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Next Reply: Re:Development of Palliative Care Unit
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Post Development of Palliative Care Unit
Author: carnold
Date: May 7, 2008 9:31 am
We have been operating a "scattered bed" palliative care program within our hospital for 3 years now. Our average daily census 6-8. Average monthly consults are between 35-45. We are wanting to open a palliative care unit within our hospital. We plan also to continue having patients in "scatter-beds" throughout the hospital. Does anyone have recommendations for staffing, physician buy-in, etc. Thanks
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+ Re:Development of Palliative Care Unit (by kkerr on 05/08/2008)
Hello, Congratulations on your growing program! I'm guessing you envision a dedicated unit with a stand-alone staff and budget, vs a virtual unit (virtual unit = beds within an exiting hospital unit that are preferentially made available to pallative care service patients, but which can be used by any acute care patient; no separate staff / budget / infrastructure.) If you are going the dedicated unit route there is a nice example of the prcoess used to determine staffing needs on the CAPC Web site: http://www.capc.org/building-a-hospital-based-palliative-care-program/implementation/staffing/index_html/view?searchterm=physician%20patient%20ratio%20unit Also, keep in mind that not every patient your consultation service sees would be appropriate for (or interested in) transfer to your unit. Page 12 of the comprehnsive tutorial in the "financing a program" section has a nice table that gives an estimate of the number of "unit appropriate" consultations your service would need to see to support a dedicated unit. http://www.capc.org/building-a-hospital-based-palliative-care-program/financing/tutorial.xls/file_view Best wishes, Kathleen Kerr Senior Analyst University of California San Francisco Palliative Care Leadership Center

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