Complex Care Conversations: Building a Community of Healing

Providence, RI US
January 1, 2019 to December 30, 2020

Complex Care Conversations is an interactive curriculum designed for small groups to increase clinician and care team ease and effectiveness in approaching goals of care conversations with patients dealing with serious, progressive illnesses. This program offers guidance and practice in how to approach this frequently sensitive subject so that important discussions are not delayed or postponed. The sessions, offered multiple times over the funded period, offer a framework for navigating these conversations that elicits patient wishes, values and preferences in a way that is mutually transformative for clinicians and patients. Sessions on surrogate decision makers and prognostication are also included. These sessions may also be informative for clergy, support group facilitators, social workers, or non-clinicians who work with patients to create a climate for healing.

Funding for this program is supported by the Rhode Island State Innovation Model Test Grant, the Rhode Island Department of Health, Blue Cross & Blue Shield of Rhode Island, and the Rhode Island Foundation.

This program is also supported in part by Cooperative Agreement Number NU58DP006291, funded by the Centers for Disease Control and Prevention and awarded to the Rhode Island Department of Health. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the Centers for Disease Control and Prevention, the Department of Health and Human Services, or the Rhode Island Department of Health.

There is no participation fee for Rhode Island residents / providers.
Registration fee for Non-RI residents / providers is $200.00

Target Audience

Practice teams including physicians, nurses, nurse care managers, medical assistants, and other team members as well as public health professionals. Non-clinicians who work or volunteer with seriously ill patients may also benefit from this training and are invited to attend. 

Learning Objectives

The overall objective of this program is to give participants key tools for effective communication, and learn skills of balancing patients’ values with the medical reality when recommendations are given to patients and families. Providers will learn how to properly bill and code for these reimbursable activities. In addition, participants will receive education on bedside ethics when faced with surrogate decision makers, as well as prognostication that will help them guide patients and families in effective ways as patients approach the end of their life. Lastly, participants will learn techniques to reduce burnout and compassion fatigue in caring for very complex and fragile patients, creating a climate of healing for all involved.

Registration

There is no participation fee for Rhode Island residents / providers.
Registration fee for Non-RI residents / providers is $200.00

Cancellation Policy: Please notify the Brown CME Office at least 3 days prior to your session if you are unable to attend. Due to the interactive nature of this program, attendance is limited and there is a waiting list of interested individuals. Cancellation fee: $20

No Show Policy: No Shows will be charged $100.

Additional Information

AttachmentSize
2019complexcare.pdf1.23 MB
Course summary
Course opens: 
01/29/2019
Course expires: 
07/01/2020
Event starts: 
01/01/2019 - 12:00am
Event ends: 
12/30/2020 - 12:00am
Cost:
$0.00
Rating: 
0

Sample Program

8:00 am -8:20 amIntroductions
8:20 am-9:10 amSection 1 - Role of the Clinician
9:10 am - 9:15 amBreak
9:15 am- 10:25 amSection 2 - Goals of Care & Communicating Serious News Curing vs. Healing, Structure of Goals of Care Conversation
10:25am- 10:30 amBreak
10:30 am-11:10 amSection 2 - Goals of Care & Communicating Serious News Communicating Serious News, Making a Balanced Medical Recommendation, Process versus Outcome
11:10 am-12:00 pmSection 3 - Ethical Issues
12:00 pm- 12:30 pmLunch will be provided
12:30 pm- 1:30 pmSection 4- Prognostication
1:30 pm- 1:35 pmBreak
1:35 pm-3:05 pmSection 5 - Drills
3:05 pm - 3:25 pmDocumenting and Billing
3:25 pm-3:35 pm10 min Break
3:35 pm - 4:15 pmSection 6 - Redefining Hope
4:15 pm- 4:20 pmBreak
4:20 pm- 5:00 pmDebrief/Wrap Up/Questions
Hope Hospice & Palliative Care Rhode Island
1085 N. Main St.
Aronson Conference Room
Providence, RI 02904
United States

Planning Committee

Christine Ann Nevins-Herbert, MD
Assistant Professor of Medicine
Warren Alpert Medical School, Brown University
Medical Director, Hope Hospice & Palliative Care Rhode Island
Providence, Rhode Island

Jennifer M. Ritzau, MD
Complex Care Conversations Program Director, 
Medical Director/Director of Palliative Care 
Hope Hospice and Palliative Care Rhode Island
Providence, Rhode Island

C. Kelly Smith, MSW
Program Manager, Comprehensive Cancer Control Program
Rhode Island Department of Health, Providence, RI

Mercedes Pacheco, MD
Medical Director, Hope Hospice and Palliative Care Rhode Island 
Providence, Rhode Island

Tammy Bhang DNP, ARNP, ACHPN
Board Certified Palliative Care Nurse Practitioner, Educator 
and 
Juan C. Iregui MD, MA, FAAHPM
Board Certified Palliative Medicine Physician, Ethicist, Educator
CORE Healthcare Consulting Group, Snoqualmie, WA

Julia Issa, CME Coordinator & Maria Sullivan, Director
Office of Continuing Medical Education
Warren Alpert Medical School, Brown University
Providence, RI

Faculty

Sarah Congleton, MS, APRN, ANP-C, ACHPN
Palliative Care Consultant
HopeHealth Hospice & Palliative Care, Providence, RI

Dana Guyer, MD
Medical Director
HopeHealth Hospice & Palliative Care, Providence, RI
Assistant Professor of Medicine, Clinician Educator
Warren Alpert Medical School, Brown University, Providence, RI

Rebecca MacDonell-Yilmaz, MD, MPH
Hematology-Oncology Fellow
Board Eligible Palliative Care Physician
Hasbro Children’s Hospital, Providence, RI

Christine Nevins-Herbert, MD
Medical Director
HopeHealth Hospice & Palliative Care, Providence, RI
Assistant Professor of Medicine, Clinician Educator
Warren Alpert Medical School, Brown University, Providence, RI

Audra Noonan, MSN, APRN, AGPCNP-BC, ACHPN
Palliative Care Consultant
HopeHealth Hospice & Palliative Care, Providence, RI

Mercedes Pacheco, MD
Medical Director, Hospice Services
HopeHealth Hospice & Palliative Care, Providence, RI

Vinay Rao, DO
Medical Director
HopeHealth Hospice & Palliative Care, Providence, RI

Jennifer Ritzau, MD
Medical Director, Palliative Care Services
HopeHealth Hospice & Palliative Care, Providence, RI
Assistant Professor of Medicine, Clinician Educator
Warren Alpert Medical School, Brown University, Providence, RI

Amy Sharron, MS, APRN-CNP, BC-GNP
Palliative Care Consultant
HopeHealth Hospice & Palliative Care, Providence, RI

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Warren Alpert Medical School of Brown University and Hope Hospice & Palliative Care Rhode Island. The Warren Alpert Medical School of Brown University is accredited by the ACCME to provide continuing medical education.

Credit Designation

Physicians: The Warren Alpert Medical School of Brown University designates this live activity for a maximum of 8.0 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Physicians Assistants/Nurse Practitioners: Participants will receive a Certificates of Attendance stating this program is designated for 8.0 AMA PRA Category 1 CreditsTM. These credits are accepted by the AAPA and AANP.

Nurses: This continuing nursing education activity was approved by the Northeast Multistate Division, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation for 7.0 Contact Hours.  

Social Workers: This activity has been approved by the NASW, Rhode Island for 7.0 CE's (1.0 CE's in Professional Ethics), Authorization #: RI-7425, valid until 4/30/21.

 
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There is no participation fee for Rhode Island residents / providers.
Registration fee for Non-RI residents / providers is $200.00

Cancellation / No Show Policy: Please notify the Brown CME Office at least 3 days prior to your session if you are unable to attend. Due to the interactive nature of this program, attendance is limited and there is a waiting list of interested individuals. No Shows will be charged $100.

Frequently Asked Questions:

Why is the session I wish to attend not open?
Due to the interactive nature of this program, attendance is limited for each session. We feel that this course benefits best from small groups including no more than 21 participants. So once we reach 21 participants, we close registration for that particular date.  

How do I cancel my registration? Can I change my registration for a different date?
Email Andrea_Goldstein@brown.edu. Yes, we understand that life happens and we are always willing to accommodate your schedule. Please include the date you were supposed to attend and the new date you wish to attend.