Advance care planning (ACP) is a process that supports adults at any age or stage of health in understanding and sharing their personal values, life goals, and preferences regarding future medical care. This recorded 3-part series is about ACP in the acute care setting, which focuses primarily on working with and finding surrogate decision makers, and participating in goals of care conversations with patients and families. While the inservice primarily reflects inpatient processes and case examples, this information can be valuable to caregivers in many different settings.

Stay tuned for additional ACP education opportunities!

Outpatient Caregivers: For workflows around requesting a notary and getting ACP into Epic, please work with your clinic manager.

Session 1: Surrogate Decision Making

Understand the legal basis for surrogate decision making

• Define surrogate decision making
• Understand the LNOK hierarchy for WA state
• Understand steps for completion of DPOA
• Understand concept of guardianship

Session 2: Goals of Care

• Define Goals of Care (GOC) as the critical element in the development of the plan of care
• Understand the role of the patient/family/surrogate in determining GOC
• Understand the relationship between GOC, code status, and the plan of care
• Understand how to start a GOC conversation
• Understand the role of the POLST form
• Understand the GOC requirement for CMS Conditions of Participation

Session 3: Implementing Skills

• Understand documentation best practices for advance care planning
• Practice skills and information learned for Surrogate Decision Making and Goals of Care