Educational Summit Program

Transformation: Enhancing care; Containing cost; Maximizing satisfaction

An educational summit was hosted on November 10, 2011 by Kokua Mau – Hawaii Hospice and Palliative Care Organization.

Chronic and terminal illness is the leading challenge for health care today in terms of quality, cost, and satisfaction. Our goal is to bring together individuals and organizations with the shared passion for creating opportunities to transform health care and reduce suffering for the seriously ill in Hawai‘i.  This will be a day of learning, networking, strategy sessions, and new opportunities.

Who should attend?
People caring for those who are seriously ill and those who need to understand the issues they are facing.  This includes health care executives, administrators, legislators, doctors, nurses, social workers, case managers, chaplains and family care givers.

Many thanks to our sponsors for helping make this Eduational Summit possible:

  • The Queen’s Medical Center
  • HMSA
  • Castle Medical Center
  • United Healthcare
  • State of Hawaii’s Department of Health’s Comprehensive Cancer Control Program
  • St. Francis Healthcare Systems
  • Kaiser Permanente


8:30    Welcome

Palliative Care:  A Tool for Transformation.  Rae Seitz, MD, Medical Director, HMSA

Under Discussion: Providing better healthcare for the chronically ill.

  • Moderator – Anna Loengard, MD, Chief Medical Officer, St. Francis Healthcare System
  • Long Term Care:  Bernadette Ledesma, MPH, NHA, Administrator, Pearl City Nursing Home
  • Health Care Systems: Mark Yamakawa, Chief Operating Officer, Queen’s Medical Center
  • Palliative Care:  Daniel Fischberg, MD, PhD, Medical Director, Pain & Palliative Care Department, The Queen’s Medical Center
  • Health Care Systems/ Advance Care Planning: Melinda Ashton, MD, VP, Patient Safety and Quality Services, Hawaii Pacific Health
  • Primary Care: John Houk, MD, Solo Practice, General Internal Medicine, Medical Director, Arcadia and Craigside Retirement Residences
  • Hospice:  Brenda Ho, RN, Executive Director, Hospice of Hilo

HMSA’s New Quality Improvement Program in Hospitals. Hilton Raethel, Senior Vice President, HMSA

Kokua Mau and the evolution of hospice and palliative care in Hawai‘i.  Linda Axtell-Thompson, MBA, MA, Asst. Vice President, Office of Strategy Management, HMSA

Current Initiatives in Hawai‘i – We have reached the tipping point.
  Jeannette Koijane, MPH, Executive Director, Kokua Mau

Lunch/Meet the Experts

POLST: A Systems Overview.  Kenneth L. Zeri, RN, MS, President & CPO, Hospice Hawai‘i

Breakout sessions

  1. Communication Track – How to initiate and carry on values based discussions about care.  Emese Somogyi, MD, Medical Director, Castle Medical Center Palliative Care Program, Lori Protzman, RN, St. Francis Hospice
  2. Administrative Track – HMSA Quality Improvement Project – A chance for representatives from different hospitals to exchange experiences about the end-of-life portion of the Quality Improvement project.  Geoff Galbraith, MD, Hospice Hawai‘i, Kenneth L. Zeri, RN, MS, President & CPO, Hospice Hawai‘i,  Rae Seitz, MD, Medical Director, HMSA

The Hidden Wholeness  – Clarence Liu, MDiv, Pacific Health Ministries

What happens next?  Opportunities for collaboration
. Geoff Galbraith, MD, Medical Director, Hospice Hawai‘i,


  • PDF file of Kokua Mau Educational Summit Agenda (with times)

Learning Objectives – At the end of the program, participants will be able to:

  1. Identify the relationship between quality, cost and value in treating serious illness
  2. Describe the state of hospice, palliative, and end-of-life care in Hawai‘i
  3. Discuss the importance of values-based conversations
  4. Discuss the need to document conversations to ensure wishes are honored and appropriate care is given
  5. Identify the importance of Physicians Orders for Life Sustaining Treatment (POLST)
  6. Devise specific steps to mater communication techniques for talking with people with serious illness

All speakers listed in the Kokua Mau Educational Summit Program have confirmed their participation. Biographies from our speakers are available.

Please note: The summit was a green conference. No printed materials were distributed at the Summit.

Educational Summit Evaluation Results

Special message from Governor Neil Abercrombie

Summit Materials to download (sorry, no longer available)

Summit flyers (please download, print and post)

Speakers’ biographies