3rd Sept. eNewsletter and tour of the new St. Francis Health Care System facility

With so many events happening, we have compiled a third newsletter this month. We hope you can join us for the next Kokua Mau meeting Thursday next week (10/24) that includes a tour of the new facility at St. Francis just for us.

Please remember us in your Aloha United Way giving.  For the first time you can make a 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.
Thur. 9/24 Kokua Mau Monthly Meeting

We hope you can join us on Thursday, Sept. 24 for our Kokua Mau Monthly Meeting. This month we will have updates and news and a tour of the new facility at St. Francis just for us.

Thursday, September 24, 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. If you are unable to attend the meeting but would like to call in, please contact Jeannette. 

Parking is validated and click here for a map and further details.  There will be real coffee and refreshments as well.
Tue. 9/29 Perspectives on Brain Health and Risk Factors for Dementia: A Breakfast Gathering

Tuesday, September 29
7:15 am to 10:00 am
Ala Moana Hotel Garden Lanai Room (Second Floor)

Registration and Breakfast Buffet begin at 7:15am
Program begins at 7:45 am sharp. Please be on time so you can register, get your breakfast and be seated.

Kamal Masaki, MD is Professor and Chair of the Dept. of Geriatric Medicine at the John A Burns School of Medicine, UH.
Pamela Ah Nee, MA Psychology, MA Education, is the Oahu Program Specialist for the Alzheimer's Association - Aloha Chapter. Flyer with more information on our website.

Please register by phone 295-2624 or email to Jody Mishan.

Fri. 10/16 Hawaii State Fall Prevention Conference

Friday, October 16, 2015
7:00 AM - 4:45 PM
Hawai'i Convention Center
1801 Kalakaua Avenue
Honolulu, Hawaii 96815

CEUs available (see their website). Registration rates:
Regular (ends Sept. 30)  $125.00
Late (ends October 16)   $150.00
Student (no expiration)     $60.00 
BJ Miller: What really matters at the end of life

Filmed March 2015 at TED2015 this is a 19 minute video with BJ Miller, a palliative care physician at Zen Hospice Project who thinks deeply about how to create a dignified, graceful end of life for his patients. At the end of our lives, what do we most wish for? For many, it's simply comfort, respect, love. 

In this Issue and from Past Newsletters:
New video: POLST: Doing it Better

POLST: Doing it Better is a new free POLST Video (7 Min 22 sec) available from the National POLST office. This excellent short video nicely summarizes the essentials of POLST.  Please share the link with your colleagues.  

We'd also like your feedback. Do you feel we need an additional video just for Hawaii on POLST and if so what information is missing?  
Tue 9/22 Webinar: The Fine Art of Balancing Protection with Self Determination

Research shows that empowering individuals to actively participate in personal decision making improves life outcomes and can reduce the risk of abuse and exploitation.

Webinar is full. Free webinar on Sept. 22, 2015 at 2:00PM (EST). Find out more

Sat. 10/10 Hawaii Social Worker Ethics Continuing Education Workshop

Renewal for Social Workers Hawaii State License expires June 30, 2016.  One of those requirements is social work ethics continuing education.

This workshop will make you familiar with ethical theories and guidelines, federal and state laws and regulations, key ethical issues in social work, and NASW resources. Upon completion of the workshop, you will receive your CE certificate (3 ethics CEUs), meeting the social work ethics continuing education requirement for license renewal.  The CEUs are approved by NASW Hawaii Chapter, and the workshop is hosted by Chaminade University of Honolulu.

Saturday, Oct. 10, 2015
9 am - 12 noon
Kieffer Hall - Room 9
Chaminade University of Honolulu
3140 Waialae Avenue

Workshop cost: $75 (plus tax & fee). Pre-register and pay with credit or debit card through Eventbrite.

The workshop will be led by Dr. Linda Axtell-Thompson, ethics and strategy consultant with Axtell Consulting. Dr. Axtell-Thompson is currently an adjunct faculty member at Chaminade University of Honolulu and the University of Hawaii West Oahu. Her more than 30 years of professional experience in the Hawaii nonprofit sector include strong emphasis in ethical issues of aging, dementia, end-of-life care, and the intersect of professional ethics and personal values.
Sat. 10/17 A Night to Remember

Each fall, Hospice Hawaii hosts a candlelit memorial service called A Night To Remember. The evening provides the opportunity for family and friends to honor their loved ones. More

Saturday, October 17, 2015
Sacred Hearts Academy
3253 Waialae Avenue
5:00 pm - Assemble Luminaries 5:45 pm - Ceremony
Fri/Sat 10/30 & 31 The M Technique For End-Of-Life

This structured system of touch is suitable when massage is inappropriate because the receiver is very fragile, critically ill or the giver is not trained in massage. The 'M' works on the skin receptor sites that send signals to the brain. This method of touch has been used in America since 1994, and is taught in universities, hospital, hospices, nursing colleges and massage schools. The 'M' Technique® is different from massage. More details on our website.

Fee: $50 for the M Technique workshop. Each workshop is limited to 24 participants so register early. You can attend the workshop on Friday Oct. 30 or Sat. Oct. 31.  Thank you to St. Francis Hospice for their sponsorship of this event.

1PM to 5:30 PM (both days)
Sullivan Center - 4th Floor
Iolani School
563 Kamoku St
Honolulu, HI 96826 
Register Now: Nov 11 The Fine Art and Science of Pain and Palliative Care

Registration for The Queen's Medical Center conference on Pain & Palliative Care is now open. This annual conference brings national and local leaders together for our state's premier palliative care conference. 

Wednesday, November 11, 2015 
Ko'olau Ballrooms & Conference Center 
Kaneohe, Hawai'i 
  • Early Bird registration until October 27
Fast Facts of key palliative care topics

The Center to Advance Palliative Care (CAPC) is a national organization dedicated to increasing the availability of quality palliative care services for people facing serious illness.

Palliative in Practice:  A blog discussing pertinent issues across the full spectrum of palliative care. Sign up for free

Fast Facts provide peer-reviewed, evidence-based summaries of key palliative care topics. Each Fast Fact is printer-friendly and free.  View them all at https://www.capc.org/fast-facts/

Choosing Wisely®

Choosing Wisely®, a campaign of Consumer Reports, to provide resources for consumers and physicians to engage in important conversations about the overuse or misuse of medical tests and procedures that provide unnecessary and potentially harmful medical care.
Video: Ain't no way to die

This is an amazing video by ZDoggMD, Raper and MD. Watch it through to the very end (only 4 minutes). Ain't no way to die

ZDoggMD is a physician, off-white rapper, and the founder of Turntable Health. He's not a businessman.  A hospitalist at Stanford for almost 10 years, Dr. Z currently resides in Las Vegas-a city he finds simply adorable.  More and a list
off all his videos including one on Readmissions. 
Kaiser Hawaii Palliative Care MD position

The Hawaii Permanente Medical Group, Inc. is seeking a Palliative Medicine Physician to join its Continuing Care Department at the Moanalua Medical Center in Honolulu, Hawaii. This is an exceptional opportunity for a dynamic candidate to use creativity and innovation to expand the Palliative Medicine Program. More: careers.hawaiipermanente.com
16-Page Kokua Mau Booklet

Thank you to all of you who contacted us and are already using the updated booklet!

Our 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 40,000 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.  

Catholic Ethics and the End of Life

The Catholic Health Association of the United States has released a new guide on advance care planning titled 'Advance Directives: Expressing Your Health Care Wishes'.

The guide provides a clear explanation of advance directives and their importance in ensuring that patients receive wanted treatment, and emphasizes that all adults should have an advance directive. In addition, the guide explains Catholic teaching on advance directives and provides step-by-step advice for individuals who are interested in recording their wishes.  

On the POLST Paradigm, there is an explanation on the differences between POLST and advance directives, as well as an explanation of Catholic perspectives on POLST. Critically, the guide states that the POLST Form and process are consistent with Catholic Moral Teaching. The PDF file.

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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