Disruptors: Care Organizations Focused on Serious Illness
A growing number of organizations understand that the traditional health care system is not working for frail older adults and others with serious illness—and are doing something about it. These innovators can use CAPC courses and resources to train their staff in the impactful skills that prevent crises, optimize quality of life for patients and families, and ensure cost-effectiveness.
Disruptor organizations can build skills and capabilities in palliative and geriatric care to achieve strong outcomes.
What’s in the Toolkit
Tools for Assessing for Burden and Distress
Use these tools to uncover the risks and sources of suffering that drive avoidable utilization.
Screening questions and burden assessments for case management of people with serious illness.
Best practices in how to use data sources, such as claims or medical records, to identify patients who are most likely to benefit from palliative care.
The Charlson Comorbidity Index can be used by palliative care programs to identify patients in need of their services.
Toolkit for finding the right patients at the right time to address gaps in care.
Resources for Team Effectiveness and Impact
Comprehensive care requires an interdisciplinary approach. Use these tools to optimize processes and team health.
A summary of implementation best practices for health plans and ACOs driving value in the care of high-need, seriously ill populations.
Clarify team roles and responsibilities to ensure positive relationships and productivity.
Summary of care management strategies for members living with a serious illness, from preparing for the call to working with treating teams.
Advice from successful programs on how to make "cold calls" to patients identified to benefit from your services.
Ensure strong morale and healthy team functioning.
This session covers how conscious and unconscious reactions impact communication with patients and families, and offers techniques to improve self-awareness and personal resilience.
Defines cultural humility and how it influences patient care and offers ways to provide culturally humble care.
Clinical Skills Development
Easy-to-use, comprehensive training resources for all disciplines. Topics include effective serious illness communication, pain/symptom management, supporting caregivers, and more.
Tools to design and implement a training initiative for care teams from all specialties, to improve quality of life for patients and families living with serious illness.
Course catalog for CAPC's clinical training curriculum. All courses provide continuing education credits for physicians, nurses, social workers, and care managers from all specialties and are free for CAPC members.
This learning pathway, Communication Skills for Conversations About Serious Illness, contains training and tools to help health professionals navigate difficult conversations with patients living with a serious illness.
This resource provides practical samples of empathic responses to use in conversations with patients and families, as well as template responses to challenging questions. Developed by VitalTalk.
This Learning Pathway contains a comprehensive set of training and tools to help care managers address the unique needs of patients and families living with serious illness.
Strategies to alleviate suffering and improve quality of life for people living with dementia and their caregivers.
