Quality and Care Management: Speak for Yourself - Plan Your Care

July 20, 2016

“Speak for Yourself - Plan Your Care” is an advance care planning initiative through, Lakeland Health, Caring Circle, and the Southwestern Michigan Community. It involves a systematic approach to advance care planning. We are encouraging people, at any age, to have a designated decision maker, and identify their end-of-life wishes. The focus of the “Speak for Yourself - Plan Your Care” pilot is to have meaningful discussions with patients who are seriously ill and frail. Certified facilitators are located within the following pilot sites:

  • PACE
  • Parish Nursing – First Church of God, United Methodist, Trinity Lutheran
  • Pine Ridge
  • Palliative Care/Hospice (now part of Caring Circle)
  • Radiation/Oncology
  • Inpatient – CCU St. Joseph
  • PCP offices – Edgewater Family Health, Lakeside Healthcare Specialists, Southwestern Medical Clinic – Bridgman

During the next six months, each team will be expected to conduct a minimum of 10 conversations using new patient education tools, a revised advance care plan which includes Gift of Life options, and patient advocate acceptance of role section. This pilot phase allows us to enhance documentation within EPIC, and identify other opportunities to improve before expanding the program to other locations.

Please email Karen Riley (kriley@lakelandhealth.org) for more details on this initiative.