Andrew E. Esch, MD, MBA
Andrew Esch is a palliative specialist and consultant focusing on improving the quality of life for patients and their families—through pain and symptom management, coordination of care, and education—as they face serious or life-threatening illness. Dr. Esch earned his medical degree from the University of Buffalo, where he also earned a combined bachelor of science and master of business administration degree. Currently he is the medical director for Hospice of Orleans and a consultant and faculty member for the Center to Advance Palliative Care (CAPC). Prior to joining CAPC, Dr. Esch worked at the Lee Memorial Health System in Fort Myers, Florida, as medical director of palliative care. During his time there he was recognized with the prestigious Phoenix Award for his work with people with cancer. Dr. Esch speaks nationally on palliative care education and growth and sustainability of palliative care programs.
Virtual Office Hours
Hospital Palliative Care Program Design 101
Virtual Office Hours
Improving Team Effectiveness
From the Blog
An In-Depth Look At Palliative Care And Its Services
Defining palliative care, which patients need it, how it is delivered, and how palliative care diff…
Course 1: Comprehensive Pain Assessment
Conducting a comprehensive pain assessment to guide safe and effective treatment.
Course 2: Matching the Drug Class to the Pain
Selecting a safe and appropriate analgesic for patients with serious illness based on the pain asse…
Course 3: Patient Factors that Influence Prescribing Decisions
Patient and family factors that influence prescribing decisions for patients with serious illness.
Course 4: Assessing Risk for Opioid Substance Use Disorder
Integrating routine risk assessment for substance use disorder when considering or using opioid the…
Course 5: Opioid Trials: Determining Design, Efficacy, and Safety
Designing a safe and effective opioid trial for the patient with serious illness.
Course 6: Prescribing An Opioid
Safe and appropriate opioid prescribing for the opioid-naive patient with serious illness.
Course 7: Prescribing Short-Acting Opioids: Four Case Studies
Four indications for using short-acting opioids.
Course 8: Monitoring for Opioid Efficacy, Side Effects, and Substance Use Disorder
Ongoing evaluation of opioid benefits, risks, and side effects for the patient with serious illness.
Course 9: Converting from Short-Acting to Long-Acting Opioids
Guidance on safe conversion to long-acting opioids for patients with serious illness.
Course 10: Prescribing Practice and Opioid Conversions
Prescribing practice for long half-life opioids, converting from one opioid to another, and account…
Course 11: Advanced Conversions and Opioid Side Effects
Changing the route of opioid delivery, rotating opioids, advanced opioid conversions, and tapering …
Course 12: Special Populations And Patient-Controlled Analgesia
Safe opioid prescribing in older adults, cognitively impaired patients, children, and the imminentl…
Course 13: Managing Pain in Patients At Risk for Substance Use Disorder
Pain management for patients with serious illness and high risk for substance use disorder, includi…
Course 14: Pain Management: Putting it All Together
Safe opioid prescribing for patients with serious illness, using the Federation of State Medical Bo…
Reducing physical and emotional suffering from dyspnea for patients with serious illness.
Assessing and managing constipation in people with serious illness.
Prevalence, screening recommendations, and evidence-based strategies to treat anxiety in patients w…
Prevalence, screening recommendations, and evidence-based strategies to treat depression in patient…
Dementia: Relieving Suffering for Patients and Families
Identifying and addressing the sources of suffering for patients and families living with dementia.
Chronic Obstructive Pulmonary Disease (COPD)
Assessing and addressing sources of suffering for people living with chronic obstructive pulmonary …
Interventions to reduce suffering along the disease trajectory for people living with congestive he…
Communicating with Treating Clinicians: How Medical Directors Can Support Best Care for the Seriously Ill
Guidance for collaborating with treating providers to ensure that members who would benefit receive…
Care Management for Seriously Ill Patients: Addressing Gaps in Care
Communication and assessment techniques for case managers to elicit goals of care and address suffe…
A Palliative Approach to Care for Direct Care Workers
The role of the direct care worker in observing and reporting suffering in patients with serious il…
Improving Team Performance
Strategic planning for new or veteran programs, and a framework for identification of barriers to t…