Sharing the Experience
Honoring Choices Minnesota Conference
July 19, 2012
Fairview Health Services
Who do we serve?
2
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
3
Who are we talking to?
4
Documenting & Storing ChoicesEPIC: One click access to ACP information
5
Click on code status for report viewer
Click on the word “CODE” for demographics
Documentation: Problem List & Smart Phrases
6
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
7
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
8
Metrics : Are we doing it well?Facilitation Satisfaction: 5 point scale
9
Facilitators
Metrics - Did we honor people’s choices? Year 1 Metrics from LTC & TCU
10
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
11
Where do we go from here?
Quality of conversations
Engage employees personally
Metrics- PI
Leverage technology & media
Expand our reach
12
Contact Information:Heidi Meyers, RN, BSN, MBA/HCM
System Advance Care Planning [email protected]
Kenneth Kephart, M.D.Medical Director Fairview Senior Services
Adjunct Professor -Dept of Family Medicine -UofM Medical [email protected]
13
