What You’ll Learn

Learn techniques to help patients and their caregivers plan for the future, both during the early stages of a serious illness and as a disease progresses.

  1. Name three key steps prior to care planning.
  2. Describe the goals of care planning.
  3. List five ways to reduce fear during disease progression.

What You’ll Earn

Only CAPC members who are logged in can earn the following free Continuing Education Credits:

  • 1.00 AMA PRA Category 1 Credit(s)™
  • Case Management: 1.00 CE
  • Nursing: 1.00 CNE
  • Social Work: 1.00 CE (NASW)
  • Social Work: 1.00 CE (NYSED)

To take this course, log in. Or, check here to see if your organization is a member.


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Tools & Resources

Care Planning Best Practices

A stepwise approach for all members of the health care team to guide care planning with patients and caregivers.

Goals of Care Conversation: Role Play

In this video, Kacey Boyle, RN, MSPC, leads us through an example of a goals of care conversation between a clinician and a patient.

Conversation Script: Goals of Care

This conversation script provides skills and techniques for conducting goals of care conversations with patients, regardless of the existing clinician-patient relationship.

Talking to Patients About Hospice: Role Play

In this video, Jonathan Fisher, MD, leads us through a mock conversation between a patient whose illness has progressed, and a clinician who explains the benefits of hospice care.

Conversation Script: Talking to Patients About Hospice

This communication script provides techniques for clinicians to foster meaningful conversations about hospice.

POLST Training Videos

Brief videos to help clinicians hold appropriate conversations with patients about the completion of the POLST form (Physician Orders for Life Sustaining Treatment).

VitalTalk - Quick Guides

One-page guides with actionable tips for conversations with patients with serious illness. Free to download, print and share with others.

Empathetic Responses Guide

This resource provides practical samples of empathic responses to use in conversations with patients and families, as well as template responses to challenging questions. Developed by VitalTalk.

Sample Script and Guidance: Cold-Calling Patients to Initiate Advance Care Planning

This script for care managers provides guidance and sample language to use when calling without a prior relationship to begin care planning for patients with serious illness.

Billing and Coding for Advance Care Planning: How to Document Services Correctly to Reflect your Productivity

This webinar, Billing and Coding for Advance Care Planning: How to Document Services Correctly to Reflect your Productivity, examines billing for Advance Care Planning (ACP).

Optimizing Billing Practices

Toolkit with billing and coding best practices for palliative care services delivered in the hospital or the community.

Care Planning Course References

List of course citations.

Robert Arnold, MD. Distinguished Service Professor of Medicine; Medical Director, UPMC Palliative and Supportive Institute; Director, Institute for Doctor-Patient Communication; Co-Founder and Co-Chair, Board of Directors, VitalTalk

Anthony Back, MD. Co-Founder, VitalTalk; Co-Director, Center for Excellence in Palliative Care, University of Washington

Kacey Boyle, RN, MSPC, CHPN. Palliative Care Specialist, The University of Vermont Medical Center

Constance Dahlin, MSN, ANP-BC, ACHPN, FPCN, FAAN. Consultant, Center to Advance Palliative Care

Andrew E. Esch, MD, MBA. Senior Education Advisor, Center to Advance Palliative Care

Jonathan Fischer, MD. Palliative Medicine Specialist, Associate Consulting Professor, Department of Family Medicine and Community Health, Duke Health

Katie Grogan, DMH, MA. Associate Director, Clinical Education, Center to Advance Palliative Care

Kristin Martin, MS. Instructional Designer, Center to Advance Palliative Care

Sherika Newman, DO. Associate Medical Director, CenterWell Primary Care Anywhere-Georgia*

Caroline Cruickshank, BSN, RN. George Washington University Hospital

Sophie Rotax, BSN, RN. George Washington University Hospital

Elizabeth Jurczak, LMSW. University of Connecticut School of Social Work

*indicates ABIM Peer Reviewer

Kriota Willberg, MFA-IA, LMT, CAPC Artist-in-Residence

Contact information: For answers to frequently asked questions about CAPC courses, read the Online Course FAQ. For technical questions about course activity, email [email protected]. For questions about continuing education credits, contact 201-957-0077.

Provided by the Icahn School of Medicine at Mount Sinai.

Discussing Serious News

Course 1 of 5

Learn best practices for having patient-centered conversations about a serious illness diagnosis.

Discussing Prognosis With Patients and Caregivers

Course 2 of 5

Learn how to effectively discuss prognosis with patients and their caregivers.

Clarifying Patient Goals of Care

Course 3 of 5

Learn best practices for building trust, eliciting patient values, and having patient-centered conversations about goals of care.

View all courses in the unit

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