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AGENDA

8:00a.m.                    
 
8:30-8:45a.m.               
 

8:45-9:00a.m.              






 
9:00-9:45a.m.             
 















9:45-11:15a.m.           

















 
11:15-11:30a.m.         
 
11:30a.m.-12:15p.m.    

 
















12:15-1:00p.m.
 
1:00-2:30p.m.





















 
2:30-3:30p.m.

 












3:30-4:00p.m.
                            
Registration Open and Continental Breakfast

Welcome
                                                         
Carrie Whitwood, Executive Director, Ardent Solutions, Inc.

The Importance of Integrating Population Health and Palliative Care
Saralin Tiedeman, Millennium Collaborative Care, PPS

This introductory section of the conference will focus on the current state of end stage chronic conditions, the aging population, and the impact these have on healthcare resources and the health of our patient population. A look in to the future of the aging population will give a view of the potential effects our lack of advanced care planning and palliative care services will have on our country and patient care. 

Patient and Professional Roles in End-of-Life Planning and Care
Dr. Charles Yates, Chief Medical Officer Fallon Health Weinberg

This presentation will discuss questions that can arise when facing end of life situations, and look at some non-clinical approaches to seeking answers.  It will provide insight into the ways health care professionals look at these issues so that their perspectives can be interpreted for the layperson.  It will offer concrete approaches for the non-medical professionals who help caregivers and patients make what are often difficult decisions. 

Objectives
This presentation will:
  1. Understand the perspectives of some clinicians when approaching end of life discussions
  2. Clarify when and with whom to speak regarding treatment decisions
  3. Identify  the difference between written advanced directives and unspoken concerns
  4. Interpret and translate inappropriate language used in clinical settings for the layperson
  5. Offer constructive language for handling difficult medical situations

The Legal/Medical Partnership for End-of-Life Planning
Dr. Kathleen Grimm, Erie County Medical Center
Ms. Laurie Menzies, Esq., Pfalzgraf, Beinhauer & Menzies LLP


The health and well-being of older adults is an increasingly pressing area of focus as our population ages. Healthcare for older adults and individuals of all ages is bound up with the law in a broad variety of ways and is often front and center in policy debates about healthcare cost and quality. In addition, health conditions, such as cognitive impairment, mental illness, and dementia; have important legal implications for patients that are not widely understood. This presentation will stress the importance of planning to live in the continuum when planning to die.

Objectives
This presentation will:
  1. Expand and re-frame the paradigm from "end of life" to "longevity planning"
  2. Discuss the importance of partnerships among all professionals to help coordinate healthcare and end of life care
  3. Review inter-professional communication and cooperation needed for health, social, legal and financial wellbeing
  4. Identify legal versus medical capacity and necessary documentation


Break, Networking, Displays

Spiritual Care at End-of-Life
Mike Stuart, Spiritual Care Manager of HomeCare & Hospice

This presentation will begin with definitions of spirituality and spiritual care in hospice and palliative care. It will be followed by an overview of patients and their families in the last stage of an illness; the dying process; and bereavement period. It will include an assessment, plan and delivery of care, and the interdisciplinary care team. Attention will be given to the role of advocate and ethical issues pertaining to spiritual care. The presentation will be interspersed with examples of the presenter's experiences with patients, primary care givers and families.

Objectives
This presentation will:
  1. Provide a working definition of spirituality and spiritual care in hospice and palliative care
  2. Offer an overview of the work of spiritual care providers with patients and families as part of the interdisciplinary team
  3. Share opportunities for spiritual care providers in assisting patients and families with advanced care planning and ethical issues
  4. Help colleagues working in end of life care to appreciate the work and contribution of spiritual care providers

Lunch, Networking, Displays

Dignity, Respect, and Choice: Advance Care Planning for All
Sandra Lauer, RN, Erie County Medical Center
Leslie Saunders, NYS Peer Support Specialist


In 2012, The Conversation Project (TCP), in collaboration with the Institute for Healthcare Improvement (IHI), launched a public campaign dedicated to encouraging people to talk about their wishes for end-of-life care with their loved ones, before a health care crisis occurs. The aim of The Conversation Project is that everyone’s end-of-life care wishes are “expressed and respected.”

In 2014, the Erie County Medical Center (ECMC) became a part of a quality improvement project between the IHI and TCP, entitled, “Conversation Ready.” The focus of the work was to ensure that health care organizations would have a system in place to receive patients’ wishes, record them in the health record, and to respect them by providing care aligned with patients’ stated wishes. As Erie County’s Behavioral Health Center of Excellence, ECMC recognizes the importance of addressing the unique Advance Care Planning needs of those living with a behavioral health diagnosis.

Objectives
This presentation will:
  1. Describe the current state of dying in America
  2. Introduce the benefits of early, value-based conversations
  3. Explain the need to consider advance care planning for people with a behavioral health diagnosis a separate, significant issue

Making Lemonade- A Personal Perspective
Darcy Thiel, MA, LMHC, Celebrated Speaker, Author, Therapist

What happens when life hands you lemons? You can make a sour face or you can make lemonade. When Ms. Thiel’s husband was handed a terminal illness diagnosis, she and her family did both. They faced it head-on. How do you fight for your life and prepare for your death at the same time? How do you carry two opposing truths such as the glass is half empty and half full? Life is full of these challenges but never so clearly as when faced with a terminal illness. Ms. Thiel talks about these difficult concepts with sensitivity and candor.

Objectives
This presentation will:
  1. Help develop strategies for caretakers assisting others in the dying process
  2. Help break down the barriers around death and dying from being a taboo topic for those in the helping profession


Open Panel-Audience Discussion
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Our Mission: To create synergy within and between systems, organizations, families, and individuals that result in a strong culture of health and quality services for our communities. 
85 N. Main Street, Wellsville New York 14895 ● Phone:  585-593-5223 ● Fax: 585-593-5217
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