Setting a new standard for end-of-life care in NJ.
As a health care professional committed to providing the best and most appropriate end-of-life care, you are guiding your patients through one of the most important stages of their lives.
This can obviously be a challenging time for patients and families as they confront the need to make challenging medical decisions and for healthcare providers, too, as this conversation can be difficult. At the Goals of Care Coalition of NJ, our mission is to help alleviate some of this burden by providing resources to encourage open and direct communication between you and your patients as they enter this final phase of life.
Leading the conversation.
You are in a unique position to help patients and families identify the most appropriate care that is aligned with their wishes. By establishing a treatment plan that reflects the individual’s values and preferences, you ensure patients receive the care they need and no less, and the care they want and no more.
Helping to determine what’s best.
Our certified 4-Step iCare Plan helps you engage your patients in a conversation about challenging medical decisions. It requires participation from you and your patient/family decision maker.
The objective is to help a patient identify his or her goals of care and to align a treatment plan that genuinely reflects those individual preferences so that patients get the care they need and no more and the care they want and no less.
The traditional 2-step approach to making medical decisions (diagnosis and treatment) is of course used for less serious medical conditions. Patients with advanced illness who may be approaching end of life will benefit from the more detailed 4-Step ACP Model. This methodology adds two important steps between the diagnosis and treatment—these are prognosis and goals of care.
The 4-Steps in practice.
First, it’s important to make sure that a patient and their family clearly understands the diagnosis. It is then critical to share the prognosis and your expertise about what to expect for the course of the disease and the chances for recovery. An accurate prognosis will help patients determine their wishes as they approach end of life. These goals may range from treatment by all means necessary to shorter term goals such as living long enough for a particular event (such as the birth of a child or a holiday) to comfort measures such as hospice. These goals of care along with your explanation as to what to expect will help determine the types of treatment a patient does or does not want to receive.
We can help.
We offer valuable tools and resources to help throughout the process including:
Short informative videos for patients to help prepare them for a conversation with you about their care. These short video series will help your patients and their loved ones become more familiar with end of life care:
- Making Difficult Medical Decisions, provides an introduction to the 4-Step iCare Plan. This video will guide individuals and families through the process of making medical decisions at the end of life.
- The NJ POLST Form, provides information about this useful document as well as a link to a downloadable NJ POLST for your patients or staff.
The 4-Step iCare Plan that helps you engage your patients in a conversation about challenging medical decisions. It requires participation from both you and your patient/family decision maker.
Information on insurance/Medicare reimbursement codes for advanced care planning.
As an agent of change. Join the Goals of Care Coalition of New Jersey to help improve end of life care for patients and families.
As a supporter of our efforts. We depend on the generosity of our donors to help the sickest and most vulnerable New Jerseyeans get the care they need and no less, and the care they want and no more. Donate today to help us provide critical information to patients and families and raise our voice with local, state and federal policy makers.