Translating Individual Values into Excellence in Advance Care Planning

Presenting today

Doris Barwich

Rachel Carter

Cari Borenko

Hoffmann

Pat Porterfield

Karen Sanderson

Presenter Disclosure Information

No conflicts of interest

Advance Care Planning • A process where you

that can help you get care that’s right for you

to support informed health-care decision making

think about and share your values, beliefs and wishes

How ACP influences care

Advance Care Planning Your values, beliefs and

wishes.

Advance Care Plan documented and shared.

Decision about Substitute Decision Maker.

Care Plan and Medical Orders

Goals of Care Conversations

Shared Understanding, Shared Decision Making.

Poll Instructions

• To participate, join the session by either:

• Text

• Join the session by sending a text message saying “QF2017” to 37607 (just once)

• Vote by sending your answer to 37607

• Web

• Go to pollev.com/QF2017

• Any issues? Raise your hand

Have you done your ACP?

ACP In British Columbia

71% have thought about what matters most to them regarding their health care

27% have documented their wishes for their health care

49% have discussed this with their family

10% have discussed this with their health-care provider

Data from a survey of 500 British Columbians, September 2016

Meet Catherine

Catherine’s ACP • Think about:

• What gives her life meaning?

• What would she want if she became unexpectedly unwell?

• Who would be her substitute decision maker?

• Conversations with family

• Documentation

• Organ donation

Catherine... 20 years later

Catherine’s ACP… 20 years later

• Clarify understanding of illness with health-care provider

• Review ACP • Wishes, including interventions

• Substitute Decision Maker

• Documentation

• Conversations with family and health-care provider

Catherine …. another 5 years

13

Catherine... another 5 years

Catherine’s ACP… another 5 years

• Review ACP

• Conversations with health-care provider: • Discuss illness, goals,

fears/worries & priorities

• Translating wishes into care plan

• Advance Directive No-CPR & MOST

• Conversations with family

Activity: Advance Care Planning

• Part 1: Thinking. (2 min) On your own

• Part 2: Sharing. (3 min) In pairs

• Part 3: How did you find it? (5 min) Table discussion

Activity: Part 1 - Thinking

What are your values, beliefs and wishes

with respect to health care?

(2 min)

Activity: Part 2 - Sharing

In Pairs:

• Imagine you are speaking with your Substitute Decision Maker.

•Try sharing what you just thought about. • How would you begin the conversation? • How would you share these thoughts?

(3 min)

Activity: Part 3 - How did you find it?

Among your tables:

• How did you find parts 1 and 2 of the activity?

• What most sticks out for you?

(5 min)

A Voice Not Heard

Patient-Centered Care

Vision • Patients at the forefront of

their health & care • Control over choices • Informed decision making • Partnership

Principles • Dignity and Respect • Information Sharing • Participation • Collaboration

Practices • Embed into

Systems • (Advance Care

Planning) • (Goals of care

conversations)

Drivers Health System Priorities Dimensions of Quality

BC Patient-Centered Care Framework (2015) adaptation

Activity: Where are we now with respect to ACP influencing

patient-centered care? Part 1: Discuss among your tables

•What are we doing well?

•What could we do better?

(5 min)

Activity: Where are we now with respect to ACP influencing

patient-centered care? Part 2: Share with the whole group

•Send in the 5 keywords that best represent your conversation (words must be single words)

(2 min)

What do you think of when you hear ACP in the context of patient-centered care?

Our Vision

Support patient-centred care by improving the transition

between Advance Care Planning

and the care people receive.

Looking Forward…

Thank you for participating!

For more information about our work come and visit our table in the foyer on the 3rd floor

ACP Day April 16 “What matters

to you?” day June 6