During these unprecedented times of Covid-19 and taking precautions to keep our communities healthy, we continue to encourage people to think about advance care planning. What would you want if you were hospitalized? What would your loved ones want? Having advance directives would help your loved ones and medical providers care for you the way you would want, even if you were unable to speak for yourself.

We are still offering our facilitator services as the importance of advance care planning couldn’t be more timely. If you are interested in starting or reviewing your advance directives, please contact us below or email to discuss your wishes via phone or video conferencing. We are here for you in these uncertain times to help you in having control in a situation that may feel out-of-control.

I choose peace of mind.

Monroe County Hospital & Clinics have certified Respecting Choices Facilitators to help you navigate your advance care planning journey. These conversations look differently for everyone and can be easier with someone to help guide you through the process whether it is your first time or if it has been a while since you last reviewed them. Our Facilitators have the medical knowledge to help you understand your options and advance directive documents available at no cost to you for you to put your wishes in writing.

What is advance care planning?

Advance care planning is the process of making decisions about your future medical needs in the event you are unable to speak for yourself. These decisions are officially documented through forms known as advance directives, which should be shared with your loved ones and healthcare providers.

Why is advance care planning important?

By making your plans now, you will have peace of mind knowing your family and medical providers will follow your wishes no matter what the future holds. In addition to ensuring your wishes are respected, advance care planning also saves loved ones the immense stress of having to guess your wishes in the midst of a crisis.

What options do I have?

Part of advance care planning is creating advance directive documents. These include:

Some documents, such as the IPOST, are intended for a person encountering medical challenges, namely someone who is frail, elderly, has a life-threatening illness or chronic medical condition, or frequent hospitalizations. Your medical provider or one of our health coaches can help determine which advance directive documents are most appropriate for you at this time.

Am I too young to start advance care planning?

Adults age 18 and older should start the process of advance care planning. Completed advance directives should be revisited at least annually to accommodate for changes in health status (like a diagnosis), relationships and values.

How do I get started?

This downloadable brochure and CPR guide can help start your journey in learning about advance care planning options and start the conversation about CPR. This wallet card can be a quick reference for when your advance directives are completed. For more information about advance care planning, speak with your medical provider or call 641.932.1628 to speak with one of our facilitators.

Interested in becoming an Advance Care Planning Facilitator?

Meet our Advance Care Planning Instructors:

Allison Judge, BSN

Kim Higginbotham, BSSW

Jacque Heiter, Project Manager

Meet Our Facilitators:

Lori Vitko, ARNP, DNP

Family Nurse Practitioner
Monroe County Hospital and Clinics

Kendra Sinclair

Director of Clinic Operations
Monroe County Hospital & Clinics

Tara Susin, RN

Clinic Nurse/Health Coach Assistant
Monroe County Hospital & Clinics
(641) 932-7172

Sue Goode

Monroe County Health and Wellness Coalition

Mary Joe McLain, BSW

Hospice Social Worker

Sarah Adamson, LBSW

Hospice Social Worker
EveryStep Hospice

Rachel Gooden, MHA, MBS

Care Initiatives Oakwood Specialty Care

Sarah Thomas

Director of Nursing
Care Initiatives Oakwood Specialty Care

Every Step
health and wellness
care initiatives

Choose values. Choose peace of mind.
Your choice.

Jacque Heiter, Project Manager 641-932-1630

For more information on the Your Choice Project and HRSA funded grant, contact Jacque Heiter, Project Manager

Contact us to make an appointment

This project is supported by the Health Resources & Services Administration (HRSA) of the U.S. Department of Health & Human Services (HHS) under grant number D04RH31790, Empowering Patients through Advance Care Planning, for $598,589.00. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government. For more information, please visit