1. MiPCT Palliative Care and Advance Care Planning 2014 Phil Rodgers, MD, Presenter 5.14.14

2. Objectives Review MiPCT Palliative Care (PC)/Advance Care Planning (ACP) Curriculum Gain information on work being done on PC and ACP throughout the state Partner with physician organizations and providers to develop PC and ACP processes.

3. Definition of Palliative Care “Patient and family-centered care that optimizes quality of life by anticipating, preventing, and alleviating suffering across the continuum of a patient’s illness” “Encompass comprehensive care that may be provided along with disease-specific, life- prolonging treatment” http://www.qualityforum.org/projects/palliative_care_and_end-of-life_care.aspx

4. What is Advance Care Planning (ACP) “Advance care planning is making decisions about the care you would want to receive if you happen to become unable to speak for yourself. These are your decisions to make, regardless of what you choose for your care, and the decisions are based on your personal values, preferences, and discussions with your loved ones.” Care Connections - http://www.caringinfo.org/i4a/pages/index.cfm?pageid=3278http://www.caringinfo.org/i4a/pages/index.cfm?pageid=3278

5. 2014 MiPCT Clinical Focus Palliative Care identified as one of the four clinical focus areas for 2014 Build on earlier educational sessions including: MiPCT Summit 2013, Webinars from January and March 2014

6. Palliative Care and Advance Care Planning Why Now? Requested through multiple MiPCT surveys High-quality palliative care improves: ▫Patient and family satisfaction ▫Care outcomes (symptoms, quality of life, survival) ▫Value ACP a growing statewide and national priority ▫National: NQF, CDC, IOM, multiple societies and multiple payers ▫MI: ‘Honoring Choices’, BCBSM and Priority Health programs, MI-POST pilots

7. Proposed MiPCT Palliative Care/Advance Care Planning Curriculum Key Topics ▫Physician / Care Manager Communication ▫Hospice Referrals and Resources ▫Pain Assessment ▫Reflections ▫Resources for Advance Care Planning Multi-platform, coordinated delivery model

8. Curriculum to Span 2014 Partnering with subject matter experts to develop a year-long curriculum for care managers, other professionals Collaboration with best practices and other resources to assist MiPCT practices in developing processes for PC and ACP

9. Introduction of Subject Matter Experts David E. Weissman, MD ▫Founding Director of the Palliative Care Center and Professor of Medicine in Division of Hematology and Oncology ▫Consultant to the Center Advance Palliative Care (CAPC) ▫Co-Director of EPERC (End of Life Palliative Education Resource Center) ▫Founding Editor-in Chief of the medical journal, Journal of Palliative Medicine

10. Introduction of Subject Matter Experts Phil Rodgers, MD ▫Associate Professor, Family Medicine, University of Michigan ▫Associate Director, Hospice and Palliative Medicine Fellowship Program

11. Discussion What processes are in place in your organizations for PC and/or ACP? Successes? Challenges? Can we get your support for the PC Curriculum? How can we collaborate with your organizations to improve PC and ACP services across the state?