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CAPCconnect™ palliative care discussion forum

Designing a Program


Number of threads on this Forum: 139
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Subject Author Posts Last Post
Description
Post referral to palliative care by nursing and case ma ujjwala 3 06/10/2013
On our readmission risk assessment tool we have a trigger using the surprise statement "I would not be surprised if this patient died within a year" Though we have been using this for a year, there is suddenly discomfort and questions about whether is wi ...
Post PC program run by a hospital based Home Health AllenD 2 05/20/2013
We are in the research phase of developing an in-home PC program out of our HH agency. Our HH agency is Hospital owned. Can anyone share details on what we need to get started? Cerification is for IP programs, but is there credentialing or recognition by ...
Post Palliative Care and MCO AnnaB 2 05/20/2013
I am interested in developing an in home palliative care service for the Medicare Advantage Company I work for. We already have a trial oncology/palliative care project running in our Disease Management division which is telephonic. As an APRN I visit me ...
Post In Home Palliative Care Mardi 3 05/20/2013
We are pursuing implementing a new program which would include providing home visits with our Palliative Care consultative service with ARNPs and IDT staff. Are there other programs that are utilizing this model? If so, could you let us know who you are a ...
Post Policy for analgesia in palliative care in non-ICU laurenmcknight 3 03/20/2013
Our large academic medical center is looking to establish a policy regarding analgesia and sedation in the palliative care setting OUTSIDE of the ICU. Initially our thought was to develop a policy regarding use of ketamine in this setting but then we want ...
Post Nurse Driven Palliative/Comfort Care Consult Rocki_Luksan 2 03/14/2013
I graduate in May from the CNS program and I am researching if anyone has any nurse driven palliative/comfort care protocols, guidelines or algorithms that they would be willing to share. Thank you
Post Hospital PC Program blgraham2 2 02/27/2013
I am a Medical Oncologist in a 9 member Heme-Onc group. I am working with a local hospital that has a PC program managed by a Nurse coordinator since 2007 seeing 700 consults per year. We now want to change to Physician Consult service to meet TJC requi ...
Post Designated Beds KMick 3 06/11/2013
Can anyone with a palliative care unit or scattered beds, describe how well it is working for them? The pros and cons.
Post hospice care in assisted living Dochoppy 2 12/20/2012
I am promoting a program in my assisted living facilities known as "hospicitality." It involves the experiences of all staff, residents and families when we approach "active" end of life care which has been three to five days prior to death for about ...
Post follow up calls and timeframe Meggan 2 12/19/2012
How often do you follow up with the below: -discharge palliative patients -bereaved families Do you follow up monthly, every 3 months, etc? Thanks!
Post Bereavement Program shellybsn 2 12/19/2012
What are other palliative care programs doing for bereavement follow-up? Are you using your hospice's program if you are affiliated with one. What does that consist of?
Post New volunteer program JoAnnL 3 12/19/2012
I am a new coordinator in our palliative care department looking to design an in-hospital volunteer program to work with our palliative care. Does anyone have any suggestions on good practices, what works and what does not work for this type of service; ...
Post New volunteer program JoAnnL 2 12/06/2012
I am a new coordinator in our palliative care department looking to design an in-hospital volunteer program to work with our palliative care. Does anyone have any suggestions on good practices, what works and what does not work for this type of service; ...
Post Palliative Care's home on the organizational chart vcpcrn 2 12/20/2012
I am coordinator for a relatively young palliative care program in our hospital system. I am curious where most programs "fit" on a hospital's organizational chart. Who is the PC team accountable to in your system? Thank you!
Post Program in Design stages NWilkins 1 11/30/2012
I am the hospice director for a health group that has Home Health, Hospice, and Transitions programs. We are looking at starting an outpatient Palliative Care consulting service using a former medical director for the hospice. She will not be employed b ...
Post Home Health Usage DrKleinman 1 11/09/2012
I am creating a proposal for expansion of our existing HPC program so as to be more outpatient based. One model suggested by a colleague is based upon what a local IPA has done. Specifically, the IPA uses its capitation dollars to contract with a home h ...
Post Consults THBrown 2 11/05/2012
We recently started a new consultation PC program with an NP as Coordinator and a Med Director who is not on site and does not see patients. In regards to consults, if we are not billing for our services and playing more of a supportive role in the patien ...
Post Does Palliative Care Truly Save Money? DrKleinman 3 10/09/2012
Part of creating our pc program requires that we address the ROI. My understanding is that there is not a lot of solid data showing a large ROI. This is because too many patients enter pc at a late stage of their illnesses. Anyone aware of any studies d ...
Post Involving More Primary Care Docs DrKleinman 2 10/08/2012
We are launching our PC ambulatory and hospital based program and want to involve as many primary care docs in actual palliative care. However, one school of thought is that for multiple reasons primary care docs do not practice pc very well and thus it i ...
Post Pain Service sjzaglif 3 10/02/2012
I wanted to gather some thoughts/ideas about benefits/burdens of a combined pain service and palliative care service. Our team is recieving/accepting consults to manage post-op pain in otherwise healthy patients in addition to managing/coordinating the c ...
Post Is palliative care reimbursement decent? DOCKULAH 1 09/17/2012
I am a Director of a newly formed hospice. I've been told that hospice agencies do not receive good reimbursements for palliative care. If that is the case then what's the significance of separating palliative care from hospice care? Are they not one and ...
Post screening process for Palliative care program ckareokowsky 2 09/06/2012
We are a hospital facility in the very beginning stages of starting a palliative care program. We have developed our screening tool and will have the nurses complete the tool on the patients initial admit as part of the nursing history. I have seen that i ...
Post Developing a state wide coalition kathydavis 1 08/16/2012
We are currently working on developing a state wide coalition of pediatric hospice and palliative care providers throughout the state of Kansas. Much of our state is rural or frontier and pediatric services are challenging to maintain. We hope that com ...
Post Nurse Practitioner Program Model gkolegue 4 08/09/2012
Hope to discuss program development strategies. Looking for hospital-based palliltive care program with an NP model of care. A program without a "medical director" however a hospital system with department of medicine subsection chief of palliative care. ...
Post Goal for # of consults: sjzaglif 2 07/09/2012
I recall reading on the forum that a goal for a new program is to see 2-3% of hospital discharges, and 4-6% for an established program. Does anyone have a reference for this? Having trouble finding a citation. Thanks!
Post starting new palliative care facility callahan 2 06/22/2012
I am interested in starting a palliative care facility. I was wondering if there are any inpatient palliative care facilities that are not in the hospital settings and are not hospice. Can this be done? Also, my city is located near the state line clo ...
Post Starting upa program LisaFrostRN 3 06/14/2012
I am a RN finishing my CNS who is currently beginnng a new Palliative Care service in a 250 bed acute care hospital. A few questions we are currently facing are: 1. Do most programs start with nurse driven consults or by primary physician order only? 2. ...
Post Standardized Procedures for Palliative NP POdumNP 5 07/17/2012
Hello, I am an outpatient Palliative Care Nurse Practitioner at a community cancer center. I am in the process of writing Standardized Procedures for this position, as required in the state of California. Can anyone share a copy of their Standardized P ...
Post hospice unit to palliative care/hospice JeannieC 2 04/30/2012
I am managing an inpatient hospice unit in a community hospital. We are considering making this unit hospice and palliative care. Can anyone offer the downside/upside of this change that I may not have considered? Currently, we have no palliative care pro ...
Post INFORMATION ON SERVICE LINE slmare 3 03/29/2012
We have a palliative medicine service (physician consult service) as well as a hospice program. They are both two separate service lines within our hospital (both are hospital owned). Our physician is the medical director of BOTH departments. He is empl ...
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