This presentation discusses the development of an educational program and protocol for serious illness communication with an interprofessional team of nurse care coordinators and social workers…

Discuss the integral role of the RN care manager in helping to improve advance care planning in patient-centered medical homes…

Using scenario-based examples, this presentation describes how advanced illness care was implemented in a large integrated health care system using ambulatory care RN care coordinators to identify and manage patients in advanced stages of illness…

Discuss the use of primary care nurses as a promising advance care planning (ACP) engagement approach, as ACP continues to be a growing national imperative, yet participation rates in ongoing conversations between patients and health care providers are low…

Background: A highly engaged and well-trained workforce is vital to safe and effective care. Our organization identified a concerning, downward trend in employee engagement scores and convened a cross-functional workgroup to identify contributing factors and develop solutions…