Upper Great Lakes Region Palliative Care and Hospice Conference

On October 20 and 21, 2015, Lake Superior Hospice and Lake Superior Palliative Medicine will be hosting the Third Annual Upper Great Lakes Palliative Care and Hospice Conference, “Hope. Honesty. Humility. Healing.” The conference will be held on the campus of Northern Michigan University in the University Center Great Lakes Rooms. This two day event features keynote presentations, concurrent sessions, and interactive preconference workshops. Click “Register Now” at the top of the webpage to register for this year’s conference.

Keynote Speakers:

Kari Sederburg, MPA

Kari Sederburg is the executive director for the Michigan Department of Health and Human Services, Aging and Adult Services Agency. In that role, she serves as the chief advocate for over 2 million older adults in Michigan, directing nearly $100 million in federal and state funding for aging programs, and is helping to shape policies that provide older adults and adults with disabilities with services they need.

She formerly served as director of the Michigan office of Services to the Aging, a position to which Gov. Rick Snyder appointed her in 2011.

She has also served as director of public policy for the Michigan Nonprofit Association, vice president for marketing and communications at the Gerontology Network in Grand Rapids, a senior account executive at the Rossman Group, and as program officer for the Detroit Local Initiatives Support Corporation.

Dr. Arif Kamal, M. D.

Dr. Arif Kamal is the Director of Quality and Outcomes for the Duke Cancer Institute at Duke University, an Assistant Professor of Medicine in the Division of Medical Oncology and Duke Palliative Care, and a health services researcher studying the link between high quality care and improved outcomes.

He completed medical school within the 6-Year combined BA/MD program at the University of Missouri – Kansas City, internal medicine residency and hospice and palliative medicine fellowship at the Mayo Clinic in Rochester, Minnesota, and hematology/oncology fellowship at Duke University. He also holds a Masters in Health Science in Clinical Research from Duke University and is pursuing an Executive MBA in Health Management from University of Massachusetts – Amherst. Dr. Kamal currently holds grant funding from the Cambia Foundation, Retirement Research Foundation, National Institute of Health/National Institute of Nursing Research, and Agency for Healthcare Research and Quality. He has authored over 45 manuscripts and editorials on topics related to palliative care and quality.

Dr. Joseph Piccione, S.Th.D.

Joseph Piccione works for OSF Healthcare System which is the sponsor of Saint Francis Hospital in Escanaba.

He is based in Peoria, Illinois as OSF Ministry Ethicist and Senior Vice President for Mission Integration.  Joseph has been an ethics and mission integration resource for OSF people in Escanaba over the years.  He is also a presenter in system-based retreats and other renewal programs and facilitates ethics committees and consultation.  A long internal advocate for palliative and hospice care, Joseph is a member of the OSF Supportive Care Governance Council.  He also presents on the topic of ethics in the OSF Advance Care Planning program.

Joseph holds doctorates in theology and civil law, and is an adjunct faculty member of the University of Illinois College of Medicine-Peoria and Saint Anthony College of Nursing in Rockford, Illinois.  He is a native of Paterson, New Jersey and finds that Lake Superior can stir his soul as does the Atlantic Ocean.


Conference Agenda:

Tuesday 10/20/15

8:00 a.m.—Workshop Registration

9:00 a.m.—Welcome

9:15-10:35 a.m.—Workshop #1 or #2 (see following pages)

10:45-12:05 a.m.—Workshop #3 or #4 (see following pages)

12:05-12:45 p.m.—Lunch Break (lunch not provided)

12:45 p.m.—Welcome and Introduction

1:15-2:05 p.m.—Session A (see concurrent session choices: A1, A2, A3, A4)

2:20-3:10 p.m.— Session B (see concurrent session choices: B1, B2, B3, B4)

3:30-5:00 p.m.—Community Keynote #1: “Putting People Above Programs: Crossing Common Barriers Through Collaboration” Kari Sederburg, MPA, Executive Director for the Michigan Department of Health and Human Services, Aging and Adult Services Agency

Wednesday 10/21/15

7:00 a.m.—Sunrise Service with Tim Derwin

7:30 a.m.—Breakfast and Registration

8:15-9:05 a.m.—Session C (see concurrent session choices: C1, C2, C3, C4)

9:20-10:40 a.m.—Keynote #2: “Nourished at the Source: Spirituality for Our Everyday Practice” – Joseph Piccione, S.Th.D.;OSF Healthcare System

11:00-11:50 a.m.—Session D (see concurrent session choices: D1, D2, D3, D4)

12:00-1:00 p.m.—Lunch: Meal Provided
Options for 20-minute Personal Well-Being Sessions

1:00-1:50 p.m.—Keynote #3: “The Evolving Landscape of Palliative Care in the U.S.”—Dr. Arif Kamal, MD, Director of Quality and Outcomes, Duke Cancer Institute—Duke University

2:05–3:25 p.m.—Session E (see concurrent session choices: E1, E2, E3, E4)

3:30 p.m.—Closing Comments/Wrap-up and Evaluations

Optional Workshops

1.      “How Has Your Most Powerful Death Changed the Way You Practice?”

Dr. Stuart Johnson, DO, Program Director, Marquette Family Medicine Residency Program, will lead attendees in an exercise that will focus on examining a powerful or challenging experience with death and resulting lessons we can learn and take forward as professionals and in our personal lives. In addition, a look at the power presence can have in truly healing, while caring for those facing difficult times.

2.      “Listening, Yielding, Asserting”
Jon Magnuson, MSW, Dr. Larry Skendzel, MD, and Dr. Mike Grossman, MD, will lead an exercise based on a technique known as “Push Hands.” Historically a part of Chinese martial arts tradition, this gentle practice relates in playful ways to symptom management and maintaining healthy balanced tension in interpersonal relationships. Participants will physically explore the ever-shifting give-and-take patterns that will always remain the key part in all patient/caregiver dynamics.

3.      “What Services Truly Meet the Needs?”

Ruth Almen, LMSW, will lead this workshop which will focus on how to adequately identify the needs that are unmet for an individual as opposed to services perceived to be needed by resource providers. Utilizing the strength based planning models of Wraparound Programming, the attendee will have an opportunity to evaluate their own style of providing services and examine the possibilities of other approaches.

4.      “Meeting of the Minds: Skills to Enhance the Learning Capability of the Patient and Their Loved Ones”

Kate LaBeau, Organizational Faculty Last Steps, and Rose Seavolt, Organizational Faculty Next Steps, will provide an interactive workshop that focuses on facilitation skills using Respecting Choices Model Steps. Participants will have an opportunity to discover and discuss shared experiences in facilitating conversations that involve end of life planning; evaluate the benefits of using scripts to standardize a process that must yield highly unique outcomes that are person focused; and explore ways to enhance adult learning/understanding to create individualized choices/plans.   Practicing the discussed methodologies to decrease moral distress, interview fatigue, and overcoming of barriers for all engaged in planning discussions will add to the existing skills of the participants.

Concurrent Sessions

(Day 1)

Session A:        1:15-2:05 p.m.

A1: “Mindful Medication Discontinuation”—Dr. Michael Grossman, MD

A2: “A Proven Path for Choreographing the Dance of Healthcare Choices”—Rose Seavolt, RN

A3: “Delirium, Depression, Dementia: What’s a Clinician to Do?”—Dr. Jessica Kirkland-Caldwell, PhD

A4: “Perspectives of Spirituality”—Tim Derwin

Session B:        2:20-3:10 p.m.

B1: “Advance Care Planning: All for One and One for All?”—Carolyn Stramecki, MHSA

B2: “Palliative Care: Where Quality and Compassion Intersect”—Dr. Arif Kamal, MD

B3: “Addiction in Hospice and Palliative Care: Navigating the Swamp”—Dr. Bill Short, MD

B4: “Delirium, Depression, Dementia: What’s a Clinician to Do?”—Dr. Jessica Kirkland-Caldwell, PhD


(Day 2)

Session C:        8:15-9:05 a.m.

C1: “Guardianships and palliative End-of-Life Care”—John Bray, MSW

C2: “Hope and Prognosis”—Dr. Larry Skendzel, MD

C3: “Duty to Respond”—Lyn Nelson, BS

C4: “Quality of Life and Health Related Eye Disease”—Anna Baumgartner, OD


Session D:        11:00-11:50 a.m.

D1: “Hope and Honesty”—Steven Gualdoni, PA-C

D2: “Mindful Medication Discontinuation”—Dr. Michael Grossman, MD

D3: “Networking to Provide Person-Centered Focus: Q and A”—Kari Sederburg, MPA

D4: “Hope and Dignity in Spite of Stigma”—Louise Wilcox, RN

Session E:        2:05-3:25 p.m.

E1: “Humility and Healing in Caring for Patients with Severe Illness: The Evolving Roles and Perspectives for Physicians and Care Teams”—Dr. Phillip Lowry, MD

E2: “Health Information Exchange in the Upper Peninsula”—Paula Hedland, CIO

E3: “Addiction in Hospice and Palliative Care: Navigating the Swamp”—Dr. Bill Short, MD

E4: “Perspectives of Spirituality”—Tim Derwin


Grief Support Groups

Marquette: 1st and 3rd Wednesday of the month from 5:00 p.m. – 6:30 p.m. at Lake Superior Hospice, 914 W. Baraga Avenue, Marquette. The facilitator is Cara Zanetti, Lake Superior Hospice Bereavement Coordinator. For more information contact her at (906) 225-7760 or email

Bereavement Luncheon

Marquette: Bereavement Luncheon is held on the 2nd Thursday of each month at 12:00 noon at Lake Superior Hospice, located at 914 W Baraga Avenue, Marquette. The Bereavement Luncheon will be funded through attendee donations to order in pizza or subs. Guests are welcome to bring a dessert to share. Please call 906-225-7760 or email to RSVP for the luncheon.

Memorial Services

Marquette: A Memorial Service honoring and celebrating the lives of our loved ones is held each year. This past year our memorial service was held at the Presque Isle Pavilion. The Memorial Service is an opportunity to honor and celebrate the lives of those we have lost. It is a time to share stories, celebrate with music, pray and remember our loved ones. Please call Lake Superior Hospice at 906-225-7750 for more details.

Discover a Different
Kind of Care
  • A 10-week bereavement group has started on September 15th at the Carnegie Public Library in Ishpeming. If you are interested in attending the 10-week course, please call Cara Zanetti, LSH Bereavement Coordinator, to register. The group will meet on Tuesdays from 3 p.m. to 4:30 p.m. and will be utilizing “Understanding Your Grief” by Alan Wolfelt, Ph. D.

    Contact Cara by phone at 906-225-7760.