Creating Palliative Care Pathways through HospitalHospice Partnerships

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Creating Palliative Care PathwaysthroughHospita
l-Hospice Partnerships

• Diane E. Meier, MD
• Professor, Departments of Geriatrics and Medicine
• Mount Sinai School of Medicine
• Director, Center to Advance Palliative Care
• in Hospitals and Health Systems
• a Robert Wood Johnson Foundation - Mount Sinai
  School of Medicine initiative
• 031505

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• Mission
• To increase the availability of quality
  palliative care services in hospitals and other
  health care settings for people with advanced
  illness.

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What are we doing?

• Management and Training Seminars Our core
  curriculum on how to start and sustain a
  palliative care program
• Next Opportunity
• October 17 19, 2005, San Diego

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What are we doing?

• Palliative Care Leadership Centers
• (PCLCs)
• Six established palliative care programs
  providing hands-on tools and training to
  fast-track new programs

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The Palliative Care Leadership Centers

• Fairview Health Services
• Minneapolis, MN
• Massey Cancer Center of the VCU Medical Center
• Richmond, VA
• Medical College of Wisconsin
• Milwaukee, WI
• Mount Carmel Health System Palliative Care
  Service
• Columbus, OH
• Palliative Care Center of the Bluegrass
• Lexington, KY
• University of California
• San Francisco, CA

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What Are We Doing

• CAPC Publications
• Guide to Establishing a Palliative Care Program
• The Case for Hospital-Based Palliative Care
• CAPC Brochure- who are we, what do we offer?
• CAPC Marketing Tools and MD Survey
• Hospital-Hospice Partnerships in Palliative Care
  Jan. 2002, with NHPCO
• Palliative Care An Opportunity for Medicare
  March 2002, with the Institute for Medicare
  Practice
• Planning a Hospital-Based Palliative Care
  Program A Primer for Institutional Leaders Nov.
  2000.
• www.capcmanual.org

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What are We Doing?

• www.capc.org
• Register for Palliative Care Leadership Center
  site visits
• Full text of all national meeting presentations
  and appendices, downloadable PowerPoint
• All CAPC publications in PDF format
• Spread sheet financial templates, cost avoidance
  analyses
• Needs assessment tools and forms
• Standardized progress notes, billing cards,
  orders, care pathways
• Position descriptions, staffing models
• Program models
• Marketing tools, brochures
• Billing strategies
• Alternate funding sources via philanthropy,
  foundations
• Case studies
• Audio files of Audio-conference calls
• Call or email us if you cant find something.

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How are we doing?

• Hospital Outcomes between 2000 and 2004, there
  has been an 87 increase in the number of
  palliative care programs from 668 1250 (AHA
  Annual Survey
• Hospice Outcomes as of 2002 CAPC study, 89 of
  hospices surveyed are either planning or actively
  exploring a palliative care program or have a
  commitment to doing so.

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To Achieve our Purposes

• ...we need an accountable, integrated and
  accessible combination of hospice, homecare, long
  term care and hospitals

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CAPC NHPCO PARTNERSHIP

• A foundation from which to encourage and support
  the development of a well-integrated continuum of
  care
• A mechanism for encouraging quality
• A means of communication and resource sharing
• An opportunity to broaden and deepen the reach of
  both organizations

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CAPC-NHPCO Collaboration to Date

• Principal participants in the development of the
  Clinical Practice Guidelines for Quality
  Palliative Care
• Principal authors in the monograph
  Hospital-Hospice Partnerships in Palliative Care
• Principal authors in the monograph Providing
  Hospice and Palliative Care in Rural and Frontier
  Areas
• Educational program planning and participation

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CAPC-NHPCOAgenda for the Future

• Continuing collaboration on educational program
  design and development
• Shared support for demonstration program
  initiatives
• Collegial focus on finding and extending
  opportunities to improve access to quality
  palliative care and hospice services