Fairview Red Wing Health Services

Dec. 7, 2009 Update

Fairview Red Wing Health Services

Honoring Choices Pilot Project

January – June 2010

Goal: 80 patients complete an advance care plan

We’re compiling a database of patients we will target for this pilot, consisting of current Palliative Care and Partners in Aging patients, as well as selected patients with CHF, Parkinson’s, and early memory loss.

We have eight trained facilitators who will each do at least 10 facilitations, or as many as it takes to get 10 completed. Our team will match patients to facilitators, based on whether contact will be made inpatient, home care, Partners in Aging, Palliative care, etc.

Will initiate contact via a letter of introduction and then a phone call or a piggyback on an appt. the patient already has with their PCP.

We’ve developed a tracking tool which we are locating on our shared drive, where we will list patients, facilitators, and steps in the process completed and dates, to track our patient interactions.

We’re developing storage tools – such as a Media tab in Epic which will take you directly to any scanned advance care planning documents – which will be at the top of that page. Collaborating with Fairview to add additional Epic tools that will help connect us quickly and easily to patients’ advance care documents, notes, and plans.

We plan to communicate completed advance care plans to patients’ PCPs via an EPIC inbox message along with a copy of the document or note, closing the loop.

We are still in process with quality measures. We are conducting an EPIC audit of Red Wing patients who have an advance directive, as noted in the demographic section (this is the same audit that Ken Kephart had done in the metro area.) We are interested in a common patient and staff satisfaction tool. We’re also interested in measuring such things as: pre and post-pilot the number of patients who die in hospice care; the number of health care agents who are involved in the advance care planning process, etc. But, maybe for the pilot period we should keep it simple – and be uniform within Fairview. Sheryl Voth is meeting with Laurie Bell and other project leaders tomorrow re: Fairview’s work plan.

We plan to use the materials available through Respecting Choices – including information cards and planning booklets as well as the Honoring Choices Advance Care Plan. We’re ordering those materials this week.

We are working on our facilitation skills by practicing on colleagues as well as patients with whom we already regularly do advance care planning. Our two trainers, Sheryl Voth and Trudi Paulson, have offered to mentor the facilitators in their skill development as well.

Our Red Wing team:

Dr. Marc Bettich, physician champion

Jessica Hinkley-Reese, MSN, APRN, FNP-BC, is our clinical lead and is a trained facilitator

Sheryl Voth, RN, Senior Services Coordinator, is a trainer and facilitator

Judy Treharne, VP Organizational Development, is our senior leadership champion.

Karen Hanson, MDiv, SHS leader, is our team lead and is a trained facilitator.

Lorelei Youngs, RN, is a trained facilitator.

Kim Erickson, RN, is a trained facilitator.

Teri Johnson, BSW, is a trained facilitator.

Carol McClelland, bereavement coordinator, is a trained facilitator.

Trudi Paulson, LSW, is a trainer and facilitator.

Questions, please contact

Karen Hanson, 651-267-5386, or Sheryl Voth, 651-267-5425