ALLIANCE FOR EXCELLENCE IN HOSPICE AND PALLIATIVE NURSING 2010 ANNUAL REPORT

Through the generous support of our corporate partners, Purdue Pharma and King Pharmaceuticals, the Alliance held its 3rd Annual Summit in June 2010 and as before it was very successful. Leaders from six nursing specialty groups: American Nephrology Nurses Association, American Society of Pain Management Nurses, Celtic Health Care, Emergency Nurses Association, National Gerontologic Nurses Association and the American Association of Heart Failure Nurses were represented. The outcome of the Summit was a strong commitment to collaborate that began with an early morning walk. The Board of Trustees reviewed the information received from the 2008 and 2009 Summits and developed a strategic plan to implement the five main focal points: Strategic integration of palliative care principles in other health care specialties; research; model identification; advocacy and transitional care coordination. The four board meetings that the Alliance held in 2010 were productive addressing the common issues noted by the three sister organizations: the economy, healthcare reform and the public policy issues, the need to interface with other nursing specialty organizations and finally the commitment to research and concerns of the public at large. The Alliance has built a strong bond, being committed to meeting the needs of our nursing colleagues from other specialties as well as the public at large. Financially, our revenue is limited but our expenses are as well. The main focus of expenditure comes from the planning and implementation of the Annual Summits. We look forward to moving palliative care forward through collaboration in the years ahead.

Virginia Marshall, ACNP-BC, ACHPN President, Board of Trustees

THE ALLIANCE FOR EXCELLENCE IN HOSPICE AND PALLIATIVE NURSING 2010 BOARD OF TRUSTEES

NBCHPN Representatives HPNF Representatives Ginger Marshall (Chair) Sylvia Marcantel Salt Lake City, UT Lake Charles, LA Barbara Schmal Elizabeth Pitorak Scottsdale, AZ Cleveland, OH HPNA Representatives CEO Judy Lentz Susan Cox (Secretary/Treasurer) Greensboro, SC Todd Hultman Medford, MA

THE ALLIANCE FINANCIALS FOR 2010

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EXPENSES

The Alliance acknowledges the Benefactor Level of support of our Corporate Partner, Purdue Pharma, L.P.

The Alliance acknowledges the Donor Level of our

Corporate Partner, King Pharmaceuticals

HOSPICE AND PALLIATIVE NURSES ASSOCIATION 2010 ANNUAL REPORT

This report highlights the major achievements accomplished in 2010 by the Board of Directors with the support of the CEO and National Office staff. 25th Anniversary Preparation; HPNA will celebrate its 25th Anniversary in 2011. A taskforce led by JoAnne Reifsnyder and Joy Buck was established and planning occurred in 2010 for recognitions activities that will be held in 2011. Interviews with members occurred; the history of HPNA will be presented in a history room at the 2011 Annual Assembly. A 25th Anniversary Dinner will be held at the 2011 Annual Assembly and will be used also as a fund raiser for HPNF. Past Presidents of the HPNA Board of Directors will also be recognized at the 2011 Annual Assembly. JHPN will have a new cover for 2011 honoring the 25th Anniversary. Professional Development

• The Mentoring program continued with 5 mentor/mentee dyads formed • HPNA has a recognized list of content experts that can be utilized by outside groups

seeking expert assistance in different areas of hospice and palliative care • The number of new chapters increased from 36 to 44 by the end of 2010; additionally 18

provisional groups are in development • The State Ambassador program increased from 14 to 24 • E-newsletters are now being sent out twice a month to all members • HPNA members completed a course on writing abstracts and publishing during the 2010

Leadership Weekend • Social networking continues through Facebook and Twitter • Elections continue to be conducted by electronic voting with an increase in participation • Spiritual Care and Value of the Advanced Practice Nurse in Palliative Care position

statements were completed • Initiated a presence in Washington by hiring Bryan Cave to represent HPNA • Approved Guiding Principles developed by the Public Policy Committee for Bryan Cave • Began the use of Live Chats where members can participate in a question and answer live

chat time with different experts • Developed HPNA Communication Communities which includes roundtables, discussion

boards and SIGs • HPNA has been the chair of the Hospice and Palliative Care Coalition (HPCC) during

2010, which includes AAHPM, CAPC, NHPCO, NPCRC, and the HPCC was joined by NASW in 2010; there has been active involvement in legislative and regulatory issues throughout the year

• HPCC became a member of the National Quality Forum’s National Priority Partnership and the HPNA President was chosen as the representative for this group

• The HPNA President and HPNA CEO participated at the National Quality Forum National Priorities Partnership Palliative and End of Life meeting in November

• The HPNA CEO served on a task force within the AAN to develop a policy brief in response to the discussion about death panels

• HPNA became an affiliate member of ANA • Membership exceeded 9,700 members

Education Resources

• A Learning Management System was enhanced with additional web courses including a free three-part Dementia web course

• Seven new books were developed • The fourth Clinical Practice Forum, focusing on pulmonary disease, was held with more

than 170 palliative care and/or pulmonary nurse attendees • The AAHPM/HPNA Annual Assembly was held in Boston, MA with more than 2000 in

attendance • HPNA continued under contract with the VA to develop educational materials for nursing

assistants • HPNA collaborated with ELNEC to provide programs in various locations across the

nation with more than 250 attendees • The new editor for the Journal of Hospice and Palliative Nursing began in January and

has already made positive changes to the journal • HPNA surveyed members about the benefits or receiving the Journal of Palliative

Medicine as a second organizational membership benefit with positive results Research

• The 2009-2012 Research agenda was reviewed with focus on planning for an updated Research agenda for 2013.

• HPNA participated in the Kathy Foley Research Retreat in October by initiating the HPNA Research Scholars program sponsoring five research scholars to attend

• The Research Committee continues to review the feasibility of a Research Conference in conjunction with the Clinical Practice Forum

Susan Cox, RN, MSN, CHPN, CHPCA President, HPNA Board of Directors

HPNA FINANCIALS FOR 2010

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THE HOSPICE AND PALLIATIVE NURSES ASSOCIATION 2010 BOARD OF DIRECTORS

Susan Cox, President Jody Chrastek Greensboro, SC Minneapolis, MN Todd Hultman, President-Elect JoAnne Reifsnyder Medford, MA Rehoboth Beach, DE Deborah Childs, Secretary/Treasurer Regina Wieger Corfu, NY Miami, FL Pamela Dalinis Lorraine Bearrows Villa Park, IL Chana, IL Beverly Paukstis Mary Ersek Gaithersburg, MD Philadelphia, PA Beth Werner Meg Campbell (Past President) Blaine, MN Detroit, MI Joy Buck Ginger Marshall (NBCHPN Hedgesville, WV President) Salt Lake City, UT

HOSPICE AND PALLIATIVE NURSES ASSOCIATION 2010 NATIONAL OFFICE STAFF

Judy Lentz Amy Killmeyer Chief Executive Officer Asst. Administrator/Office Manager Deena Butcher Nancy Tropeck Director of Membership Membership Coordinator Deputy Director Chad Reilly Felicia Stratico Asst. Director of Membership Data Manager Dena Jean Sutermaster Dane Semonian Director of Education Products Education Products Assistant Nancy Grandovic Leslie Lowe Director of Education Services Education Coordinator Ginny Wingertsahn Coleen Burchfield Director of Finance Office Clerk Sandra Lee Schafer Kathy Kelso Director of Certification Certification Clerk Dawn Zwibel Tim DeVaughn Asst. Director of Certification Webmaster Laura Ristau (through 7/10) Director of Development

The National Board for Certification in Hospice and Palliative Nursing (NBCHPN) in its 17th year continues to grow in program development and expand in breadth of certification. Highlights and accomplishments of the past year for NBCHPN® include:

• A total of 3,749 hospice and palliative care professionals achieved initial certification or renewed their certification in 2010, bringing the total of number of certificants to over 18,000.

• The 2010 NBCHPN® Certificant of the Year Awards were presented in Boston, Massachusetts during the NBCHPN® Certification Recognition Luncheon at the HPNA/AAHPM Annual Assembly March 4, 2010. The luncheon included a presentation by David A. Swankin, Esq. President and CEO of the Citizen Advocacy Center on meeting public expectations. o Niki Koesel, RN, MSN, APN, ACHPN of Charlotte, NC was the recipient of

the Certified Advanced Hospice and Palliative Nurse (ACHPN®) of the Year Award

o Florence LeClair, RN, BSN, CHPN of Worchester, Massachusetts was the recipient of the Certified Hospice and Palliative Nurse (CHPN®) of the Year Award

o Tracey Judkins, LPN, CHPLN of Las Vegas, NV was the recipient of the Certified Hospice and Palliative Licensed Practical/Vocational Nurse of the Year Award (CHPLN™).

• The 2009-10 Employer of the Year was awarded to Hospice of Southern Illinois. • In July, NBCHPN® took part, once again, in the annual HPNA-sponsored gathering of

Program Directors of graduate nursing schools that offer specialized education in palliative care. NBCHPN® presence at this meeting helps to keep the issues of certification for the APN in hospice and palliative care as part of the agenda.

• NBCHPN® continued with the process of developing a certification exam for pediatric and neonatal palliative care and hospice nurses by formation of a pediatric exam development committee (EDC) through convening a panel of pediatric experts to create the exam content. The first exam will be offered March 2011.

• NBCHPN® remains a very active member of the accreditation organizations, the American Board of Nursing Specialties (ABNS) and the Institute for Credentialing Excellence (ICE) formerly known as the National Organization for Competency Assurance (NOCA).

• NBCHPN’s first Situational Judgment Exam (SJE) was initiated this year as part of the Hospice and Palliative care Accrual for Recertification (HPAR) for Advance Practice

Nurses. The SJE uses a series of case-based scenarios to test critical reasoning and clinical application of content knowledge beyond the level of the initial certification exam. It allows for an in-depth assessment of the approach used by the individual to handle the complexity of real-life clinical situations and can test not only assessment and treatment decisions, but also ethical and professional topics, such as team building, communication, public policy, and research.

• Based on feedback from certificants, the Board of Directors voted to allow the use of the Hospice and Palliative Alternative Recertification (RN HPAR) process as an option for renewal of certification of the Certified Hospice and Palliative Care Administrator (CHPCA) credential beginning in 2011.

• NBCHPN® continued to work with its sister organizations, HPNA, and HPNF, through the Alliance for Excellence in Hospice and Palliative Nurses, to promote the unified voice of professional membership, certification, research and education by:

o Participating in the 2010 Alliance for Excellence Summit Meeting built on the successes of the first Summit in 2008 by convening with leaders from six nursing specialty groups: American Nephrology Nurses Association, American Society of Pain Management Nurses, Celtic Health Care, Emergency Nurses Association, National Gerontologic Nurses Association and the American Association of Heart Failure Nurses.

o Supporting the technical workgroup for the APRN Regulatory model of The Licensure, Accreditation, Certification, and Education (LACE). The LACE model is the product of substantial work conducted by the Advanced Practice Nursing Consensus Work Group and the National Council of State Boards of Nursing (NCSBN) APRN Committee. The goals of the LACE model is to clearly define APRN practice, describe the APRN regulatory model, identify the titles to be used, define the accountabilities of each component group of the model—Licensure, Accreditation, Certification and Education—and describe the emergence of new roles and presents strategies for implementation.

o Establishing the creation of Board restricted funds in the areas of Program Expansion, Collaboration, New Ventures, and Infrastructure Expansion.

o Continuing to provide funding for certification scholarships and research grants available through Hospice and Palliative Nurses Foundation (HPNF).

Virginia Marshall, ACNP-BC, ACHPN President, Board of Directors

NBCHPN® FINANCIALS FOR 2010

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NATIONAL BOARD FOR CERTIFICATION OF HOSPICE AND PALLIATIVE NURSES (NBCHPN®)

2010 BOARD OF DIRECTORS

Virginia Marshall, ACNP-BC, ACHPN Teresa Congdon, LPN, CHPLN President Fredericksburg, VA Salt Lake City, UT Barbara Schmal, MS, RN, CHPN, CLNC Kristi Griffith, RN, BSN, CHPN President-Elect Midlothian, TX Scottsdale, AZ Shiela Derrevere, MS, RN, CHPN Denise Stahl, RN, MSN, ACHPN Treasurer Hunker, PA Broken Arrow, OK Lyn Ceronsky, MS, GNP-BC, CHPCA Karen Kochell, RN, CHPN, BSN, Arden Hills, MN CHPCA Tulsa, OK Jeanne Sergi, BS (Public Member) Kathie-Kobler, MS, APN, PCNS-BC Moon Twp, PA Buffalo Grove, IL Renee Tillman, CHPNA Susan Koff, MSN, ARNP, ACHPN Copperas Cove, TX Boynton Beach, FL Bette Case DiLeonardi, PhD, RN-BC Kerstin McSteen, RN, MS, CNS, ACHPN Chicago, IL Past President St. Louis Park, MN Susan Cox, MSN, CHPN HPNA President Greensboro, SC

HOSPICE AND PALLIATIVE NURSES FOUNDATION 2010 ANNUAL REPORT

The Hospice and Palliative Nurses Foundation has had a very successful year but also experienced challenges in regards to fundraising and development. We continue our process of review, analysis and strategic thinking as we move into 2011. Board members included: Sylvia Marcantel, President Linda Gorman, Vice President Lake Charles, LA Studio City, CA Heather Mabee, Secretary/Treasurer Pam Malloy Saratoga Springs, NY Buellton, CA Joan Harrold Elizabeth Pitorak Lancaster, PA Cleveland, OH Jane Sidwell Susan Cox, HPNA Representative Sarasota, FL Greensburo, NC During 2010, grants, scholarships and awards were presented to the following individuals: Six (6) Chapter Educational Grants: HPNA Boston Chapter HPNA Greater Lake Conroe Chapter HPNA Hope of Kentucky Chapter HPNA North Carolina Foothills Chapter HPNA Piedmont Chapter HPNA South Carolina Coastal Chapter

Four (4) Individual Educational Scholarships: Judith Adams Elizabeth Anne Blackwell Karen Peereboom Jocelyn Reeves

Four (4) Certification Exam Scholarships: DeAnna Looper Kimberly Frier Cynthia Rohret Funmilayo Aina

Six (6) Conference Scholarships Paula Forest Lores Vlaminck Nancy D. Roecklein Bronwyn Long Jane M. Pelosi-Kelly Elizabeth Martinsen

Certification Research Grant Barbara Head – “Job Satisfaction and Attitudes towards Specialty Certification

among Hospice and Palliative Nursing Assistants” Project Death in America (PDIA) Award Sheila Grant Sigma Theta Tau International/HPNF End of Life Research Grant was awarded to: Charlotte Wool – “Transition from Hospital to Home Hospice: The No-Care Zone” We currently have 17 Florence Wald Fellows We have the following Donor Circles Numbers for 2010: Builder’s Circle ($1,000 over 3 years) – 13 donors Sustainer’s Circle ($5,000 over 3 years) – 2 donors The HPNF board, in collabortion with HPNA, focused on the development of a Palliative Care Leadership Institute. This major project will assist in fulfilling our mission to support quality of life in persons experiencing serious illness by advancing nursing excellence. We wish to express our gratitude to all those who have donated to the foundation in 2010. It is through the generosity of our supporters that we are able to grow our organization and provide stronger programs of grants, scholarships and awards to benefit hospice and palliative nurses across America.

For more detail about our donors and how to donate to the Hospice and Palliative Nurses Foundation, visit our website at www.hpnf.org

Sylvia Marcantel, RN, CHPN, CHPCA President, Board of Directors

HPNF FINANCIALS 2009

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Hospice and Palliative Nurses Foundation HPNF gratefully acknowledges support from 2010 donors

Florence Wald Fellow Society

Patricia Berry Kate Faulkner Linda Gorman Jeanne Martinez Joy Buck In honor of Jackie Fajkowski Debra E. Heidrich Barbara Miller Connie Dahlin In honor of Pat Gibbons Mary Louise Irvine Elizabeth Ford Pitorak Mary Ersek Betty Ferrell Judy Lentz Jane C. Sidwell Bonnie Glod Pam Malloy Rose Virani

Florence Wald Fellows pledge $10,000 over 5 years

Sustainer’s Circle Members

Marie Bakitas Linda Gorman

Sustainer’s Circle Members pledge $5,000 over 3 years

Builder’s Circle Members

Susan Breakwell Rita Hand Sylvia Marcantel Elizabeth V. Smith Deborah Childs Barbara Head Kerstin McSteen Susan Cox Brian Jones Patricia Murphy Pam Fordham Jane Kirschling JoAnne Reifsnyder

Builder’s Circle Members pledge $1,000 over 3 years

Individual Donors

Trustees - $1,000+ Patrons - $250+ Benefactors - $100+ Benefactors - $100+ Madalon Amenta Jacqueline Fournier Joan Chrastek Kristi Griffit Joan Harrold Linda Judge-McRae Lynell Colon Anne Hughes Judy Lentz Scott Lentz Helen Corbett Hazel Jackson Virginia Marshall June Lunney Carla Crossno Lisa Keenen Janet Snapp Mentors - $500+

Denise Stahl Benefactors - $100+

Pamela Davis Colette Greer Daniel Elizabeth Davies

Kathie Kobler Charlene Kranitz Michael LaPenta

Mary Ersek Jane D. Anderson Lynore B. DeSilets Cynthia Leipold Susan Koff Mark Belschner Caroline Duquette Scott Lentz Beverly Paukstis Jeanne Q. Benoliel Lars Egede-Nissen Robert Lentz Flo Bernardo Ann Ersek Sarah Kate Lewis Patrons - $250+ Ruth Ann Brintnall Linda Freda Carma Lovely Nancy Auster Kelly Brogan Regina Geracci Thomas Mack Pamela Bennett Margaret Campbell Mary Ann Gill Susan Maloney Beverly C. Fletcher Lynn Ceronsky Nathan Goldstein Bridget Mallory

2010 Hospice and Palliative Nurses Foundation Donors Individual Donors Continued

Benefactors - 100+ Friends - $50+ Partners - $25+ Supporters – up to $24 Pamela Mann Joan Kuykendall Joseph Lopez Julie Gibson Ida Martinson Heather Mabee Doreen Melville Catherine Gidaro Sandra Mathis Rhonda Oakes Donna Nunes Liz Groush Polly Mazanec Molly Poleto Cheryl M. Pritchett Terry Gutgsell Harold Parsley JoAnne Reifsnyder Cecilia Quade Pauline Halpin Sheila Prowsolsky Bonnie Richardson Beverly Roas Sandi Harding Barbara Raudonis Sylvia Ringmacher Dorothy Salovesh Christine Harlander Mary Richt Denise Sanders Aggie Sanker Mike Hellman Sandra Lee Schafer Joseph Schafer Jeanne Sergi Jen Hemphill Steve Smith Barbara Schmal Bernard Smith Marie Henry Linda Stahl Gail Semonian Pat Soenksen Jeannette Hoffman Marsha Stanton Monica Shaw Deborah Thorpe Cynthia Howard Maureen Stark Ruth Simons Carla Tozer Allen G. Hyserman Rosemary Stetzer Christian T. Sinclair Lynn Vescio Kelly Irvine Connie Tameny Sherry L. Smith Cathy Wagner Steve Irvine Renee Tillman Dosoon Soh Tomasita Jacubowitz Debbie Volker Margaret Stone Supporters – up to $24 Paula Jessup Charles Wellman Porter Storey Donna Albert Heather Johnston Beth Werner Nanci Tansey Karen Andasko Debra Kelley Eileen Walfinger Rosalie R. Thomas Nikki Andasko Kathy Kelso Christina Westphal Titania Watkins Diane Anest Patricia Kennedy Regina Wieger Ginny Wingertsahn Zeba Anwar Dr. Kitzmaller Missy Zimmerman Mary Kay Arthur Angeline Lahr Partners - $25+ Jeanne Beers Mary W. Larach Friends - $50+ Claire Altman Sarah Bullard Margaret Lascala Maureen Asper Joann Bennett Coleen Burchfield Roberta Larimer Judy Bartel Pat Borman Kimberly A. Carroll Craig Lentz Lorraine M. Bearrows Carlin A. Callaway Rose Caruso Amanda Lewis Bernadine Butcher Debi Clancy Marge Chell Carol Long Randy Bush Connie Chase Barbara Cliff Pat Lucas Thelma Byler Ellie Coyne Carol Conn Jeff Mandel Joan Carpenter Kathleen Davis Sean Conn Nancy C. Mason Cleanne Cass Bobby Egleston Shannon Conn Christine McCarty Maria Caturay Jean Endrycr Patricia Cooper Rene McCormick Cynthia Cooper Carma Erickson-Hurt Marian Crumb Nancy L. McCullers Shiela Derrevere Ann Frego Linda Cunnif Pat McGuire Cynthia Desjardins Wendy Gannon Charlene Cutter Jane McPhillips Bette Case DiLeonardi Frank Guido Elizabeth Davis Leah Middleton Ann Marie Dose Nancy Grandovic Nita Davis Terry Millon James Drew Beth Ann Harms Pam Dawson Mary Ann Misenhimer Rita Driver Sandi Hebley Christine Diah Juan Carlos Monguilod Bruce Ferrero Bridget Hellinger Linda Dolan Maudie M Murray Charlene Forcier Anne Louise Hitchak Ky Eaton Henri Nammour Becki L. Fudge Todd Hultman Roberta Ennis Julie B. Neubauer Virginia Goff Catherine W. Johnson Bridget Francione Paul Outon Paul Gossen Christine Johnson Kim Frier Jane Pelosi-Kelly Andrea Holtzer Gladys Johnston Lita Fuze Chris Peltie Ingrid M. Huff Inez Joseph Mary Gallant Joel Policzen Lauretta F. Huff Karen Kehl Jan Gartenberg Nancy Proctor Amy Killmeyer Chester Kobel Evan Geller Erica Reger Evelyn Kramer Brian Lentz Liz Geller Chad Reilly

2010 Hospice and Palliative Nurses Foundation Donors Individual Donors Continued

Supporters – up to $24 Tom Reilly Tori Sahnow Tara Speicher Debbie Vermette Dr. Reitman Sally Sample Cindy Stafford Karen Waldron Sarah Renze Sandra Sams Lisa Stephens Ira Wara Debbit Rettig Sophia Schultz Carol Stephenson Kathleen Waltkus Betty Riley Joanne Shelton Felicia Stratico Cynthia Washington Alma Ristau Alison Shrum Dena Jean Sutermaster Bev Welch Ben Ristau Jennifer Siegman Jefferson Svengsouk J. Whalen Carolyn Ristau Kathy Simone Marjorie True Mabel White Laura Ristau Cindy Simone Karen Trump Linda Worrall Moira Rivas Jim Sinclair Christine Turner Colleen Yarian Jill Roccaro Ray Slimak Julie Ullery Mark Yarian Susan Rogers Susan Snider Linda Vacca Dawn Zwibel

Star Chapters Starlite One Star Two Star Three Star Boston Central New Jersey Chicagoland Ft. Worth Esprit Du Coeur Southern Colorado Mid-Florida Greater Delaware Valley North Coast Ohio South Central PA Southeast Florida Tri-County Triad North Carolina

Hospice Donors The Denver Hospice Hospice of the Valley Evercare Hospice and Palliative Care Hospice of the Western Reserve Hospice Care Network Lighthouse Hospice Hospice of the Rapidan Tidwell Hospice and Palliative Care

Corporate and Foundation Donors Bulldog Office Products, Inc. Odyssey Healthcare California Healthcare Foundation Pittsburgh Foundation Mark’s Telephone Service, Inc. Texas Academy of Palliative Medicine North Carolina Triangle Chapter of ONS

Gift-in-Kind Donations Hilton Boston Back Bay

Hospice Pharmacia ProCare Hospice Care Recognition by Design

VITAS

HPNF is grateful for the support from all 2010 donors. This list reflects all donations through December 31, 2010.