PowerPoint from the October 29, 2015 presentation by the Louisiana-Mississippi Hospice and Palliative Care Organization. For more information, visit www.lmhpco.org or www.wehonorveterans.org
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We Honor Veterans - Achieving the Next Level
1. Well be starting shortly
Meanwhile, please review these points of webinar /
teleconference etiquette:
Please do not interrupt the presenter. There will be
appropriate Q&A times.
Please mute your call if you want to talk to others
during the presentation.
Do not place the call on hold. On-hold music / beeps
will distract the other participants.
Use the Raise Hand feature to ask questions in the
Q&A text box. Most questions can be answered by
other presenters behind the scenes. There will also
be a Q&A session at the end of the presentation.
3. INTRODUCTION
The We Honor Veterans
task force is comprised
of members of LMHPCO
who volunteer to help
promote the program
and awareness
throughout Louisiana
and Mississippi.
Jamey Boudreaux
Director
LMHPCO
4. LMHPCO VA Taskforce
Mission Statement:
To enhance and ensure quality end of life care for Veterans and the family
members enrolled into hospice agencies in Louisiana and Mississippi.
Our Goals:
Educate LMHPCO members on the unique needs of Veterans
and their families at the end of life;
Encourage participation in the We Honor Veterans program;
Solidify partnerships with VA facilities and organizations serving
Veterans throughout Louisiana and Mississippi, so that hospice
agencies and their partners may be mutual and supportive
resources in providing care at the end of life to Veterans.
5. We Honor Veterans
Program
What is it?
What does it have to do with hospice?
Whats in it for me and my company?
How do I get started?
6. ETIQUETTE
Please follow these tips
out of respect for the
other participants in this
webinar / teleconference. Emma Harrison
Account Executive
New Orleans, LA
7. Webinar / Teleconference Etiquette
Please do not interrupt the presenter. There
will be appropriate Q&A times.
Please mute your call if you want to talk to
others during the presentation.
Do not place the call on hold. On-hold music /
beeps will distract the other participants.
Use the Raise Hand feature to ask
questions in the Q&A text box. Most
questions can be answered by other
presenters behind the scenes. There will
also be a Q&A session at the end of the
presentation.
9. Objectives for this course
Have an understanding of what the We Honor
Veterans Program is, who designed the program
and why.
Feel comfortable participating in the program
Be able to implement the program in you own
center.
Participate in LMHPCO task force objectives of
climbing the steps to level four in the WHV
program.
Have a clear understanding why it is so important
that we all join LMHPCO in the endeavor of
delivering the best hospice care in Mississippi and
Louisiana to our Veterans.
10. What is We Honor Veterans?
We Honor Veterans (WHV) was designed to empower
hospice professionals to meet the unique needs of dying
Veterans.
We Honor Veterans is an awareness campaign conducted by
the National Hospice and Palliative Care Organization
(NHPCO) in collaboration with the Department of Veterans
Affairs (VA). NHPCO is actively supporting the campaign and
providing resources for hospices to participate
The program teaches respectful inquiry, compassionate
listening and grateful acknowledgement to comfort patients
with a history of military service and possibly physical or
psychological trauma.
11. What does it have to do with hospice?
One out of four dying Americans is a Veteran.
Of 2.4 million deaths in the United States each year,
approximately 680,000 are Veterans
A vast majority of Veterans are not enrolled in VA and
may not be aware of end-of-life services and benefits
available to them, including the Medicare Hospice
Benefit and VA-paid hospice care
Community hospices can join other hospice providers
across the country in honoring our Nations Veterans
and be listed on the We Honor Veterans website.
12. Whats in it for me and my hospice?
Is your hospice prepared to utilize Veteran
Referrals?
Do you feel your hospice is prepared to
manage END OF LIFE CARE for Veterans?
Do you realize the unique care needs of
some Veterans at the end of life?
13. Whats in it for me and my hospice?
Hospices will have the ability to promote their level of
commitment to Veterans by displaying the We Honor Veterans
logo on their websites as well as community outreach and
educational materials. By becoming a We Honor Veterans
Partner, hospices will be better prepared to:
Build professional and organizational capacity to provide quality
care for Veterans
Develop and/or strengthen partnerships with VA and other Veteran
organizations
Increase access to hospice and palliative care for Veterans living in
their community
Network with other hospices across the country to learn about best
practice models
14. RECRUIT
The first step is making
a commitment
Keith Stark
Community Liaison
Baton Rouge, LA
15. Making the commitment to WHV
Once you have made the decision to be in the We Honor Veterans
program, you will be ask to sign a partner commitment by NHPCO
that states you will participate by:
Building professional and organizational capacity to provide
quality care for Veterans.
Develop and/or strengthen partnerships with the VA and other
Veteran organization
Promote our organizations commitment to serving Veterans in
your community
Expand community awareness of the unique care needs of
Veterans
Complete and submit brief Activity Reports to advance to the
next partner level
16. NHPCO / WHV commitment to you.
To add your hospice's name to the We Honor
Veterans Partner Directory
Provide a We Honor Veterans Level-appropriate
logo to use for your website and printed materials
Conduct regularly scheduled conference calls to
provide technical assistance to Partners
Facilitate ongoing networking discussions with other
WVH Partners.
17. Resources are available to help
www.WeHonorVeterans.org is a great place to start.
Here you can find practical resources such as downloadable forms,
descriptions of Veteran benefits, and a discussion forum where
hospice professionals can exchange ideas and tips. The website
provides community hospices, state hospice organizations, Hospice
Veteran Partnerships and VA programs with tools and resources that
encourage them to:
Commit to honoring Veterans at the end of life
Assess their current ability to serve Veterans
Learn more about caring for Veterans
Find resources to support Veterans at the end of life
Provide Veteran-centric education for staff
Measure Quality and Outcomes
18. www.WeHonorVeterans.org
Additional Resources from this web site include:
Unique care needs of the Veteran
Military History Checklist
VA benefits and VA organizational structure
Recognition ceremonies
Veteran to Veteran volunteer programs
Outreach materials
Staff and volunteer training modules
19. Recruit
Recruit - Complete and submit the WHV Partner
Commitment form.
http://www.wehonorVeterans.org/node/add/recruit-form
24. Level One
Ask about military history and know what to do with
the answer. Using the Military History Checklist or
similar questions, hospice staff can learn more
about the Veteran's military service and the
implications it may have for the care and services to
be provided by the hospice staff. We Honor
Veterans Educational materials are designed to
ensure the staff are prepared to meet the Veteran's
needs.
31. Level 2
As you move through Level 2 you will build on the
foundation you began in Level 1
You are working to increase the knowledge base of
your staff and volunteers so that they can better
understand the unique needs of the Veterans
entrusted to your care.
32. Level 2
The need for Veteran focused end of life care is
immense.
According to the Armed Forces Veterans Homes
Foundation there are roughly 10 million Veterans
aged 65 and over, about 39% of all Veterans. This
proportion will remain unchanged for the next 20
years
The number of Veterans age 85 and over is roughly
2 million
35. Level 2
Roughly 1:5 persons age 65 or older living in
Louisiana and Mississippi are Veterans.
36. Level 2 - Partner to improve care
Through Hospice-Veteran Partnership (HVP)
development between community hospices, state
hospice organizations and VA facilities, collaborative
efforts ensure that excellent care at the end of life is
available for our nation's Veterans and their families.
39. LEVEL 3
Develop and strengthen
relationships with VA
medical centers and other
Veteran organizations
to improve care and
access.
Kisha Cooper
Bereavement
Coordinator
Monroe, LA
42. Level 3: Staff Education
Educational Presentations can include topics such as
Building a Veteran Centric Culture
Hospice Veteran Partnership Program
Homeless Veterans at Lifes End
Service Related Diseases, Illnesses and Conditions
Understanding the Department of Veteran Affairs
Wounded Warriors: Their Last Battle with Deborah
Grassman
Other: any topic thats Veteran Focused
44. Level 3: Veteran to Veteran Volunteer
Go to WHV Partner Resources
On that Tab, go to Volunteer Programs
Review the Veteran to Veteran Volunteer Fact Sheet
Hospice Veteran Volunteer Outreach and Support
[PPT]
Follow the link to the Volunteers: An Essential
Ingredient in Caring for Veterans at the EOL [PPT]
Look at the sample V2V Program Resources to gain
an vision of what the program can be.
46. Conduct an Annual Evaluation of the Integration of the
Military History Checklist
Trends of demographics from Military History Checklist
Review Standards of Practice for Hospice Programs
Develop, implement, and review procedures for access
to Veteran Benefits [PPT]
Level 3: Organizational Policies/Procedures
47. Level 3: Hospice Veteran Partnerships
VA Medical Centers
Veteran Service Organizations (ie. American Legions,
DAV, VFW, independent organizations started by
Veterans to serve Veterans, etc)
Local, regional or state Hospice-Veteran Partnership
State Hospice-Veteran Partnership (LMHPCO-VA
Taskforce)
49. We Honor Veteran
Pinning Ceremonies
"As we celebrate our nations heroes this Veterans Day and
every day of the year we must not forget that it is never too
late to give them a heros welcome home."
www.WeHonorVeterans.org
50. LEVEL 4
Increase access and
improve quality of care
for Veterans in your
community by measuring
the impact of VA and
community interventions.
Amy Krohn
Community
Education
Shreveport, LA
54. Questions
The next segment of our
presentation is an
opportunity for the
participants to ask our
panel their questions.
Nancy Dunn
Education
Coordinator
LMHPCO
55. Frequently Asked Questions (FAQs)
1. What is the LMHPCO Taskforce?
2. What is the LMHPCO-VA Partnership?
3. What resources are available through LMHPCO?
56. Open Forum
Now well take a few minutes to
answer any additional questions
you may have.
57. Task Force Contacts
LMHPCO VA Taskforce
Jamey Boudreaux jboudreaux@lmhpco.org
Kisha Cooper kisha.cooper@lhcgroup.com
Nancy Dunn nancy@lmhpco.org
Dana Jennings dana.jennings@hospicecom.com
Ann Levingston anne.levingston@gentiva.com
Keith Stark kstark@asimgt.com
Rob Walls rob.walls@heartofhospice.net
Emma Harrison emma.harrison@heartofhospice.net
Amy Krohn amys@hospicesb.com
NHPCO Coordinator
Kelsey Campbell kcampbell@nhpco.org
58. Summary
The We Honor Veterans program is designed for hospices
to address the unique needs of our dying Veterans.
Participation in the program helps hospices be prepared to
better server our Veterans.
Implementation in your center starts with a commitment.
The LMHPCO task force is here to help you achieve each
of the four levels of the WHV program.
It is very important that we all join LMHPCO in this
endeavor of delivering the best hospice care in Mississippi
and Louisiana to our Veterans.
Editor's Notes
#11: WHV is designed for all Veterans in all wars in the world not just the USA
#34: Louisiana total population: 4.65 million; Veteran population = 330,145 or 7.1%; population >65 = 632,400 (roughly 1:5 are Veterans)
#35: Louisiana total population: 4.65 million; Veteran population = 330,145 or 7.1%; population >65 = 632,400 (roughly 1:5 are Veterans)
#40: A little about myself, Im the daughter of a Vietnam Veteran and sister to an Active Duty Career Army Soldier. Several years ago when my fathers health was declining, we were looking for help with my fathers health at home. The resources seemed desolate and we were frustrated. I learned about Hospice too late but am hopeful that each of us can play a part in improving the care and access to our Veterans and their families. Each level is designed not just to achieve levels but to educate and encourage local VA Medical Centers, CBOCs, as well as Veterans and their families to use this time sensitive care thats available to them in their homes and/or facilities.
#41: For each level, you may notice the 3 topic heading theme. Education.
#42: Organizational Policies and Procedures, and Hospice Veteran Partnerships. Well talk about each of those ongoing topics but get more specific with the development of the Veteran to Veteran Volunteer Program.
#43: You have already been doing this. Education is ongoing! My suggestion is to always start with trainings youre currently doing. Consider and research how it may differ with Veterans and educate your staff by building onto current knowledge (ie. A topic about Bedside manner & add Questions not to ask a Veteran).
Relate it to current events, current patients, and even current individuals in bereavement. The above Power Point presentations are available on the We Honor Veterans website and are resources filled with vital information that you may decide to break down into what your staff needs but dont limit it to these topics. Your community, your staff, and each Veteran is unique and has unique needs. If youre creative about creating this Veteran Centric Culture then education is everywhere. We found that our staff had parents, spouses, children and distant family members were Veterans and had experiences that led us all to more information.
For example, I learned that a high school friends son has returned to civilian life with PTSD and a therapy dog at less than 30 years old. In talking to a local hospital social worker, I discovered that her nephew was involved in a local Veteran service dog organization but they had to put the dog down. She shared the grieving process that the Veteran and his family were experiencing. I later learned that the dog was given a Military Processional to the Veterinarians. Little by little I learn about PTSD and its affects on our community, our neighbors, our medical community, and individual Veterans and their family. Life for many will never be the same.
As Bereavement Coordinator, Military trauma re-emerged for a Veteran who lost his wife. Our bereavement program has to be prepared and educated. The more education your staff have in reserve, the better they are able to react in times where the information is most needed.
These are just ideas of where to get various topics and how to continue on-going education. Make sure to maintain sign in sheets for documentation of date, time, and staff/volunteer present.
[Share, if needed: Register at MyVeHu Campus for more education.]
#44: Here is a visual of the page you will spend a lot of time on for each Level. The Get practical resources Tab is the go-to page for information on the We Honor Veterans website. For Level 3, I want to point out Volunteer Programs, Honoring Veterans, and Veteran Benefits. But well start with Volunteer Programs.
#45: For all hospices, volunteers are vital and required. This program can be designed as simple or complicated depending on your need and availability and based on your current volunteer program.
Review the Veteran to Veteran Volunteer Fact Sheet. You can also review, adapt, and present the Hospice Veteran Volunteer Outreach and Support PPT as staff and volunteer education. This PPT will give you the basics on integrating a Veteran focus in your current Volunteer program.
As you gain more success with your volunteer program, the next PPT is an excellent model. For startup, use it to fine tune your program. If you have a large volunteer base already with Veterans and/or family members, utilize this structure.
The most helpful slides are Advertising the Program to Your Staff, Recruiting Veteran Volunteers, Military Cultural Norms and the various slides on ideas of how to utilize Veteran Volunteers.
When we were preparing to start our program, one volunteer revealed that she was a former Marine. I was so excited because that was the door we needed to engage her specifically in our Pinning Ceremonies and glean from her military culture knowledge. She is a tough lady and readily expressed the difference in the communication pattern in a civilian vs. military workplace. Another opportunity for education.
[Potential Questions: how many Veteran volunteers should you have before you declare it a program? 1+. Match Veterans with similar histories for optimal outcomes.
Evaluation of program?]
#46: If youre now asking how can we engage and utilize Veteran Volunteers...Heres some ideas! This is one page of ideas from the Volunteer Power Point Presentations on the We Honor Veterans website. These can be done on holidays first and evolve to year round as your program grows and you have more Veterans.
#47: Organizationally, you want to continue to evaluate the following things because they are foundational to the entire We Honor Veterans Program.
First, How is the Military History Checklist process working to improve the care and recognition of Veterans? Does your staff know who is a Veteran? Do you acknowledge the Veterans service? Do you know how the Veteran perceives his/her service? You may even consider expanding to honoring Veteran spouses and children of your patient Something you may not have done in Level 1 or 2.)
Second, Review Standards of Practice for Hospice Programs with staff. The more you review it, the more natural it becomes to implement. Some of your staff may already be carrying these standards out and others may need to know how to integrate this in their care. Talk about these standards in staff meeting (how comfortable is chaplain on spiritual and forgiveness for war trauma, is social worker able to address psychosocial and PTSD needs).
Third, Begin identifying trends of those Veterans you are serving (ie. 60% WWII). Your own data can provide you statistics for educating staff about local Veteran needs and disease processes for each era.
And Finally, develop, implement, and evaluate procedures for assisting Veterans and their families to access Benefits. No idea is too small to continue to build on this process of improving the care for our aging Veterans. On a previous VA Taskforce Webinar, we learned about the importance of Hospice documentation of service connected illness and the bereaved spouse getting benefits.
#48: The most important part of this is that we are becoming Veteran Knowledgeable Hospice Professionals who are working together with the VA and Veterans to improve their care and access to care. Heres ideas on how to Get involved. Know your VA Medical Centers, etc Be a resource to them and they will be a resource to you.
#49: And finally, go to the Honoring Veterans page. It will give you ideas on how to make your program unique with Veteran Certificates and Veteran holiday observances for you to plan towards.
#50: I found the Veteran Pinning Ceremony and shared it with a few of my staff members and military family members. It developed into something special. After honoring the first Veteran patient, tears were plenty. Each time we honor our Veterans, its a reminder that freedom is not free, we care for living historians and its an awesome responsibility. It then becomes our mission to remind the Veteran of how much we recognize their personal sacrifices, whether small or large, that they made to protect the freedom. Thank you and God bless!
#55: A little about myself, Im the daughter of a Vietnam Veteran and sister to an Active Duty Career Army Soldier. Several years ago when my fathers health was declining, we were looking for help with my fathers health at home. The resources seemed desolate and we were frustrated. I learned about Hospice too late but am hopeful that each of us can play a part in improving the care and access to our Veterans and their families. Each level is designed not just to achieve levels but to educate and encourage local VA Medical Centers, CBOCs, as well as Veterans and their families to use this time sensitive care thats available to them in their homes and/or facilities.
#57: A little about myself, Im the daughter of a Vietnam Veteran and sister to an Active Duty Career Army Soldier. Several years ago when my fathers health was declining, we were looking for help with my fathers health at home. The resources seemed desolate and we were frustrated. I learned about Hospice too late but am hopeful that each of us can play a part in improving the care and access to our Veterans and their families. Each level is designed not just to achieve levels but to educate and encourage local VA Medical Centers, CBOCs, as well as Veterans and their families to use this time sensitive care thats available to them in their homes and/or facilities.