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Name Company/Organization Email Phone Payment Info 2015 SUMMER EDUCATIONAL FORUM REGISTRATION 21410 N 19th Avenue, Ste. 100, Phoenix, AZ 85027 AUGUST 4TH, 2015 Black Canyon Conference Center R AL 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

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Page 1: Summer Forum Brochure - Hospice of the Westhospicewestaz.com/wp-content/uploads/2015/07/... · Homewatch CareGivers is the premiere provider of full-service home care in Maricopa

Name

Company/Organization

Email

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

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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

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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

Platinum Sponsor

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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.

Gold Sponsors

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1/4 page Ad Size 2.75w x 2.125hSilver Sponsors

Bronze Sponsors

Let us help.Does your loved one need a longer hospital stay?

When your family member needs a longer stayin the hospital, we’re here.

Select Specialty Hospital provides patients with the continuum of care from the traditional hospital setting to a specialty setting. We are designed to meet the needs of medically

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Our Phoenix-area locations are hospital in hospitalsAt Phoenix St. Joseph’s Campus 602.406.6888

At Banner Good Samaritan Campus 602.839.6483At Scottsdale Healthcare Osborn Campus 480.882.6096

selectspecialtyhospital.com

As North America's largest provider of funeral, cremation

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Offered through a network of more than 2,000 funeral,

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We believe creating meaningful ways to pay tribute to a loved one begins with compassion and is shaped by the understanding that each life is truly unique.For us, there is no greater responsibility than honoring and preserving the story of one's life.

MORE THAN EVER, a pharmacy’s role has expanded beyond the traditional model of being just another "vendor." The service level provided by the pharmacy directly affects a facility's standard of care and ultimately its reputation. Safety Drugs understands and takes ownership of this dynamic to truly become your partner and serve as an integral extension of your facility or organization. Our goal is to establish a mutually beneficial and long standing relationship with all of our customers.

COLLABORATION Safety Drugs continuously evaluates process improvement procedures in order to advance, our operations to better meet the needs of our customers and patients. We place a high value on open communication with all of our customers to be available and receptive to feedback. As a result, direct collaboration with our customers has produced the most effective process improvements.

INTEGRITY AND ACCOUNTABILITY Trust is repeatedly earned again each and every single day with our customers. Safety Drugs embraces the privilege of being accountable to our customers and ourselves through transparency. The measure of our success is determined directly by our customers based upon consistency in our high level of performance. The Safety Drugs ethos is simply to act with integrity and follow through with what we say.

Who We Are WHY USE SAFETY DRUGS?

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When you or your loved ones experience any health discomforts,

know that American Premier Home Health Care offers you exceptional home health care and services in the comfort of your

own home. Phone: 602-287-0003

Email: [email protected]

Elevate Seniors is a medical group that promotes the

health and well-being of seniors. Utilizing customized programs and strategies that are delivered by a friendly and attentive staff, we can improve our patient’s overall health, enhance your connections to your current doctors

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Homewatch CareGivers is the premiere provider of full-service home care in Maricopa County. HWCG provides customized personal

assistance to people of all ages including seniors, people with disabilities and chronic conditions, and patients discharged from the hospital or other

skilled facilities. Services, primarily geared towards seniors, include respectful assistance with meals, safe mobility, medication assistance, companionship and conversation, healthy meals, light housekeeping,

bathing, dressing and toileting, and memory care.

HSP West: providing professional support

in a networking environment within the

senior community.

HSP West is a networking group comprised of professionals from all walks of life who work in the West Valley. Members provide each other with business referrals, personal and professional support, and a means of interacting with peers who truly understand the unique stresses and challenges of working with seniors in our community. Come join us for food, fun and fellowship!

SPONSORS

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SPONSORS