Advance Care Planning and Transitions of Care

Advance care planning (ACP) is a powerful way to support dignity, comfort, and personal choice, especially for people living with dementia. While often overlooked in HIV care, ACP offers an opportunity to ensure patients’ voices are heard and respected throughout their care journey.
 
In this module, you’ll gain the tools and confidence to start meaningful conversations about future care preferences, including how to help patients appoint a medical power of attorney and complete medical orders for life-sustaining treatment. You’ll also learn how different team members can contribute, whether it’s HIV program staff introducing ACP or clinicians finalizing medical orders, and how to ensure that important documents are easy to access when needed.
 
By approaching ACP early and returning to it as needs change, you’ll help patients and families feel more prepared, supported, and aligned, leading to care that reflects what matters most.
 
Medium: Video with PPT, eLearning
Activity Length: 32 minutes
Test Time: 5 minutes

Target Audience

This activity is designed for interdisciplinary healthcare providers, including nurses, nurse practitioners, physicians, physician assistants, psychologists, and social workers involved in the care of people aging with HIV and at risk for or living with dementia.

Learning Objectives

After this activity, the participants will be able to:

  • Describe the purpose and components of advance care planning for people living with dementia.
  • Assess client values and goals to guide advance care planning discussions using person-centered communication.
  • Explain the roles of hospice and palliative care in supporting patients with advanced dementia.
  • Analyze common barriers to effective care transitions and strategies to address them across the dementia trajectory.
Additional information
ACGME/ABMS Core Competencies: 
Patient Care and Procedural Skills
Medical Knowledge
Practice-based Learning and Improvement
Interpersonal and Communication Skills
Professionalism
For more information, please contact:
CME Coordinator Contact Name: 
Chicago Center for HIV Elimination (CCHE)
CME Coordinator Contact Email: 
[email protected]
CME Coordinator Contact Phone: 
(773)-834-2468
Summary
Available credit: 
  • 0.50 AMA PRA Category 1 Credit™
  • 0.50 Nursing Contact Hours
  • 0.50 Participation
  • 0.50 Social Work CEU
Activity opens: 
04/23/2026
Activity expires: 
04/30/2029
Part of: 
HIV Dementia Champion Training Program
PRESENTER
Jessica Schmitt, LCSW
Director HIV Clinical Engagement
University of Chicago

Additional References: 
PDF icon Module 4 Resource Sheet - Transitions of Care
PDF icon Module 4 Resource Sheet - Advance Care Planning
PDF icon Module 4 Resource Sheet - Presentation Slides
 
Disclosure Declarations
As a provider accredited by the ACCME, the University of Chicago Pritzker School of Medicine asks everyone in a position to control the content of an education activity to disclose all financial relationships with any ineligible companies. This includes any entity whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. Financial relationships are relevant if a financial relationship, in any amount, exists between the person in control of content and an ineligible company during the past 24 months, and the content of the education is related to the products of an ineligible company with whom the person has a financial relationship. Mechanisms are in place to identify and mitigate any relevant financial relationships before the start of the activity.

Additionally, the University of Chicago Pritzker School of Medicine requires Authors to identify investigational products or off-label uses of products regulated by the U.S. Food and Drug Administration at first mention and where appropriate in the content.

No one in a position to control the educational content of this activity has any relevant financial relationships with ineligible companies to disclose.
Physician Credit
The University of Chicago Pritzker School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The University of Chicago Pritzker School of Medicine designates this enduring material for a maximum of .5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nursing Credit
University of Chicago Medicine is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.
 
Participants who successfully complete the entire activity and complete an evaluation form will earn .5 contact hours.
 
Social Worker Credit
University of Chicago Medicine is a Registered Social Work Continuing Education Sponsor through the Illinois Department of Financial and Professional Regulation and will offer continuing education units for Advance Care Planning and Transitions of Care for LSW and LCSW social workers in the state of Illinois.
 
.5 social work continuing education units are provided for this live activity.
 
Other Healthcare Professions Credit
Other healthcare professionals will receive a Certificate of Participation. For information on the applicability and acceptance of certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by the ACCME, please consult your professional licensing board.
Instructions for Participation and Claiming Credit
 
This online educational activity (enduring material) is designed to be completed within the time designated. To successfully earn credit, participants must complete the activity online during the valid credit period. To receive a certificate, the participant must watch the complete video presentation and correctly answer all questions (100% pass rate) on the post-test. The activity can be accessed by simply clicking "Complete Activity" and watching the video presentation. Once finished, you will be able to proceed to the post-test. Upon successful completion, the participant may claim credit and save or print their certificate.
 
Physicians and nurses are eligible to receive continuing education credit applicable to their profession. All other participants will receive a certificate indicating participation in this AMA PRA Category 1 Credit™-approved activity. For information on the applicability and acceptance of certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by the ACCME, please consult your professional licensing board.
 
For questions about credit or technical issues, please contact the Center for CME at the University of Chicago via email.
 

DISCLAIMER: The information presented in this activity is for continuing medical education purposes only. The opinions expressed in this educational activity are those of the faculty and do not necessarily represent the views of the University of Chicago Pritzker School of Medicine, the University of Chicago Medicine, or the Department/Section.

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