What Matters in Medicine: How to Improve Decision-Making for those with Serious Illness

June 2, 2022 | 9:45 – 11:00 am Concurrent Block E

E-2 What Matters in Medicine: How to Improve Decision-Making for those with Serious Illness

CE Credits: ANNC, NAB

During this one-hour session, the speaker will discuss how sharing information about prognosis can impact personal goals of care, and how personal goals of care may guide discussions about specific treatment options. Critical elements of shared decision-making including establishing health literacy and communicating across cultures will be emphasized. This talk will begin with an overview of the Institute of Medicine’s 4M Framework for care of the older adult with serious illness: Mobility, Mentation, Medication and what Matters.  The speaker will expand on what Matters and offer specific communication techniques that can improve health literacy and better align personal goals of care with available therapies.  These techniques may include decision-making aids such as online videos and scripts that may be used when having conversations with people with serious illness about advance care plans.  Specific instruction and examples of how to move the conversations from simply discussing the patients diagnosis and treatment, to also include information on prognosis and how to establish personal goals of care within this context will also be provided. Finally, participants will receive instruction on cultural diversity and how this may impact shared decision-making. Participants will receive specific instruction on how to improve their own ability to successfully communicate across cultures and learn more about the concept of Cultural Intelligence.


David Barile, MD

Bio: Dr. Barile is the Founder and Chief Medical Officer of Goals of Care Coalition of New Jersey (GOCCNJ), a non-profit dedicated to improving the quality of care for patients with serious illness. Dr. Barile is Director of Palliative Medicine Services and Medical Director of the Acute Care for the Elderly Unit at Penn Medicine Princeton Medical Center.  Instrumental in designing the NJ POLST form, Dr. Barile served on the NJ Governor’s Advisory Council on End-of-Life Care. He’s received numerous awards including Hospital Charitable Service Award’s Project of Promise Award and the POLST Paradigm State Innovations Award in recognition of his work on behalf of elderly patients and those suffering from advanced illness. Dr. Barile is board certified in Internal Medicine, Geriatric Medicine and Hospice/Palliative Medicine and is a member of American Academy of Hospice and Palliative Medicine, the American College of Physicians, and the American Geriatric Society.