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Complex Care Conversations: Building a Community of Healing
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
| Attachment | Size |
|---|---|
 2019complexcare.pdf | 1.23 MB |
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 will be provided |
| 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 |
Due to the highly interactive nature of this training, remote sessions have not been workable. We strive to assure a safe in person training with the following :
- Trainings held in a room that usually holds 24 but size is limited to 10 people to allow distancing
- Each attendee is seated at their own table which are 6 feet apart
- Masks are worn at all times except during lunch
- Hand sanitizer available and tables wiped down before and after each training session
- Lunch delivered in individually wrapped portions
- Participants are welcome to space out in the training room to eat
- Participant can also take their lunch outside or to their cars if they prefer
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.
Price
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.