Implementation

Our program consists of three main components:

1. Serious Illness Communication Skills Training
Clinical groups that have elected to work with our team participate in a 3-hour communication skills training to learn how to conduct advance care planning (ACP) discussions using the Serious Illness Conversation Guide. Training includes didactics and role play with a standardized patient. For more information, click here.

2. Clinic Workflow Redesign
In addition to completing our training, clinicians work with us to develop criteria to identify patients who would most benefit from an ACP conversation. These criteria vary between clinical specialty. We then integrate a five-step process into their workflow, resulting in a customized and sustainable communication framework.


 

3. System-Wide EMR Documentation
To document the information gathered by the ACP conversation, clinicians use an Epic SmartForm developed by Dr. Teuteberg and SHC’s Epic team to standardize documentation of ACP conversations. The SmartForm can be accessed throughout the organization by care team members. Please click here for more information on how to document in Epic.