December 10: Complex Care Conversations
Complex Care Conversations is an interactive curriculum designed for small groups to increase clinician ease and effectiveness in approaching goals of care conversations with patients dealing with serious, progressive illnesses such as heart failure, cancer and dementia. This program offers guidance in how to approach this sometimes awkward subject so that important discussions are not delayed or postponed. The sessions offer a framework for navigating these conversations that elicit patient values and preferences in a way that is mutually transformative for clinicians and patients
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.
Sample Program
8:00 am -8:20 am | Introductions |
8:20 am-9:10 am | Section 1 - Role of the Clinician |
9:10 am - 9:15 am | Break |
9:15 am- 10:25 am | Section 2 - Goals of Care & Communicating Serious News Curing vs. Healing, Structure of Goals of Care Conversation |
10:25am- 10:30 am | Break |
10:30 am-11:10 am | Section 2 - Goals of Care & Communicating Serious News Communicating Serious News, Making a Balanced Medical Recommendation, Process versus Outcome |
11:10 am-12:00 pm | Section 3 - Ethical Issues |
12:00 pm- 12:30 pm | LUNCH |
12:30 pm- 1:30 pm | Section 4- Prognostication |
1:30 pm- 1:35 pm | Break |
1:35 pm-3:05 pm | Section 5 - Drills |
3:05 pm - 3:25 pm | Documenting and Billing |
3:25 pm-3:35 pm | 10 min Break |
3:35 pm - 4:15 pm | Section 6 - Redefining Hope |
4:15 pm- 4:20 pm | Break |
4:20 pm- 5:00 pm | Debrief/Wrap Up/Questions |
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.
Available Credit
- 8.00 AMA PRA Category 1 Credit™The Warren Alpert Medical School of Brown University is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
- 7.00 ANCCThis continuing nursing education activity was approved by the Northeast Multistate Division, an accredited provider by the American Nurses Credentialing Center’s Commission on Accreditation.
- 8.00 AttendanceParticipants will receive a Certificate of Attendance stating this program is designated for AMA PRA Category 1 Credit™. This credit is accepted by the AAPA and AANP.
Price
Note all participants must wear a face mask the entire session.
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.