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ForwardPalliative Education & Training Day (PET Day) - 4.18.23
Target Audience
Nurse Practitioner
Physician
Physician Assistant
Social Worker
Learning Objectives
1) List at least three Medicare criteria for patient eligibility for general inpatient hospice services.
2) List at least two factors that contribute to patient selection for admission to inpatient hospice facility.
3) Differentiate services and Medicare billing considerations for patients on general inpatient hospice in a hospital versus patients admitted to an inpatient hospice unit.
4) Define passive death wish and differentiate this from suicidal ideation.
5) List at least three triggers for passive death wish in a palliative care patient population.
6) Describe at least three different ways to respond verbally to a patient’s passive death wish.
7) Define legacy activity in the setting of end-of-life planning.
8) Describe the impact of legacy projects on family members' grief and psychologic outcomes after a patient death. 9) List at least 3 different types of legacy activities and the role of the PC team in initiating these projects.
Additional Information
Palliative Education and Training Day – April 18, 2023
Session 1: The General Inpatient Hospice (GIP) Level of Care: Medicare Regulations
9:00 am – 10:00 am
Scott Miller, MA, MD, Clinical Associate Professor of Medicine, Section of Palliative Care and Medical Ethics, University of Pittsburgh Inpatient Hospice Medical Director, Family Hospice
1. List at least three Medicare criteria for patient eligibility for general inpatient hospice services.
2. List at least two factors that contribute to patient selection for admission to inpatient hospice facility.
3. Differentiate services and Medicare billing considerations for patients on general inpatient hospice in a hospital versus patients admitted to an inpatient hospice unit.
Session 2: Assessment and Management of Passive Death Wish in the PC Population
10:00 am – 11:00 am
Robin Valpey, MD, Assistant Professor, Department of Psychiatry, Medical Director, Center for Counseling and Cancer Support Director of Student Mental Health Services, University of Pittsburgh School of Medicine Attending Psychiatrist, UPMC Premier Sports Program University of Pittsburgh Medical Center
Marlaena Cochran, MDiv., Spiritual Counselor and Chaplain; Family Hospice
Amy Drangines, MSW, LCSW, Senior Social Worker, UPMC Shadyside Hospital
1. Define passive death wish and differentiate this from suicidal ideation.
2. List at least three triggers for passive death wish in a palliative care patient population.
3. Describe at least three different ways to respond verbally to a patient’s passive death wish.
11:00 am – 11:15 am - Break
Session 3: Memory Making: The Why and How of Legacy Projects
11:15 am – 12:15 pm
Scott Maurer, MD, Associate Professor, Pediatrics, University of Pittsburgh School of Medicine, Division of Pediatric Hematology/Oncology;
Chief, Division of Palliative Medicine and Supportive Care, UPMC Children's Hospital of Pittsburgh
Colleen Menegaz, MD, UPMC Pediatric Care Fellow
Laura Rausch, LCSW, Senior Social Worker/Bereavement Coordinator,
UPMC Children’s Hospital of Pittsburgh.
1. Define legacy activity in the setting of end-of-life planning.
2. Describe the impact of legacy projects on family members' grief and psychologic outcomes after a patient death.
3. List at least 3 different types of legacy activities and the role of the PC team in initiating these projects.
Disclaimer Statement
The information presented at this CME program represents the views and opinions of the individual presenters, and does not constitute the opinion or endorsement of, or promotion by, the UPMC Center for Continuing Education in the Health Sciences, UPMC / University of Pittsburgh Medical Center or Affiliates and University of Pittsburgh School of Medicine. Reasonable efforts have been taken intending for educational subject matter to be presented in a balanced, unbiased fashion and in compliance with regulatory requirements. However, each program attendee must always use his/her own personal and professional judgment when considering further application of this information, particularly as it may relate to patient diagnostic or treatment decisions including, without limitation, FDA-approved uses and any off-label uses
Scott Miller, MA, MD, Clinical Associate Professor of Medicine, Section of Palliative Care and Medical Ethics, University of Pittsburgh Inpatient Hospice Medical Director, Family Hospice
Robin Valpey, MD, Assistant Professor, Department of Psychiatry, Medical Director, Center for Counseling and Cancer Support Director of Student Mental Health Services, University of Pittsburgh School of Medicine Attending Psychiatrist, UPMC Premier Sports Program University of Pittsburgh Medical Center
Marlaena Cochran, MDiv., Spiritual Counselor and Chaplain; Family Hospice
Amy Drangines, MSW, LCSW, Senior Social Worker, UPMC Shadyside Hospital
Scott Maurer, MD, Associate Professor, Pediatrics, University of Pittsburgh School of Medicine, Division of Pediatric Hematology/Oncology;
Chief, Division of Palliative Medicine and Supportive Care, UPMC Children's Hospital of Pittsburgh
Colleen Menegaz, MD, UPMC Pediatric Care Fellow
Laura Rausch, LCSW, Senior Social Worker/Bereavement Coordinator, UPMC Children’s Hospital of Pittsburgh.
Faculty Disclosure
No members of the planning committee, speakers, presenters, authors, content reviewers and/or anyone else in a position to control the content of this education activity have relevant financial relationships with any proprietary entity producing, marketing, re-selling, or distributing health care goods or services, used on, or consumed by, patients to disclose.
Accreditation and credit designation
In support of improving patient care, the University of Pittsburgh is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Physician (CME)
The University of Pittsburgh School designates this live activity for a maximum of 3.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nursing (CNE)
The maximum number of hours awarded for this Continuing Nursing Education activity is 3.0 contact hours.
Physician Assistant (AAPA)
The University of Pittsburgh has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 3.0 AAPA Category 1 CME credit. PAs should only claim credit commensurate with the extent of their participation.
Social Work (ASWB)
As a Jointly Accredited Organization, University of Pittsburgh is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. University of Pittsburgh maintains responsibility for this course. Social workers completing this course receive 3.0 continuing education credits.
Other Healthcare Professionals
Other health care professionals will receive a certificate of attendance confirming the number of contact hours commensurate with the extent of participation in this activity.
Available Credit
- 3.00 AAPA Category I CME
- 3.00 AMA PRA Category 1 Credit™The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
- 3.00 ANCCUPMC Provider Unit is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation
- 3.00 ASWB
- 3.00 Attendance