July eNewsletter
July 1, 2014

Aloha Kōkua Mau,

Congratulations to us!! 

The Governor signed the new POLST legislation (HB2052) on June 30.  See below for details and where to download the new forms. 
Now is the time to sign up for 'Hot Topics in Palliative Care' the Virtual Palliative Care Conference July 8-10, 2014. Online registration is now open for you to participate in this National Hospice & Palliative Care Organization (NHPCO) Conference without having to leave Hawai'i. Space is limited so sign up today.

And please join us on July 15 for Palliative Pupus, our bi-monthly clinical case discussion and on July 31 for our monthly Kōkua Mau Meeting when Valisa Saunders will present Choosing Wisely:  Polypharmacy Reduction in the Elderly. 

POLST legislation signed into law as Act 154!

Thanks to a great collaborative effort, including many Kōkua Mau members, the new expanded POLST legislation is now law!

Many individuals and organizations represented and actively supported the POLST Task Force so this was truly a statewide hui. Thank you for your support, testimony, expertise and countless last minute emails!

Gov. Abercrombie signed the bill (HB2052) into law on Monday morning and Act 154 goes into effect on July 1. more

We will be changing all our materials to reflect the changes but the main improvement is that APRNs will be able to sign a POLST - which is now called Provider Orders for Life Sustaining Treatments. 

Please visit the Kōkua Mau website (including a picture with the Governor) for the new POLST forms and handouts.  Our Kōkua Mau website is the central source for POLST information for Hawai'i.

Please note: All (older) POLST forms filled out and signed by a physician before July 2014 remain valid!
In this Issue and from Past Newsletters:
POLST Legislation Update
July 8-10 Virtual Palliative Care Conference
7/16 Palliative Pupus
Part D & Hospice
Thurs 7/31 Kokua Mau Meeting
8/2 Series: Quality of Care Issue
July 8, 9 & 10 Virtual Palliative Care Conference 

Kōkua Mau will be hosting 'Hot Topics in Palliative Care' a virtual palliative care conference organized by NHPCO (National Hospice & Palliative Care Organization) from July 8 to 10 in Hawai'i. The conference will be held at the John A. Burns School of Medicine (JABSOM) in Kaka'ako. 
  • Online registration (and details) 
  • You can sign up for one, any two or all three days, with a discount offered to Kōkua Mau members.
  • We will watch the presentations together at JABSOM, staring at 6:30 am (12:30 PM EST) to 12:30pm daily.  
Each day has a theme and topics with great speakers. More on our website.

Tue. 7/8 Theme: Community-Based Palliative Care
Wed. 7/9 Theme: Clinical Aspects of Palliative Care
Thur. 7/10 Theme: Palliative Care - Building Relationships

Kōkua Mau members: $40 per day, $100 for all three days
Non Members: $60 per day, $150 for all three days.

CMEs can be awarded (by NHPCO directly) for an additional $30 fee.

Wed 7/16 Palliative Pupus

Please join us for another dynamic, inter-disciplinary, case-based discussion from the cutting edge of hospice and palliative care: Palliative Pupus . As always, the topic will be announced in a reminder.

Wed. July  16
5:15 to 7:00 PM
The Queens Conference Center (QCC) Room 200
510 S. Beretania Street, Honolulu, HI 96813

Please note:
There is FREE parking after 4 PM in the municipal lot on South Beretania, just Diamond Head of Queen's. You may have to look a bit, but free is hard to beat downtown. See our website for a map.


Part D and Hospice Reimbursements:  Successful advocacy on Capitol Hill 

Jeannette Koijane was recently in Washington DC and participated in the Hospice Action Network's Advocacy Intensive.  In addition to visiting our members of congress and updating them on the good work of hospice and palliative care professionals in Hawaii, I asked them to sign on to a letter asking CMS to temporarily lift implementation of current Part D and hospice guidance and work collaboratively with relevant stakeholders toward a better policy solution.  This is part of ongoing advocacy from Healthcare Association of Hawai'i.  We are happy to report that 100% of our delegation has signed on to the letter!!

You can read the letter, learn more about the problems with Part D reimbursement and download a timeline for changes from CMS to hospice (9 planned for 2014!!)  at the HAN website.  They also have a short video outlining the changes. 

Thur. 7/31  Kōkua Mau Meeting

Please join us for Choosing Wisely;  Polypharmacy Reduction in the Elderly  presented by Valisa Saunders MN, APRN, GNP-BC. Valisa is a Gerontological Nurse Practitioner with Hawaii Health Systems and  an instructor at UH Manoa Nursing, Nurse Practitioner Program and at JABSOM, Department of Geriatrics.

The American Geriatrics Society (AGS) and ABIM Foundation has published two documents on a national multi-organizational program called  Choosing Wisely to educate consumers, providers and faciiltate discussions on key geriatric issues based on the best medical evidence. Read more on their website

Additionally there will be updates and announcements so if you would like to be included on the agenda, contact Jeannette  and yes, there will be real coffee and snacks. 

Thursday June 26
Conference Room 224
Weinberg Building
St. Francis Healthcare System of Hawaii
2226 Liliha Street in Honolulu

Parking is validated and click here for a map and further details. 


8/2 Series: Quality of Care Issues, Late-Stage Dementia & Caregivers

The Executive Office on Aging, Kōkua Mau, Alzheimer's Association, and St. Francis Healthcare System will co-sponsor a series of presentations on Quality of Care Issues for People with Late-Stage Dementia and their Caregivers.

The first of the series, Benefits of Advance Care Planning, Hospice, and Palliative Care for those with Late Stage Dementia is scheduled for

Saturday, August 2
11am to 1pm,
15 Craigside Solarium
Presenters: Rae Seitz, MD, Medical Director, Dept. of Quality Management, HMSA; Ken Zeri, RN, MS, President and CPO, Hospice Hawai'i

Space is limited. The series is free, but registration is required. To register, email Jody Mishan or by phone (808) 295-2624.


Best wishes,

Jeannette Koijane
Executive Director
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