Reframing Palliative Care: Education, Research and Advocacy

Transcription

1 The Collaborative for Palliative Care, The Finger Lakes Geriatric Education Center at the University of Rochester Medical Center, Calvary Hospital, and Westchester Medical Center present Reframing Palliative Care: Education, Research and Advocacy Thursday December 6, 2018 Calvary Hospital, Bronx, New York

2 We welcome you to the Ninth Annual Interdisciplinary and Interfaith Conference of the Collaborative for Palliative Care, Reframing Palliative Care: Education, Research and Advocacy. This year s full-day conference at Calvary Hospital features renowned medical ethicist Dr. Joseph J. Fins as keynoter, and prominent palliative care physicians Dr. Thomas Caprio and Dr. Cary Reid as morning and afternoon plenary speakers, respectively. We are also joined by leading health professionals in the palliative care field who hail from the Hudson Valley and New York City and offer diverse panels that span inter-professional and trans-disciplinary interests. The Collaborative for Palliative Care continues to build on its rich history and traditions since its founding in 2005, drawing on community assets and resources in educating professionals and community leaders about best practices and future directions in palliative care. Through this important work, we strive to support those who are living with serious and life-limiting illnesses, as well as their formal and informal caregivers, and to expand community-based palliative care. As you may know, the Collaborative for Palliative Care is entering a critical stage of its work in this 12th year of its history. Begun as a grassroots movement of community leaders interested in improving the lives of individuals with serious illness, the Collaborative now includes many health care organizations and health and aging network professionals, agencies, governmental and non-governmental organizations, and businesses in our region. As we expand the circle of stakeholders who are committed to achieving equitable access to palliative care services and improving the delivery of high quality palliative care through education, research and advocacy, we take this opportunity to thank the many dedicated individuals and organizations who have generously made this conference possible! Your efforts will help sustain the robust contributions of the Collaborative in building community capacities and assuring equitable access to high quality palliative care across diverse populations and care settings. Thank you for your interest in the work of the Collaborative and enjoy the conference! Mary Beth Quaranta Morrissey, PhD, MPH, JD President 2

3 REFRAMING PALLIATIVE CARE: EDUCATION, RESEARCH AND ADVOCACY THURSDAY DECEMBER 6, 2018 ACTIVITY CO-DIRECTORS Thomas V. Caprio, MD, MPH, MSHPE, CMD, HMDC, FACP: Associate Professor of Medicine, Clinical Nursing, and Public Health Sciences; Director, Finger Lakes Geriatric Education Center, University of Rochester Medical Center Mary Beth Morrissey, PhD, MPH, JD: President, Collaborative for Palliative Care; Fellow, Fordham University Global Health Care Innovation Management Center Laura M. Robinson, MPH: Program Coordinator, Finger Lakes Geriatric Education Center, University of Rochester Medical Center SPEAKERS Samsiah Abdul-Majid, MBA, MA: Palliative Care Chaplain, Westchester Medical Center Karen Bullock, PhD, LCSW: Professor, Department of Social Work, North Carolina State University Thomas V. Caprio, MD, MPH, MSHPE, CMD, HMDC, FACP: Associate Professor of Medicine, Clinical Nursing, and Public Health Sciences; Director, Finger Lakes Geriatric Education Center, University of Rochester Medical Center Camille A. Clare, MD, MPH, CPE, FACOG: Associate Professor of Obstetrics and Gynecology, New York Medical College; Attending Physician, New York City Health & Hospitals/Metropolitan; Associate Dean of Diversity and Inclusion, New York Medical College Joseph J. Fins, MD, MACP, FRCP: The E. William Davis, Jr., M.D. Professor of Medical Ethics, Chief, Division of Medical Ethics & Professor of Medicine, Weill Cornell Medical College; Director of Medical Ethics & Attending Physician, New York Presbyterian Hospital, Weill Cornell Medical Center; Co-Director, Consortium for the Advanced Study of Brain Injury (CASBI), Weill Cornell and Rockefeller University Michael Frankenthaler, MD, FCCP: Assistant Professor of Medicine, New York Medical College; Chief, Palliative Medicine, Westchester Medical Center 3

4 Tricia Hiller, MS, CCLS: Child Life and Creative Arts Therapy Director, Maria Fareri Children's Hospital, Westchester Medical Center; Senior Instructor in Pediatrics, New York Medical College Mary Beth Morrissey, PhD, MPH, JD: President, Collaborative for Palliative Care; Fellow, Fordham University Global Health Care Innovation Management Center Bruce C. Page MAT, MDiv: Director, Volunteer Services & Bereavement Coordinator, Hospice of Westchester Erica Rotundo, MS, ANP-BC, ACHPN: Nurse Practitioner, Palliative Medicine, Westchester Medical Center M. Carrington Reid, MD, PhD: The Irving Sherwood Wright Professor of Geriatrics; Director, Translational Research Institute on Pain in Later Life (TRIPLL), Weill Cornell Medical College Gary Tatz, MD: Associate Professor of Pediatrics; Director, Pediatric Pain and Palliative Medicine; Attending, Pediatric Critical Care Medicine, Maria Fareri Children s Hospital, New York Medical College Stacy Weissberg, LCSW: Social Worker, Palliative Medicine, Westchester Medical Center 4

5 REFRAMING PALLIATIVE CARE: EDUCATION, RESEARCH AND ADVOCACY THURSDAY DECEMBER 6, 2018 SPEAKER DECLARATIONS The conference speakers have been asked to disclose any financial interest/arrangements or affiliations with an organization that could be perceived as a real or apparent conflict of interest in the context of the subject of their presentation(s). Only current arrangements/interests are included. Samsiah Abdul-Majid, MBA, MA Karen Bullock, PhD, LCSW Thomas V. Caprio, MD, MPH, MSHPE, CMD, HMDC, FACP Camille A. Clare, MD, MPH, CPE, FACOG Speaker declared grant/research support from the Society of Family Planning, Clinical Translational Sciences Institute/NYU Joseph J. Fins, MD, MACP, FRCP Michael Frankenthaler, MD, FCCP Tricia Hiller, MS, CCLS Mary Beth Morrissey, PhD, MPH, JD Bruce C. Page MAT, MDiv M. Carrington Reid, MD, PhD Erica Rotundo, MS, ANP-BC, ACHPN Gary Tatz, MD Stacy Weissberg, LCSW 5

6 PLANNING COMMITTEE DECLARATIONS The conference planning committee has been asked to disclose any financial interest/ arrangements or affiliations with an organization that could be perceived as a real or apparent conflict of interest in the context of the subject of their presentation(s). Only current arrangements/interests are included. All planning committee members listed below have declared that no financial interest or relationship exists: Thomas V. Caprio, MD, MPH, MSHPE, CMD, HMDC, FACP Kathleen Carlisle Christopher Comfort, MD Michael Frankenthaler, MD, FCCP Melissa Lang, DrPh, MPH Jean LePere, MPH, MS Mary Beth Morrissey, PhD, MPH, JD Laura M. Robinson, MPH Cornelia Schimert, RN To assist us in evaluating the effectiveness of the Reframing Palliative Care Conference and in planning future educational events, we ask that you complete the program evaluation at the conclusion of the activity. Your anonymous feedback is greatly appreciated and valued. Criteria for successful completion of this activity includes attendance at one or more sessions and completion and submission of the post activity evaluation on December 6,

7 REFRAMING PALLIATIVE CARE: EDUCATION, RESEARCH AND ADVOCACY THURSDAY DECEMBER 6, 2018 PROGRAM 7:30 8:30am Registration and Continental Breakfast 8:30 8:45am Welcome and Opening Remarks Mary Beth Morrissey, PhD, MPH, JD President, Collaborative for Palliative Care; Fellow, Fordham University Global Health Care Innovation Management Center Christopher Comfort, MD Medical Director, Calvary Hospital Robert Brescia, MD Director, Calvary Palliative Care Institute; Director of Psychiatry, Calvary Hospital 8:45 9:45am The Reva Greenberg Lecture Bridging Geriatrics and Palliative Medicine Thomas V. Caprio, MD, MPH, MSHPE, CMD, HMDC, FACP, AGSF, FAAHPM Associate Professor of Medicine/Geriatrics, Dentistry, Clinical Nursing, & Public Health Sciences; Program Director, Geriatric Medicine Fellowship; Director, Finger Lakes Geriatric Education Center; Medical Director, University of Rochester Geriatric Assessment Clinic; Chief Medical Officer, UR Medicine Home Care; Medical Director, Visiting Nurse Hospice & Palliative Care, University of Rochester Medical Center The fields of geriatrics and palliative care embrace a number of shared precepts in the approach to patients in which the overarching goal is not to cure or modify the underlying disease process but instead focuses on quality of life and symptom management. Older adult patients with physical frailty, cognitive loss, and multiple chronic medical conditions can make it challenging to assess palliative care needs and develop person-centered plans of care. This presentation will review the shared goals of palliative care and geriatrics, focus on the key trajectories of decline in an older frail population, and allow participants to reflect on the important dimensions in assessing the needs of older patients across the continuum of clinical care. 9:45 10:45am Running an Inter-Professional Palliative Hospital Consult Service Michael Frankenthaler, MD, FCCP Assistant. Professor of Medicine, New York Medical College; Chief, Palliative Medicine, Westchester Medical Center Erica Rotundo, MS, ANP-BC, ACHPN Nurse Practitioner, Palliative Medicine, Westchester Medical Center Stacy Weissberg, LCSW Social Worker, Palliative Medicine, Westchester Medical Center 7

8 10:45 11:00am Coffee Break Samsiah Abdul-Majid, MBA, MA Palliative Care Chaplain, Westchester Medical Center This presentation will explain the workings of a hospital consult service in the era of intra professional collaboration. The roles of clinician, social worker & chaplaincy will be explored, enabling each member of the team to practice to the highest levels of their licensure. Working with and educating other hospital departments & services will be stressed. 11:00 12:00pm Breakout Sessions: Choose Lecture 1 or Lecture 2 Lecture 1 Maternal Mortality: The Race to Achieve Equity in the Twenty-First Century Mary Beth Morrissey, PhD, MPH, JD President, Collaborative for Palliative Care; Fellow, Fordham University Global Health Care Innovation Management Center Karen Bullock, PhD, LCSW Professor, Department of Social Work, North Carolina State University Camille A. Clare, MD, MPH, CPE, FACOG Associate Professor of Obstetrics and Gynecology, New York Medical College; Attending Physician, New York City Health & Hospitals/Metropolitan; Associate Dean of Diversity and Inclusion, New York Medical College The United States lags behind other developed nations in maternal mortality outcomes. New York State is also grappling with high maternal death rates among black women and documented health disparities across the state including New York City. The magnitude of this public health problem and its deep social and economic determinants call for a community-based, palliative approach to care. Presenters will examine the multiple dimensions of the problem, explain the palliative approach to care as a social model, and discuss implications for aging. Lecture 2 Unique Approaches to Pediatric Palliative Patients Gary Tatz, MD Associate Professor of Pediatrics; Director, Pediatric Pain and Palliative Medicine; Attending, Pediatric Critical Care Medicine, Maria Fareri Children s Hospital, New York Medical College Bruce C. Page MAT, MDiv Director, Volunteer Services & Bereavement Coordinator, Hospice of Westchester Tricia Hiller, MS, CCLS Child Life and Creative Arts Therapy Director, Maria Fareri Children's Hospital, Westchester Medical Center; Sr. Instructor in Pediatrics, New York Medical College Children make up a tiny percentage of patients who receive palliative care. Working with children and their families is often described as being some of our 8

9 12:00 12:45pm Box Lunch most challenging cases. Caring for an infant is very different than caring for an adolescent, which is very different than caring for an adult. Pediatric palliative care brings distinctive challenges that require a unique approach. Case discussion will highlight those differences and provide suggestions on how to best approach these patients and their families. 12:45 1:00pm Appreciation Mecca Santana, Esq. Senior VP, Diversity, Inclusion and Community Engagement, and Chief Diversity Officer, Westchester Medical Center Conferral of the Dr. Mary Ann Quaranta Early Career Older Adult Advocate Award to Vincent Joseph Zucchetto Mary Beth Morrissey, PhD, MPH, JD President, Collaborative for Palliative Care; Fellow, Fordham University Global Health Care Innovation Management Center Introduction of Dr. Fins Michael Brescia, MD Executive Medical Director, Calvary Hospital 1:00 2:00pm The Inaugural Honorable Kevin J. Quaranta Lecture Why Aid In Dying is Not the Remedy of Life s End Joseph J. Fins, MD, MACP, FRCP The E. William Davis, Jr., M.D. Professor of Medical Ethics, Chief, Division of Medical Ethics & Professor of Medicine, Weill Cornell Medical College; Director of Medical Ethics & Attending Physician, New York Presbyterian Hospital, Weill Cornell Medical Center; Co-Director, Consortium for the Advanced Study of Brain Injury (CASBI), Weill Cornell and Rockefeller University This presentation will review the Aid in Dying movement and offer an ethical and clinical response. 2:00 2:15pm Conferral of the Inaugural Judge Kevin J. Quaranta Hope at Life's End Award in Medical Ethics and Palliative Care to Dr. Joseph J. Fins Mary Beth Morrissey, PhD, MPH, JD President, Collaborative for Palliative Care; Fellow, Fordham University Global Health Care Innovation Management Center Judy Quaranta and Edward Morrissey, Family of Kevin J. Quaranta 2:15 2:30pm Coffee Break 9

10 2:30 3:30pm The William Dawe Lecture New Approaches to Meeting Palliative Care Needs in the Community M. Carrington Reid, MD, PhD The Irving Sherwood Wright Professor of Geriatrics; Director, Translational Research Institute on Pain in Later Life (TRIPLL), Weill Cornell Medical College In reviewing current models of delivering palliative care, discussion will include barriers to meeting growing palliative care needs in diverse populations while highlighting innovative models of identifying and intervening when there are palliative care needs in nonclinical settings. 3:30pm 3:45pm Final Remarks & Evaluation Christopher Comfort, MD Medical Director, Calvary Hospital Mary Beth Morrissey, PhD, MPH, JD President, Collaborative for Palliative Care; Fellow, Fordham University Global Health Care Innovation Management Center 10

11 REFRAMING PALLIATIVE CARE: EDUCATION, RESEARCH AND ADVOCACY THURSDAY DECEMBER 6, 2018 ACCME Standards of Commercial Support of CME require that presentations be free of commercial bias and that any information regarding commercial products/services be based on scientific methods generally accepted by the medical community. When discussing therapeutic options, faculty are requested to use only generic names. If they use a trade name, then those of several companies should be used. If a presentation includes discussion of any unlabeled or investigational use of a commercial product, faculty are required to disclose this to the participants. Accreditation This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the University of Rochester School of Medicine and Dentistry and the Collaborative for Palliative Care and the Westchester Medical Center Health Network. The University of Rochester School of Medicine and Dentistry is accredited by the ACCME to provide continuing medical education for physicians. Certification The University of Rochester School of Medicine & Dentistry designates this live activity for a maximum of 5.25 A.M.A PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Social Work Continuing Education University of Rochester Medical Center, Center for Experiential Learning is recognized by the New York State Education Department s State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-005. This course has been approved for 5.25 contact hours. We gratefully acknowledge an educational grant received from HRSA: This project is sponsored by the Finger Lakes Geriatric Education Center funded by the Health Resources and Services Administration (HRSA), Department of Health and Human Services (DHHS) under the Geriatric Workforce Enhancement Program # U1QHP This information or content and conclusions are those of the authors/speakers and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, DHHS, or the U.S. Government. 11

12 26 years of providing exceptional end of life care to Westchester County residents Hospice of Westchester 1025 Westchester Avenue - Suite 200 White Plains, NY wwwhospiceofwestchester.com The Quaranta-Morrissey family congratulates Dr. Joseph J. Fins The Inaugural Judge Kevin J. Quaranta Hope at Life's End in Medical Ethics and Palliative Care Award Recipient and Vincent Joseph Zucchetto The Dr. Mary Ann Quaranta Early Career Older Adult Advocate Award Recipient Dr. Mary Beth Quaranta and Edward Morrissey and family 12

13 Gilda s Club Westchester is proud to sponsor The Collaborative for Palliative Care Thank you to the speakers, committee members, and professionals in our community for coming together to share insights, research, and new models in palliative care Best wishes to our honorees Joseph J. Fins, M.D., M.A.C.P., F.R.C.P. Vincent Joseph Zucchetto Thank you for your dedication to the needs of patients and their families. And thank you to the Collaborative for Palliative Care for all they do for Community 13

14 The Finger Lakes Geriatric Education Center at the University of Rochester Medical Center is a grateful and collaborative supporter of the Collaborative for Palliative Care This project is sponsored by the Finger Lakes Geriatric Education Center funded by the Health Resources and Services Administration (HRSA), Department of Health and Human Services (DHHS) under the Geriatric Workforce Enhancement Program # U1QHP This information or content and conclusions are those of the authors/speakers and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, DHHS, or the U.S. Government. 14

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