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CAPC Palliative Care Discussion Forum
Palliative Care Out-Patient Services

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Post outpatient palliative care and rural settings
Author: Alison
Date: Jul 12, 2010 10:00 am
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 outlying areas. We need a local outpatient program as well. Any help would be greatly appreciated.
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Re:outpatient palliative care and rural settings (by lynceronsky on 07/19/2010)
Alison, you have raised a significant area of need for palliative care in rural settings. There is a scarity of research or program examples from which to learn, and reimbursement remains a challenge. Your idea of a hotline may be a very helpful resource for the rural health settings.

From a program development persepctive, aspects of a hospital based program may be applicable, as well as the approaches described in the CAPC/NHPCO/National Rural Health Asssociation's publication, Providing Hospice and Palliative Care in Rural and Frontier Areas. In Minnesota, the National Quality Forum's Preferred Practices became a framework for Minnesota's Rural Palliative Care Initiative ( see www.stratishealth.org).
Some home care agencies are able to develop a palliative care specific team to serve home care patients with palliative care needs. Hospice agencies are often key partners. Clinic case managers, especially those who work with people with chronic disease, may be able to incorporate palliative approaches.
Clinical eduation in palliative care for key clinicians through ELNEC or EPEC training and other self study programs are essential.
I look forward to continued conversation among the participants in this forum for additional ideas and strategies.
Lyn Ceronsky DNP, GNP
Director, Fairview Palliative Care
Minneapolis, MN

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