CAPC Palliative Care Discussion Forum
General Operational Topics
I have experienced several different models, including working at St. Luke's. Generally, I think there should be only one type of consult. It should be physician involved and physician requested. I think palliative IDT members should be available to discuss issues and cases with hospital staff and give education and support to the staff member; however, a patient encounter should not happen without a formal consult from the attending physician. Likewise, "case finding" and trigger methodologies should be used for case review and education of the staff, system, and IDT. A palliative care consult should not occur without attending request. Trigger methodologies could with great care be used to prompt attending if they want a palliative consult or not.
S. Joyce Crump, Program Manager, on behlf of Ryan Nash, MD, Assistant Professor - UAB Center for Palliative Care
Palliative Care Leadership CentersTM
University of Alabama at Birmingham
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Re:Physician referrals
