Incorporating Palliative Care Into Your Primary Care Practice
Providing appropriate care to patients at the end of life, and to their families, is an important role in a primary care practice. Incorporating palliative care into a primary care practice has the potential not only of improving the quality of care delivered to patients, but also of enhancing the professional satisfaction of physicians. The primary care setting is an excellent venue for addressing end-of-life care relevant to all patients, and the primary care provider (PCP) can serve as an advocate for improved care of the dying by maintaining comfort and optimizing quality of life. This activity will discuss the role of palliative care in a primary care setting and the impact it has on quality of life for patients and their families. Patients who can benefit from palliative care will be identified and strategies to engage patients in the palliative-care discussion will also be reviewed, along with resources for both patients and providers that require a higher level of care.
This activity is provided by Optum Health Education and Optum Health, Clinical Performance.
No commercial support was received for this activity.
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This activity is designed to meet the educational needs of physicians, PAs, nurses, nurse practitioners, and other HCPs who have an interest in learning about incorporating palliative care into their primary care practice.
At the end of this activity, participants should be able to:
- Define palliative care and the impact it has on quality of life for patients and their families.
- Describe the characteristics of patients who can benefit from palliative care.
- Identify specific actions PCPs can take to provide primary palliative care.
- Review tools and strategies to engage patients in palliative-care discussions.
- Identify when additional resources are needed for both patients and providers that require a higher level of care.
Jessica Noggle Taylor, PhD, APRN, NP-C
Associate Director of Evidence-Based Medicine
Optum Health, Clinical Performance
Caroline DeFilippo, MD, MPH, FACP
Adult Primary Care and Population Health
Kristofer Smith, MD, MPP
Chief Medical Officer
Landmark Health, Part of Optum Home & Community
About the presenters
Caroline DeFilippo, MD, MPH, FACP, is thrilled to be a part of Optum East, practicing in the same community where she was born and raised. Dr. DeFilippo graduated from Harvard University in 2001 and then spent one year pursuing graduate studies in Australia as part of a Rotary Ambassadorial Scholarship. After working in public health for a number of years focusing on chronic disease management, she completed her medical degree and master’s degree in public health at Mount Sinai Hospital in 2009. She was honored for her outstanding teaching and humanism skills during her training. Her residency in internal medicine, also at Mount Sinai, focused on primary care. Prior to joining CareMount, she was in private practice for five years and served as an associate medical director at WestMed Medical Group. She now serves as a medical director for population health and adult primary care, continuing to practice medicine while pursuing her administrative roles. She is passionate about primary care particularly as it allows for the development of long-term partnerships with patients and their families. She has also brought the Serious Illness Conversation training to over 200 providers.
Kristofer Smith, MD, MPP, as chief medical officer of Landmark Health, leads efforts to establish a high quality and clinically effective home-based medical care model for patients with serious illness. He oversees clinical model design, learning and development, quality of care standards, and clinical improvement activities. His prior roles include chief clinical officer at Prospero Health, a home-based palliative care company, president of NaviHealth’s home-based medical care division and senior vice president of population health at Northwell Health. He has published papers on advanced-care models for the frail elderly and regularly gives national talks on health policy, the frail elderly and the intersection of payment reform, and clinical redesign. He currently serves on the board of the American Academy of Home Care Medicine. He worked as a house-call physician for more than a decade, providing primary and palliative care to the frail homebound elderly.
Elizabeth Albert, MD
Clinical Activity Manager
Optum Health Education
Sarah Chart, RN
Optum Health Education
Joshua Jacobs, MD, FAAFP
National Medical Director
Disclosures of relevant financial relationships
In accordance with the Accreditation Council for Continuing Medical Education's (ACCME) Standards for Integrity and Independence in Accredited Continuing Education, Optum Health Education (OHE) requires all those in control of educational content to disclose their financial relationships with ineligible companies within the prior 24 months. Ineligible companies are defined by the ACCME as companies whose primary business is producing, marketing, selling, re-selling, or distributing health care products used by or on patients. Individuals must disclose all financial relationships, regardless of the amount, with ineligible companies and regardless of their view of the relevance of the relationship to the education. OHE ensures that the content is independent of commercial bias.
The activity faculty and planners have no financial relationships to disclose.
Method for calculating CE credit
CE credit was calculated by the complexity of content.
In support of improving patient care, this activity has been planned and implemented by Optum Health Education and Optum Health, Clinical Performance. Optum Health Education is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE) and the American Nurses Credentialing Center (ANCC), to provide continuing education for the health care team.
Credit designation statements
The participant will be awarded up to 1.00 contact hour(s) of credit for attendance and completion of supplemental materials.
The American Academy of Nurse Practitioners Certification Program (AANPCP) accepts credit from organizations accredited by the ACCME and ANCC.
Optum Health Education designates this enduring activity for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
The American Academy of Physician Assistants (AAPA) accepts credit from organizations accredited by the ACCME.
A certificate of attendance will be provided to learners upon completion of activity requirements, enabling participants to register with licensing boards or associations that have not been preapproved for credits. To apply for credit types not listed above, participants should use the procedure established by the specific organization from which they wish to obtain credit.
- 1.00 AMA - Physicians
- 1.00 ANCC - Nurses
- 1.00 Attendance - General Attendance
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