Kōkua Mau eNewsletter

Aloha Kōkua Mau, 

There are lots of interesting events happening this month and I look forward to seeing you there.
- The third talk in our Caring for People with Dementia series is this coming Saturday Sept. 13.
- Please put Palliative Pupus on the calendar Sept 17, our palliative care case discussion that tells the story of a person and their loved ones who are receiving palliative care. 
- The Kōkua Mau meeting on Sept. 25 will feature Michelle Cantillo and Dr. Dawn Minaai giving updates from the the Advance Care Planning program at Hawaii Pacific Health.

Save the Date: November 11, 2014 Annual Pain and Palliative Care Conference

Join us for the The Fine Art & Science of Pain & Palliative Care, Hawaii's own Queen's Medical Center Annual Pain and Paliative Care Conference.

Tuesday, November 11, 2014
Ko'olau Ballrooms & Conference Center
Kaneohe, Hawaii

Featured Topics
  • Cutting edge of palliative care research
  • Interventional pain management
  • Opioid safety: compassionate,
  • responsible prescribing
  • Novel palliative approaches
  • Rational palliative chemotherapy
  • Normalizing grief experiences
  • Rediscovering grief traditions

Featured Guest Faculty:

  • Jay R. Horton, PhD, ACHPN
  • Thomas J. Smith, MD, FACP, FASCO, FAAHPM

For more information and a flyer see our website or contact: cme@queens.org or call (808) 691-7009.  


Sat. 9/13 Caregiving Insights for Late Stage Dementia

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

The last of the series: "Caregiving Insights for Late Stage Dementia" is scheduled for Saturday, September 13.

The speakers are Clarence Liu, MA, MDiv, retired clinical chaplain for Hospice Hawaii; Mia Taylor, RN, MSN, FNP-BC, a nurse practitioner with St. Francis Hospice; and, David Fitzgerald, founder and President of Hale Kuike, a model memory care home based on current holistic principles of dementia care.

Saturday, September 13
11am - 1pm
15 Craigside Place, Honolulu, 96817
(visitor parking available)
The series is free, but registration is required. To register, email Jody Mishan or by phone (808) 295-2624.  Please help us to publicize the event to your networks.


Wed. 9/17 Palliative Pupus

This month's meeting features another case from the cutting edge of hospice and palliative care.

Wed. Sept 17
5:15 to 7:00 PM
The Queens Conference Center (QCC) Room 200
510 S. Beretania Street, Honolulu, HI 96813

Please note Palliative Pupus participants: 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.

Thur. 9/25  Kōkua Mau Meeting

This month our speakers will be from Hawaii Pacific Health (HPH). Dr. Dawn Minaai and Teresa Porter (UH Summer research student) will review their quality pilot in the ACP clinic: "Improving Hospice Education at Straub Clinic & Hospital ACP Clinic for Geriatric and Palliative Care Medicine".

Michelle Cantillo will present the HPH ACP video pilot that HPH produced the end of last year, review the process and give us an update.

Join us for other updates and please let
Jeannette know if you have items for the agenda. 

Thursday, September 25
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.  There will be real coffee and refreshments as well. 


Thur. 10/9 The Grief Journey: Coping and Discovering Along the Way

St. Francis Hospice Bereavement Social Workers share tips and techniques to bring hope in meeting these challenges.

Thursday, October 9, 2014
9 a.m. - Noon
Registration: 8:30 a.m.
Borthwick Mortuary, 1330 Maunakea Street, Honolulu

Presentation Goals:
  1. Learn about some of the many ways that people grieve.
  2. Explore ways to support those dealing with loss.
  3. Identify ways to cope with your grief.
Speakers: Mari Kanemura, LSW; Wesley Taira, LSW; Valerie Payton, LSW, and Luisa Wyant, LCSW, NASW

CEU: will apply for 3 units. RSVP by September 30, 2014 to Felicia Marquez-Wong, L.S.W., Q.C.S.W., C.T. or at 808-547-8145.

Parking: Limited, free. Carpooling encouraged. Air conditioned. Bring a sweater. Flyer on our website.

Sat. Oct 11: Grief Workshop: Journey from Mourning to Joy

This workshop is designed for those grieving the loss of a loved one through death. The workshop will 1) explore the challenges of grieving and 2) hear about coping skills for dealing with grief.

Saturday Oct. 11
8:30 - Noon
Harris Methodist Church
20 South Vineyard Blvd
Honolulu Hawaii 96813

8:30  Registration
9:00  Introduction Felicia Marquez-Wong, St. Francis Hospice
9:15  Blessings J.P. Sabithi, Hospice Hawaii
9:30  Katie Fisher, Acupuncturist, Yoga Teacher
10:30  Break
10:45  Xu Di (Di Di), Spiritual Light Practitioner Infinite Love & Connection: Moving Beyond Grief Positively

Cost: $20 includes lunch

Registration form and more information on our website. Or contact Sandy Pohl or by phone (808) 521-1812


In this Issue and from Past Newsletters:
From past eNewsletters

New Kōkua Mau Member!

Welcome to our newest Kōkua Mau Organizational member -
The Cancer Center of Hawai'i.  We thank them for their financial support for our work and welcome them as a member.  All of our members are listed on the Kōkua Mau website and we thank them publicly and in written publications when possible.  Interested in membership for your organization?  Visit the website and contact Jeannette Koijane, Executive Director

You can read more about The Cancer Center of Hawaii on their website: 

The physicians and staff of the Cancer Center of Hawaii are dedicated to taking care of cancer patients and their families. Specially trained nurses provide care that is responsive to the cancer patient's needs, concerns, and feelings. The cancer treatment staff includes radiation oncologists, radiation therapists and physicists, nurses and other specialists.


HPGS "Imagine 2030" Conference 9/29 & 30
Now is the time to register for the HPGS Conference.  Click here for
Imagine 2030... what will Hawaii look like as we are getting older as a society? There will be 369,000 adults aged 65 and over-150% of its current size-whom will constitute 23% of the total population (currently 17%). The number of people aged 85 and over will double to 59,000. Most adults prefer to stay in their home of choice as they age. What will a community supportive of purposeful aging in place look like? How do we get there?


Caregiver Orientation Series - Alzheimer's Assoc.

Caring for someone who has Alzheimer's disease or a related disorder is perhaps one of the biggest commitments a person can face. The Alzheimer's Association - Aloha Chapter offers several educational programs for family members caring for loved ones with Alzheimer's. Most of these programs are free of charge.   

Free Library Resource

Are you looking for articles on palliative care and end-of-life issues?    Here is a great FREE resource to get copies of articles sent to you.  You can email requests to library@hospicewr.org or visit their website.

The End-of-LIfe Library and the Katie Dolesh Family Reference Collection at Hospice of the Western Reserve provides an on-line catalog, virtual library services and professional library assistance.

POLST legislation signed into law as Act 154!

Please help us publicize the changes to POLST by submitting an article to your newsletter at work or for your professional organization.  We have created a sample article for your use that you can cut and paste off the Kokua Mau website page.  If you would like a copy of the article for lay audiences, a pdf of the POLST form in small for a visual in the article or additional information, let Jeannette know.

All POLST materials on the Kōkua Mau website have been update to reflect the main improvement that APRNs will be able to sign a POLST - now called Provider Orders for Life Sustaining Treatments.

  1. All POLST forms filled out and signed by a physician before July 1, 2014 remain valid!  
  2. The 'old' POLST forms with the word 'physician orders' are still valid. We recommend that you only use the new POLST form (Provider Orders) after July 1, 2014.  It has a new added section E and quite a few wording changes and clarifications.
Thanks to a great collaborative effort, including many Kōkua Mau members, in getting the new expanded POLST legislation signed into law! Gov. Abercrombie signed the bill (HB2052) on June 30 and Act 154 went into effect on July 1. more

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!

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 (up-to-date) POLST information for Hawai'i.
Revised Part D Hospice Guidance: Regulatory Alert

Kōkua Mau heard from a variety of providers about the confusion surrounding Medicare Part D and Hospice Medications

On Friday, July 18, 2014 CMS issued revised guidance (PDF) to replace the March 10, 2014 guidance to hospices and Part D plan sponsors regarding payments for medications. 

NHPCO is very pleased with the changes in the revised guidance, and that we accomplished our primary of goal of removing hospice patients and their families from the confusion surrounding the previous policy.  You can read more on the  NHPCO website.

The revised guidance changes the prior authorization (PA) requirement to ONLY the four classes of drugs referenced in the OIG 2012 Report - analgesics, anti-emetics, laxatives, and anti-anxiety medications.   In the revised guidance, CMS cites these four categories of drugs as being most often used to treat symptoms of patients at the end of life.

This guidance does not change the responsibility of the hospice to pay for all medications related to the terminal illness and related conditions, weather or not they are included in the four classes identified above. That responsibility remains.


Senior Fall Prevention Campaign

Great new resources from the Hawaii Department of Health - Senior Fall Prevention Campaign.

Falls are the most common type of unintentional fatal and nonfatal injury in Hawai'i each year:
  • fatal unintentional injury averaging over 108
  • nearly 21,000 emergency room visits for nonfatal unintentional injury
  • and 2,700 hospitalizations (nonfatal)
More than three quarters of the people are aged 65 or older and the risk of fatal falls increases dramatically as people age.  The emotional and fiscal burden associated with fall injuries is significant.

Our local Fall Prevention Consortium has pulled together
great resources to help you and those you care for prevent falls, including wonderful videos by Kokua Mau's own filmmaker Janette Sargent-Hamill. 


Best wishes,

Jeannette Koijane
Executive Director
Quick Links
Featured Article
Join Kokua Mau button
Join Kōkua Mau as a members now for 2014!

Membership is the backbone of Kōkua Mau's budget and helps us to be a financially sustainable organization. Just follow the steps outlined on our website.
Our Members

Visit Our Members
Join Our Mailing List