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ForwardPOLST: Doing It Right! 4.8.22
The major focus is to advance participants’ understanding of advance care planning and the role of POLST and the development of skills to facilitate goals of care discussion for individuals with advanced illness, serious health conditions, medical frailty or those of advanced age and wishing to define their preferences for care.
Target Audience
Health care professionals, including physicians, physician assistants, CRNPs, nurses, social workers, chaplains and others, who care for individuals approaching the end of life and wish to enhance their ability to engage in effective goals of care conversations with patients, families and surrogates.
Learning Objectives
Participants will:
- Be able to define the role of Advance Directives and POLST in Advance Care Planning;
- Have sufficient knowledge of tools and resources to serve as a POLST resource within their institutions and communities;
- Have a high level of understanding of the importance of the POLST conversation;
- Demonstrate the ability to facilitate a POLST discussion and appropriately complete a POLST form.
Additional Information
Topic Goal Activity Resource Time Instructor
1. Welcome Set the stage for the training day Introductions Review of Objectives Brief Overview of POLST Instructors can provide the opening extemporaneously or can utilize the “Welcome and Introduction” power point All the above found in Power Point Videos section of Instructor CD 10 minutes Robert Yanoshak,,DO
2. Review of Advance Directives and POLST Reinforce major unit of prerequisite training to help assure attendees are able to define the role of advance directives and POLST in Advance Care Planning Present “A Review AD-POLST” power point Found in Power Point_Videos section of Instructor CD Note: Because this material is a review and not new to attendees, instructors can consider if they want this portion to be interactive 15 minutes Robert Yanoshak, DO
3. POLST Conversation
To assist attendees in developing a high level of understanding of the importance of the POLST conversation Present “Conversation Power Point” “Demonstration of a POLST Conversation” (It is recommended that as program is beginning, three attendees be selected or volunteer in advance to read the parts of the resident, staff person and daughter.) Power Point found in Power Point_Videos section of Instructor CD Document is included on “Tools for Attendee Packets” section of CD. Copy should be placed in attendee packets 20 minutes Robert Yanoshak, DO POLST Committee
Topic Goal Activity Resource Time Instructor
4. POLST Tools for Discussion and Documentation To assure attendees have access to tools in resource to guide them in their POLST conversations and to share as a resource to others in their work place Present “POLST Conversation Tools” power point. Power Point found in Power Point_Videos section of Instructor CD All tools that are discussed are included in attendee packets 10 minutes Robert Yanoshak, DO POLST Committee
Break
5. POLST Conversation
Practicum Develop the ability to facilitate a POLST discussion and appropriately complete a POLST form Present “Video Negative POLST” Role Plays – Attendees divided into small groups serve roles as defined on role play handouts Group Activity “Carousel Cases” Power Point Instructors may use all or some of the cases, depending on time. Video found in Power Point_Videos section of Instructor CD A one page power point “Role Play Instructions” can be displayed to alert teams to role play process. Instructors monitor role plays groups to guide role play as needed Power Point found in Power Point_Videos section of Instructor CD. NOTE: The word document found on the CD is useful in supporting instructors as it includes “Key Areas for Discussion” 2 hours Robert Yanoshak, DO POLST Committee
Break
Topic Goal Activity Resource Time Instructor
6. Overview of POLST Implementation Process Provide attendees with tools and information to understand and/or facilitate a POLST implementation To have all POLST users have a basic understanding of requirements related to POLST policies and procedures, education, and quality of use. Word Document for Distribution: · Model Policies’ Introduction · Recommended Policy Elements To help attendees understand the CMS requirements for reimbursement for advance care planning discussions Present “POLST Implementation” power point Present “Medicare Reimbursement Facts” power point Both power points for this section found in Video found in Power Point_Videos section of Instructor CD Additional useful PDF references found under Faculty Materials on CD 15 minutes Robert Yanoshak, DO
7. Training Preparation “How can I go out and use this?” Provide tools and information to help learners apply POLST Training programs in their workplace Practical Teaching Tips Elements of POLST Training Courses 10 minutes Brenda Hage, PhD
8. Ending Session Q & A Completion of evaluations Distribution of certificates 10 minutes Robert Yanoshak, POLST Committee
Robert Yanoshak, DO – Palliative Medicine and Hospitalist, Geisinger Wyoming Valley Medical Center
Brenda Hage, Ph.D, DNP, CRNP, CCM – Asst. Dean, College of Health Sciences and Education; Chief Nurse Administrator, Misericordia University
David Hage, MSW, LSW, C-ASWCM – Assistant Professor of Social Work, Misericordia University
Carol DesMarteau, BS Community Liaison, Home health Care Professionals and Hospice
Colleen Kranson, RN Territory Manager, Angel’s Touch Home Health/Aveanna Health Care
John Campos, Executive Director of Emergency Medical Services of Northeast Pennsylvania
Faculty Disclosure
No members of the planning committee, speakers, presenters, authors, content reviewers and/or anyone else in a position to control the content of this education activity have relevant financial relationships with any proprietary entity producing, marketing, re-selling, or distributing health care goods or services, used on, or consumed by, patients to disclose.
Accreditation and credit designation
In support of improving patient care, this activity has been planned and implemented by the University of Pittsburgh and Coalition for Quality at the End of Life (CQEL). The University of Pittsburgh is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Physician (CME)
The University of Pittsburgh School designates this blended activity for a maximum of 6.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nursing (CNE)
The maximum number of hours awarded for this Continuing Nursing Education activity is 6.0 contact hours.
Social Work (ASWB)
As a Jointly Accredited Organization, University of Pittsburgh is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. University of Pittsburgh maintains responsibility for this course. Social workers completing this course receive 6.0 continuing education credits.
Other Healthcare Professionals
Other health care professionals will receive a certificate of attendance confirming the number of contact hours commensurate with the extent of participation in this activity
Available Credit
- 6.00 AMA PRA Category 1 Credit™The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
- 6.00 ANCCUPMC Provider Unit is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation
- 6.00 Attendance