Interprofessional training: Geriatrics and palliative care principles for primary care teams in an ACO

Interprofessional training: Geriatrics and palliative care principles for primary care teams in an ACO

There is a well-described need to increase the competence of the primary care workforce in the principles of geriatrics and palliative care, and as value-based payment models proliferate, there is increased incentive for the acquisition of these skills. Through a Geriatric Workforce Enhancement Prog...

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Bibliographic Details
Published in:Gerontology & geriatrics education Vol. 40; no. 1; pp. 121 - 131
Main Authors: Lally, Kate M, Ducharme, Constance M, Roach, Rachel L, Towey, Caitlin, Filinson, Rachel, Tuya Fulton, Ana
Format: Journal Article
Language:English
Published: England Taylor & Francis Ltd 01-01-2019
Subjects:
Accountable care organizations
Advance directives
Aging (Individuals)
Curricula
Geriatrics
Hospice care
Labor Force
Needs Assessment
Palliative care
Patient Education
Pretests Posttests
Primary care
ACOs
geriatrics
Interprofessional education
palliative care
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Summary:There is a well-described need to increase the competence of the primary care workforce in the principles of geriatrics and palliative care, and as value-based payment models proliferate, there is increased incentive for the acquisition of these skills. Through a Geriatric Workforce Enhancement Program grant, we developed an adaptable curriculum around commonly encountered topics in palliative care and geriatrics that can be delivered to multidisciplinary clinicians in primary care settings. All participants in this training were part of an Accountable Care Organization (ACO) and were motivated to improve to care for complex older adults. A needs assessment was performed on each practice or group of learners and the curriculum was adapted accordingly. With the use of patient education and screening tools with strong validity evidence, the participants were trained in the principals of geriatrics and palliative care with a focus on advance care planning and assessing for frailty and functional decline. Comparison of pre- and post-test scores demonstrated increased confidence and knowledge in goals of care and basic geriatric assessment. Participants described feeling more able to address needs, have conversations around goals of care, and more able to recognize patients who would benefit from collaboration with geriatrics and palliative care.
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ISSN:0270-1960
1545-3847
DOI:10.1080/02701960.2018.1459595