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University of Hawaii at Manoa
John A. Burns School of Medicine
Department of Geriatric Medicine
Pacific Islands Geriatric Education Center
Presents
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
Improving the Process
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Intended Audience: physicians, administrators, pharmacists, social workers, nurses and all
allied health professionals.
Sponsored by Hawaii Consortium for Continuing Medical Education
A joint venture between the Hawaii Medical Association and the John A. Burns School of Medicine, University of Hawai’i.
The Hawaii Consortium for Continuing Medical Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The Hawaii Consortium for Continuing Medical Education designates this educational activity for a maximum of 6.5 AMA PRA Category 1 Credits™.
Physicians should only claim credit commensurate with the extent of their participation in the activity.
Contact Information: Vicki Woolford Ph(808) 523-8461 Fax (808) 528-1897 email: [email protected]
University of Hawaii Dept. of Geriatric Medicine, 347 N. Kuakini St. HPM-9 Honolulu, HI 96817
The HCCME fully complies with the legal requirements of the Americans with Disabilities Act rules and regulations. Persons with disabilities who may need auxiliary aids or services must
request accommodations at least one month prior to the program date, so that appropriate arrangements can be made.
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Improving the Process
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Opening Remarks: P. Blanchette, MD, MPH
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Transitions in Care
S. Levenson, MD, CMD & D. Saffel, PharmD, CGP
This session will review issues related to care transitions in all
settings, identify how universal processes in care delivery,
medication use, and transfer forms can improve the safety and
efficacy at all levels of transition.
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Managing Weight Loss: F325 CMS Nutrition Guidance
S. Levenson, MD, CMD & D. Saffel, PharmD, CGP
This session will review key components of the recently updated CMS F325 surveyor guidance on nutrition. Correctable
causes of anorexia and weight loss will be discussed, particularly focusing on medication as a direct and indirect cause. The
evidence for medications used for appetite stimulants will also
be reviewed.
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Improving End-of-Life Care in the Nursing Home
A. Wen, MD, CMD
This session will describe end-of-life needs of residents in long
term care and predictors of mortality in frail nursing home residents. We will discuss what hospice and palliative care services
can provide in the nursing home, and other strategies to improve end-of-life care in nursing homes.
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Networking, including HMDA networking meeting
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Pressure Ulcer Panel Discussion
Moderator: A. Wen, MD, CMD
Surveyor: J. Say, RN
Administrative/ DON: S. Ishikawa, RN, NHA., MPH, C-DONA
Wound Specialist: S. Andol Lee, RN, BSN, WCC
Physician: S. Ahsan, MD
QIO: D. Nelson, MS
This session will provide strategies, practice advice, and resources for effective implementation of a pressure ulcer reduction program. The panel will discuss perspectives from the surveyor team, talk about the commitments necessary from the
administrative team, and share practical advice from the
wound specialist working in the trenches on implementation.
Other resources and advice will be provided from the Quality
Improvement Organization (QIO). The audience will have an
opportunity to interact with the panel speakers and each other
to share best practices.
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Quality Improvement Project: Reducing Polypharmacy in
the Nursing Facility
C. Bell, MD & K. Lubimir, MD
This session will identify medications commonly associated with polypharmacy and adverse drug events and
review the burden of polypharmacy in older adults. Results and practical lessons learned during the implementation of this quality improvement project will be highlighted.
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Workshop: Transitions in Care
S. Levenson, MD, CMD & D. Saffel, PharmD, CGP
Using an actual case, the workshop will take attendees
through the steps of completing a transfer summary by
incorporating information about actual patients into a
format that others can use for a safe transition. It will
include details about how to summarize a resident/ patient’s course while in the facility and how to link medical and functional information. How F329 Unnecessary
Medications guidance can be used to provide the subsequent setting with key information needed for monitoring and management of treatments and medications will
be discussed. Building on the morning sessions, the
workshop will emphasize how this can be consistently
implemented throughout Hawaii to improve care while
in facilities and during and after transfers.
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
Assistant Professor of Geriatric Medicine
John A. Burns School of Medicine, University of Hawaii

Assistant Professor of Geriatric Medicine
John A. Burns School of Medicine, University of Hawaii

Professor of Geriatric Medicine
John A. Burns School of Medicine, University of Hawaii
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Interim Chief Operating Officer, University Clinical, Education &
Research Associates
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Social Worker
Department of Geriatric Medicine, University of Hawaii
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Upon Completion of this course, participants will be able to:
1) Identify how universal processes in care delivery, medication use, and transfer forms can improve the
safety and efficacy of care at all levels of transitions.
2) Identify correctable causes of anorexia and weight loss, and be able to select appropriate medications to
maximize appetite.
3) Describe end-of-life needs of residents in long-term care and identify predictors of mortality in frail nursing home patients. Participants will also be able to formulate strategies to better meet end-of-life care
needs in this setting.
4) Collaborate with interdisciplinary team members, integrate strategies, and draw upon resources for the
effective reduction of pressure ulcers in their long-term care facilities.
5) Identify medications commonly associated with polypharmacy and adverse drug events. Participants will
appreciate the components necessary to implement a polypharmacy quality improvement project.
6) Incorporate information about actual patients into a format that others can use for a safe transition to and
from nursing facilities.

   Assistant Professor of Geriatric Medicine, John A. Burns School of Medicine, University of Hawaii
   Assistant Professor of Geriatric Medicine, John A. Burns School of Medicine, University of
Hawaii
     Interim Chief Operating Officer, University Clinical, Education & Research Associates
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 Oahu Region Chief Nurse Executive for Hawaii Health Systems Corporation at Leahi Hospital
 Certified wound care nurse through the National Alliance Wound Care
    Multi-facility director in Baltimore; writes extensively about medical direction
and medical care in non-acute settings
    Assistant Professor of Geriatric Medicine, John A. Burns School of Medicine, University of Hawaii
Director of Mountain–Pacific Quality Health Foundation Hawaii office
President and CEO of PharmaCare Strategies, Inc.
Surveyor, State of Hawaii Department of Health, Office of Health Care Assurance
    Assistant Professor of Geriatric Medicine, John A. Burns School of Medicine, University of
Hawaii.
REGISTRATION INSTRUCTIONS:
Registration deadline
is April 1, 2009.
All registrations received after April 1, 2009 will be
subject to a $30.00 late fee.
If you are registering as a group, please submit all registration forms and payment together at the same time.
Please mail your completed registration form & payment to:
Pacific Islands Geriatric Education Center
Attn: Vicki Woolford
347 N. Kuakini Street, HPM-9
Honolulu, HI 96817-2306
Please make checks payable to:
Hawaii Medical Foundation/ Geriatrics
CANCELLATION POLICY: $ 25 Cancellation Fee until April 1, 2009. Cancellation between April 1 – 9 will be
charged a $50 service fee. No refund after April 9, 2009. Substitutions are allowed.

Registration fee
$125.00
Group Rate
$100.00
(4 or more from the same facility)
Additional Fees
CME fee (Physician’s only)
$25.00
Late Registration fee after
April, 1 ,2009
$30.00
The University of Hawaii John A. Burns School of Medicine Department of Geriatric Medicine Pacific Islands Geriatric Education Center reserves the right to cancel this conference or make speaker substitutions in the event of
unforeseen or extenuating circumstances.
The program planning committee acknowledges the support of this conference through educational grants and
display fees. The HCCME, however does not imply endorsement of any commercial products. A list of exhibitors
and grantors will be provided to each attendee in the conference syllabus.
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Name: ____________________________________________________________________________
Address:__________________________________________________________________________
Phone Number: __________________________ Email: ___________________________________
# _______ of attendees @ $125.00= _______________
#______ of group attendees (4 or more from same facility) @ $100.00= _______________
# _______ of attendees to acquire CME credit @ $25.00= _______________
After April 1,2009, late registration fee @ $30.00= _______________
TOTAL AMOUNT ENCLOSED=_______________________
For Group Registrations Only
Please list additional attendees here:
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