Practical Advice for Advance Care Planning

Why is this important?

Busy clinicians need practical, accessible, and team-based strategies to integrate advance care planning into routine care. Fundamentally, advance care planning is more than completing an advance directive. Advance care planning includes multiple conversations over time to understand an individual’s evolving values regarding future medical care. The conversations, decisions, and documentation of wishes must be attentive to the individual’s level of readiness and respectful of their personal, family and cultural values. To elicit and honor patients’ wishes so that future medical care is aligned with their goals, clinicians need practical tools for preparing themselves, their clinical team and their practice settings, as well as their patients and families.

This module will provide the following practical resources for advance care planning:

  • Videos demonstrating key concepts and practical language for brief conversations
  • Team-based strategies for advance care planning processes
  • Evidence-based, person- and family-centered tools and approaches
  • Practical tips for documentation and billing related to advance care planning

The practical strategies highlighted in this module can be implemented in practices, large and small, urban and rural. While this module focuses on the team-based approaches and ambulatory settings, these advance care planning concepts and tools can be adapted to meet patient and family needs in any medical care setting. Additionally, our goal is to provide tangible knowledge and resources that can be directly applied, while also encouraging you to identify patient and family advisors, fellow health care practitioner champions, and health system initiatives and resources to facilitate coordinated advance care planning engagement efforts. By completing this module, we recognize your desire to enhance your ability to honor patient and family preferences and to receive Continuing Medical Education (CME) credits for doing so.

How will these tools help?

  • Videos demonstrating key concepts and practical language for brief conversations
  • Team-based strategies for advance care planning processes
  • Evidence-based, person- and family-centered tools and approaches
  • Practical tips for documentation and billing related to advance care planning


 

Target Audience

Target Audience

  • Physicians

  • Physician Assistants

  • Nurse Practitioners

  • Registered Nurses

  • Medical Assistants

  • Practice Managers

Learning Objectives

Learning Objectives

  • Demonstrate knowledge of key components of advance care planning conversations
  • Identify team-based strategies for integrating advance care planning into clinical settings
  • List person- and family-centered tools to prepare individuals for advance care planning
  • Utilize practical strategies to overcome barriers to advance care planning
  • Explore how to engage patients and families in your advance care planning efforts
Course summary
Available credit: 
  • 20.00 AMA PRA Category 1 Credit™
  • 1.00 Attendance
  • 20.00 ABIM MOC
Course opens: 
06/29/2017
Course expires: 
06/29/2020
Cost:
$0.00
Parent activity set: 
Rating: 
0

Practice Advisor Content Manager: 

Jillian Schneider, MHA, Manager Practice Support, American College of Physicians

 

Contributors:

Rebecca Sudore, MD, Professor of Medicine, University of California at San Francisco

Hillary Lum,MD, PhD, Division of Geriatrics, University of Colorado

Rachelle Bernacki, MD, MS, Director Quality Initiatives, Dana Farber Cancer Institute

Gordon Wood, MD, Assistant Professor of Medicine, Northwestern Feinberg School of Medicine

Eytan Szmuilowicz, MD, Assistant Professor of Medicine, Northwestern Feinberg School of Medicine

VJ Periyakoil, MD, Director, Palliative Care Education, Stanford School of Medicine

Claudia Amar, RN, BSN, MHA, Program Manager, Primary Care, Stanford Clinical Research Center

Sara Silberstein, MPH, Research Associate, Stanford Clinical Research Center

Mary Minniti, BS, CPHQ, Senior Policy & Program Specialist, Institute for Patient & Family Centered Care

Amy Kratchman, Family Consultant, Children's Hospital of Philadelphia

 

Disclosures:

All contributors listed  have nothing to disclose.

Continuing Medical Education

The American College of Physicians (ACP) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education (CME) for physicians.

The ACP designates this performance improvement activity for a maximum of 20 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 20 medical knowledge and practice assessment MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credit claimed for the activity. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

Release Date:  7/10/2017

Termination Date:  7/9/2020

To earn CME credit, you must attest after completion of the second module biopsy that you have:

  • Participated in the completion of the ACP Practice Biopsy
  • Participated in the review of the ACP Practice Biopsy result
  • Participated in identifying an action plan to improve our practice
  • Participated in the implementation of the plan
  • Participated in the follow up ACP Practice Biopsy to measure improvement

When you have done so, follow the on-screen instructions to complete and submit the submission form.

 

Available Credit

  • 20.00 AMA PRA Category 1 Credit™
  • 1.00 Attendance
  • 20.00 ABIM MOC

Accreditation Period

Course opens: 
06/29/2017
Course expires: 
06/29/2020

Price

Cost:
$0.00
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