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Medical directors: embrace advance care planning, GAO reports on advance directives, ICU care too intense, POLST registry assessment
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Coalition for Compassionate Care of California


Medical directors can ready health systems for nation’s aging population through adoption of advance care planningMedical directors can ready health systems for nation’s aging population through adoption of advance care planning
By Judy Thomas, JD

A key aspect of creating a sustainable healthcare system is ensuring that patients’ care is aligned with their wishes. The 2014 Institute of Medicine report, “Dying in America – Improving Quality and Honoring Individual Preferences Near the End of Life,” lists five main recommendations, including improved clinician-patient communication and advance care planning. Keep reading»

POLST Registry AssessmentInformation in a Heartbeat: Readiness Assessment for Establishing a POLST Registry in California
BluePath Health, Coalition for Compassionate Care of California

Medical wishes documented in the Physician Orders for Life-Sustaining Treatment (POLST) can only inform care if they are known. This brief looks at the landscape for adoption of a POLST registry in California and successful registries in other states. See the assessment»

Let's Talk trainingsMust-have skills for your palliative care toolkit!
Let’s Talk: Putting Advance Care Planning into Practice

This training will help you bring advance care planning to your community or patients and help you overcome barriers to effective advance care planning conversations. Practice using tools for engaging others in ACP conversations, learn to describe ways to effectively document wishes for end-of-life care and more!

May 12 in Glendale, CA // May 14 in Sacramento, CA
CCCC Members: $159 // Non-members: $199
Learn more»

US Government Accountability OfficeGAO releases report on advance directives

Since the 1990s, the Patient Self Determination Act (PSDA) has required healthcare organizations inform patients of their right to have an advance directive. In this new report the GAO examines implementation of the PSDA, including the approaches and challenges that providers use, the prevalence of advance directives, and CMS oversight. Learn more and download the report»

STUDY: The Role of Palliative Care in Accountable Care Organizations
Amy S. Kelley, MD, MSHS, and Diane E. Meier, MD

A new report published in the American Journal of Managed Care makes the case that palliative care has become vital to the success of Accountable Care Organizations because of the high concentration of healthcare spending among seriously ill patients and palliative care’s ability to improve value (i.e., raise quality and reduce costs) for this group. Read the report»

Community screening of Being MortalRequest for Applications: Community screening of “Being Mortal”

The California HealthCare Foundation is looking for organizations interested in showing the Frontline documentary "Being Mortal." Selected grantees will receive up to $2,000 to host a community screening and a post-screening discussion to encourage people to think about and communicate their wishes for end-of-life care. Learn more»

May 28: Daniel R. Hoefer, MDWebinar
If Only Someone Had Warned Us:
Talking with patients about risks

Dig deep into the crucial link between person-centered palliative care and prognostication.

This webinar explores how to better recognize pre-terminal patients and the potential harm that can be caused by continuing traditional care.

Thursday, May 28, 2015 // Noon to 1 p.m. PDT
CCCC Members: $49 // Non-Members: $99
Learn more»

ICU care too intenseICU care too intense 
California HealthCare Foundation

Researchers find that patients often receive treatment in the ICU that neither matches their preferences nor is likely to benefit them. Learn more»

Public Policy
SB 19 (Wolk) passes in Senate Judiciary Committee on Tuesday, April 28

This bill will be sent to the “appropriations suspense file” before it is assigned a hearing date. SB 19 would require the California Health and Human Services Agency to establish and operate a statewide registry system, to be known as the California POLST Registry, for the purpose of collecting POLST forms received from healthcare providers. This bill is sponsored by the Coalition for Compassionate Care of California.
 
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Gather RoundMore News...


Interviews with Chinese American patients illustrate how culture affects health decisions (California HealthCare Foundation)

Medicare reimbursement change signed into law (Washington Post)

Finally, an advance care planning article for Millennials (Refinary29.com) 

Education Opportunities


Advance Care Planning training Palliative Care webinars POLSTPOLST training
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