ADVANCE CARE PLANNING (ACP)
(ACP) is an ongoing process of person-centered communication
that includes understanding, reflection, and discussion about future healthcare
decisions. It is a process, not an event. This process of shared decision making ideally
includes the individual, his/her family or loved ones, healthcare providers, and others to
help the individual reflect on goals, values, and beliefs, understand future situations and
related decisions, and learn how to discuss these issues with those who may need to
implement the plan.
ADVANCE DIRECTIVE (AD)
(AD) is a plan, written or oral, that communicates an individual’s
goals, values, and preferences for future medical treatment. An AD is a broad term that
encompasses a variety of written forms, such as living will, power of attorney for
healthcare, or a combination of these documents.
PERSON-CENTERED CARE
Healthcare that creates a partnership between providers,
individuals, and their families to provide education and support for the facilitation of
making healthcare decisions and participating in care.
Service Framework
List of Services
ACP FACILITATION
ACA offers Providers a cost-effective way to offer ACP to their patients. Includes consultation, documentation, and uploading documents into the repository.
ACAssociates is dedicated to training facilitators for person-centered First Steps, Next Steps, and Advanced Steps care, in order to ensure clarity and harmony throughout the care process.
CONSULTATION
ACAssociates is dedicated to providing professional consult to clinicians, in order to learn how to effectively navigate the nuances involved in Advanced Care Planning with individuals and families.
EDUCATION
Advanced Care Planning for advanced age patients, seriously ill, and populations from diverse cultural or religious backgrounds.
SPECIALIZED
FACILITATOR
TRAINING
Service Lines
PALLIATIVE
GERIATRICS
CANCER
CARDIOVASCULAR
NEPHROLOGY
RESPIRATORY
DEMENTIA
BPCI Advanced and Quality
The Center for Medicare & Medicaid Innovation’s (the CMS Innovation Center’s) BPCI Advanced Model rewards health care providers for delivering services more efficiently, supports enhanced care coordination, and recognizes high quality care. A goal of the BPCI Advanced Model is to promote seamless, patient-centered care throughout each Clinical Episode, regardless of who is responsible for a specific element of that care.
Background on ACP
For the Medicare beneficiary population, consideration of care goals is central to delivering patient centered care. An ACP typically documents patient preferences for their care, including use of life sustaining treatment options. An ACP is based on an individual’s personal values, preferences, and discussions with their loved ones. ACPs empower patients to direct the care they want to receive, particularly should they become unable to speak for themselves. At the heart of a patient-centered episode of care lies a patient’s values, meaningful conversation, and planning.
Campaign
1. ACA sends up to 100 messages per month, per provider, or provider group to target group
2. ACA facilitates Advance Care Planning Consults with positive responders
3. ACA completes Advance Care consult with patient/advocate and creates Advance Directive
4. ACA uploads Advance Directive into Repository
5. Providers are notified of Advance Directive to view document and to review with patient at next visit
6. Provider drops CPT codes 1123F and 1124F to meet BPCI Quality Metrics
Let Them Speak
PROUDLY PROVIDING TRAINING FOR OUR PARTNERS
