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Scaling Implementation of the Serious Illness Care Program Through Coaching

Alexander Cole, Corinne ; Wilson, Erica ; Nguyen, Phuong L ; Hazeltine, Amanda M ; Greer, Joseph A and Jacobsen, Juliet LU (2020) In Journal of Pain and Symptom Management 60(1). p.101-105
Abstract

BACKGROUND: We designed group coaching calls to reinforce communication skill acquisition and Serious Illness Care Program uptake in adult primary care.

MEASURES: Percentage of primary care physicians (PCPs) who have documented a serious illness conversation in the electronic health record (EHR) approximately three and six months after the coaching intervention. Participant feedback surveys to better understand provider attitudes toward the coaching intervention.

INTERVENTION: We offered 60-minute group coaching calls to internal medicine PCPs, previously trained in serious illness conversation skills, as part of an institutional quality incentive program. The calls addressed communication challenges common to serious... (More)

BACKGROUND: We designed group coaching calls to reinforce communication skill acquisition and Serious Illness Care Program uptake in adult primary care.

MEASURES: Percentage of primary care physicians (PCPs) who have documented a serious illness conversation in the electronic health record (EHR) approximately three and six months after the coaching intervention. Participant feedback surveys to better understand provider attitudes toward the coaching intervention.

INTERVENTION: We offered 60-minute group coaching calls to internal medicine PCPs, previously trained in serious illness conversation skills, as part of an institutional quality incentive program. The calls addressed communication challenges common to serious illness care and instructed participants about how to document and bill for conversations.

OUTCOMES: We completed 31 coaching calls during three months, in which 170 of 228 PCPs attended in groups of two to nine participants per call (74.6% penetration rate). The percentage of PCPs who documented at least one serious illness conversation in the EHR increased from 18.4% to 41.2% six months after the intervention. Primary care internal medicine physicians found the one-hour coaching calls to be highly valuable, with 86.9% of respondents attesting they would recommend the calls to their colleagues. Content analysis of participant feedback identified the most useful coaching content elements to be self-reflection around the impact of prior conversation skills training, instruction around using the EHR to find and document advance care planning discussions, the opportunity to share individual challenges and successes with peers, and feedback/advice from communication experts in palliative care.

CONCLUSIONS/LESSONS LEARNED: Group coaching of PCPs resulted in more than a twofold increase in documented serious illness conversations.

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author
; ; ; ; and
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Adult, Advance Care Planning, Critical Care, Critical Illness, Humans, Mentoring, Palliative Care
in
Journal of Pain and Symptom Management
volume
60
issue
1
pages
101 - 105
publisher
Elsevier
external identifiers
  • scopus:85083321875
  • pmid:32201309
ISSN
1873-6513
DOI
10.1016/j.jpainsymman.2020.03.008
language
English
LU publication?
no
additional info
Copyright © 2020 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.
id
03609be0-79bc-4618-b795-22f9892ddcd7
date added to LUP
2024-11-13 13:49:14
date last changed
2025-07-25 14:57:35
@article{03609be0-79bc-4618-b795-22f9892ddcd7,
  abstract     = {{<p>BACKGROUND: We designed group coaching calls to reinforce communication skill acquisition and Serious Illness Care Program uptake in adult primary care.</p><p>MEASURES: Percentage of primary care physicians (PCPs) who have documented a serious illness conversation in the electronic health record (EHR) approximately three and six months after the coaching intervention. Participant feedback surveys to better understand provider attitudes toward the coaching intervention.</p><p>INTERVENTION: We offered 60-minute group coaching calls to internal medicine PCPs, previously trained in serious illness conversation skills, as part of an institutional quality incentive program. The calls addressed communication challenges common to serious illness care and instructed participants about how to document and bill for conversations.</p><p>OUTCOMES: We completed 31 coaching calls during three months, in which 170 of 228 PCPs attended in groups of two to nine participants per call (74.6% penetration rate). The percentage of PCPs who documented at least one serious illness conversation in the EHR increased from 18.4% to 41.2% six months after the intervention. Primary care internal medicine physicians found the one-hour coaching calls to be highly valuable, with 86.9% of respondents attesting they would recommend the calls to their colleagues. Content analysis of participant feedback identified the most useful coaching content elements to be self-reflection around the impact of prior conversation skills training, instruction around using the EHR to find and document advance care planning discussions, the opportunity to share individual challenges and successes with peers, and feedback/advice from communication experts in palliative care.</p><p>CONCLUSIONS/LESSONS LEARNED: Group coaching of PCPs resulted in more than a twofold increase in documented serious illness conversations.</p>}},
  author       = {{Alexander Cole, Corinne and Wilson, Erica and Nguyen, Phuong L and Hazeltine, Amanda M and Greer, Joseph A and Jacobsen, Juliet}},
  issn         = {{1873-6513}},
  keywords     = {{Adult; Advance Care Planning; Critical Care; Critical Illness; Humans; Mentoring; Palliative Care}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{101--105}},
  publisher    = {{Elsevier}},
  series       = {{Journal of Pain and Symptom Management}},
  title        = {{Scaling Implementation of the Serious Illness Care Program Through Coaching}},
  url          = {{http://dx.doi.org/10.1016/j.jpainsymman.2020.03.008}},
  doi          = {{10.1016/j.jpainsymman.2020.03.008}},
  volume       = {{60}},
  year         = {{2020}},
}