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Respecting Choices® Model

At Sanford Bemidji, we chose the Respecting Choices® model because it is internationally recognized as an effective model with excellent outcomes and its effectiveness is well supported by evidence. The Respecting Choices® model approaches ACP with an emphasis on a conversation and includes three steps.

The First Steps®

The First Steps® program addresses the need for all adults to have a clearly written health care directive on file at their local clinic and hospital. This document identifies the person chosen to make treatment decisions if someone loses decisional capacity due to an injury or illness. It may also include some preferences about care. 

Bemidji's ACP team has specially trained community members and health care professionals to facilitate basic advance care planning conversations. Their goal is to help you understand what choices might need to be made, reflect upon how your goals, values, and beliefs impact and shape your decisions, and then document your decisions as a health care directive.

The Next Steps

The Next Steps addresses the more specific needs of someone who already has a health care directive and who has a serious chronic illness that is progressing (i.e. heart failure or lung disease).

The Last Steps®

The Last Steps® specifically addresses the needs of a person who may be within the last one to one and a half years of life or who lives in a long-term care facility. Last Steps® is also called POLST-type ACP. It results in a document, Provider Orders for Life-Sustaining Treatment (a POLST form), which functions as a provider’s order across local health care settings. 

Professionals trained in POLST-type ACP are available to facilitate these conversations in the following locations:

  • GoldPine Home
  • Havenwood Care Center
  • Sanford Bemidji Home Care & Hospice
  • Sanford Bemidji Cancer Center
  • Sanford Bemidji Dialysis Unit
  • Sanford Bemidji Medical Center
  • Sanford WoodsEdge campus, including WindSong, Trillium and Neilson Place 
  • Sanford Health Baker Park Housing