Topic:
Q&A with AG’s office |
Discussion:
Wendy Morgan and Seth Steinzor from the Vermont
Attorney General’s office presented on the June forums on
end-of-life care. 3 forums: 50 people in Burlington; 25 in
Bennington; 6 sites participated in VIT forum. 7/12/04 was deadline
for written comments. Not many “consumers” or family member
participants.
Death with Dignity was represented at all
forums.
Discussions of:
- Pain management as a Quality Improvement
Issue and lack of physician training in pain management. Ira
Byock noted that 10-20 hours of pain management education in
medical school would put Vermont in the top tier of states for
education.
- Difference between chronic and EOL pain.
Need to separate in order for policy to get anywhere. How do you
legally differentiate? Use of prescription data – pros and cons
- Reimbursement by insurance for palliative
care. How can physicians be reimbursed? Reimbursement for home
visits. Where are the holes?
- Should we be addressing palliative care for
children? Need for education of providers, SRS, other care
providers.
- Advanced Directives regarding feeding. How
do we determine at what point we should comply with patient
directive?
|
Action:
Zail will provide information regarding
individual provider billing for palliative care, and Diane will
provide information regarding billing for professional services
through a home health/hospice agency for both for VMS newsletter and
ExCEL website.□ |
|
Updates:
CME Education
|
Marge Trautz talked about the opportunity for
Northeastern Vermont Area Health Education Center to provide CME
programming. How do we engage physicians? Found success with
highly focused programs. Explicit curriculum. Do we need to have
clear cut medical lectures at the annual meeting? Use AHEC for help
with venues. |
Create a subcommittee to brainstorm on
creative/alternative education techniques to address pain management
and EOL care.
(Zail Berry; Sharon McDo nnell; Marge Trautz;
Denise Niemira; Barb Segal)
□ |
|
Updates:
AD draft
Grant Application
Faith-based Initiatives
POP grant
|
AD draft distributed to committee for review.
Jessa Block reported on the grant application:
We will hear on July 19th. 100 applicants with only 20
awards to be given. Will need to begin work soon after the ninth if
the grant is awarded.
Letha Mills reported on the need to seek more
community involvement, specifically the faith community. Need for
more education of the faith community leaders related to working
with end-of-life care. Currently there is a proposed CME/CPE
offering that would occur at Dartmouth to provide education related
to end-of-life care.
|
Schedule tentative meeting of the Grant
Committee (Paul Turner; Zail Berry; Rich McCoy; Sharon McDonnell)
□ |
Update of transition from VMS
to VPQ with clarification of VPQ’s role
|
Patty and Linda Schlott will be the contact
people for the ExCEL project rather than Jessa.
VPQHC will set up conference call the Monday
prior to the scheduled meeting for the co-chairs to set agenda.
|
Meeting of co-chairs will be on September 7 via
conference call□
Next Steering Committee meeting will be on
September 13 (5-7)□ |
|
Highlights of Lake Morey Conference |
Discussed Zail’s presentation on Palliative
Sedation and the State Board of Nursing concerns. Diane will be
addressing them.
|
Zail will send VPQHC a copy of her protocols to
be made available on the ExCEL website.□ |
|
Additional Comments |
Lecture Series: Betty Ferrell, PhD, RN, FAAN
August 3-4, 2004 |
|
