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| In this issue... |
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White House Briefing with CAPC director, Diane E. Meier, MD
Support Critical Palliative Care Legislation
FDA Threatens Opioids
American Hospital Association Call for Nominations for Circle of Life Award
American Hospital Association Becomes Partner for 2009 CAPC National Seminar
Register Now for the CAPC National Level I / II Seminar
PCLC Leader, Sarah E. Friebert, MD, Honored with Children's Miracle Achievement Award
U.S. Department of Health and Human Services Posts Proposed Comparative Effectiveness Research Strategic Framework
Updated Citations Section of CAPC Website
CMS Adds New Physician Specialty Code for Hospice and Palliative Care
Prolonged Services Under Medicare Still Limited to Patient Face-to-Face Time Only
HPNA Announces Betty Ferrell, MD, as Editor-in-Chief of the Journal of Hospice and Palliative Nursing
Sarah E. Friebert, MD, Develops Pediatric Palliative Care Triggers
Call for Applications for EPERC Medical School Palliative Care Education Project
Articles of Interest
Palliative Care Leadership CentersTM Adds New Training and Mentoring
American Cancer Society and National Palliative Care Research Center Award $1.5 Million for Palliative Care Research
Important Palliative Care Publication: Mastering Communication with Seriously Ill Patients
Make Sure Your Program is Counted with the National Palliative Care Registry
CAPC Online Leadership and Management Courses Now $35 Each
Follow Diane E. Meier, MD, on Twitter
CAPC eMarketplace Sale: Audio Conference CDs and The Guide
Upcoming CAPC Audio Conferences
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| Support Critical Palliative Care Legislation |
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Senators Rockefeller (D-WV) and Collins (R-ME) have
introduced comprehensive palliative care legislation,
at least some of which is likely to survive into the
forthcoming health care reform bill. A companion bill
is under development in the House.
This is the moment to mobilize support and
endorsement! Your advocacy is essential if we are to
leverage this opportunity to elicit support for passage
of the transformational components necessary to
improve access to quality palliative care for all
Americans. Letters of
endorsement are needed by June 19.
Your participation will make a difference!
Take
action now
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| FDA Threatens Opioids |
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The FDA Threatens to Remove Long Acting
Opioids Unless the Benefits of these Medications
Outweigh the Risks
Earlier this year, the Food and Drug Administration
(FDA) sent letters to 24 manufacturers of opioid
analgesics (both long and short-acting) to inform
them that they would be required to develop a
comprehensive Risk Evaluation and Mitigation
Strategies (REMS) plan. According to the FDA, the
purpose of the REMS would be to ensure that the
benefits of the drugs continue to outweigh the risks
(misuse, abuse and accidental overdose). Click
here to view the entire document.
However, if the REMS for opioid painkillers increases
the regulatory burden on physicians and patients,
these changes will most likely cause enormous
unintended negative consequences for palliative care
and hospice care patients. We are urging the FDA to
proceed cautiously.
The FDA is seeking input on the development of Risk
Evaluation and Mitigation Strategies (REMS) for
opioids. Please send the FDA your opinions,
comments and/or recommendations—now
is the time to make your voices heard!
Comments will be accepted until June 30, 2009.
Learn more and take action
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| American Hospital Association Call for Nominations for Circle of Life Award |
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The American
Hospital Association (AHA) has announced a call
for nominations for its Circle of Life Award, celebrating
innovation in palliative care and end-of-life care. This
award is presented annually to honor organizations
striving to improve care provided to patients with
life-threatening conditions or near the end of life.
All organizations in the United States that provide
palliative care or end-of-life care are eligible for this
award. Questions? Contact the AHA Office of
the Secretary at 312.422.2704 or circleoflife@aha.org.
Applications are due August 9, 2009.
Learn
more and nominate
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| American Hospital Association Becomes Partner for 2009 CAPC National Seminar |
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The American Hospital
Association (AHA) is now an official program
partner for the 2009 CAPC National
Level I / II Seminar. This means that if you are an
institutional, personal or associate AHA member, you
can save $300
when registering for the CAPC National Seminar.
The AHA is the national organization that represents
and serves all types of hospitals, health care networks
and their patients and communities.
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| Register Now for the CAPC National Level I / II Seminar |
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CAPC National Level I / II Seminar
Innovative Solutions for Tomorrow's
Palliative Care Program
Date: October 22-24, 2009
Location: Omni Hotel at CNN Center, Atlanta,
GA
Register
now for the CAPC National Level I / II
Seminar and save up to
$300 with early bird and special rates!
Every year the seminar offers new cutting-edge
content and topics, as well as one-on-one access to
expert faculty. Whether your program is active and
established, or you're just at the planning stage, the
seminar will provide you with essential operational
training to ensure your program's growth and
sustainability.
Call for
Poster Abstracts! A special poster
session and reception will be held at the CAPC
National Level I / II Seminar. Learn more and
access the poster abstract instructions here.
Learn more and
register!
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| PCLC Leader, Sarah E. Friebert, MD, Honored with Children's Miracle Achievement Award |
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The Children's Miracle Network (CMN) and Delta
Airlines have named Sarah E. Friebert, MD, FAAP,
FAAHPM, as one of four national recipients of the
Children's Miracle Achievement Award. Dr. Friebert
received this prestigious award due to her efforts to
alleviate pain and suffering and improve quality of life
for patients and families facing serious and
life-threatening illness.
Dr. Friebert is the leader of the Palliative Care
Leadership CentersTM at Akron
Children's Hospital and director of the Haslinger
Family Pediatric Palliative Care Center at Akron
Children's Hospital. Congratulations Sarah!
Learn more
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| U.S. Department of Health and Human Services Posts Proposed Comparative Effectiveness Research Strategic Framework |
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The United States
Department of Health & Human Services (HHS)
has posted a draft of the strategic framework for
Comparative Effectiveness Research. The document
identifies end-of-life care as one of the key
under-researched interventions that requires
attention.
View the document
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| Updated Citations Section of CAPC Website |
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The Citations
section of the CAPC website has been
re-organized to assist users in finding relevant articles
by the most
frequently requested topics: Clinical Models, Service
Delivery, Impact Research, Administrative Resources
for program leaders and Pediatric Palliative Care.
A selection of key articles from all of these domains
has been combined into a "Starter Pack," which is
ideal for those who are in the exploratory phase of
palliative care program development.
Access CAPC
Citations
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| CMS Adds New Physician Specialty Code for Hospice and Palliative Care |
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The Centers for
Medicare & Medicaid Services (CMS) has
established a new physician specialty code for
hospice care and palliative care. The new physician
specialty code will be 17 and goes into effect October
1, 2009.
Physicians self-designate their Medicare physician
specialty on the Medicare enrollment application
(CMS-855I). Medicare specialty codes describe the
specific types of medicine that physicians practice and
are used by CMS for programmatic and claims
processing purposes.
Learn more
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| Prolonged Services Under Medicare Still Limited to Patient Face-to-Face Time Only |
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CPT 2008 and CMS guidelines require provider
documentation of face-to-face time with patients in
order to use prolonged service billing codes (such as
356 and 357). In contrast, the 2009 CPT codes do
permit providers to count non face-to-face time in
prolonged services calculations (including time spent
on unit in family meetings, time reviewing records,
time communicating with other health professionals,
etc).
However, until CMS adopts the 2009 CPT codes, all
prolonged services codes must continue to be
accompanied by documentation of face-to-face time
with patients, and must also include start and stop
times, not just total duration in minutes. We'll let you
know when and if CMS adopts the 2009 CPT codes.
If you have additional information or resources on this
issue, talk to us on Twitter
(www.twitter.com/dianeemeier) and the
CAPCconnectTM Forum
(www.capc.org/forums/billing-and-financial/).
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| HPNA Announces Betty Ferrell, MD, as Editor-in-Chief of the Journal of Hospice and Palliative Nursing |
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The Hospice and
Palliative Nurses Association (HPNA) is pleased
to announce Betty Ferrell, RN, PhD, FAAN, FPCN, as
the Editor-in-Chief of the Journal of Hospice and
Palliative Nursing (JHPN), the official journal of HPNA.
Dr. Ferrell will assume the official role of
Editor-in-Chief on January 1, 2010.
Learn more
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| Sarah E. Friebert, MD, Develops Pediatric Palliative Care Triggers |
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Sarah E. Friebert, MD, FAAP, FAAHPM, leader of the Palliative Care
Leadership CentersTM at Akron
Children's Hospital and director of the Haslinger
Family Pediatric Palliative Care Center at Akron
Children's Hospital, has developed a comprehensive
set of pediatric palliative care triggers. The triggers are
divided into "automatic" and "suggested" categories
by diagnosis and are meant to serve as guidelines.
They are intended to provide clinicians with some
parameters for palliative care referrals, as well as
assist them in initiating and continuing dialogue with
referral sources.
Learn
more
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| Call for Applications for EPERC Medical School Palliative Care Education Project |
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The Medical College of Wisconsin End of Life /
Palliative Education Resource Center (EPERC)
announces its third annual call for applications to
participate in its Medical School Palliative Care
Education Project, funded by the Y.C. Ho/Helen and
Michael Chiang Foundation. Three schools will be
selected through a competitive application process.
Each of the three funded schools will receive a
$36,000 award to support curriculum development.
The project is directed by Drs. David Weissman and
Deborah Simpson.
Questions? Contact Judi Rehm, Project
Manager, at jrehm@mcw.edu.
Application deadline is August 14, 2009.
Learn more and apply
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| Articles of Interest |
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The New York Times, June 11, 2009; Doctor and Patient: Medicine in
the Age of Twitter, by Pauline W. Chen, MD.
Television Week, April 21, 2009; Newshour Looks at the
End: Terminal Cancer Patients Find Doctors
Reluctant to Discuss Issue, by Allison J.
Waldman.
CNN, April 10, 2009; Unapproved Morphine to
Stay on Market, FDA Rules, by Saundra Young.
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| Palliative Care Leadership CentersTM Adds New Training and Mentoring |
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Palliative Care
Leadership CentersTM (PCLC)
are nine leading palliative care programs that provide
intensive, customized operational training and
yearlong mentoring.
PCLC
Custom and
PCLC Consult are specifically customized for
active
programs, while PCLC
Core is tailored to meet the needs of programs in
the planning and start-up stages. PCLC
Peds is for pediatric programs at every stage of
development.
Learn more and
enroll
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| American Cancer Society and National Palliative Care Research Center Award $1.5 Million for Palliative Care Research |
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The American Cancer Society (ACS)
and the
National
Palliative Care Research Center
(NPCRC) are awarding $1.5 million in research
grants to researchers at eleven institutions. The
grants will fund studies aimed at reducing suffering
for seriously ill patients and their family caregivers.
The 2009 grantees are:
- Harvard Medical School - Jennifer W. Mack, MD,
MPH
- Northeastern Ohio Universities College of
Medicine - Kyle R. Allen, DO
- University of North Carolina, Chapel Hill - Edwin B.
Fisher, PhD
- University of Oklahoma Health Sciences Center -
Marianne Matzo, PhD
- University of California, San Francisco - Michael
Rabow, MD
- Harvard Medical School - Jennifer Temel, MD
- Northwestern University, Feinberg School of
Medicine - Jamie H. Von Roenn, MD
- Harvard Medical School - Jane L. Givens, MD,
MCSE
- Brown University - Ramona Rhodes, MD, MPH
- Institute for Palliative Medicine at San Diego
Hospice - Scott A. Irwin, MD, PhD
- University of California, San Francisco - Alexander
K. Smith, MD, MPH
Learn more
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| Important Palliative Care Publication: Mastering Communication with Seriously Ill Patients |
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Mastering Communication with Seriously Ill
Patients: Balancing Honesty with Empathy and
Hope is authored by Anthony Back, MD,
Robert Arnold, MD (past president of AAHPM) and
James Tulsky, MD.
The book defines the specific communication tasks
involved in talking with patients with serious and
life-threatening illness and their families. Topics
include
delivering bad news, transitions to palliative care,
discussing goals of advance-care planning,
existential and spiritual issues, family conferences,
medical futility and more.
"This book is a tour de force!" said Diane E. Meier, MD,
director of the Center to Advance Palliative Care.
Learn more and purchase
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| Make Sure Your Program is Counted with the National Palliative Care Registry |
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The
National Palliative Care
RegistryTM is
the only repository for national data depicting the
operational features of hospital palliative care
programs.
Make sure your program is counted! Over 400
programs have already participated. Your program's
data are strictly confidential; all reporting is aggregate
and anonymous. Registering your program is
free.
Register now
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| CAPC Online Leadership and Management Courses Now $35 Each |
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CAPC Campus
OnlineTM provides online
CME/CE courses for programs at every stage.
Whether you have an active program, or you're
planning or starting a program, CAPC Campus
OnlineTM offers courses that will make a
difference to your professional development. Courses
cover operational and financial essentials, including
billing and coding, hospital cost avoidance, updating
your business plan and more.
Enroll now and pay only $35 per course, per
student.
Learn more and
enroll
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| Follow Diane E. Meier, MD, on Twitter |
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Follow and communicate with CAPC Director, Diane
E. Meier, MD, as she posts comments and questions
about a variety of palliative care topics, including
health policy reform and the FDA threats to opioids. To
get started:
- Go to
http://twitter.com/DianeEMeier
- Login to Twitter or Join Today
- Once you are logged in, click "follow" at
http://twitter.com/DianeEMeier
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| CAPC eMarketplace Sale: Audio Conference CDs and The Guide |
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Past Audio Conference CDs — Select CDs $30 each!
Here's your chance to get a permanent copy of select
past audio conferences, burned right on a CD in MP3
format. Just $30 each (original price: $90).
Order
Now
A Guide to Building a Hospital-Based Palliative
Care Program — 2
for 1!
Known as The
Guide, this comprehensive manual provides
step-by-step guidance for building and managing a
successful palliative care program. Receive two
copies of The Guide for the price of one!
Order
Now
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| Upcoming CAPC Audio Conferences |
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Making the Financial
Case for Pediatric Palliative Care
Thursday, July 30, 2009
1:30-2:30 PM Eastern
Featured Speaker:
Sarah E. Friebert, MD, FAAP, FAAHPM
Director, A Palette of Care Program
Haslinger Division of Pediatric Palliative Care
Associate Professor of Pediatrics
Akron Children's Hospital
Palliative Care
Leadership CentersTM
Akron, OH
Learn more and
register
Live Encore
Presentation!
Palliative Care Team Self-Care:
Avoiding Burnout
Thursday, August 13, 2009
1:30-2:30 PM Eastern
Featured Speaker:
Lyn Ceronsky, MS, GNP-BC
System Director and Nurse Practitioner
Palliative Care Program, Fairview Health System
Principal Investigator, Palliative Care Leadership
CentersTM
Fairview Health System
Minneapolis, MN
Learn more and register
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White House Briefing with CAPC director, Diane E. Meier, MD |
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Thursday, June 18
2:30 pm
Watch live streaming video on
whitehouse.gov/live.
This is the third and last in a series of health care
stakeholder discussions with physicians. The
discussion will focus on health reform in the context of
prevention and cutting costs.
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