Readmission Webinar: Palliative Care. April 2, :00 to 1:00 pm CST
|
|
- Ashlyn Wiggins
- 8 years ago
- Views:
Transcription
1 Readmission Webinar: Palliative Care April 2, :00 to 1:00 pm CST
2 Welcome and Overview Welcome, thank you for joining us today! Housekeeping This webinar is being recorded and will be archived. You will receive a PDF of today s presentation, as well as a link to fill-out the evaluation and a summary of Q&A. For questions us: HEN@aha.org. Agenda Palliative Care Q&A 2
3 Speakers Janine Douglass, MPH, CIC: HRET Denise Remus, PhD, RN: Cynosure Health Rhode Island Hospital: Jeanne Ehmann, MS, RN, CPHQ, Administrative Director Quality Management RIH Pam Gregoire, MS RN, Quality Outcome Coordinator Christine Kearns, MS, CNRN, FNP/BC, Manager of Patient Safety and Quality, Critical Care 3
4 Palliative Care Definition Palliative care is specialized medical care for people with serious illness. This type of care is focused on providing patients relief from the symptoms, pain and stress of a serious illness whatever the diagnosis. The goal of palliative care is to improve quality of life for both the patient and the family. Palliative care is provided by a team of doctors, nurses and other specialists who work with a patient s other doctors to provide an extra layer of support. Palliative care is appropriate at any age and at any stage in a serious illness, and can be provided together with curative treatment. Center to Advance Palliative Care Public Opinion Research on Palliative Care: A report based on research by Public Opinion Strategies. 4
5 Why Palliative Care? Care plan based on patients goals and personal philosophies Improved patient and family satisfaction Pain and symptom management Psychosocial & spiritual support Advance care planning Lower readmission rates Systematic cost savings from earlier access to ongoing palliative care 5
6 Pursuing Palliative Care Form multidisciplinary team Integrate palliative care into the ICU and ED Educate all staff, patients and families on benefit & how to access Admission assessment includes identification of unmet palliative care needs Coordinate palliative care across the continuum Performance measurement quality outcomes, satisfaction, costs 6
7 Potential Barriers Access to multidisciplinary team with training in palliative care Acceptance by care team (physicians, nurses, others) Patient and family awareness / knowledge Program funding 7
8 PALLIATIVE CARE: IMPORTANCE OF THE CONVERSATION Rhode Island Hospital, Providence, RI
9 Hospital Story Who We Are Rhode Island Hospital / Hasbro Children s Hospital Providence, RI 1 of 4 hospitals in the Lifespan Healthcare System, principal teaching hospital of the Warren Alpert Medical School of Brown University, University Health System Consortium Member 719 beds and is a not-for-profit acute care teaching hospital Seven ICUs and 3 stepdown units Level I Trauma Center for southeastern New England Beacon Award Winner CTIC, Primary Stroke Center Jeanne Ehmann MS, RN CPHQ; Pamela Gregoire, MS,RN; Christine Kearns, MS, CNRN, FNP/BC 9
10 Palliative Care Plan Advanced Directive Planning Increase patient and family comfort level with making decisions Goal Provide palliative care education, build confidence in communication skills relating to end of life care decisions Enable physicians to engage patients, families and caregivers and feel more comfortable having the conversation 10
11 Program Goals Improve palliative care in the ICU which includes easing pain and suffering for patients and families Strengthen staff communication skills for addressing palliative care and end-of-life issues Improve ICU infrastructure to support a strong palliative care program
12 Intervention Palliative Care Plan Partner with residents, physician assistants, advanced nurse practitioners, nurses, attendings, social work Create openness, mindfulness, listening skills, discuss burden and how family is coping Encourage consults: General criteria for palliative care consult: alive in 1 year, 3 or more admissions in past 6 months, any code situation, 3 or more co- morbidities
13 RI ICU COLLABORATIVE Statewide ICU Collaborative formed to improve patient outcomes in 2005 Project Managed by Healthcentric Advisors, the RI Quality Improvement Organization Hospital Association of RI Began with Clinical Care bundles: VAP,CL-BSI, CAUTI, Sepsis Communication Bundle Palliative Care 2010 present
14 ICU Collaborative Palliative Care Bundle ICU Palliative Care Bundle Components 1) Engaged physicians, PA, APNs, and nursing: have the end of life discussion and secure advanced directive, and code status within the first 24 hours engaging patients and family 2) Uniform documentation in the medical record 3) Included in SBAR if a transfer: Emergency room, post op, physicians office 4) Daily reinforcement and weekly feedback for 30 days 5) Recognition of success meeting target * Title changed to Communication bundle to facilitate acceptance 14
15 RI ICU Communication Bundle Day 1 measures 1. Proxy decision-maker identified AND documented in medical record within 24 hours 2. Presence or absence of advance directive identified AND documented in medical record within 24 hours 3. CPR status addressed AND documented in medical record within 24 hours
16 RI ICU Communication Bundle Day 1 measures cont d 4. Pain assessment completed AND documented in medical record within 24 hours 5. Dyspnea assessment completed AND documented in medical record within 24 hours 6. ICU informational brochure provided to family AND documented in medical record within 24 hours
17 RI ICU Communication Bundle Day 3 measures 7. Family meeting scheduled, occurred, and documented within 3 days 8. Patient prognosis discussed at the family meeting and documented 9. Patient goals discussed at the family meeting and documented 10. Need for spiritual care was evaluated, provided and documented within 3 days
18 ICU Collaborative Communication Bundle Results Since 2005 Advanced Directive compliance rate improved 166.5%! CPR Status compliance rate improved 16.7%! Pain Assessment compliance rate decreased 2%! Dyspnea Assessment compliance rate met & is above target 99.63%
19 Communication Bundle Results Family Spokesperson compliance rate improved 10%! ICU Brochure compliance rate improved 11% Family Meeting compliance rate improved 155% Spiritual Care rate met & is above target 65.3%
20 ICU Indicator Results: Compliance with bundle elements INDICATOR Communication Bundle: Adv.Directive CPR Status Pain Assessment Dyspnea Assessment Spokesperson ICU Brochure Family Meeting Spiritual Care 65.30
21 Current Initiative Palliative Care training (4hr session)-physicians Introduction Making a relationship with death Contemplation exercises concerning death and impermanence Mindfulness -Breaking bad news Listening exercises -Cultural sensitivity Open Communication and being present
22 Engaging Community Palliative Consults Focus Cancer, COPD, end stage CHF, ESRD, neurological illnesses Nurse Practitioner aligns care with goals and tracks consults (50 patients/month) Approach Data sent to Home and Hospice of RI Speak Up Joint Commission Brochure Palliative Care Service Consult Tool 22
23 Engaging Community Community/ State Findings: Opportunities - End of Life Care and Communication Tools are helpful in starting the conversation Flagging patients that have been readmitted
24 Internal operations Multidisciplinary /Ethics /IT-IS Committees: Revised and made user friendly policy and procedures: advance directives, medical decision making, code status orders Paper to electronic code status (April 2013) Electronic HX of code status Electronic Hx of advance directives, pain care plans, POA, etc.
25 Internal Operations We strive to interact with other disciplines including nursing, chaplaincy, case management, SW, PT when appropriate in addition to the consulting team.
26 Lessons Learned Opportunities : Hospital Palliative Care Education Nursing Home Palliative Care Visiting Nurses Palliative Care Aging & Disability Resource Centers Treatment Protocols Code status for all admissions Begin conversations in PCP office, at home 26
27 Contacts Resources Patricia Colonies and Christine Kearns Nursing Quality & Safety Managers Critical care: Mitchel Levy, MD- Director MICU, Co-Chair RI ICU Collaborative: Hospital Palliative Care Nurse Practitioner Rachel Roach, RNP: Margaret Vigorito, ICU Collaborative Project Manager Healthcentric Advisors: RIH Quality Management: RIH ICU Collaborative Team RIH Ethics Committee 27
28 Questions? 28
29 Additional Palliative Care Resources Center to Advance Palliative Care website is National Palliative Care Research Center, website is The Joint Commission, Advanced Certification for Palliative Care Programs, information available at Palliative Care and End of Life Care, Consensus Report, The National Quality Forum, End-of-Life_Care%E2%80%94A_Consensus_Report.aspx. Accessed March 29, Public Opinion Research on Palliative Care: A report based on research by Public Opinion Strategies. Available at: Accessed March 29,
30 Palliative Care Resources (cont.) Palliative Care Services: Solutions for Better Patient Care and Today s Health Care Delivery Challenges. Health Research & Educational Trust, Chicago: November Accessed March 29, Beresford, L. Multidisciplinary Palliative-Care Consults Help Reduce Hospital Readmissions, The Hospitalist, February Silow-Carroll, S & Lashbrook, A (2011). Mercy Medical Center Reducing Readmissions Through Clinical Excellence, Palliative Care, and Collaboration. The Commonwealth Fund, Studies/2011/Mar/Mercy-Medical-Center.aspx. Accessed March 29,
31 Upcoming Webinars Date Time Topic Tuesday, April 16, pm 1 pm central Optimizing the Observation Unit Tuesday, May 7, pm 1 pm central How are ACO s Reducing Avoidable Readmissions? Tuesday, May 21, pm 1 pm central Reexamining the Discharge and Transition Process 31
32 Thank you! Please remember to fill out the survey monkey evaluation 32
Ann 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 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 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 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 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 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 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 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 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 informationPalliative Care. The Relief You Need When You re Experiencing the Symptoms of Serious Illness. Healthcare & Rehab Centre
Palliative Care The Relief You Need When You re Experiencing the Symptoms of Serious Illness Healthcare & Rehab Centre Palliative Care Improving quality of life when you re seriously ill Dealing with the
More informationFacilitating the Palliative Care Discussion: Using the Universal Patient Score to Simplify Clinician-Family Collaboration
Facilitating the Palliative Care Discussion: Using the Universal Patient Score to Simplify Clinician-Family Collaboration www.perahealth.com Agenda Introduction to the Rothman Index and PeraTrend Jonathan
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 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 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 informationProvincial Hospice Palliative Care Home Based Nurse Practitioner Program: Supporting Patients to Live with Dignity and Comfort at Home
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
More informationHigh Rehospitalization Rates: Evaluation and Impact
High Rehospitalization Rates: Evaluation and Impact May 29, 2009 Denise Remus, PhD, RN Chief Quality Officer, BayCare Health System BayCare Health System BayCare is the largest full-service, community-based
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 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 informationHow To Know If A Patient Is Happy With Palliative Care
Quality Metrics in Palliative Care R. Sean Morrison, MD Director, National Palliative Care Research Center Director, Hertzberg Palliative Care Institute Hermann Merkin Professor of Palliative Care Professor,
More informationHigh Desert Medical Group Connections for Life Program Description
High Desert Medical Group Connections for Life Program Description POLICY: High Desert Medical Group ("HDMG") promotes patient health and wellbeing by actively coordinating services for members with multiple
More informationNYSPFP Preventable Readmissions Initiative: Pilot Review and Post Hospital Care
NYSPFP Preventable Readmissions Initiative: Pilot Review and Post Hospital Care June 17, 2014 A partnership of the Healthcare Association of New York State and the Greater New York Hospital Association
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 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 informationJoan Carroll RN, CDMS, CCM Director of Care Transitions Lee Memorial Health System
Joan Carroll RN, CDMS, CCM Director of Care Transitions Lee Memorial Health System 1 Explain how patients experience transitions of care Identify variables that affect transitions due to lack of patient
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 informationPalliative Care for Children. Support for the Whole Family When Your Child Is Living with a Serious Illness
Palliative Care for Children Support for the Whole Family When Your Child Is Living with a Serious Illness Palliative care provides comfort and support to your child and family. When a child is seriously
More informationCURRENT TOPICS IN CARE MANAGEMENT. Interactive and Practical Workshops for Care Managers
CURRENT TOPICS IN CARE MANAGEMENT Interactive and Practical Workshops for Care Managers TABLE OF CONTENTS Tap the title to go directly to that section. Program Overview....3 Who Should Attend Why Attend
More informationSchool of Nursing Faculty of Health Sciences University of Ottawa. Nursing Palliative Care Research Unit NPCRU
1 School of Nursing Faculty of Health Sciences University of Ottawa Nursing Palliative Care Research Unit NPCRU The School Of Nursing at the Faculty of Health Sciences is pleased to announce the development
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 informationHOSPICE CARE. A Consumer s Guide to Selecting a Hospice Program
HOSPICE CARE A Consumer s Guide to Selecting a Hospice Program Hospice It s About How You LIVE One of our greatest fears is dying alone in a sterile, impersonal surrounding. We don t want to be hooked
More informationHow do you get the most out of. Life?
How do you get the most out of Life? Tabitha Hospice Tabitha Hospice services may include: Care directed by your personal physician Skilled nursing visits How do you get the most out of Life? Tabitha Hospice
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 informationSouth Carolina Coalition for Care of the Seriously Ill (CSI)
South Carolina Coalition for Care of the Seriously Ill (CSI) Uniform Processes to Improve Consent, Communication, and Decision Making in South Carolina Hospitals Fifth Annual Patient Safety Symposium April
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 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 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 informationThe Case for Hospital-Based Palliative Care
C A LIFORNIA HEALTHCARE FOUNDATION s n a p s h o t When Compassion Is the Cure: The Case for Hospital-Based Palliative Care 2008 Introduction Palliative care programs have attracted attention in recent
More informationPalliative Care Interdisciplinary Certificate Course
Palliative Care Interdisciplinary Certificate Course Many patients, families, and even professionals do not understand palliative care services. Although hospice and palliative medicine is a recognized
More informationHOSPICE CARE: A Consumer s Guide to Selecting a Hospice Program
HOSPICE CARE: A Consumer s Guide to Selecting a Hospice Program One of our greatest fears is dying alone in a sterile, impersonal surrounding. We don t want to be hooked up to tubes, and cut off from
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 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 informationRIH Transitions of Care Collaboration with Coastal Medical To Improve Transitions for Patients Discharged Hospital To Home
RIH Transitions of Care Collaboration with Coastal Medical To Improve Transitions for Patients Discharged Hospital To Home Sergio Petrillo, PharmD Clinical Pharmacist Specialist, Rhode Island Hospital
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 informationBuilding a Continuum of End of Life Care in Whatcom County: Invest in Community-Based Palliative Care October 2014
Building a Continuum of End of Life Care in Whatcom County: Invest in Community-Based Palliative Care Prepared by Bree Johnston, MD, MPH Overview Whatcom County has established significant specialty palliative
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 informationThe Evolution of Managed Care as the Foundation for Health Reform ACO s as the Vehicle for Integration and Coordination of Care for All Patients
The Evolution of Managed Care as the Foundation for Health Reform ACO s as the Vehicle for Integration and Coordination of Care for All Patients Stuart Levine MD MHA Corporate/ Regional Medical Dir., Asst.
More informationCriteria For Referral
Criteria For Referral St Margaret of Scotland Hospice, founded by the Sisters of Charity in 1950, is at the heart of the Community providing wholeness of care for both body and Spirit. Philosophy St Joseph
More informationRunning head: COMMUNICATION DEFICITS 1. Communication Deficits Among the Bedside Nurse and Palliative Care Team. Linn L. Groom
Running head: COMMUNICATION DEFICITS 1 Communication Deficits Among the Bedside Nurse and Palliative Care Team Linn L. Groom California State University, Stanislaus COMMUNICATION DEFICITS 2 Communication
More informationLearning Objectives. Establishing Goals of Care for the Chronically Critically Ill. What is Chronic Critical Illness?
Learning Objectives Establishing Goals of Care for the Chronically Critically Ill Cindy Drenning, CRNP Assistant Professor, Saint Francis University Define the chronically critically ill. Describe symptom
More informationINTERACT Webinar Series
INTERACT Webinar Series Session 1: Introduction to the Program February 25, 2015 with presenters: Carol Dietz, RN, MBA Florence Johnson, MSN, MHA Sheila Eckenrode, BSN, MA Today s Session Objectives Welcome
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 informationEstablishing a Palliative Medicine Service in a Large Ambulatory Medical Group
Establishing a Palliative Medicine Service in a Large Ambulatory Medical Group Barney Newman, MD WESTMED Medical Director Maura L. Del Bene, APRN, PMHNP-BC, ANP, APHPCN Conflict of Interest Barney Newman,
More informationReadmissions as an Enterprise Priority. Presenters 4/17/2014
Readmissions as an Enterprise Priority April 24, 2014 Presenters Vincent A. Maniscalco, MPA, LNHA Administrator Middletown Park Rehabilitation and Health Care Center Vmaniscalco@parkmanorrehab.com Eileen
More informationWard Manager, Day Care Sister and Clinical Services
JOB DESCRIPTION Job Title : Line Manager: Responsible to: Manager Department : Staff Nurse (Day Care) Day Care Sister Ward Manager, Day Care Sister and Clinical Services Day Care Unit Probationary Period
More informationGame Changer at the Primary Care Practice Embedded Care Management. Ruth Clark, RN, BSN, MPA Integrated Health Partners October 30, 2012
Game Changer at the Primary Care Practice Embedded Care Management Ruth Clark, RN, BSN, MPA Integrated Health Partners October 30, 2012 Objectives To describe the recent evolution of care management at
More informationPalliative Care The Relief You Need When You re Experiencing the Symptoms of Serious Illness
Palliative Care The Relief You Need When You re Experiencing the Symptoms of Serious Illness Dealing with the symptoms of any painful or serious illness is difficult. However, special care is available
More informationFamily Caregiver s Guide to Hospice and Palliative Care
Family Caregiver Guide Family Caregiver s Guide to Hospice and Palliative Care Even though you have been through transitions before, this one may be harder. If you have been a family caregiver for a while,
More informationAgreed Job Description and Person Specification
Agreed Job Description and Person Specification Job Title: Line Manager: Professionally accountable to: Job Purpose Registered Nurse Lead Nurse Inpatient Unit Clinical Director Provide specialist palliative
More informationPCMH and Care Management: Where do we start?
PCMH and Care Management: Where do we start? Patricia Bohs, RN, BSN Quality Assurance Manager Kelly McCloughan QA Data Manager Wayne Memorial Community Health Centers Honesdale, PA Wayne Memorial Community
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 informationPatient to Person. Transitions of Care. Colby Bearch, MA-SF, MA-M, BA, RN, CDONA Sharyn King, RN, BSN, CCM
Patient to Person Transitions of Care Colby Bearch, MA-SF, MA-M, BA, RN, CDONA Sharyn King, RN, BSN, CCM Transitions of Care Transitioning from school to adult services (vocational, medical day, etc.)
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 informationDay 1 Follow-Up: Panelist Suggestions and Final Topic Ranking. IHS Advisory Panel Meeting April 20, 2013 (Day 2) Chad Boult, MD, MPH, MBA Director
Day 1 Follow-Up: Panelist Suggestions and Final Topic Ranking IHS Advisory Panel Meeting April 20, 2013 (Day 2) Chad Boult, MD, MPH, MBA Director 1 Suggestions From Panelists 2 Use One Care Management
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 informationRe: Comments Regarding the Stage 3 Definition of Meaningful Use of Electronic Health Records
January 14, 2013 Office of the National Coordinator for Health Information Technology HIT Policy Committee Re: Comments Regarding the Stage 3 Definition of Meaningful Use of Electronic Health Records On
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 informationThe Role of the Acute Care Nurse Practitioner: New Models for Acute Care Delivery in an Academic Medical Center
The Role of the Acute Care Nurse Practitioner: New Models for Acute Care Delivery in an Academic Medical Center March 22, 2012 Barbara Cashavelly MS, RN, AOCN Maria Winne MS, RN, NE-BC Massachusetts General
More informationNurses 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 informationService delivery interventions
Service delivery interventions S A S H A S H E P P E R D D E P A R T M E N T O F P U B L I C H E A L T H, U N I V E R S I T Y O F O X F O R D CO- C O O R D I N A T I N G E D I T O R C O C H R A N E E P
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 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 informationTitle of Project (Limited to 50 characters, including spaces): NAME OF PROJECT: PALLIATIVE CARE PROGRAM
Date of Implementation/Adoption: July 1, 2009 Project Status: X Ongoing One-time only Did you submit this project before? Yes X No 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Executive Summary: Describe the project
More informationNovember 15, 2013. Ann Laramee MS ANP-BC ACNS-BC CHFN FletcherAllen.org
Advance Care Planning with Heart Failure: Results of a Primary Care Practitioners Needs Survey 5 th Annual Nursing Research and Evidence Based Practice Symposium November 15, 2013 Ann Laramee MS ANP-BC
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 informationAs the prevalence of serious illness among the. Innovative models of home-based palliative care TECHNOLOGY INNOVATIONS AND PALLIATIVE CARE
TECHNOLOGY INNOVATIONS AND PALLIATIVE CARE MARGHERITA C. LABSON, RN, MSHSA, CPHQ, CCM Executive Director, Home Care Program, The Joint Commission, Oak Brook Terrace, IL BETSY GORNET, FACHE Chief AIM and
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 informationFrom the Ground Up: The implementation of a Transition Care Program (TOC) and its impact in COPD 30-day readmissions
From the Ground Up: The implementation of a Transition Care Program (TOC) and its impact in COPD 30-day readmissions Cristiane L. Fukuda RN, MSN, ANP-BC Email: cristiane.fukuda@northside.com Office: 404-851-6914
More informationPalliative care in an Intensive Care Unit
Palliative care in an Intensive Care Unit J O S I E N S C H O O N U R S E P R A C T I T I O N E R P A L L I A T I V E C A R E R I J N S T A T E H O S P I T A L A R N H E M T H E N E T H E R L A N D S Introduction
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 informationDischarge Planning. Goals of Recent Initiatives. Barry K. Bennett, LCSW Manager, Case Management Adjunct Assistant Professor Department of Surgery
Discharge Planning Barry K. Bennett, LCSW Manager, Case Management Adjunct Assistant Professor Department of Surgery Goals of Recent Initiatives CARE MANAGEMENT PLAN Right class / status, right level of
More informationInside CAPC Central. the online hub for capc members
the online hub for capc members Welcome to CAPC And welcome to CAPC Central! The Center to Advance Palliative Care (CAPC) is a national, member-based organization dedicated to increasing access to quality
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 informationInformation Update September 7, 2011
Information Update September 7, 2011 Nursing homes directed to repay hospice for bed hold days The TennCare Bureau has clarified its position on nursing home "bed hold days" for hospice patients. In an
More informationPalliative Care Nursing
Palliative Care Nursing A ccording to the most recent National Vital Statistics Reports, 2,436,652 deaths occurred in 2009, of which 568,688 were due to cancer, second only to heart disease. 1 In 2009,
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 information2.b.vii Implementing the INTERACT Project (Inpatient Transfer Avoidance Program for SNF)
2.b.vii Implementing the INTERACT Project (Inpatient Transfer Avoidance Program for SNF) Project Objective: Skilled nursing facilities (SNFs) will implement the evidence based INTERACT program developed
More informationHome and Community Care. A Guide to Your Care
Home and Community Care A Guide to Your Care August 2007 For information on any of these services, contact the home and community care program at the local health authority. For contact information on
More informationKick off Meeting November 11 13, 2015. MERCY CLINIC EAST COMMUNITIES Management of Patients with Heart Failure (HF)
Kick off Meeting November 11 13, 2015 MERCY CLINIC EAST COMMUNITIES Management of Patients with Heart Failure (HF) Team Composition Justin Huynh, MD Internal Medicine, Physician Champion Mary Laubinger,
More informationDHMC Palliative Care PEER OBSERVERSHIP PROGRAM for Clinical Colleagues in Northern New England
PALLIATIVE CARE SERVICE DHMC Palliative Care PEER OBSERVERSHIP PROGRAM for Clinical Colleagues in Northern New England PROGRAM DESCRIPTION AND APPLICATION FORM Program in Effect: September 20, 2010 to
More informationChapter 4 Health Care Management Unit 1: Care Management
Chapter 4 Health Care Unit 1: Care In This Unit Topic See Page Unit 1: Care Care 2 6 Emergency 7 4.1 Care Healthcare Healthcare (HMS), Highmark Blue Shield s medical management division, is responsible
More informationSouthern California Patient Safety Collaborative
Southern California Patient Safety Collaborative Track II: Care Transitions March 6 th, 2012 Markus Mettler, NHA, PT : REDUCING SNF TO ACUTE RE-HOSPITALIZATIONS Markus Mettler, NHA, PT 20 years in Healthcare
More informationSPECIALTY CASE MANAGEMENT
SPECIALTY CASE MANAGEMENT Our Specialty Case Management programs boost ROI and empower members to make informed decisions and work with their physicians to better manage their health. KEPRO is Effectively
More informationGet With The Guidelines Best Practices: A look at reducing 30-day heart failure readmission rates
Get With The Guidelines Best Practices: A look at reducing 30-day heart failure readmission rates Thank you for joining the webinar! The presentation will begin shortly. *Please make sure your computer
More informationThe Communica3on Bundle Quality Measures
The Communica3on Bundle Quality Measures Module I Day 1 1. Proxy decision- maker iden3fied AND documented in medical record within 24 hours 2. Presence or absence of advance direc3ve iden3fied AND documented
More informationEstablishing an Advanced Illness Management (AIM) Model in a Community-Based Setting
Establishing an Advanced Illness Management (AIM) Model in a Community-Based Setting Health Care Workforce for Older Americans: Promoting Team Care October 7, 2008 Panel on Models of Team Care for the
More informationMassachusetts Department of Higher Education. Nursing Education Redesign Grant Program. Final Project Implementation Report
Massachusetts Department of Higher Education Nursing Education Redesign Grant Program Final Project Implementation Report Submitted by: Berkshire Community College November 30, 2012 Executive Summary Overview
More informationProvide a higher level of comfort. Certificate Program in End of Life Care OFFERED ONLINE. School of Health Sciences. healthsciences.excelsior.
Provide a higher level of comfort. School of Health Sciences Certificate Program in End of Life Care OFFERED ONLINE Become a more accomplished caregiver. You ve dedicated yourself to caring for others.
More information4. Program Regulations
Table of Contents iv 437.401: Introduction... 4-1 437.402: Definitions... 4-1 437.403: Eligible Members... 4-2 437.404: Provider Eligibility... 4-3 437.405: Out-of-State Hospice Services... 4-3 437.406:
More informationRe-envisioning EMR: Process and Outcome
Re-envisioning EMR: Process and Outcome Marie Parker RSM Director of Mission and Spiritual Care Trinity Health Kay Gorka BCC Manager of Spiritual Care Providence Health Care CHA PCAC Quality Work Group
More information