CAPC Palliative Care Discussion Forum
Designing a Program
I have just been hired by a large university teaching hospital in an urban setting. I have been hired specifically for palliative care as a nurse practitioner to develope an in-patient palliative care program/service. My previous experience was as an outside consultant in the development of a program. That program was a hospice-hospital based program in a 300 bed community hospital. I have been told by administration of this hospital that corporate is backing the program. This will be the hospital's 3rd attempt. It was felt by the hospital the previous attempts failed as staff involved were doing palliative as a secondary job beyound their primary positions. If anyone has any "words of wisdom" to give me I would appreciate anything and everything. I am sure I am to find some pitfalls along the way. Hi to Janet Braun...you were a godsend to me at my previous job!!
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What an exciting opportunity, to build a program from scratch. It sounds like your site has already learned one pearl – that volunteer services are rarely sustainable in a hospital like yours. Palliative care really can’t be an “in addition to” hobby – you will have a real clinical service that requires dedicated effort from key providers and support staff. Fortunately, your service will also bring value in many forms – clinical, operational, financial and academic/scholarly opportunities, which might be important given your setting – so the resources required to support your service can be justified. I’m sure forum visitors will have some terrific advice. I would strongly encourage you to consider assembling a team and participating in a Palliative Care Leadership Center training. If this is your site’s third attempt, it seems a very wise and cost effective means of maximizing the odds that the third time will be the charm. You can learn more about PCLC training by going to:
http://www.capc.org/palliative-care-leadership-initiative/overview
Best wishes, Kathleen Kerr, Senior Analyst, University of California San Francisco, Palliative Care Leadership Center