Leadership Skills for Nurses: A Tutorial

Given the rapid growth of palliative care, interdisciplinary leadership has become essential. With the increase of nurses stepping into the role of palliative care program leader, it is important to understand leadership concepts and skills, which can make the difference between surviving and thriving.

Developed with feedback from the CAPC and Hospice and Palliative Nursing Association (HPNA) 2018 nursing leadership focus group, CAPC has curated a collection of continuing education courses and informational resources to provide nurses with building blocks for leading teams, and steering high quality, sustainable programs.

For information about CAPC clinical CE training for nurses, click .

What’s in the Toolkit

Integrating foundational principles and quality standards of upstream palliative care for patients living with serious illness.

An In-Depth Look At Palliative Care And Its Services

Last Updated: January 15, 2015

Defining palliative care, which patients need it, how it is delivered, and how palliative care differs from hospice.

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Introduction to Palliative Care in the Community

Last Updated: January 15, 2015

Defining community-based palliative care: which patients need it, how it is delivered, and how it differs from inpatient palliative care.

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National Consensus Project for Quality Palliative Care, 4th edition

Last Updated: February 3, 2019

The National Consensus Project (NCP) Clinical Practice Guidelines are the national standard for high quality palliative care. National Consensus Project for Quality Palliative Care, 2018.

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IOM 2014 Dying in America: Improving Quality and Honoring Individual Preferences Near the End of Life Report Brief

Last Updated: April 5, 2019

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Acquiring a working knowledge of business language, business planning and budgeting, and making the financial case for palliative care.

Building the Business Plan for Your Hospital Program

Last Updated: January 15, 2015

Building a budget and a business plan for the inpatient program. Includes business planning tools.

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Building the Business Plan for Community-Based Palliative Care

Last Updated: November 12, 2015

Building a budget and a business plan for the community-based program. Includes business planning tools.

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The Business Case for Palliative Care: Translating Research Into Program Development in the U.S.

Last Updated: April 16, 2019

Ten principles that form the basis of the palliative care business model. Journal of Pain and Symptom Management, 2015.

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Palliative Care Ensures Value

Last Updated: February 3, 2019

One-page infographic to introduce your organization leaders, referrers, and health plans to the quality, satisfaction, and utilization improvements resulting from palliative care.

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Understanding palliative care program financing and reimbursement for palliative care services.

CAPC Payment Primer- What to Know about Payment for Palliative Care Delivery

Last Updated: March 5, 2019

This monograph covers the basics of Medicare, Medicaid, health plans and the alternative payment models that are taking hold in the U.S. The intent is to provide a solid introduction to health plans, payment concepts and key considerations as a foundation to support sustainable relationships with payers and other risk-bearing entities. Center to Advance Palliative Care, 2017.

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Payment Glossary

Last Updated: March 5, 2019

Defines key terms in payment vocabulary. Center to Advance Palliative Care, 2017.

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Downloadable Tools for Making the Case

Last Updated: March 4, 2019

These downloadable tools can be used to make the case for palliative care investment with organization leaders, health plans, colleagues, and community partners.

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Optimizing Billing Practices

Last Updated: March 4, 2019

Toolkit with billing and coding best practices for palliative care services delivered in the hospital or the community.

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Financing a Palliative Care Program

Last Updated: March 4, 2019

Toolkit for building a business plan and budget, forming financial partnerships, and operating the program efficiently.

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Interdisciplinary Staffing Cost Estimator

Last Updated: January 29, 2019

Average costs per team member by discipline, taking into account non-billable time.

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Hospital Palliative Care Program Staffing Worksheet

Last Updated: January 29, 2019

Project staffing FTE per discipline based on expected patient volumes. Center to Advance Palliative Care, 2015.

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Community Palliative Care: Estimating Average Time/Visit to Determine Capacity

Last Updated: May 6, 2019

Template and example for estimating time per patient visit for a new visit and for follow-up/subsequent visits, including a calculator for generating a weighted average visit time. Center to Advance Palliative Care, 2017.

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Template for Estimating Staff Costs for a Visit and a Patient

Last Updated: January 29, 2019

Model your assumptions about costs based on the variables of staff cost, staff time allocation, and patient volume.

Appreciating and meeting the unique needs of various patient populations appropriate for palliative care.

Patient Identification and Assessment

Last Updated: March 4, 2019

Toolkit for finding the right patients at the right time to address gaps in care.

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Population Management and Palliative Care

Last Updated: March 4, 2019

Improving operations and training clinical staff to identify, stratify, and meet the needs of patients living with serious illness at the population level.

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Dementia: Relieving Suffering for Patients and Families

Last Updated: January 31, 2017

Identifying and addressing the sources of suffering for patients and families living with dementia.

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Chronic Obstructive Pulmonary Disease (COPD)

Last Updated: April 21, 2017

Assessing and addressing sources of suffering for people living with chronic obstructive pulmonary disease (COPD) and their caregivers.

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Heart Failure

Last Updated: August 21, 2017

Interventions to reduce suffering along the disease trajectory for people living with congestive heart failure (CHF) and their families.

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The American College of Surgeons Trauma Quality Improvement Program (ACS TQIP) Palliative Care Best Practices Guidelines

Last Updated: April 16, 2019

Guidance on palliative care integration with trauma care. American College of Surgeons, 2017.

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Incorporating core principles for a healthy, high-functioning interdisciplinary palliative care team.

Strategies for Maximizing the Health/Wellness of Palliative Care Teams

Last Updated: January 29, 2019

Monograph on processes that promote team health. Center to Advance Palliative Care, 2014.

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Clarifying Goals of Care

Last Updated: January 15, 2015

Strategies for eliciting patient goals and preferences to inform treatment decisions.

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Advance Care Planning Conversations

Last Updated: November 12, 2015

How to initiate and conduct conversations about advance care planning.

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Improving Team Performance

Last Updated: January 15, 2015

Strategic planning for new or veteran programs, and a framework for identification of barriers to team efficiency and team health.

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Consult Etiquette: Communicating with Referring Providers

Last Updated: November 12, 2015

Guidance for palliative care teams to build collaborative relationships with referrers.

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Quick Tips #1: Hiring New Team Members

Last Updated: January 29, 2019

Hire a stable, high-performing team. Center to Advance Palliative Care, 2018.

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Quick Tips #2: Onboarding New Team Members

Last Updated: January 29, 2019

Best practices for onboarding new staff to the palliative care team. Center to Advance Palliative Care, 2018.

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Quick Tips #3: Team Health and Resilience

Last Updated: February 3, 2019

Ensure strong morale and healthy team functioning. Center to Advance Palliative Care, 2018.

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Quick Tips #4: Role Clarity for a Highly Effective Interdisciplinary Team

Last Updated: February 3, 2019

Clarify team roles and responsibilities to ensure positive relationships and productivity. Center to Advance Palliative care, 2018.

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Quick Tips #5: Running Effective Interdisciplinary Team Patient Care Meetings

Last Updated: February 3, 2019

Best practices in efficient, effective IDT meetings. Center to Advance Palliative Care, 2018.

Understanding how palliative care programs work with seriously ill patients and families to relieve suffering and improve quality of life.

National Consensus Project for Quality Palliative Care, 4th edition

Last Updated: January 29, 2019

The National Consensus Project (NCP) Clinical Practice Guidelines are the national standard for high quality palliative care. National Consensus Project for Quality Palliative Care, 2018.

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The CAPC Guide to Building a Hospital Palliative Care Program

Last Updated: February 25, 2019

Comprehensive manual on hospital-based palliative care program design. Center to Advance Palliative Care, 2008.

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Palliative Care in the Home: A Guide to Program Design (PDF Download)

Last Updated: March 1, 2019

Essential reference for starting home-based palliative care, including design principles and profiles of sustainable home-based programs.

Palliative Care in the Home: A Guide to Program Design (Purchase Link for Non-Members)

Last Updated: August 27, 2019

Essential reference for starting home-based palliative care, including design principles and profiles of sustainable home-based programs.

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Course 1: Comprehensive Pain Assessment

Last Updated: July 1, 2019

Conducting a comprehensive pain assessment to guide safe and effective treatment.

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Supporting the Family Caregiver: The Burden of Serious Illness

Last Updated: March 10, 2016

Assessing and supporting caregivers of people with serious illness.

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Care Coordination

Last Updated: March 10, 2016

Guidance for all clinicians on improving communication and ensuring smooth transitions of care for patients living with serious illness.

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Integrating palliative care impact on quality measures in health care, and how to demonstrate program value through measurement.

Measurement Best Practices

Last Updated: March 4, 2019

Use this toolkit to select program measures that demonstrate value to stakeholders and support quality care delivery. Overcome common measurement obstacles and synthesize program data.

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Recommended Program Measures and CAPC Measurement Toolkit

Last Updated: February 3, 2019

Recommended measures for inpatient and community palliative care programs, and using data to demonstrate value and perform continuous quality improvement.

Demonstrating Value to Stakeholders

Last Updated: March 4, 2019

Tools to make the case for palliative care resources and financial partnerships, including: the palliative care evidence base, and downloadable tools for presenting the case.

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Quality Measurement and Accountability for Community-Based Serious Illness Care: A Synthesis Report of Convening Findings and Conclusions

Last Updated: February 3, 2019

Results of a recent convening of experts to define appropriate quality measures for this population.

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CAPC Payment Primer- What to Know about Payment for Palliative Care Delivery

Last Updated: March 5, 2019

This monograph covers the basics of Medicare, Medicaid, health plans and the alternative payment models that are taking hold in the U.S. The intent is to provide a solid introduction to health plans, payment concepts and key considerations as a foundation to support sustainable relationships with payers and other risk-bearing entities. Center to Advance Palliative Care, 2017.

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