Show notes-

Mourning Dove Medical Presents Dr. G at the Heart of Healthcare 

Special Guest Sandra Williams Director of Business Development at Essence Hospice Care https://essencehospicecare.com -

-19 yrs in Healthcare Industry

-Mother of 4 boys

-Passion for Hospice

Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system.

1. Story (theme) Sandra & Dr. G are both Football Moms who sent their first born sons to college- an EMOTIONAL Life Transition similar to receiving news about a terminal disease.

2. Educate -Teaching point: The Essential Care Programs is free “Guided Care Management” for coordination of care, education, time to process what’s happening to patients with a serious condition and/or a terminal illness (not ready to choose hospice care). When making LIFE CHANGING DECISIONS, people seek peace of mind. Most people are afraid of the h-word, hospice, even when they are eligible. The Essential Care Program is similar to a community palliative care program, providing an extra layer of support for people with serious illness: https://hospicenews.com/2023/07/05/how-palliative-care-fits-in-to-cmmis-enhancing-oncology-model/

3. Empower -A valuable a resource CAPC Center to Advance Palliative: Find a Palliative Care Team in your area https://getpalliativecare.org/howtoget/find-a-palliative-care-team/

Website info https://mourningdovemedical.com

VIDEO episode available on our YouTube channel: https://youtu.be/tb37Innwt8s #hapc #EducateAndEmpower #PeaceOfMind #CommunitySupport #CareManagement #StudentAthletes #FootballMoms

Show notes-

Mourning Dove Medical Presents Dr. G at the Heart of Healthcare 

Special Guest

Yvonne Murray, CEO owner & patient advocate of “Sandwiched in California” newly rebranded GAWA Services https://www.gawaservices.com

Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system.

1. Story (Theme tearful primary caregiver/adult child “no plan for seniors as they age and become ill”) Who do you call when you find yourself caring for aging parents and your own children??

2. Educate -Teaching point What is the sandwich generation? Forbes

https://www.forbes.com/sites/jackkelly/2023/02/24/the-sandwich-generation-is-financially-taking-care-of-their-parents-kids-and-themselves/

3. Empower -Valuable resources for the Sandwich Generation: U.S. Department of Health and Human Services (HHS) https://lnkd.in/gbHiEhv9 CALIFORNIANS: CDA California Department of AGING, a California Health and Human Services Agency

https://aging.ca.gov/Programs_and_Services/ Riverside County Office on Aging https://rcaging.org

Website info https://mourningdovemedical.com

VIDEO episode available on our YouTube channel: https://youtu.be/wYDtKJbgUTE #hapc #EducateAndEmpower #PeaceOfMind #Caregiver #Caregiver #SandwichGeneration #PatientAdvocate #ElderCare #SeniorCare #Aging #Resources #Elderly #Hope #Help

Show notes-

Mourning Dove Medical Presents Dr. G at the Heart of Healthcare 

Special guest: Dr. Ben W. Thompson, MD, creator of HAPC Virtual Didactics, a FREE virtual training of expert level content of lectures for CME and ABIM MOC. He is passionate about improving the quality of educational initiatives for hospice and palliative medicine for fellows from around the country.

- Program director of the hospice and palliative medicine fellowship at Prisma Health / University of South Carolina

- 4th year as a palliative medicine fellow

- Recently named Division Chief of hospice and palliative medicine for four local hospitals.

Social media highlight #MedTwitter

https://twitter.com/benwthompson/status/1673319021184253953?s=46&t=3gA5xIkblMI3-C6jInh53w

Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system.

1. Story (theme) How to prepare new HPM fellows for fellowship: Set the stage for SUCCESS! What hospice & palliative care is and what it is NOT. Orientation to TEAM WORK- The Interdisciplinary Team (IDT). HAPC brings everyone together to provide excellent person-centered care.

2. Educate -Teaching point: How to prepare for home hospice rotation.

Tweet:

#HAPCdidactic - home hospice brings hospital-like palliative care into the home to support people who want to die at home💜

Dr. G’s H.O.S.P.I.C.E. Pocket Guide: 7 Things Hospice Physicians Need to Know to be Ready for Work https://a.co/d/7HifjnS

What H.O.S.P.I.C.E. physicians do:

Home Visits

On-Call

Sign Stuff

Prognostication

IDT (interdisciplinary team)

CTIs (certification of terminal illness)

Engagement

3. Empower -A valuable a resource HAPC Virtual Didactics YouTube channel https://youtube.com/@hapcvirtualdidactics8202

Website info https://mourningdovemedical.com

VIDEO episode available on our YouTube channel: https://youtu.be/SaUylL1kM6c #hapc #EducateAndEmpower #PeaceOfMind #HAPCdidactic #HPM #Fellowship #MedTwitter #CME #ABIM #MOC #PCHETA

Show Notes

Special Guest- Dr. Michelle Ouellette, MD, a newly graduated 3rd year Chief Resident of Internal Medicine at the University of South Florida, is starting a Hospice and Palliative Medicine fellowship #HPM at Beth Israel Deaconess Medical Center in Boston, Massachusetts.

Social Media Highlights #MedTwitter

@DrMamaKai

https://twitter.com/drmamakai?s=21&t=3gA5xIkblMI3-C6jInh53w

@BurgartBioethix

Bioethicist and pediatric anesthesiologist at Stanford Med- Dr. Alyssa Burgart, MD call to action for Attendings to lead with empathy and mentorship as the new Interns arrive https://twitter.com/burgartbioethix/status/1667170946644312068?s=46&t=3gA5xIkblMI3-C6jInh53w

@SammyWineMaker

Samantha Winemaker, a Canadian colleague tweeted about infusing palliative care EARLY

https://twitter.com/sammywinemaker/status/1668228474807484416?s=46&t=3gA5xIkblMI3-C6jInh53w

Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system.

1. Story (theme) Dr. G met Dr. Michelle Ouellette, MD 03/22/2023 and created Team Poutine! during the first-timer reception of the AAHPM Annual Assembly in Montreal (See Podcast Episode 3). Poster presentation: “Impact of Organized Palliative Didactic Curriculum on Internal Medicine Resident Comfort with Topics in Palliative Care” (Download pdf on our website)

Three key content areas of palliative care didactic:

- What is palliative care & hospice care?

- Structure of goals of care GOC conversation.

- How to identify legal decision maker? (Synonyms: proxy, surrogate, POA, DPOA)

***Mini Palliative Care Didactic Workshop 7:50***

2. Educate -Teaching points

ACGME Residency Program Requirements IV.B.1.e).(2) Residents must learn to communicate with patients and families to partner with them to assess their care goals, including, when appropriate, end-of-life goals. https://www.acgme.org/programs-and-institutions/programs/common-program-requirements/

“Code Status Discussions Between Attending Hospitalist Physicians and Medical Patients at Hospital Admission”

An article review, MSPC Fellowship Journal Club Devjit Roy, MD Jun 20, 2023 https://www.cuanschutz.edu/graduate-programs/palliative-care/blog/palliative-care-blog/code-status-discussions

- Bottom Line: More practice changes will be needed on how to systematize with whom and how CPR is discussed during hospital admission. The impact and effectiveness of any practice change needs to be rigorously studied.

CAPC- The Value of Palliative Care https://www.capc.org/the-case-for-palliative-care/

CAPC- Learning Pathway Communication about SERIOUS ILLNESS https://www.capc.org/training/learning-pathways/communication-skills-conversations-about-serious-illness/

3. Empower - Valuable a resources for Competency in discussing life and death:

CAPC Designation in Communication Skills https://www.capc.org/training/communication-skills/

NHPCO CaringInfo https://www.caringinfo.org/

Hospice News Article Mourning Dove Medical CEO Dr. Kaishauna Guidry: Physicians Need a Framework for Understanding Hospice - Hospice News https://hospicenews.com/2023/05/08/mourning-dove-medical-ceo-dr-kaishauna-guidry-physicians-need-a-framework-for-understanding-hospice/

VITAS hospice app

https://vitasapp.vitas.com/ZW6g will help you clarify when Hospice Care is beneficial to patients. You’ll see common hospice eligible diseases and pertinent data of clinical decline as patients reach the end stages of those diseases. It starts with physicians!

Dr. G was a guest on McBee CareThreads Podcast EPISODE 20: Empowering End-of-Life Care https://mcbeeassociates.com/insights/podcast/mcbee-carethreads-empowering-physicians-and-driving-quality-end-of-life-care/

Website info https://mourningdovemedical.com

VIDEO available on our YouTube channel: https://youtu.be/7pdU1S8JkCE #hapc #EducateAndEmpower #PeaceOfMind #MedEd #Intern #ACGME #Resident #Residency #mandateCAPC #PGY1 #Prognostication #CommunicationSkills #PCHETA

Show notes-

Mourning Dove Medical Presents Dr. G at the Heart of Healthcare

Happy Father’s Day!

Special Guests:

-A daughter: Riva Z. Robinson, MD

http://rivawellness.com

-A son & father: Javelin M. Guidry

https://www.linkedin.com/in/javeling

Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system.

1. Story (theme) FACEBOOK Anonymous post “Grief. What’s normal?” Hospice & End of Life Care Group

2. Educate - Give space and grace for grief (see poem). There is no hierarchy of emotions. Keep lines of communication open. Feel your feelings and respect varying perspectives of grief, i.e. Widowed Father’s can suffer from ill effects of loneliness Social Isolation and Loneliness as Medical Issues by Julianne Holt-Lunstad, Ph.D., and Carla Perissinotto, M.D., M.H.S. https://www.nejm.org/doi/full/10.1056/NEJMp2208029 “Talking to Grief” by Denise Levertov http://www.poetryfoundation.org/bio/denise-levertov “Ah, grief, I should not treat you like a homeless dog who comes to the back door for a crust, for a meatless bone. I should trust you. I should coax you into the house and give you your own corner, a worn mat to lie on, your own water dish. You think I don’t know you’ve been living under my porch. You long for your real place to be readied before winter comes. You need your name, your collar and tag. You need the right to warn off intruders, to consider my house your own and me your person and yourself my own dog.”

3. Empower - Valuable resources: DAUGHTER- Riva’s valuable resource The Good Goodbye: How to Navigate Change and Loss in Life, Love, and Work: Ato Psy.D., Gladys: https://www.amazon.com/Good-Goodbye-Navigate-Change-Loss/dp/099946910X SON - Javelin’s valuable resource: He honored his father’s legacy by writing a book on parenting: Warrior Parent Playbook: Utilizing Sports to Empower Children to Live in Greatness: https://www.amazon.com/Warrior-Parent-Playbook-Utilizing-Greatness/dp/1735931403

Website info https://mourningdovemedical.com

VIDEO available on our YouTube channel: https://youtu.be/Leiqdutm7wM #hapc #EducateAndEmpower #peace #Grief #FathersDay

Show notes-

Mourning Dove Medical Presents Dr. G at the Heart of Healthcare

Guest expert: Lauren Templeton, DO, HMDC, FAAHPM

- Hospice Medical Director of Medium sized Rural hospice agency in Abilene, Texas https://www.hendrickhealth.org/services/hospice-care/

- Consultant Weatherbee Resources https://education.hospicecompliance.com

- 2023 Fellow of the American Academy of Hospice and Palliative Medicine https://aahpm.org/membership/faahpm-list#T AAHPM Forum expert, people want her input from all of the hospice questions!

- HMDCB Fellow Certificant https://hmdcb.org

- NHPCO regulatory committee member https://www.nhpco.org/regulatory-and-quality/regulatory/

Hospice cares for patients and families. Hospice definition (revisit EPISODE 1)

Team based Healthcare care in the home, medical care brought to you when you have a limited prognosis and you are no longer seeking curative treatments for a terminal disease.

- Medicare Hospice Benefit MHB https://www.medicare.gov/coverage/hospice-care

- CODE OF FEDERAL REGULATIONS Title 42 Chapter IV Subchapter B Part 418 Hospice care https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-B/part-418

- NHPCO https://www.nhpco.org/hospice-care-overview/ Regulatory & Compliance Center https://www.nhpco.org/regulatory-and-quality/regulatory/

Hospice Myth Busting 101, part 2

6. Hospice care has limitations, you can get kicked out of hospice.

7. High level Hospice care happens.

8. Hospice is NOT only for the last days of life. Hospice patients are not only prescribed Morphine.

9. Must be religious to use chaplain services.

10. Caregivers don’t need breaks.

Valuable resources

1. Dr. Templeton’s FULL video will be on our YouTube channel Wednesday 06/21/2023 SUBSCRIBE & Share! https://youtu.be/H08LUtdSj2U

2. How to find a good hospice? There is publicly reported data on Hospice CareCompare https://www.medicare.gov/ Key is HVLDL.

3. NHPCO Info for Patients and Family caregivers https://www.caringinfo.org

Website info https://mourningdovemedical.com

Hashtags #hapc #EducateAndEmpower #HospiceCare #Myth #RegulatoryCompliance #Medicare #Quality

Show notes-

Mourning Dove Medical Presents Dr. G at the Heart of Healthcare

Guest expert: Lauren Templeton, DO, HMDC, FAAHPM

- Hospice Medical Director of Medium sized Rural hospice agency in Abilene, Texas https://www.hendrickhealth.org/services/hospice-care/

- Consultant Weatherbee Resources https://education.hospicecompliance.com

- 2023 Fellow of the American Academy of Hospice and Palliative Medicine https://aahpm.org/membership/faahpm-list#T AAHPM Forum expert, people want her input from all of the hospice questions!

- HMDCB Fellow Certificant https://hmdcb.org

- NHPCO regulatory committee member https://www.nhpco.org/regulatory-and-quality/regulatory/

Hospice cares for patients and families. Hospice definition (revisit EPISODE 1)

Team based Healthcare care in the home, medical care brought to you when you have a limited prognosis and you are no longer seeking curative treatments for a terminal disease.

- Medicare Hospice Benefit MHB https://www.medicare.gov/coverage/hospice-care

- CODE OF FEDERAL REGULATIONS Title 42 Chapter IV Subchapter B Part 418 Hospice care https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-B/part-418

- NHPCO https://www.nhpco.org/hospice-care-overview/ Regulatory & Compliance Center https://www.nhpco.org/regulatory-and-quality/regulatory/

Hospice Myth Busting 101

1. No hospice referral, no problem.

2. You can keep your primary care doctor when you choose hospice care.

3. Hospice is not jail.

4. If you’re able to travel go!

5. Some patients graduate from hospice care!

6-10 next week!

Valuable resources

1. Dr. Templeton’s FULL video will be on our YouTube channel SOON

2. How to find a good hospice? There is publicly reported data on Hospice CareCompare https://www.medicare.gov/ Key is HVLDL.

3. NHPCO Info for Patients and Family caregivers https://www.caringinfo.org

Website info https://mourningdovemedical.com

Hashtags #hapc #EducateAndEmpower #HospiceCare #Myth #RegulatoryCompliance #Medicare #Quality

Show notes-

Mourning Dove Medical Presents Dr. G at the Heart of Healthcare

Healthcare Celebrations:

-Men’s Health Month https://nationaltoday.com/national-mens-health-month/#:~:text=U.S.,and%20working%20to%20prevent%20disease.

-Married men live longer https://fortune.com/2023/01/13/why-are-married-men-healthier-on-average-women-gender-research/amp/ CONGRATS Dad vow renewal; post-COVID new lease on life https://www.acc.org/About-ACC/Press-Releases/2023/02/22/21/23/Lifelong-Bachelors-Face-Poorest-Prognosis-with-Heart-Failure

-Alzheimer’s and Brain Awareness Month https://www.alz.org/alzheimer_s_dementia

-CNA Certified Nursing Assistants Week: June 15-21, 2023 Nursing Assistants Day: June 17, 2023 https://www.census.gov/newsroom/stories/nursing-assistants-day-week.html

Today we are discussing an essential but non-core member of the interdisciplinary team (IDT), the HOSPICE AIDE. They are either CNA or CHHA by licensure.

Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system.

1. Story (theme) The “nonverbal, disengaged” man lit up! Hospice Aides are the eyes and ears for the IDT.

2. Educate -Teaching point Hospice Aides are ESSENTIAL trained professionals for personal care. A good hospice includes them in the interdisciplinary team meeting.

3. Empower -A valuable a resource to read Federal Regulations for yourself https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-B/part-418#418.70

Website info https://mourningdovemedical.com

Hashtags #hapc #EducateAndEmpower #IDT #HospiceAide #CNA #CHHA #HomeHealthAide

Show notes-

Mourning Dove Medical Presents Dr. G at the Heart of Healthcare

IDT = Interdisciplinary Team

Social Media & Healthcare Celebrations

- EMS Week 05/21-27 Where Emergency Care Begins” https://www.acep.org/administration/ems-resources/emsweek

- May is National Stroke Awareness Month: FAST Face Drooping; Arm Weakness; Speech; Time to Call 911 AHA TWEET https://twitter.com/american_heart/status/1657370160729128961?s=46&t=3gA5xIkblMI3-C6jInh53w

- Wrap up May: Mental Health Awareness Month NHPCO CaringInfo Getting Grief and Loss Support https://www.caringinfo.org/planning/grief-and-loss/getting-grief-and-loss-support/?utm_medium=social&utm_source=social&utm_campaign=mental-health-month2

- “Our care continues” Gentiva: “Hospice is for patients and their families, so our care continues even after a loved one passes. We offer up to 13 months of bereavement care to help family members through the grieving process“ See LinkedIn

Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system.

1. Story (theme) revisit poem read during Mother’s Day special “Ah, grief, I should not treat you like a homeless dog who comes to the back door for a crust, for a meatless bone. I should trust you. I should coax you into the house and give you your own corner, a worn mat to lie on, your own water dish. You think I don’t know you’ve been living under my porch. You long for your real place to be readied before winter comes. You need your name, your collar and tag. You need the right to warn off intruders, to consider my house your own and me your person and yourself my own dog. “Talking to Grief” by Denise Levertov http://www.poetryfoundation.org/bio/denise-levertov

2. Educate -Teaching point chaplain discussed graduating from grief support/bereavement services. How: Articulate issue and recognize patterns… accepting, retraining brain for new narrative EOL University Podcast Ep. 342 The Grieving Brain: The Science of Love and Loss with Mary-Frances O’Connor PhD “Grief, Loss and Social Stress (GLASS) Lab, which investigates the effects of grief on the brain and the body. She discusses her book The Grieving Brain that highlights her research on the changes that occur in the brain during the grief process and how we can go about restoring a meaningful life while grieving.” https://eolupodcast.com/2022/03/14/ep-342-the-grieving-brain-the-science-of-love-and-loss-with-mary-frances-oconnor-phd/

3. Empower -A valuable a resource Tomorrow SUNDAY, May 28, 2023 12noon PST Dr. G on Instagram LIVE with Chaplain Lamont Johnson as we wrap up our series on the Hospice IDT Core Members ICYMI 🔗 https://www.instagram.com/tv/CszIq-3qc4T/?igshid=MmJiY2I4NDBkZg==

Website info https://mourningdovemedical.com

Hashtags #hapc #EducateAndEmpower #IDT#Bereavement #Grief #Chaplain

Show notes-

Mourning Dove Medical Presents Dr. G at the Heart of Healthcare

IDT = Interdisciplinary Team

Healthcare Celebrations:

-National Hospital Week ended 05/13/2023 https://www.aha.org/ahia/get-involved/national-hospital-week (we were focused on nurses😇) ICYMI Instagram LIVE with Nurse Shelley, ICU/Emergency Room/Trauma Surgery nurse turned Hospice nurse. https://www.instagram.com/tv/CsMmRekowJv/?igshid=MmJiY2I4NDBkZg==

-National Women’s Health Week: ACP post https://twitter.com/acpimphysicians/status/1657808065347956736?s=46&t=3gA5xIkblMI3-C6jInh53w #NationalWomensHealthWeek is a great reminder for women to focus on their health goals and to schedule an annual well-woman visit with an #InternalMedicine physician. #NWHW ❗️USPSTF Breast Cancer updated recommendations- new draft recommendations https://www.uspreventiveservicestaskforce.org/uspstf/

-May is Mental Health Awareness month. Tweet “This is the age of emotional healing. People are having the courage to process, break the cycle, and create a life they don’t need to escape from.” Psychologist Dr. Nicole LePera https://twitter.com/theholisticpsyc/status/1657344877875826688?s=46&t=3gA5xIkblMI3-C6jInh53w The Homecoming Podcast with Dr. Thema https://twitter.com/drthema?s=21&t=3gA5xIkblMI3-C6jInh53w president of APA https://youtube.com/@TheHomecomingPodcastwithDrThem

-World Family Doctor Day: American Academy of Family Physicians AAFP & World Organization of National Colleges Academies and Academic Associations of General Practitioners/Family Physicians WONCA 05/19/2023

Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system.

1. Story (theme) last week during the IG LIVE with hospice nurse Shelley said “it’s not the like a social worker you see on TV that’s coming in to take the kids” they do so much more:

2. Educate -Teaching point: Briefly touched on in book Dr. G’s H.O.S.P.I.C.E. Pocket Guide: 7 Things Hospice Physicians Need to Know to be Ready for Work https://a.co/d/5XWsGak Chapter 3 SIGN STUFF letter of capacity, FMLA paperwork, Letters, Utility forms, etc. (MSW is really helpful with this) ; help with placement, provide resources to family POLST, after death checklist, final arrangements (mortuary list), my fav family meeting/GOC https://www.vitas.com/hospice-and-palliative-care-basics/the-hospice-care-team/what-do-hospice-social-workers-do#:~:text=In%20hospice%2C%20a%20licensed%20medical,patient%20and%20spouse%20living%20alone.

3. Empower -Valuable a resources NHPCO CaringInfo I Need Help Now https://www.caringinfo.org/need-help-now/?utm_medium=social&utm_source=social&utm_campaign=mental-health-month; Getting Grief and Loss Support https://www.caringinfo.org/planning/grief-and-loss/getting-grief-and-loss-support/?utm_medium=social&utm_source=social&utm_campaign=mental-health-month2 Lisa Pahl, LCSW https://www.linkedin.com/in/lisa-pahl-lcsw-89669070 BLOG The ultimate gift you can give your family, grappling with grief https://www.grapgrief.com/stories/the-ultimate-gift-you-can-give-to-your-family/?fbclid=IwAR2WaD9hVTZXOuK8yC2mbNUZrWWZlfXcWv5s0yfXEVIoHV2E3j7NTrTG8i4 ; EOL Death Deck! The E•O•L Deck! The E•O•L (End of Life) Deck is a tool used by families, caregivers, and healthcare providers to help facilitate conversations about end-of-life wishes. With a casual tone, multiple-choice and open-ended questions, the E•O•L Deck makes starting conversations about what matters most a little easier. https://thedeathdeck.com Sunday at 12noon we will dive deeper into the social worker’s role on the IDT and hear the story of how their partnership came about. Link to recording of Sunday Special Guest Instagram LIVE https://www.instagram.com/tv/CshHRjJIaha/?igshid=NzJjY2FjNWJiZg==

Website info https://mourningdovemedical.com

Hashtags #hapc #EducateAndEmpower #EOL #DeathDeck #MSW #SocialWorker #IDT