Online Curriculum

Lesson Title:

Basic Concepts in Advance Care Planning

Lesson Description:

The purpose of this online module is to introduce you to the basic concepts of advance care planning.

Objectives:

When you have completed this module, you should be able to:

• Define the term advance directive or advance care plan
• Define the process of advance care planning
• List the consequences of completing an advance directive or advance care plan without the process of advance care planning
• Describe the components of basic advance care planning for any adult
• List the qualities of a person (healthcare agent) selected to make healthcare decisions for another adult who becomes incapacitated
• Identify the importance of understanding local regulations, policies, and community materials that assist with advance care planning

Target Audience:

This learner-directed course provides basic information about advance care planning (ACP) for any employee working within a healthcare organization.

Continuing Education:

0.6 CH (nursing)

Lesson Title:

The Role of the RN in Advance Care Planning

Lesson Description:

The purpose of this online module is to assist Registered Nurses (RNs) in learning the many ways to help patients with advance care planning (ACP).

Objectives:

When you have completed this module, you should be able to:

• Assess for the presence of a written advance directive in a variety of settings (e.g., clinic, hospital, long-term care, home)
• Obtain information on the substance of a completed, written advance directive currently not available
• Assess the need for information on advance directives and advance care planning when no written advance directive exists
• Assess for evidence of healthcare preferences when patients are incapable of making their own healthcare decisions
• Provide information on current medical condition as appropriate
• Assess need for information to assist with healthcare decision making
• Advocate for a plan of care consistent with preferences for future healthcare decision making and involve others as necessary

Target Audience:

This learner-directed course serves as a follow up to the Basic Concepts course, specifically focusing on the role of the nurse. Purchase includes the Basic Concepts course.

Continuing Education:

1.2 CH (nursing)

Lesson Title:

First Steps Advance Care Planning Facilitation Overview

Lesson Description:

The goal of this lesson is to provide the learner with an overview of the First Steps Advance Care Planning (ACP) facilitation process. This overview will include the basic components and goals of the process, as well as a description of the Respecting Choices® staged approach to ACP. Learners will also be introduced to the responsibilities they will have as an ACP Facilitator and the strategies they can use to create a written advance directive that is clear, accurate and complete.

Objectives:

As a result of completing this lesson, the learner will be able to:

• Describe the three components of the ACP process (i.e., understanding, reflection, and discussion).
• Describe the Respecting Choices staged approach to ACP.
• List the goals of First Steps ACP.
• Identify responsibilities of the First Steps ACP Facilitator.
• Identify three strategies to create a written advance directive that is clear, accurate, and complete.

Target Audience:

This online course is intended for two groups:

1. Those individuals who are working towards certification as ACP Facilitators (i.e. First Steps, Next Steps, and Last Steps). This online course is a pre-requisite for those intending to complete their certification by attending Respecting Choices First Steps, Next Steps, or Last Steps ACP certification classroom courses.
2. Those individuals interested in learning about the Respecting Choices approach to ACP Facilitation. Completion of this online course does not qualify as certification as a Respecting Choices ACP Facilitator. To learn how to become certified as a Respecting Choices Facilitator, please visit www.respectingchoices.org.

Continuing Education:

1.75 CH (nursing)

1.75 CEH (social work)

1.75 CME (continuing medical education for physicians and non-physicians)

The Wisconsin Medical Society designates this enduring material for a maximum of 1.75 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Original Release Date: 11/10/15; Expiration Date: 4/1/18.

Lesson Title:

Facilitating First Steps – ACP Conversations

Lesson Description:

The purpose of this lesson is to prepare individuals to become Advance Care Planning (ACP) Facilitators. The lesson provides an overview of advance care planning, outlines the first steps involved with making an advance care plan, provides learners with strategies for motivating individuals to make advance care plans, and presents a variety of scenarios and role-play opportunities that allow the learners to practice their facilitation skills.

Objectives:

As a result of completing this lesson, the learner will be able to:

• Explain ACP to individuals who lack understanding.
• Assist individuals with the three decisions involved in First Steps ACP.
• List strategies to motivate individuals to participate in ACP.
• Develop strategies for involving healthcare agents in ACP conversations.

Target Audience:

This online course is intended for two groups:

1. Those individuals who are working towards certification as ACP Facilitators (i.e. First Steps, Next Steps, and Last Steps). This online course is a pre-requisite for those intending to complete their certification by attending Respecting Choices® First Steps, Next Steps, or Last Steps ACP certification classroom courses.
2. Those individuals interested in learning about the Respecting Choices approach to ACP Facilitation. Completion of this online course does not qualify as certification as a Respecting Choices ACP Facilitator. To learn how to become certified as a Respecting Choices Facilitator, please visit www.respectingchoices.org.

Continuing Education:

2.0 CH (nursing)

2.0 CEH (social work)

2.0 CME (continuing medical education for physicians and non-physicians)

The Wisconsin Medical Society designates this enduring material for a maximum of 2.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Original Release Date: 11/10/15; Expiration Date: 4/1/18.

Lesson Title:

Facilitating First Steps Advance Care Planning with Adults with Chronic Illness

Lesson Description:

The goal of this lesson is to provide the learner with strategies to incorporate First Steps Advance Care Planning (ACP) into the routine care management of adults with chronic illness.  The learner will also be introduced to their responsibility to identify gaps in individuals’ knowledge and provide them with needed information and referrals.  The lesson will also demonstrate how to use a decision-making framework to assist individuals in making informed treatment decisions and how to create strategies to ensure that the individual’s plan is followed.

Objectives:

As a result of completing this lesson, the learner will be able to:

• Identify strategies to include First Steps ACP into the routine care management of adults with chronic illness
• Assist adults with chronic illness in clarifying their goals for living well, and identifying fears and worries
• Use a decision-making framework to assist individuals in making informed treatment decisions (e.g., CPR)
• Create strategies to ensure an individual’s plan is followed

Target Audience:

This online course is intended for two groups:

1. Those Individuals who are working towards certification as ACP Facilitators (i.e. First Steps, Next Steps, and Last Steps). This online course is a pre-requisite for those intending to complete their certification by attending Respecting Choices First Steps, Next Steps, or Last Steps ACP certification classroom courses.
2. Those individuals interested in learning about the Respecting Choices approach to ACP Facilitation. Completion of this online course does not qualify as certification as a Respecting Choices ACP Facilitator. To learn how to become certified as a Respecting Choices Facilitator, please visit respectingchoices.org.

Continuing Education:

1.5 CH (nursing)

1.5 CEH (social work)

1.5 CME (continuing medical education for physicians and non-physicians)

The Wisconsin Medical Society designates this enduring material for a maximum of 1.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Original Release Date: 11/10/15; Expiration Date: 4/1/18.

Lesson Title:

Respecting Choices: Communication Skills for Facilitating Advance Care Planning Conversations

Lesson Description:

The goal of this Respecting Choices® lesson is to identify essential interview skills and communication techniques that lead to high quality and effective person and family centered ACP conversations.

Objectives:

As a result of completing this lesson, the learner will be able to:

• Identify and apply the following general interview skills to enhance the ACP conversation
  • Explore the meaning of words and phrases
  • Paraphrase/clarify
  • Listen for themes that relate to ACP
  • Ask, “Anything else?”
  • Affirm/reaffirm the purpose of the conversation
  • Verbalize empathy
• Identify and apply the following additional communication techniques
  • Teach Back technique to assess understanding
  • Non-verbal communication
  • Value-neutral communication

Target Audience:

This online course is intended for two groups:

1. Those individuals who are working towards certification as ACP Facilitators (i.e. First Steps, Next Steps, and Last Steps). This online course is a pre-requisite for those intending to complete their certification by attending Respecting Choices First Steps, Next Steps, or Last Steps ACP certification classroom courses.
2. Those individuals interested in learning about the Respecting Choices approach to ACP Facilitation. Completion of this online course does not qualify as certification as a Respecting Choices ACP Facilitator. To learn how to become certified as a Respecting Choices Facilitator, please visit respectingchoices.org.

Continuing Education:

1.0 CH (nursing)

1.0 CEH (social work)

1.0 CME (continuing medical education for physicians and non-physicians)

The Wisconsin Medical Society designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Original Release Date: 11/10/15; Expiration Date: 4/1/18.

Lesson Title:

Facilitating Advanced Steps Advance Care Planning (ACP) Conversations

Lesson Description:

The purpose of this lesson is to prepare individuals to become Advanced Steps Advance Care Planning Facilitators. This lesson provides an overview of the Advanced Steps ACP stage of planning, including the key features of a Physician Orders for Life-Sustaining Treatment (POLST) Paradigm program. It also provides learners with strategies to use when preparing for an Advanced Steps ACP conversation, as well as those to use during an Advanced Steps ACP conversation to ensure that an individual’s goals, values, fears and concerns are identified, they are adequately assisted in making treatment decisions consistent with their goals of care and that strategies are created to ensure that their plan is honored. Furthermore, this lesson provides learners with a variety of scenarios and role-play opportunities so that they can practice their facilitation skills.

Objectives:

As a result of completing this lesson, the learner will be able to:

• Describe the Advanced Steps ACP stage of planning
• Identify key features of a POLST Paradigm program
• Prepare for an Advanced Steps ACP conversation
• Explore experiences and the concept of living well to identify an individual’s goals, values, fears, and concerns
• Assist individuals in making treatment decisions consistent with their goals of care
• Create strategies to ensure the POLST plan is honored

Target Audience:

This online course is intended for two groups:

1. Those individuals who are working towards certification as ACP Facilitators (i.e. First Steps®, Next Steps, and Advanced Steps): This online course is a pre-requisite for those intending to complete their certification by attending Respecting Choices® First Steps®, Next Steps, or Advanced Steps ACP certification classroom courses.
2. Those individuals interested in learning about the Respecting Choices approach to ACP Facilitation. Completion of this online course does not qualify as certification as a Respecting Choices ACP Facilitator. To learn how to become certified as a Respecting Choices Facilitator, please visit respectingchoices.org.

Continuing Education:

1.75 CH (nursing)

1.75 CEH (social work)

1.75 CME (continuing medical education for physicians and non-physicians)

The Wisconsin Medical Society designates this enduring material for a maximum of 1.75 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Original Release Date: 11/10/15; Expiration Date: 4/1/18.

Lesson Title:

Facilitating Next Steps Advance Care Planning (ACP) Conversations

Lesson Description:

The goal of this lesson is to provide the learner with strategies for facilitating Next Steps ACP conversations. This lesson will describe the Next Steps ACP stage of planning and identify the key features of the Next Steps ACP conversation. Learners will identify strategies to explore hope, assist individuals in using disease-specific information in making informed treatment decisions, and define their goals of care should complications from their illness occur.

Objectives:

This online course is intended for two groups:

1. Those individuals who are working towards certification as ACP Facilitators (i.e. First Steps, Next Steps, and Last Steps). This online course is a pre-requisite for those intending to complete their certification by attending Respecting Choices® First Steps, Next Steps, or Last Steps ACP certification classroom courses.
2. Those individuals interested in learning about the Respecting Choices approach to ACP Facilitation. Completion of this online course does not qualify as certification as a Respecting Choices ACP Facilitator. To learn how to become certified as a Respecting Choices Facilitator, please visit http://www.respectingchoices.org.

Continuing Education:

1.75 CH (nursing)

1.75 CEH (social work)

1.75 CME (continuing medical education for physicians and non-physicians)

The Wisconsin Medical Society designates this enduring material for a maximum of 1.75 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Original Release Date: 11/10/15; Expiration Date: 4/1/18.

Lesson Title:

Basic ACP: Introduce and Motivate

Lesson Description:

The purpose of this module is to identify the role of physicians and advanced practitioners in introducing patients to basic ACP and motivating them to participate.

Objectives:

At the completion of this module, physicians and advance practitioners will be able to:

1. Identify opportunities to introduce basic ACP in their practice for patients who have not started, or engaged in, the planning process
2. Use communication skills and motivational strategies to increase patient participation in basic ACP
3. Create a follow up plan for patients to have ongoing ACP conversations and complete their advance directive

Target Audience:

This online course is intended for two groups:

1. Those individuals who are working towards identifying practical steps to integrate basic ACP into their everyday practice, especially for patients who have not started the planning process.
2. Those individuals interested in learning about the Respecting Choices approach to ACP Facilitation. Completion of this online course does not qualify as certification as a Respecting Choices ACP Facilitator. To learn how to become certified as a Respecting Choices Facilitator, please visit https://respectingchoices.org/types-of-curriculum-and-certification/facilitator-certification/

Continuing Education:

This activity is approved for AMA PRA Category 1 Credit™. This activity has been pre-approved for ABIM, ABA and ABP MOC Part II credit. Participants who complete the activity by Nov. 30, 2018, will have their MOC credit submitted for 2018; after Nov. 30, 2018, MOC credits will be submitted for 2019.

Lesson Title:

Basic ACP: Guide and Document

Lesson Description:

The purpose of this module is to build physicians’ and advanced practitioners’ skills in guiding and documenting ACP conversations.

Objectives:

At the completion of this module, physicians and advance practitioners will be able to:

1. Guide a basic ACP conversation with patients and their healthcare agents
2. Assist patients and their healthcare agents in discussing the three purposes of basic ACP
3. Help patients create a written advance directive that reflects their goals, values, and preferences

Target Audience:

This online course is intended for two groups:

1. Those individuals who are working towards identifying practical steps to integrate basic ACP into their everyday practice, especially for patients who have not started the planning process.
2. Those individuals interested in learning about the Respecting Choices approach to ACP Facilitation. Completion of this online course does not qualify as certification as a Respecting Choices ACP Facilitator. To learn how to become certified as a Respecting Choices Facilitator, please visit https://respectingchoices.org/types-of-curriculum-and-certification/facilitator-certification/

Continuing Education:

This activity is approved for AMA PRA Category 1 Credit™. This activity has been pre-approved for ABIM, ABA and ABP MOC Part II credit. Participants who complete the activity by Nov. 30, 2018, will have their MOC credit submitted for 2018; after Nov. 30, 2018, MOC credits will be submitted for 2019.

Lesson Title:

Beyond the Conversation: Integrating ACP into Practice

Lesson Description:

The purpose of this module is to identify what additional information is needed for physicians and advanced practitioners to successfully integrate and bill for ACP in their practice.

Objectives:

At the completion of this module, physicians and advance practitioners will be able to:

1. Describe the steps to design a Basic ACP program
2. Apply strategies to develop a Basic ACP program
3. List the key components needed to bill for ACP conversations

Target Audience:

This online course is intended for two groups:

1. Those individuals who are working towards identifying practical steps to integrate basic ACP into their everyday practice, especially for patients who have not started the planning process.
2. Those individuals interested in learning about the Respecting Choices approach to ACP Facilitation. Completion of this online course does not qualify as certification as a Respecting Choices ACP Facilitator. To learn how to become certified as a Respecting Choices Facilitator, please visit https://respectingchoices.org/types-of-curriculum-and-certification/facilitator-certification/

Continuing Education:

This activity is approved for AMA PRA Category 1 Credit™. This activity has been pre-approved for ABIM, ABA and ABP MOC Part II credit. Participants who complete the activity by Nov. 30, 2018, will have their MOC credit submitted for 2018; after Nov. 30, 2018, MOC credits will be submitted for 2019.