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CAPCconnect™ palliative care discussion forum

Palliative Care Out-Patient Services


Number of threads on this Forum: 48
Next 22 items »
Subject Author Posts Last Post
Description
Post Financial Impact of Outpatient Palliative Care nancyo 1 05/10/2012
I'm a graduate student finishing up my Master of Health Administration. I'm currently working with a team of colleagues on a culminating project--to design an outpatient palliative care program that functions within an existing oncology clinic at a local ...
Post Consults/outreach to nursing homes/MD offices Eva 2 05/21/2012
We are a nurse-led hospital-based palliative care program looking to increase collaboration with our local nursing facilities and physician practices. We envision reaching out to these entities to offer consultations to patients/families and also educatio ...
Post Palliative Care Services in Cancer Centers jj100857 2 04/11/2012
We are looking to develop a more comprehensive palliative care service for our cancer centers. We need a resource that can list cancer centers that have a palliative care service so we can begin benchmarking.
Post Muscular Dystrophy MichaelChristensen 2 02/29/2012
I'm working in a rural setting with a cohort of children and adults with muscular dystrophy. I am looking for a good reference for pain management (opiate and non-opiate) for this population. Any ideas? Thanks.
Post Community Outpatient Program Wanted Weissman 3 02/10/2012
I am looking for community outpatient palliative care clinics to interview for a CAPC project. The clinic should be mature/robust, seeing a wide breadth of patients and/or a focused population (e.g. CHF). Please send your contact info to my email David ...
Post Oncology PC Interface Weissman 2 02/08/2012
I am looking for community settings (not a major academic center) that has a robust and mature oncology/palliative care co-management outpatient clinic. Please forward your name and contact info to my email. Thanks David Weissman, MD CAPC Consultant dwe ...
Post Eventually mandatory in cancer centers? LisaLeah 3 12/12/2011
A co-worker stated that she read that there is news that Medicare is going to make it necessary for cancer centers to offer palliative care? I could not find any news on this. I did read in the news releases on CAPC about the NY legislation but this i ...
Post HF acute care NP seekin board cert in H+PC carsNP 3 11/18/2011
I work in a HF/EP clinic- both inpt and op. Realizing the palliative care needs of my pt population are huge- and starting to incorporate OP PC consults for end stage HF pts. Seeing the need to expand PC services to earlier in disease mgmt, and follow alo ...
Post Outpatient Palliative Care Lisa_LeBlanc 2 08/17/2011
Hello! I am an NP currently coordinating the inpatient program at a community hospital. We are strategizing regarding growing the program to the outpatient arena (specifically nursing facilities and outpatients of MDs within our health system). I am ve ...
Post length of visits in outpatient clinic vab4h1 2 07/30/2011
We have a very busy Palliative Care Clinic where we currently allow 30 minutes for follow-up visits and 60 minutes for new visits as we feel that the complexity of our patient population warrants this amount of time to adequately address their needs. Our ...
Post Quadriplegia hospice criteria? amydavisdo 2 07/28/2011
I've had several patients with trauma-induced quadriplegia with rapid onset advancing decubiti, rapidly decreasing albumin due to anorexia, and general clinical decline, and whose goals of care are consistent with an exclusively comfort-focused careplan. ...
Post Home Dobutamine Infusions TerrellVanAkenMD 2 07/05/2011
I run an inpatient consultative palliative care service and have had some recent very challenging patients with the most recent case being a 35 year old patient with end stage cardiomyopathy who has been evaluated at a local tertiary facility and felt not ...
Post Developing an Outpatient Clinic JCairns 3 05/19/2011
Our hospital based palliative care program is considering the development of an outpatient clinic. I am looking for some facilities to benchmark and possibly visit in order to gain some insight into a successful model. Does anyone have any suggestions?
Post Outpatient PC linked to PCMH magorman 2 08/09/2011
Is anyone aware of PC providers working with physician practices, specifically those who are developing or have in place a "patient centered medical home model"?
Post community palliative care program jelnadry 2 04/21/2011
I would like to start a community palliative care program through our nonprofit hospice, to serve (at least initially) primarily homebound elders and disabled members in the community, and hopefully to eventually to expand to nursing homes. Has anyone de ...
Post Nurse run Community based Palliative Care Program afontana 2 05/02/2011
We are small non-profit Hospice adding a Community Palliative Care Program. It will be nurse run and I am looking for any other programs that are nurse run. Thanks.
Post Nurse run Community based Palliative Care Program afontana 4 04/04/2011
We are small non-profit Hospice adding a Community Palliative Care Program. It will be nurse run and I am looking for any other programs that are nurse run. Thanks.
Post outpatient clinic prescription writing Mary_Hubert 2 03/23/2011
We are starting a supportive care clinic in a cancer center and the staff will initially include an MD at 0.6 FTE and an RN full-time. I am struggling with whether to begin as a consult only service or whether to co-manage patients where requested by the ...
Post opioid agreements Mary_Hubert 2 03/09/2011
We are in the process of laying the foundation for a supportive care clinic in a cancer center and I am reviewing literature on the use of opioid agreements for cancer pain management in a palliative population and have not found much so far. What I see ...
Post visiting physician palliative care service drhpm 2 02/09/2011
Does anyone out there have a model for a visiting physician service dedicated to palliative medicine? My thought being a service where the physician would do home and nursing home/CBRF visits as a dedicated practice?
Post PC following Home Care guidelines DeannaBrame 3 01/27/2011
I am wondering if anyone knows of a successful PC program that is providing services under Medicare Home Health guidelines? HH guidelines which include essentially home bound, providing skilled service, etc. Thanks in advance.
Post Place of service td 2 12/03/2010
I am new to billing for outpatient palliative care, as is our provider. She is asking me if she can visit a patient at home. We are an oncology practice. From what I have read, this is ok, but want to confirm. I am so happy to find this forum!
Post Working with Oncologists lbogmd 5 03/22/2012
In sharing the NEJM article with oncologists, they are reluctant to refer so early, thinking that their patients might feel that their oncologist doesn't feel competent to handle their symptoms. I suggested they provide "primary" symptom management, and ...
Post outpatient palliative care and rural settings Alison 2 07/19/2010
I'm in the beginning search for feasability and sustainability information on an outpatient palliative care program. I live in Montana and rural outreach clinics are abundant and difficult to find resources for. We're considering a hotline for the outly ...
Post Palliative Care for Patient unable to swallow dduffy 2 05/14/2010
Patient in hospital for pneumonia and recent hx of stroke who is now unable to swallow. He does not want a feeding or PEG tube and wants to go back to board and care facility to live out rest of his days. He's concerned about being "hungry" during his f ...
Post LVAD as destination therapy and Palliative Care mmschepp 3 05/11/2010
Our hospital is seeking certification to use LVAD's as DT in CHF patients. I am wondering if anyone is already doing the palliative care piece of this and if so, do you have an approach to this patient population? Thanks!
Post Outpatient Palliative Care Program Resources? LindaCK 2 04/22/2010
We're considering expanding our IP palliative care program to the outpatient setting. Would appreciate any info on a business model, staffing and reimbursement. Under new healthcare reform, is a MD referral required for social work services for counselin ...
Post Outpatient pal care for CHF patients Jeanne 4 04/27/2012
If you are (or know of) a palliative care program that focuses on CHF patients in outpatient settings and would be willing to share ideas with someone considering developing a program, please leave your email and I'll get in touch. Thanks
Post Private Palliative Practice with Hospice Roli 2 05/11/2010
I am contemplating starting a private palliative care practice providing consultations in office, home visit as appropriate and recommendations for hospice appropriateness. My intention is to additionally start my own hospice agency and provide the care a ...
Post Out-Patient Guidelines Christine 2 09/28/2009
We are a consult service with a 1/2 day out-patient clinic. Because our clinic is small, we get people scheduled quickly. Because it's easier to get into our clinic than the pain clinic, we are getting referrals for chronic pain patients who do not have ...
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