Respecting Choices

For Health Systems

How does Respecting Choices® help health systems?

Health systems (or organizations) seek to provide quality care consistent with the Institute for Healthcare Improvement’s (IHI) Quadruple Aim—improving patient carecontrolling costsimproving the patient experience, and improving the clinician experience.

Respecting Choices® (RC) has developed effective strategies including consultation, education programs, and curriculum to help health systems develop sustainable programs for advance care planning (ACP) that support person-centered decision making and assist with meeting the IHI goals.

How does the implementation process work for health systems?

The implementation of any RC program begins by increasing understanding about the value of the RC model to the health system, engaging leaders, and building relationships. Understanding the RC model can occur through the following:

Following an assessment by RC of an organization’s needs, goals, and resources, an agreement is negotiated that outlines the stage(s) of planning, process, and timeline for implementation. Once an agreement is signed, RC Faculty (RCF) will be assigned.

Organizations will be asked to commit internal resources to the program who will work with RCF for initial implementation, dissemination, and long-term sustainability. These resources include an ACP oversight committee and leadership team (to guide organization mission, vision, strategic planning), a project manager, an ACP and/or SDMSI Faculty or ACP Coordinator who will be mentored by RC, and Facilitators.

More complex implementations (e.g., large health systems, broad geographic dissemination, multiple stages of planning) will need to commit additional resources. The partnership begins with the redesign and testing of key systems that will provide the infrastructure for hardwiring excellence into the routines of care.

Deciding to transform the healthcare delivery system to a person-centered healthcare culture is a big commitment. Visit Overview of Programs and Services to learn more.

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