Advance Care Planning Certificate Course –Self-Paced


Self-Paced – recommended time line approximately 8 weeks




In 1990, the Patient Self-Determination Act was passed which provided patients with the right to make choices in their care regarding end of life medical decisions. Unfortunately, in healthcare, this law boiled down to a question on admit: “Do you have an advance directive or living will?”

Many people have thought about what they want or do not want at the end of their lives but few have put them into words and even fewer have discussed their desires with family and friends.   Simply asking a question about advance directives is not enough; it takes dedicated time to hold meaningful conversations regarding what is important to the patient.  The Centers for Medicare and Medicaid Services (CMS) has recognized the value of these conversations. On January 1, 2016, Medicare added Advance Care Planning (ACP) to the list of reimbursable procedures.   In the MLN Matters number MM9271, CMS stated; “ACP enables Medicare beneficiaries to make important decisions that give them control over the type of care they receive and when they receive it.”

Ensuring that patients receive the end of life care THEY want does not happen by chance.  It takes planning and most importantly – it takes the skills of an Advance Care Planning professional with the ability to assist patients to put into words what is most important to them.  Now more than ever it is imperative that healthcare professionals have the knowledge, skills, and abilities to hold these conversations and deliver this new benefit to the growing number of Medicare beneficiaries – currently over 55 million with an additional 10,000 plus added each day.  This course will help you become a skilled Advance Care Planner.

Delivery Format:

The course is divided into four (4) modules. Each module may take up to two (2) weeks. The development of advance care planning (ACP) skills occurs when knowledge and practice are combined. This Advance Care Planning Self-Paced Certificate Course will put knowledge into practice as participants are immersed in this Self-paced course with interactive discussion board and optional monthly check-ins with the instructors. The education will be delivered in a virtual environment using a combination of pre-recorded didactic presentations, asynchronous discussion threads, and a virtual meeting space for a live monthly discussion with the instructors.


Module 1 – Why have an ACP

 – Background and research

 – Conversation basics

 – Tools and philosophy

Module 2 – Who to select as the Healthcare Proxy

 – Role and responsibility of the healthcare proxy

 – Exploring the options of who could be vs who should be

 – Supporting and coaching the patient in asking their chosen healthcare proxy

Module 3 – How to complete an Advance Directive

 – Procedure vs. product

 – Legal requirements for AD, POLST, Living Wills

 – Resource exploration

Module 4 – What to discuss in follow up conversations

 – Frequency of the conversation

 – Getting others involved

 – Reimbursement models

 – Practice/ Role Play


At the completion of this course, the participant will be able to:

 – Understand the impact of ACP on patients and families

 – Translate the principles used in various ACP tools

 – Analyze what is most important to patients to guide healthcare proxy selection

 – Differentiate ACP procedure from advance directives

 – Understand legal implications of advance directives

 – Explain the rules and regulations regarding ACP reimbursement

 – Demonstrate successful completion of an ACP session

Continuing Education Credit Calculations:

Module 1: Objectives 01-02 / Recommend 2 wks per module / Asynchronous Discussion & Clinical Practice (3 Hours); Recorded Lecture (30 Minutes) / 1.5 hrs

Module 2: Objectives 03       / Recommend 2 wks per module / Asynchronous Discussion & Clinical Practice (3 Hours); Recorded Lecture (30 Minutes) / 1.5 hrs

Module 3: Objectives 04-05 / Recommend 2 wks per module / Asynchronous Discussion & Clinical Practice (3 Hours); Recorded Lecture (30 Minutes) / 1.5 hrs

Module 4: Objectives 05-06 / Recommend 2 wks per module / Asynchronous Discussion & Clinical Practice (3 Hours); Recorded Lecture (30 Minutes) / 1.5 hrs

Total:  6 hrs

HealthTech Management Services D/B/A HealthTech is a Provider approved by the California Board of Registered Nursing. Provider Number CEP8769 for 6 contact hours. Participant must complete all course work – no partial credit will be given. A certificate of completion will be provided by HealthTech within 30 days of successful completion of the course.

Refund / Cancellation Policy:

Cancellations received in writing prior to the start of the course will be refunded, less $50.00 administrative expense. Registration fees may be transferred to another individual prior to the start of the educational offering.  Individuals who enroll in an online educational course and who open any module content will not be eligible for refunds.


Faith M Jones, MSN, RN, NEA-BC

Director of Care Coordination and Lean Consulting, HTS3

Faith Jones began her healthcare career in the US Navy over 30 years ago. She has worked in a variety of roles in clinical practice, education, management, administration, consulting, and healthcare compliance. Her knowledge and experience span various settings, from ambulatory to inpatient to post-acute. In her leadership roles she has been responsible for operational leadership for all clinical functions including multiple nursing specialties, pharmacy, laboratory, imaging, nutrition, therapies, as well as administrative functions related to quality management, case management, medical staff credentialing, staff education, and corporate compliance. She currently implements care coordination programs focusing on the Medicare population and teaches care coordination concepts nationally. She also holds a Green Belt in Healthcare and is a Certified Lean Instructor.


Cynthia A Christenson, MSN, RN, CPHRM, CPHQ

Christenson Consulting, LLC, Owner & Independent Contractor for HTS3

Ms. Christenson is a consultant for HealthTech.  She has been a nurse for over forty years and has rich experience in the fields of Risk Management and Healthcare Quality as well as serving as the Chief Clinical/Nursing Officer for two organizations.  She has been a member of the National Association of Healthcare Quality and the American Society for Healthcare Risk Management for many years.  She has been actively involved in preparing providers for legal defense in medical malpractice.  She has also been active in the accountable care organization arena training Clinical Care Coordinators and Primary Care Providers to meet the CMS ACO requirements.  She currently works with HealthTech assisting with the Care Coordination program.  She continues to grow and learn and is keenly interested in the emerging field of telehealth.


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