It's Health Care Decisions Week: Talk to your patients about their end-of-life wishes The California Medical Association (CMA) recognizes National Health Care Decisions week by encouraging physicians to speak with their patients about the importance of completing an advance directive to make sure their end-of-life wishes are known. Experts say only about 20-30 percent of Americans have completed an advance directive, even though all people age 18 and older should have one. In California, advance directives are the legally recognized format for “living wills.” An advance directive enables individuals to make sure that their health care wishes are known in advance and considered ... April 19, 2017 General Advance Directive, Advanced Care Planning, End of Life Issues, POLST 0 0 Comment Read More »
Learn patient communication skills for the End of Life Option Act On October 13, 2016, the Coalition for Compassionate Care of California (CCCC) is hosting a one-day interactive workshop, “California End of Life Option Act: Key Concepts and Skills for Providers.” The workshop will take place at the San Diego County Medical Society (5575 Ruffin Road, Suite 250) from 8:30 a.m. to 4:30 p.m. Workshop attendees will have the chance to review key aspects of the law and learn how it could impact providers and organizations. Attendees will also have the opportunity to practice conversation skills for engaging patients to ... September 22, 2016 General Physician Aid in Dying, End of Life Issues 0 0 Comment Read More »
Pilot planned to develop electronic POLST registry in CA: ACCMA and SDCMS participate A $3 million pilot project to build an electronic database for Physician Orders for Life-Sustaining Treatment (POLST) has been approved by the board of directors of the California Health Care Foundation (CHCF). Participating in the project will be the Alameda-Contra Costa Medical Association (ACCMA) and San Diego County Medical Society (SDCMS). POLST is a legally recognized document that outlines a plan of care reflecting patients' wishes concerning medical treatment and interventions toward the end of their lives. Currently, in California most POLST information is maintained only as a pink piece ... August 25, 2016 General POLST, Advanced care Planning, End of Life Issues 0 0 Comment Read More »
Learn about physician engagement in the advance care planning process on July 19 call As part of its Advance Care Planning Initiative, the Coalition for Compassionate Care of California (CCCC) hosts a monthly forum to discuss successful advance care planning efforts and share ideas about what is working to improve conversations and processes in both health care and community settings. The next call will take place on Tuesday, July 19, from noon to 1 p.m. Facilitated by Lael Duncan, M.D., CCCC medical director of consulting services, the topic is Engaging Physicians in Advance Care Planning. During the call, Dr. Duncan and other guest physicians ... July 14, 2016 General End of Life issues, Advanced Care Planning 0 0 Comment Read More »
The End of Life Option Act takes effect on June 9: What physicians and patients need to know On June 9, 2016, California will become the fifth state in the nation to allow physicians to prescribe terminally ill patients medication to end their lives. California's new "End of Life Option Act" permits terminally ill adult patients with the capacity to make medical decisions to be prescribed an aid-in-dying medication if certain conditions are met. Recognizing the complexity of this new law, the California Medical Association (CMA) has published legal guidance in a question-and-answer format intended to help physicians and patients understand and navigate the law's requirements. The ... June 8, 2016 General Health Law Library, Physician Aid in Dying, End of Life Issues 0 0 Comment Read More »
CSU and palliative care coalition launch eduction programs on advance care planning and billing In response to the nation’s growing demand for physicians trained in advance care planning conversations, the California State University Institute for Palliative Care has partnered with the Coalition for Compassionate Care of California to co-design a comprehensive continuing education curriculum for health care professionals. New this year, Medicare providers can be reimbursed for advance care planning conversations with patients. The newly implemented reimbursement provides an impetus for clinicians to spend time exploring patient health care preferences and documenting goals of care. “Patients want to have these conversations with their providers, and ... April 28, 2016 General Advance Health Care Directive, End of Life Issues, Medicare, Palliative Care, Advance Directive, CME 0 0 Comment Read More »
New POLST toolkits available online in English and Spanish Physicians across California are successfully using Physician Orders for Life-Sustaining Treatment (POLST) to improve patient care at the end of life. POLST is a legally recognized document, printed on bright pink paper, that outlines a plan of care reflecting patients' wishes concerning medical treatment and interventions toward the end of our lives. Under a new law that took effect January 1, 2016, nurse practitioners (NP) and physician assistants (PA) acting under the direction of a physician and within their scope of practice are now able to sign the POLST forms ... April 4, 2016 General Life Sustaining Treatment, Physician Orders for Life Sustaining Treatment, POLST, End of Life Issues 0 0 Comment Read More »
Learn about end-of-life care through a cultural lens on April 7 Physicians are invited to attend Building Bridges: End-of-Life Care Through a Cultural Lens, a one-day seminar hosted by the Coalition for Compassionate Care of California (CCCC). This event is a unique opportunity to learn about the “culture” of health care while investigating how your own cultural biases and behaviors may influence the care you provide. Participants will learn how to compare and contrast the culture of health care and end-of-life care; discuss the prominent cultural features of your work environment and how they relate to end-of-life care; define cultural competency, ... March 31, 2016 General End of Life Issues, Cultural Competency 0 0 Comment Read More »
CMA publishes physician guidance for the End of Life Option Act The California Medical Association (CMA) has published new legal guidance intended to help physicians and patients understand the End of Life Option Act, which was passed in 2015 and makes physician aid-in-dying legal in California. The document is in a question-and-answer format, and is intended to help both physicians and patients navigate the complicated law. “As physicians, there are a lot of questions about requirements under the new law, required documentation and forms, requests for the drug, consulting physicians and so on,” said CMA President Steve Larson, M.D. “There certainly will ... January 25, 2016 General Physician Aid in Dying, End of Life Issues 0 0 Comment Read More »
NPs and PAs can sign POLST forms beginning in 2016 A new law (Assembly Bill 637) recently signed by Gov. Jerry Brown will allow nurse practitioners (NP) and physician assistants (PA), under the direction of a physician and within their scope of practice, to sign Physician Orders for Life-Sustaining Treatment (POLST) forms and make them actionable medical orders. The law goes into effect on January 1, 2016. The POLST form is a legally recognized document that outlines a plan of care reflecting patients’ wishes concerning medical treatment and interventions toward the end of their lives. The California Medical Association (CMA) co-sponsored ... September 9, 2015 General Advocacy, Nurse Practitioners, Physician Assistants, End of Life Issues, POLST 0 0 Comment Read More »
