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THE NEW NORMAL OF HOSPICE PALLIATIVE CARE IN A PANDEMIC WORLD HPCO’S VIRTUAL APRIL 18-20, CONFERENCE 2021 www.conference.hpco.ca Hospice Palliative Care Ontario @hpcontario #hpco2021 hospicepalliativecareontario
THE NEW NORMAL OF HOSPICE PALLIATIVE CARE IN A PANDEMIC WORLD THANK YOU TO OUR SUPPORTERS! H A D I A c T s o d G c c I a c l e A c H p T u I S C D Hospice Palliative Care Ontario’s 2021 Conference – April 18-20 2
Ministry of Health Ministère de la Santé Ministry of Health Ministère de la Santé Ministry of Health Ministère de la Santé Office of the Deputy Premier and Bureau du vice-premier ministre et du Minister of Health Office of the Deputy Premier and Bureau duministre de la Santé vice-premier ministre et du Minister Office of 777 of the Deputy Health Bay Street, 5 th Premierministre Floor and Bureau de 777,la du vice-premier Santé rue Bay, 5e étage ministre et du Minister of Health ministre de la Santé 777 Bay Toronto Street, 5ON M7A 1N3 th Floor 777, rue Toronto ON M7A 1N3 Bay, 5e étage Telephone: th Floor 4165327-4300 Téléphone: e étage Toronto 777 ON Bay M7AStreet, 1N3 Toronto 777, ON rue 1N35416 M7ABay, 327-4300 Facsimile: Toronto Telephone: ON 416 416 327-4300M7A326-1571 1N3 Télécopieur: Toronto Téléphone: 416ON 416 326-1571 M7A 327-4300 1N3 www.ontario.ca/health Telephone: Facsimile: 416 327-4300 Télécopieur: 416 326-1571 www.ontario.ca/sante Téléphone: 416 327-4300 416 326-1571 Facsimile: www.ontario.ca/health 416 326-1571 Télécopieur: www.ontario.ca/sante 416 326-1571 www.ontario.ca/health www.ontario.ca/sante April 16, 2021 April 16, 2021 April 16, 2021 Hospice Palliative Care Ontario Hospice Palliative Annual Care Ontario Conference Hospice Palliative Annual Conference Care Ontario Annual Conference Dear friends, Dear friends, Dear friends, I want to extend my best wishes to everyone participating in the 2021 Hospice Palliative Care Ontario I want Annual to extend my best wishes Conference. 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Onand behalf of the courage. Ontario Hospiceand the palliative Ministry care isofaHealth, critical part ofyou for your Ontario’s dedication, health care system and your incredible Government courage. Hospice of Ontario palliative careandisthea Ministry critical partof of Health, Ontario’sthank you for health careyour dedication, system and compassion your incredible and contributions help to improve the quality of life for individuals and families across the province. courage. Hospice palliative care is a critical part of Ontario’s health contributions help to improve the quality of life for individuals and families across the province. care system and your incredible contributions help to improve the quality of life for individuals and families across the province. I want to recognize Hospice Palliative Care Ontario for its efforts to promote Advance Care Planning I want and to recognize improve Hospice access toPalliative Care high quality Ontariopalliative hospice for its efforts care to forpromote Advance all Ontarians. OurCare Planningis government I want to and improve recognize access to highHospice quality Palliative hospice Care Ontario palliative care for for its all efforts to promote Ontarians. Advance Care Our government is Planning committed to ensuring patients receive the care, dignity and respect they deserve throughout their and committed improve access to high quality hospice palliative care for all Ontarians. Our government is lives,toand ensuring we arepatients proud toreceive the care, call Hospice dignity Care Palliative and respect Ontariothey deserve a valued throughout partner. We willtheircontinue to committed lives, and we are to ensuring callpatients receive the Care care, dignity and respect they deserve throughout to their ensure the proud sectortohas theHospice supportPalliative and resourcesOntario it needs a tovalued care partner. We will continue for Ontarians. lives, and we are proud to call Hospice Palliative Care ensure the sector has the support and resources it needs to care for Ontarians. Ontario a valued partner. We will continue to ensure the sector has the support and resources it needs to care for Ontarians. As we continue to improve the experiences of patients and providers in our health system, we remain As we committed continue totoimprove listening the toexperiences and collaboratingof patients and providers with health care leaders in ourand health system, weincluding organizations, remain As committed we continue to listening to improve to Care the and collaborating experiences of with health patients care and leaders providers andcare in our health organizations, system, we remain Hospice Palliative Ontario. Together, we will build a health system thatincluding puts the needs of Hospicecommitted Palliative to listening to and collaborating willwith health carecareleaders andthat organizations, including patients andCare Ontario. families at theTogether, centre of we each build and a health every decision. system puts the needs of Hospice Palliative Care Ontario. Together, patients and families at the centre of each and every decision. we will build a health care system that puts the needs of patients and families at the centre of each and every decision. Thank you again for your ongoing commitment to Ontarians and their families during this Thank unprecedented you again for your time.ongoing commitment to Ontarians and their families during this Thank youtime. unprecedented again for your ongoing commitment to Ontarians and their families during this unprecedented time. I wish you an informative and successful conference. I wish you an informative and successful conference. I wish you an informative and successful conference. Sincerely, Sincerely, Sincerely, Christine Elliott Christine ElliottPremier and Minister of Health and Long-Term Care Deputy DeputyChristine PremierElliott and Minister of Health and Long-Term Care Deputy Premier and Minister of Health and Long-Term Care
WHO WE ARE Hospice Palliative Care Ontario is a provincial association of hospice palliative care organizations and individuals working and volunteering throughout Ontario. We strive for a future where every person in Ontario has access to quality hospice palliative care. Our Purpose Our Mission Our Vision We strive for a future where To provide leadership on behalf To be the unified voice of every person in Ontario has of our members by informing collaborative, quality hospice access to quality hospice policy and promoting awareness, palliative care in Ontario. palliative care. education, knowledge transfer and best practices in the pursuit of quality hospice palliative care in Ontario. WHAT WE VALUE Courage Integrity Respect We make the best decisions We are professional and honest We value the diversity of our not just the popular ones. We in our relationships, we honour members and stakeholders, dare to go down new roads and our commitments, and we hold their opinions, experiences, challenge accepted wisdom. We ourselves accountable. and contributions. place clear expectations on one another and promote change. STRATEGIC PRIORITIES For The People For Our Members For Our Organization We will improve access We will provide leadership We will strengthen sustainability HPCO will improve access to HPCO will be proactive in public high quality hospice palliative policy, government relations, HPCO will create social care and build providers’ and stakeholder relations that enterprise that sustains the capacity to deliver care. improve access to hospice charitable mission of the palliative care. organization. Hospice Palliative Care Ontario’s 2021 Conference – April 18-20 4
THE NEW NORMAL OF HOSPICE PALLIATIVE CARE IN A PANDEMIC WORLD DEAR CONFERENCE DELEGATES: Welcome to Hospice Palliative Care Ontario’s 2021 virtual conference. We appreciate that in this time of major system change, tremendous demand for hospice palliative care, and the added stress of coping with the COVID-19 pandemic, your time is extremely valuable. That you have taken the time to attend the conference reflects your commitment to learning and sharing knowledge to ensure hospice palliative care is all it can be for the people of Ontario. The challenges faced by the sector and the world over the past year have truly showcased the importance of perpetual innovation and adaptability. This year we are excited to bring you virtual workshops, keynotes, and oral papers aligned to the conference theme: The New Normal of Hospice Palliative Care in a Pandemic World, as well as many other topics. HPCO’s annual conference is known for its interdisciplinary nature with hundreds of thought leaders, service providers, health system planners, researchers, policy makers, administrators, front-line practitioners, and volunteers coming together to learn, network, and share innovative hospice palliative care solutions. Over 91% of delegates attending the 2020 conference said that the education and information they received would help initiate change in their practices. We are excited to share this year’s program with you and trust you will find inspiration and value in your conference experience. Our thanks to Conference Co-Chairs Pamela Blackwood and Nadine Persaud and to the Program Advisory Committee for bringing this event together for you. We encourage you to enjoy and explore the opportunities to learn and collaborate with one another, so that together we can improve quality hospice palliative care throughout Ontario. Sincerely, Vivian Papaiz Rick Firth Chair of the Board President & CEO Hospice Palliative Care Ontario Hospice Palliative Care Ontario Hospice Palliative Care Ontario’s 2021 Conference – April 18-20 5
THE NEW NORMAL OF HOSPICE PALLIATIVE CARE IN A PANDEMIC WORLD HPCO’S BOARD OF DIRECTORS Vivian Papaiz, RN, MN, PhD(cand.), Gretchen Van Riesen, B.Sc Chris Froggatt, PS CHPCN(C), CCHN(C) Board Secretary Audit & Risk Management Chair of the Board Chair of Governance Committee Committee Chair of Executive Committee Executive Committee Founding Partner Chair of Nominating Committee Advocacy Consultant Loyalist Public Affairs Director of Academic Operations Pension Investment Association Toronto and Ottawa Faculty of Health Sciences and of Canada Environmental Studies Toronto Royanne Gale, RN, CHPCN(C) Canadore College of Applied Arts Governance Committee & Technology Karen Candy, MA Clinical Practice Manager North Bay Audit & Risk Management CarePartners Committee Kitchener Rod Malcolm, B.Comm Executive Director Vice Chair of the Board The Carpenter Hospice Burlington Emmi Perkins, MHsc Executive Committee Governance Committee Nominating Committee Director of Transformation Finance Committee Rosario Cartagena, MSc, JD, Guelph Health Team Managing Partner and the LLM, CIPP/C Guelph Global Consumer Practice Leader Chair of Audit & Risk DHR International Management Committee Chief Privacy and Legal Officer Maria Rugg, RN BScN MN Toronto CHPCN(C) CHE (cand) Institute of Clinical Evaluative Sciences John Crean, B.A. C.Dir. Toronto Finance Committee Toronto Past Chair of the Board Executive Committee Carol Derbyshire Nominating Committee Finance Committee Jennifer Wilson, AALP, ICD.D Chair, the New Canadian Governance Committee Managing Director Centre of Excellence Trustee of Chatham-Kent Teneo Strategy Director, New Hospital Healthcare Hospice Foundation Toronto Infrastructure Investment Chatham Richard Piticco, CPA, CA, CFA Community Advisor, Treasurer Youth Embracing Today’s Youth (Y.E.T.Y) Chair of Finance Committee Toronto Executive Committee Vice President, Student Services CPA Ontario Toronto Connect @hpcontario #HPCO2021 with HPCO Hospice Palliative Care Ontario on Social Media hospicepalliativecareontario Hospice Palliative Care Ontario’s 2021 Conference – April 18-20 6
THE NEW NORMAL OF HOSPICE PALLIATIVE CARE IN A PANDEMIC WORLD DEAR FRIENDS AND COLLEAGUES, On behalf of the Conference Program Advisory Committee, welcome you to the 2021 Hospice Palliative Care Ontario Conference: The New Normal in Hospice Palliative Care in a Pandemic World. The conference team has assembled an extraordinary series of keynote speakers, workshops, and oral papers, presented through a multitude of unique and diverse lenses to enhance your knowledge and skills. At a time when healthcare is stretched to the max, we would like to thank all of our conference delegates for taking the time to attend the conference. We know you will not be disappointed. The global COVID-19 pandemic is now more than a year old and has impacted each of us on personal and professional levels. Also, on a global basis, people are discussing what good hospice palliative care is, and especially during a pandemic. We have witnessed loss at a rate that is unfamiliar to many. We have been experiencing grief and trauma in many ways. The care you provide is needed now more than ever. Through all the hardships, frontline workers have been under unfathomable stress. The unwavering support and sacrifices that have been made to protect and continue to serve those most vulnerable. This conference will demonstrate the lessons learned and the way forward. It will share the lived experiences of many and help us become comfortable with our new “normal”. This pandemic has made us appreciate those we love even more and truly understand the importance of human touch and connection. We hope this conference will support us to feel connected in different ways. It takes a dedicated team of individuals to make this conference a success. Our heartfelt thanks to the Conference Program Advisory Committee and the many individuals who were on the Abstract Review Team for sharing their knowledge and time to bring you a comprehensive conference program. Conference is not possible without the generous support of our exhibitors and sponsors. We appreciate their commitment and financial support and encourage you to visit with them virtually. Enjoy the 2021 Conference. Fingers crossed we can meet again in-person in 2022! Pamela Blackwood Nadine Persaud Conference Co-Chair Conference Co-Chair Hospice Palliative Care Ontario Hospice Palliative Care Ontario 2021 2021 Hospice Palliative Care Ontario’s 2021 Conference – April 18-20 7
PRODUCTS AND SERVICES HPCO is committed to leading the hospice palliative care sector to improve access and enhance quality by providing valued services and products. Communities of Practice Interest Groups for Hospices Communities of Practice are organized around a Each Interest Group is organized around a specific topic and allow individuals who share a passion Staff/Board role within a hospice, currently including: for what they do to interact regularly and • Board Chair learn from one another. HPCO has five active • Hospice Residence ED Communities of Practice: • Visiting Hospice ED • Health Care Consent Advanced Care Planning • Design and Build • Rural Hospice Palliative Care • Grief and Bereavement • Compassionate Communities • Coordinator of Volunteers • Fund Development • Hospice Residence Clinical Lead • Complementary Therapy Hospice Metrics Platform The Hospice Metrics platform is a quality measurement system that allows patients to have a voice and share their thoughts about the hospice palliative care they receive. This initiative focuses on the collection and analysis of patient-centered outcomes based on feedback from patients, clients, and caregivers. By incorporating information from hospice patients and their families in real-time, the Metrics platform promotes collaboration and shared decision-making to improve overall health outcomes. The Hospice Metrics platform is an accessible web-based solution that was designed to transform the data into relevant, actionable, and useful insights to communicate the impact of hospice services. Hospice Standards & Publications Health Care Consent and Advance Care Planning Hospice Standards set the minimum required For many years HPCO has led Ontario efforts to improve expectations that differentiate the operations, awareness and understanding of Health Care Consent, work and philosophy of hospice-based services Advance Care Planning, and Goals of Care. For more from other community support services. The information, please visit www.speakupontario.ca. HPCO Hospice Standards framework contains • Advance Care Planning Ontario Guide 4 major components: • Online Resource Guide 1. Organizational Oversight • Videos, Posters, Postcards, Bookmarks, and 2. Volunteer Management Wallet Cards • Person-Centred Decision-Making Toolkit 3. Service Standards • Person-Centred Decision-Making E-Learning • Day Hospice Modules • In-Home Hospice • Educational webinars • Hospice Residence • Grief and Bereavement Support • Spiritual Care Volunteer Training • Complementary Therapies The HPCO Hospice Volunteer Training curriculum is 4. Glossary and Resource List built on the expertise of our member hospices and HPCO also offers other publications including: meets the requirements of HPCO Standards. • How to Build a Hospice Residence The curriculum consists of 15 required topics that • How to Develop a Volunteer Visiting Hospice address 75 competencies and contains a Facilitator’s Program Guide, Volunteer Handbook, and online modules. Member benefits for insurance, employee benefits, group purchasing, and more. For more information about membership, please visit www.hpco.ca/join-us Hospice Palliative Care Ontario’s 2021 Conference – April 18-20 8
Oxygen & respiratory therapies IPAC protocols and managing aerosol generating medical procedures End of life respiratory care Complex respiratory care
THE NEW NORMAL OF HOSPICE PALLIATIVE CARE IN A PANDEMIC WORLD GENERAL INFORMATION We look forward to welcoming you virtually from your office or home for HPCO2021! We have a wealth of knowledge Conference Disclaimer coming your way with an array of outstanding speakers you The opinions expressed in presentations are that of won’t want to miss. This year Hospice Palliative Care Ontario the speaker or author and not of HPCO. HPCO accepts (HPCO) is using the PheedLoop virtual conferencing platform. no responsibility for the opinions expressed, advice This is an all-in-one conference platform where you can enjoy or information contained in this program, given or the conference without ever having to leave the site. otherwise provided at the conference or of the manner in which it might be possible to do so. Conference HPCO’s staff, volunteers and committee members are attendees should rely on their own inquiries for committed to creating an interactive virtual experience; verification. HPCO intends by this statement to with a mix of informative keynote speakers, engagement exclude liability for any opinions expressed, advice or with peer-led workshop and oral paper presentations, information presented. participation in attendee-driven discussions, industry insights and shared moments networking with peers. The opportunity The conference program is correct at the time of to connect with exhibitor organizations providing the publication. However, HPCO reserves the right to solutions and services you need. change dates, times and the program speakers without notice as a result of circumstances beyond its control. Presentation Handouts and While every effort is made to ensure the accuracy of the information contained in the onsite program or PowerPoint Presentations provided at the conference, HPCO, its officers, board Where applicable, some Presentations Handouts and of directors, employees, volunteers or conference PowerPoint Presentations have been provided for your advisory committee members assume no responsibility reference in advance of the conference. Select Presentation for its content, use or interpretation. Handouts and PowerPoint Presentations are available for HPCO staff and conference management does not download from the conference website. warrant or guarantee the quality or reliability of any Visit conference.hpco.ca and use the Password, HPCO2021 information, products or services offered by Exhibitors, to access the page. Supporters, or Speakers. In particular, HPCO does not warrant or guarantee the Exhibitor Spotlight & Supporters truth or accuracy of any representations, expressed, implied, made by Exhibitors, nor the merchantability HPCO is grateful to the Sponsors and Exhibitors whose or reliability of any products or services offered by participation permits HPCO to bring together the sector’s’ Exhibitors. Accordingly, under no circumstances, shall finest presentations and presenters for one of the province’s HPCO or its corporate affiliates, and their directors, preeminent hospice palliative care educational conference. officers, employees, agents or representatives, be Be sure to visit our supporters on conference.hpco.ca to learn liable for any damages, including indirect, incidental more about them and how they can help you. or consequential, arising in any way from information, Daily at 12:30pm, you may visit our exclusive virtual Exhibitor products or services offered or provided by Exhibitors. Spotlights. Where via an exclusive session delegates will have the opportunity to connect with exhibitors highlighting Presenter Disclosure of Possible Conflict products & services followed by a Q&A. of Interest and Transparency to Learners Oral Paper & Poster Presentations In an effort to achieve proper balance, independence, objectivity and scientific rigor for educational sessions, Oral Papers are being presented virtually between 9:45 and speakers are asked to disclose, through a declaration 10:45 am Monday and Tuesday. Please see the complete list consisting of three conflict of interest slides, any real of Oral Paper Presentations on pages 24-27. or apparent conflict of interest that may have a direct Poster Presentations are located virtually in the Poster bearing on the subject matter being presented. Presentations Hall. Posters are on display throughout the conference. Authors will be on hand (in the Poster Privacy Presentations Hall) to answer questions: Sunday, April 18th, 3:00 pm - 4:00 pm, Monday, April 19th and Tuesday, Supporters receive a list of attendees for follow-up April 20th, 12:00 pm - 12:30 pm. See the complete list of communication related to products and services. Poster Presentations on pages 28-29. Hospice Palliative Care Ontario’s 2021 Conference – April 18-20 10
Strengthening End of Life Care in Canada for People Most in Need $6 Million The Capacity Journey Invested Reflection Development Home Hospice since 2015 Room® Online learning Toronto’s only hospice specifically Benefitting 120 Starting for hospice for the homeless community has Hospices meaningful volunteers in expanded. Contact us to support the discussions partnership campaign and consider a naming about dying with HPCO opportunity for a lasting tribute. and death Learn more about our impacts at sehc.com/foundation/donate We would love to speak with you about legacy giving opportunities. Saint Elizabeth Contact our team today: foundation@sehc.com or 905.968.6516 Foundation
THE NEW NORMAL OF HOSPICE PALLIATIVE CARE IN A PANDEMIC WORLD AWARDS & SCHOLARSHIPS Hospice Palliative Care Ontario Awards and scholarships THE JUNE CALLWOOD AWARD was established in 1995 honour individuals, groups, and organizations for their to acknowledge outstanding hospice volunteers throughout outstanding contributions to quality hospice palliative Ontario. The award was named in honour of the late June care. Every day, thousands of people work and volunteer Callwood, the Award Patron, and long time advocate of in hospice palliative care. Compassion, professionalism, hospice, community activist, author and recipient of the Order dedication and outstanding leadership are the hallmarks of Canada. To date, over 700 individuals have been inducted of hospice palliative care. Each year, HPCO endeavours into the June Callwood Circle of Outstanding Volunteers. to recognize the truly exceptional individuals and groups from among the very best health care professionals and HOSPICE PALLIATIVE CARE ONTARIO OUTSTANDING volunteers across Ontario. PHILANTHROPIST AWARD recognizes and shows our appreciation for those individuals, families, corporations, foundations, and community and service organizations Awards who best exemplify vision, financial support and dedication towards fostering the true spirit of hospice palliative THE DOROTHY LEY AWARD OF EXCELLENCE IN care in Ontario. While the financial support offered by HOSPICE PALLIATIVE CARE is named in honour of these philanthropists is important to our cause, it is the the late Dr. Dorothy Ley, one of Canada’s first champions encouragement and validation of our efforts that means so of end-of-life care. She brought a unique individuality to much to us as individuals. They are truly the “unsung heroes” the field of hospice and palliative care, and maintained a of hospice palliative care in Ontario. highly visible and vocal presence during her distinguished career until her death in 1994. The award is presented annually in recognition of an individual or team effort to Scholarships advance and improve the quality of hospice care. THE JOAN LESMOND HPCO SCHOLARSHIP honours the THE DR. S. LAWRENCE LIBRACH AWARD FOR memory of our friend, colleague, and former Board member. PALLIATIVE MEDICINE IN THE COMMUNITY Joan was a nurse, educator, mentor, and life-long learner. The Throughout his 35 years in palliative care, Dr. Librach was scholarship reflects Joan’s commitment to life-long learning, a teacher and mentor, an encouraging and enthusiastic mentorship, and community-based hospice palliative care, as colleague and friend who embraced every opportunity well as her commitment to mentoring Black nurses as one of to give of himself, and who consistently inspired others the first mentors in the Black Nurses Network. In 2020, the to do the same. The award is bestowed annually to a scholarship was focused to benefit Black nurses and promote physician who demonstrates excellence and leadership diversity and inclusion within the hospice palliative care field. in palliative care and who advances palliative care in their communities through the mentorship of family THE LIFE AND DEATH MATTERS PERSONAL SUPPORT physicians. WORKER HOSPICE PALLIATIVE CARE SCHOLARSHIP celebrates Frances Montgomery and her commitment to caring for the dying. It acknowledges the invaluable THE MOUNT PLEASANT GROUP AWARD contribution of Personal Support Workers in providing centres around innovation; a familiar theme in excellent care for the dying, support for families and loved community hospice care. Hospices have been innovating ones, and helping to move quality hospice palliative care ways to provide practical, emotional, spiritual, and forward in Ontario. bereavement support for many years. As the hospice movement grew, innovation in technology, program delivery, client engagement, and system design has A complete list of past award and scholarship recipients is helped meet the clients’ needs. In recognition of the available at hpco.ca/awards. constant of innovation, Hospice Palliative Care Ontario has partnered with the Mount Pleasant Group to offer Our thanks to the following individuals for adjudicating the Mount Pleasant Group Hospice Innovation Award. the 2021 award nominations: Beth Ellis, Julie Johnston, This is a geographically based award open to hospices Karen Candy, Rosslynn Bently, Stephanie Siamandouris, physically located in either Durham, Peel, Toronto, or York Sandy Buchman, Bob Sauls, Adam Rappaport, Andrea Binkle, Region. Marg Poling. Hospice Palliative Care Ontario’s 2021 Conference – April 18-20 12
OCTOBER 21 & 22, 2021 VIRTUAL The Road Ahead – Staying the Course Join us for the first virtual Canadian Hospice Palliative Care Conference. This dynamic online event promises to be a wonderful learning and networking experience! Program Features: Conference Streams: • Three Top Notch Plenary Speakers • Clinical Practice: including Research and KT, and COVID-19 • Eight Challenge Panel Presentations • Underserved Populations and Equity: including • Concurrent Abstract Driven Workshops Pediatrics, Indigenous Community, Long Term and Oral Presentations Care, Research and KT, and COVID-19 • Virtual Poster Presentations • Health Systems, Public Health, Compassionate Communities, and Integration: including • Opening and Closing Ceremonies, featuring the presentation of the CHPCA’s Research and KT, and COVID-19 Award of Excellence, Pediatric Award • Advance Care Planning, Grief and of Excellence, Balfour Mount Champion Bereavement: including Research and KT, and Award, and the Media Award COVID-19 • Virtual Exhibit Hall • Policy, Advocacy, and MAiD: including Research and KT, and COVID-19 • Online Networking Opportunities • Leadership and Management: including • Plus Much More Research and KT, and COVID-19 TO SUBMIT AN ABSTRACT for the conference, please visit the website at: chpca.ca/conference/abstracts/ FURTHER CONFERENCE INFORMATION and details about speakers will be announced online, please check chpca.ca/conference/ for updates. If you would like to sign up for conference alerts, please contact info@chpca.net
THE NEW NORMAL OF HOSPICE PALLIATIVE CARE IN A PANDEMIC WORLD CONFERENCE TEAM Planning the conference is a team effort that involve the contribution of many people who contribute their time and expertise to the development of an exceptional educational program. HPCO thanks all those involved in planning this year’s conference. Conference Planning Team Program Advisory Committee Pamela Blackwood, (Co-Chair) Executive Director & Abstract Reviewers McNally House The Program Advisory Committee consists of Nadine Persaud, BSW, MSW, RSW, PhD, (Co-Chair) dedicated Volunteers, HPCO Staff and Volunteer Director of Client Services Abstract Reviewers whose own time and expertise Kensington Health is reflected in the program educational content and Rick Firth the conference’s overall environment. President & Chief Executive Officer Hospice Palliative Care Ontario A huge thank you to the 2021 Program Advisory Jennifer Mossop Committee: Communications & Government Relations Advisor Michael Anderson, MD, MSc, FRCSC Hospice Palliative Care Ontario Andrea Binkle, RN MA Randy Markus Christopher Klinger, PhD Conference Manager Cherie Kok Hospice Palliative Care Ontario Amanda Maragos, CVM Vanessa Casalinuovo Communications and Donor Relations Coordinator Jitin Sondhi, HBSc, MD, CCFP(PC) Hospice Palliative Care Ontario Nadine Valk, BA, MPA Richard Nguyen Education Coordinator Thank you to the Abstract Reviewers: Hospice Palliative Care Ontario Andrea Binkle, Adam Rapoport, Beth Bellis, Amanda Camacho, Annie Bondy, Barbara Ballantyne, Charlotte Koso, Christopher Klinger, HPCO Staff Support Daphne Sniekers, Deanna Bryant, Janet Fairbridge, Julie Darnay Haley Draper, Helen Senderovich, Jehanara Chagani, Director, Education & Strategic Partnerships Kim Rogers, Lesley Patterson, Lianne Valiquette, Hospice Palliative Care Ontario Maria Rugg, Martin Chasen, Meagan Alexander, Christine Gordon Michelle Crepeau, Nadine Gebara, Nadine Persaud, Director, Centre for Excellence in Hospice Palliative Care Nadine Valk, Sherry Cain, Sheila Mahoney, Sue Hospice Palliative Care Ontario Shipley, Tara Walton, Bev Foster Selina Abetkoff Accreditation Coordinator Hospice Palliative Care Ontario Conference Volunteers Nav Dhillon HPCO extends a heartfelt thanks to those who Community of Practice Coordinator volunteered for the conference. We couldn’t do it Hospice Palliative Care Ontario without them! Melissa Horner Executive Assistant to the President & CEO Hospice Palliative Care Ontario Nithya Ravi Administrative Coordinator Hospice Palliative Care Ontario James Willie Member Services Coordinator Hospice Palliative Care Ontario Brent Yang Coordinator, Quality Measurement Hospice Palliative Care Ontario Hospice Palliative Care Ontario’s 2021 Conference – April 18-20 14
THE NEW NORMAL OF HOSPICE PALLIATIVE CARE IN A PANDEMIC WORLD CONFERENCE WORKSHOP STREAMS The workshop sessions have been scheduled into the program agenda by streams, so that conference participants can easily zero in on sessions most relevant to their discipline or practice. They are only guidelines to help you choose from the over 38 concurrent workshops being offered. PANDEMIC LESSONS LEARNED - PLL ANTI-RACISM AND EQUITABLE ACCESS TO The pandemic has impacted almost every aspect of health CARE - AREAC care, from service planning to care delivery. For this stream we welcome submissions on topics from conference streams Examples: but presented through the lens of the pandemic and lessons • Eliminating racism against Black, Indigenous, and People of learned. Colour in health care Examples: • Innovations in providing palliative care in rural and remote • How to lead with compassion in times of a pandemic communities • Data collection and research in times of a pandemic • Improving access to care for and meeting the needs of • What can we learn from providing hospice palliative care in diverse populations and marginalized people a pandemic • Social determinates of health and the role this plays in the • Strategies to deal with fatigue and stress access • Supporting and protecting the physical and mental well- being of front-line health care workers • Innovations in care delivery, virtual support and care QUALITY CLINICAL PRACTICE - QCP • The effects of the pandemic on marginalized communities • Advance Care Planning in a pandemic Examples: • Improving health equity for vulnerable population effected • Approaches to pain and symptom management in patients by the pandemic at end of life with COVID-19 • Social determinates of health and the role this plays in the • Facilitating goals of care conversations during COVID-19 pandemic • Impact of virtual technology to facilitate family/caregiver • Enhancing patient and caregiver engagement in a pandemic presence in hospital/hospice/LTC during pandemic (with • Improving health equity for vulnerable populations effected visitor restrictions) by the pandemic and mediating its effects • Impact of COVID-19 pandemic on patient choices for care at • Pivoting to Virtual Care - Successes and Lessons Learned end of life • Pandemic driving EOL care at home for families/individuals who would otherwise have chosen PCU/hospice (ie not CARING FOR PATIENTS, FAMILIES & particularly comfortable with EOL at home) • Where to perform MAID when Home is Unsafe/Unavailable, CAREGIVERS - CPFC particularly in a Pandemic Setting and Barriers to PCU Examples: • Ethical decision making at end of life • Psychosocial, Spiritual, and Bereavement Care THE FOURTH AIM - WELLNESS OF THE • Palliative Approach to Care • Caring for the Caregiver HEALTH CARE TEAM - TFA • Advance Care Planning Examples: • Complementary therapies • Recognizing signs of burnout and how to sustain our • Compassionate Communities wellness • How to support staff wellness • Strategies to decrease the impact of moral distress LEADERSHIP AND SYSTEM DESIGN - LSD • Grief and Bereavement support for front line workers Examples: • Hospice development • Collaborative governance • Partnerships for care delivery • Removing regulatory and policy barriers to improving care • Measuring quality, outcomes, and impact • Models of care to increase access and enable quality care • Overcoming the Financial Impacts of a pandemic • Best practices in virtual fundraising Hospice Palliative Care Ontario’s 2021 Conference – April 18-20 16
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THE NEW NORMAL OF HOSPICE PALLIATIVE CARE IN A PANDEMIC WORLD CONFERENCE AT-A-GLANCE SUNDAY, APRIL 18, 2021 8:00 Welcome Remarks 8:15 Sunday Keynote Presentation: Hospice Palliative Care During COVID - Lighting a Path to Whole Person Caring • Dr. Ira Byock, MD, FAAHPM 9:30 Break 9:45 CONCURRENT WORKSHOP SESSIONS - Series 100 Session # Stream Session Title and Speaker(s) 10:45 Collecting Health Equity Data: Considerations, Barriers and Facilitators in a Home-Based Palliative Care 101 AREAC Program • Dr. Evan Schneider, Dr. Alissa Tedesco, Dr Sarina Isenberg, Allison Kurahashi Is it Okay to Die Laughing? 102 CPFC • Cynthia Breadner New HPCO Compassionate Communities Virtual Programs and Tools to Get Started in Your Community 103 LSD • Julie Darnay, Deborah Sattler, Jennie Beck, Marium Rubab, Victoria Palmer, Elnaz Haghjoo, Melika Tamimi, Elizabeth Bae, Mechaela Calixtro After the Diagnosis: Supporting a Child or Teen Through a Family Member’s Life Limiting Illness 104 CPFC • Sharon O’Donnell Rapid Deployment of Palliative Care Teams to Support Long-Term Care Facilities During the COVID-19 105 PLL Pandemic • Dr. Amit Arya, Dr. James Downar Are We Now More Empathetic, Compassionate, and Understanding Towards Difference? 106 PLL • Vilma Oliveros 10:45 Break 11:00 CONCURRENT WORKSHOP SESSIONS - Series 200 Session # Stream Session Title and Speaker(s) 12:00 Bridging the Gap: Delivering a Three-Tiered Grief Support Model for Individuals with Developmental 201 AREAC Disabilities During a Pandemic • Tina Kavarana, Wendy Neely, Nikita Dutt, Sophia King To the End of the Road: Supporting Palliative Care in LTC 202 CPFC • Natalie Spence, Emily Farrell Compassionate Community Sustainability Guide - Moving Compassionate Community Initiatives from 203 CPFC Startup to Scale and Spread • Bonnie Tompkins Addressing the Needs of those who Identify as Two-Spirit and LGBTQ+ People and are Living with 204 AREAC Advanced Illness • Albert McLeod, Kathy Kortes-Miller, Clare Freeman, Jade Sol The CAPACITI Study to Operationalize Palliative Care into Primary Care Teams: What it could mean for 205 QCP My Community Team • Dr. Hsien Seow, Dr. Daryl Bainbridge 12:00 Lunch Break 12:30 Hospice Palliative Care Ontario’s 2021 Conference – April 18-20 19
THE NEW NORMAL OF HOSPICE PALLIATIVE CARE IN A PANDEMIC WORLD LOCATION (LL) = Lower Level 12:30 EXHIBITOR SPOTLIGHTS 1:30 Break 1:45 CONCURRENT WORKSHOP SESSIONS - Series 300 Session # Stream Session Title and Speaker(s) 2:45 Spiritual Care is not Religion 301 CPFC • Cynthia Breadner Palliative Care in Long-Term Care: COVID-19 and Beyond 302 PLL • Dr. Amit Arya, Dr. Naheed Dosani HPCO’s Person Centred Decision Making Project: Key Learnings and Next Steps 303 LSD • Dr. Nadia Incardona, Dr. Leah Steinberg, Dr. Jeff Myers The Building of Ed’s House: A Case Study 304 LSD • Deborah Burgess, Lynda Kay, Trish Baird Embracing Change in a Pandemic World - A Palliative Approach to Care for Individuals with a 305 PLL Developmental Disability LOCATION • Phoenix Hahn (LL) = Lower Level The Living Right Now Model 306 QCP • Kimberly Woodland, Maria Borczyk 2:45 Break 3:00 4:00 Visit the Poster Presentations Hall (Poster Showcase) Have you done your Workshop Evaluations? https://www.surveymonkey.com/r/SessEval2021 Hospice Palliative Care Ontario’s 2021 Conference – April 18-20 20
THE NEW NORMAL OF HOSPICE PALLIATIVE CARE IN A PANDEMIC WORLD MONDAY, APRIL 19, 2021 8:00 Opening Remarks 8:30 Monday Keynote Presentation: Opportunities for Virtual Care to Support Complex Patients in the Community • Dr. Payal Agarwal, MD 9:30 Break 9:45 ORAL PAPER PRESENTATIONS - Series 1 - 4 Series # Presentation Title 10:45 1. Will Anyone Make a House Call? The Development of a Paediatric Palliative Care Community Partners Database 2. Health Equity in an Urban Palliative Care Unit in Toronto, Ontario - A Retrospective Chart Review 1 3. Online Education During a Pandemic and Beyond – The Canadian Palliative Care Education for Personal Support Workers - Online 1. Supporting Informal Caregivers in Hospice Palliative Care: Interventions for the ‘New Normal’ 2. The Grief and Bereavement Experiences of Informal Caregivers: A Scoping Review of the Literature 2 3. “If I Can Help” Motivations for Participating in a Long-Term Care International Patient and Public Engagement Panel during the COVID-19 pandemic 1. Characterizing the Financial Burden of Advanced Cancer: Interim Analysis of Financial Effects Data from People Living with Advanced Colorectal Cancer 3 2. Determining the Perspectives of Bereaved Caregivers to Improve the Quality of Care provided in Hospice Care Ottawa Hospice Residences 3. Shining a Light on Patients whose Light is Beginning to Flicker: A Primary Care Quality Project 1. “Talking about Death Won’t Kill You”: Using a Book Chat in Compassionate Communities 2. Care Map Program - Supporting Caregivers through Awareness, Conversation and Connection 4 3. The Quality of Bereavement for Caregivers of Patients who Died by Medical Assistance in Dying (MAiD) at Home and the Factors Impacting Their Experience: A Qualitative Study 10:45 Break 11:00 CONCURRENT WORKSHOP SESSIONS - Series 400 Session # Stream Session Title and Speaker(s) 12:00 A Critical Gap: Improving Palliative Care for Indigenous Peoples 401 AREAC • Holly Prince VON’s Virtual Bereavement Support Series 402 CPFC • Becky Ahrens Lessons Learned: Leveraging the OPCN Health Service Delivery Framework during the COVID-19 Pandemic 403 PLL • Dr. Darren Cargill, Susan Blacker, Dr. Martin Chasen, Amber Hultink, Chelsea Lanos, Kathy Davison, Jehanara Chagani, Mark Raqueno A Pandemic Lesson: Palliative Care is Everyone’s Business 404 PLL • Jeffrey Moat Communicating Suffering and Exploring Compassionate Healing 405 TFA • Celina Carter, Teri Henderson, Ruth Luginbuehl 12:00 Lunch Break 12:30 Hospice Palliative Care Ontario’s 2021 Conference – April 18-20 21
THE NEW NORMAL OF HOSPICE PALLIATIVE CARE IN A PANDEMIC WORLD 12:30 EXHIBITOR SPOTLIGHTS 1:30 Break 1:45 CONCURRENT WORKSHOP SESSIONS - Series 500 Session # Stream Session Title and Speaker(s) 2:45 Improving Access to Care at the Margins: Journey Home Hospice’s Impact on Toronto’s Homeless 501 AREAC Community • Dr. Sheri Bergeron Building a Performance Scorecard Aligned OHT Quadruple Aims 502 LSD • Brian Tramontini Applying Cultural Safety in Palliative Care 503 AREAC • Kath Murray, Michelle Monkman Waiting Room Revolution: Uncovering the Keys to a Better Illness Experience 504 AREAC • Dr. Hsien Seow, Dr. Samantha Winemaker Learning About Electronic Recordkeeping using InfoAnywhere - For New Users 505 LSD • Ian Farr Enhancing Resilience - Virtual Self-Compassion Training for Individuals with Life-Limiting Illness, Caregivers 506 CPFC and the Bereaved - Part 1 • Amanda Brown, Anita Csapo, Pranita Murphy 2:45 Break 3:00 CONCURRENT WORKSHOP SESSIONS - Series 600 4:00 Session # Stream Session Title and Speaker(s) Trauma-Informed Palliative Care: A Focus on COVID-19 through the Blending of Multiple Lenses 601 AREAC • Dr. Naheed Dosani, Dr. Amit Arya, Nadine Persaud, Rami Shami Using Digital Stories in Compassionate Communities 602 CPFC • Dr. Mary Lou Kelley, John Cosgrove, Michelle de Courville Nicol Barriers to Providing Care to Patients Receiving Aerosol Generating Medical Procedures (AGMP) in 603 PLL Residential Hospice during the Covid-19 Pandemic • Dr. Daniel Vincent Supporting Staff Wellness 604 TFA • Michelle O’Rourke InfoAnywhere - Questions and Answers with The Founder - New Feature Showcase and Q & A Session 605 LSD for Existing Users • Ian Farr Enhancing Resilience - Virtual Self-Compassion Training for Individuals with Life-Limiting Illness, 606 CPFC Caregivers and the Bereaved - Part 2 • Amanda Brown, Anita Csapo, Pranita Murphy 4:00 Break 4:15 The Carmelita Lawlor Lectureship in Palliative Care Title: In the Shadow of the Pandemic: Where Do We Go from Here? • Recipient: Dr. Robert Sauls, MD 5:15 Hospice Palliative Care Ontario’s 2021 Conference – April 18-20 22
THE NEW NORMAL OF HOSPICE PALLIATIVE CARE IN A PANDEMIC WORLD TUESDAY, APRIL 20, 2021 8:00 Opening Remarks 8:30 Tuesday Keynote Presentation: One Year Later: What Have We Learned About Hospice Palliative Care During a Pandemic • Dr. Naheed Dosani, Dr. Sandy Buchman, Dr. Leah Steinberg, Dr. James Downar, Dr. Denise Marshall, Dr. Fred Mather 9:30 Break 9:45 ORAL PAPER PRESENTATIONS - Series 5 - 9 10:45 Series # Presentation Title 1. Grief Workshop for Indigenous Peoples - Gashkendamede’e 5 2. IMPACT: Early Lessons from the Toronto Perinatal Palliative Care Pilot 3. Canadian Atlas of Palliative Care: Results of the Ontario Pilot Study 1. Towards Culturally Safe Advance Care Planning: A Critical Review of International ACP Documents 2. Answering the Call for Help: Community Hospice Providers Partnering to provide Hospice Palliative Support 6 through Hospice Palliative Helpline (During the Pandemic and Beyond) 3. Primary Care Physicians’ Perceptions on Advance Care Planning Before and During the COVID-19 Pandemic 1. Transitioning to Virtual: Adapting Peer Adolescent Grief Support Groups in a Pandemic 7 2. The 4 Keys to Information Management Due to COVID & Remote Working Changes 3. Symptom Measures from Patients Living with Advanced Cancer During the Pandemic 1. Communicating in a Time of COVID - How Timeliness, Honesty and Humour Can Help 2. “It Was Just-In-Time”: Evaluation of a Compassionate Community Connector Program during the First Wave of 8 COVID-19 3. Enteral and Parenteral Nutrition in Cancer Patients, a Comparison of Complication Rates: An Updated Systematic Review and (Cumulative) Meta-Analysis 1. Clearing the Fog: Improving Communication When There’s Delirium 9 2. Beyond the Hospital: Adapting Community Psychosocial Support for Children and Families during a Pandemic 3. Improving Timely Transfers to a Local Palliative Care Unit for Patients at the End of Their Life 10:45 Break 11:00 CONCURRENT WORKSHOP SESSIONS - Series 700 12:00 Session # Stream Session Title and Speaker(s) Approaching Death Differently 701 CPFC • Doreen Thibert Collaboration during COVID: A Necessity not an Option for Psychosocial Care 702 PLL • Natalie Talma, Maureen Riedler Partners in Care: The Evolution of Caregiver Engagement in a Pandemic World 703 PLL • Amy Coupal Responding to Workplace-Related Grief 704 TFA • Chris MacKinnon Connected Through Cooking - St. Joseph’s Hospice of London 705 CPFC • Allan Barnfieldl, Amanda Brown 12:00 Lunch Break 12:30 EXHIBITOR SPOTLIGHTS 1:30 Break 1:45 Closing Remarks 2:00 Closing Keynote Presentation: Creating Change: Lessons from Solving Healthcare • Dr. Kwadwo Kyeremanteng, MD, MHA, FRPCP 23 3:00 Hospice Palliative Care Ontario’s 2021 Conference – April 18-20
THE NEW NORMAL OF HOSPICE PALLIATIVE CARE IN A PANDEMIC WORLD ORAL PAPER PRESENTATIONS MONDAY, APRIL 19, 2021 9:45 - 10:45AM Series 1 Paper 1 WILL ANYONE MAKE A HOUSE CALL? THE DEVELOPMENT OF A PAEDIATRIC PALLIATIVE CARE COMMUNITY PARTNERS DATABASE Dr. Natalie Jewitt, MD, FRCPC, Paediatric Advanced Care Team Fellow, The Hospital for Sick Children, Toronto, ON; Dr. Katie Boone, MD, MBT, FRCPC, Paediatric Advanced Care Team Fellow, The Hospital for Sick Children, Toronto, ON; Dr. Mark Greenberg, MBChB, Paediatric Oncology Group of Ontario (POGO); Co-Chair, Provincial Paediatric Palliative Care Steering Committee, Toronto, ON; Dr. Adam Rapoport, MD, FRCPC, MHSc, Medical Director, Paediatric Advanced Care Team, The Hospital for Sick Children; Medical Director, Emily’s House Children’s Hospice; Co-Chair, Provincial Paediatric Palliative Care Steering Committee, Toronto, ON; Rebecca Williams, NP-Paeds, MN, Paediatric Advance Care Team, The Hospital for Sick Children, Toronto, ON Paper 2 HEALTH EQUITY IN AN URBAN PALLIATIVE CARE UNIT IN TORONTO, ONTARIO - A RETROSPECTIVE CHART REVIEW Dr. Naushin Walji, MD, CCFP (PC), Temmy Latner Centre for Palliative Care, Toronto, ON; Dr. Sarina Isenberg, MA, PhD, Bruyère Research Institute, Ottawa, ON; Dr. Jeff Myers, MD, MSEd, CCFP(PC), Temmy Latner Centre for Palliative Care, Toronto, ON; Allison Kurahashi, Med, Temmy Latner Centre for Palliative Care, Toronto, ON Paper 3 ONLINE EDUCATION DURING A PANDEMIC AND BEYOND - THE CANADIAN PALLIATIVE CARE EDUCATION FOR PERSONAL SUPPORT WORKERS - ONLINE Katherine Murray, RN, BSN, MA, CHPCN(C), FT, Founder, Life and Death Matters, Saanichton BC; Julie Darnay, Med, Director, Education & Strategic Partnerships, Hospice Palliative Care Ontario, Toronto, ON Series 2 Paper 1 SUPPORTING INFORMAL CAREGIVERS IN HOSPICE PALLIATIVE CARE: INTERVENTIONS FOR THE ‘NEW NORMAL’ Andrew Wan, MHSc, University of Toronto, Translational Research Program, Toronto, ON; Dr. Christopher Klinger, PhD, University of Toronto, Translational Research Program; National Initiative for the Care of the Elderly (NICE); Pallium Canada and Quality End-of-Life Care Coalition of Canada (QELCCC), Toronto, ON; Elaine Lung, HBA, University of Toronto, Health Studies Program and National Initiative for the Care of the Elderly (NICE), Toronto, ON; Ankita Ankita, MD, University of Toronto, Translational Research Program, Toronto, ON; Sharon Baxter, MSW, Canadian Hospice Palliative Care Association (CHPCA) and Quality End-of-Life Care Coalition of Canada (QELCCC), Ottawa, ON; Lisa Benedet, BSc, Canadian Home Care Association (CHCA) and Quality End-of-Life Care Coalition of Canada (QELCCC), Mississauga, ON; Zoe Li, MHSc, University of Toronto, Translational Research Program, Toronto, ON; Dr. Mehrnoush Mirhosseini, MD, College of Family Physicians of Canada (CFPC); Quality End-of-Life Care Coalition of Canada (QELCCC) and University of Alberta, Faculty of Medicine and Dentistry, Edmonton, AB; Dr. Raza M. Mirza, PhD, University of Toronto, Institute for Life Course and Aging and National Initiative for the Care of the Elderly (NICE), Toronto, ON; Karla Thorpe, MSc, Mental Health Commission of Canada (MHCC) and Quality End-of-Life Care Coalition of Canada (QELCCC), Ottawa, ON; Dr. Christina Vadeboncoeur, MD, Canadian Network of Palliative Care for Children (CNPCC); Quality End-of-Life Care Coalition of Canada (QELCCC) and University of Ottawa, Faculty of Medicine, Ottawa, ON Paper 2 THE GRIEF AND BEREAVEMENT EXPERIENCES OF INFORMAL CAREGIVERS: A SCOPING REVIEW OF THE LITERATURE Neerjah Skantharajah, MHSc(c), University of Toronto, Translational Research Program (TRP), Toronto, ON; Carol Barrie, CPA, Canadian Frailty Network (CFN) and Quality End-of-Life Care Coalition of Canada (QELCCC), Kingston, ON; Sharon Baxter, MSW, Canadian Hospice Palliative Care Association (CHPCA) and Quality End-of-Life Care Coalition of Canada (QELCCC), Ottawa, ON; Carolina Borja, HBA(c), University of Toronto, Health Studies Program, Toronto, ON; Anica Butters, HBA(c), University of Toronto, Health Studies Program, Toronto, ON; Dr. Deborah Dudgeon, MD, Quality End-of-Life Care Coalition of Canada (QELCCC); Canadian Partnership Against Cancer (CPAC) and Queen’s University, School of Medicine, Kingston, ON; Ayeshah Haque, MHSc(c), University of Toronto, Translational Research Program (TRP), Toronto, ON; Iqra Mahmood, MHSc(c), University of Toronto, Health Studies Program, Toronto, ON; Dr. Mehrnoush Mirhosseini, MD, College of Family Physicians of Canada (CFPC); Quality End-of-Life Care Coalition of Canada (QELCCC) and University of Alberta, Faculty of Medicine and Dentistry, Edmonton, AB; Dr. Raza M. Mirza, PhD, University of Toronto, Translational Research Program (TRP), Institute for Life Course and Aging and National Initiative for the Care of the Elderly (NICE), Toronto, ON; Ankita Ankita, MD, University of Toronto, Translational Research Program, Toronto, ON; Carly Thrower, MHSc(c), University of Toronto, Translational Research Program (TRP), Toronto, ON; Dr. Christina Vadeboncoeur, MD, Canadian Network of Palliative Care for Children (CNPCC); Quality End-of-Life Care Coalition of Canada (QELCCC) and University of Ottawa, Faculty of Medicine, Ottawa, ON; Andrew Wan, MHSc, University of Toronto, Translational Research Program (TRP), Toronto, ON; Dr. Christopher Klinger, PhD, University of Toronto, Translational Research Program (TRP); Quality End-of-Life Care Coalition of Canada (QELCCC); National Initiative for the Care of the Elderly (NICE) and Pallium Canada, Toronto, ON Hospice Palliative Care Ontario’s 2021 Conference – April 18-20 24
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