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Next Reply: Re:New Program Developement
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Post New Program Developement
Author: LMullis
Date: Oct 10, 2007 9:14 am
I am in the development phase of a palliative care program for a small rural hospital in collaboration with our local Hospice. Do any of you use the attending physician or hospitalist for palliative care with an experienced Hospice and Palliative care nurse assessing the patient/family and then making recommendations via progress notes or consultation forms?
Replies: order by [Date] [Author] [Subject]
Re:New Program Developement (by NAycock on 10/10/2007)
We are using a similar format with success. Our service has been in operation less than a year.
Re:New Program Developement (by Mary_RHA on 10/10/2007)
We too are developing our PC program for a small community hospital. If you use a APNP or MSW for consults, can you and how do you bill for consults if they are employees of the hospital organization? We would have a Hospice/PC board certified MD for complex consults and as a medical director/advisor for the APNP and MSW - but he would likely not see most patients.
+ Re:New Program Developement (by Deb on 10/10/2007)
I am an MSN CHPN certified nurse and I work as a nurse consultant. I see pt's with physician order and talk to them and families and make recommendations based on that to the attending. I chart my notes in the nursing section and place a copy in the progress notes for the attending and consultants to read. I am the only FTE for palliative care. I utilize the social workers, pharmacists and chaplains assigned to each particular unit in the hospital. I see, on average 37 pts/month and am pretty maxed out for the most part. I am now trying to find time to work on a business plan to expand the service. I do have a physician advisor who is a hospice medical director to talk to if I have a complex case.

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