

Integrating Palliative Care into the PCMH-N Model Training
Integrating Palliative Care into the PCMH-N Model Training
A team-based care approach to integrating palliative care into primary care
To embed the principles of palliative care utilizing an interdisciplinary, team-based approach to delivering care for patients with chronic medical or life-limiting illness.
Forty-five million Americans are living with one or more chronic conditions that limit personal function and are likely to worsen rather than get better. In Michigan, over 62,000 residents die of chronic disease each year. Ninety percent of the nation’s $3.5 trillion in annual health expenditures are for those with chronic and mental health conditions and the total cost of chronic disease in Michigan alone is projected to be $1.3 trillion in 2016-2030.
The current palliative care workforce is expected to decline drastically during the next 25 years, as demand rises. Sixty-two percent of hospice and palliative care clinicians also report experiencing burnout. There simply are not enough highly trained palliative care specialist providers to meet the growing demand, especially in outpatient and rural settings.
The Integrating Palliative Care into the PCMH-N Model Initiative Training is designed to establish a framework to support early identification and management for those needing palliative care services that provide:
- Early introduction of primary palliative care services by the interdisciplinary team within their scope of practice
- Earlier referrals or consultations with specialists based on need and complexity, not prognosis
- Support of palliative care specialists through ongoing palliative care management by the multidisciplinary care team
- Increasing access to specialty palliative care services for those that need it the most, while reducing provider burden.
This is a joint training collaboration between Michigan Center for Clinical Systems Improvement and Practice Transformation Institute (PTI).
Mi-CCSI and PTI have been contracted by Blue Cross Blue Shield of Michigan as training entities for this project.
These trainings are open only to practices and their physician organizations (PO) participating in the BCBSM Integrating Palliative Care into the PCMH-N Model Initiative.
DATES, TIMES & REGISTRATION
Practice Teams participating in this initiative must complete the following base training which will include a combination of live and on-demand learning activities. The topics are listed below:
Live Training
- Serious Illness Conversation – Mary Beth Billie, DNP, RN-BC, CCM
- Cultural Aspects of Care – Frances Jackson, PhD, RN, PRP
- Psychological and Psychiatric Aspects – Ellen Fink-Samick, MSW, LCSW, CCM, CCTP, CMHIMP, CRP, DBH-C
- Spiritual, Religious and Existential Aspects of Care- Frances Jackson, PhD, RN, PRP
- Care of the Patient Nearing the End of Life – Carol F. Robinson, DNP, MS, BSN, RN, CHPN®
On-Demand Learning*
*Recorded on-demand modules will be available mid-March.
- Structure and Processes of Care – Carol F. Robinson, DNP, MS, BSN, RN, CHPN®
- Social Aspects of Care – Ewa Matuszewski, BA
- Ethical and Legal Aspects of Care – Ewa Matuszewski, BA
- Physical Aspects of Care – Carol F. Robinson, DNP, MS, BSN, RN, CHPN®
Guidelines for participation:
- PO and each practice unit completes a practice assessment (one for each practice interested).
- Send completed practice assessment to Sue Vos at sue.vos@miccsi.org.
- Schedule a meeting with Sue Vos at sue.vos@miccsi.org for the practice and PO representatives to review the assessment.
- Practice attendees register for each applicable training date.
Audience
These trainings are open only to practices and their physician organizations (PO) participating in the BCBSM Integrating Palliative Care into the PCMH-N Model Initiative. If you have questions about eligibility requirements, please contact Sue Vos at sue.vos@miccsi.org.
Attendees of this training include: Primary Care or provider champion, Care Manager (nurse or social worker), and other members of the practice team.
Cost
FREE for members; FREE for non-members
This training is provided at no cost to the participant through a contract with BCBSM.
Continuing Education Credits
Providers & Nurses
Statement of Accreditation
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Michigan State Medical Society (MSMS) through the joint providership of Practice Transformation Institute and MI-CCSI. Practice Transformation Institute is accredited by the MSMS to provide continuing medical education for physicians.
Nurses can use the CME for their state requirements. Information on this can be found on LARA and through the Michigan Nurse Association (MNA) at Michigan Board of Nursing Continuing Education Requirements Details
Social Workers
This course is approved by the NASW-Michigan Social Work Continuing Education Collaborative
Course Approval #: 121621-01
Full continuing education credits are achieved by the successful participation and completion of the each live and on-demand training course and all required pre/post-tests and evaluations.
Submit continuing education credit questions to Sue Vos at 616.292.5774 or sue.vos@miccsi.org
Continuing education certificates will be issued by PTI after the attendee completes the associated posttest and evaluation.
TRAINING MATERIALS & COURSE PREPARATION
All course resources may be found HERE.
Questions
If you have any questions about this training, contact Sue at sue.vos@miccsi.org or Amy at amy.wales@miccsi.org.