The Advanced Illness Coordinated Care Program: Meeting Palliative Care Needs in the Ambulatory Venue (515)

Abstract

1.Identify three key components of the Advanced Illness Coordinated Care Program (AICCP).2.Discuss two successful AICCP integration strategies.3.Review two quality and reporting indicators of the AICCP. The Advanced Illness Coordinated Care Program (AICCP) is essential to meet the multiple palliative needs of our chronically ill, and ultimately, terminal patients. The program is being implemented in multiple Kaiser Permanente regions due to a strong desire to enhance the quality of life for our patients suffering with advanced illness and their families, and as a result of successful published AICCP outcomes (Am J Manag Care. 2009;15(11):817–825). Those successes include improvements in communication and care delivery advanced planning with increased formulation of advance directives and decreases in inpatient utilization. The AICCP is designed to assist patients and families to optimally manage living with advancing illness. The progam is based on a model that includes three components—non-directive health counseling, education, and care coordination. Presenters hail from two different regions—northern California and Colorado—and are of two distinct disciplinary backgrounds—RN and LCSW—and will share very real experiences with AICCP implementation, maintenance, and monitoring. Additionally, there will be heart-tugging case studies information regarding the original study definitions of palliative care components of the model and AICCP's place in the continuum of care. Our hope is that you will join us in sharing the passion we have about the AICCP in meeting the palliative needs of our patients and their families. Structure and Processes of Care