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Day 1 | Day 2 | Day 3

Respecting Choices
Advance Care Planning Course for Facilitators

All participants must have completed the On-line Facilitator Course with:
1. Certificate of completion for all 6 on-line modules
2. Completion of advance directive document used in your organization/community (e.g. 

    power of attorney for healthcare type of document) to submit for review by Instructor (will

    be returned to participant)
3. Completed personal discussion exercise

Agenda

Day 1
Respecting Choices Advance Care Planning Course for Facilitators
Classroom curriculum and Competency Evaluation

7:30 Continental Breakfast

8:00 Introductions

-Welcome
-Introduction of Faculty and Participants
-Overview of course
-Program Description, Objectives, Agenda
-Competency Evaluation Expectations

8:30 Review of Advance Care Planning Facilitation Skills (On-line Modules 1 & 2)

1. General Interview Skills
2. Interview Skills for Basic Advance Care Planning Discussions
3. Video Role-Play: Facilitating Basic Advance Care Planning Discussion
4. Group Evaluation of Observed Skills

9:00 Break (refreshments)

9:15 Review of Advance Care Planning Facilitation Skills (On-line Modules 4 & 5)

1. Interview Skills for Chronic, Progressive Illness
2. Interview Skills for Those We Would Not be Surprised Died in next 12 months, or those living in long-term care
3. Video Role-Play: Facilitating Advance Care Planning with Patients with Chronic, Progressive Illness
4. Group Evaluation of Observed Skills

10:15 Practice role-play exercises: Work in groups of 3

1. Facilitating Basic Advance Care Planning Discussion
2. Facilitating Advance Care Planning Discussion with Adults with Progressive, Chronic Illness: Assessment of understanding of illness; experiences, involving others as necessary
3. Facilitating Advance Care Planning with Adults living in long-term care or those we would not be surprised died in the next 12 months: The Living Well interview

11:15 Debriefing

11:30 The Personal Connection: What did you learn when initiating a conversation about

          advance care planning with someone you love?

Why is this an important exercise?

12:00-12:45 Lunch

12:45-1:15 Creating an Advance Directive (On-line Module 3)

-Review of the legal issues and requirements for completing a written advance directive in your community: Common Issues and Concerns

(1:15-1:45) Tools for Promoting and Assisting with Advance Care Planning

-“Making Choices™" Video Presentation
-Fraser video clip
-Large Group Discussion: Strategies to engage others in understanding the importance of basic advance care planning

2:00 Break

2:15 Making Advance Care Planning Work: Organizational Issues (On-line Module 6)

-Review of Principles

Define your organization/community’s system for
1. Entering, reviewing, transferring advance directives
2 Making referrals to ACP facilitators/other professionals
3 Monitoring ACP outcomes
Handouts: Organization Policy/Procedure on Advance Care Planning/Advance Directives;
Strategies to Educate Health Professionals and the Community
Review of Principles
Define your organization/community systems for
1. Educating staff/peers
2. Educating community

3:15 Competency validation role-play exercise: Facilitating Basic Advance Care Planning

        Discussion with Competency Evaluation completion by Observer. Small groups

4:15 Summary/Evaluation

What comes next?

4:30 Adjourn

4:30 Instructor Certification: All participants planning to take the Instructor Certification on

        Day 3 must plan on attending this brief meeting.

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Day 2
Organization & Community Course For Instructors and Leaders

7:30 Continental Breakfast

8:00 Organizational & Community Strategies for Implementing an Effective Advance Care

        Planning Program

-Overview: The Challenge of Shifting from a Culture of Advance Directives to Advance Care Planning(Chapter 1, Manual #2)

-Video Presentation: "Institute for Healthcare Improvement National Forum, December, 1999, Don Berwick

9:15 Break

9:30 Making Advance Care Planning Work: Organizational Strategies

Demonstration of organizational principles: (Chapter 10, Manual #2)

Related course content includes:
-Assessing Organizational Barriers (Chapter 3, Manual #2)
-Managing Resources (Chapter 4, Manual #2)
-Developing Partnerships (Chapter 5, Manual #2)

11:30 Lunch(provided)

12:15 Continuous Quality Improvement: Measuring Advance Care Planning Outcomes

          (Chapter 6, Manual #2)

1:30 Break

1:45 Begin to Design an Implementation Plan

Questions & Concerns

4:15 Adjourn

Assignments:

Instructor Certification: Questions & Concerns

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Day 3
Respecting Choices“ Organization & Community Advance Care Planning Course
Instructors Only: Group size: 8-10
Instructor Certification (8-4 pm)

8:00-9:30 Strategies for Teaching the Facilitator's Advance Care Planning Course (Chapter

                 7, Manual #2)

-Presentation Strategies
-Preparing to teach your own facilitator course
-Responsibilities for monitoring the on-line course completion
-Issues Surrounding Cultural Diversity and Advance Care Planning:     Discussion

9:30 Break

9:45 Instructor Presentations

Each Instructor candidate will facilitate a ten-minute discussion with other participants who will role-play typical questions/concerns about ACP

11:00-3:00 Participants will rotate through the remaining certification competency stations:
                  (Lunch & afternoon refreshments provided)

1. Certification exam.
A 20 item multiple-choice exam covering facilitation skills, presentation skills and organizational principles (20-30 minutes)

2. Role-play demonstration with faculty observations.
Work in pairs to role-play one advance care planning facilitation interview selected from one of the following categories (one hour per pair):

Making an initial assessment and providing information;
Facilitation skills for a healthy adult;
Completing a power of attorney for healthcare document;
Facilitation skills with an adult with an incurable, progressive disease (lacks understanding of health condition; CPR benefits/burdens);
Facilitation Skills with an adult with an incurable, progressive disease (preferences for withholding life-sustaining interventions, focus on comfort care);
Facilitation skills with an adult with a terminal illness, expected to die in the next 6-12 months (how to "live well;" benefits/burdens of withholding nutritional support).

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