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Hospice & Palliative Care


Learn Anytime. Earn Credits. Improve Practice.


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.


  1. Discuss the prevalence and significance of having an advance care planning discussion and completion of an advance directive
  2. Recognize the barriers and facilitators to conducting advance care planning discussions and completing an advance directive
  3. Describe resources and strategies for improving advance care planning discussions and completing an advance directive for patients and families and professionals
  4. 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, registered nurses with a specialty in palliative care/hospice, and case managers

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

Continuing Education Accreditation:

Nurses: MJHS Institute for Innovation in Palliative Care is approved as a provider of nursing continuing professional development by the Northeast Multistate Division Education Unit, an accredited approver of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Case Managers: This program has been pre-approved by The Commission for Case Manager Certification to provide continuing education credit to CCM® board certified case managers. The course is approved for 2.0 CE contact hours.
To claim these CEs, log into your CCMC Dashboard at


Individual:  Free (includes CE certificate)

Release Date: April 30, 2019

Expiration Date: April 17, 2024(for Nurses); November 7, 2023 (for Case Managers)

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

The MJHS Institute for Innovation in Palliative Care is pleased to offer our free 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), Social Work CE credits, and Music Therapy CE edits.

Our free interactive multimedia modules on Community-Based Palliative Care Program Development  and Caring for Holocaust Survivors With Sensitivity at End of Life  offer up to 9.75 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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