Author : Aretha Delight Davis

Munson Healthcare’s Palliative Care Team Implements ACP Decisions’ Video Library to Enhance Serious Illness Care Discussions

Reading Time: < 1 minuteIn this Case Study, Munson Healthcare, which services over a half million residents across 30 counties in northern Michigan, implemented ACP Decisions’ Video Library to support serious illness care discussions.  This initiative has helped Munson Healthcare streamline goals-of-care conversations and helped prepare patients for initial conversations about palliative care. To learn more click here to[…]

Addressing the Needs of Dual Eligible Beneficiaries

Reading Time: 3 minutesThe dual eligible population is one of the most vulnerable patient populations in the United States. Over the last decade, policymakers at both state and federal levels have worked hard to integrate Medicaid and Medicare benefits, administrative processes, and financing to improve and streamline care for the individuals simultaneously enrolled in both programs. However, more[…]

10 Ways Video Decision Aids Support the Care of Seriously Ill Populations

Reading Time: 2 minutesPeople living with serious illnesses must make important healthcare decisions throughout their healthcare journeys. As they approach end-of-life, these decisions become even more consequential as patients consider treatment goals, palliative care, and life-support measures.  Too often, an end-of-life care conversation is the elephant in the exam room. Even though patients and their families facing life-limiting[…]

Dual Eligible Beneficiaries: 6 Things to Know

Reading Time: 3 minutesDual eligible beneficiaries are among the most vulnerable patient populations in the United States. While policymakers and health plans recognize the need to address the complex care needs of these individuals, it can be challenging to understand their unique situations and the variety of factors that elevate their risk. Here are six things to know[…]

7 Tips to Avoid Medicare Advance Care Planning Denials

Reading Time: 3 minutesMedicare began reimbursing providers for advance care planning (ACP) in 2016 to promote better health outcomes. While the number of claims has grown each year, the prevalence of physicians having end-of-life care discussions with their Medicare patients has remained low. Despite the numerous benefits of providing ACP services, a recent study published in Health Affairs[…]

Health Literacy: A Bridge to Health Equity

Reading Time: 3 minutesIn the wake of the pandemic’s disparate impacts on different communities, healthcare organizations are exploring ways to advance their health equity initiatives. Given the fact that health literacy was identified as a valuable tool to help populations disproportionately affected by COVID-19, it is clear that addressing low health literacy can effectively improve health equity. What[…]

Health Equity: What it Means and Why it Matters

Reading Time: 4 minutesWith more discussion than ever around healthcare’s role in achieving health equity, it’s important for healthcare professionals, healthcare organizations, and communities to have a shared understanding of the key concepts and why achieving health equity matters. Making sense of the terminology Here’s an overview of key health equity-related terms. Health equity: Essentially, health equity means[…]

4 Virtual Visit Best Practices for Serious Illness Conversations

Reading Time: 3 minutesAs COVID-19 infections surged in 2020, the U.S. federal government stepped in with policy waivers to help overcome the biggest obstacles to telehealth, and medical associations released practice guidelines. Within weeks, there was as much as a ten-fold increase in virtual doctor visits. The increased adoption of telehealth revealed the enormous potential of telehealth to[…]

Understanding the Obstacles to Telehealth

Reading Time: 3 minutesThe COVID-19 pandemic forced clinicians to alter how they deliver healthcare, ushering in a new era of telehealth.  The increased adoption of remote medical care revealed its enormous potential to transform healthcare delivery. Policy and regulatory flexibilities that were granted under the public health emergency declaration eased some of the biggest barriers to telehealth; however,[…]

Advance Care Planning: A Tool for Healthcare Empowerment

Reading Time: 4 minutesThe onslaught of COVID-19 cases early in the pandemic derailed the process of shared decision making in healthcare by forcing in-the-moment medical decisions. The pandemic elucidated how health can deteriorate suddenly and unexpectedly, driving a call to action for individuals, families, and providers to initiate advance care planning (ACP) discussions and ensure end-of-life care wishes[…]

ACP Decisions Videos Re-Certified by the Washington State Health Care Authority

Reading Time: 2 minutesACP Decisions is pleased to announce that ten of its decision aids focused on end-of-life care have been re-certified by the Washington State Health Care Authority. ACP Decisions is one of a few organizations in the U.S. to receive certification within the end-of-life care category. This certification is valid for five years. Washington was the[…]

Novello Physicians Organization Implements ACP Decisions’ Video Library to Support a Whole-Person Care Approach Across an Independent Provider Network

Reading Time: < 1 minuteIn this Case Study, Novello Physicians Organization (NPO) implemented ACP Decisions’ Video Library to support a whole-person care approach across a network of independent providers. This initiative has helped NPO achieve its goal of decreasing Emergency Department visits, hospital admissions and readmission rates. To learn more click here to download the Case Study.

3 Transformative Benefits of Telehealth

Reading Time: 3 minutesFor many years, telehealth lingered on the fringes of healthcare. Then came the COVID-19 pandemic. The utilization of telehealth services skyrocketed from less than one percent to as much as eighty percent of provider visits in the early months of the public health emergency as temporary policies were enacted to promote a safer mode of care delivery.[…]

Recent Clinical Research in Palliative Care: 5 Key Takeaways

Reading Time: 3 minutesPalliative care is defined as medical care that is focused on relieving the symptoms associated with a chronic or life-threatening illness. It can be offered along with curative treatments at any stage of illness to provide comfort and support. It also includes guidance making important medical decisions and assistance with coordination of care. The goal[…]

Addressing Senior Loneliness and Isolation

Reading Time: 4 minutesSocial isolation and loneliness are common problems among older adults and are linked to several health conditions, such as depression and heart disease. According to the CDC, social isolation is a lack of social connection, while loneliness is the feeling of being alone, regardless of the amount of social contact. Healthcare professionals can take steps[…]

How Health Literate is Your Organization?

Reading Time: 3 minutesHealthcare has a language of its own. Unfortunately, more than one-third of U.S. adults have limited health literacy, making it difficult for them to comprehend the language of healthcare. Limited health literacy negatively impacts a person’s ability to make informed decisions about their health and navigate to the medical services they need. It is estimated[…]

The Crucial Role of Primary Palliative Care in Healthcare

Reading Time: 3 minutesIn a perfect healthcare world, advance care planning conversations are initiated early in the patient journey, advance directives and health care proxies are documented, and the patient’s healthcare team has access to this information. The reality is far from ideal. Care decisions are often made in the hospital during a health crisis. There is little[…]

Add Your Logo to the ACP Decisions Patient Resources Page

Reading Time: 2 minutesWe find that patients like to feel like their providers are invested in their care. They want to trust that all aspects of their care are being coordinated by their care team. Currently, when patients access the ACP Decisions resources prescribed by their care team, they’re taken to a patient resources page like the one[…]

The HEDIS Advance Care Planning Measure: What it is and Why it Matters

Reading Time: 3 minutesMrs. S., 68 years old, suffers from end-stage liver disease. Her husband, Mr. F., cares for her at home; however, it has been increasingly difficult for him as her condition has progressed and she has had to go to the hospital more frequently over the past year. While Mrs. S. has been making her own[…]

3 Strategies to Increase the Uptake of Advance Care Planning

Reading Time: 3 minutesAdvance care planning (ACP) allows patients to express their goals and preferences for future medical and serious illness care. Advance directives are an essential component of ACP, as they consist of the legal documents – a living will, a medical power of attorney, and Physician Orders for Life Sustaining Treatment (POLST) – that enable a[…]

Can the COVID-19 Pandemic Improve Advance Care Planning in Primary Care?

Reading Time: 2 minutesThe COVID-19 pandemic can cause serious illness in anyone, and therefore primary care clinicians must be equipped to address advance care planning (ACP) with their patients. There are numerous barriers that prevent ACP discussions in primary care settings, including physicians’ comfort with the topic, and insufficient time with patients. In order to address some of[…]

The Potential of Artificial Intelligence to Transform Advance Care Planning

Reading Time: 3 minutesWhile once the stuff of science fiction, there have been significant advances in artificial intelligence (AI) over the last several decades. Today, AI is transforming industrial sectors across the world, including finance, transportation, national security, travel, city management and healthcare. Artificial intelligence (AI) is defined by the English Oxford Living Dictionary as “the theory and[…]

Share Video Content Easily Using ACP Decisions Quick Start

Reading Time: < 1 minuteWhen time is of the essence, clinicians can now share video content more efficiently using My ACP Decisions Quick Start. Our pre made codes enable users to access specific video content with a simple web link. Also, Providers can bypass logging into the My ACP Decisions platform, freeing up their time.   Bonus: Providers can use[…]

Providence Institute for Human Caring Implements ACP Decisions’ Video Library to Support a Whole-Person Care Approach

Reading Time: < 1 minuteIn this Case Study, Providence Institute for Human Caring Implements ACP Decisions’ Video Library to Support a Whole-Person Care Approach, we discuss how the Institute for Human Caring adopted the ACP Decisions Video Library to support their mission to provide care for the whole person that addresses an individual’s unique physical, emotional, social, and spiritual[…]

Recent Clinical Research on Advance Care Planning: 7 Key Takeaways

Reading Time: 4 minutesAdvance care planning (ACP) is defined as “a process that supports adults at any age or stage of health in understanding and sharing their personal values, life goals, and preferences regarding future medical care. The goal of advance care planning is to help ensure that people receive medical care that is consistent with their values,[…]

4 Ways Advance Care Planning Helps Healthcare Organizations Improve Population Health

Reading Time: 3 minutesThe drive toward value-based medicine has created a burgeoning field in healthcare known as population health management. Without question, delivering better outcomes at a reduced cost for a defined group of patients is an immense challenge. Patient populations take many forms and can be characterized by geographical region, employee pool, disease cohort, demographics, or socioeconomics.[…]

5 Policy and Legislative Actions to Watch in 2021 and Beyond

Reading Time: 3 minutesThe past year brought unprecedented disruption to healthcare delivery and exposed gaps in equitable access to care. It also brought to light the need for greater care options for vulnerable populations and the importance of advance care planning earlier in a patient’s healthcare journey. All these issues are central to healthcare reform and public policy[…]

The Vital Role of Community-Centered Care During a Pandemic

Reading Time: 3 minutesThe COVID-19 pandemic tested the limits of healthcare systems worldwide. In May 2020, the World Health Organization (WHO) published a guide to help countries strengthen the resilience of community-based health services throughout the pandemic and beyond. The organization acknowledged that community-based healthcare is “an essential part of primary care at all times; in the context[…]

ACP Decisions Video Library Now Supports 22 Languages (and Counting!)

Reading Time: < 1 minuteClinicians can empower their non-English speaking patients and families to participate in goals-of-care and advance care planning conversations with the ACP Decisions Video Library. Our videos are now available in 22 languages with another (Nepali) soon to be released. To assist healthcare providers in communicating effectively with diverse patient populations, we create and produce video[…]

How Nurses Facilitate the Advance Care Planning Process

Reading Time: 3 minutesNurses impact patient care and make a difference in peoples’ lives every single day. As front-line caregivers, they advocate for their patients and use evidence-based practices to promote optimal outcomes. Many provide skilled care and comfort for patients and their families at the end of life. Nurses are the ones always present at the bedside,[…]

Bringing a Patient-Centered Approach to Kidney Disease Care to the Forefront: 3 Reasons Why it Matters

Reading Time: 4 minutesApproximately 37 million Americans suffer from chronic kidney disease (CKD). Of those, more than 785,000 have end-stage renal disease (ESRD), or kidney failure, and need dialysis treatment or an organ transplant to survive. Kidney disease ranks as the eighth leading cause of death in the United States and approximately 91,000 people are on the list[…]

The Goals-of-Care Conversation: A Best-Practice, Step-By-Step Approach

Reading Time: 6 minutesEngaging patients in meaningful goals-of-care discussions is critical to providing patient-centered, individualized care. High quality care can only be achieved when a patient’s care is aligned with their goals, preferences, and values. A JAMA Internal Medicine review concluded that best practices for a goals-of-care conversation include: “sharing prognostic information, eliciting decision-making preferences, understanding fears and[…]

Goals-of-Care Conversations: Making the Most of Your Discussions

Reading Time: 4 minutesGoals-of-care conversations are the best way to discover a patient’s health care wishes and ensure goal-consistent care. When executed well, these discussions elevate the clinician-patient relationship, opening the door to trust, open communication, and shared decision making. In clinical practice, good communication techniques promote patient-centered care and are a cornerstone for conducting effective goals-of-care discussions.[…]

Goals-of-Care Conversations: 3 Ways to Improve Your Skills

Reading Time: 3 minutesGoals-of-care conversations help patients with serious illness clarify what they value most and what they hope to see happens with their medical care. Clinicians can use this information to formulate a plan of care around a patient’s values and preferences. Quite often, patients – particularly if they have recently been diagnosed with an illness or[…]

Understanding Palliative Care and Hospice Care

Reading Time: 4 minutesDiscussing goals of care with patients facing serious illness is essential to ensuring that the care they receive is compassionate and aligns with their goals and wishes. Unfortunately, these conversations don’t happen enough.  A Kaiser Family Foundation poll found that almost 90 percent of U.S. adults felt that talking with their doctors about their preferred[…]

How to Integrate Patient Decision Aids into Clinical Practice

Reading Time: 3 minutesAchieving patient-centered care requires shared decision making to take place between the healthcare provider and patient. One of the best, evidenced-based interventions for achieving meaningful conversations that engage patients to make informed decisions is the practice of using patient decision aids (PDAs). In fact, there are more than 100 published studies that support the use[…]

Health Literacy: A Valuable Tool in the Fight Against COVID-19

Reading Time: 3 minutesHealth literacy – the capacity to access, process and understand basic health information – is fundamental to making good health decisions. Numerous studies over the last several decades have shown that only an estimated 12% of U.S. adults have what is considered proficient health literacy skills. The widespread lack of health literacy is a significant[…]

Advance Care Planning for Patients with Alzheimer’s Disease

Reading Time: 4 minutesDementia is a term used to describe neurodegenerative brain disorders with symptoms that include a decline in memory, reasoning, and a gradual loss of the cognitive abilities needed to carry out daily living activities. These abnormal brain changes also affect behavior, emotions, and relationships. Alzheimer’s disease is the most common cause of dementia, accounting for 60-80[…]

Help Frontline Healthcare Workers Manage their Mental Well-Being During a Pandemic

Reading Time: 4 minutesThe COVID-19 pandemic is an unsettling and anxiety-inducing time for everyone. Frontline healthcare workers are especially vulnerable to negative mental health effects as they continue to care for sick patients while dealing with worries about contracting the virus themselves and bringing it home to their families. Many are struggling with fears related to a lack[…]

Why Palliative Care Teams are Vital During the COVID-19 Pandemic

Reading Time: 3 minutesThe COVID-19 crisis has shed new light on the critical role of palliative care teams. As hospital-based doctors and nurses deal with new and unanticipated ways of delivering medical care, palliative care clinicians are able to share their unique expertise to support patients, caregivers and providers. In a recent editorial, The Lancet pointed out that[…]

A Planning Checklist: Do Your Homework Before Implementation

Reading Time: 4 minutesQuality improvement (QI) initiatives are key to improving clinical outcomes, enhancing patient experience and reducing costs within healthcare organizations. However, an estimated 70% of large-scale change programs fail. Unfortunately, performance improvement efforts that are poorly executed result in very little – if any – sustainable change, while using up time, money and resources. There is[…]

Helping Families Manage an Altered End-of-Life Experience During COVID-19

Reading Time: 4 minutesAs the coronavirus sweeps through the country, healthcare facilities are changing visitation policies in an attempt to control the spread of the infection. Visitors are now prohibited in most hospitals in the U.S. On March 13, the Centers for Medicare & Medicaid Services (CMS) implemented national restrictions that prevent family members from visiting loved ones[…]

COVID-19 Resources and Information Guide

Reading Time: 5 minutesAs healthcare professionals and communities respond to the coronavirus outbreak in the United States, it is crucial to have access to reliable and timely information. We have compiled a list of trusted COVID-19 resources that provide clinical guidance, helpful tools and news updates, as well as information geared to patients and communities. COVID-19 Resources for[…]

Advance Care Planning During COVID-19 Pandemic: A Call to Action

Reading Time: 3 minutesThe COVID-19 pandemic is bringing considerable uncertainty and fear to people across the globe. As U.S. health systems try to prepare for potentially millions of hospitalizations associated with the novel coronavirus, healthcare professionals are already managing an influx of affected patients. This unpredictable health crisis should be a call to action to initiate advance care[…]

Clinical Social Workers: Champions of Advance Care Planning

Reading Time: 3 minutesAs members of the interdisciplinary healthcare team, clinical social workers help manage the difficult issues that can arise at the end of life. They are experts at supporting patients, families and caregivers as they cope with emotional distress and navigate the healthcare system. They also play a critical role in ensuring patients’ wishes are honored[…]

Year of the Nurse: Recognizing the Critical Role of Nurses in Advance Care Planning

Reading Time: 3 minutes“The greatest heroes are those who do their duty in the daily grind of domestic affairs whilst the world whirls as a maddening dreidel.” – Nurse Florence Nightingale Nurses impact patient care and make a difference in people’s lives every single day. As front-line caregivers, nurses advocate for their patients and use evidence-based practices to[…]

35+ Considerations for Facilitating an ACP Initiative in an Ambulatory Setting

Reading Time: 5 minutesFacilitating an improvement initiative in an outpatient practice setting brings its own set of questions and issues that must be addressed. While there are similar considerations related to implementation in hospital and ambulatory settings, there are challenges and barriers unique to the smaller practice environment. To follow is a series of questions that can be[…]

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