Facilitator Training Program on Heart Failure

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1 on Heart Failure Enhance your ability to support patient care by training to become a facilitator of an evidence-based program for heart failure patients. Improves quality of life Reduces hospital readmissions This presentation is part of a holistic, evidence-based program called SPARCC Supporting Personal Accountability and Resiliency for Chronic Conditions. June 2-4, 2015 July 14-16, :30 a.m.-4:30 p.m. (Day Three ends at noon.) 8:30 a.m.-4:30 p.m. (Day Three ends at noon.) Center for Innovation and Business Development Coffeyville Community College Pittsburg State University CCC Technical Campus First Floor, Shirk Hall 700 Roosevelt St South Joplin Coffeyville, KS Pittsburg, KS For an interactive map of PSU campus, visit pittstate.edu/about/maps/campus-map.dot. Parking is available immediately adjacent to Shirk Hall. No permit is required. For additional information, call or Trish Long at plong@kumc.edu kumed.com/hftraining Training and support materials provided for you at no cost by The University of Kansas Hospital.

2 Program overview and goal This two-and-one-half day intensive facilitator training program is designed for RNs, PAs, NPs, nurse educators, social workers, psychologists, professionals with a master s in public health, dietitians and other health professionals caring for heart failure patients. This presentation is part of a holistic, evidence-based program called SPARCC Supporting Personal Accountability and Resiliency for Chronic Conditions. The ultimate goal of this program is to provide health professionals the training and tools to successfully facilitate an evidencebased program for heart failure patients that has measurably lowered heart failure hospital readmissions and substantially improved quality of life for these patients. Facilitator training covers both the medical characteristics of heart failure and the psychosocial aspects of resilience that addresses depression, anxiety and stress. A scientifically proven premise underlying the design and implementation of the program for heart failure patients states that addressing both the clinical and behavioral/psychological aspects of chronic disease, as well as creating the resiliency to take ownership of that disease, results in longer, higher quality life. Once trained and certified, facilitators will be asked to conduct the evidence-based program for heart failure patients and their caregivers living in their vicinity. The program combines resiliency theory and medical selfmanagement and is offered in four 2-hour weekly sessions. During this statewide improvement initiative, those who complete facilitator training and conduct training sessions for heart failure patients will be paid for their time and reimbursed for travel expenses. The goal is for each facilitator to conduct one or two training sessions in each of the following years: 2015, 2016 and No cost for training and support materials Training and support materials are provided for you at no cost by The University of Kansas Hospital as part of its involvement with CMS s Delivery System Reform Incentive Program (DSRIP). As part of DSRIP, we will be reporting both deployment and outcomes data to CMS to demonstrate the impact of this work. Accordingly, we will supply easy-touse reporting tools that will help facilitators track key measures that save lives and reduce readmissions and hospital lengths of stay. The intent is for hospitals and clinics to adopt this training as their own and brand it as a service to their patients. The University of Kansas Hospital can supply hospitals and clinics with customizable news releases that can be individually branded. As facilitators learn more about the SPARCC model, they will be able to apply it to other chronic conditions combining specific clinical information with the psychosocial impact of chronic disease.

3 Heart failure in southeast Kansas Heart failure is a chronic, life-threatening condition in which the heart has been weakened and can no longer pump enough oxygen and nutrient-rich blood throughout the body. Some heart failure patients have been recently admitted to hospitals in the seven-county southeast Kansas region many more have been diagnosed with heart failure. Heart failure is the leading cause of hospitalization for people over 65. Heart failure can put patients on a frightening and lonely path as they cope with this serious condition and being hospitalized only heightens their anxiety. Some patients have good support systems; others do not. Even with good support, patients often are confused about how to manage their weight, diet, blood pressure and medications and, just as important, the emotional impact of their chronic condition. In combination, these factors can create anxiety and depression, lower adherence to their healthcare provider s recommendations and lead to higher rates of hospital admission and readmission. Moreover, it is known that illnesses, such as heart failure, affect the entire family, creating anxiety and sometimes significant dysfunction within the family system. Being older, a smoker, a minority or poor are also risk factors. Objectives At the conclusion of this facilitator training, participants should be able to: Achieve the skills necessary to facilitate the SPARCC training program for heart failure patients. Factor into this training the10 facets of resilience. Impart to patients the skills to strengthen resilience. Convey in simple terms the physiologic effects of stress and the strategies for stress reduction. Equip patients with tools that assist them in achieving a mindset of optimism and hope. Incorporate into training several strategies for effective patient self-management nonjudgmental acceptance of self and selfcare, including diet, exercise, adherence to provider recommendations and symptom monitoring. Discuss the epidemiology and pathophysiology of the two major types of heart failure. Recognize the signs and symptoms of heart failure and the essential physical assessment tools. Identify the role of angiotensin-converting enzyme inhibitors (ACEIs), angiotensin receptor blockers (ARBs), beta blockers, aldosterone antagonists and diuretics in the pharmacologic management of heart failure. Identify the role of device therapy in heart failure patients.

4 Faculty Kathleen Dalton, NP/Cardiology Mid-America Cardiology The University of Kansas Hospital Moira Mulhern, PhD, Psychology Executive Director, Community-Based Programs Turning Point: The Center for Hope and Healing, a Program of The University of Kansas Hospital Cathy Pendleton, LSCSW Adult Program Director Turning Point: The Center for Hope and Healing, a Program of The University of Kansas Hospital Christy Russell, NP/Cardiology Mid-America Cardiology The University of Kansas Hospital

5 on Heart Failure Agenda Day One 8:30 a.m. Check-in and Breakfast 9 a.m. Welcome, Facilitator Introductions, Overview of Training, Pretest 9:15 a.m. Participant Introductions 9:30 a.m. The 10 Facets of Resilience and Why Resilience Training Is Important to HF Patients 10 a.m. Self-Calming Strategies The physiologic effects of stress and strategies for stress reduction 10:30 a.m. Break 10:45 a.m. A Self-Calming Exercise and Group Discussion 11:15 a.m. Self-Care and Self-Replenishment 12:15 p.m. Lunch 1:15 p.m. Physiology of Emotions Nonjudgmental/self-supporting thoughts Letting go of perfectionism 2:30 p.m. Strategies for Optimism and Hope Equipping HF patients with tools to adapt to their medical condition 3 p.m. Break 3:15 p.m. Hardiness, Sense of Coherence and Social Support 4:15 p.m. Wrap-up and Questions 4:30 p.m. Adjourn

6 on Heart Failure Agenda Day Two 8 a.m. Check-in and Breakfast 8:30 a.m. Heart Failure Introduction; Innovative Care and Outcomes for Heart Failure Patients 8:45 a.m. Heart Failure Epidemiology, Pathophysiology and Assessment 10 a.m. Break 10:15 a.m. Heart Failure Management: Medications, Lifestyle Changes and Nonpharmacological Treatments 11:30 a.m. Questions and Answers Noon Lunch 1 p.m. A Heart Failure Study and Results 1:15 p.m. Nurse-Led, Evidence-Based Group Clinic Part I: Methods, Materials and Outcomes 2:30 p.m. Break 2:45 p.m. Nurse-Led, Evidence Based Group Clinic Part II: Heart Failure Group 101 Successful Implementation 4 p.m. Discussion and Wrap-up 4:30 p.m. Adjourn Day Three 8:30 a.m. Check-in and Breakfast 9 a.m. Facilitating Heart Failure Patient Groups Creating a Welcoming Space: Locations, room setup, supplies, refreshments Group Facilitation Process: Arrival, introductions, opening, the process, the closing The Final Group Session General Tips Regarding Group Facilitation 10:30 a.m. Break 10:45 a.m. Questions for Presenting the Facets of Resilience in Heart Failure Patient Groups and Managing Potential Group Issues 11:45 a.m. Wrap-Up and Next Steps Noon Adjourn

7 Acknowledgements The University of Kansas Hospital wishes to acknowledge and thank the following organizations for their time, support and guidance in assisting with the DSRIP initiative and in developing the Facilitator Training Program: Turning Point: The Center for Hope and Healing, a program of The University of Kansas Hospital Mid-America Cardiology, The University of Kansas Hospital Department of Preventive Medicine and Public Health, University of Kansas Medical Center Landon Center on Aging, University of Kansas Medical Center Institute of Community Engagement, University of Kansas Medical Center Continuing Education & Professional Development, University of Kansas Medical Center Area Health Education Centers, University of Kansas Medical Center We also wish to thank Carol Smith, PhD, professor, KU School of Nursing, and Edward Ellerbeck, MD, professor and chair, Preventive Medicine, KU School of Medicine, who served as co-pis on research that is the basis for the clinical aspects of the educational program for heart failure patients. Accreditation This educational activity is accredited for RNs, LPNs and social workers. Upon arrival, participants will need to verify their information on the roster and initial the roster affirming attendance each day of the event. Nurses The University of Kansas Medical Center Area Health Education Center East, as an approved provider of continuing education by the Kansas State Board of Nursing, presents this offering for 17.5 contact hours of credit applicable for relicensure of RNs and LPNs. Kansas Provider Number LT If a participant misses more than 10% of an offering, a certificate of continuing education will not be issued. Partial credit is not given. Social workers The University of Kansas Medical Center Area Health Education Center East, as an approved provider of continuing education by the State of Kansas Behavioral Sciences Regulatory Board, presents this offering for 17.5 hours of credit applicable for relicensure of LASWs, LBSWs, LMSWs and LSCSWs. Kansas Provider Number If a participant misses more than 10% of an offering, a certificate of continuing education will not be issued. Partial credit is not given. Privacy policy We do not share, sell or rent mailing lists. Any information you provide will be held in confidence. We occasionally use leased mailing lists. If you receive an unwanted communication, it is because your name appears from a list acquired from another source. In this case, please accept our apologies. Nondiscrimination policy The University of Kansas Hospital prohibits discrimination on the basis of race, color, ethnicity, religion, sex, national origin, age, ancestry, disability, status as a veteran, sexual orientation, marital status, parental status, gender identity, gender expression and genetic information in programs and activities. The University of Kansas Hospital is an AA/EO institution.

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