Serious Illness Conversation Provincial Collaborative ECHO

Session Topic: SIC and Coaching Mentoring Strategies

Cari Borenko, BA BSW RSW MHS
Lead, Advance Care Planning, Fraser Health Authority

Andrew Saunderson, BSW, MSW, RSW
Social Worker, Advance Care Planning, Fraser Health Authority

The health care system and its culture is reactionary and too often downstream focused. As health care providers we are attune to identifying a problem and then finding a way to address and solve the issue. We then move onto identifying the next problem, and the cycle repeats itself. Handling one problem after another leaves us stuck in an emergent response cycle, while also overlooking upstream interventions.

In response, Fraser Health has developed and implemented a strategic systems improvement model for advance care planning and serious illness processes. This approach helps ensure efficiency while prioritizing systems change at the macro level. It embeds advance care planning and serious illness conversations into existing systems and workflows and leads to sustainable improvements. The strategy includes:
• Systems Assessment
• Education
• Recommendations and Improvement
• Coaching and Consultation
• Outcome Measuring

This interactive session will engage the audience as we explore relevant tools and resources that guide our systems work, discuss our revised education process that prioritize systems and workflow redesign, and review how we embed coaching throughout all of our work.