Honoring Choices

1
Re-framing Advance Care Planning The Allina Story

• Honoring Choices
• Penny Wheeler, M.D.
• Chief Clinical Officer, Allina Health

2
Who are we?
3
OUR MISSION

• We serve our communities by providing
  exceptional care, as we prevent illness, restore
  health, and provide comfort to all who entrust us
  with their care

4
Beulahs Story
5
The Health of a defined population


The Triple Aim
The Experience of every patient
The Affordability of healthcare
6
Health Care Reform How Will the System Change?
From To
Fragmented Care Coordinated Care
Organized Around Providers Organized Around Patients
Payment for Volume Payment for Value
Facilities Focused Care Systems Focused
Physician Accountability Care Team Accountability
Paper Electronic
Episodic Hospital-Based Care Models Longitudinal, Multi-site Care Models
Inconsistent Variable Care Efficient Evidence Based Care
Our goal is to close the gap
7
What are we doing?
8
What are the challenges we face?

• Deep understanding of patients story, values and
  choices
• Caregiver awareness and engagement
• Lack of reimbursement for right work
• Communication of values/wishes to team
• Patient facing technology
• Provider facing technology
• Allowing for iterative changes in care plan
• Culture comfort with conversation
• Divergence at times with caregivers beliefs,
  societal/religious beliefs

9
What have we learned?

• Need to link work with home care and palliative
  care
• Phase to expanded populations over time,
  meaningful measures

• Use of predictive modeling for proactive care

10
THE WORK_domains
11
Our Promise
We are all here to help you on your path to
better health. Every one of
us. Here to care, to guide, to motivate, to
comfort, to inspire. The work we do is profound
and distinguishes us. But its the small things
we do every day that will define us. We believe
you are an integral part of the care team. We are
here in service to you, from beginning to
end. Dedicated to enriching your experience with
us body, mind and spirit. Whenever,
wherever we meet. On your path with us, we will
give you options. We will respect your time. We
will use plain language. We will listen with
compassion. And speak with purpose. We will
applaud your efforts. We will address
concerns. We will be fearless advocates and
tireless partners on your path to better health.