C-TAC Professional Engagement Workgroup

Daniel Carr

Daniel Carr, MA, MD, Tufts University School of Medicine, and Workgroup Member

This Workgroup is focused on developing and disseminating innovative models of inter-professional advanced care education aimed at improving quality, shared decision making, and clinical care by cultivating respect, compassion and responsiveness in care delivery.

As part of its initiative to support clinicians, the Workgroup has identified six core competencies, behaviors associated with them, and categorized resources:

  • Advance care planning: Facilitate non-biased, objective discussions between an individual and health care proxy to ensure a better understanding of a person’s wishes and goals; actively listen, using communication skills of exploration, summarizing, paraphrasing, validation and open ended questions
  • Care coordination: Link patients with community resources to facilitate uninterrupted care and respond to social service needs; identify patients who are likely to need coordination, as well as the team members who will be responsible for coordinating care
  • Person-centered care: Conduct a full assessment prior to providing service; appropriately consider cultural needs; actively promote the well-being of the individual.
  • Communication: Enable self-management and patient navigation; foster and build healing and therapeutic relationships; coordinate care with other clinicians, health care professionals and health-related agencies.
  • Inter-professional teamwork: Monitor mutual performance; orient collectively; build the ability to adapt.
  • Clinician resilience: Cultivate self-awareness; the ability to accept personal limitations; maintain effective professional relationships.

For information about the Workgroup’s recent activity, please click here.

David Longnecker, Co-Chair, Professional Engagement Workgroup

David E. Longnecker, M.D. is a Director at the Association of American Medical Colleges (AAMC), the organization of U.S. medical schools and teaching hospitals, the Robert D. Dripps Professor Emeritus of Anesthesiology and Critical Care at the University of Pennsylvania and an Adjunct Professor of Anesthesiology at the George Washington School of Medicine and Health Sciences. At the AAMC, he coordinates the Chief Medical Officers Group, the co-leads the Integrating Quality initiative to enhance quality, safety and cost effective care delivery in academic medical centers, and represents the AAMC in the activities of the Coalition to Transform Advanced Care (C-TAC), an organization committed to the improvement of care for those with advanced illness.

Prior to coming to the AAMC, Dr. Longnecker was a physician-scientist, clinician and educator at the University of Missouri, the University of Virginia and subsequently the University of Pennsylvania, where he served as Robert D. Dripps Professor and Chair of Anesthesiology and Critical Care, Vice Dean for Professional Services and Chief Medical Officer of the Univ. of Pennsylvania Health System. He is the author of numerous scientific articles and chapters and the editor of eight medical textbooks, including the 1800 page Anesthesiology and its associated website, AccessAnesthesiology (http://www.accessanesthesiology.com).

Dr. Longnecker is a fellow (by honorary election) of the Royal College of Anaesthetists (UK) and member of the Institute of Medicine (IOM) of the National Academy of Sciences, where he chaired the Committee on Aerospace Medicine and Medicine for Extreme Environments (2001-2009). He was a member of the NASA Advisory Council from 2005-2009 and now serves on its Human Exploration and Operations Committee. He is the senior author of three space-related reports from the IOM and he chaired the 2010 Five Year scientific review of the National Space Biological Research Institute (NSBRI).

His other interests include protection of our coastal ecosystems, a commitment he fulfills through service on the Executive Committee of the Smithsonian Environmental Research Center Advisory Board.

Cynda Rushton, Co-Chair, Professional Engagement Workgroup

Dr. Rushton is Professor of Nursing, with a joint appointment in the School of Medicine in the department of Pediatrics, at the Johns Hopkins University. Dr. Rushton is Core Faculty of the Berman Institute of Bioethics and Co-Chair of the Johns Hopkins Hospital’s Ethics Consultation Service. She also serves as a Clinical Nurse Specialist in Ethics and Program Director of the Harriet Lane Compassionate Care Program at The Johns Hopkins Children’s Center.

Dr. Rushton’s scholarship in clinical ethics focuses on moral distress and suffering of clinicians, the ethical issues in family-centered care, pediatric palliative care, advance care planning for children, and conceptual foundations of integrity, respect, trust, and compassion. Dr. Rushton is recognized for her work in developing interdisciplinary educational curricula and models of care. She also has extensive experience in creating clinician-family partnerships whereby families whose children have faced life-threatening illnesses partner with researchers and/or clinicians to improve systems of care, design research and educational initiatives, and improve quality and family satisfaction. She is a co-founder of the Initiative for Pediatric Palliative Care (IPPC).

She led (with Dr. Gail Geller) an international collaboration to improve the lives of children affected by life threatening neuromuscular diseases and a related project, focusing on the ethical issues faced by neuromuscular clinicians. She is also testing an intervention to reduce moral distress and burnout by cultivating resilience in nurses working in critical care, oncology, and neonatal/pediatrics. She and Dr. Geller recently received a $1 million grant from the National Institutes of Health to extend their work in improving the lives of children with neuromuscular disorders and sickle cell disease by integrating palliative care principles into practice using an innovative educational intervention.

Marian Grant, Co-Chair, Professional Engagement Workgroup

Marian Grant Profile Dr. Marian Grant is an Assistant professor at the University of Maryland School of Nursing where she teaches communication and an online end-of-life course in the undergraduate program as well as evidence-based practice to DNP students. Certified both as an Acute Care and Palliative care/Hospice nurse practitioner, she works on the Palliative Care Consult Service at the University of Maryland Medical Center. She is national and international faculty for ELNEC (End-of-life Nursing Education Consortium) and on the board of HPNA (Hospice and Palliative Nurses Association). Dr. Grant’s research areas include being an online palliative care nurse practitioner on the Johns Hopkins Pancreatic Cancer website and nursing communication education. She lectures frequently for undergraduate and graduate nursing students, nurses, physicians and other clinicians on palliative care, hospice, communication, end-of-life decision making, and advanced directives.

Previous to becoming a nurse, Dr. Grant had a 20+ year career in marketing and advertising with the Procter & Gamble Company.

To become involved or for more information about the Professional Engagement Workgroup, please email Jon Broyles at JBroyles@advancedcarecoalition.org


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