Podcasts about advanced care planning

Dr. Anita Srinivasan, a surgical oncologist, discusses her journey in oncology, the challenges faced in safety net hospitals, and the importance of patient-centered care in surgical oncology. The discussion covers the pain comparison between mammograms and cosmetic treatments, the impact of fear on surgical choices, and the significance of advanced care planning and patient education in making informed decisions about breast cancer treatment.About Our Guest:Surgeon, Health Executive, Healthcare Operational Excellence and Profitability Leader | 20+ years as a surgeon, health executive, thought leader, innovator, and advocate for health equity and accessResources & Links:This episode was supported by the Patient Centered Outcomes Research Institute (PCORI) and features the PCORI research study here: https://pubmed.ncbi.nlm.nih.gov/30964385/ ‘Integrating Advance Care Planning Videos into Surgical Oncologic Care: A Randomized Clinical Trial'Chapter Codes00:00 The Pain of Mammograms vs. Cosmetic Treatments02:55 Dr. Anita Srinivasan's Journey in Oncology05:51 Understanding Safety Net Hospitals09:08 Challenges in Treating Advanced Breast Cancer12:02 Surgical Oncology: Approaches and Techniques15:08 The Importance of Patient-Centered Care17:56 Advanced Care Planning in Surgical Oncology21:07 The Role of Patient Education in Decision Making24:01 The Impact of Fear on Surgical Choices26:53 Future Directions in Surgical OncologyConnect with Us:Enjoyed this episode? Make sure to subscribe, rate, and review! Follow us on Instagram, Facebook, or Linkedin @mantacares and visit our website at mantacares.com for more episodes and updates.Listen Elsewhere: Website: https://mantacares.com/pages/podcast?srsltid=AfmBOopEP5GJ-Wd2nL-HYAInrwerIVhyJw67salKT-r9Qb_gadBvbHie YouTube: https://youtu.be/2SxvTqJht34?si=2U_98RfJJeWkTaT3 Spotify: https://open.spotify.com/episode/3TR1lFLtf6em5YyKtlWy2L?si=6ma-9g_wTIWTCLmHiHF_Aw Apple: https://podcasts.apple.com/us/podcast/navigating-cervical-cancer-screening-surgery-and/id1622669098?i=1000706666920 Disclaimer:All content and information provided in connection with Manta Cares is solely intended for informational and educational purposes only. This content and information is not intended to be a substitute for medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.This episode was supported by an award from the Patient-Centered Outcomes Research Institute. Tags & Keywords:oncology, breast cancer, surgical oncology, patient care, mammograms, safety net hospitals, advanced care planning, patient education, mastectomy, lumpectomy

In this captivating episode of Taking Healthcare by Storm, delve into the world of expert insights as Quality Insights Medical Director Dr. Jean Storm engages in a thought-provoking and informative discussion with Kimberly Everett, BS, MA, Executive Director of the Bucks County Health Improvement Partnership. This episode highlights BCHIP's collaborative efforts with local hospitals and the county health department to address community health needs in Bucks County, Pennsylvania. Key topics include its COVID-19 response, chronic disease management, vaccine hesitancy, and programs like BCARES and Advanced Care Planning, emphasizing collaboration and social determinants of health. If you have any topics or guests you'd like to see on future episodes, reach out to us on our website. Publication number QI-032825-GK

Parent Talk Bookwww.YourHealth.orgwww.SCHomeRx.comwww.thedisruptedpodcast.comwww.experiencinghealthcare.com www.YourHealth.Org

This podcast is brought to you by Outcomes Rocket, your exclusive healthcare marketing agency.  Learn how to accelerate your growth by going to outcomesrocket.com Having an advanced care plan not only respects patient wishes but can also significantly reduce healthcare costs.  In this episode, Tatiana Fofanova, CEO of Koda Health, discusses how her company assists patients and healthcare providers in making difficult healthcare choices and developing plans like advance directives and medical power of attorney. Tatiana highlights the alarming statistic that 70% of healthcare costs are attributable to the sickest 10% of the population, with a large portion occurring in the last year of life. She emphasizes that many of these costs are avoidable and unwanted with proper planning. Koda Health partners with payers and health systems to offer these services, removing financial and health literacy barriers to ensure equitable access. Tatiana also shares a valuable sales hack as a treat for the listeners: secure a meeting with new contacts right at a conference to maintain momentum.  Tune in and learn how proactive planning can improve patient care and reduce healthcare expenses! Resources:  Connect and follow Tatiana Fofanova on LinkedIn. Learn more about Koda Health on their LinkedIn and website. Fast Track Your Business Growth: Outcomes Rocket is a full-service marketing agency focused on helping healthcare organizations like yours maximize your impact and accelerate growth. Learn more at outcomesrocket.com

In this episode of REJUVENAGING with Dr. Ron Kaiser, Dr. Ron welcomes Dr. Ferdinando (Fred) Mirarchi, an emergency medicine physician and CEO of MIDEO, to discuss the critical yet often misunderstood topic of advanced care planning. Dr. Fred shares his personal experiences from the ER, highlighting how misinterpretations of advance directives can lead to life-altering mistakes. He emphasizes that these decisions aren't just about death but are crucial for ensuring patients receive the right care in life-threatening situations. His innovative approach, MIDEO, uses video technology to capture patients' healthcare wishes, reducing uncertainty for medical teams and ensuring patient autonomy.Throughout the conversation with Dr Ron, Dr. Fred explains the difference between living wills and advance directives, shedding light on the flaws of traditional paper-based documents. He underscores the need for a patient-centered approach that integrates technology to eliminate guesswork in emergency situations. With real-life examples, Dr. Fred demonstrates how outdated or misunderstood documents can either prevent life-saving care or prolong suffering unnecessarily.Dr. Ron and Dr. Fred conclude by discussing the accessibility of MIDEO and its role in improving patient safety and family decision-making. They emphasize the importance of having these conversations early, making informed choices, and utilizing modern solutions to ensure that healthcare decisions align with personal values. Listeners are encouraged to visit MIDEOHealth.com to learn more about how video-based advance directives can transform medical decision-making and enhance peace of mind for patients and their families.For more info on Dr. Fred:https://www.linkedin.com/in/ferdinando-mirarchi-d-o-f-a-a-e-m-f-a-c-e-p-6b20a258/https://mideohealth.com/ Hosted on Acast. See acast.com/privacy for more information.

Comprehensive Advance Care Planning (CACP) supports individuals in understanding and sharing their values and goals for medical care at the end of life. Kerri Petrin, Vice President and Head of Operations at Aledade Plus, joins us to explore how the CACP program allows patients and their loved ones to have guided, personalized conversations with clinical facilitators and generate legal documents so that patients and their care teams can make health care decisions that align with the patients' values. We are also joined by Marissa McNichols, who shares insights into her role as a CACP facilitator, especially the importance of having open-ended conversations that include family members, allowing everyone the opportunity to ask questions and make decisions outside of a crisis moment. Tune in to learn more about how CACP is transforming end-of-life care planning, ensuring alignment with patient values and reducing unwanted, unnecessary care. Connect with us at acoshow@aledade.com or visit the Aledade Newsroom

Medicare Advantage Minute headline: HCA Medical System sees way too many prior authorization denials! This Nashville based health system (with 186 hospitals and 2400 care sites in 20 states and the UK) is fighting back against the intense Medicare Advantage pressure of prior authorization service denials: trying to beat them at their own game!  From the government publication "Your Medicare Benefits" comes a description of how Medicare covers Advanced Care Planning. Finally, the plaintive plea for help from our new client arrives.             This sets in motion a plan to use the "Medicare Advantage Open Enrollment Period" to disenroll from the problematic Medicare Advantage plans the husband had been sweet-talked into joining. Contact me at: DBJ@MLMMailbag.com (Most severe critic: A+)                   Visit us on: BabyBoomer.ORG Inspired by: "MEDICARE FOR THE LAZY MAN 2024; Simplest & Easiest Guide Ever!" on Amazon.com. Return to leave a short customer review & help future readers. Official website: https://www.MedicareForTheLazyMan.com.

Send us a textMany patients want to have a say in their medical care, especially when it comes to end-of-life decisions.Despite this, only a third of U.S. adults have completed any form of advance care directive.Even for those who do plan ahead, traditional paper-based advance directives often face challenges like misinterpretation or even being ignored altogether.Could video-recorded directives be the answer?In this episode of HealthBiz Briefs, MIDEO CEO Dr. Ferdinando Mirarchi sheds light on the limitations of standard advance care directives and explains why video-based solutions might deliver better results, offering greater clarity and ensuring patients' wishes are honored.This episode is brought to you by BetterHelp. Give online therapy a try at https://betterhelp.com/caretalk and get on your way to being your best self.As a BetterHelp affiliate, we may receive compensation from BetterHelp if you purchase products or services through the links provided.

Smartphones... good or evil? Share your opinion in the comments, then stay with us while we talk about advanced care planning and medical decision making with Dr. Brittany Lamb! @CareLabPodcast @wholecarenetwork2847 @Asksamie @higherstandardscaregiver @higherstandardscaregiver @blamb.md Find Dr. Lamb at www.blambmd.com Find Care Equipment solutions at https://www.asksamie.com/ Find Caregiver Training at https://www.higherstandardscaregivertraining.com/ https://www.carelabpodcast.com/

Advanced care planning is about your patients planning for the care they want in advance, just in case they become so seriously ill that they're unable to advocate for themselves. While it's vital for you to have these conversations with your patients, it often feels overwhelming and intimidating, especially if you're getting ready to head out into practice for the first time.   Anna and I walk you through everything you need to know about advanced care planning. We're giving you a better understanding of what it is and the considerations you must be aware of, and we're also sharing some useful resources that will help you navigate difficult conversations.    Get full show notes and more information here: https://blog.npreviews.com/advanced-care-planning/

Did you know that If you're critically ill and can't make decisions for yourself, your family can't automatically step into help? We'll talk through what to know for our series, Aging Matters on Colorado Matters. Then, Colorado Wonders, where was the state's first public library? Later, former Broncos players Terrell Davis and Brian Griese share their own stories of loss as they work to help children coping with grief.

Did you know that If you're critically ill and can't make decisions for yourself, your family can't automatically step into help? We'll talk through what to know for our series, Aging Matters on Colorado Matters. Then, Colorado Wonders, where was the state's first public library? Later, former Broncos players Terrell Davis and Brian Griese share their own stories of loss as they work to help children coping with grief.

This presentation was delivered by Karen Price as part of the Clinical stream at CODA22, which took place in Melbourne in September 2022.  For more information about the CODA Project go to: https://codachange.org/

Thanacare: Advanced Care Planning Registry for All Lori La Bey talks with Dr. Michael Madison has been a practicing interventional neuroradiologist in the Twin Cities of Minnesota for the last 25 years. His career and personal life heavily influence his passion for improving care at the end of life. Dr Madison is the Co-Founder, President, and Chief Executive Officer of Thanacare. Learn: About End-of-Life decisions and the paperwork needed to ensure your wishes are upheld. Define quality of life for you. Decrease family guilt over end-of-life decision-making. About really family stories about end-of-life decisions. Who is in charge of decisions? How to figure out how you want to live the end of your life. Where do you want to die? How is your end of life going to be paid for? Make sure the right people have access to your wishes. How can a QR Code help?   Listen and Subscribe to Alzheimer's Speaks on Apple Podcast https://podcasts.apple.com/us/podcast/alzheimers-speaks/id986940432 Listen and Subscribe to Alzheimer's Speaks on Spotify https://open.spotify.com/show/255okRnEgfCUqXq1NWcrT3 Other Podcasts https://pod.link/986940432    Contact Thanacare Website    https://www.thanacare.com/   Linkedin      https://www.linkedin.com/company/thanacareregistry/ Instagram     https://www.instagram.com/thanacare/   Contact Lori La Bey with questions or branding needs at https://www.alzheimersspeaks.com/ Alzheimer's Speaks Radio - Shifting dementia care from crisis to comfort around the world one episode at a time by raising all voices and delivering sound news, not just sound bites since 2011. Alzheimer's Speaks is part of the Senior Resource Podcast Network.Support this Show: https://alzheimersspeaks.com/donate-now/See omnystudio.com/listener for privacy information.

Let's dig in and talk about the really tough topics. We've learned about thanatology, conversation, why to have one, and how to be a good listener. But what is it we're supposed to talk about?  Unless we address our own dying and death and how we would like our end of life to be, how can we talk about it with those folks who may be speaking for us some day? Facing each day knowing we will die actually makes living more fulfilling. Come on in and see where 2024 takes us. Listen and read my blog: https://whilewerestillhere.com Reach me at kathy@whilewerestillhere.comStarting with Episode 56, the episode music was added. It was composed, produced and provided by Kyle Bray specifically for this show. Reach out to me if you want the score. The logo artwork was provided by Maddie's Plush Pouch - maddelinesplushpouch@gmail.com

Phoebe Souza is the clinical lead for mental health at OncoHealth, a digital telehealth platform focusing on personalized oncology-specific support for patients with cancer and their caregivers. Advanced care planning is how individuals can communicate their wishes for care that aligns with their values. Phoebe highlights the role of healthcare providers, including oncologists, in initiating conversations about advanced directives to ensure patients understand their options. She emphasizes all individuals over 18 should document their desires for medical care in the event they are unable to do so themselves.  Phoebe explains, "Advanced care planning, also called ACP, is an umbrella term that includes both communication skills, so conversations with loved ones and a person's medical team, as well as completing documents such as an advanced directive, and that helps a person make plans about their future healthcare. An advanced directive and a care plan serve as a roadmap for medical providers and loved ones to ensure that an individual's wishes are honored if they are seriously ill and unable to communicate what they would want in terms of care."   "I think of the ACP as being appropriate for any person with any health status over the age of 18, and as humans, we live with vulnerability. It's great to be proactive about writing down and communicating the type of care that you would want, and you would not want in certain situations. It aligns with our values, and it's an act of care and a gift for those who would be making those decisions for us. Specifically, for individuals living with a serious illness, it's critical to think about what type of care aligns with what they imagine for them and aligns with their quality-of-life goals."   "OncoHealth, more broadly, is supporting different ways to support individuals and families who are living with both the emotional and physical symptoms of cancer. One aspect of that is working to empower individuals and families to think about how to advocate for their needs and their care while receiving cancer treatment. We offer, specifically looking at our mental health team, opportunities to work closely with a mental health therapist to explore the emotional side and empower those skills for communicating their needs to their medical team."  #OncoHealth #Healthcare #AdvancedCarePlanning #ACP #PatientEmpowerment #PatientCare #MentalHealth #Oncology #Cancer oncohealth.us Download the transcript here  

Phoebe Souza is the clinical lead for mental health at OncoHealth, a digital telehealth platform focusing on personalized oncology-specific support for patients with cancer and their caregivers. Advanced care planning is how individuals can communicate their wishes for care that aligns with their values. Phoebe highlights the role of healthcare providers, including oncologists, in initiating conversations about advanced directives to ensure patients understand their options. She emphasizes all individuals over 18 should document their desires for medical care in the event they are unable to do so themselves.  Phoebe explains, "Advanced care planning, also called ACP, is an umbrella term that includes both communication skills, so conversations with loved ones and a person's medical team, as well as completing documents such as an advanced directive, and that helps a person make plans about their future healthcare. An advanced directive and a care plan serve as a roadmap for medical providers and loved ones to ensure that an individual's wishes are honored if they are seriously ill and unable to communicate what they would want in terms of care."   "I think of the ACP as being appropriate for any person with any health status over the age of 18, and as humans, we live with vulnerability. It's great to be proactive about writing down and communicating the type of care that you would want, and you would not want in certain situations. It aligns with our values, and it's an act of care and a gift for those who would be making those decisions for us. Specifically, for individuals living with a serious illness, it's critical to think about what type of care aligns with what they imagine for them and aligns with their quality-of-life goals."   "OncoHealth, more broadly, is supporting different ways to support individuals and families who are living with both the emotional and physical symptoms of cancer. One aspect of that is working to empower individuals and families to think about how to advocate for their needs and their care while receiving cancer treatment. We offer, specifically looking at our mental health team, opportunities to work closely with a mental health therapist to explore the emotional side and empower those skills for communicating their needs to their medical team."  #OncoHealth #Healthcare #AdvancedCarePlanning #ACP #PatientEmpowerment #PatientCare #MentalHealth #Oncology #Cancer oncohealth.us Listen to the podcast here  

In this episode Kim Kleaveland, NP welcomes guest Marissa Click, M.Div., and board-certified chaplain, to discuss in depth both the importance of the advance directive document, and instructions and insights for completing this document.

In this episode Kim Kleaveland, NP welcomes guest Marissa Click, M.Div., and board-certified chaplain, to discuss an overview of different types of advanced care planning documents, and the roles they serve in healthcare decision making.

Click here for the Revenue Recovery cheat sheet: https://hubs.ly/Q023rDk50Welcome to the third episode of our new HeartTalk podcast series, Revenue Recovery. Host Melanie Lawson, MS, speaks with MedAxiom's Nicole F. Knight, LPN, CPC, CCS-P, executive vice president of Revenue Cycle Solutions and Care Transformation, and Linda Gates-Striby, CCS-P, ACS-CA, Revenue Cycle Solutions consultant. They discuss the challenges of capturing Advanced Care Planning services and share some practical tips to take back to your organization.Guest Bios: Nicole F. Knight, LPN, CPC, CCS-PExecutive Vice President, Revenue Cycle Solutions and Care Transformation Nicole's decades of healthcare experience include cardiovascular and neurology practice operations, clinical management, business office management, and consulting. The most recent years have been devoted to cardiovascular consulting in operations, LEAN process improvement, and the revenue cycle. Prior to joining MedAxiom, Nicole served as practice administrator for Baptist Neurology and Northeast Florida Cardiology and director of operations for Jacksonville Heart Center and Louisiana Cardiology Associates. She has extensive expertise in coding, compliance, and education for various specialties including cardiology, neurology, radiology, hematology/oncology, orthopedic, ENT, gastroenterology and internal medicine. Nicole has provided physician and staff coding and compliance education sessions nationally. Nicole has completed numerous education hours toward a B.S. in Health Care Administration. In addition, she maintains her LPN licensure in Louisiana and Florida. She is a member of the American Academy of Professional Coders and the American Health Information Management Association. She received her Advanced Cardiovascular Coding Certification with the Board of Medical Specialty Coding and completed the AAPC inpatient coding and reimbursement course. Nicole is a certified AHIMA ICD-10-CM Trainer and completed a LEAN Healthcare training course at Johns Hopkins University. She also serves on the Physician Practice Council for AHIMA. Linda Gates-Striby, CCS-P, ACS-CAMedAxiom Consultant, Revenue Cycle Solutions Linda Gates-Striby has worked in the medical field for over 30 years and has specialized in cardiology coding and revenue cycle for 25 years. Her clinical experience includes work in the heart stations and coronary intensive care units as well as working as an EMT for a level one trauma center. As a MedAxiom Revenue Cycle Solutions consultant, Linda provides cardiovascular programs across the country with operational expertise, implementation strategies and simplification for often complex initiatives to minimize risk and maximize revenue. Linda, who has spent the past 30 years working as a specialist in compliance, revenue cycle and quality with a large cardiology and multi-specialty practice, is also the director of quality assurance with Ascension Medical Group in Indiana. Linda is a sought-after speaker and consultant and has conducted numerous national educational sessions focused on documentation, coding, auditing and revenue cycle improvement for clinicians, coders and administrators across the nation. Linda serves as a non-physician member of the American College of Cardiology's coding work group and publications subcommittee and has also served on the coding committee for the Heart Rhythm Society. Linda served as the cardiology chair on the Board of Advanced Medical Coding, lead the development of the Advanced Cardiology and Specialty Cardiology Certification examinations, and was the technical editor for cardiology-focused newsletters. Linda has served as an Independent Review Organization auditor for Office of Inspector General Corporate Integrity Agreements, and as an expert witness on behalf of cardiology practices.

Today we talk with Kim Vass-Eudy, Senior Director of Clinical Operations at CHESS and practicing Doctor of Osteopathic Medicine about the importance of Advanced Care Planning and strategies for starting those conversations.Dr. Kim Vass-Eudy, welcome to the move to value podcast!Thank you, Thomas, it's good to be here.So today I want to discuss some things that I know are of great importance to you, which is advanced care planning. Can you tell me or tell us what that is and what it consists of? Sure. It's basically a discussion with patients about their plans for their future. It's about what they want to do if something were to happen to them and they couldn't speak for themselves. It's about end of life care, in a lot of ways, making their wishes known. It's a discussion that can occur between a provider and their patient and their patient's family members or someone that they want to make decisions about their care and it really outlines what their wishes are so that there's no guesswork, there's no stress at the end of life. That the patient's wishes are knownThat's fascinating. So, you are a practicing physician, and a darn good one from what I understand!Thank you.So how important do you deem advanced care planning in the care plan for your patients?So I think it's essential. I think as providers, we're just not doing it enough. It's one of those things that they don't teach us about in medical school or in our training or at least I didn't have that education. I've been out about 16 years or so. So no one ever told me how to do this. The goal of being a doctor is to save people and to keep them alive for as long as possible, so having those discussions about end of life care feels very different and probably goes against what my teaching has been as a provider. So when they looked at, they actually asked patients and people if they're having these discussions with their primary care physicians or physicians in general, and 84% of Medicare age patients said that they've never had this discussion with their doctor and these are patients that are in the older generation so no one's talking to them about this. And they also polled Americans in general, so this is not just Medicare age patients but Americans in general said 92% of them said they'd like to have these kind of conversations, that they're interested in that, that they're willing to have those conversations with their patient or with their providers and and to discuss their wishes. 53% of that group said it would be a relief you know if someone would bring this up to them and have this discussion so that they don't have to think about it or talk about it, that they can start making decisions now about their future. So in my practice you know I tend to do these discussions at well visits because that's when patients aren't thinking about anything but just being healthy. So I start saying to them, well what if something were to happen? What are your wishes have you talked about this with your family? And I think it's just as important as talking to them about diet, exercise, vaccines, cancer screening, and the you know one of the drawbacks though is this takes time. That's why I typically do this at the well visit because it takes a lot of time to have these discussions and I give myself about 30 minutes for those visits so I'm able to really discuss it with patients and answer their questions about it. You know for providers, there's a lot of issues because we're not trained and we don't have guidelines. No one tells us how to do this. Providers, one of the things that they say they're most fearful of even having these conversations because they don't want to destroy hope for people. They don't wanna tell them Oh yeah guess what you know the end is near and you better start thinking about it they don't want to take that hope...

The importance of advanced care planning Guest: Cari Borenko - Fraser Health Project Coordinator for Advanced Care Planning Learn more about your ad choices. Visit megaphone.fm/adchoices

There is no question that mortality -- whether our own or that of a loved one -- is a difficult topic. Yet, it is essential that  individuals and families make  important legal and medical decisions related to wills, hospice care, and estate transfer before a crisis occurs. In this episode, Dr. P and Ms. Zeena Regis define advanced care planning and discuss why it is difficult for many of us to start the process. Ms. Regis points to resources for information and describes how faith leaders and congregations can start the conversation within their communities. Zeena Regis serves as the Faith Engagement Manager at Compassion & Choices, the nation's oldest, largest, and most active nonprofit working to improve care, expand options and empower everyone to chart their end-of-life journey. Prior to her role with Compassion & Choices, Zeena served as a hospice chaplain and grief care coordinator for almost a decade.  Zeena also serves on the faculty of Columbia Theological Seminary's Older Adult Ministry Certification program. Her training includes a Bachelor of Arts in Political Science from Agnes Scott College and a Master of Divinity from Columbia Theological Seminary. Zeena is also a playwright and her latest work, A Free Black Woman's Guide to Death & Dying, was selected for the Synchronicity Theatre's arts incubator project and premiered in May 2022.

In this month's episode, Roberto and Martha chat with John Tastad, Program Coordinator for Advanced Care Planning at Sharp Healthcare. He also teaches bioethics and helps families make very difficult medical decisions. He is also a Chaplin and oversees the spiritual care and hospice at Sharp. Listen to their discussion about end of life planning, specifically for individual's with Alzheimer's or other types of dementia.Keywords: end of life, advanced care, decision making, medical ethics

Let's welcome Katie Brandt back to Remember Me to speak on a very important topic - Advanced Care Planning. Sounds scary, huh? Rest assured that Katie breaks it down in a digestable, reassuring way. You'll want to take notes on this one, you guys! Katie, Thank you for making the dark a little brighter and advocating for the importance of this process. We absolutely adore you! Today Katie Referenced: The Conversation: A Revolutionary Plan for End-of-Life Care by Angelo E. Volandes M.D. The National Academy of Elder Law Attorneys Interested in learning more about the Caregiver Study Katie mentioned? E-mail her at: Katherine.Brandt@mgh.harvard.edu ----- Connect with us on instagram @remembermepodcast and let us know what you think of today's episode. If you want to learn more about Katie, please visit her website here. --- Thank you to the sponsor of this episode and Season 6, LearnFTD. LearnFTD is working to raise awareness of FTD gene mutations that can cause FTD and the importance of genetic testing. Visit LearnFTD.com for information and more resources on FTD, such as a discussion guide for talking with a doctor about the disease and a tips sheet for caregivers. You can also follow LearnFTD on Facebook and Instagram @LearnFTD. --- For more FTD resources, our blog, Re-Members Only and more, visit our website www.remembermeftd.com "Always, always, accept the good." --- Support this podcast: https://anchor.fm/rememberme/support

Episode 4 - Who Is Driving the Car? - Being in control of your healthcare decisions for advance planning  Advanced Care Planning is not about planning for your death. It is about making health care decisions that are right for you. We don't' consider planning for important health care decisions because that won't happen for a long time and discussing dying is sad and depressing. At Hospice we have learned over the last 40 years that talking about and planning for serious health issues allows patients and family to spend time with each other making memories and sharing stories until the patient's last breath.  

Join special guest, Leonard R. Hock Jr., DO, MACOI, CMD, and our host, Diane Sanders-Cepeda, DO, CMD, for this episode of FMDA's Journal Club, Resident Wishes: DNR, POLST, Advanced Care Planning, and More. Our learning objectives for this session were: Discuss current approaches to advance care planning. Revisit the value and limitations of do-not-resituate (DNR) orders. Describe the opportunities and challenges for Physician Orders for Life-Sustaining Treatment (POLST) in Florida. Discuss the future state of advance care planning, palliative, and hospice care delivery. Recorded: August 31, 2022 Special Guest: Leonard R. Hock Jr., DO, MACOI, CMD Hosted by: Diane Sanders-Cepeda, DO, CMD Available Credit: The American Board of Post-Acute and Long-Term Care Medicine (ABPLM) issues CMD credits for AMDA On-The-Go and affiliate podcast episodes as follows: Claim CMD Credit

Advance care planning isn't just for people with chronic illnesses. It's for everyone. This week on Two Docs in a Pod, we host Scharlotte Spencer, FNP-C (WellMed Network of TX – Houston). Listen in as she discusses how advanced care planning can help you get the medical care you want if you are unable to speak for yourself, with co-hosts Ron Aaron and Dr. Tamika Perry (WellMed at Redbird Square). Listen to the podcast here https://www.podbean.com/media/share/pb-sabfw-1278f3b or by searching for Two Docs in a Pod on Apple Podcasts, Google Podcasts, Pandora, Podbean and Stitcher. Two Docs in a Pod focuses on health issues affecting adults. Clinicians and partners discuss stories, topics and tips to help you live healthier. Two Docs in a Pod airs on Saturdays in the following cities: 7 to 7:30 a.m. CT: San Antonio (KLUP – 930 AM) DFW (660 AM, 92.9 FM [Dallas], 95.5 FM [Arlington], 99.9 FM [Fort Worth]) 6:30 to 7 p.m. CT: Houston (1070 AM/103.3 FM The Answer) 7 to 7:30 p.m. CT: Austin (KLBJ 590 AM/99.7 FM) Two Docs in a Pod also airs on Sundays in the following cities.  1:30 to 2 p.m. ET: Tampa (860 AM/93.7FM) 5 to 5:30 p.m. CT: San Antonio (KLUP – 930 AM)

Topics from the real estate market to a monsoon season checklist.  Interview with My Directives.com, a digital wallet card that has all your directives in case of life threating emergencies.  Rosie's take on A/C extended warranties especially on labor.  And homeowner questions on carbon monoxide, soundproofing and more!

In this episode of Medicare Simplified. we focus on the Advanced Care Planning. 

Dr Kim Fischer explains to us why we need to have an advanced care directive in our possessions so we are clear on what we want to happen to us should an accident or illness arise that renders us unable to speak for ourselves and to avoid family  conflict around this issue. Dr Fischer has supported countless families through difficult conversations and decisions regarding advanced care planning issues. Sponsor:        Nadean Barton, Author of "Can A Girl Catch A Break"                       www.canagirlcatchabreak.com Links:             www.lucidadvocate.com                       https://itsawrapwithrap.com                       #HC Universal Network        

Dr Kim Fischer explains to us why we need to have an advanced care directive in our possessions so we are clear on what we want to happen to us should an accident or illness arise that renders us unable to speak for ourselves and to avoid family  conflict around this issue. Dr Fischer has supported countless families through difficult conversations and decisions regarding advanced care planning issues. Sponsor:        Nadean Barton, Author of "Can A Girl Catch A Break"                       www.canagirlcatchabreak.com Links:             www.lucidadvocate.com                       https://itsawrapwithrap.com                       #HC Universal Network        

Dr Kim Fischer explains to us why we need to have an advanced care directive in our possessions so we are clear on what we want to happen to us should an accident or illness arise that renders us unable to speak for ourselves and to avoid family  conflict around this issue. Dr Fischer has supported countless families through difficult conversations and decisions regarding advanced care planning issues. Sponsor:        Nadean Barton, Author of "Can A Girl Catch A Break"                       www.canagirlcatchabreak.com Links:             www.lucidadvocate.com                       https://itsawrapwithrap.com                       #HC Universal Network        

Welcome to the MCTV Community Voices Podcast channel. Joan Timmer produces this episode with MyMichigan Health. The views expressed in this program don't necessarily reflect those of Midland Community Television or the City of Midland. If you'd like to produce your program at MCTV, reach out to MCTV at 989-837-3474. Check out MCTV's website at: CityofMidlandMI.gov. Don't forget to check out MCTV Network's Community Voices YouTube channel and follow MCTV on Facebook!

For 40 years Dr. Forrest Jones served patients in Family Medicine. Now he brings his experience in comprehensive wellbeing to the tough topic of end of life care, and how Care Providers and Caregivers can best serve the Care Recipient, the patient at the center of it all, to honor their wishes while preserving their dignity.  Advanced Care Planning conversations can be tough to have, whatever your role in the team.  By tackling the hard topics early, it's easier to remain present and ensure that the progression of care aligns with the patient's wishes.  Listen in as Dr. Jones and Susi demystify the process and distill it down to some key components so everyone on the team can have a seat at the table. In this episode, we discuss Why it's essential to create an Action Plan with your doctor The value of curiosity and empathy in patient care Enrolling the doctor as an Expert Partner in your care plan Including Caregivers in Doctor-Patient conversations How the After Care Summary can inform future care conversations Ensuring optimal health, with or without ‘life limiting conditions'Green / Yellow / Red zones in regard to progression of disease and care What Dr. Jones describes as ‘the Paradox of Life' Why Caregiver Self Care is so importantAnd finally, the 3 Vital Q's for a successful Advanced Care Plan“What's going on, really?” “What does it mean?” “What do I do?” Dr. Jones invites Caregivers to connect via email to share their own experience in caring for a loved one as he creates resources to be of the greatest benefit! Email fjones@caringend.com with the subject “Caregiver Course” to schedule a brief conversation. 

Josh (@DrJIsrael), Emily Maxon, and Dr. Stephen Bekanich and Steve Wardle from @iris_healthcare discuss advance care planning and why it is such an important part of healthcare. 

Does advance care planning work? There's controversy swirling around the question, and we try to shed some light on it with two leading physicians with different views. For more information on the advanced care planning or the Institute of Human Caring of Providence, visit: https://www.instituteforhumancaring.org/

Advance care planning isn't just for people who are getting older. It is important for all adults to plan for future medical needs now. This week on WellMed Radio, Dr. Leigh Fredholm (WellMed Supportive and Palliative Care Austin) talks about planning for the future with WellMed Radio co-hosts Dr. Marissa Charles and Ron Aaron. Listen to the podcast here https://www.podbean.com/media/share/pb-t2pxa-1184a3e or by searching for WellMed Radio in Apple Podcasts, Google Podcasts, Podbean, Pandora, Stitcher and Spotify. WellMed Radio focuses on health issues affecting adults. Clinicians and partners discuss stories, topics and tips to help you live healthier. WellMed Radio airs on Saturdays from 7 to 7:30 a.m. CT in the following cities: Arlington (95.5 FM The ANSWER) Dallas (660 AM/92.9 FM The ANSWER) Fort Worth (99.9 FM The ANSWER) San Antonio (930 AM The ANSWER) WellMed Radio also airs on Sundays from 1:30 to 2 p.m. ET: Tampa (860 AM/93.7FM The ANSWER)

Today Barbara welcomes Stefanie Elkins to the podcast. Stefanie is an aging-life care manager and an end-of-life doula whose company, Be Present Care, supports and guides families through end-of-life caring and planning decisions. They discuss the breadth and roles of a family caregiver, and how difficult it can be to make end-of-life decisions for a loved one. Stefanie talks about the importance of planning ahead and getting certain directives in place, and gives advice on how to initiate these uncomfortable yet important conversations.

Deputy Clinical Director Prof Liz Reymond led this workshop to explore what is known about advance care planning (ACP) in Queensland and to offer suggestions about strategies to increase ACP activity during the COVID-19 pandemic.

Chelsea Deeley of Eastside Radio and the CMTO reflects on what it's like to work around death and dying every single day. Supervising production from Sharon Davis. Training from the Community Media Training Organisation. Distributed by the Community Radio Network. Produced for the 2021 CBAA National Features and Documentary Series. Christmas lunch with the family, 2020. We're having a delicious roast dinner when all of a sudden - my mother, a palliative care nurse, says “Do you know what I think we should do? Have a funeral planning party!”. This documentary is inspired by her flagrant embracing of the subject of death, unwrapping the personal experiences and views of 2 people, including my mum, who effectively ‘dance with death' on a daily basis.  What effect does their work have on their view of their field, themselves, and what is their own personal relationship with death? Special Thanks Sharon Davis - Supervising Producer  Janine Lundie - for her early support and guidance around this topic.  Renee Adair - thank you for being so open to my random email and so giving with your answers.  Thanks also to the wonderful people at the Australian Doula College for their work, and for Liz Di Qual for being such a wonderful help in organizing this interview. And of course, to Jane Brown. My incredible mother, who I have been lucky to have since the beginning. Thank you for agreeing to this, despite all of your nerves, stress and general “is it done yet?” attitude about it. Your dedication to this work over the years, and your general candidness around it, is inspiring and has made me feel a little less afraid. You're a one in a million, boston wench.  Credits ‘CEG DRINKING WINE INSTRUMENTAL' by ITheRealGooglekatClaire  See omnystudio.com/listener for privacy information.

Do you want to live a long and healthy life?Preventable Services, Annual Wellness Visits, and Advanced Care Planning can make a world of difference in the quality and length of our lives.Prevention is often cheaper than cure.Preventive health care is an important part of living well. By getting regular check-ups and screenings, you can help prevent illness or detect it early when treatment works best.Annual wellness visits are the foundation of preventive health care. They're also a great opportunity for your doctor to get to know you and your family, discuss any concerns, and develop personalized prevention strategies that meet your needs.You can also use these services to help your family plan for your future care needs. The more we know about what we want at the end of our lives, the better prepared we'll be when it comes time to talk with loved ones about how they should handle things if something happens to us.It's never too early (or late) to start planning for your future care needs!--------------------Bio:Brandy Smuzeski is a licensed master social worker and Certified Alcohol and Drug Counselor, who is a Clinical Manager at Medical Advantage Group. Brandy has extensive experience working with the geriatric population in both hospital and outpatient settings. She works very closely with Primary Care Physicians in identifying opportunities to meet the needs of their patients in this vulnerable demographic.Find Brandy on LinkedIn: https://www.linkedin.com/in/brandy-smuzeski-lmsw-65121997/

Monica Williams, MD, is an award-winning writer and board-certified emergency physician with expertise in Death and Dying and medical directives. She practices in one the largest Emergency Departments in the nation at Huntsville Hospital, where she also serves the community as the Medical Director for Advanced Care Planning and End of Life Education and has lectured coast to coast in the US. Additionally, she has served on the board of directors for multiple not-for-profit hospices. She is Faculty for the University of Alabama at Birmingham's School of Medicine, and is an appointee to the American College of Emergency Physicians End-of-Life taskforce. Her writing, speaking and advocacy focuses on empowering patients and families in critical and end-of-life decision-making and her consulting work centers on the same, although the future direction of her work will incorporate more spiritual elements. Her book, "It's OK to Die" and companion website are tools for transforming the end of life into a time of peace, closure, and healing. Dr. Williams has appeared in local and national media as a Medical Expert, including the Emmy Award-winning show, THE DOCTORS., the Washington Post, and her blog has also appeared in the New York Times, Health Around the Web Column. Her end-of-life preparation checklists have been adopted by UCLA's Center for Integrative Oncology and the UK's NHS campaign, Be Ready for It! endorsed by the Norfolk and Suffolk Palliative Care Academy. In 2013, she was a winner of the national Costs of Care essay contest. To buy the book and learn more about Dr. Williams's work, visit www.oktodie.com. ------------------------------------ Check out Molly Mandelberg's Wild Hearts Rise Up Oracle Deck & Guidebook ------------------------------------

When a loved one nears the end of their life, it is an emotional time, and figuring out how they want to be cared for in their final days can be difficult, if not impossible. In this episode, Laura and Kevin talk to Christopher Bolich, MD, about Advanced Care Planning and the importance of proactively discussing your wishes with loved ones and your providers before it's too late. They also talk about palliative care vs. hospice care, and get a few tips on how to have these difficult conversations.Keywords: Advanced Care Planning, Living Will, Christopher Bolich, MD, Palliative Care, Hospice

Jonathon Feit, co-founder and CEO of Beyond Lucid Technologies & Consulting joins The Dish on Health IT hosts, Ken Kleinberg, Pooja Babbrah and special guest host Ed Daniels to talk about the role of emergency services (EMS) in the healthcare ecosystem now and in the future and how EMS fits into healthcare's interoperability journey. The hosts, Ken Kleinberg and Pooja Babbrah briefly introduced themselves. Guest host, Ed Daniels introduced himself by saying that the majority of his career has been spent on interoperability, data exchange and HIEs. Ed was a volunteer firefighter for 14 years and is currently working on the development of a multi-stakeholder collaborative on eConsent which is why this discussion was of particular interest to him. Jonathon then introduced himself explaining that he is not a field practitioner or first responder. He shared that he joined the military after September 11, 2001 but discovered that his Tourette's syndrome disqualified him from service, which led him to find another way to serve. He decided to leverage his skills as a technologist to solve problems related to data exchange to support EMS and first responders. Beyond Lucid, the company Jonathon co-founded is focused on solving these issues. Right now, Beyond Lucid spends half of their day in the world of Fast Healthcare Interoperability Resources (FHIR), EMS, critical care both ground and air, the other half of the day is in the world of electronic health records (EHRs) focusing on things like patient matching. Beyond Lucid is currently running the Oregon Portable Orders for Life Sustaining Treatment (POLST) registry from a technology standpoint and are branching into pediatrics and medical complexities. What Jonathon finds interesting about this work is identifying what field providers do and what they need. Using end of life medical orders as an example, Jonathon pointed out that there is really a 0% margin of error. If someone has indicated in their records that they don't want to be resuscitated but first responders are unaware of these records, the patient's wishes may not be followed. Another aspect of data exchange from the field to health systems so that data captured in the field can be incorporated into the patient's record fast enough for it to be useful in how the patient is cared for in the emergency room (ER). The future of Beyond Lucid is focused on car crashes, winning a patent on a system to gather crash intelligence about the passengers such as number of passengers, whether children are in the car, or special medical needs of passengers such as hemophilia. There are mission critical pieces of data that need to be exchanged in real-time. What prompted Jonathon to reach out to Point-of-Care Partners initially was the episode of the Dish on Health IT about social determinants of health (SDOH) because it highlighted patient data that helped look at patients as people. SDOH is important to providing holistic care. Host, Ken Kleinberg asked for a little more context of how EMS fits in the overall healthcare ecosystem, asking specifically about how EMS has historically been billed separately from other healthcare services as transport. Mr Feit explained that yes, it's true that EMS is billed as transport is many places but it's a yes with an asterisk because things are changing due to COVID. He explained that you really have to look more broadly to federal laws and how EMS is regarded. For example, up until the last 18 months, CMS regarded EMS as a supplier to healthcare, not a provider. This impacts not only how services are billed but related to interoperability rules as well.  Meaningful use doesn't apply to EMS which is a big problem because EMS uses a different data set that falls under the department of transportation and not Health and Human Services (HHS). He added that EMS is the most expensive taxi ride you'll ever take. With the exception of one value-based care experiment happening now, EMS services are generally billed on a per mile basis and the rate is cost adjusted based on the experience level of the driver and the severity of the patient. EMS is emerging as a central part of safety net care in rural spaces where there aren't enough doctors to serve the population and the fact that it's a service available 24/7. Viewing EMS as a provider is a critical distinction that's starting to change. Ed agreed with how Jonathon characterized the current view of EMS in healthcare generally and in regulation. Ed explained that historically, ambulances were intended to just get the patient into the hospital as soon as possible but it's changed drastically over the years with life-saving services being performed on site and in transit. Ambulances are no longer just transport but definitely a provider situation. It's time for a change in how this type of care is provided and being billed and reimbursed.Ken observed that it would be a real problem if the patient was charged in hospital for how far they were pushed in a wheelchair from their room to get a test. Ken then asked Pooja if there was a parallel between how pharmacists have transitioned to be part of the care team as opposed to an adjunct service. Pooja responded that she does see some parallels and mentioned reading a CMS blog post by Chiquita Brooks-LaSure and other CMS leaders that discussed the Center for Medicare and Medicaid Innovation (Innovation Center) which explored 50 alternative payment models to fee for service. While only a handful were considered successful, the ones that had some success had mandates to back them up. Pooja added that she thinks that just as the payment model in pharmacy is being revisited, the payment and reimbursement model for EMS should be re-examined as well. Ed added that another scenario where the pay for transport model for EMS just doesn't make sense is when a patient maybe just needs to get emergency care at home but doesn't need to be transported to the hospital. The current reimbursement structure doesn't allow for this. Jonathon pointed out that there is currently an “allergy” in the mobile medical arena to good data. He went on to clarify that when you mention CMS, where they have extremely wonky geeks who are truly good at their job, people forget they need fuel for their work, they need data. Jonathon went onto explain that when creating mandates versus voluntary guidance, you really need not just data but good data to back that up and see what is working and what's not. Right now, entering in information about a patient encounter by EMS staff isn't a priority because there isn't an understanding of how good data could transform things for the better. EMS has so much catching-up to do. Jonathon added that this lack of good data problem isn't unique to EMS by any means but it's an issue that needs to be tackled for us to see real change. Jonathon explained that part of the reason he reached out to Point-of-Care Partners was because he felt we provide a breadth of perspective to these issues in healthcare that reflects the bigger picture. He added that when docs talk to other docs or nurses and EMS techs to talk to Fire fighters, they aren't hearing from outside their environment to gain that broader perspective and close the gaps in understanding about their role in the ecosystem. He continued to say that we need to make the case why it's so important to get good data into the system and for that data to be fluid across environments. Ken interjected and said that now that the now we're getting into the interoperability part of the conversation, he wanted to ask about the system that's generally used by EMS called The National Emergency Medical Services Information System (NEMSIS) and asked if it was connected to EHRs.Jonathon responded that NEMSIS is separate and therefore and unequal data set maintained through the National Highway Safety Administration. It has a rich history of tracking data for car crashes and heart attacks while driving which Jonathon admitted was a gross over-simplification. There is a way for NEMSIS to connect to EHRs but there hasn't been education and discussion from the federal level down to the state, county and regional level on why the data and connecting to EHRs matters. Beyond Lucid was awarded a project in California back in 2015 to build the bridge between NEMSIS using HL7 standards like CCD. Beyond Lucid completed a gap analysis to understand what it would take to go from one to the other. What they found was an 85% overlap between what was required in the EMS system and the HL7 CCD. The 15% gap fell largely in 3 buckets including family history, past encounters and mental health which is very similar to SDOH. There are efforts to plug this hole with real-time data. Jonathon added that there are other efforts giving an example the largest fire service in Southern Denver, Colorado which was the first to send real-time data to Sentara health system in 2018 which shows it can be done, however, Jonathon added that health systems and EMS aren't doing a good job of talking with each other about their respective needs. Ken asked Jonathon to talk about Beyond Lucid being one, if not the first EMS IT vendor to join the Commonwell Health Alliance and whether they are now getting some SDOH data from HIEs. Jonathon explained that about 2 years ago at the National Association of State EMS officials, there was an outcry for SDOH and contextual data. Up until then this demand was mostly at the local level. Beyond Lucid volunteered to be the vendor to make this possible and develop a superset of data and has announced this capability to populate SDOH data for 911 calls. This project made a lightbulb go off for those involved on why this data should be a separate data set when it really should be integrated in the overall record. Jonathon explained that strong ID is really important because especially when you're looking at end of life orders, you want to make sure you're looking at the right patient. Unfortunately, a lot of initiatives required affirmative permission from he patient to look them up but the problem is that this doesn't work in the back of an ambulance. Ultimately the trust framework is critical but right now there is so much dirty data. Jonathon went on to say that now that FHIR V4 has been balloted and approved and Carequality/Sequoia was awarded the trust framework project, it seems progress is being made and EMS is finally at the table. Ken asked Pooja to provide her perspective on how EMS might use SDOH and eConsent and advanced care directives. Pooja shared that when you think about the knowledge first responders gain about a patient's living situation and environmental challenges, it makes sense that they could contribute valuable SDOH data that could be used downstream. It's about time the industry start looking at how the data going into EMS systems can be shared along the care continuum. Jonathon interjected that it's also important for police to have access to some of this information and that Beyond Lucid has helped create a database of medically complex children so police know if they are interacting with someone that perhaps is non-verbal so can't explain their situation or who can't follow verbal commands. Without this information Police encounters can end tragically. Encounter data really needs to flow throughout healthcare and also community services. Ken re-focused the conversation on eConsent. Ed shared that he is working on an initiative now on how to get electronic informed consent and advanced directives. It's a very complicated question and there isn't one answer. Ken began to close out the podcast by asking Jonathon if there was any last topic he'd like to cover suggesting perhaps something about COVID and vaccines since Jonathon had mentioned this in conversations prior to the podcast. Jonathon responded that he knows vaccines can be controversial and really he isn't talking about vaccinations per se but it's important to talk about interoperability and data quality and that for many years vaccination registries didn't talk to each other or couldn't be accessed by providers. This is important in the context of when you're planning to hold someone to account on getting vaccinated and proving they've been vaccinated. Jonathon posed the question that shouldn't there be a single source of truth rather than asking people to hold onto a little card? If we get the smart people in the room to solve these problems, we can make so much progress. Pooja added that in her role on the NCPDP board, they've had many conversations about how to use existing standards to create a central source of truth. Pooja explained that she's glad we were able to have this important discussion. 

National Health Care Decisions Day is April 16th, so for this episode, Emmalee and Cole sit down and talk to David Inabinett about the importance of advanced care planning. David is an elder law attorney with Brinkley, Walser, and Stoner in Lexington, NC. We discuss helpful tools, and resources regarding healthcare and estate planning in the event of a tragedy. For more information on David's work please visit: https://brinkleywalserstoner.com/.  You can find more information on Community Connections by visiting, hospiceofdavidson.org

Our health care industry excels at rescue care – when a patient needs to be saved, our system has answers. However, we are not well suited to address the challenges associated with serious illness, death and dying. Evidence shows that palliative care and advanced care planning improve health value. These tools lead to better management of pain and symptoms and improve both the quality and length of life. The preferences of patients and their families and caregivers are better accounted for, and their satisfaction is much higher. Healthcare utilization is reduced and outcomes are improved. ACOs that have successfully implemented a palliative care program have demonstrated reductions in 30-day readmissions, avoidable hospital admissions, and ED visits. So why do only 10% of ACOs have palliative care as one of their foremost strategies? Our guest this week is Stephen J. Bekanich, M.D., the co-founder and Chief Medical Officer of Iris Healthcare, a disease-specific advance care planning service. Prior to this he served as the CEO of Ascension Health's Texas ACO (with 2,500 physicians and shared savings across government and commercial contracts), as well as the Chief Medical Officer of the health insurance joint venture between Cigna and Ascension Health. Before moving to Austin, he held the rank of Associate Professor of Medicine at the University of Miami Miller School of Medicine and the University of Utah's Medical Center where he started and directed their palliative medicine programs. Episode Bookmarks:  05:00 A journey in health value that is heartfelt and deeply personal, as it is associated with a personal tragedy 06:45 The loss of grandparents to serious illness and the call to change medical specialization to palliative care 07:21 “The era of antibiotics and airbags” – people no longer dying from infections and trauma like they did historically 08:10 Serious illnesses (COPD, Dementia, late stage malignancies, CHF, etc.) have become the new killer in an evolved society 08:31 Society is not prepared to deal with serious illness and the inevitability of death 10:30 “It is incumbent upon us to get people better prepared for what they will be facing. Almost 85% of us will face serious illness, yet healthcare literacy skills are so low. Something is clearly wrong.” 11:00 Research showing 70-80% of people with incurable cancer believing they will be cured is a failure of physicians to appropriately set expectations. 12:30 Stephen's shares the personal story of his grandmother's terminal illness and the difficulty of confronting death 14:00 Palliative care as a force for value and the appointment of a palliative care expert to lead CMMI (Brad Smith) 15:00 “Over the past five to ten years, a number of studies have repeatedly demonstrated how advanced illness programs can consistently provide high patient and family satisfaction, reduce hospitalization by nearly 50%, and decrease costs in the last year of life by 20% to 25%.” (Brad Smith) 16:00 Algorithms in population health incorrectly focus on last 6-12 months of life instead of providing a pathway to earlier intervention with Advanced Care Planning (ACP) 17:20 “In the last year of life, we are often delivering care that is unwanted, unnecessary, or nonbeneficial. That is not a good experience for patients and their loved ones.” 17:45 Patients with high symptom burden and in distress cannot focus in discussions about setting goals in care. 19:00 A calm environment prior to serious illness onset results in a better ACP conversation (better for patients). 19:30 Nonbeneficial care starts to occur in the last 12-15 months of life as a second reason to move interventions upstream (better for ACO bottom line) 20:20 Treatment plans should occur only after a patient is educated 22:35 “So much of palliative care is Advanced Care Planning.” (>70% of palliative care consults related to goals of care and ACP)

This episode is part of our special series “Spotlight on Metastatic Breast Cancer” and tackles a subject that can be uncomfortable for a lot of people and often causes anxiety: advanced care planning and the hard conversations that it involves. When you're diagnosed with a life threatening disease like metastatic breast cancer, it can feel like these issues are forced on you. But planning ahead and being prepared does a very important thing-- it allows you to focus on what's really important: as emergency room doctor Dr. Jessica Zitter says, “living the way you want to be living all the way to the end.” That positive statement will be our north star throughout the episode. We are joined by Amy Berman who has been living with metastatic breast cancer for over 5 years, Lori Bishop, Vice President of Palliative & Advanced Care at the National Hospice & Palliative Care Organization, and attorney Paul Pittman who specializes in estate planning and administration.