August Kokua Mau eNewsletter

We have exciting news: the 16-page Kokua Mau booklet "A Guide to Advance Care Planning: Making Life Decisions" has been re-printed.

A big big mahalo to Mountain-Pacific Quality Health for their generous sponsorship of printing 50,000 copies!  

Now available with updated wording, the new booklet reflects 2014 changes to POLST which added APRNs as signers.

It is our hope that, for instance, every Medicare recipient will have access to the booklet. We encourage you to make good use of this excellent resource and distribute it widely within your network.

Please contact us and let us know how many copies you would like so we can work out how to best get them to you. 

In this Issue and from Past Newsletters:
Wed. 8/19 Palliative Care for Persons Living with Dementia

"Palliative Care for Persons Living with Dementia" with Laurel Coleman, MD

Wednesday, August 19, 3-5pm
Queen's Conference Center Auditorium
510 S. Beretania St., Honolulu, HI 96815

Laurel Coleman, M.D. is a geriatrician-palliative care physician who is new to Kaua'i. She has experience in geriatric consultation as well as inpatient and outpatient palliative care. She speaks nationally on dementia diagnosis and care throughout the stages of the disease and currently serves on the National Advisory Council on Alzheimer's Disease for Health & Human Services in Washington, D.C. She was cochair of an Institute of Medicine expert group on Advanced Dementia in 2014, and is one of the founding members of Dementia Friendly America, the effort to help communities embrace and adapt to the needs of persons with dementia. Laurel also serves on the Policy Advisory Board for Elder Affairs for the Hawaii Executive Office on Aging. She is a graduate of Stanford University and received her MD and residency training in Internal Medicine at University of California, San Francisco. After her Geriatrics Fellowship at University of North Carolina, Chapel Hill, she practiced in Maine for 20 years before moving to Hawaii (a lifelong dream) with her husband.

At the end of this presentation, attendees will be able to:
  1. Identify the aspects of dementia that make this illness a poor fit for "usual" medical care.
  2. Recall features of a palliative care approach that can be used in different stages of the disease process.
  3. Relate how advanced care planning discussions can have an important impact on the types of care, sites of care, and quality of life for a person living with dementia.
  4. Relate basic information about the National Alzheimer's Project Act, the Alzheimer's Advisory Council and the importance of the National Plan to Address Alzheimer's Disease.
Please register by phone 295-2624 or email to Jody Mishan


Aloha United Way and Kokua Mau

Great news! 

We are very excited to report that for the first time, Kōkua Mau is participating in this year's Aloha United Way Campaign

If your employer participates in the Aloha United Way Campaign, you can direct your AUW contribution specifically to Kōkua Mau - by using our designation number 80410 on the Donor Designation Form (or the new online version). 

Please tell your colleagues, friends and loved ones who might be part of an AUW campaign as well. The coconut wireless is still the best way to spread the word about this new opportunity for Kōkua Mau.

We are honored to be included in the AUW 'Ohana joining many valuable organizations that are making a real difference in Hawai'i.

Thur. 9/27 Kokua Mau Meeting

Please join us Thursday August 30 for our Kokua Mau Monthly Meeting. Monthly meetings are open to all.

The U.S. military has many proud traditions that transcend ethnic, religious, and traditional cultural boundaries. Those not associated with the military often are unaware of the rich culture of the military, nor are they aware of how those in the military approach death. Pat Nishimoto will share with us some of those rich military traditions.

Dr. Nishimoto (Pat), a retired COL from the Army Nurse Corps, continues to work with active duty, their families, retirees and veterans as the Oncology Clinical Nurse Specialist at Tripler Army Medical Center.

Thursday, September 27, 2015
Conference Room 224
Weinberg Building
St. Francis Healthcare System of Hawai'i
2226 Liliha Street in Honolulu

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

Parking is validated and click here for a map and further details.  There will be real coffee and refreshments as well

Sat. 9/5 Finding Gifts in the Grief Journey with Dementia

Sponsored by Kokua Mau and others we invite you to a special present presentation related to memory loss and dementia:

"Finding Gifts in the Grief Journey with Dementia: A Hawaiian Cultural Perspective" with Leilani Kaho'ano, RN and Kumu Hula

Saturday, September 5, 2015 
10am to Noon
15 Craigside Solarium 
15 Craigside Place, Honolulu, HI  96817

Leilani is the Founder of Malama o Na Keiki and Prince Albert Circle, a Compassionate Care organization of 'Iolani Guild. She has been a registered nurse for 20 years with a focus on neonatal intensive care and peri-hospice, palliative and bereavement care. Compassionate care is critical to the quality of life for any person. A focus on the caregiver is ever more important as the complexity of living with or caring for another person can affect faith, hope and love of the caregiver. 

Leilani has created a program to introduce attendees to Hawaiian concepts of grief, using Queen Emma's journey of loss of self and renewed hope, sharing her story through the art of hula and chant. 

The presentation will feature:
  • A basic overview of Hawaiian grief concepts and how this unique perspective can help in caring for someone living with memory loss or dementia. 
  • Ways to care for the caregiver
  • Being "present" as it pertains to Compassionate Care
  • Information on grief and bereavement resources in Hawaii
Visitor parking is available. Light breakfast and refreshments included. CEU credit for social workers pending approval by NASW.

This is a FREE event. Space is limited. Please register by phone or email: Jody Mishan at 295-2624 or via email.

Proposed Rule would Reimburse Physicians for Advance Care Planning Conversations

(July 8, 2015: Alexandria, Va) - The Centers for Medicare and Medicaid Services has released the Medicare Physician Fee Schedule proposed rule that makes the two advance care planning codes established in FY2015 "active" and begins the process of allowing physicians to code and be paid for advance care planning discussions they have with their patients.  The National Hospice and Palliative Care Organization enthusiastically supports this new proposed rule, and plans to comment on the great value of having these important and complicated conversations with Medicare beneficiaries.  


In the CY2015 final rule, published late in 2014, the CPT Editorial Panel established two codes for physicians to document advance care planning conversations, one code for the first 30 minutes, and a second add-on code for additional 30 minute conversations.  However, in the CY2015 final rule, reimbursement was not attached.  


With the release of this proposed rule, CMS is indicating that the establishment of payment rates for advance care planning conversations between physicians and patients can begin as early as January 1, 2016 and that physicians  will receive payment for these important physician-patient conversations around advance directives and discussions around patient goals of care.


More on the NHPCO website   


Best wishes,

Jeannette Koijane
Executive Director
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