Vol. 41 No. 1 January 2011 263Schedule with Abstracts

life for our patients suffering with advanced ill-ness and their families, and as a result of success-ful published AICCP outcomes (Am JManag Care.2009;15(11):817e825). Those successes includeimprovements in communication and care deliv-ery advanced planning with increased formula-tion of advance directives and decreases ininpatient utilization. The AICCP is designed toassist patients and families to optimally manageliving with advancing illness. The progam isbased on a model that includes three compo-nentsdnon-directive health counseling, educa-tion, and care coordination. Presenters hailfrom two different regionsdnorthern Californiaand Coloradodand are of two distinct disciplin-ary backgroundsdRNand LCSWdand will sharevery real experiences with AICCP implementa-tion,maintenance, andmonitoring. Additionally,there will be heart-tugging case studies informa-tion regarding the original study definitions ofpalliative care components of the model andAICCP’s place in the continuum of care. Ourhope is that you will join us in sharing the passionwehave about theAICCP inmeeting thepalliativeneeds of our patients and their families.

DomainStructure and Processes of Care

Physician LeadershipdGoal Setting,Management, and Accountability (516)Janet Bull, MD, Four Seasons, Flat Rock, NC.Martha Twaddle, MD FACP FAAHPM, MidwestPalliative & Hospice CareCenter, Glenview, IL.(All speakers for this session have disclosed norelevant financial relationships with the follow-ing exceptions: Bull is on the speakers bureauand consultant and receives and honorariumfrom Pfizer and Wyeth; is also on the speakersbureau and is on contract with MedaPharmaceuticals.)

Objectives1. Identify the ingredients that make up situa-

tional and servant leadership.2. Recognize the importance of setting goals

that align with organizational mission andare based on the QAPI framework.

3. Discuss how to evaluate providers and the im-portance of teamwork among providers.

In this presentation, we will discuss the impor-tance of physician leadership using examples ofsituational and servant leadership. We will discussthe significance of goal setting, rounding, and

accountability. Communication around visit ex-pectations, quality of care, and documentationwill be covered. We will discuss the importanceof setting goals that align with the organizationalmission and are based on the QAPI framework.We will discuss the weighting of goals and how todevelop a 90-day plan. We will demonstrate effec-tive evaluation tools, which are focused on goaloutcomes. The importance of teamwork amongproviders will be covered. We will discuss the fivefunctional components of teamwork, which in-clude trust, conflict, commitment, accountability,and results. We will describe ways to improve com-munication among providers through messy caseconferences, educational sessions, and providermeeetings.

DomainStructure and Processes of Care

Patient-Clinician Boundaries in PalliativeCare Training: Identifying and ManagingBoundary Crossings (517)Sandra Nasrallah, MD, Massachusetts GeneralHospital, Boston, MA. Guy Maytal, MD, Massa-chusetts General Hospital, Boston, MA.(All speakers for this session have disclosed norelevant financial relationships.)

Objectives1. Discuss the concept of boundaries, boundary

crossings, and boundary violations within thepatient-clinician relationship in palliative care.

2. Discuss the importance of identifying bound-ary crossings and how they can be helpful orharmful to the patient-clinician relationship.

3. Develop a framework for recognizing, inter-preting, and managing boundary crossingsand violations when they occur.

The subject of patient-clinician boundaries hasbeen most extensively explored in the psychiat-ric literature, but the recognition of boundary is-sues may be particularly relevant to the practiceof palliative care. The relationship between a pal-liative care clinician and a patient at the end oflife, can reach a level of intensity and intimacythat is commonly found in psychotherapy. Palli-ative care clinicians are trained to address vari-ous types of sufferingd including physical,spiritual, and psychological distress. In facingsuffering and death, patients often express theiremotions more easily and authentically than istypical for the usual patient-clinician interac-tions. In the presence of such emotionality and