Designing an Office or Clinic Palliative Care Program

Last Reviewed: March 4, 2019

Patients who are neither hospitalized nor on hospice care need access to palliative care in a community clinic or office setting, such as a cancer center or dialysis unit. Such services may be delivered by physician groups or hospice- or home-health-based palliative care teams, or as extensions of an inpatient palliative care team and program.

Some office/clinic palliative care programs are embedded within another specialty clinic (for example, an oncology clinic), while others may share space within an existing clinic but operate independently; still others are geographically freestanding. Each model has operational and financial tradeoffs—learn more in the “Designing the Service” section of this toolkit.

What’s in the Toolkit

Engage stakeholders—patients and families, organizational leadership, referrers, and financial partners—to understand their priorities and guide program design.

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.

start the course

Needs Assessment: Ensuring Successful Community-Based Palliative Care

Last Updated: January 15, 2015

Evaluating patient need, service requirements, care settings, and stakeholder priorities for the community-based palliative care program.

start the course
MEMBERS ONLY locked

Community-Based Palliative Care Needs Assessment and Decision-Making Tool

Last Updated: January 29, 2019

Step-by-step tool to evaluate patient need, stakeholder priorities, organizational readiness, and sites of care for a new or growing community-based palliative care service.

Community Toolbox: Conducting Focus Groups

Last Updated: March 29, 2019

Comprehensive instructions and tools for conducting focus groups during a needs assessment. Published by Community Tool Box.

view

Evaluating Models for Palliative Care in the Community

Ask questions of expert faculty about community-based models of care, including staffing, financing, service partnerships, and measuring productivity.

register

Planning for Community-Based Care: Getting Started

Ask questions of expert faculty about launching a new community-based program, designing your service package and staffing, and navigating the challenges of a new program.

register

Clinic-based palliative care services are delivered using a number of different models depending upon patient need, organizational priorities, and referrer relationships.

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.

view

Office-Based Palliative Care Program Design

Last Updated: January 15, 2015

Designing and implementing an office-based palliative care program, including clinical model and operational considerations.

start the course

Specialty Palliative Care Delivery in the Clinic

Ask questions about developing an office- or clinic-based palliative care service, including factors such as administrative oversight, patient populations, services, staffing, and quality metrics for palliative care.

register
MEMBERS ONLY locked

Population Stratification Considerations

Last Updated: February 3, 2019

Guidance on dosing interventions based on patient risk.

MEMBERS ONLY locked

Office-Based Palliative Care Clinical Encounter Planning Checklist

Last Updated: February 3, 2019

Steps to ensure high-quality, well-coordinated clinical care for the office-based interdisciplinary team.

MEMBERS ONLY locked

Office-Based Palliative Care Administrative Planning Checklist

Last Updated: February 3, 2019

Steps to ensure high-functioning administrative and operational practices for the office-based program.

Building and Supporting Effective Palliative Care Teams

Last Updated: March 4, 2019

Hire and onboard your staff, manage program operations, and ensure a healthy high-functioning team using this toolkit.

view
MEMBERS ONLY locked

Telehealth Start-Up Guide

Last Updated: February 3, 2019

Key components of telehealth service delivery, especially in a home-based palliative care program.

MEMBERS ONLY locked

Specialty Clinic/Primary Care Service Agreement

Last Updated: February 3, 2019

Sample service agreement and scope of practice for embedded palliative care services. Shared by the John D. Dingell VA Medical Center.

Use these tools to design or update a sustainable business plan and budget for your clinic program.

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.

start the course

Funding 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.

view

Optimize your program’s billing practices to support financial viability.

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.

view

Billing for Community-Based Palliative Care

Ask questions about billing for services provided in the home, office, or long-term care setting.

register

Collect data on outcomes that matter to your program’s financial and clinical stakeholders—including patients—and that facilitate continuous quality improvement. Use these tools to identify measures aligned with the concerns of your stakeholders, collect the data, and apply data analytics to demonstrate program value.

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.

view
MEMBERS ONLY locked

Health IT Functionality and Reporting Checklist

Last Updated: February 3, 2019

List of HIT capabilities needed by palliative care programs for population management and data monitoring.

MEMBERS ONLY locked

Clinic Patient Follow-Up Evaluation

Last Updated: February 3, 2019

Phone script and visit follow-up evaluation tool, including symptom assessment and patient satisfaction survey. Shared by the University of California San Francisco, 2013.

MEMBERS ONLY locked

Pediatric Family Bereavement Survey

Last Updated: February 3, 2019

Satisfaction survey for bereaved families. Includes request for feedback on how to improve the service. Shared by Akron Children's Hospital, October 2008.

MEMBERS ONLY locked

Palliative Care Program Performance Improvement Report (Sample)

Last Updated: February 3, 2019

Sample executive summary of a year-end performance report, including service milestones and performance improvement indicators. Shared by OACIS Palliative Care, Lehigh Valley Health Network.

MEMBERS ONLY locked

Referring Clinician Satisfaction Survey

Last Updated: February 3, 2019

Assess satisfaction and generate feedback from referring providers. Shared by Froedtert Hospital.

Sample tools used by clinic-based palliative care teams to manage referrals, document patient visits, and maintain clinical quality.

MEMBERS ONLY locked

Clinic Referral Intake Form (Sample)

Last Updated: February 3, 2019

Intake form for the new palliative care clinic patient. Shared by Massachusetts General Hospital, 2012.

MEMBERS ONLY locked

Clinic Referral Form (Sample)

Last Updated: February 3, 2019

Referral form for new palliative care patients see in clinic. Shared by Massachusetts General Hospital, 2012.

MEMBERS ONLY locked

Palliative Care Service Appointment Status and Check-Out Sheet (Sample)

Last Updated: February 3, 2019

Check-out sheet including appointment status, next visit planning, testing requests, and recommended referrals. Shared by Massachusetts General Hospital, 2010.

MEMBERS ONLY locked

Clinic Consultation Note Template

Last Updated: February 3, 2019

Oncology clinic palliative care note template. Shared by UCSF Helen Diller Family Comprehensive Cancer Center, October 2008.

MEMBERS ONLY locked

SMS History and Physical Form for APEX

Last Updated: February 3, 2019

Template for standardized entry of H&P into the EHR, including all palliative care domains called for in the NCP Guidelines.

MEMBERS ONLY locked

Client Patient Call Documentation Form

Last Updated: February 3, 2019

Template documentation for a patient call to the clinic. Shared by Massachusetts General Hospital, 2012.

MEMBERS ONLY locked

Prescribing Opioids: A Pocket Reference

Last Updated: April 26, 2019

Opioid pocket reference for providers including safe starting doses, equianalgesic chart, and standard dosing strengths. Center to Advance Palliative Care, 2016.

MEMBERS ONLY locked

Standard: Non-Controlled Medication Refill

Last Updated: February 3, 2019

Protocol for addressing requests for refills for non-controlled medications. Shared by the University of Alabama at Birmingham Supportive and Palliative Care Clinics.

MEMBERS ONLY locked

Standard: Bereavement

Last Updated: February 3, 2019

Sample standard for bereavement services for the palliative care team. Shared by the University of Alabama at Birmingham Supportive and Palliative Care Clinics.

Sample position descriptions for the clinic-based team.

Building and Supporting Effective Palliative Care Teams

Last Updated: March 4, 2019

Hire and onboard your staff, manage program operations, and ensure a healthy high-functioning team using this toolkit.

view

Related Toolkits See all 4 toolkits