the pursuit of excellence: transforming end of life care through...

The Pursuit of Excellence: Transforming End

of Life Care through Innovation and Strategy

August 22-23, 2019 Marriott Griffin Gate Lexington, Kentucky

CONTINUING EDUCATION OFFERED*: Nursing

The Kentucky Board of Nursing has approved contact hours as follows: KBN# 4-0123-1220-0047, 6.0 contact hours for Thursday, August 22, 2019 and KBN# 4-0123-1220-0048, 6.0 contact hours for Friday, August 23, 2019. Kentucky Board of Nursing approval of an individual continuing education provider does not constitute endorsement of program content. To receive contact hours participants must bring their nursing license number, attend the entire day, and evaluate the offering.

Social Work

Hosparus Health is approved by the Kentucky Board of Social Work to sponsor continuing education for credential holders (KBSWSP 2019018). Hosparus Health maintains responsibility for this program and its content. Contact hours for Social Workers are approved as follows: 6.0 contact hours for Thursday, August 22, 2019 and 6.0 contact hours for Friday, August 23, 2019. To receive contact hours participants must bring their social work license number, attend the entire day, and evaluate the offering.

Licensed Professional Counselors: Pending Upon Approval.

EDUCATION COMMITTEE

Euretha Godby, Chair Amber Kirchner Hospice of Lake Cumberland Hosparus Health

Liz Fowler Deborah May Bluegrass Care Navigators Hosparus Health

Phil Marshall Gail McGillis Hosparus Health Hospice Care Plus

Susan Hunt Turner West Community Hospice Bluegrass Care Navigators

Janelle Wheeler Stephanie Harwood Heritage Hospice Hosparus Health

Brandy Cantor KAHPC

LEARNING OBJECTIVES

After completing this conference, participants will be able to:

• Apply modern strategies to maintain successful palliative care and hospice programs

• Utilize effective clinical interventions to provide better patient care experiences

• Recognize the ever-changing healthcare environment from the regulatory perspective

• Choose valuable psychosocial and spiritual care techniques and strategies to improve end of life outcomes

CONFERENCE OVERVIEW

In the healthcare industry, change is imminent and

unavoidable. Hospices must face the challenge of

constant change in order to pursue excellence. The 2019

KAHPC conference will address much of the change we

see today in the industry. The conference will cover a full

range of engaging topics and speakers. The goal of the

conference is to provide insight and tools to help

attendees keep pace with what is going on in and around

the industry.

Cherry Meier will open the conference this year. Cherry is

known in the hospice community for her work in the

advancement of hospice in the long-term care setting.

She has worked with the National Hospice and Palliative

Care Organization (NHPCO) as Long-Term Care

Manager and was responsible for providing operational

guidance for the integration of hospice into the nursing

home.

Judi Lund-Person will be our Thursday afternoon plenary

speaker. Judy will present “A View from Washington”.

Judi is the Vice President of Regulatory and Compliance

for NHPCO. Judi will share with us the latest and greatest

from the regulatory front.

Throughout the day on Thursday, attendees will be able

to engage with colleagues to learn from topics covering

clinical, management/regulatory, psychosocial/spiritual,

palliative care, and a 5th track on volunteers.

Friday morning the conference will open at 8am with

breakout sessions in various tracks. Our Friday morning

plenary speaker will be Tom Gualtieri-Reed. Tom has

presented extensively on a range of palliative care

business planning and program development topics at

national and regional conferences and has co-authored

several publications on payer-provider partnerships.

Dr. Lynn McPherson will be our Friday closing plenary

speaker. Dr. McPherson has maintained a practice in

both hospice (local and national) and ambulatory care her

entire career. Dr. McPherson teaches extensively in the

Doctor of Pharmacy program at the University of

Maryland School of Pharmacy in Baltimore on pain

management and end of life care, including didactic and

experiential content.

Judi Lund-Person, BA, MPH, CHC is the Vice President, of Regulatory and Compliance for the National Hospice and Palliative Care Organization. Judi serves as a key contact with the Centers for Medicare and Medicaid Services, interfacing with hospice payment policy, Part D, survey and certification, contractor management, and program integrity functions, among others. She also represents hospice and palliative care with the Medicare Administrative Contractors and other federal agencies and many national organizations. Recent issues include advocating for changes in the Notice of Election filing and payment process, advocating for new guidance regarding Part D and hospice, and ongoing work with the Medicare Administrative Contractors on hospice payment policy issues. She works daily with hospice providers and state hospice organizations on the ever-increasing array of regulatory and compliance issues and translates complex regulatory language into actionable “plain English” for hospice providers. She works with her team at NHPCO to develop regulatory and compliance tools for hospice providers each year, including hospice payment rates and wage index values and compliance guides to assist providers in achieving compliance with various federal rules and regulations.

Tom Gualtieri-Reed, MBA is a partner with Spragens & Gualtieri-Reed. He has more than 25 years of experience in the health care field, working in business operations, strategic development, and analytics, and has done extensive work with both provider and payer organizations. Mr. Gualtieri-Reed works directly with hospitals, physicians, and health care organizations to develop and implement strategic and business plans, including care delivery redesign, population health, and palliative care programs designed to improve the effective delivery of care. In 2018 Mr. Gualtieri-Reed served as facilitator for the National Consensus Project (NCP) Stakeholder Strategic Directions Summit to develop the 4th edition of the NCP Clinical Practice Guidelines for Quality Palliative Care. He has a specific interest in addressing the needs of the aging population and those with serious illness. Previously, Mr. Gualtieri-Reed held leadership positions at Blue Cross and Blue Shield of North Carolina, Duke University Health System, Kaiser Permanente of North Carolina, and the University of Massachusetts Medical Center. Mr. Gualtieri-Reed earned his MBA from Duke’s Fuqua School of Business and his BA in economics from the College of the Holy Cross. Mr. Gualtieri-Reed has presented extensively on a range of palliative care business planning and program development topics at national and regional conferences and has co-authored several publications on payer-provider partnerships.

Mary Lynn McPherson, PharmD, MA, MDE, BCPS, CPE is Professor and Executive Director, Advanced Post-Graduate Education in Palliative Care, and Vice Chair, Teaching Development and Enhancement in the Department of Pharmacy Practice and Science at the University of Maryland School of Pharmacy in Baltimore. Dr. McPherson has maintained a practice in both hospice (local and national) and ambulatory care her entire career. Dr. McPherson teaches extensively in the Doctor of Pharmacy curriculum on pain management and end of life care, including didactic and experiential content. She has created and serves as the Executive Director of the Online Master of Science and Graduate Certificate Program in Palliative Care through the University of Maryland Baltimore. She has authored five books including the very popular “Demystifying Opioid Conversion Calculations: A Guide to Effective Dosing.”

Cherry Meier, RN, MSN, LNHA has a master's degree in nursing from Texas Women's University and licensed as a nursing home administrator in Texas. She has been working in hospice since the passage of the Hospice Benefit in 1982 and employed by VITAS since 1989 in various roles. Her current title is Vice President of Nursing Facility Partnerships. Cherry is known in the hospice community for her work in the advancement of hospice in the long-term care setting. She worked with the National Hospice and Palliative Care Organization as Long Term Care Manager and was responsible for providing operational guidance for the integration of hospice into the nursing home. She has worked with nursing home associations and the Centers for Medicare and Medicaid Services as language was developed for the partnership. Cherry also participated on the expert panel in developing the Minimum Data 3.0 version.

FEATURED PRESENTERS

Clinical

Room: TBA

Management/Regulatory Room: TBA

Psychosocial /Spiritual Room: TBA

Palliative Care Room: TBA

Volunteer Room: TBA

Welcome 9:00-9:15 Liz Fowler

CEO Bluegrass Care Navigators, President of KAHPC

Opening Plenary

9:15-10:15

Evolution of Hospice Care in the Nursing Home

Cherry Meier, RN, MSN, LNHA VITAS Healthcare

Break 10:15-10:30

Breakout Session

1

10:30-11:30

1.1

Changing the Way We Care: How the Internet

of Things is Transforming Health

care

Kevin Childs Total Triage

1.2

Post-Acute State of the Industry

The Advisory Board

Company

1.3

How Do We Navigate the Waters When Its Our Own:

Grief, Boundaries and Spiritual Impact

David Carper, M.Div., BCC Bluegrass Care Navigators

Esther Sapp, M.Div.

Bluegrass Care Navigators

1.4

Management of Opioid-Induced Adverse Effects

in Palliative Care

Dan Morrow, PharmD Enclara

1.5

From the Grocery to the Santuary: Educating

Your Community through Volunteer

Ambassadors

Carrie Truitt Hosparus Health

Lunch 11:30-12:30 KAHPC ANNUAL AWARDS

Break 12:30-12:45

Afternoon Plenary

12:45-1:45

The View from Washington

Judi Lund-Person, BA, MPH, CHC VP of Regulatory and Compliance for the National Hospice and Palliative Care Organization

Break 1:45-2:00

Breakout Session

2

2:00-3:00

2.1

Incorporating Buprenorphine Therapy

into the Care of Hospice Patients

Lori Earnshaw, MD,

FAAHPM Hosparus Health

Kate Probst, PHARMD,

BCACP, BCGP Sullivan College of

Pharmacy and Health Sciences

2.2

Nursing Facility Partnerships: Understandi

ng the Regulations

Cherry Meier, RN, MSN, LNHA

VITAS Healthcare

2.3

Holistic Hospice Care: Utilizing Reiki Therapy and

End of Life Doula Approach in Clinical

Practice

Eva Morse, CSW Hosparus Health

Peggy Holthaus, Chaplain

Hosparus Health

2.4

Palliative and Hospice Social Work: What is

Support Anyway?

Abigail Latimer, LCSW, APHSW-C

UK College of Social Work

Anna Bullard, LCSW

Pediatric Advanced Care Team

2.5

The CVA Credential and Why It’s Important

for Leaders of Volunteers

Kimberly Heesand,

CVA Bluegrass Care

Navigators

Shellie Brown Bluegrass Care

Navigators

Break 3:00-3:15

Breakout Session

3

3:15-4:15

3.1

Treatment of Dyspnea and Usage of

Ventilators in Hospice

Sam Petteway Qualis

3.2

Regulatory Deep Dive

Judi Lund-Person, BA, MPH, CHC

VP of Regulatory and Compliance for the

National Hospice and Palliative Care Organization

3.3

Wounded Bodies, Wounded Hearts

Brandon Cook, M.Div, M.A.

Hosparus Health

Deborah Chaney, RN Visit Nurse

3.4

Right Sizing Your Pharmacy Budget “De-

Prescribing”

Lynn McPherson, PharmD, MA, MDE,

BCPS, Professor and Executive Director,

Advanced Post-Graduate Education in Palliative

Care. University of Maryland School of

Pharmacy

3.5

Need More Volunteers: Developing an Effective

Recruiting Strategy

Laura Harbolt Hosparus Health

Evaluations 4:15-4:30

Board Meeting 4:00—5:30

Clinical

Room: TBA

Regulatory/Management Room: TBA

Spiritual/Psychosocial/Volunteer

Room: TBA

Palliative Care Room: TBA

Breakout Session 4

8:00-9:00

4.1

Controlled Sustances: 1,2,3 What You Need to Know

Stephanie Hopper, RN,

MSN, LNHA, CHPN Hospice of Hope

Kayla Hay, RN, BSN, CHPN

Hospice of Hope

4.2

Opioid Conversion

Lynn McPherson, PharmD, MA, MDE, BCPS, Professor

and Executive Director, Advanced Post-Graduate

Education in Palliative Care. University of Maryland

4.3

From Child Life Specialist to Grief Counselor: Exploring Posttraumatic Growth in

Children and Teens

Rebecca A. Rector, MS, LPCA, CCLS

Hosparus Health

4.4

Billing Palliative Care: Getting Paid For Your Services

Anne Monroe, MHA

Monroe Palliative Practice Consultant LLC

Welcome 9:00-9:15 Euretha Godby

Executive Director, Hospice of Lake Cumberland, VP of KAHPC

Opening Plenary

9:15-10:15

Leading In Periods of Change and Uncertainty: Practical Tips and Techniques for Finding Your No Regret Actions

Tom G. Reed, MBA Spragens & Gualtieri-Reed

Break 10:15-10:30

Breakout Session 5

10:30-11:30

5.1

Expectation Management of Opioid Therapy

Katrina Nickels, MD

Bluegrass Care Navigators

Douglas Oyler, PharmD UK HealthCare

James Haggie, LSW, BSW Bluegrass Care Navigators

5.2

Tools of the Trade for Quality Hospice Services –

What Providers Should Know

Eugenia Smither, VP,

Quality and Compliance Bluegrass Care Navigators

5.3

The Influence of Spirituality in Medical Decision Making

Kathryn Perry, Chaplain

UK

5.4

Improving Access to Palliative Care Education: The Role of

Project ECHO

Lori Earnshaw, MD, FAAHPM Hosparus Health

Pamela Yankeelov, PHD

U of L Trager Institute

Justin Magnuson iCCOA & Project ECHO

Coordinator U of L

Luncheon

11:30-12:30

Breakout Session 6

12:30-1:30

6.1

When It’s Not an Ulcer: Managing Common Skin Conditions in the Hospice and Palliative Care Patient

Amber Kirchner, MSN,

RN-BC-CHPN Hosparus Health

6.2

Business Planning Steps for Building or Expanding a Service Line or PC Team

Tom G. Reed, MBA

Spragens & Gualtieri-Reed

6.3

Patient/Family Advisory Council-Exploring the

Patient/Family Experience to Further Enhance Quality of

Care

Amy Hill, LCSW Hosparus Health

6.4

Pediatric Transport Home

Lindsay Ragsdale, MD Director, Pediatric Advanced

Care Team Division Chief, Pediatric

Palliative Care UK

Break 1:30-1:45

Closing Plenary

1:45-2:45

Paving the Road Ahead

Lynn McPherson, PharmD, MA, MDE, BCPS, Professor and Executive Director, Advanced Post-Graduate Education in Palliative Care.

University of Maryland

Evaluations 2:45-3:00

Course Fee:

$150.00– Member $250.00– Non-Member

Target Audience: End-of-life curriculum is designed for nurses and

other disciplines (social workers, chaplains) working in acute care setting, clinics, homecare, hospice and

palliative care.

Registration Fees and Information

August 21st, 2019 7:30am-5:00pm

Preconference for the

KAHPC 21st Annual Conference and Symposium

Location: Bluegrass Care Navigators 2312 Alexandria Dr

Lexington, Kentucky 40504

ELNEC

End-Of-Life Nursing

Education Consortium

ELNEC Core

Curriculum

Presented by:

ELNEC Core Curriculum Agenda

Sign-in begins at 7:30am The day includes a light breakfast and lunch. The order of lectures and break times may vary according to speakers’ schedule. 8:00am-5:00pm 1. Palliative Nursing Care

2. Communication

3. Pain Management

4. Symptom Management

5. Loss, Grief, and Bereavement

6. Ethical/Legal Issues

7. Final Hours

8. Culture and Spirituality

ELNEC Core Curriculum is a nationally recognized certification program that prepares professionals to provide excellent end of life

Course Objectives Upon completion of the course, the participant will be able to: A. Describe the role of the nurse in providing quality palliative care for patients across the lifespan. B. Discuss aspects of assessing physiological, psychological, spiritual, and social domains of quality of life for patients and families facing a life limiting illness or event. C. Define the importance of ongoing communication with the interdisciplinary team, patient and family including delivery of bad news D. Identify barriers to adequate pain management. E. Describe pharmacological and nonpharmacological therapies used to relieve pain. F. Identify common symptoms associated with end-of-life including interventions for relief. G. Distinguish between normal and complicated grief processes. H. Describe specific roles of the nurse in ethical decision making.

Faculty

Debra Gleason, MSW, MSN, CHPN

Abbie Latimer, LCSW, APHSW-C

Becky Yarrison, PhD, HEC-C

Dr. Liz Markus, MD

— Additional faculty TBD

NOTES: * This session includes a light breakfast and lunch.

* For continuing education you will need to sign-in

at registration by 8am.

* Please Register using

the conference

brochure Registration

Sheet.

* There will be a $5

Service Charge for

credit cards.

Continuing Education Offered: The Kentucky Board of Nursing has approved this

offering for a total of 8.7 contact hours, KBN# 5-0038-

12-2019-591. Kentucky Board of Nursing approval of

an individual nursing continuing education provider

does not constitute endorsement of program

content. To receive contact hours participants must

attend the entire session and evaluate the offering.

Course Fee:


2019 Jurisdiction M (JM) Hospice Medicare Workshop Series - Tools for Medicare Success


August 21st, 2019 1pm-5:00pm



Location: Marriott Griffin Gate Lexington, KY

Palmetto GBA is pleased to announce our 2019 Hospice Workshop Series, Tools for Medicare Success. These workshops are designed for hospice providers and their staff to equip them with the tools they need to be successful with Medicare billing, coverage and documentation requirements.

These workshops will provide insight for hospice agency staff at all levels; however, we suggest that providers who are new to Medicare or have new staff attend online learning courses for beginners offered at www.PalmettoGBA.com/hhh. Basic billing and other online educational resources can be found in the Self-Paced Learning section by selecting the Learning and Education link under the Browse Topics option at the top of the page. During the workshop series, Palmetto GBA will provide information related to the most common errors identified through a variety of data analysis and some hints and tips on the reasons why these errors occur. Palmetto GBA’s ultimate goal is to have educated and astute providers who know how to accurately and skillfully apply the information they learn to their documentation and billing practices.

The following topics will be covered during the workshop:

Part I:

1. Utilization

a. Length of Stay

b. Medicare Spending

2. Improper Payments

3. Continuous Home Care

4. Effective Documentation of Certification of Terminal

Illness

5. Documentation for the End Stage Renal

Patient

Part II:

1. What You Need to Know for 2019

a. 2019 Final Rule

b. Targeted Probe and Educate (TPE)

c. Medicare Beneficiary Identifier (MBI) Updates

d. Improvements in Hospice Billing and Claims

Processing

2. Data Driven Topics

a. Election Statement Requirements

b. Hospice Transfers

3. eServices Online Portal

4. Reminders

a. CERT Program

b. Provider Enrollment Revalidation

5. Provider Resources/Self Service Tools

a. Palmetto GBA Resources

b. CMS Resources

c. Top Links

d. Social Media

e. Education/Events

NOTES:

* There will be a $5 Service Charge for credit cards.

* Due to timing, meals will not be offered.

* Please Register using the conference brochure

Registration Sheet.

http://www.PalmettoGBA.com/hhh

Overview

Majority of hospice care for Veterans is delivered by community

hospice programs

Public Law 115–141

Directed VA to undertake a study on the feasibility of

Implementing hospice care protocols tailored to the unique

needs of combat veterans, including Vietnam-era veterans,

and to develop a report outlining the techniques, best

practices, and support mechanisms to serve these veterans.

Three Part Series:

Moral Injury

PTSD

Suicide Prevention

Course Fee:


* Please Register using the conference

brochure Registration Sheet.


August 21st, 2019 1pm-5:00pm



Location: Marriott Griffin Gate Lexington, KY

NOTES:

* There will be a $5 Service Charge for credit cards.

* Due to timing, meals will not be offered.

Posttraumatic Stress Disorder in Vietnam Veterans

Dr. Jeffrey Lightfoot, PhD, HSPP Palliative Care Psychologist Richard L Roudebush VA Medical

Center

After attending this session, participants will be able to:

Identify signs of Posttraumatic Stress

Disorder (PTSD)

Explain how trauma may impact

Veterans at end of life

Discuss treatment options for PTSD

specific to end of life

Understand the similarities and

differences between PTSD and other

conditions

Know how to best care for Vietnam

Veterans with PTSD at the end of life

Moral Injury in Vietnam Veterans

Melissa Schroder, LCSW Palliative Care Social Worker

Richard L Roudebush VA Medical Center


Describe Moral Injury (MI)

Identify how Moral Injury develops

Understand the similarities and

differences between Post Traumatic

Stress Disorder (PTSD) and Moral

Injury

Describe how Moral Injury affects

Vietnam Veterans at the end of life

Understand how to care for Vietnam

Veterans with Moral Injury at the end

of life

Suicide Prevention in Vietnam Veterans

Lynn Meyer, LCSW Palliative Care Coordinator Richard L Roudebush VA Medical

Center


Identify signs of suicidal thought/

behavior in Veterans

Understand and utilize an appropriate

assessment tool for defining risk in a

Veteran

Choose appropriate interventions based

on personal knowledge and experience

Discuss options for care related to

suicidal ideation, both inside the VA and

externally

Know how to best care for Vietnam

Veterans with suicidal thought/behaviors

at the end of life

Continuing Education Offered: (3.6 Contact Hours)

Nursing

The Kentucky Board of Nursing has approved 3.6 contact hours for

Wednesday, August 21, 2019 (KBN# 4-0123-1220-0050). Kentucky Board

of Nursing approval of an individual continuing education provider does

not constitute endorsement of program content. To receive contact

hours participants must bring their nursing license number, attend the

entire preconference, and evaluate the offering.

Social Work

Hospice Health is approved by the Kentucky Board of Social Work to

sponsor continuing education for credential holders (KBSWSP 2019018).

Hosparus Health maintains responsibility for this program and its

content. 3.6 contact hours for Social Workers are approved for

Wednesday, August 21, 2019. To receive contact hours participants must

bring their social work license number, attend the entire preconference,

and evaluate the offering.

2019 KAHPC Awards Luncheon Thursday, August 22, 2019

The Kentucky Association of Hospice and Palliative Care annually honors staff,

leaders, and community supporters who exemplify providing quality end-of-life

care to members of our communities. Your paid registration on Thursday includes

admission to the awards luncheon. Additional luncheon tickets for those not

registered can be purchased at $35.00 each.

Please join us in recognizing leaders in our field and our state.

Hospice Innovator Award For an individual or group who has demonstrated excellence in the use of skills, caring and devotion to

patients and colleagues.

Hospice Distinguished Leader Award For a person demonstrating sensitivity and commitment to the hospice mission and to the promotion of

end-of-life care.

Hospice Champion Award Individuals who have advanced the cause and support of the hospice industry and/ or supported those

principles and concepts consistent with values underlying the provision of hospice services.

The Award of Excellence For an individual who has attained repeated outstanding support in hospice end-of-life care through

advocacy, partnership, and strengthening public policy.

Hospice Pioneer Award For an individual who has blazed a trail for others to follow within the hospice profession, education,

program development, administration, government or community activities.

Above and Beyond Award For a person demonstrating exemplary actions of heroism or courage beyond the call of duty within their

hospice role.

Thank You to Our 2019 Sponsors We Appreciate Your Support!

Platinum Sponsor: WellSky

Total Triage

Gold Sponsor:

……

Silver Sponsor:

…...

THANK YOU! 2019 EXHIBITORS & SPONSORS

Bronze Sponsor:

Community Hospice

WellCare

Registration Fees:

❑ Wednesday (Preconference)



❑ Thursday

❑ Friday

❑ Additional Award

Luncheon Tickets

(Thursday)

Early Bird KAHPC Member (until July 25th )

ELNEC

PALMETTO

VETERANS

$150

$150

$35 Each

KAHPC Member

(after July 25th)

$150

$75

$75

$165

$165

$35 Each

Non-Member

$250

$125

$125

$225

$225

$35 Each

Amount Due

________

________

________

________

________

________

TOTAL AMOUNT DUE (ADD LAST COLUMN) $ ________

Please type or print. Use separate form for each registrant. First Name: ____________________________________ Last Name: _______________________________________ Organization: __________________________________ License # _________________________________________ Credentials: ____________________________________ Type of Contact Hours requested: _____________________ Job Title: ______________________________________ Email: ___________________________________________ Address: _____________________________________________________________________________________________ City: _______________________________ State: ______ ZIP: ________ Phone: _____________________________

Please complete registration form and send payment to:

Brandy Cantor Kentucky Association of Hospice and Palliative Care

305 Ann St., Suite 308, Frankfort, KY 40601

[email protected] Phone: 1-888-322-7317 Fax: 1-888-755-6531

You will receive email confirmation of your registration at the above email address. ***No cancellations after August 1, 2019; but you may send another person in your place at no additional cost.***

Hotel Information

A block of rooms are being held at the Marriott Griffin Gate Resort in Lexington at the conference rate of $139 per night double occupancy. Please call the hotel directly for reservations; identify yourself as a Kentucky Hospice Conference participant.

Marriott Griffin Gate 1800 Newtown Pike

Lexington, KY 40511

Phone: (859) 231-5100

Method of Payment ❑ Check (payable to KAHPC) ❑ Credit Card - Circle one: Visa / MasterCard

Credit Card# ________________________________ Exp. Date: _________ Name on Card (print) _____________________________ 3 digit code________ (on back of card)

Billing address on card: _________________________________________________

Please Note: Credit cards are

accepted, however, a

$5.00 service fee will be

applied per

registration.

Please type or print. Use separate form for each registrant. First Name: ____________________________________ Last Name: _______________________________________ Organization: __________________________________ Email: ________________________________________ Phone: _____________________________

Thursday: BREAKOUT SESSION 1 (10:30am-11:30am)

1.1 1.2 1.3 1.4 1.5

Thursday: BREAKOUT SESSION 2 (2:00pm-3:00pm)

2.1 2.2 2.3 2.4 2.5

Thursday: BREAKOUT SESSION 3 (3:15pm-4:15pm)

3.1 3.2 3.3 3.4 3.5

Friday: BREAKOUT SESSION 4 (8:00am-9:00am)

4.1 4.2 4.3 4.4

Friday: BREAKOUT SESSION 5 (10:30am-11:30am

5.1 5.2 5.3 5.4

Friday: BREAKOUT SESSION 6 (12:30pm-1:30pm)

3.1 3.2 3.3 3.4

The Pursuit of

Excellence: Transforming End of

Life Care through

Innovation and

Strategy

Marriott Griffin Gate 1800 Newtown Pike

Lexington, KY 40511

Phone: (859) 231-5100

the pursuit of excellence: transforming end of life care through...

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