Provincial Hospice Palliative Care Home Based Nurse Practitioner Program: Supporting Patients to Live with Dignity and Comfort at Home
|
|
- Edwin Wilkinson
- 8 years ago
- Views:
Transcription
1 Provincial Hospice Palliative Care Home Based Nurse Practitioner Program: Supporting Patients to Live with Dignity and Comfort at Home Janet McMullan, RN, BScN, MN, Clinical Program Lead, OACCAC James Mastin, BSc (BMED), BScN, MSc, PHCNP, HPC Nurse Practitioner, TC CCAC Heather Elliott, RN, MSN, CHPCN(C), APN - Hospice Palliative Care, WW CCAC Heebah Sultan, BHSc, MPH, Health Data Analyst, Information Management, OACCAC Outstanding care every person, every day
2 Agenda Objective Learn about the CCAC Hospice Palliative Care Nurse Practitioner program and the difference these nurses are making to support patients to live with dignity and comfort at home. Agenda 1. Provide background for the Provincial Hospice Palliative Care Nurse Practitioner Program. 2. Learn about the lessons learned through the lens of two implementation experiences from Toronto Central CCAC and Waterloo Wellington CCAC. 3. Introduce the recently developed provincially standardized performance measurement processes that are being used to capture key indicators. 2
3 About CCACs in Ontario Ontario is divided into 14 Community Care Access Centres (CCAC). CCACs provide a single point of access to a wide range of home and community services, enabling people to have the specialized blend of the health services they need, when they need it. In 2013/14, CCACs helped over: 700,000 people receive care in their homes and communities, 349,000 seniors, enabling them to stay in their homes independently 27,000 people through their end of life experience 4,000 people be discharged from hospital per week. 3
4
5 CCACs & Hospice Palliative Care CCACs have a long tradition in supporting patients with palliative care and end of life care needs. Specialized HPC Services, including: Specialized HPC Care Coordinators and teams that link with HPC resources beyond CCACs Collaborative care planning based on the patient s goals, wishes, and values Use of standardized HPC assessment tools Access to grief loss and bereavement services throughout the care trajectory 5
6 Advancing High Quality, High Value Palliative Care in Ontario Declaration of Partnership & Shared Priorities. HPC NP practice supports patients across the chronic disease continuum model. Declaration of Partnership and Commitment to Action December, 2011, adapted from CHPCA 2002
7 HPC NP Program Provincial HPC NP Goal Working within an inter-professional Team, the NP acts as a bridge to support hospice palliative care (HPC) patients who have life-limiting illness by: Enhancing quality of HPC Reduce hospitalization and avoidable emergency department visits Supporting patients in dying in their place of choice Strengthening capacity of Primary Care Providers to provide HPC Provincial HPC NP Target Population Adults and Children with hospice palliative care needs who can be identified using three triggers: The Surprise Question would you be surprised if the patient would die within 12 months? Choice Need patient makes a choice for comfort care only Clinical Indicators patient with cancer, organ failure, elderly with frailty, stroke, dementia Key Performance Measures for Success Improved pain and symptom management Dying at home or in the patient s place of choice Reduced avoidable emergency department visits and re-hospitalization Improved patient/caregiver experience 7
8 HPC NP Role Collaborates with the CCAC Care Coordinator in service planning Provides Direct Clinical Care Establishes effective working relationships through formal partnerships or shared care arrangements with a broad range of primary care providers Builds capacity within the primary care sector in best practice HPC using knowledge transfer approaches, research, and leadership opportunities Works with the primary care providers and the HPC Integrated Team to coordinate access to specialized HPC and, when needed, acute care services Ensures the coordinated exchange of information across primary care, acute care and specialized care providers 8
9 About the HPC NPs Visit Initiatives/hospice-palliative-care-nurse-practitioners See video at the bottom of the page 9
10 Implementation Lessons TC CCAC
11 Current NP Scope of Practice in Ontario Communicating to a patient or a patient s representative, a diagnosis made by the NP identifying a disease or disorder as the cause of the client s symptoms Open prescribing Performing a procedure below the dermis or a mucous membrane Applying or ordering the application of a prescribed form of energy i.e. x-ray, mammogram, and ultrasound Ordering of diagnostic tests i.e. specimen testing Complete medical certificates of death
12 Advanced care planning and discussions surrounding DNR s, POA s and living wills Manage the complex end-of-life medical, and social needs of patients and caregivers Attends to both the patient and family s grief and bereavement, and offers support or referral to interdisciplinary team Manages mostly non-cancer patients suffering from end-stage diseases such as CHF, COPD, dementia and ALS HPC NP Role Supporting the patient in their journey towards death
13 TC CCAC HPC NP Support patients upstream on the illness trajectory and at end of life Manage physical and cognitive symptoms such as pain, nausea/vomiting, dyspnea and delirium management Consultation and shared care with the Palliative Care Team including physicians through Temmy Latner and Dorothy Ley: when NP is out of scope cover after hours when NP not available Future plans for 24/7 coverage by HPC NP s Attend patient and family at time of death to pronounce and sign death certificate
14 Collaborative work with both community and acute care hospitals with chronic/complex and end-of-life patients Part of the interdisciplinary team which consists of a team of Pharmacists, Clinical Nurse Specialists and Nurse Practitioners Provide TC CCAC with a consultative role to support Care Coordinators, Rapid Response Nurses and Tele-Homecare Registered Nurses Referrals come from internal Care Coordinators, Palliative Care Teams, Community Health Centres and acute care hospitals TC CCAC HPC NP s.
15 Implementation Lessons WW CCAC
16 Waterloo-Wellington 16
17 Waterloo-Wellington 17
18 Waterloo-Wellington 18
19 HPC Specialty Education for NPs 19
20 Performance Measurement
21 E-form Development
22 Collaboration with CCACs Developing provincial working groups Standardization of data across all 14 CCACs Incorporating input from each group from each CCAC Provincial support metrics, deployment of e-forms, communication Combining input into e-forms, work on e-forms, business process evolution 22
23 Results Who are our Patients? Over 75 per cent of referrals receiving HPC NP services were 65+ years of age, however patients with a variety of ages receive services. Over half of the patients were female. 3,000 Age Breakdown Gender Breakdown 2,500 2,000 1,500 1,000 Male 46% Female 54% years years 65+ years Please note that data shown in this slide is for 13/14 CCACs. 23
24 Results There are 70 HPC NP positions across the province. Performance Measures Actuals # of HPCNP patient referrals over 3,000 # of HPCNP patient visits - Total over 17,000 Face-to-Face Visits over 12,000 Phone Visits Over 5,000 Approximately 23,000 HPCNP e-forms submitted provincially from April 1, 2014 to March 31,
25 Referral Discharge Disposition Breakdown Place of Death Died in Retirement Home 3% Died in LTCH 1% Died in Other Location 6% Died in Hospital 24% Died at Home 50% Died in Residential Hospice 16% Data on referral discharge dispositions is reported for all referrals discharged who received HPCNP services during the 2014 calendar year. Of the over 2,000 referrals discharged who received HPCNP services, approximately 80% of the referrals died, approximately 12% were admitted to hospitals, and over 8% received some other referral discharge disposition. 25
26 Key Lessons Strategic governance is essential and requires Senior Director leadership and broad engagement of CCACs Investment in resources for planning will result in effective and timely implementation Meaningful connections through face-to-face meetings early the process foster working group cohesiveness to build consistency across programs Early stakeholder engagement is key LHINs, hospitals, primary care providers, pharmacists, CSS Effective Communication Plan is necessary to support consistent community messaging about new programs Education/networking opportunities are important for consistent role development and knowledge translation Technology opportunities need to be leveraged to promote efficiencies and performance measurement 26
27 Outstanding care every person, every day
Nurses in CCACs: Providing Care and Creating Connections Across Sectors
Nurses in CCACs: Providing Care and Creating Connections Across Sectors Janet McMullan, RN, BScN, MN, Client Services Specialist, Project Lead, OACCAC Jacklyn Baljit, RN, MScN, Client Services Specialist,
More informationAdvancing High Quality & High Value Hospice Palliative Care
Advancing High Quality & High Value Hospice Palliative Care 1 Presentation Overview Background End of Life Care Networks / South West Hospice Palliative Care Network (2004) Provincial Declaration of Partnership
More informationunauthorized use not permitted
Advancing Integrated Palliative Care: The Toronto Central Experience Dr. Russell Goldman Dipti Purbhoo December 1, 2015 1 Agenda WHY we made the changes we did WHAT we did HOW we are making a difference
More informationDIGNITY. COMPASSION. CHOICE.
Toronto Central LHIN DIGNITY. COMPASSION. CHOICE. TC LHIN Palliative Care Strategy March 2014 Table of Contents Executive Summary... 4 Palliative Care: Background... 7 Introduction... 7 TC LHIN Palliative
More informationItem 15.0 - Enhancing Care in the Community
BRIEFING NOTE MEETING DATE: October 30, 2014 ACTION: TOPIC: Decision Item 15.0 - Enhancing Care in the Community PURPOSE: To provide information regarding enhancements to care in the community and recommend
More informationHome Care Nursing in Ontario
Home Care Nursing in Ontario March 2011 Home Care Nursing in Ontario Nurses play an integral role in the delivery of quality care in the home. Home nursing care is the promotion of health, assessment,
More informationRegional Palliative Care Plan SUPPORT. QUALITY. COORDINATION.
Regional Palliative Care Plan SUPPORT. QUALITY. COORDINATION. Fall 2014 Value Statement All of my care providers will work together with me and my family to support our quality of life throughout this
More informationMinistry of Health and Long-Term Care. Palliative Care
Chapter 3 Section 3.08 Ministry of Health and Long-Term Care Palliative Care Chapter 3 VFM Section 3.08 Background Description of Palliative Care Palliative care focuses on the relief of pain and other
More informationWhat is Palliative Care
What is Palliative Care Maine Quality Counts Portland Regional Forum Isabella N. Stumpf, DO Division Director, Palliative Medicine, Maine Medical Center Medical Director, Palliative Care, MaineHealth Disclosure
More informationCaring About Palliative Care An overview
Caring About Palliative Care An overview Developed by the Palliative Care Consultation Team at VH and C. Talbot, Palliative Care Consultation Team at UH Presented by: Lee Ann Craig NP, Palliative Care
More informationPREAMBLE. 1. Seeking input from our partners, specifically with respect to overall direction of the PCS.
PREAMBLE On January 20 th the Clinical Council of the Hospice Palliative Care Provincial Steering Committee presented and articulated the Essential Minimum Clinical Standards for Hospice Palliative Care
More informationFrequently Asked Questions about Pediatric Hospice and Pediatric Palliative Care
Frequently Asked Questions about Pediatric Hospice and Pediatric Palliative Care Developed by the New Jersey Hospice and Palliative Care Organization Pediatric Council Items marked with an (H) discuss
More informationAnn Hablitzel, RN, BSN, MBA Hospice Care of California
Ann Hablitzel, RN, BSN, MBA Hospice Care of California Objectives Describe the creations of new community based palliative care programs Identify criteria for admission Discuss philosophy and goals Analyze
More informationHospice Care. To Make a No Obligation No Cost Referral Contact our Admissions office at: Phone: 541-512-5049 Fax: 888-611-8233
To Make a No Obligation No Cost Referral Contact our Admissions office at: Compliments of: Phone: 541-512-5049 Fax: 888-611-8233 Office Locations 29984 Ellensburg Ave. Gold Beach, OR 97444 541-247-7084
More informationNorth Shore Palliative Care Program
North Shore Palliative Care Program This booklet is intended for patients and families who are facing a life threatening illness. We hope that this booklet provides you with answers to some of your questions
More informationLife Choices. What is Palliative Care? Palliative? Palliative care emerged. A Program of Palliative Care
Life Choices A Program of Palliative Care Relieves suffering and improves quality of life for patients with advanced illnesses What is Palliative Care? Medical treatment that aims to relieve suffering
More informationPROVINCIAL ABORIGINAL LHIN REPORT 2013/2014
1 P a g e PROVINCIAL ABORIGINAL LHIN REPORT 2013/2014 HIGHLIGHTS 1 Place Photo Here, 2 P a g e MOVING FORWARD: A COLLABORATIVE APPROACH INTRODUCTION Over the past year, the Local Health Integration Networks
More informationSeniors Health Capacity Building: Our Journey to a Registered Nurses Association of Ontario Best Practice Spotlight Organization Designation
Seniors Health Capacity Building: Our Journey to a Registered Nurses Association of Ontario Best Practice Spotlight Organization Designation Angela Chan RN, BScN, MN, GNC(C) Judy Smith RN, BScN, MEd(DE),
More informationFinding Meaning and Purpose in Palliative Care
Finding Meaning and Purpose in PALLIATIVE CARE WHAT IS IT? Jeffrey Rubins, MD Director, Palliative Medicine Hennepin Health Services deriv. from pallium, to cloak How do you pronounce palliative? medical
More informationEndLink: An Internet-based End of Life Care Education Program www.endlink.rhlurie.northwestern.edu ABOUT HOSPICE CARE
EndLink: An Internet-based End of Life Care Education Program www.endlink.rhlurie.northwestern.edu ABOUT HOSPICE CARE What is hospice? Hospice care focuses on improving the quality of life for persons
More informationCreative Commons Image courtesy of mmmswan on Flickr. Palliative Care: Theories, Principles, and Innovations for Case Management
Creative Commons Image courtesy of mmmswan on Flickr Palliative Care: Theories, Principles, and Innovations for Case Management OBJECTIVES: Define what Palliative care means. Describe the principles of
More informationUI College of Nursing. The Need for Nurses Prepared to Address Care Needs of Older Adults in Iowa. Geriatric Nursing. Nursing
The Need for Nurses Prepared to Address Care Needs of Older Adults in Iowa UI College of Nursing #1 in Gerontological nursing in the country! Janet Specht, PhD, RN, FAAN, FGSA Professor and Director John
More informationInnovations in Access: ementorship
Innovations in Access: ementorship Esther Green RN Msc(T), Provincial Head Nursing and Psychosocial Oncology At the: Canadian Partnership Against Cancer Momentum: Cancer Control in Action July 7-8, 2009
More informationA Provincial Framework for End-of-Life Care
A Provincial Framework for End-of-Life Care Ministry of Health May 2006 Letter from the Minister British Columbia continues to develop a health care system that encourages choice and dignity, along with
More informationLong-Term Care Homes: Hospices of the Future
Long-Term Care Homes: Hospices of the Future Submission to the Canadian Nursing Association Expert Commission Presented by the QPC-LTC Alliance Contact: Pat Sevean Associate Professor School of Nursing
More informationWelcome to the Series on Palliative Care for the Licensed Vocational Nurse.
Welcome to the Series on Palliative Care for the Licensed Vocational Nurse. My name is Ilene Decker and I am a faculty member and Associate Dean for Academic Affairs at the University of Texas Health Science
More informationHoly Cross Palliative Care Program. Barb Supanich,RSM,MD Medical Director June 19,2007
Holy Cross Palliative Care Program Barb Supanich,RSM,MD Medical Director June 19,2007 Goals Define Palliative Care Scope of Palliative Care Palliative Care Services at Holy Cross Hospital Definition of
More informationEND OF LIFE PROGRAM PRIORITIES UPDATE
END OF LIFE PROGRAM PRIORITIES UPDATE June 2014 Island Health End of Life Program Priorities Update 2014 Page 1 Background: Every year, approximately 6,000 people die of natural causes on Vancouver Island.
More informationGP SERVICES COMMITTEE Palliative Care INCENTIVES. Revised 2015. Society of General Practitioners
GP SERVICES COMMITTEE Palliative Care INCENTIVES Revised 2015 Society of General Practitioners GPSC Palliative Care Planning and Management Fees The following incentive payments are available to B.C. s
More informationThe benefits of being in-house... An innovative model of care for palliative care nurse practitioners in Residential Aged Care
The benefits of being in-house... An innovative model of care for palliative care nurse practitioners in Residential Aged Care Peter Jenkin Nurse Practitioner What s my point? A palliative care nurse practitioner
More informationWhat services are provided by JSSA Hospice? Our personalized services for patients and family members include:
FAQ S ABOUT HOSPICE What is Hospice? Hospice is a specialized type of healthcare for patients and families who are faced with a terminal illness. A team of physicians, nurses, social workers, bereavement
More informationPalliative Care Rounds Quality end-of-life care and resources in southeastern Ontario to help achieve it
Palliative Care Rounds Quality end-of-life care and resources in southeastern Ontario to help achieve it Ray Viola, MD Division of Palliative Medicine May 16, 2014 Thank You Suzanne Jenson Pain and Symptom
More informationHospice Care It s About How You Live
Hospice Care It s About How You Live Beth Mahar, Director of Member Services Hospice & Palliative Care Association of NYS Thank you to: Elizabeth Peters RN The Community Hospice of Columbia/Greene Mission
More informationNurse Practitioners (NPs) and Physician Assistants (PAs): What s the Difference?
Nurse Practitioners (NPs) and Physician Assistants (PAs): What s the Difference? More than ever before, patients receive medical care from a variety of practitioners, including physicians, physician assistants
More informationThe Role of Nursing in Palliative Care. Todd Hultman, Ph. D., ACNP, ACHPN thultman@partners.org
The Role of Nursing in Palliative Care Todd Hultman, Ph. D., ACNP, ACHPN thultman@partners.org Agenda How we suffer History and foundation of palliative nursing practice Current practice of palliative
More informationThe Growth of Hospice Palliative Care Nursing as a Specialty in Canada. Darlene Grantham,, RN, BN, MN, CHPCN(c)
The Growth of Hospice Palliative Care Nursing as a Specialty in Canada Darlene Grantham,, RN, BN, MN, CHPCN(c) Presentation Outline History of Hospice Palliative Care -Canada Ferris Square- Principles
More informationHospice and Palliative Care: Help Throughout Life s Journey. John P. Langlois MD CarePartners Hospice and Palliative Care
Hospice and Palliative Care: Help Throughout Life s Journey John P. Langlois MD CarePartners Hospice and Palliative Care Goals Define Palliative Care and Hospice. Describe and clarify the differences and
More informationA Call to Duty. Transforming Veteran s End-of-Life Care. Julie Benson, MD. Medical Director Hospice and Palliative Care. Jessica Martensen, RN
A Call to Duty Transforming Veteran s End-of-Life Care Julie Benson, MD Medical Director Hospice and Palliative Care Jessica Martensen, RN Director, Home Care and Hospice Lakewood Health System Staples,
More informationDavid Eubanks, RN, MSN Billie Papasifakis, RN-BC, MSN, AACC. Describe model of care most appropriate
THE BRIDGE PROGRAM David Eubanks, RN, MSN Billie Papasifakis, RN-BC, MSN, AACC Pamela Teenier, RN, MBA, COC-C, C HCS-D HCSD 1 Objectives Describe model of care most appropriate for a Bridge program from
More informationNurse Practitioners Moving to the Forefront
SPECIAL PULL-OUT FEATURE SECTION O N T A R I O N U R S E S A S S O C I A T I O N Nurse Practitioners Moving to the Forefront Nurse Practitioners Moving to the Forefront to Improve Access to Care The work
More informationEngaging Spirituality in Social Work for Palliative Care and Hospice
Engaging Spirituality in Social Work for Palliative Care and Hospice Conversations about Comfort, Support, and Quality of Life written by Palliative Care Consulting Team and Hwi-Ja Canda Lawrence Memorial
More informationIntroduction to Hospice
Introduction to Hospice Objectives The learner will be able to: Understand general hospice services Discuss ways that hospice services can be accessed Discuss Medicare regulations for hospice services
More informationDon t Delay Hospice Care Referrals
Don t Delay Hospice Care Referrals Timely hospice admissions provide greater benefits. Among the Medicare population, about nine out of 10 deaths are associated with chronic illnesses, such as cancer,
More informationCaring for Canadians at End of Life. A Strategic Plan for Hospice, Palliative and End of Life Care in Canada to 2015
Caring for Canadians at End of Life A Strategic Plan for Hospice, Palliative and End of Life Care in Canada to 2015 Canadian Hospice Palliative Care Association October 2009 Table of Contents More Canadians
More informationMaking Choices. About Hospice. 1.800.233.1708 www.hospice.org
Making Choices About Hospice 1.800.233.1708 www.hospice.org Belleville Location 618-235-1703 Marion Location 618-997-3030 Edwardsville Location Hospice Home 618-659-7900 Hospice of Southern Illinois is
More informationReadmission Webinar: Palliative Care. April 2, 2013 12:00 to 1:00 pm CST
Readmission Webinar: Palliative Care April 2, 2013 12:00 to 1:00 pm CST Welcome and Overview Welcome, thank you for joining us today! Housekeeping This webinar is being recorded and will be archived. You
More informationHOSPICE CARE. and the Medicare Hospice Benefit
For more information, or to locate a hospice in your area, contact Caring Connections: www.caringinfo.org caringinfo@nhpco.org HelpLine 800.658.8898 Multilingual Line 877.658.8896 Item #: 810002 Hospice
More informationSTATE ALZHEIMER S DISEASE PLANS: CARE AND CASE MANAGEMENT
STATE ALZHEIMER S DISEASE PLANS: CARE AND CASE MANAGEMENT Recommendations to improve the individual health care that those with Alzheimer s disease receive Arkansas California Colorado Illinois Iowa Commission
More informationPalliative Medicine and The Nurse Practitioner
Palliative Medicine and The Nurse Practitioner ANNE MOORE, FNP-C CONTACT INFO: JEWISH HOME CENTER FOR PALLIATIVE MEDICINE A PROGRAM OF SKIRBALL HOSPICE AND THE LOS ANGELES JEWISH HOME 6345 BALBOA BLVD.
More informationFall 2013. A progress report on improving rehabilitative care in Waterloo Wellington
Fall 2013 A progress report on improving rehabilitative care in Waterloo Wellington The Waterloo Wellington Rehabilitative Care Council Improving rehabilitative care in Waterloo Wellington, fall 2013,
More informationThe Social Context. If you are young and thin, you will be happy and live forever! (Assuming you have an iphone )
Improving Care Transitions through Better Use of Palliative Care Resources Cooper Linton, MSHA, MBA VP Marketing and Business Development The Social Context Forget the 2.3 kids and the white, picket fence,
More informationCircle of Life: Cancer Education and Wellness for American Indian and Alaska Native Communities. Group Discussion True False Not Sure
Hospice Care Group Discussion True False Not Sure 1. There is no difference between palliative care and hospice care. Palliative care is different from hospice care. Both palliative and hospice care share
More informationQuality End of Life Care: A Team Approach
Quality End of Life Care: A Team Approach Presented by Dann Baker, MDiv Director Pastoral Care & Ethics, JPS Health Network; Adjunct Assistant Professor, UNTHSC-TCOM Janet Lieto, DO, FACOFP Assistant Professor
More informationInquiry into palliative care services and home and community care services in Queensland. Submission to the Health and Community Services Committee
Inquiry into palliative care services and home and community care services in Queensland Submission to the Health and Community Services Committee August, 2012 1 Introduction The Queensland Nurses Union
More informationFrequently Asked Questions Regarding At Home and Inpatient Hospice Care
Frequently Asked Questions Regarding At Home and Inpatient Hospice Care Contents Page: Topic Overview Assistance in Consideration Process Locations in Which VNA Provides Hospice Care Determination of Type
More informationPalliative Care Certification Requirements
Palliative Care Certification Requirements Provision of Care, Treatment, and Services PCPC.1 1 Patients know how to access and use the program s care, treatment, and services. 2 3 Patients and families
More informationEnd of Life Care - It Takes a Team
End of Life Care - It Takes a Team ROME New England August 16, 2015 Christina E. Fitch, DO, MPH, DTM&H Objectives "At the conclusion of the presentation, the learner will be able to:..." *Explain the difference
More informationDiscussion Paper: Multidimensional Models of Hospice Palliative Care in Ontario. Sector Specific Models of Hospice Palliative Care (HPC):
Discussion Paper: Multidimensional Models of Hospice Palliative Care in Ontario Part Three of Three Parts Sector Specific Models of Hospice Palliative Care (HPC): Current Status & State of Readiness for
More informationA Homecare Perspective. Bianca Bitsakakis, MSW RSW Pace Homecare Services
A Homecare Perspective Bianca Bitsakakis, MSW RSW Pace Homecare Services Intimate Strangers - Social Work and Social Service Work in Palliative Care Intimate Marked by close acquaintance, association,
More informationA collaborative model for service delivery in the Emergency Department
A collaborative model for service delivery in the Emergency Department Regional Geriatric Program of Toronto, December 2009 Background Seniors over the age of 75 years now have the highest Emergency Department
More informationPalliative Nursing. An EssEntiAl REsouRcE for HospicE And palliative nurses
Palliative Nursing An EssEntiAl REsouRcE for HospicE And palliative nurses American Nurses Association Silver Spring, Maryland 2014 American Nurses Association 8515 Georgia Avenue, Suite 400 Silver Spring,
More informationPalliative Performance Scale & Care Plan Reviews Resident Name: Unit/Room #: NURSING GUIDELINES FOR END-OF-LIFE CARE
Palliative Performance Scale & Care Plan Reviews Resident Name: Unit/Room #: Date Time PPS Score % Resident-Specific Care Plan Reviewed/Updated Date next review due. Signature ADMISSION REVIEWs NURSING
More informationAlberta Provincial Framework 2014
Alberta Provincial Framework 2014 Alberta Health Services Palliative and End-of-life Care Provincial Framework Table of Contents 1. Executive Summary... 3 2. Introduction... 6 3. Vision... 7 4. Values,
More informationBilingual (French/English) Nurse Practitioner Job Description
Mango Tree Family Health Team Bilingual (French/English) Nurse Practitioner Job Description JOB SUMMARY: The Nurse Practitioner [NP/RN(EC)] will function as a member of the Mango Tree Family Health Team,
More informationOncology Competency- Pain, Palliative Care, and Hospice Care
Pain, Palliative Care, and Hospice Care Palliative medicine relieves suffering and improves the quality of life for patients with advanced illness. The goal is achievement of the best quality of life for
More informationFlorida Hospital For Children CURRENT PEDIATRIC PALLIATIVE CARE PROGRAM OVERVIEW
Florida Hospital For Children CURRENT PEDIATRIC PALLIATIVE CARE PROGRAM OVERVIEW Current Children s Care Team Patients Current Children s Care Team Patients: Referring Units Florida Hospital for Children
More informationCathy Wagner RN, MSN, MBA Certified Hospice and Palliative Nurse Adjunct Faculty, Red Rocks Community College
Cathy Wagner RN, MSN, MBA Certified Hospice and Palliative Nurse Adjunct Faculty, Red Rocks Community College Nurse Aide: A Support for Patients in Hospice and Their Families CHEO, Faculty Professional
More informationHealth Literacy and Palliative Care Nursing Perspective
Health Literacy and Palliative Care Nursing Perspective Ginger Marshall, MSN, ACNP-BC, ACHPN, FPCN President Elect, Hospice Palliative Nurses Association National Director of Palliative Care for Compassus
More informationHospice Palliative Home Care in Canada: A Progress Report
Hospice Palliative Home Care in Canada: A Progress Report May 2008 Hospice Palliative Home Care in Canada: A Progress Report Acknowledgements Author: Jean Bacon, Toronto, ON Quality End-of-Life Care Coalition
More informationPalliative and End-of-Life Care
Palliative and End-of-Life Care Entry-to-Practice Competencies and Indicators for Registered Nurses Canadian Association of Schools of Nursing Association canadienne des écoles de sciences infirmières
More informationPALLIATIVE CARE SERVICES AND RESOURCES. A guide for patients and their loved ones. Living well with serious illness
PALLIATIVE CARE SERVICES AND RESOURCES A guide for patients and their loved ones Living well with serious illness A patient and family centered approach to living with serious illness Palliative care addresses
More informationGeneral Practitioner
Palliative Care/End of Life Related Fees Service Type Fee code When to use General Practitioner Palliative Care Planning 14063 Once a patient living in the community (own or family home or assisted living;
More informationAdvanced Nursing Research in Critical Care
12 th Congress of the World Federation of Societies of Intensive and Critical Care Medicine Advanced Nursing Research in Critical Care Yeonsoo Jang RN, PhD. Assistant Professor Yonsei University College
More informationRecommended Geropsychiatric Competency Enhancements for Nurse Practitioners Who Provide Care to Older Adults but are not Geriatric Specialists
Recommended Geropsychiatric Competency Enhancements for Nurse Practitioners Who Provide Care to Older Adults but are not Geriatric Specialists These recommended competency enhancement statements are not
More informationPAIN MANAGEMENT. Understanding End-of-Life Pain Management. De Anna Looper, RN, CHPN, CHPCA. Carrefour Associates L.L.C.
PAIN MANAGEMENT Understanding End-of-Life Pain Management De Anna Looper, RN, CHPN, CHPCA Senior Vice President of Clinical Operations Carrefour Associates L.L.C. PAIN MANAGEMENT The effect of uncontrolled
More informationUpdate on New Coordination of Care and Transition of Care Coding
Update on New Coordination of Care and Transition of Care Coding Michele Olivier ACP Colorado Chapter February 5, 2015 (303) 801-0123 Agenda Introduction Chronic Care Management Coding Advanced Care Planning
More informationA Comprehensive Case Management Program to Improve Access to Palliative Care. Aetna s Compassionate Care SM
A Comprehensive Case Management Program to Improve Access to Palliative Care Aetna s Compassionate Care SM Our chief want in life is somebody who shall make us do what we can. Ralph Waldo Emerson Marcia
More informationHospice Manual for Facility
Hospice Manual for Facility Home Health & Hospice Hospice in the Facility Objectives 1. Identify the mechanism for providing government regulated care in the facility. 2. Identify the Hospice policy and
More informationUnderstanding the Structures of Home-Based Care Delivery: Developing a Picture of the Home Care Team. Research Team and Funder
Understanding the Structures of Home-Based Care Delivery: Developing a Picture of the Home Care Team Margaret Saari PhD Candidate & Erin Patterson PhD Candidate CHCA 2015 Home Care Summit Research Team
More informationThe ROI of Palliative Care. James Mittelberger, MD MPH March 22, 2104
The ROI of Palliative Care James Mittelberger, MD MPH March 22, 2104 Provide the evidence and tools to develop the most effective palliative care program possible Purpose Palliative Care Financial Return
More informationStakeholder s Report. 2525 SW 75 th Ave Miami, Florida 33155 305.262.6800 www.westgablesrehabhospital.com
212 Stakeholder s Report 2525 SW 75 th Ave Miami, Florida 33155 35.262.68 www.westgablesrehabhospital.com PROFILE REPORT For more than 25 years, West Gables Rehabilitation Hospital has made a mission of
More informationPalliative Care Program Wentworth-Douglass Hospital
Palliative Care Program Wentworth-Douglass Hospital Patrick S. Alix, MD Director Michele Loos, RN, MS, CHPN Nurse Coordinator DEFINITION: PALLIATIVE CARE Interdisciplinary care that aims to relieve suffering
More informationBACKGROUND INFORMATION DOCUMENT
South East Community Care Access Centre BACKGROUND INFORMATION DOCUMENT RFP #16-01 Infusion Equipment and Infusion Supplies March, 2016 South East Community Care Access Centre Centre d accès aux soins
More informationPALLIATIVE CARE AGS. THE AMERICAN GERIATRICS SOCIETY Geriatrics Health Professionals. Leading change. Improving care for older adults.
PALLIATIVE CARE AGS THE AMERICAN GERIATRICS SOCIETY Geriatrics Health Professionals. Leading change. Improving care for older adults. Why do we need palliative care? 1900 HOW AMERICANS DIED IN THE PAST
More informationStrengthening palliative care: Policy and strategic directions 2011 2015
Strengthening palliative care: Policy and strategic directions 2011 2015 Second year report 2012 13 The Victorian Government s vision for how people dealing with a life-threatening illness, and their carers,
More informationPartnering for Success. The Nursing Facility and Hospice Partnership to Provide End-of-Life Care To Nursing Facility Residents
Partnering for Success The Nursing Facility and Hospice Partnership to Provide End-of-Life Care To Nursing Facility Residents 1 What will I learn today? Attitudes towards death & dying Overview of hospice
More informationRegional Palliative Care Program Vision, Mission, Philosophy and Goals
Regional Palliative Care Program Vision, Mission, Philosophy and Goals Background The mission, vision, and philosophy of the Regional Palliative Care Program (RPCP) are congruent with those of Capital
More informationSide-by-side Comparison: Hospice and Palliative Medicine Competencies (version 2.3) and Pediatric-Hospice and Palliative Medicine Competencies
Side-by-side Comparison: Hospice and Palliative Medicine Competencies (version 2.3) and Pediatric-Hospice and Palliative Medicine Competencies Key Red: 2.3 content deleted in the Pediatric-Hospice and
More informationMinistry of Health and Long Term Care (MOHLTC) Patients First: A Proposal to Strengthen Patient Centred Health Care in Ontario
Ministry of Health and Long Term Care (MOHLTC) Patients First: A Proposal to Strengthen Patient Centred Health Care in Ontario Objectives 1 Provide an overview of the MOHLTC s proposal to strengthen patient
More informationPrimary Health Care Nurse Practitioners
Primary Health Care Nurse Practitioners Alba DiCenso, RN, PhD Professor, McMaster University CHSRF/CIHR Chair in APN December 2010 Objectives of Presentation Current status of PHCNP roles Ontario-based
More informationExcellent Care for All. Camille Orridge Chief Executive Officer
Planning for Diversity A Key Pillar in the Quest for Excellent Care for All Camille Orridge Chief Executive Officer Toronto Central CCAC 1 Excellent Care for All Act The Excellent Care for All Act puts
More informationProviding the Best Cancer Care Through Oncology Nursing Excellence: the de Souza Model
Providing the Best Cancer Care Through Oncology Nursing Excellence: the de Souza Model Dr. Mary Jane Esplen Director, de Souza Institute Professor and Clinician- Scientist, University of Toronto/ University
More informationPrimary Health Care Research Day Trillium 2012. Research Team Irene Koren, Oxana Mian, Ellen Rukholm
Primary Health Care Research Day Trillium 2012 Research Team Irene Koren, Oxana Mian, Ellen Rukholm NP-Tracking Study Purpose To provide information on trends in NP demographics, work environments and
More informationHOSPICE SERVICES. This document is subject to change. Please check our web site for updates.
HOSPICE SERVICES This document is subject to change. Please check our web site for updates. This provider manual outlines policy and claims submission guidelines for claims submitted to the North Dakota
More informationHOW TO PREPARE FOR THE FUTURE COMPLEX CARE MANAGEMENT
HOW TO PREPARE FOR THE FUTURE COMPLEX CARE MANAGEMENT #607 Friday, October 30, 2015 MARY NEWBERRY, MSN RN, DIRECTOR, HOME BASED & TRANSITIONAL CARE DEBORAH BRADLEY, MSN RN, MANAGER HOME HEALTH CARE BETH
More informationQuality End-of-Life Care Coalition of Canada. La Coalition pour des soins de fin de vie de qualité de Canada
Quality End-of-Life Care Coalition of Canada La Coalition pour des soins de fin de vie de qualité de Canada Introduction Over the past 10 years, the 30 national organizations that are members of the Quality
More informationCourse Calendar. Fall 2015 - Summer 2016. www.desouzainstitute.com
Course Calendar Fall 2015 - Summer 2016 www.desouzainstitute.com de Souza Institute Mission: To inspire and empower health care professionals to provide the best cancer and palliative care through education
More informationHow To Be An Fht Nurse Practitioner
JOB DESCRIPTION Position Title: Program: Service: Accountable to: FHT NURSE PRACTITIONER Family Health Team Health Family Health Team Manager Issued By: Date Revised: June 18, 2007 Date Issued: Classification:
More informationPost-Acute Care Transitions: An Essential Component of Accountable Care
: An Essential Component of Accountable Care Bruce C. Smith, MD, FACP Associate Medical Director, Strategy Deployment Group Health Physicians, Seattle, WA Smith.bc@ghc.org AMGA 2012 Institute for Quality
More informationThe Teaching Nursing Home (?) PAUL R. KATZ, MD, CMD PROFESSOR OF MEDICINE UNIVERSITY OF TORONTO BAYCREST GERIATRIC HEALTH CARE SYSTEM
The Teaching Nursing Home (?) PAUL R. KATZ, MD, CMD PROFESSOR OF MEDICINE UNIVERSITY OF TORONTO BAYCREST GERIATRIC HEALTH CARE SYSTEM Consequences of the Geriatric Tsunami Number of older adults with two
More information