December 17, 2013
2:00 PM ET
Informational Call
Conversation Ready Health Care Community
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Today’s Speakers
Kelly McCutcheon Adams, LICSW
Director
Jessica McCannon, MD
Faculty
Christina Gunther Murphy
Director
Aka Kovacikova
Project Coordinator
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
7
The Conversation
Project
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.
2.
3.
4.
5.
Engage with our patients and families to understand
what matters most to them at the end of life
Steward this information as reliably as we do allergy
information
Partner with our patients to develop appropriate goals
of care
Exemplify this work in our own lives so that we
understand the benefits and challenges
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
Examples from the Field
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
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.
27
Questions?
How to Learn More
http://www.ihi.org/offerings/MembershipsNetworks/collab
oratives/ConversationReadyCommunity/Pages/default.a
spx
Call or email:
conversationready@ihi.org
Kelly McCutcheon Adams, LICSW, Director, IHI
Ph: 802-879-2905