Two sessions during this afternoon’s America College of Osteopathic Internists (ACOI) Internal Medicine Symposium will address the challenges of helping your patients develop an advance care directive as well how to manage and implement that plan when dealing with the patient’s surrogate decision makers.
Christopher T. Beal, DO, FACOI, who is a primary care provider in Michigan, will share how his practice has implemented advance care planning into their patient care and how they bill for it.
The first session begins at 1:30 p.m. in Room 106AB, Level 100, Convention Center and will focus on “Advanced Care Planning and How to Get Paid.” “Proxy Decision Makers and the Medical/Legal Implications” begins at 4:20 p.m.
“In the past, medicine was so episodic. We would see someone, and we would provide the care for that day’s perceived need. The first session is one that reflects a move to a more managed population of healthcare,” he said, noting that the topic has been one of his deep passions since starting his practice 17 years ago.
He believes physicians can do better.We’ve relied on the hope that there was a will or expressed directives put on paper. More often we’ve relied on what was communicated to children or surrogate decision makers. Advanced care planning allows us to really document what the patient wants in some very practical ways, but make sure that is passed forward,” he said.
Dr. Beal said his practice has already worked out how to put these pieces of information into charts and capture the billing revenue in the past few years. He hopes to share that process with easy directions that attendees can take home and put into immediate practice.
During the second session, he will cover how his practice works with the surrogate decision maker/power of attorney, and share what some of the legal implications and pitfalls a physician may face.
“Providers are stretched incredibly thin by this burden of documentation. So both of these sessions are geared toward making sure we do this things in practical and easy ways,” he said. “I think this can be a neat session where there can be dialogue about case challenges in patient care and multiple care settings.”