Advance Directive: the Primary Care Physicians’ Perspective and Key Roles for Patients 65 Years and Older
The purpose of this program is to improve geriatric care by improving the Primary Care Physician/Provider's (PCP's) ability to initiate brief and impactful Advance Directive discussions with patients 65 years and older. This is the first step towards increasing the percentage of your patients (or your clinic’s/group’s patients) > 65 years old who have an Advance Directive with minimal time spent.
HOW: Using a two-cycle PDSA approach – we will prepare you to initiate brief, yet impactful, conversations with your patients > 65 years old about the importance of completing an Advance Directive. We will emphasize the PCP’s role in brief interactions with his/her patients that can positively impact Advance Directive completion.
SPECIFIC GOAL: Improve geriatric care by improving the PCP’s ability to initiate brief and impactful Advance Directives discussions with patients > 65 years old.
This course is part of a statewide effort among members of the Wisconsin Geriatric Education Center (WGEC) and 3 of its Partners: Aurora Health Care, Medical College of Wisconsin, and the University of Wisconsin – School of Medicine and Public Health. Made possible through the partial funding of the Geriatrics Workforce Enhancement Program HRSA Grant U1QHP28712.
Why Should a Primary Care Physician/Provider (PCP) Take Time to Address Advance Directive?
It demonstrates that you honor and respect your patients and their preferences.
- 89% of patients and families want their primary care providers to have these conversations per recent studies.
- 89% of PCPs agree that it is important that health care providers have Advance Directive conversations with patients – 48% reporting that it is extremely important.
- 75% of PCPs report it is their responsibility to initiate Advance Care planning for Medicare patients.
Aurora Health Care: Primary Care Physicians, Residents, Physician Assistants, Nurse Practitioners
- Identify barriers and biases related to initiating Advance Directive discussions in the primary care setting
- Explain the importance of Primary Care Provider involvement in Advance Directive discussions addressing barriers/biases
- Initiate Advance Directive discussions with geriatric patients in the primary care setting
Aurora Course Director(s):
Will Lehman, MD; Family Medicine Physician and Medical Director at Walkers Point Clinic Aurora Health Care
Deborah Simpson, PhD; Medical Education Program Director, Professor [Clinical Adjunct] Family Medicine at UWSMPH & MCW, Aurora Health Care
Katie Denson, MD MCW Professor of Medicine Division of Geriatrics and Gerontology
Theresa Frederick, Performance Improvement, MOC CME Specialist Sr., Certified Green Belt in Lean Health Care, Aurora Health Care
Judy Myers, MCW, MS, MT (ASCP). Clinical Research Coordinator III
Aurora Health Care Course Advisory Council:
Michael Malone, MD; Medical Director Aurora Senior Services, Aurora Health Care
Kristin Ouweneel; Manager Continuing Professional Development, Aurora Health Care
Edmund Duthie, Jr. MD; Chief Division of Geriatrics/Gerontology, Dept. of Medicine, Medical College of Wisconsin
Steven Barczi, MD; Professor of Medicine/Geriatrics/Sleep Medicine- Univiserity of Wisconsin (UWSMPH)
Stacy Barnes, PhD; Director Wisconsin Geriatric Education Center - Marquette University
As an accredited provider of the WI Medical Society, Aurora Health Care must ensure balance, independence, objectivity and scientific rigor in its educational activities. Course Directors, planning committees, faculty, and all others who are in a position to control the content of this educational activity are required to disclose all relevant financial relationships with any commercial interest to participants of the educational activity. An individual has a relevant financial relationship if he or she (or spouse/partner) has a financial relationship in any amount occurring in the last 12 months with a commercial interest whose products or services are discussed in the CME activity content over which the individual has control.
No faculty, presenters, planners, or anyone controlling content have any relevant financial relationships to disclose.
This QI Effort meets MOC Part IV Standards and Guidelines for the ABMS Multi-Specialty Portfolio Approval Program Organization and is eligible for MOC Part IV through participating ABMS Member Boards and for Category 1 PI-CME credits through the National Commission on Certification of Physician Assistants.
Physician Assistant: As an Approved Portfolio Sponsor, Aurora Health Care has been approved by the ABMS Multi-Specialty Portfolio Approval Program Organization to approve QI Efforts for MOC Part IV (for physicians) and for Category 1 PI-CME credit (for PAs) through July 2020.
The following ABMS Boards will accept this project for the MOC Part IV Requirement:
- Emergency Medicine
- Family Medicine
- Internal Medicine
- Genetics and Genomics
- Obstetrics and Gynecology
- Physical Medicine and Rehabilitation
- Preventive Medicine
- Psychiatry and Neurology
- Thoracic Surgery
*"Active participation" means the practitioner must:
- Provide direct or consultative care to patients as part of the QI project.
- Implement the project’s interventions (the changes designed to improve care) and reflect on the tools you selected to see if they are the correct tools to make a change.
- Collect, submit, and review data in keeping with the project’s measurement plan with two linked cycles of data review.
- Collaborate by actively discussing what you have learned with at least two people.
Upon successful completion and attestation, the CPD Office will submit the project to the ABMS who will in turn submit the completion data directly to your certifying Board(s). It will take approximately one month for the completion to register with your Board(s).
ABMS Member Board Participation and Recognition for MOC Part IV https://cpd.aurora.org/content/moc-recognition#overlay-context=
- 30.00 AMA PRA Category 1 Credit™Aurora Health Care is accredited by the Wisconsin Medical Society to provide continuing medical education for physicians. Aurora Health Care designates this activity for a maximum of 30.00 AMA PRA Category 1 Credit(s)TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.
- 1.00 MOC Part IV ProjectAurora Health Care has been approved by the American Board of Medical Specialties as a portfolio provider for Part IV Credits towards Maintenance of Certification. This applies only to those Boards participating in the MSPP Program. Check with your certifying Board for specifics. Any fees relating to Board Certification still apply.
You must complete and submit all project activities by October 21, 2019 in order to receive MOC credit in 2019. We will be closing all current projects on that date (October 21, 2019) but will launch new/updated projects in January 2020.
This project is available to Aurora Health Care providers (employed and independent) only. Please use "Aurora Login" to access the project. If you need help enrolling or logging in, please contact the Aurora CPD Office at CPDDepartment@aurora.org or at (414) 219-5490.