives, and plan an implementation that addresses both the technology and the process changes throughout the organization. In this presentation, home care leaders intending to implement major change initiatives, particularly those involving information technologies, will learn basic change management principles, and key elements of the model used by the presenter to successfully apply these principles.

Objectives:

• Identify change management principles that impact technology application in a home care setting.
• Describe and discuss the activities that are essential to preparing an agency's culture for large-scale technology implementation.
• Provide a case study and discuss the project management approach that resulted in a successful technology implementation.

Faculty: Linda Scott, MSHA, RN, BSN, General Manager, Professional Healthcare Resources, Inc., Annandale, VA; Kate Jones, MSN, Principal, Health Care and Human Resources, MSC Consulting, Inc., Laurel, MD; Wanda Strickland, BSN, CHPN, HCS-D, COS-C, Director of Performance Improvement Program Development, Professional Healthcare Resources, Inc., Annandale, VA;

Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA);

Financial, Legal, Regulatory & Risk Management, Hospice

Fraud Detection, Deterrence, and Prevention: Are You Really Doing Enough?

Post-Sarbanes/Oxley, most financial executives are keenly aware of the risks of fraud. But are they doing enough to actually prevent it? Learn how to mitigate the likelihood of fraud in your organization to prevent loss of shareholder value, reduce reputation risks, and personal liability.

Objectives:

• Discuss fraud control strategies that mirror the COSO framework and create a culture of fraud awareness.
• Identify fraud risk assessments that encompass activities at the entity and process levels.
• Describe methods for mitigating fraud risk, including tools and processes for monitoring and responding to potential occurrences of fraud, and effective use of internal audit.

Faculty: Jeffrey G Blumengold, FHFMA, CPA, Partner and Leader, Health Care Forensic & Dispute Services, Deloitte Financial Advisory Services, LLP, New York, NY; Bruce J. Gavioli, Jr., Partner, Deloitte Financial Advisory Services LLP, New York, NY; Stephen G. Curry, Jr., Partner, Deloitte & Touche LLP, New York, NY;

Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA);

Hospice, Legal, Regulatory & Risk Management

Enhance Hospice Care While Preparing for the New COPs

With the new Hospice Conditions of Participation (COPs), America's hospices now confront a need for better information about all phases of their operations, including costs, service utilization, clinical aspects of care and outcomes. Evaluating the outcomes of the domains of self-determination, comfort, safety, and effective grieving is simplified using systematic methods of information collection and retrieval. Participants will gain insight into information required by the new COPs, how to collect the information and how to use it to enhance patient care.

Objectives:

• Discuss the continuous, integrated health care process that a patient/family experiences across all aspects of hospice care.
• Incorporate outcome-oriented quality assessment and performance improvement.
• Facilitate flexibility in how the hospice meets performance expectations.

Faculty: Teresa Craig, CPA, CEO, Suncoast Solutions, Largo, FL; Betty Oldanie, RN, Vice President of Planning, The Hospice of the Florida Suncoast, Clearwater, FL;

Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA);

Legal, Regulatory & Risk Management, Management & Human Resources, Hospice

Employment Law Update 2006: Understanding Unions, Employment Discrimination, and Federal Wage and Hour Laws

Health care is viewed as one of the most fertile areas for unionization. It also is an area that requires ongoing attention to the various federal laws that impact on hiring, firing, and compensation. This program explores the forces that drive unionization and the laws that regulate collective bargaining-the rights and responsibilities of employees and management. In addition, the workshop will cover developments in federal employment law under the Fair Labor Standards Act, the Age Discrimination in Employment Act, the Family Medical Leave Act, the Americans with Disabilities Act, and Title VII of the Civil Rights Act. Essential information for all employers is offered.

Objectives:

• Identify recent developments in employment discrimination law.
• Recognize home care-specific concerns in employee compensation under the Fair Labor Standards Act.
• Identify basic rights and responsibilities of management and labor with respect to unionization under the National Labor Relations Act.

Faculty: Joseph Maddaloni, Esq., MPA, Partner, Porzio, Bromberg & Newman, PC, Morristown, NJ; John Buck, Executive Director, Visiting Homemaker Service of Hudson County, Jersey City, NJ;

Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA);

Hospice, Leadership, Quality & Outcomes

Innovative Methods for Patient Comfort and Caregiver Satisfaction

This workshop will focus on skills and techniques for implementing integrative therapies within the confines of the routine home care or hospice visit; improved outcomes for patient pain and symptom management when patients are unable to tolerate or more traditional methods fail to be effective; And improved outcomes of caregiver satisfaction in managing patient symptoms using a combination of traditional methods of pain and symptom management along with CAM methods. Workshop participants will be guided through hands-on experiential exercises to determine how they may broaden the scope of their practice to include these valuable tools in daily practice.

Objectives:

• Identify five integrative therapies appropriate for your setting.
• Cite three reasons why integrative therapies are an effective method to use with traditional pain and symptom management strategies.
• Identify clinical applications of at least three integrative therapies that can be implemented within 10 - 15 minutes during a routine home visit.

Faculty: Esther Johnson, RN, BSN, PHN, Hospice Nurse Case Manager, Integrative Therapies , Pathways Home Health, Hospice & Private Duty, Sunnyvale, CA;

Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending);

Management & Human Resources, Hospice

Know the Research When Addressing Home Healthcare Nurse Job Satisfaction and Retention

Experts predict an increased demand for home care services in the future and a concomitant increase in the demand for nurses to provide those services. Little has been previously examined about the variables that affect nurse job satisfaction and intent to stay in home care. The purpose of this federally-funded study was to measure job satisfaction of home healthcare nurses and to identify the variables of the job and individual nurse characteristics that affect intent to stay.

Objectives:

• Describe what the evidence shows about the factors that account for variability in nurse job satisfaction.
• Outline what the evidence shows about strategies to influence nurse intent to stay and job retention.
• Discuss implications for management practices and policy strategies to enhance nurse retention.

Faculty: Carol Hall Ellenbecker, RN, PhD, Associate Professor, University of Massachusetts Boston, Boston, MA; Linda W. Samia, RN, PhDc, Project Director, University of Massachusetts Boston, Boston, MA; Margaret J. Cushman, RN, MSN, MS, FHHC, FAAN, Research Assistant, University of Massachusetts Boston, Boston, MA;

Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending);

Emergency & Pandemic Preparedness, Legal, Regulatory & Risk Management, Hospice

Maintaining the Lifeline: An Employer's Legal Guide to Worker Protections and Exposure

Risks of exposure to biological agents and other harmful substances must be guarded against at all times; the threat could increase substantially when caregivers are part of disaster recovery or pandemic treatment efforts. This workshop will provide clear guidance on a home care and hospice organization's obligations and options for maintaining optimum health and safety for these important workers.

Objectives:

• Define an employer's obligations relative to worker protections in the home and other care settings.
• Outline potential employer educational efforts to limit harmful exposure of workers.
• Identify various items of equipment that must/should/could be made available to increase worker protections against harmful agents.

Faculty: William A. Dombi, Esq., Director, Center for Health Care Law, National Association for Home Care & Hospice, Washington, DC;

Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA);

Hospice

Hospice QA/PI: A Business-Savvy Approach to Quality

Section 418.58 of the proposed Hospice Conditions of Participation (CoPs) would require a hospice to develop, implement, and maintain an effective, ongoing hospice-wide data-driven quality assessment and performance improvement (QA/PI) program. The new CoPs will not require a specific QA/PI program; rather, a hospice will be required to document quality improvement projects conducted and the measurable progress achieved. The QA/PI program must reflect the complexity of a hospice's organization and services performed by staff and personnel who are under contract or arrangement, focus on indicators related to improved outcomes, and demonstrate improvement in hospice performance.

Objectives:

• Identify the new QA/PI requirements under the revised hospice CoPs.
• Discuss how the revisions differ from the current requirements.
• Identify different options for meeting the new requirements.

Faculty: Martha Tecca, MBA, President, Perforum-The OCS Performance Institute(a division of Outcome Concept Systems), Lyme, NH;

Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA);

Hospice, Financial

Creative and Innovative Approaches to Hospice Operations and Finances

This session will assist hospice organizations' senior management teams in developing the tools necessary to operate cost effectively while still providing quality care. It will cover such issues as shorter lengths of stay, staffing shortages, cost of medical supplies, pharmaceuticals and DME, per diem reimbursement, internal cost and breakeven analysis and the need for fund raising. The program will address how hospices need to address increasing competition; measure market share, and open access.

Objectives:

• Cite the key financial performance indicators necessary to operate both a quality and financially viable hospice program.
• Describe key clinical performance indicators to operate a quality hospice program efficiently.
• Develop a process by which to analyze their competition and market share and the need to develop a marketing plan.

Faculty: Robert Simione, BS, Principal, Simione Consultants LLC, Hamden, CT; Carla Braveman, BSN, RN, MEd, CHCE, Executive Director, VNA & Hospice of Cooley Dickinson, Northampton, MA;

Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA);

Legal, Regulatory & Risk Management, Clinical & Disease Management, Hospice

Blueprint for Successful Compliance Planning: Legal and Clinical Aspects

Successful compliance planning must include an analysis of the applicable state and federal laws relating to today's health care industry. This presentation will address fraud and abuse, anti-kickback, and Stark laws. In addition, developing a compliance plan that invokes the protections awarded under the attorney-client privilege will be discussed. Finally, strategies will be analyzed on how to minimize risk once a problem is detected.

Objectives:

• Describe three components of an effective compliance plan relative to home care practice.
• Discuss three federal statutes that govern fraud and abuse in the health care industry.
• State three methods of monitoring and auditing to ensure effective compliance with fraud and abuse regulations.

Faculty: Katherine Karker-Jennings, Esq., Attorney at Law, Katherine Karker-Jennings, PA, Clarksville, MD; Glenda Burke, RN BS, Chief Financial Officer, Alternatives, A Consulting and Education Service, Panama City, FL;

Course Level: Advanced; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA);

Marketing & Business Development, Hospice

Develop the Future of your Agency: Ten Business Lessons I Learned from my Sons

There is no better teacher in business than personal life experience. This program will identify 10 lessons learned from a family that can be applied to developing the future of a hospice or home care agency or any other business setting. These are not only practical guides for new and experienced leaders but also humorous experiences taught in a creative way.

Objectives:

• Identify five communication errors people make.
• Identify 10 business lessons learned in a family setting.
• Describe ways to use 10 business lessons to help you develop and recruit leaders of the future.

Faculty: Marcylle Combs, RN, BS, CHCE, President, Foundation Management Services, Inc., Denton, TX; Brenda Beggs, RN, CHCE, Vice President Clinical Operations, Foundation Management Services, Inc., Denton, TX;

Course Level: Novice; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA);

Telehealth & Technology, Leadership, Hospice

Push to Paperless: A 5 Year Project

This program will discuss the five year implementation process of an electronic medical record in a freestanding, non profit, home care and hospice. This will include the administrative, clinical, and business office operations of a paperless model and the impact on efficiencies, performance improvement, and pay for performance. The content will include the selection of the system, implementation and training of the staff, and deployment of technologies including point of service, intake, electronic verification and authorization for services, physician web portal, scheduling, supply management on line, telephony, telemedicine, general ledger, Medicare, Medicaid and private insurance billing, electronic remittance advice, HIPAA auditing, and payroll.

Objectives:

• Identify process for developing a strategic plan to automate home care processes.
• Identify the role of electronic health records in performance improvement.
• Express the business advantages of a paperless model.

Faculty: Carol Conrad, RN, BSN, MEd, Manager of Quality Improvement, Neighborhood Health Agencies, West Chester, PA; Andrea Devoti, MSN, MBA, RN, Vice President/Chief Operating Officer, Neighborhood Health Agencies, West Chester, PA; David Berman, CPA, Principal, Simione Consultants, LLC, Hamden , CT;

Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA);

Physician, Hospice

On Physician Communication: Diagnosis and Compassion

This session will present the importance of empathy, compassion, and communication in dealing with life-threatening illness. The presenter will discuss these issues from a personal account of a seriously ill family member.

Objectives:

• Discuss the importance of empathy, compassion, and communication as it pertains to a life-threatening illness.
• Discuss the current literature regarding compassion and empathy.
• Participate in a case report and provide personal experiences.

Faculty: Paul Rousseau, MD, Palliative Care Physician, Carl T. Hayden VA Medical Center, Glendale, AZ;

Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending);

Hospice

Whats New in Hospice Medical Review?

Expansion in the provision of hospice services has resulted in increased medical review of hospice claims. Attendees will learn from a Fiscal Intermediary Medical Director what types of claims are drawing attention and how to properly document to ensure payment. The Medical Director and a Hospice Provider will discuss specific case examples to clarify billing for appropriate levels of care. This interactive workshop will include lecture, case study, discussion and questions and answers.

Objectives:

• Identify types of hospice claims attracting medical review.
• Discuss effective documentation of care provided.
• Describe examples of appropriate level of care billing.

Faculty: Dr. James Cope, MD, Medical Director, United Government Services, Milwaukee, WI; Timothy Boon, RN, BS, CRNH, Vice President for Hospice and Palliative Care, Connecticut VNA, Wallingford, CT;

Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA);

Hospice, Financial

Build an In-Patient Facility or Hospice & Palliative Care Residence: Two Successful Perspectives

Two hospice & palliative care agencies will share how they built their respective sites and successfully operate in their communities. The pros and cons of new construction vs. remodeling will be reviewed. The new in-patient facility will discuss their process from architectural design, to ever-changing costs of materials and construction, site limitations, certification/accreditation hoops and Life and Safety Code requirements. The established hospice residence will share their construction issues, why they chose a residence rather than an inpatient facility and steps taken to ensure financial viability. Presenters will give an account of how to find the middle ground on disagreements through compromise and negotiation to make their dreams a reality.

Objectives:

• Describe the unknown obstacles involved in building a facility in relation and changes in the original plan.
• Discuss the pros and cons of new construction vs. remodeling.
• Describe strategies for ongoing financial viability.

Faculty: Raymond Clark, RN, BSN, MA, Vice President, Universal Health Services, Fort Worth, TX; Kathy Walls, RN, BSN, CHPN, CEO/President, Universal Health Services, Fort Worth, TX; Merry Beth Rucker, Chief Executive Officer, Visiting Nurse Association of Middlesex-East & VN Hospice, Wakefield, MA;

Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA);

Hospice, Physician, Pediatric Home Care

Kids Grieve Too

Children grieve differently. Despite the fact that many adults believe that children are "too young to notice" or are "too young to grieve," children are quite aware when someone they love dies. Additionally, the way they grieve and their understanding of death vary depending on ages. The way children grieve, their understanding, their needs, and their behaviors will be discussed along with theories of grief pertaining to children. Ways of supporting grieving children will be explored as well as a variety of programs to assist children in their grief.

Objectives:

• Discuss one way that children grieve differently than adults.
• Identify two age-specific needs of grieving children.
• Name two programs appropriate for grieving children.

Faculty: Susan Blakeslee, MA, LMHC, Clinical Associate, UHSA, Inc., Atlanta, GA; Melanie Gossard, RNC, Director of Nursing, UHC, Inc., Bellefontaine, OH;

Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending);

Legal, Regulatory & Risk Management, Clinical & Disease Management, Hospice

Meeting the Cultural and Linguistic Needs of a Diverse Patient Population

According to the Institute of Medicine (Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care, 2002), cultural and linguistic minority populations do not achieve the same health outcomes as the majority population. This is a major ethical concern, that raises legal, regulatory, risk management, and business issues for all health care organizations, including home health care agencies. This presentation will describe the relationship of CLAS Standards and LEP requirements to quality care and good outcomes, will present strategies that participants can use to meet these standards and requirements at their agencies, and will discuss the relationship of CLAS Standards and LEP requirements to JCAHO standards.

Objectives:

• Describe the relationship of the CLAS Standards and LEP requirements to quality care and good outcomes.
• Incorporate strategies for meeting CLAS Standards and LEP requirements at his/her agency.
• Discuss the relationship of CLAS Standards and LEP requirements to JCAHO standards.

Faculty: Mary Narayan, MSSN, RN, CS, CTN , Education Consultant , Visiting Nurse Service Network , Vienna , VA;

Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending);

Hospice

Access to Care: Hospice Program Strategy for Earlier Referrals

The issue of access to hospice care concerns all of us as many programs struggle with the clinical and financial implications associated with the short length of stay. Two hospice programs will share how they have successfully broadened their admission criteria to improve hospice care and provide palliative care. Attendees will learn strategies from an established hospice and palliative care program as well as a hospice program with newly developed approaches to access.

Objectives:

• Identify specific ways to broaden hospice admission criteria.
• Discuss the organization and patient care implications of earlier hospice admissions.
• Identify components of a palliative care program as a strategy to improve access to care.

Faculty: Mary Sheehan, Chief Operating Officer, Midwest Palliative and Hospice Care Center, Glenview, IL; Lisa Butler, Director of Hospice, Providence SoundHomeCare and Hospice, Olympia, WA;

Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending);

Emergency & Pandemic Preparedness, Financial, Hospice

How to Cope with a Disaster and Recovery - Learning From Experience

If you think a disaster will never happen to you or your organization, why do you buy insurance? Learn from the successes and mistakes of someone who has recently experienced a near catastrophe.

Objectives:

• Describe the possibility of an internal disaster and the impact and initial response to a sudden catastrophe.
• Describe clinical issues arising as a result of disaster; areas affected, and one agency's problems and responses.
• Describe the necessary aspects of financial and administrative preparedness for an agency disaster.

Faculty: Robert Carpenter, MBA, CPA, MCSE, CHCE, President and CEO, The VNA of Texas, Dallas, TX;

Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA);

Leadership, Emergency & Pandemic Preparedness, Hospice

Leadership in Times of Change

Changes often completely turn an agency upside down. These changes include things like the death of a co-worker, a change in ownership, or even having the agency closed. One of the ways to examine the concept of change and its impact is to look at the common skill sets of leaders who led their organizations through major challenges. In this program we will examine leaders' personal traits and skills and assess whether these can be taught.

Objectives:

• Discuss participant's personal processing and coping style.
• Assess employee communication styles to present messages that are truly understood.
• Identify and develop leaders who have the skills to manage in times of change.

Faculty: Mary Argo, BA, MPA, Administrator, Universal Home Health and Hospice Care Inc., Bellefontaine, OH; Kathy Christiansen, Executive Director, Patient Care, Oak Park, IL;

Course Level: Advanced; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA);

Quality & Outcomes, Hospice

Joint Commission Update

This session will begin with the identification of significant Joint Commission on Accreditation of Healthcare Organizations' standards, accreditation participation requirements, and National Patient Safety Goal changes. Attendees will receive current accreditation and standards information directly from the Joint Commission. Presenters will also identify significant areas of non-compliance with the standards and tips to help organizations meet those standards.

Objectives:

• Identify significant Joint Commission standards, accreditation participation requirements and National Patient Safety Goal changes.
• Discuss experience with the first year of unannounced surveys.
• Discuss future expectations regarding accreditation.

Faculty: Maryanne Popovich, RN, MPH, Executive Director, Home Care Accreditation Service, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL; Bob Floro, RRT, BA, Associate Director, Home Care Accreditation Service, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL;

Course Level: Advanced; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA);

Financial, Hospice

Financial Managers Open Forum

Back by popular demand after a one-year hiatus, the Financial Managers Open Forum is a no-holds barred discussion of the crucial issues facing home care and hospice financial managers. The Home Care and Hospice Financial Managers Association (HHFMA) hosts this session where the attendees are active participants along with HHFMA Advisory Board and Workgroup members. It is the perfect opportunity for attendees to share their insights, gain the advice of the nation's best consultants, and find out how their colleagues in home care and hospice are addressing concerns. Plan on being there and plan on standing up to participate.

Objectives:

• Identify the most pressing issues facing home care and hospice financial managers.
• Explain how peers and colleagues are addressing their concerns.
• Recognize where the leaders in home care and hospice financial management see the industry moving.

Faculty: Moderator: William A. Dombi, Esq., Director, Center for Health Care Law, National Association for Home Care & Hospice, Washington, DC;

Course Level: Not Applicable;

Hospice, Legal, Regulatory & Risk Management

The New Medicare Appeals Process & Strategies for Success

The presentation will address the significant highlights of the new Medicare regulations impacting the appeals process for Medicare hospice providers. The presentation will also address successful past appeal strategies and how these and other approaches can be utilized under the new appeals process.

Objectives:

• Describe the new Medicare appeals process.
• Identify successful appeal strategies for third party payer audits to be used under the new process.
• Discusscompliance strategies to avoid third party payer audits.

Faculty: Andrew Wachler, Esq., Principal, Wachler & Associates, P.C., Royal Oak, MI; Marilyn Brady, RN, Director of Clinical Support Services, Hospice of Michigan, Detroit, MI;

Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA);

Hospice, Legal, Regulatory & Risk Management

Medicare Hospice Benefit Conditions of Participation: Whats New?

The Hospice Conditions of Participation (CoPs) have not been rewritten since the beginning of the Medicare Hospice Benefit in 1983. The proposed CoP were printed in the Federal Register at the end of May with comments accepted by the end of July 2005. The final CoPs are not likely to be released until the fall of 2007 and must publish by May 27, 2008. It is important for all hospices to prepare their operations to meet what are likely to be the new regulatory requirements. To help hospices understand the proposed changes, the National Association for Home Care & Hospice (NAHC) has asked the Centers for Medicare & Medicaid Services (CMS) staffers responsible for rewriting the CoPs to do a presentation and discuss as much as possible the trends and findings in compiling the comments that were received, as well as the current status of the final conditions as they move through the regulatory process. This session will review the proposed changes and compare them with the current regulations.

Objectives:

• Identify differences between the old and new CoPs.
• Discuss the impact of the new CoPs on hospice operations.
• Identify status of new CoPs.

Faculty: Mary Rossi-Coajou, MS, RN, Health Program Evaluations Officer, Office of Clinical Standards and Quality, CMS, Baltimore, MD; Danielle Shearer, Health Insurance Specialist, Office of Clinical Standards and Quality, CMS, Baltimore, MD;

Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA);

Hospice, Clinical & Disease Management, Physician

Management of Non-Pain Symptoms

Inadequately treated non-pain symptoms can reduce the quality of life of dying patients, and foment a request for physician-assisted suicide. This presentation will utilize didactics and case presentations to discuss the management of dyspnea, hemoptysis, cough, the death rattle, nausea and vomiting, and hiccups.

Objectives:

• Discuss implications of inadequately treated non-pain symptoms for the dying patient.
• Discuss medications used to treat non-pain symptoms.
• Cite non-pain management modalities for specific symptoms such as dyspnea, cough, nausea and vomiting.

Faculty: Paul Rousseau, MD, Palliative Care Physician, Carl T. Hayden VA Medical Center, Glendale, AZ;

Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending);

Management & Human Resources, Telehealth & Technology, Hospice

E-learning's Future in Your Agency

This session will focus on the paradigm shift needed to incorporate technology, specifically e-learning courses, into the home health care and hospice industries. As with any significant change in business process, adding e-learning to an agency's educational strategy will be met with some resistance. Using Minnesota Home Care Association and its member agencies as case studies, the group will explore best practices for implementing and successfully using e-learning in their agencies. Each participant will also have the opportunity to build their own action plan to add e-learning to their educational offerings.

Objectives:

• Overcome barriers to implementing e-learning.
• Discuss best practices to implementing e-learning.
• Design a plan to incorporate e-learning into your educational strategy.

Faculty: Sara Bunge, M. Ed., Workforce Development Manager, Rochester Community & Technical College, Rochester, MN; Neil Johnson, RN, Executive Director, Minnesota Home Care Association, St. Paul, MN;

Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA);