Hospice & Palliative Care

ONLINE CONTINUING EDUCATION

Learn Anytime. Earn Credits. Improve Practice.

The MJHS Institute for Innovation in Palliative Care is pleased to offer our free and fee-based interdisciplinary webinar series, live and on demand, delivered by frontline experts, typically offering 1.0 AMA PRA Category 1 Credit^™ for Continuing Medical Education (CME), Nursing continuing education (CE), and Social Work CE credits.

Our NEW 5-module interactive e-learning course on Palliative Care Program Development offers up to 6.5 CE credits.

Free pdf downloads now available: 15 palliative care professional factsheets and patient education handouts on 18 topics in English, Spanish, Haitian Creole, Arabic, French, and Russian.

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LIVE WEBINAR SERIES:
MANAGEMENT OF SEIZURES IN FAR ADVANCED DISEASE

Speaker:
Mara Lugassy, MD
VP of Medical Affairs
Hospice Medical Director, MJHS Hospice & Palliative Care

Purpose: Seizures are a common occurrence in end-stage disease, occurring in a variety of conditions. They not only present multiple management challenges for hospice and palliative care practitioners but are also a significant source of distress for patients and families. The aim of this webinar is to provide a framework for the interdisciplinary team to effectively prevent and manage seizures in the setting of end-stage disease and to educate caregivers about safe management of seizures in the home.

Objectives:

Describe common clinical presentations of seizures in advanced illness and distinguish from seizure mimics
Implement strategies for appropriate use of antiepileptics in end-stage illness
Develop a framework for management of active seizures in home and inpatient hospice settings

Target Audience: Primary care providers, nurse practitioners, palliative care specialists, pain specialists, registered nurses, advanced practice nurses, registered nurses with a specialty in palliative care/hospice, social workers, allied health professionals, fellows, residents, and medical students

Criteria for Successful Completion:

Attendance at entire session
Submission of completed evaluation form
Successful completion of a posttest; 80% passing grade (mandatory to receive CE credit for social workers)

Continuing Education Credits: 1.0

Continuing Education Accreditation

The Medical Society of the State of New York designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit^™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Social Workers: MJHS Institute for Innovation in Palliative Care is recognized by the New York State Education Department's State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0242.

Fees:
Individual: Free (includes CME/CE certificate)
Group: Free (includes unlimited CME/CE certificates)

Note to Groups:
If you plan to attend as a group, the group facilitator should register for the webinar. After registering, group facilitators will receive detailed email instructions on how to process CE credits for group attendees. Please email PalliativeInstitute@MJHS.org or call (212) 649-5500 with additional questions.

Attending by Smartphone:
No dial-in (i.e., listen only) connections are permitted for CE credit. To attend by phone, download and install the GoToWebinar App from the Apple Store or Google Play.

System Requirements for Computers and Mobile Devices:
https://support.logmeininc.com/gotowebinar/system-check-attendee

Disclosures:
Mara Lugassy, MD, has no financial arrangements or affiliations with any commercial entities whose products, research or services may be discussed in these materials. Any discussion of investigational or unlabeled uses of a product will be identified.

Russell K. Portenoy, MD, has indicated a relationship with Tabula Rasa for research support.

No other Planning Committee Member has any disclosures.

Planning Committee Members
Lara Dhingra, PhD
Colleen Fleming-Damon, PhD, ANP-BC, ACHPN, FT
Myra Glajchen, DSW
Helena Knotkova, PhD
Russell K. Portenoy, MD
Karen Richards, PhD, EdS
Wini Schein, BA

Funding Disclosure: No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

LIVE WEBINAR SERIES:
HIV/AIDS: UPDATE ON A HIGH-BURDEN CHRONIC ILLNESS

Speaker:
Jenna Butner, MD
Attending Physician
St. Barnabas Hospital

Purpose: HIV/AIDS is a chronic viral condition. Evolution and treatment options have changed significantly over the years. Once classified as an acute disease with high mortality rate in the 1980's, it is now viewed as a manageable chronic disease state with prognosis similar to that of the general population, requiring integration of palliative care as part of treatment. This webinar will address some of the particularities and challenges of HIV/AIDS.

Objectives:

Review the epidemiology, nationally and internationally, and the evolution of the status of HIV/AIDS from an acute illness with high mortality to a manageable chronic disease state
Examine the principal clinical features of the disease, and identify common comorbidities associated with HIV including certain cancers, cardiovascular disease, and psychiatric comorbidites
Review common symptomatology and its treatment in this population (neuropathy, anorexia)
Discuss the guidelines for initiating antiretroviral therapy (ART) and when stopping ART may be appropriate
Explain how to address the challenges of prognostication in HIV/AIDS and when referral to hospice is appropriate

Criteria for Successful Completion:

Attendance at entire session
Submission of completed evaluation form
Successful completion of a posttest; 80% passing grade (mandatory to receive CE credit for social workers)

Continuing Education Credits: 1.0

Continuing Education Accreditation

Attending by Smartphone:
No dial-in (i.e., listen only) connections are permitted for CE credit. To attend by phone, download and install the GoToWebinar App from the Apple Store or Google Play.

System Requirements for Computers and Mobile Devices:
https://support.logmeininc.com/gotowebinar/system-check-attendee

Disclosures:
Jenna Butner, MD, has no financial arrangements or affiliations with any commercial entities whose products, research or services may be discussed in these materials. Any discussion of investigational or unlabeled uses of a product will be identified.

Russell K. Portenoy, MD, has indicated a relationship with Tabula Rasa for research support.

No other Planning Committee Member has any disclosures.

Planning Committee Members
Lara Dhingra, PhD
Colleen Fleming-Damon, PhD, ANP-BC, ACHPN, FT
Myra Glajchen, DSW
Helena Knotkova, PhD
Russell K. Portenoy, MD
Karen Richards, PhD, EdS
Wini Schein, BA

Funding Disclosure: No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

LIVE WEBINAR SERIES:
WHAT IS TRENDING IN THE WORLD OF FAMILY CAREGIVING?

Speakers:
Myra Glajchen, DSW
Director of Medical Education
MJHS Institute for Innovation in Palliative Care
and
Adam Schoenfarber, LCSW, APHSW-C
Social Work Manager
MJHS Hospice and Palliative Care

Purpose: Family caregivers play a key role in patient-family centered care in hospice and palliative care. The Family Meeting is a valuable intervention for communication of medical information, delineation of goals of care, and decision-making within a supportive environment. This webinar will highlight best clinical and research practices and clinically challenging scenarios in working with family caregivers.

Objectives:

Highlight current trends in family caregiving in hospice and palliative care
Identify best practices related to the family meeting in hospice and palliative care
Acquire core communication skills integral to the family meeting
Recognize challenging clinical scenarios in the context of the family meeting

Target Audience: Nurse practitioners, registered nurses, advanced practice nurses, registered nurses with a specialty in palliative care/hospice, social workers, and healthcare coaches

Criteria for Successful Completion:

Attendance at entire session
Submission of completed evaluation form
Successful completion of a posttest; 80% passing grade (mandatory to receive CE credit for social workers)

Continuing Education Credits: 1.0

Continuing Education Accreditation:

Fees:
Individual: Free (includes CE certificate)
Group: Free (includes unlimited CE certificates)

Note to Groups:
If you plan to attend as a group, the group facilitator should register for the webinar. After registering, group facilitators will receive detailed email instructions on how to process CE credits for group attendees. Please email PalliativeInstitute@MJHS.org or call (212) 649-5500 with additional questions.

Attending by Smartphone:
No dial-in (i.e., listen only) connections are permitted for CE credit. To attend by phone, download and install the GoToWebinar App from the Apple Store or Google Play.

System Requirements for Computers and Mobile Devices:
https://support.logmeininc.com/gotowebinar/system-check-attendee

Disclosures:
Myra Glajchen, DSW, and Adam Schoenfarber, LCSW, APHSW-C, have no financial arrangements or affiliations with any commercial entities whose products, research or services may be discussed in these materials. Any discussion of investigational or unlabeled uses of a product will be identified.

Russell K. Portenoy, MD, Planner, has indicated a relationship with Tabula Rasa for research support.

No other Planning Committee Member has any disclosures.

Planning Committee Members
Lara Dhingra, PhD
Colleen Fleming-Damon, PhD, ANP-BC, ACHPN, FT
Myra Glajchen, DSW
Helena Knotkova, PhD
Russell K. Portenoy, MD
Karen Richards, PhD, EdS
Wini Schein, BA

Funding Disclosure: No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

LIVE WEBINAR SERIES:
INTEGRATION OF RITUAL AT END OF LIFE

Speaker: Colleen Fleming-Damon, PhD, ANP-BC, ACHPN, FT
Director of Education and Training
MJHS Hospice and Palliative Care

Purpose: The purpose of this webinar is to explore the use of ritual at end of life and to understand the role rituals play in meaning making and healing for dying individuals and those who remain present with them throughout the experience.

Objectives:

Describe and identify rituals at end of life
Identify the role rituals play at end of life
Identify the benefit of rituals at various points in the dying-death trajectory
Assist individuals in the creation of ritual that will be meaningful to them

Criteria for Successful Completion:

Attendance at entire session
Submission of completed evaluation form
Successful completion of a posttest; 80% passing grade (mandatory to receive CE credit for social workers)

Continuing Education Credits: 1.0

Continuing Education Accreditation

Fees:
Individual: $25 (includes CME/CE certificate)
Group: $65 (includes unlimited CME/CE certificates)

Note to Groups:
If you plan to attend as a group, the group facilitator should register for the webinar. After registering, group facilitators will receive detailed email instructions on how to process CE credits for group attendees. Please email PalliativeInstitute@MJHS.org or call (212) 649-5500 with additional questions.

Attending by Smartphone:
No dial-in (i.e., listen only) connections are permitted for CE credit. To attend by phone, download and install the GoToWebinar App from the Apple Store or Google Play.

System Requirements for Computers and Mobile Devices:
https://support.logmeininc.com/gotowebinar/system-check-attendee

Disclosures:
Colleen Fleming-Damon, PhD, ANP-BC, ACHPN, FT, has no financial arrangements or affiliations with any commercial entities whose products, research or services may be discussed in these materials. Any discussion of investigational or unlabeled uses of a product will be identified.

Russell K. Portenoy, MD, has indicated a relationship with Tabula Rasa for research support.

No other Planning Committee Member has any disclosures.

Planning Committee Members
Lara Dhingra, PhD
Colleen Fleming-Damon, PhD, ANP-BC, ACHPN, FT
Myra Glajchen, DSW
Helena Knotkova, PhD
Russell K. Portenoy, MD
Karen Richards, PhD, EdS
Wini Schein, BA

Funding Disclosure: No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

LIVE WEBINAR SERIES:
“I CAN’T SWALLOW.”: REVIEW OF THE MANAGEMENT OF MUCOSITIS AND CANDIDIASIS

Speaker:
Michael Mencias, MD
Senior Hospice Physician
MJHS Hospice and Palliative Care
and
Ebtesam Ahmed, PharmD, MS
Director of Pharmacy Internship
MJHS Institute for Innovation in Palliative Care
Associate Clinical Professor, St. John’s University

Purpose: Oral mucositis is a significant complication in patients undergoing chemotherapeutic, and/or radiation therapy for cancer treatment. Oral candidiasis is a common fungal infection observed in immunocompromised patients. These conditions are often very painful and compromise nutrition and oral hygiene, as well as an increased risk for local and systemic infection. Symptom burden is significant that it can limit cancer treatments, hence influence prognosis, and require specialist palliative care support and management. Unfortunately, palliative care clinicians are consulted after symptoms are unmanageable. One thing that has been consistent from the initial descriptions of its clinical manifestations has been the frustration on the part of clinicians and patients with the scarcity of therapeutic options to prevent or treat the condition or effectively ameliorate the symptoms. Preventive and treatment options are complex and include nonpharmacologic and pharmacologic methods; these range from basic oral care, analgesics and anesthetics, to antimicrobials, coating agents and, recently, growth factors and cytokines. This session will discuss the pathophysiology of oral mucositis and candidiasis and review current preventive and treatment options, as well as symptom mitigation.

Objectives:

Describe the causes and pathophysiology of oral mucositis and candidiasis and the secondary effects on metabolism
Discuss risk factors for oral mucositis and candidiasis
Review the current pharmacotherapy recommendations for the management of oral mucositis and candidiasis

Criteria for Successful Completion:

Attendance at entire session
Submission of completed evaluation form
Successful completion of a posttest; 70% passing grade

Continuing Education Credits: 1.0

Continuing Education Accreditation

Attending by Smartphone:
No dial-in (i.e., listen only) connections are permitted for CE credit. To attend by phone, download and install the GoToWebinar App from the Apple Store or Google Play.

System Requirements for Computers and Mobile Devices:
https://support.logmeininc.com/gotowebinar/system-check-attendee

Disclosures:
Michael Mencias, MD, and Ebtesam Ahmed, PharmD, MS, have no disclosures. Any discussion of investigational or unlabeled uses of a product will be identified.

Russell K. Portenoy, MD, has indicated a relationship with Tabula Rasa for research support.

No other Planning Committee Member has any disclosures.

Planning Committee Members
Lara Dhingra, PhD
Colleen Fleming-Damon, PhD, ANP-BC, ACHPN, FT
Myra Glajchen, DSW
Helena Knotkova, PhD
Russell K. Portenoy, MD
Karen Richards, PhD, EdS
Wini Schein, BA

Funding Disclosure: No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

LIVE WEBINAR SERIES:
ROLE OF SPECIALIST PALLIATIVE CARE IN HEART FAILURE

Speaker:
Michael Mencias, MD
Senior Hospice Physician
MJHS Hospice and Palliative Care

Purpose: Acquire the knowledge and skills expected of a specialist-level palliative care clinician in heart failure management.

Objectives:

Identify, describe, and manage common signs and symptoms of congestive heart failure
Identify, describe, and manage common comorbid symptoms associated with congestive heart failure
Assess and manage signs and symptoms associated with commonly implanted cardiac devices (pacemaker, defibrillator, ventricular assist devices)--from preimplantation to long-term care and end-of-life management
Discuss the difficulty in heart failure prognostication

Criteria for Successful Completion:

Attendance at entire session
Submission of completed evaluation form
Successful completion of a posttest; 80% passing grade (mandatory to receive CE credit for social workers)

Continuing Education Credits: 1.0

Continuing Education Accreditation

Attending by Smartphone:
No dial-in (i.e., listen only) connections are permitted for CE credit. To attend by phone, download and install the GoToWebinar App from the Apple Store or Google Play.

System Requirements for Computers and Mobile Devices:
https://support.logmeininc.com/gotowebinar/system-check-attendee

Disclosures:
Michael Mencias, MD, has no financial arrangements or affiliations with any commercial entities whose products, research or services may be discussed in these materials. Any discussion of investigational or unlabeled uses of a product will be identified.

Russell K. Portenoy, MD, has indicated a relationship with Tabula Rasa for research support.

No other Planning Committee Member has any disclosures.

Planning Committee Members
Lara Dhingra, PhD
Colleen Fleming-Damon, PhD, ANP-BC, ACHPN, FT
Myra Glajchen, DSW
Helena Knotkova, PhD
Russell K. Portenoy, MD
Karen Richards, PhD, EdS
Wini Schein, BA

Funding Disclosure: No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

LIVE WEBINAR SERIES:
PALLIATIVE CARE APPROACH TO FRAILTY

Speaker:
Anna Goehring, MD
Palliative Care Physician

Purpose: The goal of the webinar is identify patients at who are frail and to apply appropriate interventions to manage the frailty syndrome at different phases of their chronic illness.

Objectives:

Explain frailty pathophysiology
Discuss clinical tools used to identify frailty in patients
Incorporate frailty into patients prognostication and develop strategies in management of the frailty syndrome
Recognize challenging clinical scenarios in the context of the family meeting

Criteria for Successful Completion:

Attendance at entire session
Submission of completed evaluation form
Successful completion of a posttest; 80% passing grade (mandatory to receive CE credit for social workers)

Continuing Education Credits: 1.0

Continuing Education Accreditation

Fees:
Individual: $25 (includes CE certificate)
Group: $65 (includes unlimited CE certificates)

Note to Groups:
If you plan to attend as a group, the group facilitator should register for the webinar. After registering, group facilitators will receive detailed email instructions on how to process CE credits for group attendees. Please email PalliativeInstitute@MJHS.org or call (212) 649-5500 with additional questions.

Attending by Smartphone:
No dial-in (i.e., listen only) connections are permitted for CE credit. To attend by phone, download and install the GoToWebinar App from the Apple Store or Google Play.

System Requirements for Computers and Mobile Devices:
https://support.logmeininc.com/gotowebinar/system-check-attendee

Disclosures:
Anna Goehring, MD, has no financial arrangements or affiliations with any commercial entities whose products, research or services may be discussed in these materials. Any discussion of investigational or unlabeled uses of a product will be identified.

Russell K. Portenoy, MD, has indicated a relationship with Tabula Rasa for research support.

No other Planning Committee Member has any disclosures.

Planning Committee Members
Lara Dhingra, PhD
Colleen Fleming-Damon, PhD, ANP-BC, ACHPN, FT
Myra Glajchen, DSW
Helena Knotkova, PhD
Russell K. Portenoy, MD
Karen Richards, PhD, EdS
Wini Schein, BA

Funding Disclosure: No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

LIVE WEBINAR SERIES:
KETAMINE USE FOR PAIN

Speaker: Ebtesam Ahmed, PharmD, MS
Director of Pharmacy Internship
MJHS Institute for Innovation in Palliative Care
Associate Clinical Professor, St. John’s University

Purpose: Pain is a common complication for cancer patients, with an incidence as high as 90% of those with advanced cancer. Intractable or refractory pain has been reported to occur in 10% to 20% of patients with cancer and is difficult to control with opioids alone. Ketamine is an NMDA antagonist anesthetic agent. Ketamine is considered one of the World Health Organization’s essential drugs for the management of refractory pain and is associated with reduced opioid consumption and reduced opioid tolerance. Although it can be used in high doses to induce general anesthesia, it is more often used outside the operating room at subanesthetic doses as a coanalgesic, usually in combination with opioids. Although ketamine has been used in palliative care, evidence has varied regarding its efficacy. Additionally, there is a great variance in practice regarding the dose, route, and frequency of delivery. In this webinar, we will review the use of ketamine in palliative care primarily for analgesia.

Objectives:

Discuss the pharmacology, dosing, and administration of ketamine use in palliative care
Explain the indications, contraindications, benefits, and side effects of ketamine
Review the appropriate use of ketamine
Discuss clinical consideration for ketamine use in palliative care

Criteria for Successful Completion:

Attendance at entire session
Submission of completed evaluation form
Successful completion of a posttest; 70% passing grade

Continuing Education Credits: 1.0

Continuing Education Accreditation

Fees:
Individual: $25 (includes CME/CE certificate)
Group: $65 (includes unlimited CME/CE certificates)

Attending by Smartphone:
No dial-in (i.e., listen only) connections are permitted for CE credit. To attend by phone, download and install the GoToWebinar App from the Apple Store or Google Play.

System Requirements for Computers and Mobile Devices:
https://support.logmeininc.com/gotowebinar/system-check-attendee

Disclosures:
Ebtesam Ahmed, PharmD, MS, has no financial arrangements or affiliations with any commercial entities whose products, research or services may be discussed in these materials. Any discussion of investigational or unlabeled uses of a product will be identified.

Russell K. Portenoy, MD, has indicated a relationship with Tabula Rasa for research support.

No other Planning Committee Member has any disclosures.

Planning Committee Members
Lara Dhingra, PhD
Colleen Fleming-Damon, PhD, ANP-BC, ACHPN, FT
Myra Glajchen, DSW
Helena Knotkova, PhD
Russell K. Portenoy, MD
Karen Richards, PhD, EdS
Wini Schein, BA

Funding Disclosure: No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

LIVE WEBINAR SERIES:
NONINVASIVE NEUROMODULATION FOR THE CHRONICALLY ILL ELDERLY

Speaker: Helena Knotkova, PhD
Director of Clinical Research and Analytics
MJHS Institute for Innovation in Palliative Care

Purpose: The goal of this webinar is to review evidence on the clinical potential of noninvasive neuromodulation for symptom management in the chronically ill elderly. Previous research suggests that symptoms common in chronic illness, such as pain or fatigue, are associated with substantial changes in neural excitability in the brain. Noninvasive neuromodulation encompasses techniques that can regulate the excitability and help alleviate chronic symptoms.

Objectives:

Explain leading principles and a rationale for use of noninvasive neuromodulation in the elderly
Critically review current evidence on noninvasive neuromodulation for management of pain and related symptoms in the elderly
Discuss novel approaches in neuromodulation, such as telehealth-supported neuromodulation in home settings

Criteria for Successful Completion:

Attendance at entire session
Submission of completed evaluation form
Successful completion of a posttest; 80% passing grade (mandatory to receive CE credit for social workers)

Continuing Education Credits: 1.0

Continuing Education Accreditation

Fees:
Individual: $25 (includes CME/CE certificate)
Group: $65 (includes unlimited CME/CE certificates)

Note to Groups:
If you plan to attend as a group, the group facilitator should register for the webinar. After registering, group facilitators will receive detailed email instructions on how to process CE credits for group attendees. Please email PalliativeInstitute@MJHS.org or call (212) 649-5500 with additional questions.

Attending by Smartphone:
No dial-in (i.e., listen only) connections are permitted for CE credit. To attend by phone, download and install the GoToWebinar App from the Apple Store or Google Play.

System Requirements for Computers and Mobile Devices:
https://support.logmeininc.com/gotowebinar/system-check-attendee

Disclosures:
Helena Knotkova, PhD, has no financial arrangements or affiliations with any commercial entities whose products, research or services may be discussed in these materials. Any discussion of investigational or unlabeled uses of a product will be identified.

Russell K. Portenoy, MD, has indicated a relationship with Tabula Rasa for research support.

No other Planning Committee Member has any disclosures.

Planning Committee Members
Lara Dhingra, PhD
Colleen Fleming-Damon, PhD, ANP-BC, ACHPN, FT
Myra Glajchen, DSW
Helena Knotkova, PhD
Russell K. Portenoy, MD
Karen Richards, PhD, EdS
Wini Schein, BA

Funding Disclosure: No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

LIVE WEBINAR SERIES:
CAREGIVING PROFESSIONALLY: PUTTING OUT FIRES EVERYDAY BUT AT RISK FOR BURNOUT

Speaker:
Lisa Rosenzweig, PhD
Bereavement Coordinator
MJHS Hospice and Palliative Care

Purpose: The purpose of this didactic session is to increase clinicians’ awareness of 1) the risk for compassion fatigue, vicarious traumatization, and burnout when caring for palliative care and hospice patients and their families, and 2) the self-care strategies used to mitigate the risks.

Objectives:

Define and discuss the risks of caring for patients and families in a palliative care or hospice context
Describe the elements of self-care and its significance when caring for those receiving palliative care or hospice services
Create a personalized plan for self-care to promote wellness in the workplace and mitigate risks

Criteria for Successful Completion:

Attendance at entire session
Submission of completed evaluation form
Successful completion of a posttest; 80% passing grade (mandatory to receive CE credit for social workers)

Continuing Education Credits: 1.0

Continuing Education Accreditation

Attending by Smartphone:
No dial-in (i.e., listen only) connections are permitted for CE credit. To attend by phone, download and install the GoToWebinar App from the Apple Store or Google Play.

System Requirements for Computers and Mobile Devices:
https://support.logmeininc.com/gotowebinar/system-check-attendee

Disclosures:
Lisa Rosenzweig, PhD, has no financial arrangements or affiliations with any commercial entities whose products, research or services may be discussed in these materials. Any discussion of investigational or unlabeled uses of a product will be identified.

Russell K. Portenoy, MD, has indicated a relationship with Tabula Rasa for research support.

No other Planning Committee Member has any disclosures.

Planning Committee Members
Lara Dhingra, PhD
Colleen Fleming-Damon, PhD, ANP-BC, ACHPN, FT
Myra Glajchen, DSW
Helena Knotkova, PhD
Russell K. Portenoy, MD
Karen Richards, PhD, EdS
Wini Schein, BA

Funding Disclosure: No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

LIVE WEBINAR SERIES:
CULTURALLY RELEVANT PAIN ASSESSMENT AND MANAGEMENT

Speaker:
Lara Dhingra, PhD
Director of Health Disparities and Outcomes Research
MJHS Institute for Innovation in Palliative Care

Purpose: This webinar will discuss pain assessment in diverse patient populations with advanced illness. By 2050, 57% of the 420 million adults in the U.S. will include racial or ethnic minorities. Coping with chronic progressive illness in a diverse population is a major challenge for individuals and families, the healthcare system, and society. Management of problems that occur in the context of advanced illness, especially pain and other symptoms, may be complicated by cultural and language barriers, distress, isolation, and family burden. As the U.S. population becomes increasingly diverse, high-quality palliative care must be able to address these differences. This webinar will highlight challenges in multicultural pain assessment and prepare attendees for addressing them. It will illustrate key concepts in transcultural pain assessment, including fatalism, stoicism, and beliefs about pain. Handouts will include culturally relevant validated tools for symptom assessment. Clinical cases will be discussed using examples from a recent study on cancer pain in Chinese immigrants in New York City's Chinatown.

Objectives:

Examine barriers to multicultural pain assessment and management in palliative care
Review clinical strategies for culturally relevant pain assessment and management in palliative care
Present case examples of multicultural pain assessment and management for Chinese immigrants with advanced illness

Criteria for Successful Completion:

Attendance at entire session
Submission of completed evaluation form
Successful completion of a posttest; 80% passing grade (mandatory to receive CE credit for social workers)

Continuing Education Credits: 1.0

Continuing Education Accreditation

Attending by Smartphone:
No dial-in (i.e., listen only) connections are permitted for CE credit. To attend by phone, download and install the GoToWebinar App from the Apple Store or Google Play.

System Requirements for Computers and Mobile Devices:
https://support.logmeininc.com/gotowebinar/system-check-attendee

Disclosures:
Lara Dhingra, PhD, has no financial arrangements or affiliations with any commercial entities whose products, research or services may be discussed in these materials. Any discussion of investigational or unlabeled uses of a product will be identified.

Russell K. Portenoy, MD, has indicated a relationship with Tabula Rasa for research support.

No other Planning Committee Member has any disclosures.

Planning Committee Members
Lara Dhingra, PhD
Colleen Fleming-Damon, PhD, ANP-BC, ACHPN, FT
Myra Glajchen, DSW
Helena Knotkova, PhD
Russell K. Portenoy, MD
Karen Richards, PhD, EdS
Wini Schein, BA

Funding Disclosure: No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

An Ethical Framework for Decision-Making in Hospice Care
1.0 Credit

Speaker: Timothy W. Kirk, PhD
Ethics Consultant
MJHS Hospice and Palliative Care

Purpose: Over 35% of all persons who die in the U.S. each year and almost 50% of the persons over age 65 who die in the U.S. each year receive hospice care in their final weeks of life. Most hospice patients receive care in the place they call “home” by a nurse-led interdisciplinary team, a very different experience than receiving care in a hospital by a physician-led team. However, most of the principles, frameworks, and resources in U.S. health care ethics have been developed by and for health care professionals working in hospitals. This webinar explores the core principles and values of the hospice philosophy of care, and presents an ethical framework specifically designed for use in U.S. hospice care.

Objectives:

1. Describe the nature of ethics
2. Explain core elements of the hospice philosophy of care
3. Identify questions of ethical significance in hospice practice
4. Apply a hospice ethics framework to clinical practice

Target Audience: palliative care specialists, pain specialists, primary care providers, nurse practitioners, registered nurses, advanced practice nurses, registered nurses with a specialty in palliative care/hospice, allied health professionals, fellows, residents, and medical students.

Criteria for Successful Completion:

1. Attendance at entire session
2. Submission of completed evaluation form
3. Successful completion of a posttest (70% for physicians, non-physicians, and nurses; 80% for social workers)

Continuing Education Credits: 1.0

Release Date: August 1, 2018

Expiration Date: June 15, 2021 (for physicians and non-physicians); February 14, 2021 (for nurses); January 31, 2022 (for NYS Social Workers)

Continuing Education Accreditation:

Physicians: This activity has been planned and implemented in accordance with the Accreditation Requirements and Policies of the Medical Society of the State of New York (MSSNY) through the joint providership of MSSNY and the MJHS Institute for Innovation in Palliative Care. MSSNY is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Medical Society of the State of New York designates this enduring material for a maximum of 1.0 AMA PRA Category 1 credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses: MJHS Institute for Innovation in Palliative Care is an approved provider of continuing nursing education by The Alabama State Nurses Association, an accredited provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

Social Workers: MJHS Institute for Innovation in Palliative Care is recognized by the New York State Education Department’s State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0242.

Disclosures:
Timothy W. Kirk, PhD, has no financial arrangements or affiliations with any commercial entities whose products, research or services may be discussed in these materials. Any discussion of investigational or unlabeled uses of a product will be identified.

Russell K. Portenoy, MD, Faculty and Planner, has indicated a relationship with Tabula Rasa for research support.

No other Planning Committee Member has any disclosures.

Planning Committee Members
Lara Dhingra, PhD
Colleen Fleming-Damon, PhDc, ANP-BC, ACHPN, FT
Myra Glajchen, DSW
Helena Knotkova, PhD
Russell K. Portenoy, MD
Karen Richards, PhD, EdS
Wini Schein, BA

Funding Disclosure: No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

Withholding and Withdrawing Life-Sustaining Therapies: Best Practices
1.0 Credit

Speaker: Pauline Lesage, MD, LLM
Physician Educator
MJHS Institute for Innovation in Palliative Care

Purpose: The purpose of this webinar is to explore the complexity of Withholding and Withdrawing Life Sustaining Therapies through medical, ethical, and legal considerations.

Why Do I Need to Know This?

It is an intrinsic topic to hospice and palliative care
It is the most common reason for Ethics committees review
It is one of the most complex issue in medicine, ethics, and law

Objectives:

Define both concepts
Distinguish them from other entities: palliative sedation, physician assistance in dying, and euthanasia
Review underlying medical, ethical, and legal considerations
Apply the concepts to clinical situations

Criteria for Successful Completion:

1. Attendance at entire session
2. Submission of completed evaluation form
3. Successful completion of a posttest (70% for physicians, non-physicians, and nurses; 80% for social workers)

Continuing Education Credits: 1.0

Release Date: August 1, 2018

Expiration Date: August 1, 2021 (for physicians, non-physicians, and nurses); January 31, 2022 (for NYS Social Workers)

Continuing Education Accreditation:

Physicians: This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the National Hospice and Palliative Care Organization (NHPCO) and MJHS. NHPCO is accredited by the ACCME to provide continuing medical education for physicians.

NHPCO designates this enduring material for a maximum of 1.0 AMA PRA Category 1 credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses: NHPCO is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s (ANCC) Commission on Accreditation.

NHPCO designates this enduring material for a maximum of 1.0 contact hour. Nurses should claim only the contact hours commensurate with the extent of their participation in the activity. Accredited status by ANCC refers only to continuing nursing education and does not imply endorsement of any commercial product discussed in conjunction with this activity.

Certificate of Participation for Non-Physician Healthcare Professionals: For participants* whose disciplines are other than nurse, social worker (in New York State), and physician, you may request a Certificate of Participation for Non-Physician Healthcare Professionals to submit to your accrediting bodies/licensing boards for continuing education credit. This certificate will indicate the webinar was certified for AMA PRA Category 1 Credit(s)^TM. It is the responsibility of participants to submit the certificate to their accrediting bodies/licensing boards for approval. Unfortunately, NHPCO cannot guarantee its acceptance. To receive this certificate, you must complete all CE/CME requirements and indicate your desire to receive this certificate on the evaluation form.

*including finance professionals, physician assistants, social workers outside of New York State, etc.

Social Workers: MJHS Institute for Innovation in Palliative Care is recognized by the New York State Education Department’s State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0242.

Disclosures:
Pauline Lesage, MD, LLM, has no financial arrangements or affiliations with any commercial entities whose products, research or services may be discussed in these materials. Any discussion of investigational or unlabeled uses of a product will be identified.

Russell K. Portenoy, MD, Faculty and Planner, has indicated a relationship with Tabula Rasa for research support.

No other Planning Committee Member has any disclosures.

Funding Disclosure: No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

Palliative Sedation: Medical, Ethical, and Legal Issues
1.0 Credit

Speaker: Pauline Lesage, MD, LLM
Physician Educator
MJHS Institute for Innovation in Palliative Care

Purpose: This webinar will illustrate the complexity of the issue of palliative sedation for palliative care teams; it remains a controversial topic. The emphasis will be on the attention to nuances that such a subject requires at every step.

Why Do I Need to Know This?
The major goal of palliative care and hospice is to relieve symptoms, but sometimes all possible interventions are unsuccessful. Team members need to know what else can be done to achieve relief from symptoms.

Objectives:

Discuss the definitions and indications of palliative sedation
Recognize the ethical and legal issues related to palliative sedation
Discuss the pharmacology and implementation criteria for Palliative Sedation Therapy (PST)

Criteria for Successful Completion:

1. Attendance at entire session
2. Submission of completed evaluation form
3. Successful completion of a posttest (70% for physicians, non-physicians, and nurses; 80% for social workers)

Continuing Education Credits: 1.0

Release Date: August 1, 2018

Expiration Date: August 1, 2021 (for physicians, non-physicians, and nurses); January 31, 2022 (for NYS social workers)

Continuing Education Accreditation:

Nurses: NHPCO is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s (ANCC) Commission on Accreditation.

Planning Committee Members
Barbara Bouton, MA, FT
Colleen Fleming-Damon, PhDc, ANP-BC, ACHPN, FT
Steven R. Gardner, MPA, PAHM
Myra Glajchen, DSW
Jennifer Kennedy, RN, MA, BSN, CHC
Russell K. Portenoy, MD
Karen Richards, PhD, EdS
Judith A. Skretny

Funding Disclosure: No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

Opioid Therapy in the Medically Ill: Side Effect Management
1.0 Credit

Speaker: Russell K. Portenoy, MD
Chief Medical Officer, MJHS Hospice and Palliative Care
Executive Director, MJHS Institute for Innovation in Palliative Care
Professor of Neurology and Family and Social Medicine,
Albert Einstein College of Medicine

Purpose: The purpose of this webinar is to describe the array of potential opioid side effects and toxicities in terms of their prevalence, mechanisms, and presentations, and discuss clinical strategies for prevention and management of each.

Objectives:

1. Recognize the potential for overt and occult opioid-related toxicities
2. Explain the evidence underlying the putative mechanisms of each side effect
3. Apply best practices in assessing and managing opioid side effects

Criteria for Successful Completion:

1. Attendance at entire session
2. Submission of completed evaluation form
3. Successful completion of a posttest (70% for physicians, non-physicians, and nurses)

Continuing Education Credits: 1.0

Release Date: May 1, 2018

Expiration Date: June 15, 2021 (for physicians and non-physicians); February 14, 2021 (for nurses)

Continuing Education Accreditation:

Disclosures
Russell K. Portenoy, MD, Faculty and Planner, has indicated a relationship with Tabula Rasa for research support.

No other Planning Committee Member has any disclosures.

Funding Disclosure: No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

Opioid Therapy in the Medically Ill: Principles of Administration
0.75 Credits

Purpose: This presentation will review best practices in the long-term use of opioid analgesics for chronic pain in populations managed by specialists in palliative care.

Objectives:

Describe the clinical criteria that justify the use of opioid drugs and the factors that influence the selection of specific drugs
Discuss the approach to the safe and effective use of methadone
Describe the treatment of breakthrough pain
Examine the dosing strategies that increase the likelihood of a favorable outcomes during opioid therapy

Criteria for Successful Completion:

1. Attendance at entire session
2. Submission of completed evaluation form
3. Successful completion of a posttest (70% for physicians, non-physicians, and nurses; 80% for NYS Social Workers)

Continuing Education Credits: 0.75

Release Date: May 1, 2018

Expiration Date: June 15, 2021 (for physicians and non-physicians); February 14, 2021 (for nurses)

Continuing Education Accreditation:

The Medical Society of the State of New York designates this enduring material for a maximum of 0.75 AMA PRA Category 1 credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Disclosures:
Russell K. Portenoy, MD, Faculty and Planner, has indicated a relationship with Tabula Rasa for research support.

No other Planning Committee Member has any disclosures.

Funding Disclosure: No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

What does the palliative care specialist need to know about prescription drug abuse?
1.0 Credit

Purpose: Patients managed by specialists in palliative care may require treatment with drugs that have the potential for abuse. To provide optimal care, palliative care specialists must be able to assess the risk of drug abuse, diagnose drug abuse behaviors, and manage potential or active abuse of both licit and illicit substances.

Objectives:

Identify the patterns of drug-related behaviors that may be used to categorize drug abuse, addiction, and other outcomes
Describe the process of risk assessment in the medically ill
Discuss management techniques for patients with active or potential abuse behaviors

Criteria for Successful Completion:

1. Attendance at entire session
2. Submission of completed evaluation form
3. Successful completion of a posttest (70% for physicians, non-physicians, and nurses)

Continuing Education Credits: 1.0

Release Date: May 1, 2018

Expiration Date: May 1, 2021

Continuing Education Accreditation:

Nurses: NHPCO is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s (ANCC) Commission on Accreditation.

Disclosures:
Russell K. Portenoy, MD, Faculty and Planner, has indicated a relationship with AstraZeneca Pharmaceuticals LP and Tabula Rasa for research support.

No other Planning Committee Member has any disclosures.

Funding Disclosure: No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

Update on Adjuvant Analgesics in Advanced Illness
1.0 Credit

Purpose: The effective use of adjuvant analgesics is considered a best practice in the management of specific types of chronic pain experienced by populations with advanced illness, particularly cancer populations. This webinar will present the evidence in support of the efficacy and safety of the various drug classes that comprise the adjuvant analgesics and offer practical guidelines for the use of these drugs.

Why Do I Need to Know This?
Although opioids are highly effective across populations with advanced illness, a substantial proportion of patients, as many as one-third, are unable to achieve a favorable balance between analgesia and side effects. Poor responsiveness to opioids is more likely when chronic pain is related to neuropathic mechanisms. Bone pain and pain related to bowel obstruction also present clinical challenges. The use of adjuvant analgesics for neuropathic pain, bone pain, and pain due to bowel obstruction is evidence-based and should be understood by all clinicians who manage pain in populations with advanced illness.

Objectives:

1. Discuss the approach to opioid pharmacotherapy in patients with pain that may be treated with adjuvant analgesics
2. Describe the selection and dosing of first-line antidepressant and antiepileptic adjuvant analgesics
3. Identify best practices in the treatment of neuropathic pain and bone pain

Criteria for Successful Completion:

1. Attendance at entire session
2. Submission of completed evaluation form
3. Successful completion of a posttest (70% for physicians, non-physicians, and nurses)

Continuing Education Credits: 1.0

Release Date: February 28, 2018

Expiration Date: June 15, 2021 (for physicians and non-physicians); February 14, 2021 (for nurses)

Continuing Education Accreditation:

Disclosures
Russell K. Portenoy, MD, Faculty and Planner, has indicated a relationship with Tabula Rasa for research support.

No other Planning Committee Member has any disclosures.

Funding Disclosure: No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

Use of Methadone in Pain Management
1.0 Credit

Speaker: Ebtesam Ahmed, PharmD, MS
Director of Pharmacy Internship
MJHS Institute for Innovation in Palliative Care

Funding Disclosure: No commercial funding has been accepted for the activity

Purpose: The purpose of this webinar is to review the guidelines and provide recommendations for the safe use of methadone for chronic pain, including how to avoid risks related to overdose and cardiac arrhythmias. The webinar will address safety in methadone prescribing practices.

Why Do I Need to Know This?
Methadone is an opioid analgesic that has been used in the United States for over 50 years as an effective treatment for opioid addiction and chronic pain. Yet many myths about its use persist, discouraging patients from using methadone, and leading family members to pressure patients using the treatment to stop. This webinar will help clinicians understand the basic principles of methadone use for the treatment of opioid addiction and chronic pain.

Objectives:

Discuss the basic pharmacology of methadone
Discuss the unique properties of methadone
Develop strategies to reduce the risk of overdose and other serious harms associated with methadone use

Criteria for Successful Completion:

1. Attendance at entire session
2. Submission of completed evaluation form
3. Successful completion of a posttest (70% for physicians, non-physicians, and nurses)

Continuing Education Credits: 1.0

Release Date: May 1, 2018

Expiration Date: May 1, 2021

Continuing Education Accreditation:

Nurses: NHPCO is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s (ANCC) Commission on Accreditation.

No other Planning Committee Member has any disclosures.

Funding Disclosure: No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

Emerging Role of Medical Cannabis for the Seriously Ill
1.0 Credit

Speaker: Bernard Lee, MD
Vice President for Medical Affairs
MJHS Hospice and Palliative Care

Purpose: The purpose of this webinar is to provide a basic understanding of the clinical uses of medical marijuana to clinicians.

Why Do I Need to Know This?
Marijuana is now legal for medical use in 28 states and Washington D.C., and is also legal in eight of these states for recreational or "adult" use. Now that medical marijuana is legal in more than half of the U.S., with additional states voting on legislation, it is important for medical professionals to have at least a basic understanding of the risks and benefits of cannabis. Given the volume of anecdotal evidence, plus a small number of randomized controlled trials, it is apparent that there is great potential for cannabis and cannabinoids to provide suffering patients with palliation of many symptoms.

Objectives:

Discuss the basic principles of the cannabinoids
Identify which patients might benefit from a trial of medical marijuana
Discuss what type of medical marijuana is appropriate for certain medical conditions

Criteria for Successful Completion:

1. Attendance at entire session
2. Submission of completed evaluation form
3. Successful completion of a posttest (70% for physicians, non-physicians, and nurses)

Continuing Education Credits: 1.0

Release Date: May 1, 2018

Expiration Date: May 1, 2021

Continuing Education Accreditation:

Nurses: NHPCO is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s (ANCC) Commission on Accreditation.

Disclosures:
Bernard Lee, MD, has no financial arrangements or affiliations with any commercial entities whose products, research or services may be discussed in these materials. Any discussion of investigational or unlabeled uses of a product will be identified.

Russell K. Portenoy, MD, Faculty and Planner, has indicated a relationship with Tabula Rasa for research support.

No other Planning Committee Member has any disclosures.

Funding Disclosure: No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

Palliative and Hospice Care for Patients with Congestive Heart Failure
1.0 Credit

Speaker: Michael Mencias, MD
Senior Hospice Medical Director
MJHS Hospice and Palliative Care

Purpose: Congestive Heart Failure (CHF) patients are frequently referred for palliative care support, not only because of the high symptom burden, but to help navigate goals of care over the course of disease progression and treatment options available. This webinar will provide a brief overview of the definition, diagnosis, and treatment of congestive heart failure; discuss prognostication of CHF patients; and advance heart failure treatment options including Cardiac Implantable Electronic Devices, Cardiac Inotrope Therapy, and mechanical circulatory support (Left Ventricular Assist Device).

Objectives:

1. Discuss the definition, diagnosis, prognostication, and treatment of Congestive Heart Failure
2. Discuss advanced heart failure treatment options including Cardiac Implantable Electronic Devices and Cardiac Inotrope Therapy
3. Discuss preparedness planning and palliative care support of patients with Mechanical Circulatory Support (Left Ventricular Assist Device)

Criteria for Successful Completion:

1. Attendance at entire session
2. Submission of completed evaluation form
3. Successful completion of a posttest (70% for physicians, non-physicians, and nurses)

Continuing Education Credits: 1.0

Release Date: April 3, 2018

Expiration Date: June 15, 2021 (for physicians and non-physicians); February 14, 2021 (for nurses)

Continuing Education Accreditation:

The Medical Society of the State of New York designates this enduring material for a maximum of 1.0 AMA PRA Category 1 credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Disclosures
Michael Mencias, MD, has no financial arrangements or affiliations with any commercial entities whose products, research or services may be discussed in these materials. Any discussion of investigational or unlabeled uses of a product will be identified.

Russell K. Portenoy, MD, Faculty and Planner, has indicated a relationship with AstraZeneca Pharmaceuticals LP and Tabula Rasa for research support.

No other Planning Committee Member has any disclosures.

Funding Disclosure: No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

Cardiac Devices and Palliative Care
1.0 Credit

Speaker: Michael Mencias, MD
Senior Hospice Medical Director
MJHS Hospice and Palliative Care

Purpose: Implantable Cardioverter Defibrillators (ICDs) are widely used to reduce mortality in heart failure. Challenges for palliative care clinicians include care management associated with these devices, especially at end of life. This webinar will review the indications for implantation for these devices, discuss advance care planning, and outline the process of deactivation.

Objectives:

Evaluate the current consensus statements and latest research on implantable cardioverter defibrillators in patients nearing end of life
Discuss advance care planning and deactivation considerations
Recognize the process and procedure for successful deactivation

Why Do I Need to Know This?
Patients with ICDs are referred with increased frequency for palliative care consultation or hospice care. Clinicians need to understand the complexity of care associated with these devices, importantly the clinical and ethical considerations, especially at end of life. This webinar will discuss how to approach the care of patients with ICDs from implantation to death.

Criteria for Successful Completion:

1. Attendance at entire session
2. Submission of completed evaluation form
3. Successful completion of a posttest (70% for physicians, non-physicians, and nurses; 80% for NYS Social Workers)

Continuing Education Credits: 1.0

Release Date: April 3, 2018

Expiration Date: April 3, 2021 (for physicians, non-physicians, and nurses); January 31, 2022 (for NYS Social Workers)

Continuing Education Accreditation:

Nurses: NHPCO is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s (ANCC) Commission on Accreditation.

Social Workers: MJHS Institute for Innovation in Palliative Care is recognized by the New York State Education Department’s State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0242.

Certificate of Participation for Non-Physician Healthcare Professionals: For participants* whose disciplines are other than nurse, social worker (in New York State), and physician, you may request a Certificate of Participation for Non-Physician Healthcare Professionals to submit to your accrediting bodies/licensing boards for continuing education credit. This certificate will indicate the webinar was certified for AMA PRA Category 1 Credit(s)^TM. It is the responsibility of participants to submit the certificate to their accrediting bodies/licensing boards for approval. Unfortunately, NHPCO cannot guarantee its acceptance. To receive this certificate, you must complete all CE/CME requirements and indicate your desire to receive this certificate on the evaluation form.

*including finance professionals, physician assistants, social workers outside of New York State, etc.

Russell K. Portenoy, MD, Faculty and Planner, has indicated a relationship with AstraZeneca Pharmaceuticals LP and Tabula Rasa for research support.

No other Planning Committee Member has any disclosures.

Funding Disclosure: No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

Palliative Care in Advanced COPD
1.0 Credit

Speaker: Mona Patel, DO
Associate Program Director of Hospice
and Palliative Medicine Fellowship
MJHS Hospice & Palliative Care

Purpose: The purpose of this webinar is to discuss the assessment, management, and prognostication of patients with advanced COPD. This webinar will also discuss the role of palliative care providers in lessening symptom burden using pharmacologic and nonpharmacologic interventions and having goals of care conversations with COPD patients.

Objectives:

Describe common symptoms associated with advanced COPD
Discuss some of the challenges with prognostication in this population and review available prognostication tools
Review the evidence regarding pharmacologic and nonpharmacologic treatment strategies for patients with advanced COPD

Why Do I Need to Know This?
COPD is a common condition and its prevalence is growing globally. Health care professionals and especially palliative care providers would benefit in knowing how best to optimize its management and lessen disease burden to assist patients in maximizing their quality of life and clarifying goals of care.

Criteria for Successful Completion:

1. Attendance at entire session
2. Submission of completed evaluation form
3. Successful completion of a posttest (70% for physicians, non-physicians, and nurses; 80% for NYS Social Workers)

Continuing Education Credits: 1.0

Release Date: April 3, 2018

Expiration Date: April 3, 2021 (for physicians, non-physicians, and nurses); January 31, 2022 (for NYS Social Workers)

Continuing Education Accreditation:

Nurses: NHPCO is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s (ANCC) Commission on Accreditation.

NHPCO designates this enduring material for a maximum of 1.0 contact hour. Nurses should claim only the contact hours commensurate with the extent of their participation in the activity. Accredited status by ANCC refers only to continuing nursing education and does not imply endorsement of any commercial product discussed in conjunction with this activity.

Social Workers: MJHS Institute for Innovation in Palliative Care is recognized by the New York State Education Department’s State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0242.

Certificate of Participation for Non-Physician Healthcare Professionals: For participants* whose disciplines are other than nurse, social worker (in New York State), and physician, you may request a Certificate of Participation for Non-Physician Healthcare Professionals to submit to your accrediting bodies/licensing boards for continuing education credit. This certificate will indicate the webinar was certified for AMA PRA Category 1 Credit(s)^TM. It is the responsibility of participants to submit the certificate to their accrediting bodies/licensing boards for approval. Unfortunately, NHPCO cannot guarantee its acceptance. To receive this certificate, you must complete all CE/CME requirements and indicate your desire to receive this certificate on the evaluation form.

*including finance professionals, physician assistants, social workers outside of New York State, etc.

Disclosures
Mona S. Patel, DO, has no financial arrangements or affiliations with any commercial entities whose products, research or services may be discussed in these materials. Any discussion of investigational or unlabeled uses of a product will be identified.

Russell K. Portenoy, MD, Faculty and Planner, has indicated a relationship with AstraZeneca Pharmaceuticals LP and Tabula Rasa for research support.

No other Planning Committee Member has any disclosures.

Funding Disclosure: No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

Prognostication I: Improving Accuracy to Support Care and Hospice Access for Patients with Advanced Cancer
0.75 Credits

Speaker: Pauline Lesage, MD, LLM
Physician Educator
MJHS Institute for Innovation in Palliative Care

Funding Disclosure: No commercial funding has been accepted for the activity.

Purpose: The purpose of this activity is to enable learners to increase their knowledge of the multiple formulations of prognosis for patients with advanced cancer. It should contribute to enhance their ability to prognosticate in this population and refer patients to the appropriate level of care.

Objectives:

1. Discuss the importance of prognostication in cancer patients
2. Describe prognostic scores and models in cancer patients
3. Review Hospice Eligibility guidelines for cancer patients

Target Audience: palliative care specialists, pain specialists, primary care providers, nurse practitioners, registered nurses, advanced practice nurses, registered nurses with a specialty in palliative care/hospice, pharmacists, allied health professionals, fellows, residents, and medical students.

Criteria for Successful Completion:

1. Attendance at entire session
2. Submission of completed evaluation form
3. Successful completion of a posttest (70% for physicians, non-physicians, and nurses; 80% for NYS Social Workers)

Continuing Education Credits: 0.75

Release Date: January 30, 2018

Expiration Date: June 15, 2021 (for physicians and non-physicians); February 14, 2021 (for nurses); January 31, 2022 (for NYS Social Workers)

Continuing Education Accreditation:

The Medical Society of the State of New York designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses: This activity has been submitted to the Alabama State Nurses Association for approval to award 0.75 contact hours. Alabama State Nurses Association is accredited as an approver of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

Disclosures
Pauline Lesage, MD, LLM, has no financial arrangements or affiliations with any commercial entities whose products, research or services may be discussed in these materials. Any discussion of investigational or unlabeled uses of a product will be identified.

Russell K. Portenoy, MD, Faculty and Planner, has indicated a relationship with AstraZeneca Pharmaceuticals LP and Tabula Rasa for research support.

No other Planning Committee Member has any disclosures.

Funding Disclosure: No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

Prognostication II: Improving Accuracy to Support Care and Hospice Access for Patients with Chronic Illnesses Other than Cancer
0.75 Credits

Speaker: Pauline Lesage, MD, LLM
Physician Educator
MJHS Institute for Innovation in Palliative Care

Purpose: The purpose of this webinar is to enable learners to increase their knowledge of the complexity of prognostication in chronic advanced illnesses other than cancer, and to enhance their ability to provide and/or refer patients to the appropriate level of care.

Objectives:

Recognize general and specific difficulties applicable to prognostication in chronic advanced illnesses
Describe prognostic models for CHF, COPD, dementia, renal disease, liver disease, AIDS, and cerebrovascular disease, and describe hospice eligibility guidelines
Identify prognostic criteria in patients with chronic advanced illnesses

Target Audience: palliative care specialists, pain specialists, primary care providers, nurse practitioners, registered nurses, advanced practice nurses, registered nurses with a specialty in palliative care/hospice, pharmacists, allied health professionals, fellows, residents, and medical students

Criteria for Successful Completion:

1. Attendance at entire session
2. Submission of completed evaluation form
3. Successful completion of a posttest (70% for physicians, non-physicians, and nurses; 80% for NYS Social Workers)

Continuing Education Accreditation:

The Medical Society of the State of New York designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Social Workers: MJHS Institute for Innovation in Palliative Care SW is recognized by the New York State Education Department’s State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0242.

Russell K. Portenoy, MD, Faculty and Planner, has indicated a relationship with AstraZeneca Pharmaceuticals LP and Tabula Rasa for research support.

No other Planning Committee Member has any disclosures.

Funding Disclosure: No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

Family Meetings in Hospice and Palliative Care
0.75 Credits

Speaker: Myra Glajchen, DSW
Director of Medical Education
MJHS Institute for Innovation in Palliative Care

Purpose: The purpose of this activity is to describe the importance of the family meeting as a best practice for advance care planning and caregiver support in hospice and palliative care.

Objectives:

Discuss best practices related to the family meeting in hospice and palliative care
Describe core communication skills integral to the family meeting
Discuss challenging clinical scenarios in the context of the family meeting

Target Audience: primary care providers, nurse practitioners, palliative care specialists, pain specialists, registered nurses, advanced practice nurses, registered nurses with a specialty in palliative care/hospice, social workers, allied health professionals, fellows, residents, and medical students

Criteria for Successful Completion:

Attendance at entire session
Submission of completed evaluation form
Successful completion of a posttest (70% for physicians, non-physicians, and nurses; 80% for social workers)

Continuing Education Credits: 1.0

Release Date: July 10, 2018

Expiration Date: June 15, 2021 (for physicians and non-physicians); February 14, 2021 (for nurses); January 31, 2022 (for NYS Social Workers)

Continuing Education Accreditation:

Physicians: This activity has been planned and implemented in accordance with the Accreditation Requirements and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Medical Society of the State of New York (MSSNY) and the MJHS Institute for Innovation in Palliative Care. MSSNY is accredited by the ACCME to provide continuing medical education for physicians.

The Medical Society of the State of New York designated this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit^TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses: MJHS Institute for Innovation in Palliative Care is an approved provider of continuing nursing education by The Alabama State Nurses Association, an accredited provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Social Workers: MJHS Institute for Innovation in Palliative Care is recognized by the New York State Education Department’s State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0242.

Fees:
Individual: Free (includes CME/CE certificate)

Disclosures:
Myra Glajchen, DSW, has no financial arrangements or affiliations with any commercial entities whose products, research or services may be discussed in these materials. Any discussion of investigational or unlabeled uses of a product will be identified.

Russell K. Portenoy, MD, Planner, has indicated a relationship with Tabula Rasa for research support.

No other Planning Committee Member has any disclosures.

Planning Committee Members
Lara Dhingra, PhD
Colleen Fleming-Damon, PhD, APRN-BC, ACHPN-BC, C.T.
Myra Glajchen, DSW
Helena Knotkova, PhD
Russell K. Portenoy, MD
Karen Richards, PhD, EdS
Wini Schein, BA

Funding Disclosure: No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

Family Caregivers in Hospice and Palliative Care: Maximizing Support and Minimizing Burden
1.0 Credit

Speaker: Myra Glajchen, DSW
Director of Medical Education
MJHS Institute for Innovation in Palliative Care

Purpose: This webinar is intended to familiarize attendees with the state of the science regarding research and best practices in working with caregivers in palliative care and hospice.

Objectives:

Identify the key research findings pertinent to family caregivers and family meetings in palliative care and hospice
Discuss best practices for family meetings in palliative care and hospice
Recognize the importance of integrating family caregivers into key events in palliative care and hospice, and describe the skills necessary to achieve this integration

Criteria for Successful Completion:

Attendance at entire session
Submission of completed evaluation form
Successful completion of a posttest (70% for physicians, non-physicians, and nurses; 80% for social workers)

Continuing Education Credits: 1.0

Release Date: July 10, 2018

Expiration Date: July 10, 2021 (for physicians and non-physicians); February 14, 2021 (for nurses); January 31, 2022 (for NYS Social Workers)

Nurses: MJHS Institute for Innovation in Palliative Care is an approved provider of continuing nursing education by The Alabama State Nurses Association, an accredited provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Social Workers: MJHS Institute for Innovation in Palliative Care is recognized by the New York State Education Department’s State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0242.

Fees:
Individual: Free (includes CME/CE certificate)

No other Planning Committee Member has any disclosures.

Funding Disclosure: No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

Anxiety Disorders in the Seriously Ill
1.0 Credit

Speaker: E. Alessandra Strada, PhD
Integrative Medicine and Bereavement Specialist
MJHS Hospice and Palliative Care

Purpose: The goal of this webinar is to discuss the assessment, diagnosis, and treatment of anxiety and anxiety disorders along the continuum of care in patients with serious and advanced illness. The presentation will use discussion of clinical cases to illustrate a practical clinical treatment approach aimed at improving the patient's symptoms and quality of life.

Objectives:

1. Review the prevalence and clinical presentation of anxiety and anxiety disorders in the palliative care setting
2. Discuss assessment, diagnosis, and differential diagnosis of anxiety in advanced illness
3. Present evidence-based and integrated treatment approaches

Criteria for Successful Completion:

1. Attendance at entire session
2. Submission of completed evaluation form
3. Successful completion of a posttest (70% for physicians, non-physicians, and nurses; 80% for social workers)

Continuing Education Credits: 1.0

Release Date: August 13, 2018

Expiration Date: April 18, 2022 (for physicians and non-physicians); February 14, 2021 (for nurses); January 31, 2022 (for NYS Social Workers)

Continuing Education Accreditation:

Physicians: This activity has been planned and implemented in accordance with the Accreditation Requirements and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Medical Society of the State of New York (MSSNY) and the MJHS Institute for Innovation in Palliative Care. MSSNY is accredited by the ACCME to provide continuing medical education for physicians.

The Medical Society of the State of New York designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Russell K. Portenoy, MD, Faculty and Planner, has indicated a relationship with Tabula Rasa for research support.

No other Planning Committee Member has any disclosures.

Planning Committee Members
Lara Dhingra, PhD
Colleen Fleming-Damon, PhD, ANP-BC, ACHPN, FT
Myra Glajchen, DSW
Helena Knotkova, PhD
Russell K. Portenoy, MD
Karen Richards, PhD, EdS
Wini Schein, BA

Funding Disclosure: No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

Depression and Suicidality in the Seriously Ill
1.0 Credit

Speaker: E. Alessandra Strada, PhD
Integrative Medicine and Bereavement Specialist
MJHS Hospice and Palliative Care

Purpose: The goal of this webinar is to discuss the assessment, diagnosis, and treatment of clinical depression and suicidal ideation in patients with serious and advanced illness along the continuum of care. Through the discussion of clinical cases, this presentation will illustrate an integrative clinical treatment approach aimed at addressing depression symptoms, adequately assessing and addressing suicidal ideation and behaviors, and promoting quality of life for the patient and the family.

Objectives:

Review the prevalence and clinical presentation of clinical depression and suicidal ideation in the palliative care setting
Discuss assessment, diagnosis, and differential diagnosis of clinical depression in advanced illness
Discuss evidence-based and integrated treatment approaches in the treatment of clinical depression in advanced illness

Criteria for Successful Completion:

1. Attendance at entire session
2. Submission of completed evaluation form
3. Successful completion of a posttest (70% for physicians, non-physicians, and nurses; 80% for social workers)

Continuing Education Accreditation:

Disclosures:
E. Alessandra Strada, PhD, has no financial arrangements or affiliations with any commercial entities whose products, research or services may be discussed in these materials. Any discussion of investigational or unlabeled uses of a product will be identified.

Russell K. Portenoy, MD, Faculty and Planner, has indicated a relationship with Tabula Rasa for research support.

No other Planning Committee Member has any disclosures.

Planning Committee Members
Lara Dhingra, PhD
Colleen Fleming-Damon, PhD, ANP-BC, ACHPN, FT
Myra Glajchen, DSW
Helena Knotkova, PhD
Russell K. Portenoy, MD
Karen Richards, PhD, EdS
Wini Schein, BA

Funding Disclosure: No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

ON-DEMAND WEBINAR SERIES:
A 28-YEAR-OLD WOMAN WITH FREQUENT ED VISITS FOR SICKLE CELL PAIN

Speaker: Tartania Brown, MD
Attending Physician, Palliative Care, Wyckoff Heights Medical Center
Hospice Medical Director, MJHS Hospice and Palliative Care

Purpose: The purpose of this case conference is to enhance knowledge in the palliation of sickle cell anemia patients with frequent pain episodes.

Objectives:

Assess the patient with acute somatic and nociceptive pain in the context of chronic illness
Employ first-line treatment of recurring pain crises in the patient with sickle cell anemia
Understand when referral for palliative specialist care is helpful and important in conjunction with oncologic/hematologic management of patients with sickle cell anemia

Why Do I Need to Know This?
To enhance the quality of care provided to patients with acute somatic and nociceptive pain in chronic disease.

Target Audience: primary care providers, nurse practitioners, palliative care specialists, pain specialists, registered nurses, advanced practice nurses, registered nurses with a specialty in palliative care/hospice, pharmacists, allied health professionals, fellows, residents, and medical students

Criteria for Successful Completion:

Attendance at entire session
Submission of completed evaluation form
Successful completion of a posttest (70% for physicians, non-physicians, and nurses; 80% for social workers)

Continuing Education Credits: 0.5

Release Date: June 25, 2018

Expiration Date: April 18, 2022 (for physicians and non-physicians); February 14, 2021 (for nurses); January 31, 2022 (for NYS Social Workers)

Continuing Education Accreditation:

Physicians: This activity has been planned and implemented in accordance with the Accreditation Requirements and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Medical Society of the State of New York (MSSNY) and the MJHS Institute for Innovation in Palliative Care. MSSNY is accredited by the ACCME to provide continuing medical education for physicians.

The Medical Society of the State of New York designated this enduring material for a maximum of 0.5 AMA PRA Category 1 Credit^TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses: MJHS Institute for Innovation in Palliative Care is an approved provider of continuing nursing education by The Alabama State Nurses Association, an accredited provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Social Workers: MJHS Institute for Innovation in Palliative Care SW CPE is recognized by the New York State Education Department's State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0242.

Disclosures:
Tartania Brown, MD, has no financial arrangements or affiliations with any commercial entities whose products, research or services may be discussed in these materials. Any discussion of investigational or unlabeled uses of a product will be identified.

Russell K. Portenoy, MD, Planner, has indicated a relationship with Tabula Rasa for research support.

No other Planning Committee Member has any disclosures.

Funding Disclosure: No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

ON-DEMAND WEBINAR SERIES:
A 69-YEAR-OLD MALE WITH LUNG CANCER AND PAINFUL BONE METASTASES

Purpose: The goal of this webinar is to expand upon best practices in opioid therapy for pain in those with serious illness, with a focus on breakthrough pain, opioid titration, and opioid rotation.

Objectives:

Implement best practices in the initiation of opioid therapy in patients with chronic pain related to serious illness
Manage breakthrough pain using opioid ‘rescue doses’
Implement best practices in opioid titration and rotation

Target Audience: Social workers and healthcare coaches,nurse practitioners, registered nurses, advanced practice nurses, and registered nurses with a specialty in palliative care/hospice

Criteria for Successful Completion:

Attendance at entire session
Submission of completed evaluation form
Successful completion of a posttest (70% for nurses; 80% for social workers)

Continuing Education Credits: 1.0

Continuing Education Accreditation:

Fees:
Individual: $25 (includes CE certificate)

Release Date: June 10, 2019

Expiration Date: February 14, 2021 (for nurses); January 31, 2022 (for NYS Social Workers)

Disclosures:
Russell K. Portenoy, MD, Faculty and Planner, has indicated a relationship with Tabula Rasa for research support. Any discussion of investigational or unlabeled uses of a product will be identified.

No other Planning Committee Member has any disclosures.

Planning Committee Members
Lara Dhingra, PhD
Colleen Fleming-Damon, PhD, ANP-BC, ACHPN, FT
Myra Glajchen, DSW
Helena Knotkova, PhD
Russell K. Portenoy, MD
Karen Richards, PhD, EdS
Wini Schein, BA

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

ON-DEMAND WEBINAR SERIES:
A 69-YEAR-OLD MAN WITH A HISTORY OF ALCOHOLISM AND PERSISTENT PAIN AFTER LIMB-SPARING RESECTION OF AN OSTEOSARCOMA

Purpose: The purpose of this case conference is to enhance the knowledge of nurses in the management of patients with chronic pain and a comorbid substance use disorder.

Objectives:

Improve the assessment of chronic pain after cancer surgery
Improve the assessment of treatment risk in populations with chronic pain and a history of substance use disorder
Employ first-line and second-line pharmacotherapy for the treatment of chronic pain after cancer surgery
Enhance the safe use of opioid therapy by a best practice approach to careful patient selection
Employ best practices when opioid therapy is necessary for the patient with a history of substance abuse
Understand when referral for specialist care is necessary during the management of the patient with chronic pain after cancer surgery

Target Audience: Social workers and healthcare coaches,nurse practitioners, registered nurses, advanced practice nurses, and registered nurses with a specialty in palliative care/hospice

Criteria for Successful Completion:

Attendance at entire session
Submission of completed evaluation form
Successful completion of a posttest (70% for nurses; 80% for social workers)

Continuing Education Credits: 1.0

Continuing Education Accreditation:

Fees:
Individual: $25 (includes CE certificate)

Release Date: June 24, 2019

Expiration Date: February 14, 2021 (for nurses); January 31, 2022 (for NYS Social Workers)

Disclosures:
Russell K. Portenoy, MD, Faculty and Planner, has indicated a relationship with AstraZeneca Pharmaceuticals LP for research support. Any discussion of investigational or unlabeled uses of a product will be identified.

No other planners have any financial arrangements or affiliations with any commercial entities whose products, research or services may be discussed in these materials.

Planning Committee Members
Lara Dhingra, PhD
Colleen Fleming-Damon, PhD, ANP-BC, ACHPN, FT
Myra Glajchen, DSW
Helena Knotkova, PhD
Russell K. Portenoy, MD
Karen Richards, PhD, EdS
Wini Schein, BA

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

ON-DEMAND WEBINAR SERIES:
A 71-YEAR-OLD MAN WITH CLASS IV CHF, DECLINING FUNCTION, AND NO DOCUMENTED GOALS OR ADVANCE DIRECTIVES

Speaker: Mara Lugassy, MD
Senior Hospice Physician
MJHS Hospice and Palliative Care

Purpose: The purpose of this webinar is to expand knowledge of the palliative management of advanced congestive heart failure.

Objectives:

Implement strategies for management of common symptoms in congestive heart failure
Develop approach to discussing advance directives and goals of care in heart disease
Identify indicators of end stage heart disease and supportive resources for patients and families

Target Audience: Social workers and healthcare coaches,nurse practitioners, registered nurses, advanced practice nurses, and registered nurses with a specialty in palliative care/hospice

Criteria for Successful Completion:

Attendance at entire session
Submission of completed evaluation form
Successful completion of a posttest (70% for nurses; 80% for social workers)

Continuing Education Credits: 1.0

Continuing Education Accreditation:

Fees:
Individual: $25 (includes CE certificate)

Release Date: June 10, 2019

Expiration Date: February 14, 2021 (for nurses); January 31, 2022 (for NYS Social Workers)

Disclosures:
Dr.Lugassy has no financial arrangements or affiliations with any commercial entities whose products, research or services may be discussed in these materials. Any discussion of investigational or unlabeled uses of a product will be identified.

Russell K. Portenoy, MD, Planner, has indicated a relationship with Pfizer Inc. and with AstraZeneca Pharmaceuticals LP for research grant support.

No other Planning Committee Member has any disclosures.

Planning Committee Members
Lara Dhingra, PhD
Colleen Fleming-Damon, PhD, ANP-BC, ACHPN, FT
Myra Glajchen, DSW
Helena Knotkova, PhD
Russell K. Portenoy, MD
Karen Richards, PhD, EdS
Wini Schein, BA

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

ON-DEMAND WEBINAR SERIES:
A KEY OUTCOME OF ADVANCE CARE PLANNING: THE ADVANCE DIRECTIVE

Speakers:
Marilyn Bookbinder, RN, PhD, FPCN
Research Scientist
MJHS Institute for Innovation in Palliative Care

Betty Hilleman, MBA, MSN, RN, CHPN
Palliative Care RN Specialist
MJHS Hospice and Palliative Care

Purpose: Having an advance directive has been linked to cost savings (Medicare dollars) at end-of-life, a lower likelihood of dying in a hospital where most do not prefer, and higher usage of hospice care and better quality of dying for patients and their families. The goal of this seminar is to gain an introductory understanding of the social changes that have occurred since the enhancement of the Patient Self-Determination Act (PSDA) in 1991, specifically the advance directive. This webinar will provide an introduction to major efforts leading the field of palliative care to improve the quality of advance care planning discussions and the completion of advance directives.

Objectives:

Discuss the prevalence and significance of having an advance care planning discussion and completion of an advance directive
Recognize the barriers and facilitators to conducting advance care planning discussions and completing an advance directive
Describe resources and strategies for improving advance care planning discussions and completing an advance directive for patients and families and professionals
Review common situations in which nurses can identify barriers and facilitate discussions and completion of advance directives

Target Audience: nurse practitioners, registered nurses, advanced practice nurses, and registered nurses with a specialty in palliative care/hospice

Criteria for Successful Completion:

Attendance at entire session
Submission of completed evaluation form
Successful completion of a posttest (70% passing grade)

Continuing Education Credits: 2.0

Continuing Education Accreditation:

Fees:
Individual: Free (includes CE certificate)

Release Date: April 30, 2019

Expiration Date: February 14, 2021

Disclosures:
Marilyn Bookbinder, RN, PhD, FPCN, and Betty Hilleman, MBA, MSN, RN, CHPN, have no financial arrangements or affiliations with any commercial entities whose products, research or services may be discussed in these materials. Any discussion of investigational or unlabeled uses of a product will be identified.

Russell K. Portenoy, MD, Planner, has indicated a relationship with Tabula Rasa for research support.

No other Planning Committee Member has any disclosures.

Planning Committee Members
Lara Dhingra, PhD
Colleen Fleming-Damon, PhD, ANP-BC, ACHPN, FT
Myra Glajchen, DSW
Helena Knotkova, PhD
Russell K. Portenoy, MD
Karen Richards, PhD, EdS
Wini Schein, BA

Funding Disclosure: No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

ON-DEMAND WEBINAR SERIES:
AN 86-YEAR-OLD WOMAN WITH MODERATE DEMENTIA, SUNDOWNING AND A CONCERNED FAMILY CAREGIVER

Speaker: Mara Lugassy, MD
Senior Hospice Physician
MJHS Hospice and Palliative Care

Purpose: The purpose of this case conference is to review the management of sundowning and sleep disturbance in dementia and to identify resources for patient and caregiver support.

Objectives:

Develop an approach to assessment and management of sundowning in dementia patients
Describe interventions for sleep disorders commonly associated with dementia
Identify support services for patients and caregivers in advancing dementia

Target Audience: Social workers and healthcare coaches,nurse practitioners, registered nurses, advanced practice nurses, and registered nurses with a specialty in palliative care/hospice

Criteria for Successful Completion:

Attendance at entire session
Submission of completed evaluation form
Successful completion of a posttest (70% for nurses; 80% for social workers)

Continuing Education Credits: 1.0

Continuing Education Accreditation:

Fees:
Individual: $25 (includes CE certificate)

Release Date: June 24, 2019

Expiration Date: February 14, 2021 (for nurses); January 31, 2022 (for NYS Social Workers)

Russell K. Portenoy, MD, Faculty and Planner, has indicated a relationship with AstraZeneca Pharmaceuticals LP for research support.

No other Planning Committee Member has any disclosures.

Planning Committee Members
Lara Dhingra, PhD
Colleen Fleming-Damon, PhD, ANP-BC, ACHPN, FT
Myra Glajchen, DSW
Helena Knotkova, PhD
Russell K. Portenoy, MD
Karen Richards, PhD, EdS
Wini Schein, BA

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

ON-DEMAND WEBINAR SERIES:
ANTICIPATORY MOURNING AT END-OF-LIFE

Speaker: Colleen Fleming-Damon, PhDc, ANP-BC, ACHPN, FT
Director of Education and Training
MJHS Hospice and Palliative Care

Purpose: The purpose of this webinar is to acquire the knowledge and skills necessary to identify and incorporate best practices and interventions for anticipatory grief and mourning experienced by patients and families at end-of-life. The interventions discussed in this webinar may improve outcomes for families after loss.

Objectives:

Define theoretical concepts of anticipatory grief and mourning
Discuss the occurrence and implications of this phenomenon
Identify anticipatory grief and mourning in patients and families
Integrate into practice interventions to assist patients and families with anticipatory grief and mourning before the death event

Topics Covered:

Definition of anticipatory grief and mourning
Identification of anticipatory mourning in patients and families
Dimensions anticipatory mourning
Best practices in assisting patients and families with anticipatory grief and mourning

Target Audience: Nursing administrators and managers, nurses, and healthcare coaches

Criteria for Successful Completion:

Attendance at entire session
Submission of completed evaluation form
Successful completion of a posttest (70% passing grade)

Continuing Education Credits: 1.0

Continuing Education Accreditation:

Fees:
Individual: $25 (includes CE certificate)

Release Date: February 14, 2019

Expiration Date: February 14, 2021

Disclosures:
Colleen Fleming-Damon, PhDc, ANP-BC, ACHPN, FT, has no financial arrangements or affiliations with any commercial entities whose products, research or services may be discussed in these materials. Any discussion of investigational or unlabeled uses of a product will be identified.

Russell K. Portenoy, MD, Planner, has indicated a relationship with Tabula Rasa for research support.

No other Planning Committee Member has any disclosures.

Funding Disclosure: No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

ON-DEMAND WEBINAR SERIES:
CARE OF FAMILIES DURING END-OF-LIFE VIGILS

Speaker:
Colleen Fleming-Damon, PhD, ANP-BC, ACHPN, FT
Director of Education and Training
MJHS Institute for Innovation in Palliative Care

Purpose: End-of-life family vigils have been well-documented within rites of human passage during the transition of dying to death. The purpose of this webinar is to define and understand the structure and meaning of family vigils by providing current qualitative research on the topic. This knowledge will provide insight and enhance communication and practice skills for the interdisciplinary team providing care for families at end-of-life.

Objectives:

Describe and identify family vigils at end-of-life
Identify three phases of end-of-life vigils
Discuss meaning of vigils for families
Discuss role of the interdisciplinary team in family vigils
Integrate best practices for care, support, and facilitation of family vigils for improved family outcomes after loss

Criteria for Successful Completion:

Attendance at entire session
Submission of completed evaluation form
Successful completion of a posttest; 80% passing grade (mandatory to receive CE credit for social workers)

Continuing Education Credits: 1.0

Continuing Education Accreditation

The Medical Society of the State of New York designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit^™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Fees:
Individual: $25 (includes CME/CE certificate)

Release Date: November 11, 2019

Expiration Date: September 19, 2022 (for physicians and non-physicians); February 14, 2021 (for nurses); January 31, 2022 (for NYS Social Workers)

No other Planning Committee Member has any disclosures.

Planning Committee Members
Lara Dhingra, PhD
Colleen Fleming-Damon, PhD, ANP-BC, ACHPN, FT
Myra Glajchen, DSW
Helena Knotkova, PhD
Russell K. Portenoy, MD
Karen Richards, PhD, EdS
Wini Schein, BA

Funding Disclosure: No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

ON-DEMAND WEBINAR SERIES:
CARING FOR FAMILY CAREGIVERS WHILE CARING FOR OURSELVES

Speaker: Myra Glajchen, DSW
Director of Medical Education
Associate Program Director, Fellowship Training Program
MJHS Institute for Innovation in Palliative Care

Purpose: The purpose of this webinar is to provide participants with an overview of the theory, research and best practices related to working with family caregivers in palliative care and hospice. Participants will leave the workshop with new tools for assessment, communication, education, and self-care to maximize effectiveness while maintaining professional and personal balance.

Objectives:

Identify the theoretical basis underlying caregiving in palliative care
Apply core social work clinical skills to work with family caregivers in palliative care
Expand their repertoire of skills using evidence-based social work assessment and intervention practices
Discuss the value of social work research and models of care in working with caregivers in palliative care
Define strategies for self-care

Target Audience: Social workers and healthcare coaches

Criteria for Successful Completion:

Attendance at entire session
Submission of completed evaluation form
Successful completion of a posttest (80% passing grade)

Continuing Education Credits: 0.75

Release Date: May 28, 2019

Expiration Date: January 31, 2022

Continuing Education Accreditation:

Fees:
Individual: $25 (includes CE certificate)

Disclosures
Myra Glajchen, DSW, has no financial arrangements or affiliations with any commercial entities whose products, research or services may be discussed in these materials. Any discussion of investigational or unlabeled uses of a product will be identified.

Russell K. Portenoy, MD, Planner, has indicated a relationship with Tabula Rasa for research support.

No other Planning Committee Member has any disclosures.

Planning Committee Members
Lara Dhingra, PhD
Colleen Fleming-Damon, PhD, ANP-BC, ACHPN, FT
Myra Glajchen, DSW
Helena Knotkova, PhD
Russell K. Portenoy, MD
Karen Richards, PhD, EdS
Wini Schein, BA

Funding Disclosure: No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

ON-DEMAND WEBINAR SERIES:
ASSESSMENT AND MANAGEMENT OF DELIRIUM

Speaker: Pauline Lesage, MD, LLM
Physician Educator
MJHS Institute for Innovation in Palliative Care

Purpose: The purpose of this webinar is to review the epidemiology, etiology, clinical features, and management of delirium in the palliative care setting.

Objectives:

Define delirium, its prevalence, categories, and etiology
Recognize the clinical elements of delirium
Discuss the management of delirium

Criteria for Successful Completion:

Attendance at entire session
Submission of completed evaluation form
Successful completion of a posttest (70% for physicians, non-physicians, and nurses; 80% for social workers)

Continuing Education Credits: 0.75

Release Date: March 1, 2018

Expiration Date: June 15, 2021 (for physicians and non-physicians); February 14, 2021 (for nurses); January 31, 2022 (for NYS Social Workers)

Continuing Education Accreditation:

Physicians: This activity has been planned and implemented in accordance with the Accreditation Requirements and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Medical Society of the State of New York (MSSNY) and the MJHS Institute for Innovation in Palliative Care. MSSNY is accredited by the ACCME to provide continuing medical education for physicians.

The Medical Society of the State of New York designated this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit^TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses: MJHS Institute for Innovation in Palliative Care is an approved provider of continuing nursing education by The Alabama State Nurses Association, an accredited provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Social Workers: MJHS Institute for Innovation in Palliative Care is recognized by the New York State Education Department’s State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0242.

Fees:
Individual: Free (includes CME/CE certificate)

Disclosures:
Pauline Lesage, MD, LLM, has no financial arrangements or affiliations with any commercial entities whose products, research or services may be discussed in these materials. Any discussion of investigational or unlabeled uses of a product will be identified.

Russell K. Portenoy, MD, Planner, has indicated a relationship with Tabula Rasa for research support.

No other Planning Committee Member has any disclosures.

Funding Disclosure: No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

ON-DEMAND WEBINAR SERIES:
PALLIATIVE CARE IN DEMENTIA: AN INTERDISCIPLINARY APPROACH TO BEHAVIORAL SYMPTOMS

Speaker:
Mara Lugassy, MD
Senior Hospice Medical Director
MJHS Hospice and Palliative Care

Purpose: The purpose of this webinar is to enhance knowledge of the management of behavioral symptoms in dementia.

Objectives:

Identify strategies for management of resistance to care in dementia
Develop a framework for evaluation and management of sleep disorders in dementia
Describe an approach to assessment and management of sundowning in dementia

Criteria for Successful Completion:

Attendance at entire session
Submission of completed evaluation form
Successful completion of a posttest (70% for physicians, non-physicians, and nurses; 80% for social workers)

Continuing Education Credits: 1.0

Release Date: May 14, 2018

Expiration Date: June 15, 2021 (for physicians and non-physicians); February 14, 2021 (for nurses); January 31, 2022 (for NYS Social Workers)

Continuing Education Accreditation:

Physicians: This activity has been planned and implemented in accordance with the Accreditation Requirements and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Medical Society of the State of New York (MSSNY) and the MJHS Institute for Innovation in Palliative Care. MSSNY is accredited by the ACCME to provide continuing medical education for physicians.

The Medical Society of the State of New York designated this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit^TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses: MJHS Institute for Innovation in Palliative Care is an approved provider of continuing nursing education by The Alabama State Nurses Association, an accredited provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Social Workers: MJHS Institute for Innovation in Palliative Care is recognized by the New York State Education Department’s State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0242.

Fees:
Individual: Free (includes CME/CE certificate)

Disclosures:
Mara Lugassy, MD, has no financial arrangements or affiliations with any commercial entities whose products, research or services may be discussed in these materials. Any discussion of investigational or unlabeled uses of a product will be identified.

Russell K. Portenoy, MD, Planner, has indicated a relationship with Tabula Rasa for research support.

No other Planning Committee Member has any disclosures.

Funding Disclosure: No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

ON-DEMAND WEBINAR SERIES:
DEMYSTIFYING DEPRESCRIBING: LESS IS MORE

Speaker: Ebtesam Ahmed, PharmD, MS
Director of Pharmacy Internship
MJHS Institute for Innovation in Palliative Care
Associate Clinical Professor, St. John’s University

Purpose: Deprescribing can be defined as the process of dose reduction, withdrawal, or discontinuation of medications which are considered inappropriate in an individual. The goal of this webinar is to provide an overview of "deprescribing." Potential benefits and harms will be discussed, followed by the barriers, challenges to and enablers of deprescribing. The webinar will also provide practical recommendations to recognize opportunities and strategies for deprescribing in clinical practice.

Objectives:

Discuss principles of safe medication discontinuation (renal dosing, drug interactions)
Review guidelines for deprescribing across continuum of care
Provide deprescribing resources for providers and patients

Target Audience: palliative care specialists, pain specialists, primary care providers, nurse practitioners, registered nurses, advance practice nurses, registered nurses with a specialty in palliative care/hospice, pharmacists, allied health professionals, fellows, residents, and medical students

Criteria for Successful Completion:

Attendance at entire session
Submission of completed evaluation form
Successful completion of a posttest (70% passing grade for physicians, non-physicians, and nurses)

Continuing Education Credits: 1.0

Release Date: August 7, 2018

Expiration Date: June 15, 2021 (for physicians and non-physicians); February 14, 2021 (for nurses)

Continuing Education Accreditation

The Medical Society of the State of New York designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credits^™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Fees:
Individual: Free (includes CME/CE certificate)
Group: Schedule an on-demand rebroadcast for a group meeting - $125 (includes unlimited CME/CE certificates; contact 212-649-5500)

Russell K. Portenoy, MD, Faculty and Planner, has indicated a relationship with Tabula Rasa for research support.

Funding Disclosure: No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

ON-DEMAND WEBINAR SERIES:
EMBRACING CULTURAL HUMILITY IN END-OF-LIFE CARE

Speaker: Christine Kucinskis, LCSW, CSW-G, ACHP-SW
Social Work Manager
MJHS Hospice and Palliative Care

Purpose: The purpose of this webinar is to acquire the knowledge and skills to identify and address cultural diversity in hospice and palliative care and incorporate best practices in assessment and intervention.

Objectives:

Review the theory on the role of culture in end-of-life care
Identify best practices in culturally competent assessment
Illustrate best practices through a case narrative
Practice death awareness activities
Identify best practices in culturally competent intervention

Why Do I Need to Know This?
Culture is recognized as an important domain in hospice and palliative care. Health disparities and culture can present barriers to informed decision-making and treatment in end-of-life care and working with different cultural groups falls to every member of the health care team. Social workers are trained in advocacy, cross-cultural communication, and patient-centered care, making this topic essential to their practice.

Target Audience: Social workers and healthcare coaches

Criteria for Successful Completion:

Attendance at entire session
Submission of completed evaluation form
Successful completion of a posttest (80% passing grade)

Continuing Education Credits: 1.0

Release Date: April 5, 2018

Expiration Date: January 31, 2022

Continuing Education Accreditation:

Fees:
Individual: $25 (includes CE certificate)

Disclosures
Christine Kucinskis, LCSW, CSW-G, ACHP-SW, has no financial arrangements or affiliations with any commercial entities whose products, research or services may be discussed in these materials. Any discussion of investigational or unlabeled uses of a product will be identified.

Russell K. Portenoy, MD, Faculty and Planner, has indicated a relationship with Tabula Rasa for research support.

No other Planning Committee Member has any disclosures.

Funding Disclosure: No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

ON-DEMAND WEBINAR SERIES:
CULTURALLY COMPETENT APPROACH TO HOSPICE, PALLIATIVE, AND END-OF-LIFE CARE FOR THE LGBTQ POPULATION

Speakers:
Noelle Marie C. Javier, MD
Assistant Professor of Medicine
Brookdale Department of Geriatrics and Palliative Medicine
Icahn School of Medicine at Mount Sinai, New York

Anup Bharani, MD
Assistant Professor of Medicine
Brookdale Department of Geriatrics and Palliative Medicine
Icahn School of Medicine at Mount Sinai, New York

Purpose: The overall goal of this webinar is to provide useful strategies in the practice of effective and empathic communication around SOGIE (sexual orientation, gender identity, and gender expression) information for all patients and, most especially, the older LGBTQ adult. It is incredibly important that to do so, and all clinical and non-clinical staff need to understand and recognize the lived experiences of this population and mitigate implicit biases towards them. In so doing, we thereby provide care in a manner of inclusivity through the delivery of high quality holistic and humanistic geriatric, palliative, hospice, and end-of-life care. This will be a step further in normalizing conversations, opening minds and hearts, and creating a shift in the culture of utmost acceptance.

Objectives:

Recognize and define basic terms, constructs, and concepts affecting the lived experiences of the LGBTQ population
Discuss key points in the multidimensional approach to high-quality geriatric, palliative, hospice, and end-of-life care for this population
Apply effective and inclusive strategies in the areas of empathic, sensitive, and normalized communication eliciting routine SOGIE (sexual orientation, gender identity, and expression) information to all patients and navigating relevant challenges

Criteria for Successful Completion:

Attendance at entire session
Submission of completed evaluation form
Successful completion of a posttest; 80% passing grade (mandatory to receive CE credit for social workers)

Continuing Education Credits: 1.0

Continuing Education Accreditation

Fees:
Individual: $25 (includes CE certificate)

Release Date: August 20, 2019

Expiration Date: April 18, 2022 (for non-physicians); February 14, 2021 (for nurses); January 31, 2022 (for NYS Social Workers)

Disclosures:
Noelle Marie C. Javier, MD, and Anup Bharani, MD, have no disclosures.

Russell K. Portenoy, MD, has indicated a relationship with Tabula Rasa for research support. Any discussion of investigational or unlabeled uses of a product will be identified.

No other Planning Committee Member has any disclosures.

Planning Committee Members
Lara Dhingra, PhD
Colleen Fleming-Damon, PhD, ANP-BC, ACHPN, FT
Myra Glajchen, DSW
Helena Knotkova, PhD
Russell K. Portenoy, MD
Karen Richards, PhD, EdS
Wini Schein, BA

Funding Disclosure: No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

ON-DEMAND WEBINAR SERIES:
AN ETHICAL FRAMEWORK FOR DECISION-MAKING IN HOSPICE CARE

Speaker: Timothy W. Kirk, PhD
Ethics Consultant
MJHS Hospice and Palliative Care

Objectives:

Describe the nature of ethics
Explain core elements of the hospice philosophy of care
Identify questions of ethical significance in hospice practice
Apply a hospice ethics framework to clinical practice

Criteria for Successful Completion:

Attendance at entire session
Submission of completed evaluation form
Successful completion of a posttest (70% for physicians, non-physicians, and nurses; 80% for social workers)

Continuing Education Credits: 1.0

Release Date: August 1, 2018

Expiration Date: April 18, 2022 (for physicians and non-physicians); February 14, 2021 (for nurses); January 31, 2022 (for NYS Social Workers)

Continuing Education Accreditation:

Physicians: This activity has been planned and implemented in accordance with the Accreditation Requirements and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Medical Society of the State of New York (MSSNY) and the MJHS Institute for Innovation in Palliative Care. MSSNY is accredited by the ACCME to provide continuing medical education for physicians.

The Medical Society of the State of New York designated this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit^TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses: MJHS Institute for Innovation in Palliative Care is an approved provider of continuing nursing education by The Alabama State Nurses Association, an accredited provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Social Workers: MJHS Institute for Innovation in Palliative Care is recognized by the New York State Education Department’s State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0242.

Fees:
Individual: Free (includes CME/CE certificate)

Disclosures:
Timothy W. Kirk, PhD, has no financial arrangements or affiliations with any commercial entities whose products, research or services may be discussed in these materials. Any discussion of investigational or unlabeled uses of a product will be identified.

Russell K. Portenoy, MD, Planner, has indicated a relationship with Tabula Rasa for research support.

No other Planning Committee Member has any disclosures.

Funding Disclosure: No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

ON-DEMAND WEBINAR SERIES:
EXPANDING HOSPICE ACCESS THROUGH BEST PRACTICES IN ELIGIBILITY REVIEW AND THE HOSPICE CONVERSATION

Purpose: The purpose of this webinar is to provide an update about best practices in hospice eligibility review and the initial presentation to patients and families of hospice as an option for care.

Objectives:

Describe the elements of the Medicare hospice benefit to patients or family members
Introduce hospice as a resource for added services
Define the LCDs and apply them in the identification of hospice-eligible patients
Assess medically eligible patients for hospice appropriateness

Criteria for Successful Completion:

Attendance at entire session
Submission of completed evaluation form
Successful completion of a posttest (70% for physicians, non-physicians, and nurses; 80% for social workers)

Continuing Education Credits: 1.0

Release Date: April 29, 2019

Expiration Date: April 18, 2022 (for physicians and non-physicians); February 14, 2021 (for nurses); January 31, 2022 (for NYS Social Workers)

Continuing Education Accreditation:

Physicians: This activity has been planned and implemented in accordance with the Accreditation Requirements and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Medical Society of the State of New York (MSSNY) and the MJHS Institute for Innovation in Palliative Care. MSSNY is accredited by the ACCME to provide continuing medical education for physicians.

The Medical Society of the State of New York designated this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit^TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses: MJHS Institute for Innovation in Palliative Care is an approved provider of continuing nursing education by The Alabama State Nurses Association, an accredited provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Social Workers: MJHS Institute for Innovation in Palliative Care is recognized by the New York State Education Department’s State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0242.

Fees:
Individual: Free (includes CME/CE certificate)

Disclosures:
Russell K. Portenoy, MD, Faculty and Planner, has indicated a relationship with Tabula Rasa for research support.

No other Planning Committee Member has any disclosures.

Funding Disclosure: No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

ON-DEMAND WEBINAR SERIES:
FAITH IN TERMS OF DEATH AND DYING

Speaker: Christine Kucinskis, LCSW, CSW-G, ACHP-SW
Social Work Manager
MJHS Hospice and Palliative Care

Purpose: The goal of this panel discussion is for clinicians to better understand the nuances of end of life and death affecting families from different cultures in their practice.

Objectives:

Identify key approaches to use with patients and families when discussing planning for end of life with patients/families from three diverse faiths
Examine cultural taboos and superstitions surrounding end-of-life/death discussion initiation and how best to address them sensitively
Improve knowledge about death practices and bereavement needs of persons from three diverse faiths

Target Audience: Social workers and healthcare coaches,nurse practitioners, registered nurses, advanced practice nurses, and registered nurses with a specialty in palliative care/hospice

Criteria for Successful Completion:

Attendance at entire session
Submission of completed evaluation form
Successful completion of a posttest (70% for nurses; 80% for social workers)

Continuing Education Credits: 1.0

Continuing Education Accreditation:

Fees:
Individual: $25 (includes CE certificate)

Release Date: June 10, 2019

Expiration Date: February 14, 2021 (for nurses); January 31, 2022 (for NYS Social Workers)

Disclosures:
Christine Kucinskis, LCSW, CSW-G, ACHP-SW, has no disclosures.

Russell K. Portenoy, MD, Faculty and Planner, has indicated a relationship with Tabula Rasa for research support. Any discussion of investigational or unlabeled uses of a product will be identified.

No other Planning Committee Member has any disclosures.

Planning Committee Members
Lara Dhingra, PhD
Colleen Fleming-Damon, PhD, ANP-BC, ACHPN, FT
Myra Glajchen, DSW
Helena Knotkova, PhD
Russell K. Portenoy, MD
Karen Richards, PhD, EdS
Wini Schein, BA

Funding Disclosure: No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

ON-DEMAND WEBINAR SERIES:
FAMILY MEETINGS IN HOSPICE AND PALLIATIVE CARE

Speaker: Myra Glajchen, DSW
Director of Medical Education
MJHS Institute for Innovation in Palliative Care

Purpose: The purpose of this activity is to describe the importance of the family meeting as a best practice for advance care planning and caregiver support in hospice and palliative care.

Objectives:

Discuss best practices related to the family meeting in hospice and palliative care
Describe core communication skills integral to the family meeting
Discuss challenging clinical scenarios in the context of the family meeting

Criteria for Successful Completion:

Attendance at entire session
Submission of completed evaluation form
Successful completion of a posttest (70% for physicians, non-physicians, and nurses; 80% for social workers)

Continuing Education Accreditation:

Physicians: This activity has been planned and implemented in accordance with the Accreditation Requirements and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Medical Society of the State of New York (MSSNY) and the MJHS Institute for Innovation in Palliative Care. MSSNY is accredited by the ACCME to provide continuing medical education for physicians.

The Medical Society of the State of New York designated this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit^TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses: MJHS Institute for Innovation in Palliative Care is an approved provider of continuing nursing education by The Alabama State Nurses Association, an accredited provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Social Workers: MJHS Institute for Innovation in Palliative Care is recognized by the New York State Education Department’s State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0242.

Fees:
Individual: Free (includes CME/CE certificate)

No other Planning Committee Member has any disclosures.

Funding Disclosure: No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

ON-DEMAND WEBINAR SERIES:
ASSESSMENT AND MANAGEMENT OF FATIGUE IN THE SERIOUSLY ILL

Speaker: Pauline Lesage, MD, LLM
Physician Educator
MJHS Institute for Innovation in Palliative Care

Purpose: The purpose of this webinar is to clarify and improve our knowledge on a common but not well understood topic in palliative care: the assessment and management of fatigue in medical illness.

Objectives:

Review the definition, epidemiology, and etiology of fatigue in various medical illnesses
Explain the complexity of fatigue through its pathophysiology
Discuss the management of fatigue: i.e., the nonpharmacological approaches and pharmacological treatments

Target Audience: primary care providers, nurse practitioners, palliative care specialists, pain specialists, registered nurses, advanced practice nurses, registered nurses with a specialty in palliative care/hospice, pharmacists, allied health professionals, fellows, residents, and medical students

Criteria for Successful Completion:

Attendance at entire session
Submission of completed evaluation form
Successful completion of a posttest (70% for physicians, non-physicians, and nurses; 80% for social workers)

Continuing Education Credits: 1.0

Release Date: August 14, 2018

Expiration Date: April 18, 2022 (for physicians and non-physicians); February 14, 2021 (for nurses); January 31, 2022 (for NYS Social Workers)

Continuing Education Accreditation:

Physicians: This activity has been planned and implemented in accordance with the Accreditation Requirements and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Medical Society of the State of New York (MSSNY) and the MJHS Institute for Innovation in Palliative Care. MSSNY is accredited by the ACCME to provide continuing medical education for physicians.

The Medical Society of the State of New York designated this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit^TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses: MJHS Institute for Innovation in Palliative Care is an approved provider of continuing nursing education by The Alabama State Nurses Association, an accredited provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Social Workers: MJHS Institute for Innovation in Palliative Care is recognized by the New York State Education Department’s State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0242.

Disclosures:
Pauline Lesage, MD, LLM, has no financial arrangements or affiliations with any commercial entities whose products, research or services may be discussed in these materials. Any discussion of investigational or unlabeled uses of a product will be identified.

Russell K. Portenoy, MD, Planner, has indicated a relationship with Tabula Rasa for research support.

No other Planning Committee Member has any disclosures.

Funding Disclosure: No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

ON-DEMAND WEBINAR SERIES:
GOAL SETTING DISCUSSIONS IN THE SERIOUSLY ILL

Purpose: Patients with serious chronic illnesses benefit from repeated, timely, sensitive, and actionable goal setting discussions. The goal of this webinar is to describe the elements of goal setting discussions and provide a framework for improving the ability of clinicians to engage in these discussions with seriously ill patients and their families.

Objectives:

Position goals discussions as part of palliative care
Develop a workable definition and framework for goals discussions
Discuss a communication tool for goal setting discussions

Criteria for Successful Completion:

Attendance at entire session
Submission of completed evaluation form
Successful completion of a posttest (70% for physicians, non-physicians, and nurses; 80% for social workers)

Continuing Education Accreditation:

Physicians: This activity has been planned and implemented in accordance with the Accreditation Requirements and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Medical Society of the State of New York (MSSNY) and the MJHS Institute for Innovation in Palliative Care. MSSNY is accredited by the ACCME to provide continuing medical education for physicians.

The Medical Society of the State of New York designated this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit^TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses: MJHS Institute for Innovation in Palliative Care is an approved provider of continuing nursing education by The Alabama State Nurses Association, an accredited provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Social Workers: MJHS Institute for Innovation in Palliative Care is recognized by the New York State Education Department’s State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0242.

Fees:
Individual: Free (includes CME/CE certificate)

Disclosures:
Russell K. Portenoy, MD, Faculty and Planner, has indicated a relationship with Tabula Rasa for research support.

No other Planning Committee Member has any disclosures.

Funding Disclosure: No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

ON-DEMAND WEBINAR SERIES:
ASSESSMENT AND MANAGEMENT OF IMPENDING DEATH

Speaker:
Michael Mencias, MD
Senior Hospice Physician
MJHS Hospice and Palliative Care

Purpose: Acquire the knowledge and skills required of a specialist-level palliative care clinician in evaluating and managing a patient in impending death.

Objectives:

Identify and manage the signs and symptoms associated with impending death, using non-pharmacologic and pharmacologic options
Recognize and address the common family concerns preceding death
Describe how to pronounce a patient’s death and provide postmortem care

Criteria for Successful Completion:

Attendance at entire session
Submission of completed evaluation form
Successful completion of a posttest; 80% passing grade (mandatory to receive CE credit for social workers)

Continuing Education Credits: 1.0

Continuing Education Accreditation

Fees:
Individual: $25 (includes CME/CE certificate)

Release Date: October 14, 2019

Expiration Date: September 19, 2022 (for physicians and non-physicians); February 14, 2021 (for nurses); January 31, 2022 (for NYS Social Workers)

No other Planning Committee Member has any disclosures.

Planning Committee Members
Lara Dhingra, PhD
Colleen Fleming-Damon, PhD, ANP-BC, ACHPN, FT
Myra Glajchen, DSW
Helena Knotkova, PhD
Russell K. Portenoy, MD
Karen Richards, PhD, EdS
Wini Schein, BA

Funding Disclosure: No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

ON-DEMAND WEBINAR SERIES:
ENSURING PALLIATIVE CARE FOR ALL: OPTIMIZING ACCESS FOR LGBTQ PEOPLE

Speaker: Richard Harding, PhD
Herbert Dunhill Chair &
Director of the Center for Global Health Palliative Care
Professor, King’s College London, Florence Nightingale School of Nursing,
Midwifery and Palliative Care

Purpose: In this webinar, we will summarize why palliative care might be more necessary but less accessible for LGBTQ people. We will review the evidence from a number of studies, care and bereavement experiences, and ongoing work. Evidence-based recommendations for better LGBTQ palliative care will be presented, and we will then facilitate discussion with participants to identify challenges and solutions to use in practice.

Objectives:

Summarize and appraise existing evidence from research studies
Examine evidence-based recommendations for better LGBTQ palliative care
Discuss challenges and solutions in local settings

Target Audience: primary care providers, nurse practitioners, palliative care specialists, pain specialists, registered nurses, advanced practice nurses, registered nurses with a specialty in palliative care/hospice, pharmacists, allied health professionals, fellows, residents, and medical students

Criteria for Successful Completion:

Attendance at entire session
Submission of completed evaluation form
Successful completion of a posttest (70% for physicians, non-physicians, and nurses; 80% for social workers)

Continuing Education Credits: 1.0

Release Date: August 23, 2018

Expiration Date: June 15, 2021 (for physicians and non-physicians); February 14, 2021 (for nurses); January 31, 2022 (for NYS Social Workers)

Continuing Education Accreditation:

Physicians: This activity has been planned and implemented in accordance with the Accreditation Requirements and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Medical Society of the State of New York (MSSNY) and the MJHS Institute for Innovation in Palliative Care. MSSNY is accredited by the ACCME to provide continuing medical education for physicians.

The Medical Society of the State of New York designated this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit^TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses: MJHS Institute for Innovation in Palliative Care is an approved provider of continuing nursing education by The Alabama State Nurses Association, an accredited provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Social Workers: MJHS Institute for Innovation in Palliative Care SW CPE is recognized by the New York State Education Department's State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0242.

Disclosures:
Richard Harding, PhD, has no financial arrangements or affiliations with any commercial entities whose products, research or services may be discussed in these materials. Any discussion of investigational or unlabeled uses of a product will be identified.

Russell K. Portenoy, MD, Planner, has indicated a relationship with Tabula Rasa for research support.

No other Planning Committee Member has any disclosures.

Funding Disclosure: No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

ON-DEMAND WEBINAR SERIES:
NURSING ASSESSMENT AND CASE MANAGEMENT

Speaker: Joyce Palmieri, MS, RN, CHPN
Vice President of Clinical Services
MJHS Hospice and Palliative Care

Purpose: This webinar will assist the participant to acquire the knowledge and skills to provide hospice and palliative care for individuals with chronic illness, leading to the improvement of quality of life for individuals with chronic illness

Objectives:

Explain the principles and models of case management
Articulate and incorporate the practice of clinical assessment
Articulate and incorporate best practices in the assessment and management of patients with chronic illness

Target Audience: Nurse practitioners, registered nurses, advanced practice nurses, registered nurses with a specialty in palliative care/hospice, social workers, and healthcare coaches

Criteria for Successful Completion:

Attendance at entire session
Submission of completed evaluation form
Successful completion of a posttest 80% passing grade (mandatory to receive CE credit for social workers)

Continuing Education Accreditation

Fees:
Individual: Free (includes CE certificate)

Release Date: August 28, 2019

Expiration Date: February 14, 2021 (for nurses); January 31, 2022 (for NYS Social Workers)

Disclosures:
Joyce Palmieri, MS, RN, CHPN, has no financial arrangements or affiliations with any commercial entities whose products, research or services may be discussed in these materials. Any discussion of investigational or unlabeled uses of a product will be identified.

Russell K. Portenoy, MD, Planner, has indicated a relationship with Tabula Rasa for research support.

No other Planning Committee Member has any disclosures.

Planning Committee Members
Lara Dhingra, PhD
Colleen Fleming-Damon, PhD, ANP-BC, ACHPN, FT
Myra Glajchen, DSW
Helena Knotkova, PhD
Russell K. Portenoy, MD
Karen Richards, PhD, EdS
Wini Schein, BA

Funding Disclosure: No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

ON-DEMAND WEBINAR SERIES:
NURSING CARE IN THE FINAL HOURS OF LIFE

Speaker: Charlotte Huebner, RN-BC, BSN, CHPN
Staff Development Educator
MJHS Hospice & Palliative Care

Purpose: The goal of this webinar is to: 1. Educate nurses in clinical skills and professional mindfulness necessary to provide a therapeutic presence for a patient and family as death nears and 2. Educate nurses in the role of the hospice nurse as a member of the interdisciplinary team.

Objectives:

Assess the physical signs of disease progression indicative of approaching death, and name at least three common signs and symptoms
Assess the psychosocial and spiritual-existential factors which impact a patient's and family's experience of approaching death, and state the potential impact on the dying process
Facilitate physical, psychosocial, and spiritual comfort through nursing interventions during the final hours of life, and give an example which includes at least three holistic interventions

Target Audience: Nursing administrators and managers, nurses, and healthcare coaches

Criteria for Successful Completion:

Attendance at entire session
Submission of completed evaluation form
Successful completion of a posttest (70% passing grade)

Continuing Education Credits: 1.0

Continuing Education Accreditation:

Fees:
Individual: $25 (includes CE certificate)

Release Date: May 28, 2019

Expiration Date: February 14, 2021

Disclosures:
Charlotte Huebner, RN-BC, BSN, CHPN, has no financial arrangements or affiliations with any commercial entities whose products, research or services may be discussed in these materials. Any discussion of investigational or unlabeled uses of a product will be identified.

Russell K. Portenoy, MD, Planner, has indicated a relationship with Tabula Rasa for research support.

No other Planning Committee Member has any disclosures.

Planning Committee Members
Lara Dhingra, PhD
Colleen Fleming-Damon, PhD, ANP-BC, ACHPN, FT
Myra Glajchen, DSW
Helena Knotkova, PhD
Russell K. Portenoy, MD
Karen Richards, PhD, EdS
Wini Schein, BA

Funding Disclosure: No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

ON-DEMAND WEBINAR SERIES:
NUTRITIONAL ISSUES IN PALLIATIVE CARE

Speaker: Yasmine Lashine, MD, PhD
Lecturer of Molecular Genetic Pathology, German University in Cairo
Clinical Nutrition Specialist, The American University in Cairo

Purpose: Many palliative care patients experience nutritional problems as their conditions progress. This includes those with progressive neurological conditions, chronic obstructive pulmonary disease, congestive heart failure, as well as advanced cancer. Nutritional issues not only impact patients physically but also psychologically and can significantly influence those caring for them. The purpose of this webinar is to discuss nutritional issues faced by palliative patients, the importance of screening, identifying symptoms, and the nutritional interventions that can be offered from food modification and nutritional supplements, to more intense methods such as enteral or parenteral nutrition.

Objectives:

Describe the psycho-social aspects of eating and not eating in patients with advanced illness
Discuss the role of artificial nutrition in palliative care patients
List components of the nutritional assessment
Discuss the guidelines and the challenges of feeding in palliative care patients

Target Audience: primary care providers, nurse practitioners, palliative care specialists, pain specialists, registered nurses, advanced practice nurses, registered nurses with a specialty in palliative care/hospice, pharmacists, allied health professionals, fellows, residents, and medical students

Criteria for Successful Completion:

Attendance at entire session
Submission of completed evaluation form
Successful completion of a posttest (70% for physicians, non-physicians, and nurses; 80% for social workers)

Continuing Education Credits: 1.0

Release Date: June 25, 2018

Expiration Date: April 18, 2022 (for physicians and non-physicians); February 14, 2021 (for nurses); January 31, 2022 (for NYS Social Workers)

Continuing Education Accreditation:

Physicians: This activity has been planned and implemented in accordance with the Accreditation Requirements and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Medical Society of the State of New York (MSSNY) and the MJHS Institute for Innovation in Palliative Care. MSSNY is accredited by the ACCME to provide continuing medical education for physicians.

The Medical Society of the State of New York designated this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit^TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses: MJHS Institute for Innovation in Palliative Care is an approved provider of continuing nursing education by The Alabama State Nurses Association, an accredited provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Social Workers: MJHS Institute for Innovation in Palliative Care is recognized by the New York State Education Department’s State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0242.

Disclosures:
Yasmine Lashine, MD, PhD, has no financial arrangements or affiliations with any commercial entities whose products, research or services may be discussed in these materials. Any discussion of investigational or unlabeled uses of a product will be identified.

Russell K. Portenoy, MD, Planner, has indicated a relationship with Tabula Rasa for research support.

No other Planning Committee Member has any disclosures.

Funding Disclosure: No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

ON-DEMAND WEBINAR SERIES:
OPIOID THERAPY IN THE SERIOUSLY ILL: OPTIMIZING ANALGESIC OUTCOMES AND MINIMIZING RISK

Purpose: The goal of this webinar is to update participants on best practices in opioid therapy for pain in those with serious illness, with a focus on managing the risk of substance abuse.

Objectives:

Select an appropriate opioid drug for the management of chronic pain
Appropriately use ‘rescue dosing’ for breakthrough pain
Employ opioid dose titration to identify a favorable balance between analgesia and side effects
Identify the patterns of drug-related behaviors that may be used to categorize drug abuse, addiction, and other outcomes
Describe the process of risk assessment in the seriously ill
Discuss management techniques for patients with active or potential abuse behaviors

Criteria for Successful Completion:

Attendance at entire session
Submission of completed evaluation form
Successful completion of a posttest (70% for physicians, non-physicians, and nurses; 80% for social workers)

Continuing Education Accreditation:

Physicians: This activity has been planned and implemented in accordance with the Accreditation Requirements and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Medical Society of the State of New York (MSSNY) and the MJHS Institute for Innovation in Palliative Care. MSSNY is accredited by the ACCME to provide continuing medical education for physicians.

The Medical Society of the State of New York designated this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit^TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses: MJHS Institute for Innovation in Palliative Care is an approved provider of continuing nursing education by The Alabama State Nurses Association, an accredited provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Social Workers: MJHS Institute for Innovation in Palliative Care is recognized by the New York State Education Department’s State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0242.

Fees:
Individual: Free (includes CME/CE certificate)

Disclosures:
Russell K. Portenoy, MD, Faculty and Planner, has indicated a relationship with Tabula Rasa for research support.

No other Planning Committee Member has any disclosures.

Funding Disclosure: No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

ON-DEMAND WEBINAR SERIES:
PAIN ASSESSMENT AND MANAGEMENT IN ADVANCED ILLNESS

Speaker: Colleen Fleming-Damon, PhD, ANP-BC, ACHPN, FT
Director of Education and Training
MJHS Hospice and Palliative Care

Purpose: The purpose of this webinar is to assist participants to acquire the knowledge and skills to provide hospice and palliative care, specifically in pain assessment and management in individuals with advanced illness.

Objectives:

Explain the principles and theories of pain management
Articulate and incorporate the practice of pain assessment
Assess the presence of pain, utilizing specific tools to scale and interpret
Articulate and incorporate best practices in equianalgesic dosing
Identify pharmacological and nonpharmacological measures used in the management of pain

Target Audience: Nurse practitioners, registered nurses, advanced practice nurses, registered nurses with a specialty in palliative care/hospice, social workers, and healthcare coaches

Criteria for Successful Completion:

Attendance at entire session
Submission of completed evaluation form
Successful completion of a posttest; 80% passing grade (mandatory to receive CE credit for social workers)

Continuing Education Credits: 1.25

Continuing Education Accreditation

Fees:
Individual: Free (includes CE certificate)

Release Date: August 20, 2019

Expiration Date: February 14, 2021 (for nurses); January 31, 2022 (for NYS Social Workers)

Disclosures:
Colleen Fleming-Damon, PhD, ANP-BC, ACHPN, FT, has no disclosures.

Russell K. Portenoy, MD, has indicated a relationship with Tabula Rasa for research support. Any discussion of investigational or unlabeled uses of a product will be identified.

No other Planning Committee Member has any disclosures.

Planning Committee Members
Lara Dhingra, PhD
Colleen Fleming-Damon, PhD, ANP-BC, ACHPN, FT
Myra Glajchen, DSW
Helena Knotkova, PhD
Russell K. Portenoy, MD
Karen Richards, PhD, EdS
Wini Schein, BA

Funding Disclosure: No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

ON-DEMAND WEBINAR SERIES:
PALLIATIVE CARE AND HOSPICE: CURRENT LANDSCAPE

Purpose: The goal of this webinar is to update participants about the definitions of hospice and palliative care and the evolution of specific service delivery models for specialist palliative care, including hospice.

Objectives:

Define “palliative care”
Explain the differences between specialist palliative care and generalist-level palliative care
Identify specific care planning related to each of the eight domains of palliative care
Distinguish between home-based service delivery programs and community-based specialist palliative care
Explain the different roles of general inpatient care and respite care to patients or families enrolled in a hospice program

Criteria for Successful Completion:

Attendance at entire session
Submission of completed evaluation form
Successful completion of a posttest (70% for physicians, non-physicians, and nurses; 80% for social workers)

Continuing Education Accreditation:

Physicians: This activity has been planned and implemented in accordance with the Accreditation Requirements and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Medical Society of the State of New York (MSSNY) and the MJHS Institute for Innovation in Palliative Care. MSSNY is accredited by the ACCME to provide continuing medical education for physicians.

The Medical Society of the State of New York designated this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit^TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses: MJHS Institute for Innovation in Palliative Care is an approved provider of continuing nursing education by The Alabama State Nurses Association, an accredited provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Social Workers: MJHS Institute for Innovation in Palliative Care is recognized by the New York State Education Department’s State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0242.

Fees:
Individual: Free (includes CME/CE certificate)

Disclosures:
Russell K. Portenoy, MD, Faculty and Planner, has indicated a relationship with Tabula Rasa for research support.

No other Planning Committee Member has any disclosures.

Funding Disclosure: No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

ON-DEMAND WEBINAR SERIES:
PALLIATIVE CARE IN COMA AND DISORDERS OF CONSCIOUSNESS

Speaker:
Mara Lugassy, MD
VP of Medical Affairs
Hospice Medical Director

Purpose: Disorders of consciousness, such as coma, vegetative state, and minimally conscious state present a unique challenge for the palliative care team, given the often sudden and unexpected onset, the uncertainties of prognosis, and the profound barriers to patient communication. The aim of this webinar is to provide the necessary knowledge base and skills to the interdisciplinary palliative care team to better support patients, families, and other caregivers who are facing these conditions.

Objectives:

Differentiate between coma, vegetative state, and minimally conscious state
Review prognostic indictors for patients in coma and other disorders of consciousness
Identify strategies to address common family and caregiver questions and concerns, including communication and pain management

Criteria for Successful Completion:

Attendance at entire session
Submission of completed evaluation form
Successful completion of a posttest; 80% passing grade (mandatory to receive CE credit for social workers)

Continuing Education Credits: 1.0

Continuing Education Accreditation

Fees:
Individual: $25 (includes CME/CE certificate)

Release Date: November 4, 2019

Expiration Date: September 19, 2022 (for physicians and non-physicians); February 14, 2021 (for nurses); January 31, 2022 (for NYS Social Workers)

No other Planning Committee Member has any disclosures.

Planning Committee Members
Lara Dhingra, PhD
Colleen Fleming-Damon, PhD, ANP-BC, ACHPN, FT
Myra Glajchen, DSW
Helena Knotkova, PhD
Russell K. Portenoy, MD
Karen Richards, PhD, EdS
Wini Schein, BA

Funding Disclosure: No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

ON-DEMAND WEBINAR SERIES:
PROGNOSTICATION IN CHRONIC ILLNESS

Speaker: Pauline Lesage, MD, LLM
Physician Educator
MJHS Institute for Innovation in Palliative Care

Purpose: This webinar will address the complexity of prognostication in chronic advanced illness and cancer. It will review multiple formulations of prognosis and should contribute to enhance our ability to prognosticate in this population and to refer patients to appropriate level of care.

Objectives:

Discuss the importance of prognostication in patients with cancer and chronic illness
Describe prognostic scores and models for this population
Review hospice eligibility guidelines for these patients

Criteria for Successful Completion:

Attendance at entire session
Submission of completed evaluation form
Successful completion of a posttest (70% for physicians)

Continuing Education Credits: 1.0

Release Date: April 29, 2019

Expiration Date: April 18, 2022

Continuing Education Accreditation:

Physicians: This activity has been planned and implemented in accordance with the Accreditation Requirements and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Medical Society of the State of New York (MSSNY) and the MJHS Institute for Innovation in Palliative Care. MSSNY is accredited by the ACCME to provide continuing medical education for physicians.

The Medical Society of the State of New York designated this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit^TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Fees:
Individual: Free (includes CME/CE certificate)

No other Planning Committee Member has any disclosures.

Funding Disclosure: No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

ON-DEMAND WEBINAR SERIES:
ROLE OF THE NURSE IN ADVANCE DIRECTIVES

Speaker: Betty Hilleman, MBA, MSN, RN, CHPN
Palliative Care RN Specialist
MJHS Hospice and Palliative Care

Purpose: The goal of this webinar is to gain an introductory understanding of the social changes that have occurred since the enactment of the Patient Self-Determination Act (PSDA) in 1991, specifically the advance directive. This webinar will provide an introduction to major efforts leading the field of palliative care to improve the quality of advance care planning discussions and the completion of advance directives.

Objectives:

Discuss the prevalence and significance of having an advance care planning discussion and completion of an advance directive
Recognize the barriers and facilitators to conducting advance care planning discussions and completing an advance directive
Describe resources and strategies for improving advance care planning discussions and completing an advance directive for patients and families and professionals
Review common situations in which nurses can identify barriers and facilitate discussions and completion of advance directives

Target Audience: nurse practitioners, registered nurses, advanced practice nurses, and registered nurses with a specialty in palliative care/hospice

Criteria for Successful Completion:

Attendance at entire session
Submission of completed evaluation form
Successful completion of a posttest (70% passing grade)

Continuing Education Credits: 1.0

Continuing Education Accreditation:

Fees:
Individual: $25 (includes CE certificate)

Release Date: May 30, 2019

Expiration Date: February 14, 2021

Disclosures:
Betty Hilleman, MBA, MSN, RN, CHPN, has no financial arrangements or affiliations with any commercial entities whose products, research or services may be discussed in these materials. Any discussion of investigational or unlabeled uses of a product will be identified.

Russell K. Portenoy, MD, Planner, has indicated a relationship with Tabula Rasa for research support.

No other Planning Committee Member has any disclosures.

Planning Committee Members
Lara Dhingra, PhD
Colleen Fleming-Damon, PhD, ANP-BC, ACHPN, FT
Myra Glajchen, DSW
Helena Knotkova, PhD
Russell K. Portenoy, MD
Karen Richards, PhD, EdS
Wini Schein, BA

Funding Disclosure: No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

ON-DEMAND WEBINAR SERIES:
ROLE OF THE SOCIAL WORKER IN ADVANCE CARE PLANNING

Speaker: Adam Schoenfarber, LCSW
Social Work Manager
MJHS Hospice and Palliative Care

Purpose: The purpose of this webinar is to assist social workers to acquire the knowledge and skills to identify and address difficult decisions and manage conversations in end-of-life care.

Objectives:

Identify barriers and implement strategies to addressing difficult topics in end-of-life care
Develop a working knowledge of advance directives and language to discuss these with families and patients
Utilize the surrogacy hierarchy as set out in the Family Healthcare Decisions Act

Why Do I Need to Know This?
Patient-centered care is based upon decision-making and advance care planning commensurate with the values and wishes of the patient and family. Yet social workers are not well-trained in advance care planning and may therefore avoid difficult conversations at the end of life. A working knowledge of advance directives and exposure to best practices will enable the social worker to participate more fully in end-of-life communication and decision-making.

Target Audience: Social workers and healthcare coaches

Criteria for Successful Completion:

Attendance at entire session
Submission of completed evaluation form
Successful completion of a posttest (80% passing grade)

Continuing Education Credits: 1.0

Release Date: August 29, 2018

Expiration Date: January 31, 2022

Continuing Education Accreditation:

Fees:
Individual: Free (includes CE certificate)

Disclosures
Adam Schoenfarber, LCSW, has no financial arrangements or affiliations with any commercial entities whose products, research or services may be discussed in these materials. Any discussion of investigational or unlabeled uses of a product will be identified.

Russell K. Portenoy, MD, Planner, has indicated a relationship with Tabula Rasa for research support.

No other Planning Committee Member has any disclosures.

Planning Committee Members
Lara Dhingra, PhD
Colleen Fleming-Damon, PhD, ANP-BC, ACHPN, FT
Myra Glajchen, DSW
Helena Knotkova, PhD
Russell K. Portenoy, MD
Karen Richards, PhD, EdS
Wini Schein, BA

Funding Disclosure: No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

ON-DEMAND WEBINAR SERIES:
TEAMWORK AND THE INTERDISCIPLINARY TEAM

Speaker: Christine Kucinskis, LCSW, CSW-G, ACHP-SW
Social Work Manager
MJHS Hospice and Palliative Care

Purpose: The purpose of this webinar is to assist social workers to acquire the knowledge and skills to identify and address cultural diversity in hospice and palliative care and incorporate best practices in assessment and intervention.

Objectives:

Review the theory on the role of culture in end-of-life care
Identify best practices in culturally competent assessment
Illustrate best practices through a case narrative
Practice death awareness activities
Identify best practices in culturally competent intervention

Why Do I Need to Know This?
According to the hospice conditions of participation, the core disciplines in the Interdisciplinary team include the physician, the nurse, the social worker, and the chaplain. Teamwork leads to improved patient care outcomes, improved coordination of care, and less duplication in services. In addition, teamwork leads to increased educational opportunities and improved mental well-being for health professionals. At the same time, teamwork can be challenging and team conflict is common.

Target Audience: Social workers and healthcare coaches

Criteria for Successful Completion:

Attendance at entire session
Submission of completed evaluation form
Successful completion of a posttest (80% passing grade)

Continuing Education Credits: 1.0

Release Date: June 4, 2018

Expiration Date: January 31, 2022

Continuing Education Accreditation:

Fees:
Individual: $25 (includes CE certificate)

No other Planning Committee Member has any disclosures.

Planning Committee Members
Lara Dhingra, PhD
Colleen Fleming-Damon, PhD, ANP-BC, ACHPN, FT
Myra Glajchen, DSW
Helena Knotkova, PhD
Russell K. Portenoy, MD
Karen Richards, PhD, EdS
Wini Schein, BA

Funding Disclosure: No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

ON-DEMAND WEBINAR SERIES:
THROMBOSIS AND BLEEDING COMPLICATIONS IN THE SERIOUSLY ILL

Speaker: Mona Patel, DO
Associate Program Director of Hospice and Palliative Medicine Fellowship
MJHS Hospice and Palliative Care

Purpose: This webinar will discuss the clinical challenges associated with the treatment of thrombosis in patients with advanced illness and review the risk of bleeding in the patient with chronic serious illness requiring anticoagulant therapy.

Objectives:

Discuss the current guidelines regarding management strategies for thrombosis and the clinical challenges in application of these guidelines in patients with advanced illness
Describe and review the risks, benefits, and burdens of the current armamentarium of anticoagulants — including the addition of newer therapies in recent years as it relates to the chronically ill patient
Recognize the importance of continuous ongoing assessment of thrombosis and bleeding risk as goals of care evolve throughout an illness’s disease trajectory

Target Audience: primary care providers, nurse practitioners, palliative care specialists, pain specialists, registered nurses, advanced practice nurses, registered nurses with a specialty in palliative care/hospice, pharmacists, allied health professionals, fellows, residents, and medical students

Criteria for Successful Completion:

Attendance at entire session
Submission of completed evaluation form
Successful completion of a posttest (70% for physicians, non-physicians, and nurses; 80% for social workers)

Continuing Education Credits: 1.0

Release Date: October 2, 2018

Expiration Date: April 18, 2022 (for physicians and non-physicians); February 14, 2021 (for nurses); January 31, 2022 (for NYS Social Workers)

Continuing Education Accreditation:

Physicians: This activity has been planned and implemented in accordance with the Accreditation Requirements and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Medical Society of the State of New York (MSSNY) and the MJHS Institute for Innovation in Palliative Care. MSSNY is accredited by the ACCME to provide continuing medical education for physicians.

The Medical Society of the State of New York designated this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit^TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses: MJHS Institute for Innovation in Palliative Care is an approved provider of continuing nursing education by The Alabama State Nurses Association, an accredited provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Social Workers: MJHS Institute for Innovation in Palliative Care is recognized by the New York State Education Department’s State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0242.

Disclosures:
Mona Patel, DO, has no financial arrangements or affiliations with any commercial entities whose products, research or services may be discussed in these materials. Any discussion of investigational or unlabeled uses of a product will be identified.

Russell K. Portenoy, MD, Planner, has indicated a relationship with Tabula Rasa for research support.

No other Planning Committee Member has any disclosures.

Funding Disclosure: No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

ON-DEMAND WEBINAR SERIES:
UNDERSTANDING AND USING THE HOSPICE BENEFIT

Speaker: Bernard Lee, MD
VP for Medical Affairs
MJHS Hospice

Purpose: The purpose of this webinar is for healthcare professionals to better understand the Hospice Medicare Benefit in order to help terminally ill patients and their families access specialist level, interdisciplinary, palliative care to alleviate physical, emotional, and spiritual suffering in their later stages of life.

Objectives:

Explain the Medicare LCD’s (local coverage determinations) to help in determining a 6-month or less prognosis for hospice eligibility
Discuss the Hospice Interdisciplinary Core Services that patients and their families will receive in order to counsel patients and to make an appropriate referral
Explain the different levels of care so that patients can maximize their hospice care, depending on their clinical situation

Criteria for Successful Completion:

Attendance at entire session
Submission of completed evaluation form
Successful completion of a posttest (70% for physicians, non-physicians, and nurses; 80% for social workers)

Continuing Education Accreditation:

Physicians: This activity has been planned and implemented in accordance with the Accreditation Requirements and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Medical Society of the State of New York (MSSNY) and the MJHS Institute for Innovation in Palliative Care. MSSNY is accredited by the ACCME to provide continuing medical education for physicians.

The Medical Society of the State of New York designated this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit^TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses: MJHS Institute for Innovation in Palliative Care is an approved provider of continuing nursing education by The Alabama State Nurses Association, an accredited provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Social Workers: MJHS Institute for Innovation in Palliative Care is recognized by the New York State Education Department’s State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0242.

Fees:
Individual: Free (includes CME/CE certificate)

No other Planning Committee Member has any disclosures.

Funding Disclosure: No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

ON-DEMAND WEBINAR SERIES:
USING THE HOSPICE BENEFIT

Purpose: The purpose of this webinar is to provide an update about the clinical services and regulations that govern the federal and state hospice benefit.

Objectives:

Explain the various physician roles during a hospice stay
Describe the services included in the hospice benefit
Explain hospice eligibility in terms of medical eligibility and appropriateness for hospice
Describe the reimbursement available for physician encounters with hospice patients

Criteria for Successful Completion:

Attendance at entire session
Submission of completed evaluation form
Successful completion of a posttest (70% for physicians, non-physicians, and nurses; 80% for social workers)

Continuing Education Accreditation:

Physicians: This activity has been planned and implemented in accordance with the Accreditation Requirements and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Medical Society of the State of New York (MSSNY) and the MJHS Institute for Innovation in Palliative Care. MSSNY is accredited by the ACCME to provide continuing medical education for physicians.

The Medical Society of the State of New York designated this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit^TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses: MJHS Institute for Innovation in Palliative Care is an approved provider of continuing nursing education by The Alabama State Nurses Association, an accredited provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Social Workers: MJHS Institute for Innovation in Palliative Care is recognized by the New York State Education Department’s State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0242.

Fees:
Individual: Free (includes CME/CE certificate)

Disclosures:
Russell K. Portenoy, MD, Faculty and Planner, has indicated a relationship with Tabula Rasa for research support.

No other Planning Committee Member has any disclosures.

Funding Disclosure: No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

ON-DEMAND WEBINAR SERIES:
WOUND CARE IN ADVANCED ILLNESS

Speaker: Diane Maydick, EdD, RN, ACNS-BC, CWOCN
Managing Partner
Care Improvement Strategies

Purpose: This webinar will provide nurses with information and strategies to implement evidence-based practices to prevent and/or manage wounds in advanced illness.

Objectives:

Identify components required to optimize patient outcomes in regards to preventing or treating wounds in advanced illness
Discuss strategies to prevent skin breakdown, further deterioration of existing wounds, wound and other symptom management, and those that optimize well-being
List components of a wound assessment
Identify local wound management techniques (dressing selection)

Why Do I Need to Know This?
Caring for patients with advanced illness is complex and requires a comprehensive interprofessional approach to optimize well-being for the patient and their caregivers. Advanced illness is often accompanied by increased risk of chronic debility, advancing disease, multi-system organ failure, the potential for skin breakdown and/or the presence of wounds. Nurses, who work as members of interprofessional teams, should be knowledgeable about evidence-based strategies to prevent and treat wounds in advanced illness.

Target Audience: Nursing administrators and managers, nurses, and healthcare coaches

Criteria for Successful Completion:

Attendance at entire session
Submission of completed evaluation form
Successful completion of a posttest (70% passing grade)

Continuing Education Credits: 1.0

Continuing Education Accreditation:

Fees:
Individual: $25 (includes CE certificate)

Release Date: June 25, 2018

Expiration Date: February 14, 2021

Disclosures:
Diane Maydick, EdD, RN, ACNS-BC, CWOCN, has no financial arrangements or affiliations with any commercial entities whose products, research or services may be discussed in these materials. Any discussion of investigational or unlabeled uses of a product will be identified.

Russell K. Portenoy, MD, Planner, has indicated a relationship with Tabula Rasa for research support.

No other Planning Committee Member has any disclosures.

Planning Committee Members
Lara Dhingra, PhD
Colleen Fleming-Damon, PhD, ANP-BC, ACHPN, FT
Myra Glajchen, DSW
Helena Knotkova, PhD
Russell K. Portenoy, MD
Karen Richards, PhD, EdS
Wini Schein, BA

Funding Disclosure: No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

INTERACTIVE MODULES:
COMMUNITY-BASED PALLIATIVE CARE PROGRAM DEVELOPMENT

Bernard Lee, MD
Vice President for Medical Affairs
MJHS Hospice and Palliative Care
Attending Physician, Montefiore Medical Center
Teaching Attending, Albert Einstein College of Medicine, Bronx, NY

Myra Glajchen, DSW
Director of Medical Education
Associate Program Director, Fellowship Training Program
MJHS Institute for Innovation in Palliative Care

Jay Gormley, MS
Chief Strategy and Planning Officer
MJHS Health System

Purpose: Palliative care is a therapeutic approach appropriate for all types of serious chronic illnesses, the aim of which is to prevent or manage the suffering and illness burden experienced by the patient and family from the time of diagnosis forward. Specialist palliative care improves patient and family distress, enhances satisfaction with healthcare, improves goal-setting communication, and lowers healthcare utilization. A worldwide movement to improve access to palliative care has been evolving for more than 50 years, and for several decades, the United States has been among the leaders in creating models of care that provide access to specialist palliative care.

In the United States, hospital-based palliative care and home-based hospice care have been established for decades and have helped millions of patients, and their families, cope with the challenges associated with all types of chronic serious illnesses.

Objectives:
1) Explain the value proposition for palliative care overall and community-based palliative care
2) Examine the variation among models of care and the operational features that define them
3) Identify the elements of a financially sustainable, high-quality program in the changing US healthcare system

Target Audience: administrators, nurse practitioners, registered nurses, advanced practice nurses, registered nurses with a specialty in palliative care/hospice, social workers, and other allied health professionals

Criteria for Successful Completion:
1) Attendance at entire session
2) Submission of completed evaluation form
3) Successful completion of a posttest: 70% passing grade

Continuing Education Credits: 6.5

“Creating a Sustainable Program in Community-Based Palliative Care” provides up to 6.5 continuing education credits for nurses and social workers who meet course completion requirements:

Module 1 discusses the value proposition for palliative care (1 hour)
Module 2 describes specialist-level palliative care including hospice (1.5 hours)
Module 3 and 4 describe models and operations of community-based palliative care programs (1 hour each)
Module 5 discusses the financial aspects and quality goals of a sustainable community-based palliative care program in the changing US healthcare system (2 hours)

You can select and complete the modules in any order.

CE Release Date: July 22, 2019

CE Expiration Date: February 14, 2021 (for nurses); January 31, 2022 (for NYS Social Workers)

Continuing Education Accreditation:

Nurses: The MJHS Institute for Innovation in Palliative Care is an approved provider of continuing nursing education by The Alabama State Nurses Association, an accredited provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

System Requirements for Computers and Mobile Devices (minimum):
PC: Pentium 1.80 GHz Windows 7, 8; 1 GB RAM; 1024 X 768 monitor resolution; IE 10 IE 11, Safari 5.0, Google Chrome 37 (latest current version) Web browser; multimedia devices (audio speakers, graphic cards)
Tablet: 1.2 GHz processor; iOS 8 (iPad), Android 4.1; Safari (Apple iPad) Google Chrome (Android Tablets)

Fee: Free (includes CE certificates) for all five modules:

Module 1 – 1 hour
Module 2 – 1.5 hours
Module 3 – 1 hour
Module 4 – 1 hour
Module 5 – 2 hours

Disclosures:
Russell K. Portenoy, MD, Faculty and Planner, has indicated a relationship with Tabula Rasa for research support.

Bernard Lee, MD; Myra Glajchen, DSW; and Jay Gormley, MS, have no financial arrangements or affiliations with any commercial entities whose products, research, or services may be discussed in these materials. Any discussion of investigational or unlabeled uses of a product will be identified.

No other Planning Committee Member has any disclosures.

Planning Committee Members
Lara Dhingra, PhD
Colleen Fleming-Damon, PhD, ANP-BC, ACHPN, FT
Myra Glajchen, DSW
Helena Knotkova, PhD
Russell K. Portenoy, MD
Karen Richards, PhD, EdS
Wini Schein, BA

Funding Disclosure: This e-Learning Program has been made possible through the generosity of The Milbank Foundation. No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

INTERACTIVE MODULES:
CREATING A HIGH QUALITY, SUSTAINABLE PROGRAM IN COMMUNITY-BASED PALLIATIVE CARE

Speakers Names and Titles:
Russell K. Portenoy, MD
Chief Medical Officer, MJHS Hospice and Palliative Care
Executive Director, MJHS Institute for Innovation in Palliative Care
Professor of Neurology and Family and Social Medicine,
Albert Einstein College of Medicine

Bernard Lee, MD
Vice President for Medical Affairs
MJHS Hospice and Palliative Care
Attending Physician, Montefiore Medical Center
Teaching Attending, Albert Einstein College of Medicine, Bronx, NY

Myra Glajchen, DSW
Director of Medical Education
Associate Program Director, Fellowship Training Program
MJHS Institute for Innovation in Palliative Care

Jay Gormley, MS
Chief Strategy and Planning Officer
MJHS Health System

Criteria for Successful Completion:
1) Attendance at entire session
2) Submission of completed evaluation form
3) Successful completion of a posttest: 70% passing grade

Continuing Education Credits: 6.5

“Creating a Sustainable Program in Community-Based Palliative Care” provides up to 6.5 continuing education credits for nurses and social workers who meet course completion requirements:

Module 1 discusses the value proposition for palliative care (1 hour)
Module 2 describes specialist-level palliative care including hospice (1.5 hours)
Module 3 and 4 describe models and operations of community-based palliative care programs (1 hour each)
Module 5 discusses the financial aspects and quality goals of a sustainable community-based palliative care program in the changing US healthcare system (2 hours)

You can select and complete the modules in any order.

CE Release Date: July 22, 2019

CE Expiration Date: February 14, 2021 (for nurses); January 31, 2022 (for NYS Social Workers)

Continuing Education Accreditation:

Fee: Free (includes CE certificates) for all five modules:

Module 1 – 1 hour
Module 2 – 1.5 hours
Module 3 – 1 hour
Module 4 – 1 hour
Module 5 – 2 hours

Disclosures:
Russell K. Portenoy, MD, Faculty and Planner, has indicated a relationship with Tabula Rasa for research support.

No other Planning Committee Member has any disclosures.

Planning Committee Members
Lara Dhingra, PhD
Colleen Fleming-Damon, PhD, ANP-BC, ACHPN, FT
Myra Glajchen, DSW
Helena Knotkova, PhD
Russell K. Portenoy, MD
Karen Richards, PhD, EdS
Wini Schein, BA

Funding Disclosure: This e-Learning Program has been made possible through the generosity of The Milbank Foundation. No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

INTERACTIVE MODULES:
MODULE 1 | THE VALUE PROPOSITION FOR PALLIATIVE CARE (PART 1)

Bernard Lee, MD
Vice President for Medical Affairs
MJHS Hospice and Palliative Care
Attending Physician, Montefiore Medical Center
Teaching Attending, Albert Einstein College of Medicine, Bronx, NY

Objectives:
1) Describe palliative care as a worldwide health movement and define it specifically for the US healthcare system
2) Identify the changes in population health that are driving the need for better access to palliative care

Why Do I Need to Know This?
Community-based palliative care—provided in the home by varied types of professionals according to the best practices of palliative care—is only now emerging. There are many challenges to the development and sustainability of these programs. This module is part of a 5-part series, “Creating a High Quality, Sustainable Program in Community-Based Palliative Care”, which was created to provide all those working to change the healthcare system with up-to-date information about palliative care and the elements needed to develop and maintain community-based palliative care programs.

To build and sustain a model of community-based, specialist palliative care, one must be able to articulate its value proposition to varied constituencies—payers, referrers, providers, and patients and families.

Criteria for Successful Completion:
1) Attendance at entire session
2) Submission of completed evaluation form
3) Successful completion of a posttest: 70% passing grade

Continuing Education Credits: 1.0

CE Release Date: July 22, 2019

CE Expiration Date: February 14, 2021 (for nurses); January 31, 2022 (for NYS Social Workers)

Continuing Education Accreditation:

Fee: Free (includes CE certificate)

Russell K. Portenoy, MD, Faculty and Planner, has indicated a relationship with Tabula Rasa for research support.

Bernard Lee, MD, has no financial arrangements or affiliations with any commercial entities whose products, research, or services may be discussed in these materials. Any discussion of investigational or unlabeled uses of a product will be identified.

No other Planning Committee Member has any disclosures.

Planning Committee Members
Lara Dhingra, PhD
Colleen Fleming-Damon, PhD, ANP-BC, ACHPN, FT
Myra Glajchen, DSW
Helena Knotkova, PhD
Russell K. Portenoy, MD
Karen Richards, PhD, EdS
Wini Schein, BA

Funding Disclosure: This e-Learning Program has been made possible through the generosity of The Milbank Foundation. No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

INTERACTIVE MODULES:
MODULE 2 | THE VALUE PROPOSITION FOR PALLIATIVE CARE (PART 2)

Speaker Name and Title:
Russell K. Portenoy, MD
Chief Medical Officer, MJHS Hospice and Palliative Care
Executive Director, MJHS Institute for Innovation in Palliative Care
Professor of Neurology and Family and Social Medicine,
Albert Einstein College of Medicine

Objectives:
1) Describe the broad categories of specialist palliative care in the US
2) Recognize aspects of illness burden that may be addressed through specialist palliative care
3) Explain how existing information about clinical and financial outcomes can be combined to create a credible narrative about the value of specialist, community-based palliative care

Criteria for Successful Completion:
1) Attendance at entire session
2) Submission of completed evaluation form
3) Successful completion of a posttest: 70% passing grade

Continuing Education Credits: 1.5

CE Release Date: July 22, 2019

CE Expiration Date: February 14, 2021 (for nurses); January 31, 2022 (for NYS Social Workers)

Continuing Education Accreditation:

Fee: Free (includes CE certificate)

Russell K. Portenoy, MD, Faculty and Planner, has indicated a relationship with Tabula Rasa for research support.

No other Planning Committee Member has any disclosures.

Planning Committee Members
Lara Dhingra, PhD
Colleen Fleming-Damon, PhD, ANP-BC, ACHPN, FT
Myra Glajchen, DSW
Helena Knotkova, PhD
Russell K. Portenoy, MD
Karen Richards, PhD, EdS
Wini Schein, BA

Funding Disclosure: This e-Learning Program has been made possible through the generosity of The Milbank Foundation. No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

INTERACTIVE MODULES:
MODULE 3 | BUILDING THE PROPOSAL: INITIAL CONSIDERATIONS

Speaker Names and Titles:
Russell K. Portenoy, MD
Chief Medical Officer, MJHS Hospice and Palliative Care
Executive Director, MJHS Institute for Innovation in Palliative Care
Professor of Neurology and Family and Social Medicine,
Albert Einstein College of Medicine

Bernard Lee, MD
Assistant Vice President of Hospice and Palliative Care
and Senior Hospice Physician
MJHS Hospice and Palliative Care
Attending Physician, Montefiore Medical Center
Teaching Attending, Albert Einstein College of Medicine, Bronx, NY

Myra Glajchen, DSW
Director of Medical Education
Associate Program Director, Fellowship Training Program
MJHS Institute for Innovation in Palliative Care

Jay Gormley, MS
Chief Strategy and Planning Officer
MJHS Health System

Objectives:
1) Explain the purposes of a specialist palliative care program to the various entities that might support its development
2) Illustrate how a focus on varied patient populations may affect program development

Criteria for Successful Completion:
1) Attendance at entire session
2) Submission of completed evaluation form
3) Successful completion of a posttest: 70% passing grade

Continuing Education Credits: 1.0

CE Release Date: July 22, 2019

CE Expiration Date: February 14, 2021 (for nurses); January 31, 2022 (for NYS Social Workers)

Continuing Education Accreditation:

Fee: Free (includes CE certificate)

Russell K. Portenoy, MD, Faculty and Planner, has indicated a relationship with Tabula Rasa for research support.

Bernard Lee, MD; Myra Glajchen, DSW, and Jay Gormley, MS, have no financial arrangements or affiliations with any commercial entities whose products, research, or services may be discussed in these materials. Any discussion of investigational or unlabeled uses of a product will be identified.

No other Planning Committee Member has any disclosures.

Planning Committee Members
Lara Dhingra, PhD
Colleen Fleming-Damon, PhD, ANP-BC, ACHPN, FT
Myra Glajchen, DSW
Helena Knotkova, PhD
Russell K. Portenoy, MD
Karen Richards, PhD, EdS
Wini Schein, BA

Funding Disclosure: This e-Learning Program has been made possible through the generosity of The Milbank Foundation. No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

INTERACTIVE MODULES:
MODULE 4 | BUILDING THE PROPOSAL: MODELS OF SPECIALIST COMMUNITY-BASED PALLIATIVE CARE

Objective:
1) Describe the various models for care delivery and understand their strengths and weaknesses

Criteria for Successful Completion:
1) Attendance at entire session
2) Submission of completed evaluation form
3) Successful completion of a posttest: 70% passing grade

Continuing Education Credits: 1.0

CE Release Date: July 22, 2019

CE Expiration Date: February 14, 2021 (for nurses); January 31, 2022 (for NYS Social Workers)

Continuing Education Accreditation:

Fee: Free (includes CE certificate)

Russell K. Portenoy, MD, Faculty and Planner, has indicated a relationship with Tabula Rasa for research support.

No other Planning Committee Member has any disclosures.

Planning Committee Members
Lara Dhingra, PhD
Colleen Fleming-Damon, PhD, ANP-BC, ACHPN, FT
Myra Glajchen, DSW
Helena Knotkova, PhD
Russell K. Portenoy, MD
Karen Richards, PhD, EdS
Wini Schein, BA

Funding Disclosure: This e-Learning Program has been made possible through the generosity of The Milbank Foundation. No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

INTERACTIVE MODULES:
MODULE 5 | MAKING THE FINANCIAL AND QUALITY CASE FOR COMMUNITY-BASED PALLIATIVE CARE

Objectives:
1) Discuss the limitations of fee-for-service reimbursement and the models that may fill the gap between reimbursable costs and total program costs
2) Explain how reimbursement for community-based palliative care relates to value-based payments and population health management
3) Explain the challenges in setting a price for a community-based palliative care program and describe the elements of the expense model for community-based palliative care
4) Describe how to construct a business plan for community-based palliative care
5) Describe the elements of a quality program for community-based palliative care

Criteria for Successful Completion:
1) Attendance at entire session
2) Submission of completed evaluation form
3) Successful completion of a posttest: 70% passing grade

Continuing Education Credits: 2.0

CE Release Date: July 22, 2019

CE Expiration Date: February 14, 2021 (for nurses); January 31, 2022 (for NYS Social Workers)

Continuing Education Accreditation:

Fee: Free (includes CE certificate)

Russell K. Portenoy, MD, Faculty and Planner, has indicated a relationship with Tabula Rasa for research support.

No other Planning Committee Member has any disclosures.

Planning Committee Members
Lara Dhingra, PhD
Colleen Fleming-Damon, PhD, ANP-BC, ACHPN, FT
Myra Glajchen, DSW
Helena Knotkova, PhD
Russell K. Portenoy, MD
Karen Richards, PhD, EdS
Wini Schein, BA

Funding Disclosure: This e-Learning Program has been made possible through the generosity of The Milbank Foundation. No commercial funding has been accepted for the activity.

Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/

Advance Directives	English	繁體中文	Español	Haitian Creole
Anxiety	English	繁體中文	Español	Haitian Creole
Constipation	English	繁體中文	Español	Haitian Creole
Coping with Chronic Illness	English	繁體中文	Español	Haitian Creole
Depression	English	繁體中文	Español	Haitian Creole
Diarrhea	English	繁體中文	Español	Haitian Creole
Feeling Tired (Fatigue)	English	繁體中文	Español	Haitian Creole
Insomnia	English	繁體中文	Español	Haitian Creole
Itching	English
Nausea and Vomiting	English	繁體中文	Español	Haitian Creole
Pain	English	繁體中文	Español	Haitian Creole
Poor Appetite and Weight Loss	English	繁體中文	Español	Haitian Creole
Shortness of Breath	English	繁體中文	Español	Haitian Creole
Spiritual Distress	English	繁體中文	Español	Haitian Creole
Staying out of the Hospital	English	繁體中文	Español	Haitian Creole
What Is Hospice?	English	繁體中文	Español	Haitian Creole
What Is Palliative Care?	English	繁體中文	Español	Haitian Creole
Patient Education PDFs are also available in:		Arabic	French	Russian

Anorexia and Cachexia
Anxiety Disorders in the Seriously Ill
Depression and Suicidality in the Seriously Ill
Dyspnea Management
Fatigue in the Seriously Ill
Goals Discussion and Advance Care Planning in the Seriously Ill
Medical Cannabis in New York State
Nutritional Issues in Palliative Care
Opioid Therapy: Managing the Risk of Substance Abuse
Opioid Therapy in the Seriously Ill: Optimizing Analgesic Outcomes
Pain in Seriously Ill Patients: Opioid Side Effects
Prognostication in Chronic Illness
Thrombosis and Bleeding Complications
Understanding and Using the Hospice Benefit
What Is Palliative Care?

Hospice & Palliative Care

ONLINE CONTINUING EDUCATION

Learn Anytime. Earn Credits. Improve Practice.

Physicians

AMA PRA Category 1 Credits^™ in hospice and palliative care

ONLINE CONTINUING EDUCATION

Learn Anytime. Earn Credits. Improve Practice.

Nurses

Accredited continuing nursing education in hospice and palliative care

ONLINE CONTINUING EDUCATION

Learn Anytime. Earn Credits. Improve Practice.

ONLINE CONTINUING EDUCATION

Learn Anytime. Earn Credits. Improve Practice.

Non-physicians

ONLINE CONTINUING EDUCATION

Learn Anytime. Earn Credits. Improve Practice.

Hospice & Palliative Care

ONLINE CONTINUING EDUCATION

Learn Anytime. Earn Credits. Improve Practice.

Physicians

AMA PRA Category 1 Credits^™ in hospice and palliative care

ONLINE CONTINUING EDUCATION

Learn Anytime. Earn Credits. Improve Practice.

Nurses

Accredited continuing nursing education in hospice and palliative care

ONLINE CONTINUING EDUCATION

Learn Anytime. Earn Credits. Improve Practice.

ONLINE CONTINUING EDUCATION

Learn Anytime. Earn Credits. Improve Practice.

Non-physicians

ONLINE CONTINUING EDUCATION

Learn Anytime. Earn Credits. Improve Practice.

Hospice & Palliative Care

ONLINE CONTINUING EDUCATION

Learn Anytime. Earn Credits. Improve Practice.

Physicians

AMA PRA Category 1 Credits™ in hospice and palliative care

ONLINE CONTINUING EDUCATION

Learn Anytime. Earn Credits. Improve Practice.

Nurses

Accredited continuing nursing education in hospice and palliative care

ONLINE CONTINUING EDUCATION

Learn Anytime. Earn Credits. Improve Practice.

Social Workers

Accredited continuing social work education in hospice and palliative care

ONLINE CONTINUING EDUCATION

Learn Anytime. Earn Credits. Improve Practice.

Non-physicians

ONLINE CONTINUING EDUCATION

Learn Anytime. Earn Credits. Improve Practice.

Hospice & Palliative Care

ONLINE CONTINUING EDUCATION

Learn Anytime. Earn Credits. Improve Practice.

Physicians

AMA PRA Category 1 Credits™ in hospice and palliative care

ONLINE CONTINUING EDUCATION

Learn Anytime. Earn Credits. Improve Practice.

Nurses

Accredited continuing nursing education in hospice and palliative care

ONLINE CONTINUING EDUCATION

Learn Anytime. Earn Credits. Improve Practice.

Social Workers

Accredited continuing social work education in hospice and palliative care

ONLINE CONTINUING EDUCATION

Learn Anytime. Earn Credits. Improve Practice.

Non-physicians

ONLINE CONTINUING EDUCATION

Learn Anytime. Earn Credits. Improve Practice.

Management of Seizures in Far Advanced Disease

LIVE WEBINAR 11/21/19

LIVE WEBINAR SERIES:MANAGEMENT OF SEIZURES IN FAR ADVANCED DISEASE

HIV/AIDS: Update on a High-Burden Chronic Illness

LIVE WEBINAR 12/05/19

LIVE WEBINAR SERIES:HIV/AIDS: UPDATE ON A HIGH-BURDEN CHRONIC ILLNESS

What Is Trending in the World of Family Caregiving?

LIVE WEBINAR 12/19/19

LIVE WEBINAR SERIES:WHAT IS TRENDING IN THE WORLD OF FAMILY CAREGIVING?

Integration of Ritual at End of Life

LIVE WEBINAR 1/09/20

LIVE WEBINAR SERIES:INTEGRATION OF RITUAL AT END OF LIFE

“I Can’t Swallow.”: Review of the Management of Mucositis and Candidiasis

LIVE WEBINAR 1/23/20

LIVE WEBINAR SERIES:“I CAN’T SWALLOW.”: REVIEW OF THE MANAGEMENT OF MUCOSITIS AND CANDIDIASIS

Role of Specialist Palliative Care in Heart Failure

LIVE WEBINAR 2/13/20

LIVE WEBINAR SERIES:ROLE OF SPECIALIST PALLIATIVE CARE IN HEART FAILURE

Palliative Care Approach to Frailty

LIVE WEBINAR 3/12/20

LIVE WEBINAR SERIES:PALLIATIVE CARE APPROACH TO FRAILTY

Ketamine Use for Pain

LIVE WEBINAR 3/26/20

LIVE WEBINAR SERIES:KETAMINE USE FOR PAIN

Noninvasive Neuromodulation for the Chronically Ill Elderly

LIVE WEBINAR 4/23/20

LIVE WEBINAR SERIES:NONINVASIVE NEUROMODULATION FOR THE CHRONICALLY ILL ELDERLY

Caregiver Burnout

LIVE WEBINAR 5/07/20

LIVE WEBINAR SERIES:CAREGIVING PROFESSIONALLY: PUTTING OUT FIRES EVERYDAY BUT AT RISK FOR BURNOUT

Culturally Relevant Pain Assessment and Management

LIVE WEBINAR 5/28/20

LIVE WEBINAR SERIES:CULTURALLY RELEVANT PAIN ASSESSMENT AND MANAGEMENT

Ethical and Legal Issues in Palliative Care (Package 1)

Webinar Package

Package 1

Ethical and Legal Issues in Palliative Care

3 webinars on consent, futility, and tube feedings

Consent to Care: The Why, When, and What 1.0 Credit

"Futility" and Goals in the Illness Trajectory: Setting Boundaries 1.0 Credit

Tube Feedings: Medical and Ethical Perspectives 1.0 Credit

Ethical and Legal Issues in Palliative Care (Package 2)

Webinar Package

Package 2

AMA PRA Category 1 Credits^™ in hospice and palliative care

AMA PRA Category 1 Credits^™ in hospice and palliative care

LIVE WEBINAR SERIES:
MANAGEMENT OF SEIZURES IN FAR ADVANCED DISEASE

LIVE WEBINAR SERIES:
HIV/AIDS: UPDATE ON A HIGH-BURDEN CHRONIC ILLNESS

LIVE WEBINAR SERIES:
WHAT IS TRENDING IN THE WORLD OF FAMILY CAREGIVING?

LIVE WEBINAR SERIES:
INTEGRATION OF RITUAL AT END OF LIFE

LIVE WEBINAR SERIES:
“I CAN’T SWALLOW.”: REVIEW OF THE MANAGEMENT OF MUCOSITIS AND CANDIDIASIS

LIVE WEBINAR SERIES:
ROLE OF SPECIALIST PALLIATIVE CARE IN HEART FAILURE

LIVE WEBINAR SERIES:
PALLIATIVE CARE APPROACH TO FRAILTY

LIVE WEBINAR SERIES:
KETAMINE USE FOR PAIN

LIVE WEBINAR SERIES:
NONINVASIVE NEUROMODULATION FOR THE CHRONICALLY ILL ELDERLY

LIVE WEBINAR SERIES:
CAREGIVING PROFESSIONALLY: PUTTING OUT FIRES EVERYDAY BUT AT RISK FOR BURNOUT

LIVE WEBINAR SERIES:
CULTURALLY RELEVANT PAIN ASSESSMENT AND MANAGEMENT

Consent to Care: The Why, When, and What
1.0 Credit

"Futility" and Goals in the Illness Trajectory: Setting Boundaries
1.0 Credit

Tube Feedings: Medical and Ethical Perspectives
1.0 Credit

An Ethical Framework for Decision-Making in Hospice Care
1.0 Credit

Withholding and Withdrawing Life-Sustaining Therapies: Best Practices
1.0 Credit

Palliative Sedation: Medical, Ethical, and Legal Issues
1.0 Credit

Opioid Therapy in the Medically Ill: Side Effect Management
1.0 Credit

Opioid Therapy in the Medically Ill: Principles of Administration
0.75 Credits

What does the palliative care specialist need to know about prescription drug abuse?
1.0 Credit

Update on Adjuvant Analgesics in Advanced Illness
1.0 Credit

Use of Methadone in Pain Management
1.0 Credit

Emerging Role of Medical Cannabis for the Seriously Ill
1.0 Credit

Palliative and Hospice Care for Patients with Congestive Heart Failure
1.0 Credit

Cardiac Devices and Palliative Care
1.0 Credit

Palliative Care in Advanced COPD
1.0 Credit

Palliative Care in Dementia: An Interdisciplinary Approach to Behavioral Symptoms
1.0 Credit

Palliative Care and the Post-Stroke Patient
1.0 Credit

Palliative Care in ALS
1.0 Credit

Palliative Care in Parkinson's Disease And Other Neurodegenerative Diseases
1.0 Credit

Prognostication I: Improving Accuracy to Support Care and Hospice Access for Patients with Advanced Cancer
0.75 Credits

Prognostication II: Improving Accuracy to Support Care and Hospice Access for Patients with Chronic Illnesses Other than Cancer
0.75 Credits

Family Meetings in Hospice and Palliative Care
0.75 Credits

Family Caregivers in Hospice and Palliative Care: Maximizing Support and Minimizing Burden
1.0 Credit

Anxiety Disorders in the Seriously Ill
1.0 Credit

Depression and Suicidality in the Seriously Ill
1.0 Credit

Management of Nausea and Constipation in Advanced Illness
0.75 Credits

Management of Anorexia/Cachexia
0.75 Credits

Assessment and Management of Dyspnea in Advanced Illness
0.75 Credits

Assessment and Management of Delirium
0.75 Credits

ON-DEMAND WEBINAR SERIES:
A 28-YEAR-OLD WOMAN WITH FREQUENT ED VISITS FOR SICKLE CELL PAIN