Better Together 10TH ANNUAL PALLIATIVE CARE SUMMIT - APRIL 10-11, 2018 ANAHEIM, CA - CCCC Annual Palliative Care Summit
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Better Together
Forging a New Path to Palliative Care
10TH ANNUAL
PALLIATIVE
CARE SUMMIT
APRIL 10-11, 2018
ANAHEIM, CA
CCCCSUMMIT.ORG
REGISTER EARLY―
SAVE UP TO 22%!
JOIN US FOR OUR 10TH ANNUAL SUMMIT
For the past decade, the Coalition for Compassionate Care of Califor- Early Registration available through
January 28, 2018
nia has provided leadership and a place for members of California’s
palliative care community to learn, collaborate, and grow. We proudly Special room rates available through
March 15, 2018
invite you and your colleagues to join us in Anaheim this April as we
celebrate our 10th Annual Summit and explore exciting new frontiers in CCCCSUMMIT.ORG
palliative care.
INTENDED AUDIENCE
Now is the time—prominent healthcare leaders and policy makers are The 2018 Summit is designed for EVERYONE
calling for increased access to palliative care as part of healthcare re- who wants to learn more about palliative
care, share innovative practices, and be
form. The media and the public are increasingly asking for information a part of a growing movement to improve
about death, dying, and serious illness. Never before has there been so the care of seriously ill people of all ages,
much interest in palliative care. including pediatrics, adolescents, young
adults, adults, and geriatrics. In particular, the
Summit brings together people from a variety
Our Summit purposefully brings together a variety of individuals with a of backgrounds who want to work together to
vested interest in palliative care, including patients, professionals, and advance palliative care, including:
policy makers. We create a space for anyone interested in palliative • Physicians
care at any level to collaborate with us, share ideas, and work in tan- • Nurses
dem to develop strategies, tools, and resources to ensure that all people • Social workers
have access to the care they need and no less, and the care they want • Chaplains
and no more. Register today! • Administrators
• Long-term supports and services providers
OBJECTIVES • Healthcare leaders
• Faith leaders
The participant will be able to:
• Educators
• Describe how palliative care can improve quality and reduce the cost of care for people
• Academics
with advanced illness.
• Discuss ways that hospice has been demonstrated to be one of the best ways to care for • Caregivers
people at the end of life. • Patients
• Identify successes over the past 50 years to integrate palliative care into mainstream health • Consumers
care. • Policymakers
• Define the stages of the geriatric life cycle.
• Government employees or staff
• Develop skills to prognosticate risk of patient-centered quality metrics.
• Identify risks for hospital induced delirium. • Media
• Describe California’s experience legalizing physician aid-in-dying – highlighting best practic- • Entrepreneurs
es and areas for improvement. • Innovators
• Reflect on the role of hospice and palliative care in responding to the End of Life Option Act. • Businesses and investors
• Discuss areas for further research or policy development to improve care for patients at the • Technologists
end of life.
• Designers
• And more!
≈12 CMEs/CEs
Application for CME credit has been filed with the American Academy of Family Physicians.
Determination of credit is pending.
Applications for CE credit have been filed with the California Board of Registered Nursing, the California Board
of Behavioral Sciences, California Association of Marriage and Family Therapists, and the California Nursing
Home Administration. This program may be used for continuing education credit for chaplains certified with the
Board of Chaplaincy Certification, Inc.
Coalition for Compassionate Care of California Children’s Hospice & Palliative Care Coalition,
promotes high-quality, compassionate care for all who a division of the Coalition for Compassionate Care of
are seriously ill or nearing the end of life. Our goal is to California, is dedicated to improving children’s access
transform healthcare so that medical care is aligned with to community-based palliative and hospice care services
individual patient preferences—that people get the care through advocacy, program development and education.
they need and no less, and the care they want and no COALITIONCCC.ORG/CHPCC
more. COALITIONCCC.ORG
Tell us how you are forging a new path! Tweet using #CCCC18 Fo r g i n g a n ew p a t h f o r p a l l i a t i ve c a r e.
FEATURED SPEAKERS
TUESDAY, WEDNESDAY,
APRIL 10 APRIL 11
Charles F. von Gunten, Dianne Gray
MD, PhD Hospice and Healthcare Communications,
OhioHealth Kobacker House, Elisabeth Kübler-Ross Foundation
Dianne Gray is an author, advocate, and force of nature as a grief
Journal of Palliative Medicine and end-of-life care expert with a degree
Dr. Charles von Gunten is widely known
that focused on sports management/
as a pioneer in hospice and palliative
sports medicine in college and the
medicine. He is the Founding Chairman,
school of life afterward. She’s a global
Test Committee, Hospice and Palliative
keynote speaker, author of hundreds of
Medicine, American Board of Medical
articles and textbook chapters, TV/radio
Specialties. He is Editor-in-Chief of the
host and guest, and President of the
Journal of Palliative Medicine. Dr. von
Elisabeth Kübler-Ross Foundation. She’s
Gunten has received numerous awards
also been the single parent/caregiver
including a lifetime achievement award
for a child diagnosed at age 5 with a
from the American Academy for Hospice
neurodegenerative disorder and parent of a healthy young daughter.
and Palliative Medicine (AAHPM) and the American Cancer Soci-
Since her son died she has dedicated her life to improving care for
ety’s prestigious Pathfinder in Palliative Care Award. He has been
all adults and children facing serious illness. Most recently, Dianne
recognized by AAHPM as one of 30 pioneers in palliative medicine
worked with Olivia Newton-John, Beth Neilsen Chapman and Amy
and was named a top cancer doctor in Newsweek Health. He has
Sky as a writer/partner “builder for good” for the LIV On project.
published and spoken widely on the subjects of hospice, palliative
medicine, and pain and symptom control. Dr. von Gunten earned
a PhD in Biochemistry and an MD with honors from the University Ira Byock, MD, FAAHPM
of Colorado Health Sciences Center in Denver, Colorado in 1988.
Prior to joining OhioHealth, he led the development of education
Institute for Human Caring
and research programs in the Institute for Palliative Medicine at San Providence Health and Services
Diego Hospice as Provost and the University of California, San Ira Byock is a leading palliative care physician, author and public
Diego as Clinical Professor of Medicine. advocate for improving care through
the end of life. He is founder and chief
Daniel R. Hoefer, MD medical officer of the Institute for Human
Caring of Providence Health and
Sharp HospiceCare Services based in Torrance, California.
Dr. Daniel Hoefer is a board-certified Dr. Byock is Active Emeritus Professor of
family practice physician, board certified Medicine and Community and Family
in palliative medicine and is part of Medicine at the Geisel School of Medi-
Sharp Rees Stealy Medical Group cine at Dartmouth. He has been involved
in San Diego. He has spent over 25 in hospice and palliative care since
years working in nursing homes and 1978, and is a past president of the American Academy of Hospice
with geriatric patients. Dr. Hoefer is an and Palliative Medicine (AAHPM). Dr. Byock has written extensively
EPEC-trained physician who has been about the ethics and practice of care. He has received numerous
the visionary for the development of an awards for academic achievement and community services and was
evidence-based disease management care model for late-stage recognized as a Visionary by AAHPM in 2014. Dr. Byock has been
illness. He frequently presents to physicians and other healthcare a featured guest on national television and radio programs.
providers on local, state and national levels including the World
Congress of Geriatrics and Gerontology in Kaohsuing, Taiwan. Dr.
Hoefer received his undergraduate degree from UCLA and his MD See bios for all 35+ presenters at
from Eastern Virginia Medical School, and completed his residency
at Northridge Family Practice. ccccsummit.org/speakers
BETTER TOGETHER. Register online: CCCCSUMMIT.ORG/REGISTRATION 3
PROGRAM: TUESDAY, APRIL 10, 2018
MORNING
keynote general session Patient Stories: Are We Really
Taking Palliative Care What the Heck Happened “Hearing” What Our Patients
Mainstream: A Glimpse of the in 2017? The New “Normal” Say?
Future and What It Means for Better maternity care, seat belt laws, AIDS
CHARLES F. VON GUNTEN, MD, PHD
Palliative Care care, organ donation…. Every major improve-
ment in public health has been advanced
VP, Medical Affairs, Hospice and Palliative
JUDY THOMAS, JD, Coalition for by an accompanying social movement.
Medicine OhioHealth Kobacker House; Edi-
Compassionate Care of California How can we work with patients to create a
tor-in-Chief, Journal of Palliative Medicine
2017 was marked by natural disasters, mass successful social movement around palliative
Dr. von Gunten describes the path that other
shootings and political turmoil. What does care? We can start by listening. In these short,
health care systems will follow by illustrating
that mean for palliative care? How do we MedX style presentations, engaged patients
the path of a typical, Midwestern health care
take the high level of stress, chaos and trauma and caregivers will share their personal stories
system in response to two facts. First, hospice
that seems to be our “new normal” and turn it and perspectives on life and serious illness.
care has been proven to be the best way
into an asset for the palliative care movement?
to care for people in the last months of life.
Find out what the Coalition for Compassion-
Second, palliative care has been proven
ate Care is working on, has in store, and
to improve quality and reduce cost for the
how you can participate in this great societal
care of people with advanced illness. This
change.
represents success of the efforts of the past
50 years to change mainstream health care.
However, success requires us to change, too.
AFTERNOON
breakouts Cultivating Our Capacity for Starting From Scratch:
The Road Ahead in San Compassion Engaging Communities Using
Diego: Application of the ANN ALLEGRE, MD, FACP, FAAHPM,
a Strengths-Based Approach
CCCC Model Spiritual Care Programme
MARY MATTHIESON AND LISA DEAL,
Caring for those who are suffering or dying
Mission Hospice and Home Care
KARL STEINBERG, MD AND JOHN TASTAD, can lead caregivers to feel depleted, a
Hospices have significant experience around
SCC, San Diego Coalition for Compassion- problem which is exacerbated by the stresses
end-of-life issues, yet can find themselves
ate Care of working in the current health care envi-
isolated as “just” end-of-life care providers in
In 2016, CCCC hosted a statewide conven- ronment. Empathy, or feeling the suffering
a community. Using an asset-based approach
ing of palliative care leaders and represen- of others, is essential to providing compas-
to community engagement around end-of-life
tatives of diverse communities serving the sionate patient-centered care, but empathy
issues delivered first in the UK and published
needs of people challenged by serious illness. alone leads to risk of burnout. Compassion
in the BMJ Supportive and Palliative Care
The goal was to provide an opportunity for is a way of being, a feeling that arises when
Journal, Mission Hospice launched a pilot
participants to discuss progress, gaps and witnessing the suffering of others and a desire
in two communities to learn how and if we
opportunities related to serious illness care in to help. This session will help participants to
could begin a partnership and participatory
California, and from that discussion develop understand the differences between empathy
approach to wider awareness, education and
an agenda for progress toward a shared and compassion, consider the impact of
compassionate community initiatives in our
vision. CCCC has since made a toolkit for these practices in their work and to learn a
region. This session will engage participants
The Road Ahead events available to local compassion practice that they can use in their
in the background, process and steps used,
coalitions. In November 2017, the San Diego own lives and work setting.
and share the key themes identified by each
Coalition for Compassionate Care hosted The
as essential to reach a wider community.
Road Ahead to engage community leaders,
identify local progress, gaps and opportuni-
ties, and respond to local needs. This session
will report on the event, share lessons learned
and the final results.
4 Tell us how you are forging a new path! Tweet using #CCCC18 Fo r g i n g a n ew p a t h f o r p a l l i a t i ve c a r e.
PROGRAM: TUESDAY, APRIL 10, 2018
AFTERNOON CONTINUED
Oil Blending for Pain and about their child’s medical care. Thinking
about a child’s mortality is something most
afternoon
Symptom Management: The parents – and many healthcare professionals networking events*
– do not feel prepared to do. This workshop This year, you’ll have multiple opportunities
Use of Medical Cannabis in will explore the role and impact of parental to get into smaller groups and explore game
Palliative Care perceptions, beliefs and emotions in pediatric demonstrations, Q&As, and other fun stuff.
palliative care, and identify ways that the
DAVID SINE, MD, Trilliam Kids/Bio-Life; palliative care team can better understand
DON ANDERSON, Bio-Life; SEAN HUNT,
Bio-Life; LEE THAI, Bio-Life
and respond to parents’ ways of thinking. We
will identify the powerful role of hope, belief
*Get Interactive
In 2016, Dr. Sine presented a session examin- and expectation, and identify ways to com-
ing recent clinical data and family testaments municate honestly and effectively with parents, Among the hallmarks of CCCC’s
regarding the use of various alternative patients and families, while supporting their annual Summit are the variety of
treatments and their increasing potential in pe- emotional, spiritual and cultural needs. We opportunities for participants to
diatric palliative care. This session will update will also explore opportunities to maintain
the progress made in the last two years on the and/or transition the hopes of parents and
be interactive with the speakers,
project which has increased from about 40- providers throughout the continuum of care. sessions and activities. We want
50 patients to now over 450 patients – adults you to get up, speak out and take
and children utilizing medical Cannabis for
general session advantage of all the Summit has
pain and symptom management. The session to offer. You’ll find even more
will present from the perspectives of physician, If Only Someone Had opportunities to become fully
nurse practitioner and compound pharmacist.
Warned Us engaged in this year’s Summit
Holding Onto Hope: Parental through:
DANIEL R. HOEFER, MD, Sharp HospiceCare
Using a variety of patient scenarios, Dr.
Beliefs and Emotions in Hoefer will highlight the unintended conse- • Small group discussions
Pediatric Palliative Care quences of continuing traditional interventions • Large group discussions
for pre-terminal geriatric patients. Honing our • Meet-ups with speakers
REV. SUSAN A COSIO, Sutter Medical palliative prognostication skills is necessary if
Center we are to provide interventions that support
• Q&As with presenters
Parents of children with advanced, life-threat- patient-centered outcomes. • Game demonstrations
ening illness may face excruciating decisions • And more!
EVENING
reception & Explore Anaheim!
poster session
Join us for cocktails, hors d’oeuvres,
and a poster session featuring a
showcase of the best community-
based palliative care programs
and projects from around the state.
Our first day at the Summit will end with the reception and poster session
to allow you a night of fun and exploration in Anaheim. From restaurants
near the conference location, to Downtown Disney® and more, you’ll
have plenty of time Tuesday night to get out of the hotel and enjoy what
Anaheim and Orange County have to offer.
BETTER TOGETHER. Register online: CCCCSUMMIT.ORG/REGISTRATION 5
PROGRAM: WEDNESDAY, APRIL 11, 2018
MORNING
local coalitions panel awards luncheon
breakfast Upping our Game: Compassionate Care
Watch your email for an invitation to the
special networking opportunity for our local
Understanding the Needs and Leadership Awards
coalitions. This chance to meet with other Concerns of Those with
coalition leaders and CCCC staff is a great Celebrate the accomplishments
place to see what other coalitions are doing Disabilities
and learn from each other. of California’s leaders in
GRETCHEN ALKEMA, SCAN Foundation palliative and end-of-life care
(Invited Moderator)
panel Just as cancer used to be a topic we avoid, during the Compassionate Care
The Healing Power of Now: so is disability. How does that avoidance Leadership Award luncheon.
impact the care we provide and the conver-
Using Presence as a sations we have? Is it possible that by being
more inclusive in our thinking that we can See Page 11 to learn how you
Therapeutic Tool improve care for everyone? can nominate an individual and
Moderated by: organization for a Compassionate
JIM MCGREGOR, MD, Sutter Care at Home morning Care Leadership Award.
This panel session will explore what it means
to be truly present with a seriously-ill person.
networking events*
This year, you’ll have multiple opportunities
Using a case-based approach, this inter-
to get into smaller groups and explore game
disciplinary panel will explore the practical
demonstrations, Q&As, and other events. See
application of Eckhart Tolle’s teachings on
page 5 for more information.
presence to the practice of palliative care.
AFTERNOON
breakout sessions
Taking Psychedelics Seriously: the socio-political, legal and regulatory chal-
lenges of prescribing and using psychedelics
progressive medical conditions, and people
with disabilities. It will review best practices
Responding to Persistent in carefully monitored ways. for goals of care conversations and discharge
planning to ensure that people can continue
Suffering to participate and live well in their own
Patients with Disabilities: homes and communities regardless of their
IRA BYOCK, MD, Providence Institute for
Human Caring; CHARLES GROB, MD, Har- Avoiding Unconscious Bias functional limitations and support needs.
bor-UCLA Medical Center When Discussing Goals of
Severe psychological and existential suffering Bridging the Gap: An
robs people of meaningful quality of life Care
and brings some to desire to end their lives. Advanced Illness Program to
CLARISSA KRIPKE, MD, UCSF Medical
Currently available treatments for depression,
Center
Connect the Community with
anxiety, and spiritual distress often fail to
alleviate suffering among people who are People with terminal diagnoses sometimes Health Services
seriously ill. Renewed research involving fear loss of function, dependence on others
psilocybin, MDMA and similar psychedel- for help, and loss of autonomy more than they CYNTHIA CARTER PERRILLIAT, MPA,
ic compounds suggests that this class of fear death. Also, people with complex disabil- Alameda County Care Alliance; VALERIA
drugs has important therapeutic potential in ities, cognitive or communication challenges, STEINMETZ, Alameda County Care Alliance;
treatments for persistent, non-physical suffering. or who use personal support are frequently JANICE BELL, MN, MPH, PHD, Betty Irene
Psychedelic properties of specific plants have presumed to be terminally ill, or to have a Moore School of Nursing; JILL JOSEPH, MD,
been used for centuries by indigenous cultures low quality of life. These fears and beliefs can PHD, Betty Irene Moore School of Nursing
to induce expanded states of consciousness lead to premature withdrawal of life-sustaining The Alameda County Care Alliance (ACCA)
and spiritual experiences. In this session, we care, poor advanced care planning, and Advanced Illness Care Program™ (AICP)
will review the pharmacology, clinical trials, unnecessary existential distress. This session is a faith-based, person-centered program
and neurobiology of psychedelics, including will examine the ways in which healthcare operated through a consortium of 12 churches
evidence from functional imaging and discuss providers can recognize and re-frame false in Alameda and Contra Costa counties that
the clinical indications, contraindications, and narratives about disability and terminal illness provides navigation support to persons need-
side-effects of these medications as well as to improve the lives of elders, people with ing advanced illness care and their families/
6 Tell us how you are forging a new path! Tweet using #CCCC18 Fo r g i n g a n ew p a t h f o r p a l l i a t i ve c a r e.
PROGRAM: WEDNESDAY, APRIL 11, 2018
AFTERNOON (CONT.)
caregivers to meet spiritual, advanced care
planning, health (physical and psychosocial),
It’s Different with Kids: A panel
social and caregiving needs. This session will Conversation About Ethics After the Act: Lessons Learned
explore how to reach vulnerable populations
with advanced illness care needs beyond the
and Emotions and Benefits for the Broader
healthcare delivery system through the training
MARTA FIEDMAN, LCSW, AHSW, JD and
Population after the End of Life
and deployment of community care naviga-
tors in the faith-based community.
CHRISTY TORKILDSON, UCSF Benioff Chil- Option Act Implementation
dren’s Hospital
In this session, we will look at the challenging Moderated by:
Targeting Strategies to situations faced in working with seriously-ill LAEL DUNCAN, MD, Coalition for Compas-
children in light of our own histories, narratives, sionate Care of California
Improve Advance Directives in feelings and judgments which often involve Has implementation of the End of Life Option
Major Cancer Hospitals loss, cumulative grief, trauma, family dysfunc- act moved the dial on how we die? What
tion and fracture, cultural/spiritual/religious did we learn from the development of policy
FINLY ZACHARIAH, MD and LINDSAY differences, and so much more that we all and processes for the End of Life Option Act
EMANUAL, City of Hope National Medical bring. Working with children often leads to that we can use to better inform the care and
Center additional loss, grief, and trauma for providers conversations we offer everyone with terminal
This session will present the efforts at City of as well as families. One of the hallmarks of illness? Does the work we’ve done around
Hope National Medical Center to increase palliative care is to gain an understanding of the Act affect how we think about creating a
completed advance directives through the our patients and families, and how they make better end-of-life experience for all patients?
development of a culturally sensitive ACP the difficult decisions we so often ask them to Have we learned what it might take to ensure
campaign; the successful integration of ACP make. The goal of this session is to build upon universal patient access to informed deci-
patient navigators; and successful collabora- intermediate and advanced ethical principles, sion-making in the last phase of life?
tive strategies to work with the hematology and clinical skills and practice. As a group,
we will look at case studies and share strate-
transplant population. We will share how a
series of targeted interventions allowed for the gies that can be implemented in the very real closing session
increase of advance directive rates from 29 situations that we often face. Together We Can Do Any-
percent to 70 percent in just two years.
thing: Leveraging Communities
Who Decides When Adoles-
Care Concordance and the of Care to Spread Palliative
cents and Adults Don’t Agree
Evolution of End-of-Life Care
ILANIT BROOK, MD, LINDA RADBILL, PHD,
Wishes and MARI RADZIK, MA, PHD, Children’s DIANNE GRAY,
Hospital of Los Angeles Hospice and Healthcare Communications
JENNIFER HOPPING-WINN, LCSW and One of the more difficult scenarios in and Elisabeth Kübler-Ross Foundation
MELISSA STERN, Kaiser Permanente North- medicine is navigating a medical plan when Dianne Gray would like you to think differ-
ern California the patient and family do not agree. This ently about your tribe — those who make up
Health systems across the United States are becomes even more complex when the your overall palliative care community. Why?
engaging in efforts to elicit, document and patient is not of legal age but seemingly has Because as she puts it, “the need for palli-
honor the care preferences of patients as they capacity to make medical decisions. We ative care will soon out-pace the resources
near the end of life. However, little is known will explore how the palliative care team can available. Simply put, we don’t need to ask
about how the wishes of patients evolve and help to navigate to a unified, agreed-upon palliative care teams to work harder. We
whether those wishes are respected. To better medical plan when there is dissent between need to help them work smarter… and one
understand the issue, Kaiser Permanente an adolescent patient and their family. Using way to do this is through creating enhanced
conducted a comprehensive review of care current understanding of both the legal and communities of care.” Listen in as Dianne, a
concordance between patients’ documented neuro-developmental aspects of capacity and former 12-year caregiver who now is a 25-
wishes and their final care encounter. In this cases we’ll highlight a potential path to com- year hospice and palliative care journalist,
session, we will share how this method can promise and discuss tools that are available to researcher and global advocate, shares the
be replicated in other health systems and support the case that an adolescent may have most up-to-date outside the box resources,
implications for any organization using POLST capacity to make their own decisions. research and technology that will help not
forms. While advance care planning and only patients and family members but you too,
the POLST form provide invaluable tools for as you strive to meet the needs inherent in the
recording patients’ wishes, this study highlights provision of quality palliative care. Together
the challenge in tracking patients’ wishes as we do anything, especially if we expand our
they evolve over time and the need for ongo- scope of vision as to what constitutes our inter-
ing conversations about goals of care. nal and external tribe, as well as our palliative
care community.
BETTER TOGETHER. Register online: CCCCSUMMIT.ORG/REGISTRATION 7
HOTEL & TRAVEL
WELCOME TO ANAHEIM
Always a good time in Anaheim!
Hotel
WYNDHAM ANAHEIM GARDEN GROVE
12021 Harbor Blvd, Garden Grove, CA 92840
Special Room Rate: $165 Single/Double
Special Rate Cutoff Date: March 15, 2018
Reservations: https://aws.passkey.com/go/CoalitionforCompas-
sionateCare
Phone: (800) 996-3426
Booking and canceling hotel reservations are the responsibility of
Summit attendees.
PARKING
The Wyndham Anaheim offers overnight and day parking. Overnight MEETING LOCATION
self-parking is included in hotel registration, overnight valet is available Wyndham Anaheim Garden Grove is an Orange County oasis,
for $16/night. nestled between the scenic cities of Anaheim and Garden Grove, just
ten minutes away from legendary attractions like Disney California
Day self-parking is complimentary, and day-use valet is available for Adventure Park® and Downtown Disney®. Discover bright, modern
Summit attendees for $13/day. California-style décor and a wealth of amenities that will enrich your
stay.
TRANSPORTATION
The Wyndham Anaheim Garden Grove is located off of Interstate 5, ANAHEIM
and is convenient to the Long Beach, John Wayne-Orange County, From world-famous theme parks and nearby beaches to pro sports
LAX, and Ontario airports. and foodie hotspots, sun-splashed Anaheim has it all. Find yourself
here – and leave ordinary behind.
Additionally, the hotel offers a courtesy shuttle to and from Disney-
land® as well as a Disneyland® Resort Desk for admission purchases. Southern California is home to many of the world’s best theme parks,
from the original Disneyland® Park in Anaheim to SeaWorld® in San
Diego to Universal Studios Hollywood. You’ll also find Aquarium of
the Pacific, the Richard Nixon Presidential Library and Museum, as
well as a number of history and art museums and golf courses nearby.
Make the best of your visit to Anaheim.
Check out VisitAnaheim.org.
8 Tell us how you are forging a new path! Tweet using #CCCC18 Fo r g i n g a n ew p a t h f o r p a l l i a t i ve c a r e.
REGISTRATION INFORMATION
Summit Registration Rates SCHOLARSHIPS
A limited number of scholarships are available for students and pallia-
Pricing Deadline Member Non-Member tive care patient advocates. All scholarship recipients are expected to
attend the Summit in full. Visit the scholarships page to learn more and
January 28, 2018 $399 $599
apply at http://ccccsummit.org/scholarships.
February 28, 2018 $499 $699
Late & Onsite $599 $799 SUMMIT CANCELLATION POLICY
Registration substitutions are allowed and encouraged. If you must
Online Registration
cancel your registration, send written cancellation requests via fax to
Pay online at http://ccccsummit.org/registration
(888) 789-9475 or via email to info@coalitionccc.org. Cancellations
received prior to February 27, 2018, are subject to a $25 adminis-
Register by Mail
trative fee. Cancellations received on or after February 27, but prior
To register by mail, complete the form on Page 10 and mail it along
to March 20, 2018, are subject to a $100 administrative fee. No
with payment (credit card or check) to:
refunds will be issued for cancellations received on or after March
20, 2018.
Coalition for Compassionate Care of California
Attn: Keeta Scholl
1331 Garden Highway, Suite 100
Sacramento, CA 95833
A CONFIRMATION EMAIL WILL BE SENT TO ALL
REGISTRANTS AT LEAST ONE WEEK BEFORE THE SUMMIT.
SPECIAL NEEDS
To address a grievance or request special accommodations pursuant
to the Americans with Disabilities Act, call (916) 489-2222.
CONTINUING EDUCATION
Full attendance, in its entirety, is required at all education sessions in order to receive professional continuing education credits (CMEs/CEs).
Continuing education is provided for full-day attendance. Partial day credit is not available. All attendees must sign in with their professional
license numbers in the morning of each day of the Summit. In order to receive credit, participants must complete an online survey within 30
days following the Summit in order to receive a CME/CE certificate. Continuing education certificates will be sent via email. Certificates of at-
tendance will be available at the end of the Summit in the afternoon of Wednesday, April 11, 2018. Note: A 50-minute minimum of uninterrupted
time is required to qualify for one hour of CME/CE credit. Continuing education excludes lunch and break periods.
PHYSICIANS &
Application for CME credit has been filed with the American Academy of Family Physicians. Determina-
PHYSICIAN
ASSISTANTS tion of credit is pending. CME credits are sponsored by Partnership HealthPlan of California.
This course meets the qualifications for approximately 12 contact hours. This provider is approved by the
NURSES
California Board of Registered Nursing, Provider #CEP 15403.
This course meets the qualifications for an estimated 12 hours of continuing education credit for LMFTs,
LCSWs, LPCCs and/or LEPs as required by the California Board of Behavioral Sciences. CCCC is ap-
SOCIAL WORKERS
proved by the California Association of Marriage and Family Therapists to sponsor continuing education
for LCSWs and LMFTs, Provider #91987.
NURSING HOME An application has been made to the California Nursing Home Administration program (NHAP# CEP
ADMINISTRATORS 1735) for an estimated 12 NHAP/P credits. Determination is pending.
This program may be used for continuing education credit for chaplains certified with the Board of Chap-
CHAPLAINS
laincy Certification, Inc.
BETTER TOGETHER. Register online: CCCCSUMMIT.ORG/REGISTRATION 9
SUMMIT ONLINE @ http://ccccsummit.org/registration
FAX (888) 789-9475 / PHONE (916) 489-2222
REGISTRATION
CCCC SUMMIT, 1331 GARDEN HIGHWAY,
SUITE 100, SACRAMENTO, CA 95833
MORE INFORMATION: INFO@COALITIONCCC.ORG
NAME SUFFIX
TITLE ORGANIZATION
ADDRESS
@
EMAIL PHONE TWITTER HANDLE
CONTINUING EDUCATION ARE YOU INTERESTED IN ATTENDING PEDIATRIC BREAKOUT SESSIONS?
{{ Physician {{ Nursing {{ Social Work {{ Nursing Home
{{ Yes {{ No {{ Maybe
Administrator
{{ Certificate of Completion License No. (required):
CCCC ANNUAL SUMMIT REGISTRATION PAYMENT METHOD
Registration includes summit materials, and continental breakfast and lunch on All registrations must be pre-paid:
both days. Limited partial scholarships are available. Contact CCCC for more {{ Check enclosed payable to Coalition for Compassionate Care of California
information at (916) 489-2222 or info@CoalitionCCC.org.
{{ Credit Card (Visa, Mastercard or Discover)
EARLY (Postmarked by January 28, 2018)
{{ CCCC Member................................................................ $399
Name (as it appears on card)
{{ Non-Member.................................................................. $599
ADVANCE (Postmarked between January 28 and February 28, 2018)
{{ CCCC Member................................................................ $499 Billing Address
{{ Non-Member.................................................................. $699
LATE (Postmarked on or after February 28, 2018)
{{ CCCC Member................................................................ $599 City State Zip
{{ Non-Member.................................................................. $799
- - -
CCCC MEMBERSHIP / I would like to become a member of CCCC Credit Card Number
{{ Individual........................................................................ $50
All staff of organizational members can attend at the member rate.
For more information, visit CoalitionCCC.org/membership Expiration Date (dd/yy) 3 or 4 digit security code
You must have paid CCCC dues for the current year to qualify for the membership
rate. To verify, contact CCCC at (916) 489-2222 or info@CoalitionCCC.org.
If registering as a member, specify membership type: Signature
{{ Organization
{{ Community Coalition Faxed registration with signed purchase order is also accepted.
Fax to (888) 789-9475.
{{ Individual
Indicate the name of the organization or coalition that is a current CCCC Indicate below if you wish to receive one of the following meals:
member: _____________________________________________________ {{Vegetarian {{Vegan
CCCC DONATION Keep up the good work! Indicate below if you require special accommodations pursuant to the ADA:
AMOUNT $___________________________________________________
TOTAL $_____________________________________________________
I give CCCC my permission to include my contact information in the roster of
attendees:
{{ Yes
{{ NoOTHER INFORMATION
Sponsor the Summit
Your gift of sponsorship will help us bring together more than 400 health
care professionals—including healthcare administrators, doctors, nurses, phy-
sician assistants, social workers, educators, chaplains, and thought leaders
from around the state—who are dedicated to taking palliative care main-
stream and making it a standard in care for people with serious illness or
life-threatening conditions.
Join us as a sponsor and make possible the discussion, learning, and inno-
Susan Keller, MA, MLIS
vation in how we can improve care for the seriously ill—from helping families 2017 Compassionate Care
make informed decisions to providing quality end-of-life and palliative care Leadership Award recipient
for under-served populations.
Sponsorships start at $1,500 and include your logo printed on Summit mate- Nominate a
rials and promotion before and during the event. Contact us today to learn
more! Leader
& HONOR THE
Purchase your sponsorship at www.ccccsummit.org/sponsor, and contact us
at (916) 993-7712 or amclaughlin@coalitionccc.org. EXTRAORDINARY
Do you know of a leader,
researcher, practitioner or
schedule-at-a-glance
organization making a positive
MONDAY, WEDNESDAY, impact on the way Californians
are cared for during serious ill-
APRIL 9 APRIL 11 ness or at the end of life?
4:00pm–7:00pm Nominate them for a
Early Registration Open 7:30–8:30am Compassionate Care
Registration Leadership Award!
TUESDAY, 8:30am-4:00pm Categories include individuals
Sessions and organizations, companies
APRIL 10 or facilities. Honorees are cel-
ebrated at a Summit luncheon on
Wednesday, April 11.
7:30am–6:00pm Early Registration
Exhibitor Tables Open Deadline for nominations:
Our registration desk will be 5pm PT, Wednesday, Feb. 7,
7:30am–4:30pm open on Monday evening from 2018
Registration 4:00 - 7:00pm. Swing by, grab
your badge and program, and Learn more at:
8:30am–4:30pm be ready to hit the Summit run- ccccsummit.org/awards
ning on Tuesday morning.
Sessions
4:30–6pm
Reception & Poster Session
BETTER TOGETHER. Register online: CCCCSUMMIT.ORG/REGISTRATION 11PRESORT
FIRST CLASS
U.S. POSTAGE
PAID
PERMIT NO. 1841
SACRAMENTO, CA
1331 Garden Highway, Suite 100
Sacramento, California 95833
CCCCSUMMIT.ORG
10TH ANNUAL PALLIATIVE CARE SUMMIT
Register by January 28, 2018 and save!
REGISTER Forging a New Path to Palliative Care
10th Annual Palliative Care Summit
EARLY &
SAVE UP TO
22%
APRIL 10-11, 2018
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