6/10/2013 Harvey Freishtat Esq. and Jessica McCannon MD Getting Men Healthier – A Physician’s Playbook G tti M H lthi A Ph i i ’ Pl b k Massachusetts Medical Society’s 11 th Annual Men’s Health Symposium June 12, 2013 Aims • Understand aim of The Conversation Project • Introduce tools available • Share some stories • Develop action plan • Introduce Conversation Ready campaign Introd ce Con ersation Read campaign 2 1
6/10/2013 • A public engagement campaign, whose goal is to ensure that everyone’s wishes for end of life care are ex expressed pressed and respe respecte ted. d. • A collaboration with the Institute for Healthcare Improvement (IHI), led by Pulitzer Prize winning author, Ellen Goodman. • A personal, story-based initiative. 3 Program Elements YouTube Facebook Search Twitter Traditional Media Outreach Influencer Outreach Celebrity Engagement (online & traditional) Real Stories in the Media Stories Like Mine 2
6/10/2013 5 What is The Conversation Project? • National media campaign • Uses social and traditional media Uses social and traditional media • Website and tools to help people get started • Working with employers, faith-based groups, large communities • Change culture around end-of-life conversations in America (and beyond) America (and beyond) 6 Our Goal The goal of The Conversation Project is to ensure that everyone’s end-of-life wishes are expressed y p and respected. www.theconversationproject.org 3
6/10/2013 8 Our Tools • Conversation Starter Kit • How to talk to your Doctor guide • How to talk to your Doctor guide • Conversation Group Coaches guide New! New! 4
6/10/2013 9 10 5
6/10/2013 I want mine to be… • “I want to say goodbye to everyone I love, have one last look at the ocean, listen to some 90’s music, and go.” g • “A tingling sensation of sadness combined with gratitude and overflowing love for what I leave behind.” • “Paced (and with enough space and comfort so that I can make it a ‘quality chapter’ in my life.) I want time and help to finish things.” • “Without suffering and without reproach ” • Without suffering and without reproach. • “Peaceful, pain-free, with nothing left unsaid.” • “In the hospital, with excellent nursing care.” 11 12 6
6/10/2013 Have YOU had the conversation??? 14 “Setting the table” • Introductions • How it works • How it works • Ground rules 7
6/10/2013 15 Stories 16 The Starter Kit: Get Ready 8
6/10/2013 17 The Starter Kit: Get Set 18 The Starter Kit: Go 9
6/10/2013 The Starter Kit: Keep Going Once is not enough Patients’ preferences for life sustaining treatments unstable . P ti t ’ f f lif t i i t t t t bl In a study of 1-year stability of preferences among 265 patients with advanced chronic organ failure: -Assessments q4months -Changes in 38.3% of patients during follow-up period -Related to change in health status, mobility, anxiety/depression, marital status. Janssen DJA, et al. Chest 2012 May;141(5):1251-9. 20 10
6/10/2013 Setting the scene 21 Setting the scene Majesko A et al. Critical Care Medicine 2012; 40: 2281-2286. 22 11
6/10/2013 Setting the scene No prior discussion with patient: OR 3.7 95% CI (1.79-7.76), p<0.001 Majesko A et al. Critical Care Medicine 2012; 40: 2281-2286. 23 Conversation Ready Campaign • IHI is working with leading health care organizations in the US and internationally to ensure the health care delivery system is prepared to receive and receive and respect respect patients’ wishes. • Pioneers are collaborating with IHI to design and implement the “Conversation Ready” program. • Pledge to be “Conversation Ready” by September 2013. 12
6/10/2013 Conversation Ready: Pioneers • Beth Israel Deaconess Medical Center (Massachusetts) • Care New England Health System (Rhode Island) • Contra Costa Regional Medical Center (California) C C R i l M di l C (C lif i ) • Gundersen Lutheran Health System (Wisconsin) • Henry Ford Hospital (Michigan) • Mercy Health (Ohio) • North Shore � Long Island Jewish Health System (New York) • St. Charles Health System (Oregon) [sponsored by the Cambia Health Foundation] Health Foundation] • Virginia Mason Medical Center (Washington) • UPMC (Pennsylvania) If you remember nothing else… • Have the conversation. • Have it again. • Share the Starter Kit with your family and loved ones. • Test it with patients (and tell us how to make it better) • Share your stories on our website. 26 13
6/10/2013 The Conversation Project’s Impact to Date Since launch in August 2012… •More than 50,000 unique visitors to its website •Nearly 20,000 downloads of Conversation Starter Kit •Coverage in 60 print and media articles •Hundreds of story submissions 27 14
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