Advance Care Planning (ACP) Facilitator Training

The advance care planning (ACP) Facilitator is an emerging role in healthcare. ACP Facilitators are instrumental in helping individuals, their families, and their loved ones become more engaged in person-centered decision making. If ACP conversations were easy, they would be more commonplace than they are today. The role of the ACP Facilitator is a critical component to achieving the ACP desired outcome—to know and honor an individual’s informed healthcare decisions. Because ACP is not a one-size-fits-all conversation, ACP Facilitators must be trained to have conversations with individuals at different stages of health and in different settings of care. ACP Facilitators add value to an organization and community and are central to any program’s success.

The value of the Facilitator role is demonstrated through:

  • Timely and appropriate referrals for ACP services,
  • The person-centered decisions individuals and families are assisted in making,
  • The overwhelmingly positive individual and family satisfaction with this role, and
  • Professional competence and confidence in providing skilled facilitation and delivering care that is consistent with an individual’s goals, values, and beliefs.

Funding Opportunity

Attention North Dakota Critical Access Hospitals (CAH) interested in participating in either First Steps or Last Steps Advance Care Planning (ACP) Facilitator Training: In an effort to increase the number of ACP facilitators in rural communities, the North Dakota Medicare Rural Hospital Flexibility (Flex) Program, administered through the Center for Rural Health, will support registration ($250) for one person per CAH to attend an ACP training (between Sept. 1, 2017-August 31, 2018). Follow the steps below to apply.

  1. Applicants complete a Peer Exchange Program application form requesting ACP Facilitator Training registration fee support.
  2. Email completed Peer Exchange Application form to julie.frankl@med.und.edu. Applicants will receive confirmation and approval of the proposed exchange within 3 business days of receipt of the application.
  3. Approved applicants complete the selected ACP Facilitator Training registration process as outlined below.
  4. Upon receipt of a completed Flex Peer Exchange Program Outcome Report, the Center for Rural Health will submit payment for the registration fee to the ACP training provider on behalf of the approved applicant.

Please note there is advance homework involved that must be completed prior to the in-person training.  Please complete Flex funding requests as soon as possible to allow for the steps and time needed in the training registration and preparation process.

First Steps® ACP Facilitator Certification

The First Steps® (FS) ACP Facilitator Certification course is designed to help participants learn the skills needed to facilitate foundational ACP discussions with any adult.

Target Audience
FS ACP Facilitator Certification is intended for healthcare providers (nurses, all levels of social workers, health educators, and physicians), clergy, and others involved in providing ACP facilitation.

Purpose
The purpose of this program is to assist participants in learning effective communication and interview skills for person-centered ACP facilitation.

Objectives

  1. Identify interview skills for facilitating FS conversations with healthy adults.
  2. Identify interview skills for facilitating FS for adults with chronic illness.
  3. Create strategies to communicate the plan, including the completion of an advance directive document.
  4. Examine the ACP Facilitator’s role in implementing 3 key systems for ACP effectiveness.
  5. Demonstrate beginning competency in facilitating FS conversations through role-play activities.

Initial Certification Requirements

  • Completion of the FS ACP Facilitator Certification Online Curriculum (Modules 1-4)
  • Completion of the FS ACP Facilitator Certification classroom training (8-hour classroom instruction)

Ongoing Certification Requirements
Currently, RC has no ongoing recertification requirements. It is recommended that recertification requirements be established and monitored by the Facilitator’s sponsoring organization and RC Instructors. RC intends to establish recertification requirements in the future.

Last Steps® ACP Facilitator Certification

Last Steps® (LS) ACP is initiated as a component of quality end-of-life care for frail elders and those whose death in the next 12 months would not be unexpected. The LS planning conversation is focused on goals of care to make timely, proactive, and specific end-of-life decisions. Ideally, these decisions are converted into medical orders that can be followed throughout the continuum of care. The Physician Orders for Life-Sustaining Treatment (POLST) program is the nationally recognized model for this stage of planning.

Target Audience
The LS ACP Facilitator Certification course is intended for healthcare clinicians (nurses, social workers, chaplains, physicians) and others involved in assisting those with serious illness or frailty in making treatment decisions based on their goals of care.

Purpose
The purpose of this program is to improve the effectiveness of the LS ACP through facilitation skills training.

Objectives

  1. Describe the goals of LS, a POLST Paradigm program.
  2. Identify interview skills for facilitating LS conversations.
  3. Identify skills to assist individuals in making informed treatment decisions that include CPR, limitations on treatment, and comfort care.
  4. Develop strategies to create a POLST form that accurately reflects an individual’s treatment preferences.
  5. Identify systems to honor the POLST plan.
  6. Demonstrate beginning competency in facilitating LS conversations through role-play activities.

Initial Certification Requirements

  • Completion of the LS ACP Facilitator Certification Online Curriculum (Modules 1-4 and Module 5)
  • Completion of the LS ACP Facilitator Certification classroom training (8-hour classroom instruction)

Ongoing Certification Requirements
Currently, RC has no recertification requirements. It is recommended that recertification requirements be established and monitored by the Facilitator’s sponsoring organization and RC Instructors. RC intends to establish recertification requirements in the future.


Upcoming Facilitator Training Sessions


First Steps ACP Facilitator Training

A minimum of 12 participants are required.


Last Steps ACP Facilitator Training

A minimum of 12 participants are required.