Such a great talk by Elise Carey and Laura Morrison highlighting the incredible decade of the #HaPC inter-professional Interactive Education Exchange www.sciencedirect.com/science/arti...
A big thank you to all the attendees of #hapc26 - your enthusiasm and participation made the conference a huge success! Dive back into the amazing content on the Assembly platform until June 30 and keep the learning journey alive.
Sorry we missed each other!
Huge thank you to the incredible staff of @aahpm.bsky.social and @hpna-info.bsky.social for a wonderful Annual Assembly! #HAPC26
Letโs gooooooooooo!!
Your words mean a lot to me and our field.
I'm thankful to hear in a tough time that you and your family got support. Facing challenges without help or community are exponentially more difficult.
Key resource highlighted by Dr. Dussault: - An Organized Approach to Opioid Management in patients with OUD and Painful Serious Illness - 7Ps
Patient, Problem, Plan, Prescription, Pharmacology, Performance, and Prevention
www.jpsmjournal.com/article/S088...
#HAPC26
Caring through Complexity: Developing a Palliative Care Opioid and Stimulant Use Disorder Workflow Nicole Dussault, MD MS Palliative Care Physician Assistant Professor, Fred Hutchison Cancer Center Co-authors: Talia Bernal MD, Noel Ivey MD, Jessica Ma MD MHSc, Chris Jones MD MBA, Wil L. Santivasi MD Duke University Medical Center
Oh I forgot Alt Text on that last post:
Next talk:
Caring through Complexity: Developing a Palliative Care Opioid and Stimulant Use Disorder Workflow
presented by Nicole Dussault, MD MS
I'm so glad this session has a full hour to unpack this important and complex topic.
#HAPC26
#PalliativeCare
Is it still up to the very end? I have not been able to walk it yet.
I just looked that up. It was back in 2012! I had always meant to write it up as an opinion paper / editorial to define the concept. IF you would want to partner on a paper like that let's talk!
www.jpsmjournal.com/article/S088...
That is good to hear!
It is going well. I've not missed one since 2004, so there are many friends and colleagues that I come across here that remind me of the great collaborating in our field. And to be coming for that long and now see young people coming up in the field is so exciting.
Here is the protocol for the UPLIFT study, a pragmatic stepped wedge trial in 16 nursing homes in Maryland and Indiana.
#HAPC26
#NursingHome #Dementia
pubmed.ncbi.nlm.nih.gov/37496001/
Slide with text showing UPLIFT Intervention Core Intervention Elements ๏ท External PC consultations ๏ท In-house champions, trained by study team (minimum 2, at least one LPN or RN) ๏ท NH staff participation in education ๏ท Systematic screening for PC needs Flexible Intervention Elements Visit schedule ๏ท Job role of the champions โ RN, LPN, social services, or chaplain ๏ท Schedule of education topics and format of delivery
The key research question for the UPLIFT study was:
Among residents with cognitive impairment, does a
palliative care program in nursing homes impact
resident symptom burden?
#HAPC26 #Dementia #NursingHome #HAPC #PallaitiveCare #MedSky
Slide with a person in Wheelchair in a picture in lower righ Nursing Homes โข >15,000 facilities โข Rehabilitation and Long-Term Care โข Average of 106 beds; 1.7 million beds โข Nearly all Medicare-Medicaid certified โข ~$85-100K per year โข Medicaid payer for 60% โข Plagued by inconsistent quality...
Last presentation of the morning plenary: "UPLIFT Clinical Trial: Impact of Palliative Care Consults in Nursing Homes" presented by Kathleen Unroe, MD, MHA, MS.
UPLIFT = Utilizing Palliative Leaders in Facilities to Transform Care
#HAPC26 #PalliativeCare
I love your pictures! They really capture the joy and friendliness of #HAPC26
A soul filling Day 2 of #hapc26, celebrating #hpm innovations for #dementia patients, connecting with #mentees and fellow #SoMe partners and seeing innovative #pallonc approaches to education. You all fill my cup!
@aahpm.bsky.social
@pallidad.bsky.social
@rabrazzak.bsky.social
Dr @lpetrillz.bsky.social accepts the #EarlyCareer Investigator award here at @aahpm.bsky.social's #hapc26 for her innovative and revolutionary work in #pallonc and #survonc. Well deserved!! ๐
@realbowtiedoc.bsky.social
@darcyburbage.bsky.social
@ascocancer.bsky.social
@crisbergerot.bsky.social
Summary of Key Findings 4 sections with icons representing these paragraphs: 95,322 inpatient encounters across 16 hospitals (Apr 2024โMar 2025) 14% of patients with serious illness received PCC; 55% were timely (within 72 hours) Patients with cancer and dementia had the highest likelihood of timely consultation at 63% and 56% respectively, ESRD had the lowest at 41% Higher Odds of Timely Consult - Emergent Admission - Older age (>80 y/o) - Female - Not โFull Codeโ code status - Patients with Cancer
Here is a summary slide of key findings of this study.
Higher Odds of Timely #PalliativeCare Consult
- Emergent Admission
- Older age (>80 y/o)
- Female
- Not โFull Codeโ code status
- Patients with Cancer
#HAPC26
Reviewed 95k+ encounters with 13k who recieved an inpatient #PalliativeCare consultation.
55% of consults happened within the first three days of admission. (19% within 24 hours)
#HAPC26
Next up is Alexander Zirulnik, MD, MPH from Wake Forest presenting on "Who Gets Early Palliative Care?"
Note in this study Early or Timely #PalliativeCare is defined as "consultation within 72 hours" of admission to the hospital.
This study incl adult patients at 16 hospitals in the SE.
#HAPC26
Reports of pain were much more commonly documented than reports of anxiety.
Reports of high severity were more commonly documented than reports of mild or moderate anxiety.
#HAPC26
They took a sample of 500 progress note from 100 patients with clinicians manually annotating 12 symptoms in the history and assessment and plan to create a gold standard dataset for comparison.
#HAPC26
The goals of this study were to:
Assess the ability of an LLM (GPT4DFCI) to identify
symptoms in narrative visit notes
Evaluate the extent to which these notes reflect symptoms
reported by patients using an EHR-integrated ePRO system
The study looked at 5,049 notes.
#HAPC26
Slide with a cell phone being held in the image on the right Symptom monitoring via ePROs associated with better outcomes โข Narrative visit notes are lengthy and difficult to review โข Large language models (LLMs) can accurately characterize text, but have rarely been used to identify real-world symptom documentation Basch E, et al. JAMA. 2017;318(2),197โ198. Hassett M, et al. JCO. 2024;42(16_suppl),11001.
Rachel Pozzar, PhD, APRN from Northeastern University / Dana Farber Cancer Institute presenting on "Using a Large Language Model to Assess Documentation of Electronically Reported Symptoms in Oncology"
#HAPC26
aahpm AMERICAN ACADEMY OF HOSPICE AND PALLIATIVE MEDICINE THE STATE OF THE SCIENCE IN PALLIATIVE CARE RESEARCH MENTORING AWARD Kimberly Johnson, MD MHS
More awards!
Dr Kimberly Johnson receives the AAHPM The State of the Science Palliative Care Research Mentoring Award.
A lot of focus this morning on mentoring and community emphasizing that research is not a solo endeavor.
#HAPC26 #PalliativeCare #Hospice #WomenInStem @aahpm.bsky.social
Great #WomenInSTEM doing #PalliativeCare research
HPNA Distinguished Nursing Research Award Verna Hendricks-Ferguson, PhD, RN, FPCNยฎ, FAAN
HPNA Hospice & Palliative Nurses Association NEW INVESTIGATOR AWARD Katherine Doyon, PhD, MEd, RN, CHPNยฎ
AMERICAN ACADEMY OF HOSPICE AND PALLIATIVE MEDICINE AWARD FOR EXCELLENCE IN SCIENTIFIC RESEARCH IN PALLIATIVE CARE Christine Ritchie, MD MSPH FAAHPM
aahpm AMERICAN ACADEMY OF HOSPICE AND PALLIATIVE MEDICINE EARLY CAREER INVESTIGATOR AWARD Laura Petrillo, MD
Last day of #HAPC26 in San Diego starting off with research awards and fellows convocation.
โScience at its best is a collective endeavor.โ - Christine Ritchie
#Nursing #MedSky #HAPC #Hospice #PalliativeCare #Research
#hapc26 Hospice Medical Director Certification Boardยฎ @hmdcert.bsky.social is presenting the work of ensuring quality hospice medical physicians to lead quality hospice care at the @aahpm.bsky.social Business meeting
๐บ โWhy I Became HMDCB Certifiedโ youtu.be/iWl4PI8fCh0?...
Heather Valente, PA-C, #PedPC provider @upmc.com Childrenโs Hospital of Pittsburgh, is on the main stage @aahpm.bsky.social #hapc26 talking about her work developing a statewide #EMS protocol for both adult and pediatric #hospice patients! Sheโs rocking it and is right where she belongs! โญ๏ธ
