We all will die, but the American health care system often impedes a peaceful death. Instead of a quiet death at home surrounded by loved ones, many of us suffer through overutilization of sometimes-toxic therapeutic interventions long past the time when those interventions do more good than harm. Revisions to health professional training and payment policy are needed to reduce physical and existential suffering during the terminal phase of illness. The solution lies in seamless progression from treatment with integrated palliative care to hospice before death, but provider attitudes and payor practices must change for that to occur. Thus, the following proposals are examined: increased training in communicating truthfully about prognosis and prospective benefit of therapies; further adoption of interprofessional practice, which would familiarize more professionals with the team-based approach characteristic of palliative care; and revision of payment mechanisms to incentivize high-quality care whether it is of low or high intensity.
This lecture will focus on increased training in communicating truthfully about prognosis and prospective benefit of therapies; further adoption of interprofessional practice, which would familiarize more professionals with the team-based approach characteristic of palliative care; and revision of payment mechanisms to incentivize high quality care whether it is of low or high intensity.
- Identify the legal and payment barriers to integrated, interprofessional practice at the end of life.
- Restate the provider-based barriers to reducing overutilization of care at the end of life.
- Analyze proposals to improve integrated practice at the end of life.
Lawyers, Physicians, Physician Assistants, Nurse Practitioners, Nurses, Students, and Other Healthcare Professionals
Creighton University School of Law
Creighton University Office of Continuing Education
Professor Kathy Cerminara, JD, LLM, JSD, Nova Southeastern University Shepard Broad College of Law
Kathy Cerminara bridges the medical and legal professions with her work on patients’ rights in the end-of-life decision-making arena. She co-authors the nationally known treatise The Right to Die: The Law of End-of-Life Decisionmaking and is a reviewer for several medical and medical-legal journals. Her scholarship most recently has focused on the intersection between end-of-life care, palliative care and health care coverage policy. She is a full professor at the Nova Southeastern University Shepard Broad College of Law. She is also an affiliate faculty member at NSU’s Dr. Kiran C. Patel College of Allopathic Medicine.
Cerminara received her JD, magna cum laude, from the University of Pittsburgh and her LLM and JSD from Columbia University. She is an affiliate member of the Health Law and Tort Trial and Insurance sections of the Florida Bar, a retired member of the Pennsylvania Bar and a member of organizations such as the American Bar Association, the American Society of Law, Medicine & Ethics and the American Health Lawyers Association.
1 hour of CLE credit has been approved in both Nebraska and Iowa.
Creighton University Health Sciences Continuing Education designates this live activity for a maximum of 1 AMA PRA Category 1 Credit(s)TM. Physicians should claim only credit commensurate with the extent of their participation in the activity.
Creighton University Health Sciences Continuing Education designates this activity for 1.0 contact hours for nurses. Nurses should claim only credit commensurate with the extent of their participation in the activity.
In support of improving patient care, Creighton University Health Sciences Continuing 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 healthcare team.
Non-Creighton Attendees: $20
Creighton Faculty, Staff and Students: Free