This toolkit provides practical guidance for leaders, clinical champions, and administrators developing or expanding pediatric palliative care services. Resources focus on program planning, staffing, operations, partnerships, and sustainability to help organizations build high-quality programs that meet the needs of pediatric patients (i.e., neonates, perinates, infants, children, adolescents, and young adults) with serious illness and their families.

What’s in the Toolkit

Introduces program leaders to the pediatric palliative care landscape, national standards, and quality frameworks. Use these resources to build foundational program knowledge and make the case to leadership.

NHPCO Standards of Practice for Pediatric Palliative Care
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Developed in 2022 by the National Hospice and Palliative Care Organization (NHPCO), this resource is a 36-page national standards document for safe, high-quality pediatric home-based care. Use it as a blueprint when evaluating or strengthening your home-based service line; pull the eligibility and staffing sections first.

National Consensus Project for Quality Palliative Care, 4th edition

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.

Pediatric Palliative Care Practice Examples from the NCP Clinical Practice Guidelines, 4th Edition

Pediatric-specific examples mapped to each of the 8 NCP domains. Use alongside the NCP Guidelines to translate each domain into concrete pediatric practice.

Value Proposition: Making the Case for Pediatric Palliative Care

Articulates the clinical and operational value of a pediatric palliative care program. Use when building internal support with department heads or hospital administrators.

Aligning Quality and Mission: Understanding the Leadership Case for Pediatric Palliative Care
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Talking points and testimonials from children's hospital leaders who have invested in palliative care. Use when preparing for a specific budget or expansion conversation with hospital leadership.

Understanding the Landscape of Community-Based Pediatric Serious Illness Care
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Defines and distinguishes the role of palliative care, hospice, and home care for pediatric patients with serious illness.

The Joint Commission Palliative Care Certification
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A nationally recognized accreditation for palliative care programs. Use when your program is ready to pursue formal certification, or to benchmark against certification-level standards now.

Optimal Resources for Cancer Care (2020 Standards)

Commission on Cancer standards requiring palliative care integration in oncology programs. Use if your pediatric program serves oncology patients, to align with accreditation requirements your hospital may already be pursuing.

Pediatric Psychosocial Oncology Care Standards (2015)

Evidence-based psychosocial care standards covering distress screening, family/sibling support, and interprofessional practice. Use when designing your program's psychosocial and family-support services.

Palliative Care Leadership Centers™

Palliative Care Leadership Centers (PCLC) provide palliative care teams the skills and organizational abilities needed to develop and deliver the highest-quality, sustainable programs.

The tools in this section guides program leaders through foundational program design decisions, from framework to care model to staffing.

Getting Started Pediatric Palliative Care Program Planning Guide
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A needs assessment framework for designing a pediatric palliative care program. Use to evaluate your organization's current state and identify gaps before you commit to a model.

Pediatric Community-Based Palliative National Program Landscape Summary
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Findings from CAPC's interviews with pediatric programs nationwide (2023–2025). Use to see how comparable programs are structured before finalizing your own design.

Innovative Initiatives in Pediatric Community-Based Palliative Care

In this on-demand webinar, three pediatric palliative care programs share their innovative ideas for comprehensive, interprofessional, and sustainable community-based care.

Hospital Based Pediatric Palliative Care Program Design Variables to Consider
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Key factors affecting inpatient program design, patient volume, and staffing. Use alongside the needs assessment to ground design decisions in realistic operational parameters.

Patient Volume Estimator Worksheet
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A worksheet for estimating patient volume and staffing needs. Use early in planning to build a data-informed case for the resources and team size you're requesting.

Pediatric Palliative Care

In this Virtual Office Hour, ask questions related to strategic planning, program development, communication techniques, and managing operations for the pediatric palliative care program.

Builds the financial case for a pediatric palliative care program, from business planning basics and demonstrating value to funding and billing.

Pediatric Palliative Care Business Planning Guide
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Outlines the essential components of a pediatric palliative care business plan. Use to quickly orient your team and frame how service design decisions drive your financial model.

The Financial Case Demonstrating Value in a Pediatric Palliative Care Program
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Covers volume estimation, funding assumptions, and financial modeling. Use to build a data-informed financial case before pitching hospital administration or foundations.

Budget and Staffing Worksheet: Aligning Your Palliative Care Program Funding Sources and Expenses
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Maps program expenses against funding sources across start-up and years 1–3. Use to size a realistic budget request before your pitch to leadership.

Pediatric Palliative Care: Billing and Business Planning

Tools for business planning, developing a program budget, and billing for pediatric palliative care services.

Exploring the Need for Palliative Care in a Pediatric Value-Based Care Model

Exploring the Need for Palliative Care in a Pediatric Value-Based Care Model

Learn to operationalize your pediatric palliative care program, including messaging for referrals and positioning, measurement, staffing, and more.

Pediatric Palliative Care Highlight: Interview with Dr. Justin Baker of St. Jude Children’s Research Hospital
Health Equity

Tools to help health professionals improve health equity for all people living with serious illness.

Marketing and Messaging Palliative Care

Tools for refining your palliative care program’s marketing strategy, and your messaging.

Measurement Best Practices

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

Building and Supporting Effective Palliative Care Teams

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

Supports ongoing growth, sustainability, and leadership development for individuals working in health care settings.

Strategic Leadership Skills for the Palliative Care or Geriatric Program Leader

Develop essential leadership skills with core principles, practical frameworks, and guidance in self-assessment, communication, and team-building for health care leaders.

U.S. Health Care Payment and Policy 101

Learn how U.S. health care payment works, from Medicare and Medicaid to alternative payment models and private equity, so you can lead palliative care and geriatrics programs that deliver quality care while remaining financially sustainable.

Health Care Business and Organizational Leadership Skills

Develop practical skills in systems thinking, financial management, and change navigation to build resilient, high-impact palliative care and geriatrics programs.

Pediatric palliative care depends on complex federal and state policies related to reimbursement, workforce training, concurrent care, and care delivery, making advocacy a critical component of expanding access and improving outcomes.

Federal Policy in Palliative Care

Explore recent federal palliative care initiatives, learn about opportunities for federal action, and access guidance on policy implementation.

State Policy in Palliative Care

Use this toolkit to learn the issues and opportunities, explore recent state initiatives, and access guidance on implementation.

State Palliative Care Forum
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Free, centralized online forum for people who are interested in advancing palliative care at the state-and local levels.

PPCC Partner Coalitions
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The Pediatric Palliative Care Coalition (PPCC) partner coalitions are working together as one united voice to achieve greater impact for children and families.

Pediatric End-of-Life Care Research: Talking to Policy Makers
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Free, state-specific infographics and Medicaid contacts to help you advocate for pediatric palliative care designed to assist you in having a conversation with your policymakers. Produced by the Pediatric End-of-Life Care Research program at the University of Tennessee, Knoxville.

See all 47 Toolkits

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