Honoring Choices

Penny Wheeler, M.D.Chief Clinical Officer, Allina Health

Re-framing Advance Care Planning: The Allina Story

Who are we?

We serve our communities

by providing exceptional

care, as we prevent

illness, restore health, and

provide comfort to all who

entrust us with their care

OUR MISSION

Beulah’s Story

The Experience of every patient

The Health of a defined population

The Affordability of healthcare

The Triple Aim

Health Care Reform: How Will the System Change?

From To

Fragmented Care Coordinated Care

Organized Around Providers Organized Around Patients

Payment for Volume Payment for Value

Facilities Focused Care Systems Focused

Physician Accountability Care Team Accountability

Paper Electronic

Episodic Hospital-Based Care Models Longitudinal, Multi-site Care Models

Inconsistent Variable Care Efficient Evidence Based Care

Our goal is to close the gap…

What are we doing?

What are the challenges we face?

• Deep understanding of patient’s story, values and choices

• Caregiver awareness and engagement• Lack of reimbursement for right work• Communication of values/wishes to team- Patient facing technology- Provider facing technology• Allowing for iterative changes in care plan• Culture – comfort with conversation- Divergence at times with caregiver’s beliefs,

societal/religious beliefs

What have we learned?• Need to link work with home care and palliative care• Phase to expanded populations over time, meaningful

measures

• Use of predictive modeling for proactive care

THE WORK_domains

Our PromiseWe are all here to help you on your path to better health.

Every one of us.Here to care, to guide, to motivate, to comfort, to inspire.

The work we do is profound and distinguishes us.But it’s the small things we do every day that will define us.

We believe you are an integral part of the care team.We are here in service to you, from beginning to end.Dedicated to enriching your experience with us —

body, mind and spirit.Whenever, wherever we meet.

On your path with us, we will give you options.We will respect your time.We will use plain language.We will listen with compassion.And speak with purpose.We will applaud your efforts.We will address concerns.

We will be fearless advocates and tireless partnerson your path to better health.