Serious Illness: Serious Illness Conversation Guidance
Serious Illness: Serious Illness Conversation Guidance – Recorded (On Demand) Training
Serious Illness: Guidance on the Serious Illness Conversation
This learning series is comprised of three independent vignettes that were created to address the understanding and confidence of having a serious illness conversation. In the vignettes the learner will explore the purpose of a serious illness conversation, the difference from an advance directive, and the three key components of the Serious Illness Guide. These vignettes are organized as three independent learning activities that can be completed separately or as the whole series. The learning series complements the all-day Serious Illness training. To expand the learnings on managing populations with a serious illness, it is highly recommended to take the all-day Serious Illness training.
At the completion of this learning series, the learner will be able to:
- state the difference between a serious illness conversation and an advance directive.
- state the purpose of a serious illness conversation.
- define three components of the serious illness guide.
Successful completion includes:
- Participate in each desired learning activity.
- Complete the course evaluation after each to obtain continuing education credits.
Session
Session#1: Serious Illness Conversation Guidance: Difference Between a SI Conversation & Advance Directive
This online learning activity kicks off a series on advanced care planning. In this vignette between Dr. Ellen Fink-Samnick and Dr. Mary Beth Billie, the discussion centers around the importance of serious illness conversations, especially from the perspective of primary care providers.
Key topics include definitions, identifying patients with serious illnesses, and the role of primary care providers in facilitating these crucial conversations. The vignette highlights the need for training, the rewarding nature of these discussions, and addresses barriers to effective communication, such as lack of training, time constraints, and prognostic uncertainty.
Total Time: 17 minutes
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Session#2: Serious Illness Conversation Guidance: Review the Purpose of the Serious Illness Conversation
In this online learning activity, Dr. Mary Beth Billie interviews Dr. Keith Veselik, a primary care physician and Chief Medical Officer for Population Health at Loyola Medicine, about serious illness communications.
Dr. Veselik shares his experiences and insights on conducting value-based conversations with patients, emphasizing the importance of primary care physicians initiating these discussions early. He discusses the evolution of his approach over his 30-year career and highlights the significance of understanding patient values, their last chapter wishes, and incorporating functional status into care planning. Dr. Veselik also recounts personal experiences, both successes and challenges, in managing end-of-life care and underscores the critical role of a multidisciplinary team in supporting patients and easing the burden on families.
Total Time: 16 minutes
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Session#3: Serious Illness Conversation Guidance: The 3 Components of Serious Illness Conversation Guide
In this online learning activity, Dr. Billie demonstrates the serious illness conversation between provider and patient focusing on the patient’s recent health struggles. They discuss his hospitalization experience, current health condition, concerns about the future, and what matters most to him. The provider aims to gain a better understanding of the patient’s priorities and goals moving forward and suggests involving the family in these discussions and exploring options to better manage symptoms at home.
Total Time: 10 minutes
Participate in this training session by clicking here!
Audience
The course is intended for nurses, social workers, advanced practice providers, medical assistants, community health workers and other care team members who are seeking to expand their knowledge and skills.
Faculty
Mary Beth Billie, DNP, RN-BC, CCMMary Beth Billie is a registered nurse with several years of experience developing and managing utilization, case, disease and population health programs in provider and payer organizations. Mary Beth is certified in Case Management from both the CCMC and the AACN. She is an adjunct faculty member in the nursing programs at Benedictine University in Lisle, Illinois and Elmhurst University in Elmhurst, Illinois.
She received her Doctorate of Nursing Practice (DNP) from Loyola University Niehoff School of Nursing. Her Capstone project was implementing a Serious Illness (SI) educational program and Serious Illness Protocol for nurse and social worker case managers in an Accountable Care Organization. Her Serious Illness project was published in the Professional Case Management Journal (Billie and Letizia, 2020).
Mary Beth is a sought-after National Speaker on this important topic presenting her Serious Illness program at the National Case Management, the National Ambulatory Care, and the Center to Advance Palliative Care Conferences. She teaches her Serious Illness Communication course to health care professionals including nurses, social workers, nursing students and physicians across the country.
Her most recent position was the Regional Executive Director of Population Heath at Loyola University Health System in Maywood Illinois where she developed and implemented care coordination and quality management programs for Loyola’s Physician Partners Accountable Care Organization. Mary Beth previously held leadership positions at Blue Cross of Illinois and United Health Care where she was responsible for National Care Management and Population Health programs.
Dr. Ellen Fink-Samnick is an award-winning industry entrepreneur who empowers healthcare's interprofessional workforce. She is a subject matter expert on Ethics, Health Equity and Quality, Integrated Care, Interprofessional Teams, Professional Case Management, and Trauma-informed Leadership.
Dr. Fink-Samnick has a Doctorate in Behavioral Health with specialization in Health Equity, Integrated Care, Quality, Leadership, and Trauma-Informed Practice, She is a Licensed Clinical Social Worker, Board-certified Case Manager, and Certified Clinical Trauma Professional, as well as a member of the academic honor society, Delta Epsilon Tau.
Dr. Fink-Samnick serves the industry through a variety of roles with academic appointments at Cummings Graduate Institute of Behavioral Health Studies, George Mason University’s College of Public Health, and the University of Buffalo School of Social Work. She is a clinical supervision trainer and instructor for the National Association of Social Workers of Virginia and Metro DC, lead for Rise Association’s Social Determinants of Health Community, moderator of Ellen’s Ethical Lens on LinkedIn, and author of the blog, Ellen’s Interprofessional Insights. She is also a consultant for the Case Management Institute and moderator of their Case Managers Community.
Dr. Fink-Samnick is known for her fierce professional voice. Along with leadership and committee roles across credentialing entities and professional associations, she has served on the Gravity Project and the National Coalition for Social Work and Health. She is a board consultant to the American Association of Doctors of Behavioral Health, and editorial board member for the Professional Case Management Journal, and Case Management Monthly. Further information is available on her LinkedIn Profile.
Cost
This training is made available through funding from Blue Cross Blue Shield of Michigan.
CONTINUING EDUCATION CREDITS
Nurses
Providers & Nurses:
The AAFP has reviewed Serious Illness Conversation Guidance, and deemed it acceptable for AAFP credit. Term of approval is from 04/30/2024 to 04/03/2025.
Providers should claim only the credit commensurate with the extent of their participation in the activity.
# of credits available: up to 0.75
AMA/AAFP Equivalency:
AAFP Prescribed credit is accepted by the American Medical Association as equivalent to AMA PRA Category 1 credit(s)™ toward the AMA Physician’s Recognition Award. When applying for the AMA PRA, Prescribed credit earned must be reported as Prescribed, not as Category 1.
Nurses:
Note: Nurses can use CME credits toward re-licensure.
Michigan Board of Nursing Continuing Education Requirements Details
Questions
If you have any questions, contact Amy at amy.wales@miccsi.org
