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Name
Company/Organization
Phone
Payment Info
2015 SUMMER EDUCATIONAL FORUM
REGISTRATION
2141
0 N
19th
Ave
nue,
Ste
. 100
, Pho
enix
, AZ
8502
7
A U G U S T 4 T H , 2 0 1 5Black Canyon Conference Center
RAL
Check or money order for $25.00
Credit Card
Card #
Expires CCV#
MAKE CHECK PAYABLE TO and MAIL REGISTRATION TO:HOSPICE OF THE WEST
21410 N 19th Ave., Ste 100, Phoenix, AZ 85027
SUMMEREDUCATIONALFORUM
Featured Presenters IncludeDr. Jennifer Brokaw, MD Board Certified Emergency Physician Founder, Good Medicine Advocacy Founder, See To It HealthDr. Virgilio Evidente, MD Director, Movement Disorders Center of ArizonaBarbara Karnes, RN Award Winning End of Life Educator and Award Winning NurseDr. Connie Mariano, MD Dr. Connie Mariano, Center for Executive Medicine, former White House Physician, retired Navy Rear Admiral, Author of “The White House Doctor” 12:00-1:00pm - Book Signing “Lessons from Taking Care of the First Patient”Dr. Lorree A. Ratto, Ph.D., FT Associate Professor Chair, Medical Humanities and Healthcare Leadership Director, Medical Simulation and Standardized Patients A.T. Still University - School of Medicine in ArizonaCameron Svendsen, LCSW Palliative Care Alliance, Regional Vice President of Operations
FEATURED SPEAKER BIOSDr. Jennifer Brokaw, MD (Keynote Speaker)
Dr. Brokaw founded Medical Consult and Advocacy Services in 2008
to meet the needs of many people with serious medical illness and
the needs of their loved ones. She is a Board Certified Emergency
Physician with 14 years of experience. Since moving back to the San
Francisco Bay Area in 2001, she has been an Associate Clinical
Instructor of Emergency Medicine at San Francisco General/UCSF and
has also been on the staff of CPMC/Davies Emergency Department.
As a medical advocate she advises clients about medical decision
making, coordinates care with both primary doctors and specialists
and provides support and advisement to families of patients
in the hospital.
Dr. Virgilio Gerald H. Evidente, MDDirector, Movement Disorders Center of Arizona, LLC,University of the Philippines, Manila, PhilippinesNeurology, Medical College of Pennsylvania, Philadelphia, PAMore than 15 years of experience in diagnosing and treating all types of movement disorders. More than 10 years of experience in deep brain stimulation (DBS), from proper screening of patients, pre-operative preparation, intra-operative brain mapping, and post-operative stimulator programming. Fellowship-trained in the field of movement disorders, deep brain stimulation, and botulinum toxin administration. Frequent speaker and lecturer in various educational venues including the American Academy of Neurology Annual and Fall Conferences. Extensive experience and expertise in the administration of all types of botulinum toxin in the market (Botox®, Dysport®, Xeomin®, and Myobloc®). Historically involved in over 70 research studies since 1996. Over 80 peer-reviewed publications as of early 2012.
Barbara Karnes, RN
Award Winning End of Life Educator and Award Winning Nurse
Barbara Karnes is a Registered Nurse and author who noticed, after
her experience at the bedside of hundreds of people before they died,
that each death she witnessed was following an almost identical
script. Each person was going through the stages of death in almost
the same manner and most families had the same questions. It was
after these realizations that Barbara sat down and wrote the widely
popular Gone From My Sight, that changed the industry. Barbara has
been instrumental in creating one of the most important tools in the
Hospice movement today: The patient/family educational booklet.
Since 1994, Barbara has traveled across the country continuously
providing workshops and giving lectures.
Black CanyonConference Center
9440 N. 25th AvenuePhoenix, AZ 85021
August 4, 2015Registration begins at 7:15am
Dr. Connie Mariano, MD
Dr. Connie Mariano was born in Sangley Point, Philippines, the eldest
daughter of a career Navy enlisted serviceman and his wife, a dentist.
Dr. Mariano graduated as Valedictorian from Mar Vista High School
in Imperial Beach, California, in 1973. She received her Bachelor’s
Degree with honors from Revelle College at the University of
California at San Diego in 1977. In 1981, Dr. Mariano received her
Medical Degree from the Uniformed Services University School of
Medicine in Bethesda, Maryland, the nation’s military medical school.
She was commissioned as Lieutenant in the United States Navy upon
graduation. Completing 24 years of active duty service, Dr. Mariano
retired from the Navy in June, 2001 with the rank of Rear Admiral.
She became the first Filipino American in history to become a Navy
Admiral on July 1, 2000.
Dr. Lorree Ratto, Ph.D., FTAssociate ProfessorChair, Medical Humanities and Healthcare LeadershipDirector, Medical Simulation and Standardized PatientsA. T. Still University - School of Medicine in ArizonaLorree Ratto, PhD, FT, serves as Chair of Medical Humanities and Healthcare Leadership and is Director of Medical Simulation and Standardized Patients at SOMA. She joined the inaugural faculty in 2007 after spending 10 years working in hospice as a counselor. She teaches communication and behavioral sciences with an emphasis on teaching medical students to practice patient-centered compassion-ate care through the practice of narrative medicine. Dr. Ratto’s research interests include studying death anxiety among medical students and studying the effects of practicing mindfulness in mitigating stress related to medical education and residency.
Cameron Svendsen, LCSWPalliative Care Alliance, VP of OperationsCameron Svendsen is a licensed clinical social worker and has 25 years of invested service in the health care industry. In several business and educational development roles over the past decade, Cameron has promoted palliative care during the changing national perception toward how we care for chronic and seriously ill patients. With the ultimate objective of filling the gap in the medical system, PCA provides palliative care for patients living with a chronic or serious illness but who aren’t yet ready or eligible for hospice or home health. Cameron is an avid public speaker and promoter of several health care industry topics and dedicated to the significant expansion of the Palliative Care Alliance endeavor for communities and health care silos across the country.
Registration fee is $25.00 per personRegistration Deadline is July 24th, 2015
CEU’s are currently available forAssisted Living Managers and Administrators.
Social Worker’s please contact us at 602-343-6422regarding possible CEU’s.
Questions? Please contact [email protected] call Hospice of the West at 602-343-6422
Contact us today for more information480-556-1045
• In-home Companion Care
• Types of Elder Care Options Available
• In-Depth Assessment of Your Needs
• Personal Tours of Assisted Living Options
A No Cost A No Cost Refeeferral Seral Servicevice
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Since 1995, HospiScript has advanced the role of pharmacy benefit managers (PBMs) by delivering a comprehensive hospice solution that is simple-to-use, care-focused and cost-effective. Although the needs of each hospice can be vastly different, we know the pressures you face day-to-day, including the challenges of providing optimal care when reimbursements decline, maintaining compliance with Medicare Hospice Conditions of Participation (CoPs) and improving operational efficiencies while your staff balances multiple responsibilities. HospiS-cript has a proven track record of helping clients solve these problems through our comprehensive set of innovative solutions.
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