Informational CallConversation Ready Health Care Community

December 17, 2013

2:00 PM ET

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Today’s Speakers

Aka Kovacikova

Project Coordinator

Christina Gunther Murphy

DirectorKelly McCutcheon Adams, LICSW

Director

Jessica McCannon, MD

Faculty

Agenda

• History of The Conversation Project and Conversation Ready

• Review of current Conversation Ready principles and innovative testing of the Pioneers Sponsors over the past year

• Details of Conversation Ready Health Care Community

• Next steps

The Conversation Project

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The Current State

“A new national survey released by The Conversation Project reveals that while more than 9 in 10 Americans think it’s important to talk about their own and their loved ones’ wishes for end-of-life care, less than 3 in 10 have actually held these sorts of discussions.”

September 18, 2013

What Is The Conversation Project?

National media campaign to support having all people’s end of life wishes expressed and respected

Uses social and traditional media

Website and tools to help people get started

Working with employers, hospitals, faith-based groups

Change culture around end-of-life conversations in America (and beyond)

10

Our Goal

The goal of The Conversation Project is to ensure that everyone’s end-of-life wishes are expressed and respected.

www.theconversationproject.org

Conversation Ready

Perspective From the Field

"When you talk about dealing with people who are nearing the end of their life and their family members, the work that we do stays with them forever. It's the same way that people tell stories about the birth of their children, they also tell stories about the death of a loved one. And I just feel like you have one chance to do it right, and if we can work harder and harder to get it right on each patient and family, then that's what we have to do. People in the hospital recognize that, even people who may not like working with patients at the end of their life, they understand that when that's their task they have one chance and they need to get it right that time. That's important."

Julie Knopp, NP, Palliative Care, Beth Israel Deaconess Medical Center

Conversation Ready

IHI is working with leading health care organizations in the US and internationally to ensure the health care delivery system is prepared to receive, record, and respect patients’ wishes

The Pioneer Sponsor year spanned from October 1, 2012 to September 30, 2013

Pioneers collaborated with IHI to design and test the Conversation Ready principles for use in their own systems and for possible adoption across the US and internationally

Now we are ready for Phase 2

Pioneer Sponsors

Beth Israel Deaconess Medical Center (Massachusetts)Care New England Health System (Rhode Island)Contra Costa Regional Medical Center (California) Henry Ford Health System (Michigan) Mercy Health (Ohio)North Shore‒Long Island Jewish Health System (New York)St Charles Health System (Oregon) UPMC (Pennsylvania) Virginia Mason Medical Center (Washington)

Contributing Sponsor: Gundersen Lutheran

Current Conversation Ready Principles

1. Engage with our patients and families to understand what matters most to them at the end of life

2. Steward this information as reliably as we do allergy information

3. Partner with our patients to develop appropriate goals of care

4. Exemplify this work in our own lives so that we understand the benefits and challenges

5. Connect in a manner that is culturally and individually respectful of each patient

Examples from the Field

1. Engage with our patients and families to understand what matters most to them at the end of life:

• St Charles – Heart Failure University• Mercy and Contra Costa – Primary Care appointments

2. Steward this information as reliably as we do allergy information

• Virginia Mason – Advance Directive Note Type• BIDMC – IT revision• NSLIJ – MOLST work with skilled nursing facilities

Examples from the Field

Examples From the Field

3. Partner with our patients to develop appropriate goals of care

• Care NE – Conversation Nurse• UPMC – Partners Program

Examples From the Field

4. Exemplify this work in our own lives so that we understand the benefits and challenges

• UPMC – Day of Conversation• Mercy – Employee Focus Groups• BIDMC – Story database

Examples From the Field

5. Connect in a manner that is culturally and individually respectful of each patient

• Henry Ford – faith community summit• Contra Costa – medical interpreters

What Is Next?

Conversation Ready Health Care Community Schedule

Nine month learning and innovation community with approximately 30-40 organizations

Schedule:– Pre-work: January 2014– Virtual Learning Session 1: February 2014– In-person Learning Session 2: Spring 2014 (Boston)– Virtual Learning Session 3: October 2014

Ongoing support through faculty, listserv, extranet, change package, measurement strategy

What Participants Can Expect

Participation in a vigorous and innovative learning community

Coaching to accelerate rapid-cycle testing of the change package

Peer-to-peer learning with colleagues around the country (and hopefully around the world)

Teaching from expert faculty

Expectations of Sites

Committed Senior leadership support

Dedicated project team able to test at the frontline

IT representation on team

Commitment to join one in-person (in Boston in the spring of 2014) and two virtual Learning Sessions

Participation in monthly calls

Data sharing

Program Fee: $12,000 plus travel to in-person meeting

Suggested Program Staffing

We suggest that each site bring a multidisciplinary team that is empowered and energized to make change across their organization, including a senior/executive lead. IHI’s experience working with improvement teams has shown that teams with representation from organizational leadership, clinical leadership, technical experience, and day-to-day leadership are critical to driving change.

Questions?

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How to Learn More

http://www.ihi.org/offerings/MembershipsNetworks/collaboratives/ConversationReadyCommunity/Pages/default.aspx

Call or email:

conversationready@ihi.org

Kelly McCutcheon Adams, LICSW, Director, IHI

Ph: 802-879-2905