Gundersen Health System: End-of-Life Care Coordination

Quick Overview

The Three W’s, How to Use Systems Design, Engaging the Broader Community

See how Gundersen Health System's standardized advance care planning satisfies patient wishes, eases family concerns, and ensures consistent care.

Availability: In stock

Pubcode: HMK06042013
Price: $399
LIVE on-demand programs will
be delivered via mail in USB format.

HealthLeaders Media LIVE at Gundersen Health System: End-of-Live Care Coordination

Presented on June 4, 2013

Webcast will be shipped in USB drive format.

See how Gundersen Health System has created a model of standardized advance care planning that satisfies patients’ wishes, eases family concerns, and lowers end-of-life care costs.

Participants in this webcast will:

  • Discover how the three W’s (who, when, and what) can pave the way for advance care conversations

  • Learn how to use systems design and continuous quality improvement to standardize advance care planning

  • Explore ways and benefits of engaging the broader community in advance care planning and training

Program Agenda:

Panel 1: The three W’s (Who, When, and What) for advance care conversations

      • Use a phased approach to ACP that engages patients at the right times in their illness
      • Redefine physician and clinical team roles in advance care conversations
      • Teach and measure the skills for effective, compassionate conversations with patients and their families

Panel 2: Use systems design and continuous quality improvement to standardize advance care planning

      • Develop communication, structure, and leadership support for consistent, standardized advance care planning
      • Use quality improvement to drive results and measure success
      • Effectively use the EHR platform to prompt ACP at the point of care

Panel 3: Engage the broader community in advance care planning and training

      • Join with local health systems and physicians for a unified approach and ACP process
      • Seek critical support from local faith, business, and social service leaders
      • Train community volunteers to have initial ACP conversations with friends, family, and neighbors


Kelly Barton, MPH, CASHA, FABC

Vice President of Clinical Operations

Barton provides strategic direction to the surgical subspecialties and behavioral health in more than 26 regional locations, and is responsible for Gundersen Lutheran’s standards of care. Previously, she served as the administrative director for the Center for Cancer and Blood Disorders, Norma J. Vinger Center for Breast Care, Hospice and Palliative Care Services, Infusion and IV Therapy. Barton received her bachelor’s degree in public administration from Bellevue University and holds a Master of Public Health and credentials in healthcare administration from the University of Minnesota.

Carol Berra, RN

Coordinator for Advance Care Planning

Berra is an experienced RN in Gundersen’s palliative care department. She is part of a multidisciplinary team that provides care for patients with advanced disease in the clinic setting, while also supporting two healthcare providers. In her role as Next Steps® Advance Care Planning (ACP) coordinator and trained facilitator, she facilitates discussions with patients about the progression of their illness and related healthcare decisions, such as life-sustaining treatments. Berra started her position in palliative care in June 2008 but has been an employee of Gundersen for 30 years. She holds a Bachelor of Science in Nursing from Viterbo University in La Crosse, Wis.

Michael J. Dolan, MD, FACP

Medical Vice President

A practicing internal medicine physician, Dr. Dolan partners in managing audiology, dental, emergency medicine, rehabilitation therapies, anesthesia, otolaryngology, neurosciences, orthopedics, surgery, urology, plastic surgery, ICU, inpatient medical surgery, occupational services, sports medicine, pain medicine, and podiatry. A graduate of the University of Wisconsin Medical School, he completed his internal medicine residency with the Gundersen Lutheran Graduate Medical Education Program.

Bernard Hammes, PhD

Director of Medical Humanities and Respecting Choices®

Dr. Hammes provides educational programs for house staff, medical students, nursing students, and physician assistant students, as well as in-services and workshops for the medical staff, nursing staff, social workers, and pastoral care department. He also chairs the Institutional Review Board and Ethics Committee. Dr. Hammes developed two nationally recognized programs on advance care planning, If I Only Knew... and Respecting Choices, and edited the book Having Your Own Say: Getting the Right Care When It Matters Most. He holds a bachelor of arts and a doctorate in philosophy from the University of Notre Dame.

Jeffrey E. Thompson, MD
CEO and Chairman of the Boards

A practicing pediatric intensivist and neonatologist, Dr. Thompson has served as CEO since 2001. He joined Gundersen Clinic in 1984 and served as executive vice president from 1995 to 2001. A graduate of the University of Wisconsin-Madison Medical School, he completed his pediatric internship at the University of California-Davis and finished his neonatal fellowship at Upstate Medical Center in Syracuse, N.Y., where he also served as chief resident.

Jackie L. Yaeger, MD
Palliative Care Physician and Medical Director of Hospice

As a palliative care physician and the hospice medical director at Gundersen, Dr. Yaeger assists families with decision-making. Her experience with a wide variety of disease processes, combined with a passion for excellent communication, allows her to meet the needs of patients and families as they navigate through what can be a difficult but also meaningful and memorable time. Dr. Yaeger received her medical degree from the University of Iowa, Iowa City, and completed a family practice residency at Wausau (Wis.) Family Practice. She is board certified by the American Board of Family Practice as well as in hospice and palliative medicine.


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