sharing the experience honoring choices minnesota conference july 19, 2012

Sharing the Experience

Honoring Choices Minnesota Conference

July 19, 2012

Fairview Health Services

Who do we serve?

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Key Implementation Strategies

Broad network of facilitators

Leverage partnerships

Standardization of language and workflows

Mandatory education-all employees

Group facilitation sessions

Embed/align with system strategies, goals, policies

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Who are we talking to?

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Documenting & Storing ChoicesEPIC: One click access to ACP information

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Click on code status for report viewer

Click on the word “CODE” for demographics

Documentation: Problem List & Smart Phrases

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Turning Challenges into Successes Large system/silos: Encourages relationships –

spreads the message

New EMR: Evaluate Process/Build Metrics

New Intranet : Opportunity for resources

System policies : Standardization

Limited resources: Improved process

Leadership Transitions: Evaluate ROI

update strategies

Transitions in care: Mutual goals & benefits

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Metrics Is the process working?

# trained facilitators: 350+

# locations where ACP performed: 100 int sites + HCH + Comm

# Group Facilitations: avg 9-10 mth

Forms ordered last yr: HCD: 27.5K + 129 trans POLST 9.5K

Patient Education: 19K

% pts with ACP on Problem List: FMG clinics

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Metrics : Are we doing it well?Facilitation Satisfaction: 5 point scale

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Facilitators

Metrics - Did we honor people’s choices? Year 1 Metrics from LTC & TCU

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Lessons Learned“all of us is better than one of us”

Change outcomes change structure

Executive & IT support critical

Focus on transitions of care

Build the relationships & find the shared benefits

Repeat the message…Repeat the message…

DON’T WAIT UNTIL YOUR SYSTEM IS PERFECT to start the conversations

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Where do we go from here?

Quality of conversations

Engage employees personally

Metrics- PI

Leverage technology & media

Expand our reach

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Contact Information:Heidi Meyers, RN, BSN, MBA/HCM

System Advance Care Planning Coordinatorhmeyers1@fairview.org

Kenneth Kephart, M.D.Medical Director Fairview Senior Services

Adjunct Professor -Dept of Family Medicine -UofM Medical Schoolkkephar1@fairview.org

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