Clinical training and guidance
HCW has partnered with Respecting Choices® First Steps® Prime Affinity (RC) to train participating health care organizations to build strong advance care planning systems. More than just training facilitators, RC will assist organizations in ensuring that conversations are offered routinely, scheduled, conducted, documented and entered consistently in the medical record. Participants begin with a small-scale, six-month trial implementation, and use the lessons learned to expand across the organization. The concepts, methodologies, training systems and materials are those of the Respecting Choices® First Steps® model. Respecting Choices is a pioneering program in advance care planning based in La Crosse.
Collaboration in the health care system
By agreeing to collaborate and not compete around this model, clinical sites and communities enjoy greater benefits and avoid duplicating work to improve advance care planning. As convener, the Society along with RC provides a platform for teams and stakeholders to share lessons and information, address challenges and share successes.
Physicians are essential to effective advance care planning. Their trusted encouragement normalizes these difficult conversations, and their leadership is required for success in the health care setting. As the voice of medicine in Wisconsin, the Society works closely with physicians and provides them tools, along with continuing medical education, to successfully engage their patients in advance care planning.
Common language, documentation and patient materials
The language around advance care planning is often confusing and undefined. HCW’s Glossary is contributing to the standardization of the vocabulary across Wisconsin. HCW participants use a common advance directive and patient education materials, providing standard messaging on advance care planning.
HCW routinely collects data on the number of conversations offered, scheduled and conducted by its participants. We also measure patient and agent satisfaction with conversations and facilitator competence and confidence. In the long term, we expect significant changes in the number of Wisconsinites with advance care plans and documents, greater adherence to patient wishes in medical crises and at end of life, and greater satisfaction among patients and their families as they navigate these difficult situations.
Honoring Choices Wisconsin
Wisconsin Medical Society
2450 Rimrock Road, Suite 101
Madison, WI 53713
Main Phone: 866.442.3800 (toll-free)
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