|Advance Care Planning Glossary||Advance Care Planning, Communication, Advocacy, and Education||The North Carolina Serious Illness Coalition has created this Glossary to define important terms and …||Glossary||www.ncsicoalition.org/mp-files/advance-care-planning-glossary.docx/||advance-care-planning communication-advocacy-education||glossary|
|NCSI Clinical Practice Forum #7: Pediatrics in Serious Illness Care||Clinical Practice||This unique forum focuses on the serious illness needs of young people with pediatrics professionals …||Video||youtu.be/mcs6DgpmbQk||clinical-practice||video|
|Caregivers and Patient Engagement Forum #1: Caregiving Research and Policies with Dr. Kate Miller||Caregivers and Patient Engagement||Dr. Kate Miller, PhD. gave a presentation on U.S. national policies and programs designed to …||Video||youtu.be/vMdHKqXUfGs||caregivers-and-patient-engagement||video|
|Nursing Care for Transgender Patients||Clinical Practice||For many transgender and gender nonconforming (GNC) patients, healthcare is an intimidating and inaccessible environment. …||Brochure||nursejournal.org/resources/nursing-care-for-transgender-patients/||clinical-practice||brochure|
|NCSI Clinical Practice Forum #6: Ethics in Communication Regarding Serious Illness||Clinical Practice||This unique forum highlight both where and how advance practice providers are practicing in the …||Video||youtu.be/eP4R4ySXVWE||clinical-practice||video|
|NCSI Clinical Practice Forum #5: How We Care: Utilizing Advance Practice (APRN/PA) Providers for Maximum Quality||Clinical Practice||This unique forum highlight both where and how advance practice providers are practicing in the …||Video||youtu.be/eP4R4ySXVWE||clinical-practice||video|
|NCSI Coalition Clinical Practice Forum #4: The Social Work Picture: Serious Illness, Quality of Care, and Advocacy||Clinical Practice||Our latest Clinical Practice Forum highlights how Social Work plays a critically important role in …||Video||youtu.be/SlAFDLvDnIg||clinical-practice||video|
|NCSI Coalition Clinical Practice Forum #3: The Role of the Health Information Exchange in Supporting Interoperability, Patient Access and Quality Data Registries/Reporting||Clinical Practice||Watch our latest Clinical Practice Forum about the Health Information Exchange (HIE) and it serves …||Video||www.youtube.com/watch?v=zHHb5UUkbW0||clinical-practice||video|
|NCSI Coalition Clinical Practice Forum #2: Intro to Data Analytics in Serious Illness: The Impact of Interoperability and Patient Access on Quality Serious Illness Care||Clinical Practice||How can improvements in the electronic exchange of patient health information (interoperability) improve patient and …||Video||www.youtube.com/watch?v=PjC7qNM2kZg||clinical-practice||video|
|C-TAC Webinar: The Impact of the 2020 Election on Federal Serious Illness Care Policy||Communication, Advocacy, and Education||Legislative and regulatory experts review the likely priorities of the new Biden Administration and Congress.||Presentation||www.ncsicoalition.org/mp-files/c-tac-webinar-the-impact-of-the-2020-election-on-federal-serious-illness-care-policy.pdf/||communication-advocacy-education||presentation|
|NCGA and DHHS Policy Legislative and Policy Engagement||Coalition, Communication, Advocacy, and Education||The final session focused on health policy implementation and regulation||Presentation||www.ncsicoalition.org/mp-files/ncga-and-dhhs-policy-legislative-and-policy-engagement.pdf/||coalition communication-advocacy-education||presentation|
|Long Term Services and Supports||Advance Care Planning, Caregivers and Patient Engagement, Clinical Practice, Coalition, Communication, Advocacy, and Education||Session 5 focused on rural health in North Carolina; the state of our health care …||Presentation||www.ncsicoalition.org/mp-files/long-term-services-and-supports.pdf/||advance-care-planning caregivers-and-patient-engagement clinical-practice coalition communication-advocacy-education||presentation|
|Direct Care Workforce and the Aging Population||Advance Care Planning, Caregivers and Patient Engagement, Clinical Practice, Coalition, Communication, Advocacy, and Education||Session 5 focused on rural health in North Carolina; the state of our health care …||Presentation||www.ncsicoalition.org/mp-files/direct-care-workforce-and-the-aging-population.pdf/||advance-care-planning caregivers-and-patient-engagement clinical-practice coalition communication-advocacy-education||presentation|
|It’s Not About the Forms.||Advance Care Planning, Coalition||In this session, presenters discussed the structure of the North Carolina General Assembly, its health …||Presentation||www.ncsicoalition.org/mp-files/its-not-about-the-forms.pdf/||advance-care-planning coalition||presentation|
|Covid-19 and Its Impact on Aging and Public Policy||Advance Care Planning, Coalition, Communication, Advocacy, and Education||In this session, presenters discussed the structure of the North Carolina General Assembly, its health …||Presentation||www.ncsicoalition.org/mp-files/covid-19-and-its-impact-on-aging-and-public-policy.pdf/||advance-care-planning coalition communication-advocacy-education||presentation|
|Aging in North Carolina||Clinical Practice, Coalition||Health care costs can vary even within a single city, and they are a significant …||Presentation||www.ncsicoalition.org/mp-files/aging-in-north-carolina.pdf/||clinical-practice coalition||presentation|
|Introduction to Health Care Coverage, Cost and State-Based Initiatives||Clinical Practice, Coalition||Health care costs can vary even within a single city, and they are a significant …||Presentation||www.ncsicoalition.org/mp-files/introduction-to-health-care-coverage-cost-and-state-based-initiatives.pdf/||clinical-practice coalition||presentation|
|Safety Net for Health Care: Options for Care in North Carolina||Clinical Practice, Coalition||Health care costs can vary even within a single city, and they are a significant …||Presentation||www.ncsicoalition.org/mp-files/safety-net-for-health-care-options-for-care-in-north-carolina.pdf/||clinical-practice coalition||presentation|
|NCSI Coalition Clinical Practice Forum #1: Intro to Data Analytics in Serious Illness||Clinical Practice||Predictive analytics in healthcare uses historical data to make predictions about the future, thereby personalizing …||Video||www.youtube.com/watch?v=SkWuznL9lDg||clinical-practice||video|
|Overview of US Health System: Focus on Adults 50+||Clinical Practice, Coalition||Session 2 provided an overview of health and health care in the U.S. and in …||Presentation||www.ncsicoalition.org/mp-files/overview-of-us-health-system-focus-on-adults-50.pdf/||clinical-practice coalition||presentation|
|Medicare Basics 2020||Clinical Practice, Coalition||Session 2 provided an overview of health and health care in the U.S. and in …||Presentation||www.ncsicoalition.org/mp-files/medicare-basics-2020.pdf/||clinical-practice coalition||presentation|
|Health Impact on Aging Adults||Advance Care Planning, Caregivers and Patient Engagement, Clinical Practice, Coalition, Communication, Advocacy, and Education||North Carolina is rapidly aging. By 2025, one in five North Carolinians will be 65 …||Presentation||www.ncsicoalition.org/mp-files/health-impact-on-aging-adults.pdf/||advance-care-planning caregivers-and-patient-engagement clinical-practice coalition communication-advocacy-education||presentation|
|Drivers of Health: Health and Healthcare||Advance Care Planning, Caregivers and Patient Engagement, Clinical Practice, Coalition, Communication, Advocacy, and Education||North Carolina is rapidly aging. By 2025, one in five North Carolinians will be 65 …||Presentation||www.ncsicoalition.org/mp-files/drivers-of-health-health-and-healthcare.pdf/||advance-care-planning caregivers-and-patient-engagement clinical-practice coalition communication-advocacy-education||presentation|
|Health and Health Challenges Of An Aging Population||Advance Care Planning, Caregivers and Patient Engagement, Clinical Practice, Coalition, Communication, Advocacy, and Education||North Carolina is rapidly aging. By 2025, one in five North Carolinians will be 65 …||Presentation||www.ncsicoalition.org/mp-files/health-and-health-challenges-of-an-aging-population.pdf/||advance-care-planning caregivers-and-patient-engagement clinical-practice coalition communication-advocacy-education||presentation|
|POLST||Advance Care Planning||This website provides many resources to aid in understanding the National POLST as both a …||Website||polst.org/||advance-care-planning||website|
|Evidence-Based Best Practices for Improving State-Level C-TAC ACT Index Results||Advance Care Planning, Communication, Advocacy, and Education||The report from C-TAC offers a variety of specific best practices to promote ACP.||Research Study||www.thectac.org/wp-content/uploads/2020/05/Evidence-Based-Best-Practices-for-Improving-State-Level-C-TAC-ACT-Index-Results.pdf||advance-care-planning communication-advocacy-education||research-study|
|NC Coalition on Aging||Caregivers and Patient Engagement, Communication, Advocacy, and Education||Our mission as a coalition is to improve the quality of life for older adults …||Website||nccoalitiononaging.org/||caregivers-and-patient-engagement communication-advocacy-education||website|
|AARP’s COVID-19 Care Booklet||Communication, Advocacy, and Education||Available in Spanish. Designed with spaces to write down important information.||Brochure||www.ncsicoalition.org/mp-files/aarps-covid-19-care-booklet-english.pdf/||communication-advocacy-education||brochure|
|ACP & Advance Directives + NC General Statute Updates Webinar (Video and Notes)||Advance Care Planning, Caregivers and Patient Engagement||On July 8, the NCSI Coalition, in partnership with Coalition members, hosted an educational webinar …||Webinar||www.ncsicoalition.org/mp-files/acp-advance-directives-nc-general-statute-updates-webinar-presentation.pdf/||advance-care-planning caregivers-and-patient-engagement||webinar|
|NQF Issue Brief: Opportunities for Advancing Quality Measurement in Community-Based Serious Illness Care.||Caregivers and Patient Engagement||Brochure||www.ncsicoalition.org/mp-files/nqf-issue-brief-opportunities-for-advancing-quality-measurement-in-community-based-serious-illness-care.pdf/||caregivers-and-patient-engagement||brochure|
Covid-19 Response Resources
National POLST Leadership Offer Guidance During COVID-19 Outbreak
National POLST leaders, which includes medical professionals and ethicists, have worked together to provide two statements relevant to the current situation:
- Completing POLST Forms in Crisis Standards of Care
- COVID-19 & POLST Statement
Click here for a web page that pulls together resources that can be very helpful to professionals as well as the general public.
How to talk about COVID-19 and Your Patients' Wishes Regarding Serious Illness Care
The Institute for Healthcare Improvement says, “Clinicians have been finding that patients are often relieved and grateful when given the opportunity to proactively discuss their priorities for medical care should they get sick in the future with COVID-19.”
Click here for access to the entire article, which includes “Tips to Consider”.
COVID-19 and the Carolinas: State Responses and Federal Legislation to Address the Crisis
The NC Institute of Medicine and the SC Institute of Medicine & Public Health have issued two joint briefs regarding the impact and responses to COVID-19 in the Carolinas.
- Click here for access to the April 2020 Issue Brief on COVID-19 and the Carolinas.
- Click here for access to the May 2020 Issue Brief on COVID-19 and the Carolinas.
The NC Institute of Medicine (NCIOM) and the SC Institute of Medicine and Public Health have released a new issue brief on state and federal actions to address the fallout from the COVID-19 pandemic.
This serves as an update to the briefs published in April and May of 2020 and February 2021. This brief examines changes to state policies in the past month, state-level legislation allocating COVID-19 funds, successes and challenges of COVID-19 vaccine distribution, and how policies and funding allocations from the American Rescue Plan Act will impact the Carolinas.
- Click here for access to the latest 2021 Issue Brief: COVID-19 and the Carolinas Part IV: State Responses and Federal Legislation to Address the Crisis
NQF Issue Brief: Opportunities for Advancing Quality Measurement in Community-Based Serious Illness Care.
This content in this brief reflects input from experts convened as part of the Serious Illness Quality Alignment Hub. This should prove to be a useful resource.
Click here to download this PDF.
Serious Illness Care Program’s COVID-19 Response Toolkit
Ariadne Labs has published an easy-to-use, adaptable toolkit of resources, the first version of which was published on April 3, 2020. It will be updated as the COVID-19 situation evolves. The toolkit includes the following items:
- COVID-19 Response Toolkit Introduction
- COVID-19 Conversation Guide for Outpatient Care, one-page description and context, designed for easy distribution and use.
- Telehealth Communication Tips to improve the experience of using this guide during virtual visits.
- Recommendation Aid for Outpatient Care: A supplemental resource to share recommendations with patients.
- Care Planning Resources: A reference sheet which you, or your organization, can populate with local, relevant resources.
NC DHHS Resources
Updated as of: 08.02.2021
Posted on behalf of NC DHHS 8/2/2021
Sent on behalf of NC Medicaid
UPDATE: NC Medicaid Potential Tailored Plan Members Who Selected Standard Plans
In early June, we shared that during Open Enrollment for NC Medicaid, the Department closely monitored data indicating the active selections of potential Tailored Plan beneficiaries into Standard Plans. None of these beneficiaries were auto-enrolled in a Standard Plan. Toward the end of Open Enrollment, there was an increased uptick in the number of potential Tailored Plan beneficiaries who enrolled in a Standard Plan.
- Through June 30, approximately 7,500 potential Tailored Plan beneficiaries made an active selection to enroll in Standard Plans, plans that may not offer services they are currently receiving, have recently received or may benefit from receiving.
As noted in June, the Department determined that these beneficiaries would benefit from receiving additional choice counseling to ensure they are fully aware of the impact of the decision to leave NC Medicaid Direct and their LME/MCO to enroll in a Standard Plan — including the potential loss of services.
Standard Plan enrollment was stopped for these beneficiaries and all potential Tailored Plan beneficiaries who selected a Standard Plan. They currently remain in NC Medicaid Direct and their LME/MCO.
- On Aug. 4, 2021, approximately 7,500 beneficiaries will be mailed an exempt notice with an enrollment packet that includes information on their option to choose NC Medicaid Direct or an NC Medicaid Managed Care Health Plan.
- On Aug. 4, 2021, the Enrollment Broker (EB) will begin an auto-dialer campaign to inform these beneficiaries of their choices and directing them to call the EB if they would like to change to a health plan.
- If a potential Tailored Plan beneficiary chooses to enroll in a Standard Plan, the Informed Consent process below will be executed:
- The beneficiary can fax an enrollment form (included in the Aug. 4 mailing) to the EB. An EB specialist will call the beneficiary to provide choice counseling that includes information on the coverage of Behavioral Health I/DD and TBI services only available in NC Medicaid Direct and LME/MCOs. [If the beneficiary calls the EB directly instead of faxing the form, the same process will be followed to provide counseling by phone.] The specialist will confirm their acknowledgement of the differences between the plans and affirm their plan choice. If the beneficiary still chooses a Standard Plan, the EB specialist will document the acknowledgement in the call center system, MAXeb.
- Aligned with NC Medicaid Transition of Care Policy requirements, potential Tailored Plan beneficiaries who elect to transition to a NC Medicaid Managed Care Health Plan will be under Transition of Care protections during this transition and will be designated as a Priority Population for care management.
- If the EB specialist is not able to reach a beneficiary who faxed or mailed an enrollment form, after three documented outreach attempts a notice will be mailed to the beneficiary that highlights the enrollment denial and their appeal rights.
Beneficiary choice remains paramount and NC Medicaid will work to ensure that potential Tailored Plan beneficiaries fully understand their options. They will have the choice to enroll in a plan they feel best meets their needs.