Department of Geriatric Medicine, JABSOM-UH, Pacific Islands Geriatric Education Center, The John A. Hartford Foundation Center of Excellence, The Donald W. Reynolds Foundation Training Grant and the Hawaii Medical Directors Association presents its

2015 Conference on Long-Term Care Tuesday, September 15, 2015, 8:00 a.m. - 4:00 p.m. Koolau Grand Ballrooms

Synergy and Synthesis Empowering Care for the Elderly Target Audience: Admissions Coordinators, Consulting Pharmacists, Surveyors, Directors and Assistant Directors of Nursing, Directors of Rehabilitation Services, Directors of Social Services, Facility Staff, Medical Directors, Nurse Practitioners, Nursing Home Administrators, Nursing Home Physicians and Primary Care Physicians, Physicians Assistants, Allied Health Students This live activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of AMDA - The Society for Post-Acute and Long-Term Care Medicine (AMDA) and the Hawaii Medical Directors Association. AMDA - The Society for Post-Acute and Long-Term Care Medicine is accredited by the ACCME to provide continuing medical education for physicians. AMDA - The Society for Post-Acute and Long-Term Care Medicine designates this live activity for a maximum of 5.25 AMA PRA Category 1 Credits TM. Physicians should claim credit commensurate with the extent of their participation in the activity. This live activity has been pre-approved by the American Board of Post-Acute and Long-Term Care Medicine (ABPLM) for a total of 5.25 management hours toward certification as a Certified Medical Director (CMD) in post-acute and long-term care medicine. The CMD program is administered by the ABPLM. Each physician should claim only those hours of credit actually spent on the activity.

2015 LTC Conference Program: Synergy and Synthesis– Empowering Care of the Elderly

Tuesday, September 15, 2015, 8:00am - 4:00pm Koolau Grand Ballrooms - Kaneohe, Hawaii

Statement of Need: The car e of fr ail elder s will benefit by the tr ansformation of our healthcar e system that finds solutions to improve patient safety, quality of care, and person-centered care in the context of greater teamwork and partnerships. The information provided at this CME/CE activity is for continuing education purposes only and is not meant to substitute for the independent medical/clinical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s condition.

7:30am – 7:55am

Registration & Exhibits

7:55am – 8:00am

Welcome & Opening Remarks

8:00am – 8:45am

Session 1: The Geriatric Workforce in Hawaii Kelley Withy, MD, PhD Objectives:

8:45am – 9:30am

1. Describe the current state of the geriatrics work force in Hawaii 2. Identify challenges of an aging population for patients and healthcare providers 3. Describe solutions and strategic ideas that can be used to address future needs

Session 2: Bolstering Management of Neurological Diseases of the Elderly Moderator: Kore Liow, MD, FACP, FAAN; Pat Borman, MD, ABFM; Thomas Hardy, PsyD, MA; Panida Piboolnurak, MD Objectives:

1. Describe how dementia consult can collaborate with physicians and other IDT members 2. Describe the role of the interdisciplinary team for dementia assessment 3. Describe the role of the interdisciplinary team for dementia care

9:30am –10:00am

Break & Exhibits

10:00am – 10:45am

Session 3: Innovative Pharmacy Partnerships Carolyn Ma, PharmD, BCOP; Karen Pellegrin, PhD, MBA Objectives:

1. Understand the current pharmacist roles and responsibilities 2. Explain how the embedded pharmacist model can support a primary care practice 3. Describe the Pharm2Pharm model

10:45am –11:30am

Session 4: Transition from Long-Term Care Facilities to Home Moderator: Norine Wong, MSW, LSW, CCM; Marcus Pang, MSW, LSW; Judy Taketa, MSW, ACSW, LSW; Madi Silverman, MPH

This program is approved by the National Association of Social Workers– Hawai’i Chapter (Approval HI67292015-033) for up to 5 Social Work continuing education contact hours.

Continuation of Session 4: Transition from Long-Term Care Facilities to Home Objectives:

1. Describe the role of a Home Health/Care agency in assisting with transitioning a person from a LTC facility to home 2. Describe a State agency that can assist with transitioning a person from a LTC facility to home 3. Describe a private community resource agency that services the Elderly in multiple ways in their own home setting

11:30am – 1:00pm

Lunch — Exhibits — Networking

1:00pm – 1:45pm

Session 5: Advance Care Planning: Let’s All Do It! Moderator: Al Yazawa, MD, CMD; Dawn Minaai, MD, Sheri Richards, RN, BSN, Kathleen Mau, MSW, LSW Objectives:

1:45pm – 2:30pm

1. Identify the importance of implementation of Advance Care Planning in health care organizations 2. Describe the implementation of Advance Care Planning conversations in different settings 3. Illustrate how we honor patients’ wishes through Advance Care Planning conversations and documentation

Session 6: Protecting Patients’ Rights in Long-Term Care –The Right to Refuse Treatment Moderator: Valisa Saunders, MN, APRN, GNP-BC; Brett Lu, MD, PhD; Kamal Masaki, MD; Jim Pietsch, JD; Chris Ridley, LCSW Objectives:

2:30pm – 3:45pm

1. Identify issues in LTC that are breaches of Patients’ Rights to Refuse Treatment in the context of CMS survey requirements (F Tag 155) updated in 2014 & 2015 2. Identify resources in the community and one’s agency to help with conflict when legal/ethical issues arise for patients related to Rights to Refuse Treatment 3. Identify potential gaps in one’s agency policies for protecting patient’s Rights to Refuse Treatment

Session 7: Cutting Edge Updates for 2015: Choosing Wisely with the Interdisciplinary Team’s Help

Moderator: Valisa Saunders, MN, APRN, GNP-BC; Kim Pennington-Lovell, PT, CWS; Toby Smith, DO Objectives:

3:45pm – 4:00pm

1.Identify the highlights of the Choosing Wisely Campaign 2. Describe recent evidence-based resources for physicians and nursing practices in geriatric care and long term care 3. Summarize updates for rehabilitation and other allied health geriatric care practices

Closing Remarks This Live activity, Long Term Care Conference 2015: Synergy and Synthesis — Empowering Care for the Elderly, with a beginning date of 09/15/2015, has been reviewed and is acceptable for up to 5.25 Prescribed credit(s) by the American Academy of Family Physicians. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

In an effort to be green, conference materials will be provided on a USB flash drive. Feel free to bring a laptop to the conference.

2015 Long-Term Care Conference Faculty Patricia Lynn Borman, MD, ABFM

Dawn Minaai, MD

Valisa Saunders, MN, APRN, GNP-BC

Director of Geriatrics and Palliative

Geriatric and Palliative Physician

HHSC Oahu Region Nurse Practitioner


Straub’s Advance Care Planning Clinic

Madi Silverman, MPH

Hawaii Pacific Neuroscience Institute

Marcus Pang, MSW, LSW

Project Coordinator – DHS Medicaid Quest

Thomas Harding, PsyD, MA

Kaiser Home Health Social Worker

Toby Smith, D.O.


Karen L. Pellegrin, PhD, MBA

Hawaii Pacific Neuroscience Institute

Director of Continuing/Distance Education and Strategic Planning

Hawaii Regional Team Physician, Life Care Center of Kona; and Clinical

Kore Liow, MD, FACP, FANN

Assistant Professor of Geriatric Medicine, UH-JABSOM

Chair, Department of Medicine

UH Hilo Daniel K. Inouye College of Pharmacy

Castle Medical Center

Kim Pennington-Lovell, PT, CWS

Case Management Supervisor

Brett Lu, MD, PhD

Regional Rehab Manager

Catholic Charities

Associate Professor of Psychiatry

Brighton Rehab

Kelley Withy, MD, PhD

Dept. of Psychiatry UH-JABSOM

Panida Piboolnurak, MD

Carolyn Ma, PharmD, BCOP Associate Professor and Chair

Director, Center for Memory and Brain Health

Professor, Department of Complementary and Alternative Medicine, UH– JABSOM

Department of Pharmacy Practice

Hawaii Pacific Neuroscience Institute

UH Hilo Daniel K. Inouye College of

James H. Pietsch, JD


Professor of Law, William S. Richardson School of Law-UH

Kamal Masaki, MD Professor and Chair Department of Geriatric Medicine , UH– JABSOM Kathleen Mau, MSW, LSW Manager, Medical Social Work/Social Services, Continuing Care Department Kaiser Permanente

Judy Taketa, MSW, ACSW, LSW

Director, Hawaii/Pacific Basin Area Health Education Center Norine Wong, MSW, LCSW, CCM Social Work Consultant Pacific Islands Geriatric Education Center

Director, UH Elder Law Program

K. Albert Yazawa, M.D., CMD

Sheri Richards, RN, BSN

Geriatric Health Services

ACP/Palliative Care Coordinator

Straub Clinic & Hospital

Castle Medical Center Chris Ridley, LCSW Director of Social Services Life Care Center of Hilo

2014 Long-Term Care Program Planning Committee Michiko Inaba, MD, Course Director Aida B. Wen, MD, CMD, Course Co-Director Katherine Kim, MPH, Coordinator Aaron K. Koseki, PhD, RRT Ann Low, BSC, PT Lauren I. Okamoto, MD Chris Ridley, LCSW Regina Rivera, DON Valisa Saunders, MN, APRN, GNP-BC Trish Schuler, RN, CDONA Nadine Smith, RN, COO Bruce K. Tamura, MD Norine Wong, MSW, LSW, CCM K. Albert Yazawa, MD, CMD Eric K.S. Yee, MD, CMD

CONFERENCE REGISTRATION FORM Deadline for Registration is September 1, 2015 Early Bird Fee (Registrations received by August 14, 2015)

(Registrations received after August 14, 2015)


$100 conference fee per person


$150 conference fee per person


$25 CME fee (physicians only)


$25 CME fee (physicians only)


$50 Student Rate

___________ $75 Student Rate

Make checks payable to: Hawaii Medical Foundation Mail registration form & payment to: PI-Geriatric Education Center 347 N. Kuakini Street, HPM-9 Honolulu, Hawaii 96817

Cancelation Policy Full refund if cancellation request is received by August 30, 2015 $50 process fee will be taken from refund if cancelation request is received after August 30, 2015

Name: _____________________________________________________________________________________

Title/Position: _______________________________________________________________________________


Address: ___________________________________________________________________________________

Zip:_________________________ Email: ________________________________________________________

Phone: ___________________________________ Alt. Phone: ________________________________________

For information or questions contact: Katherine Kim at 523-8461 or email at [email protected]

Synergy and Synthesis -

Aug 30, 2015 - 8:45am – 9:30am. Session 2: Bolstering ... 9:30am –10:00am. Break & Exhibits ... Feel free to bring a laptop to the conference. 11:30am – 1: ...

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