Dementia A Population Health Challenge:

Rising Rates, Emerging Ethics

presented by The St. Francis International Center for Healthcare Ethics

11th International Bioethics Conference

Friday, April 29, 2016Pomaika`i Ballrooms, Dole Cannery

Honolulu, Hawaii

For more information, call (808) 547-6500 or email 2016EthicsConference@stfrancishawaii.org

Register online today at StFrancisHawaii.org

The St. Francis International Center for Healthcare Ethics presents the

11th International Bioethics Conference

Dementia A Population Health Challenge: Rising Rates, Emerging Ethics

A timely topic indeed! Dementia, a rising population health challenge, currently afflicts more than 5 million adults in the U.S., and costs over $600 billion annually worldwide. With the graying of the population, both statistics are projected to increase rapidly.

As we struggle to manage this “tsunami” we will inevitably tackle ethical issues such as consent, futility, justice, and resource rationing. Join us at this conference for a robust discussion and debate over the ethics of dementia care. A distinguished faculty, both local and international, will share diverse viewpoints on the subject. The program will also feature two separate panel discussions of relevant and thought-provoking scenarios dealing with patients and their caregivers. We will also showcase scholarly poster presentations and local exhibitors. Come for a full day’s worth of practical and enjoyable learning on Friday, April 29, 2016 in Honolulu, Hawaii at the Pomaika’i Ballrooms, Dole Cannery.

We extend a special thank you to our donors and local exhibitors who help to ensure that this conference is a success.

Course Objectives

Upon successful completion of this program, participants will be able to:

1) Discuss the economic costs of dementia care. 2) Evaluate ethical viewpoints from both the U.S. and international perspective. 3) Analyze cases of patients with early, moderate or severe dementia. 4) Describe the ethical safeguards associated with clinical trials. 5) Demonstrate ways to increase quality of life for dementia patients and their caregivers.

Continuing Education Credits For social workers: This program is approved by the National Association of Social Workers – Hawai’i Chapter (Approval # pending) for 7 Social Work continuing education contact hours.

Early bird rate deadline: April 1, 2016 Register online today at

StFrancisHawaii.org

Aloha!

7:00 am Registration 7:30 am Hawaiian Chant S. Kalani Brady, MD, MPH Welcome Susan M. Hashimoto, MHRM 7:45 am Opening Remarks Jerry J. Correa, Jr. President & CEO St. Francis Healthcare System of Hawaii

8:00 am “The Frightening Economics of Dementia” S.Y. Tan, MD, JD

8:30 am “Geriatrician View: Increasing Quality of Life for Dementia Patients and Caregivers” Serena H.Y. Lo, MD

9:00 am “Respect for autonomy in dementia: An Australian view on why it isn’t a principle… but does matter!” Bernadette Tobin, PhD 9:30 am Break (Exhibits & Poster Presentations)

10:00 am “Singapore View: Disclosure of Dementia Diagnosis and Use of Restraints on Dementia Patients” Gary K.Y. Chan, LLB, LLM

10:30 am Morning Panel Discussion 80-year-old with severe dementia in need of a pacemaker and hemodialysis Moderator: Elizabeth Tam, MD Panelists: Han Yee Neo, MBBS, MRCP, MMED; Hilton R. Raethel, MHA, MPH; and Ramona Wong, MD

Noon Lunch and Networking 1:00 pm “Ethical Aspects of Dementia Clinical Trials in Hawaii” Kore Kai Liow, MD, FACP, FAAN 1:30 pm “No More the Little Bits of Paper! Why Advance Care Planning Matters . . . and How to Do it Well” Bernadette Tobin, PhD 2:00 pm “Guarding the Guardians: Singapore’s New Mental Capacity Act” Gary K.Y. Chan, LLB, LLM 2:30 pm Break (Exhibits & Poster Presentations)

3:00 pm Afternoon Panel Discussion “Who’s the Caregiver?” 45-year-old homeless veteran with dementia

A rich son, a loving mother, and a father with Alzheimer’s disease Moderator: Susan M. Hashimoto, MHRM Panelists: Jing Jih Chin, MBBS, FRCP, FAMS; Jerry Coffee, LCSW; and Lori Protzman, RN, BS, HCA 5:00 pm End of Conference

St. Francis Kupūna Village

Program

The St. Francis Kūpuna Village in Liliha is Hawaii’s first one-stop health and wellness community for seniors. It is a place to nurture your soul, connect with acquaintances and make new friends, and find healing and rejuvenation, all in one convenient location. With a growing number of healthcare providers pining the Liliha campus, doctor visits and follow-up lab tests or x-rays will be easier than ever. Hawaii Pacific Neuroscience, which specializes in providing care to those with Alzheimer’s disease and related dementias, is one of the anchor partners on campus. We envision a community where seniors and their family caregivers flourish.

In late April 2015, St. Francis Healthcare System celebrated the grand opening of Phase I of the St. Francis Kūpuna Village. This included the Clarence T.C. Ching Villas, a 119-bed skilled nursing facility, operated by Ohana Pacific Management Company.

Coming soon will be an assisted living facility, senior commmunity center and a cluster of townhomes for senior independent living.

S. Kalani Brady, MD, MPHAssociate Professor, Native Hawaiian HealthJohn A. Burns School of Medicine, University of HawaiiChief of Medical Staff, Kalaupapa Clinic (Hansen’s Disease)Hawaiian Chanter

Gary K. Y. Chan, LLB, LLM Associate Professor of LawSingapore Management University, School of LawAuthor, The Law of Torts in Singapore 2015 (2nd Edition)

Jing Jih Chin, MBBS, FRCP, FAMSAssociate Professor of Geriatric MedicineYong Loo Lin School of Medicine, National University of Singapore Director, Institute of Geriatrics and Active Aging Tan Tock Seng Hospital, Singapore

Jerry Coffee, LCSWClinical DirectorThe Institute for Human Services

Susan M. Hashimoto, MHRMSenior Fellow, The St. Francis International Center for Healthcare EthicsSenior Ethics ConsultantSenior Labor Specialist, Hawaii Nurses Association

Kore Kai Liow, MD, FACP, FAANClinical Professor of NeurologyJohn A. Burns School of Medicine, University of HawaiiChair, Department of Medicine, Castle Medical CenterDirector, Hawaii Pacific Neuroscience Institute

Serena H.Y. Lo, MDClinical Assistant Professor of Geriatric MedicineJohn A. Burns School of Medicine, University of HawaiiGeriatricianKaiser Permanente Hawaii

Han Yee Neo, MBBS, MRCP, MMEDConsultant, Department of Palliative MedicineTan Tock Seng Hospital, Singapore

Lori Protzman, RN, BS, HCAAdvance Care Planning Coordinator Queen’s Clinically Integrated Physician Network

Hilton R. Raethel, MHA, MPAExecutive Vice President and Chief Health OfficerHMSA | Blue Cross Blue Shield of Hawai‘i

Elizabeth K. Tam, MDDepartment Chair and Professor of MedicineJohn A. Burns School of Medicine, University of HawaiiPulmonologistThe Queen’s Medical Center

S.Y. Tan, MD, JDDirector, The St. Francis International Center for Healthcare EthicsEmeritus Professor of MedicineJohn A. Burns School of Medicine, University of HawaiiAdjunct Professor of Law (former), William S. Richardson School of Law, University of Hawaii

Bernadette Tobin, PhDReader in Philosophy Australian Catholic UniversityFoundation Director Plunkett Centre for EthicsSt. Vincent’s Hospital Sydney

Ramona Wong, MDNephrologist Founder and EducatorAloha Kidney

Faculty

About the Ethics CenterThe St. Francis International Center for Healthcare Ethics (Ethics Center) is a component of the St. Francis Healthcare System of Hawaii, providing leadership in healthcare and organizational ethics in Hawaii and the Pan Pacific region. The Ethics Center serves as a resource for caregivers and scholars, and offers expertise and services in case consultations, education, and research and policy development. It provides a forum for scholarly dialog and reflection. Importantly, it serves as a conduit for implementing the standards of the Ethical and Religious Directives for Catholic health care services.

The Ethics Center appoints Fellows who serve gratis for two years. They collaborate with visiting scholars, present community educational sessions, conduct research for publication, and supervise trainees. Robust debate over timely issues in the literature characterizes their monthly journal club meetings.

One of the highlights of the Center’s activities is its international ethics conference, which has consistently drawn hundreds of eager participants and a faculty of local, national and international renown.

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Please make checks payable to: St. Francis Healthcare System of Hawaii. If paying by credit card, go to www.stfrancishawaii.org

Join us for the 11th International Bioethics Conference at the Pomaika’i Ballrooms, Dole Cannery, 735 Iwilei Road, Honolulu. Register now and take advantage of the early bird rates! You may register by mail or online at www.stfrancishawaii.org. Registration fee includes conference materials, morning and afternoon refreshments, and lunch. All participants receive a certification of attendance. St. Francis Healthcare System of Hawaii reserves the right to cancel or reschedule programs, and to change faculty or program content due to unforeen circumstances.

St. Francis Healthcare System is ADA compliant. If you have any special needs (including dietary preferences), please contact us at least one month prior to the conference (March 29, 2016) to arrange appropriate accommodations.

Information: St. Francis Healthcare System, 2226 Liliha Street, Suite 227, Honolulu, Hawaii 96817. Phone: (808) 547-6500 Email: 2016EthicsConference@stfrancishawaii.org

Early bird registration: $150 (Must be received by April 1, 2016) General registration: $225 (After April 1, 2016) Late registration: $275 (Received after April 15, 2016) Pomaika’i parking: $7 (All day)

Registration fees are refundable, less $75 cancellation fee if written notice is received five (5) working days prior to the date of the conference (on or before April 22, 2016). Refunds will be issued after the conference has concluded.

Registration Fees

Registration Form%

Registration Information

The St. Francis International Center for Healthcare Ethicsc/o St. Francis Healthcare System of Hawaii

2226 Liliha Street, Suite 227Honolulu, Hawaii 96817

The St. Francis International Center for Healthcare Ethics presents...

Dementia A Population Health Challenge: Rising Rates, Emerging Ethics

11th International Bioethics ConferenceFriday, April 29, 2016 8:00 am - 5:00 pmPomaika`i Ballrooms, Dole Cannery Honolulu, Hawaii

For more information, call (808) 547-6500 or email 2016EthicsConference@stfrancishawaii.org. Register online today at StFrancisHawaii.org