PPCES

“Primary Palliative Care Education Series”

Julieanne Wisloff, RN, BSE, CHPN

Director- Palliative Medicine Services

University Hospital San Antonio, Texas

• 700+ bed facility

• Level I Trauma Center

• Serving Bexar County and surrounding region

UHS Palliative Medicine Team

• 4 Physicians- 3 adult, 1 pedi

• 2 Advanced Practice Nurses

• 2 Nurses (LVN’s)/ACP Facilitators

• 1 Chaplain

• 1 Social Worker

• 1 Operations Manager

• 1 Pediatric Program Developer

• 1 Director

DSRIP

“Delivery System Reform Incentive Payments” This program is part of an 1115 Medicaid Waiver approved for Texas by CMS that provides for payments for successful achievement of specific metrics and milestones during each year. The existing Texas Medicaid Waiver runs from October 1, 2011 through September 30, 2016. University Health System has 26 waiver projects, one of which include palliative care.

PPCES Features

• Monthly Event (3rd Thursday of the month)

• Hour long

• Lunch offered

• Open to all disciplines

• CME for physicians

• Palliative Care topics relevant to bedside practice and knowledge

Sample of PPCES Flash Ads

Attention: Physicians

Primary Palliative Care Education Series

PPCES or “The PIECES Talks” —Important Pieces of Patient Care—

Join us! Enjoy a FREE lunch

Earn FREE Ethics CME

Learn how primary & palliative care fit together Mark your calendars today!

Brought to you by L.I.F.E. Care/Palliative Medicine

—Lifelong Intensive Family and Emotional Care—

Questions? Email to HealyJ@uthscsa.edu or

MorrowJ3@uthscsa.edu

CLICK HERE to register online. • Continuing Medical Education Statement: This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation

Council for Continuing Medical Education through the joint sponsorship of The UT Health Science Center San Antonio School of Medicine and University Health Systems. The UT Health Science Center San Antonio School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The UT Health Science CenterSan Antonio School of Medicine designates this live activity for a maximum of 1 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nurses and other healthcare professionals will receive aCertificate of Attendance. For information on applicability and acceptance, please consult your professional licensing board. † This presentation meets the Texas Medical Board criteria for formal continuing medical education involving the study of medical ethics and/or professional responsibility.

How to use our Adobe Connect

Information for LIVE remote viewing on 3rd Thursday: For remote viewing, use Adobe Connect: Go to: http://uhs-sa.acms.com/lifecare_lectures/ Choose "Enter as guest" and type in your full name and credentials. Phone conference: 1-800-832-0736 Meeting One Conference Room Number: 5443420 If you have never attended an Adobe Connect meeting before: Test your connection: https://uhs-sa.acms.com/common/help/en/support/meeting_test.htm Get a quick overview: http://www.adobe.com/go/connectpro_overview Information for the PPCES library: (this can be accessed at any time and is a collection of previous PPCES talks). Our Palliative Care team at University Hospital hosts a palliative care lecture series: Primary Palliative Care Education Series PPCES talks featuring important educational "pieces" of patient care. This series is designed to offer education in palliative medicine to all specialties and disciplines and offers free CME and lunch. It is held on the 3rd Thursday of the month in the University Hospital Foundation Room from noon-1:00pm and all talks are recorded for learning all year round. Our talks highlight palliative aspects of your specialty including communication strategies, interdisciplinary needs of patients and their families, and palliation of symptoms. To access the PPCES curriculum online go to: http://uhs-sa.acms.com/p3h4m16dat7/ You will need your adobe connect login information,your email address and adobe connect password. If you don't know your adobe connect password, there is a link to have this sent to you on the login page. Please contact UHS help desk for access questions.

URLs for the PPCES Library

• http://j.mp/PediPC - Palliative Care and Bereavement in Pediatrics

• http://j.mp/QualityOutcomes - Quality and Financial Outcomes

• We are in the process of making other presentations available for viewing

Sample of Topics

• Pediatric Palliative Medicine • Palliative Care Resources in Social Media • Self-Care • Psychological Aspects of Palliative Care • Role of Child Life Specialist in Palliative Care • Medication Management • Opioid Conversion Workshops • Hard Conversations • Delirium in Palliative Care Patients

– 875+ attendees over the course of the project – Representing disciplines such as Physician, Nursing, Social Work,

Pharmacy, Spiritual Care, Psychology, Child Life, and Administration

– Physicians representing specialties such as Medicine, Transplant, Neurology, Trauma, Gynecology, Pain Management, Hematology/Oncology, and Pediatrics

• We have seen a 62% increase in consults over the course of this project. (Result of Physician comfort with suggesting Palliative Care to patients/families. Positive feedback from floor staff stating they feel more comfortable suggesting a consult to the attending/primary team of patients)

Results

Rate of Consult Increase

Year 1 Year 2 Year 3

Consults 614 844 996

0

200

400

600

800

1000

1200

Axi

s Ti

tle

Annual Consults

Thank you for your time!

If you would like further information about the PPCES from the UHS Palliative Medicine Team, please feel free to contact our team at 210-358-2311 and we can assist you with access to our library of presentations.