Achieving earlier entry to hospice care: Issues and strategies. Sonia Lee, APN, GCNS-BC

Size: px
Start display at page:

Download "Achieving earlier entry to hospice care: Issues and strategies. Sonia Lee, APN, GCNS-BC"

Transcription

1 Achieving earlier entry to hospice care: Issues and strategies Sonia Lee, APN, GCNS-BC

2 Objectives The learner will: Describe the benefits of hospice List at least barriers to early hospice care List at least 2 strategies to early hospice admission The presenter has no financial relationships to disclose

3 The hallmark of hospice care View the patients and families as a single unit of care Focus on care and palliation rather than cure Goal of improving quality of life so patients may live until they die

4 An interdisciplinary approach Nurse Volunteer Physician Chaplain Patient & family Nursing assistant Social worker Bereavement counselor Nurse

5 The hospice care team addresses: pain and symptom control Psychosocial distress and spiritual issues Prepare patient and family for dying and death

6 Eligibility for Hospice Care Patients who desire to end curative phase of treatment. Patients who want to be kept as physically, emotionally and spiritually comfortable as possible. Patients with a prognosis of 6 months or less, if the disease is left untreated and follows its natural course.

7 The problem Most of the patients enroll in hospice too late to receive its full benefit Late enrollment is associated with shorter LOS and lower satisfaction with hospice No time to develop plan of care or prepare patient and family

8 The last days Hospice use: Increase from 22% (2000) to 42% (2009) 33% die within 7 days 28% die within 3 days Increase in ICU in the last month of life 24% (2000) to 30% (2009) Only 45% died in hospice

9 Category of barriers to early access Misconceptions of hospice Emotional hindrance Financial issues Regulatory barriers

10 Misconceptions Hospice as a place Unaware of symptom management Reserved for actively dying When care cannot be handled Equate with no treatment Hospice expedite death Only for cancer patients

11 Emotional blockage Refusal or failure to acknowledge terminality Desire to pursue further treatment Denial or avoidance Equate with giving up hope HC providers not communicating and/or not listening to end-of-life wishes

12 Financial issues Use of post-hospital skilled nursing days for end-of-life care Financial penalties for NHs and patients/families Choosing SNF over hospice

13 Regulatory barriers No simultaneous access to SNF care and hospice for the same condition. No home rehab in hospice Need for hospital/hospice models

14 Strategies for early access to hospice Be knowledgeable about hospice and its benefits Have crucial conversations Make recommendation for hospice; Patients depend on HC providers to make hospice referral at the right time Partner with palliative care consult

15 Increase awareness in all sites Clinics- downward trajectory ED- the frequent flyers Physician s office- refractory to treatments Hospitals- complications from the treatments More important to receive a wrong referral than to miss a hospice referral that is needed

16 Know about hospice benefits Misconceptions Hospice as a place Only for cancer patients Unaware of symptom management Reserved for actively dying When care cannot be handled Equate with no treatment Hospice expedite death Defining hospice Quality, compassionate care for people with life limiting or life threatening illness or injury. It is tailored to each patient s needs and wishes. Hospice is not meant to prolong life nor to hasten death but rather to maximize patients quality of life as they travel along this last journey.

17 Why choose hospice? Terminally ill patients who chose hospice care lived an average of one month longer than similar patients who did not choose hospice care

18 Practical tips for early access Would you be surprised if the patient died within the year? Earlier discussion about care options and goals of care Explore patient/family s perception of hospice Explain hospice as an insurance option

19 Hospice as an insurance option Medicare part A What does Medicare cover? Physician and nurse services Medical equipment Medical supplies Medications related to hospice diagnosis Health aide services Social worker services

20 The crucial conversation Discussion about goals of care What does he/she think is happening What are the goals, given the circumstances Identify and assess the benefits and burdens of various options

21 Palliative consult For symptom management Collaboration of care; the big picture Goals of care discussions Co-exist with rehab in SNF No conflict with home health Simultaneous with curative care

22 In summary Hospice care enhances patient s QOL and support family Hospice is an under-utilized The NPs and PA can play a vital role in providing early access to hospice

23 Objectives The learner will: Describe the benefits of hospice List at least barriers to early hospice care List at least 2 strategies to early hospice admission

24 Questions?

Palliative Care in the Community Setting. David Mandelbaum, MD Melissa Rockhill, MSN, GNP-BC Lorie Hacker, MSN, NP-C, CNE

Palliative Care in the Community Setting. David Mandelbaum, MD Melissa Rockhill, MSN, GNP-BC Lorie Hacker, MSN, NP-C, CNE Palliative Care in the Community Setting David Mandelbaum, MD Melissa Rockhill, MSN, GNP-BC Lorie Hacker, MSN, NP-C, CNE Objectives 1. Discuss the framework for building a palliative care program in the

More information

There For You. Your Compassionate Guide. World-Class Hospice Care Since 1979

There For You. Your Compassionate Guide. World-Class Hospice Care Since 1979 There For You Your Compassionate Guide World-Class Hospice Care Since 1979 What Is Hospice? Hospice is a type of care designed to provide support during an advanced illness. Hospice care focuses on comfort

More information

Exploring the Benefits of Both Palliative and Hospice Care

Exploring the Benefits of Both Palliative and Hospice Care Exploring the Benefits of Both Palliative and Hospice Care David Mandelbaum, M.D. Director, Palliative Care Services Co-Medical Director, Hospice Services Franciscan Health, Indianapolis, Mooresville,

More information

Module 1: Principles of Palliative Care. Part I: Dying Well. A Good Death Defined

Module 1: Principles of Palliative Care. Part I: Dying Well. A Good Death Defined E L N E C End-of-Life Nursing Education Consortium Geriatric Curriculum Module 1: Principles of Palliative Care Part I: Dying Well A natural part of life Opportunity for growth Profoundly personal experience

More information

HOSPICE My lecture outline

HOSPICE My lecture outline Objectives: o Describe a brief history of the development of hospice care o Describe the hospice philosophy of care o Describe the referral process o Describe hospice services o Describe reimbursement

More information

Chapter 6. Hospice: A Team Approach to Care

Chapter 6. Hospice: A Team Approach to Care Chapter 6 Hospice: A Team Approach to Care Chapter 6: Hospice: A Team Approach to Care Comfort, Respect and Dignity in Dying Hospice care provides patients and family members with hope, comfort, respect,

More information

Focused on the Big picture

Focused on the Big picture Focused on the Big picture Tamara M. Shearrow, MSN, NP-C, ACHPN Palliative Care Services Winchester Medical Center The presenter has no conflicts of interest to disclose. Objectives Understand how palliative

More information

Palliative Care to Hospice: Forging an Effective Partnership. Dennis Cox, LCSW

Palliative Care to Hospice: Forging an Effective Partnership. Dennis Cox, LCSW Palliative Care to Hospice: Forging an Effective Partnership Dennis Cox, LCSW The Old Days Home Care or Hospice There was a clear choice Physicians needed to take a stand Have the Hospice conversation

More information

Hospice and Palliative Care An Essential Component of the Aging Services Network

Hospice and Palliative Care An Essential Component of the Aging Services Network Hospice and Palliative Care An Essential Component of the Aging Services Network Howard Tuch, MD, MS American Academy of Hospice and Palliative Medicine Physician Advocate, American Academy of Hospice

More information

Palliative Care in the Community

Palliative Care in the Community Palliative Care in the Community Carol Babcock, MFT Director Palliative Care, Navicent Health American College of Surgeons Commission on Cancer (CoC) Standard 2.4 Palliative care services are available

More information

August 16, Healthy Living Conference For Seniors and Caregivers VITAS 1. What we Know. Defining Palliative Care: Comfort. Symptom Management.

August 16, Healthy Living Conference For Seniors and Caregivers VITAS 1. What we Know. Defining Palliative Care: Comfort. Symptom Management. Comfort. Symptom Management. Respect. & Hospice Care Pam Wright, LCSW Licensed Clinical Social Worker pamela.wright@vitas.com 626-918-2273 What we Know Defining : Palliative care is medical care that relieves

More information

There Is Something More We Can Do: An Introduction to Hospice and Palliative Care

There Is Something More We Can Do: An Introduction to Hospice and Palliative Care There Is Something More We Can Do: An Introduction to Hospice and Palliative Care presented to the Washington Patient Safety Coalition July 28, 2010 Hope Wechkin, MD Medical Director Evergreen Hospice

More information

What You Need To Know About Palliative Care. Natalie Wu Moy, LCSW, MSPA RUHS Medical Center Hospital Social Services Director

What You Need To Know About Palliative Care. Natalie Wu Moy, LCSW, MSPA RUHS Medical Center Hospital Social Services Director What You Need To Know About Palliative Care Natalie Wu Moy, LCSW, MSPA RUHS Medical Center Hospital Social Services Director None of the faculty, planners, speakers, providers, nor CME committee members

More information

How Many Times? Result: an Unsatisfactory Outcome That Can Be Avoided

How Many Times? Result: an Unsatisfactory Outcome That Can Be Avoided Removing Obstacles to a Peaceful Death by Revising Health Professional Training and Payment Systems Professor Kathy L. Cerminara Nova Southeastern University Shepard Broad College of Law October 24, 2018

More information

Wellness along the Cancer Journey: Palliative Care Revised October 2015

Wellness along the Cancer Journey: Palliative Care Revised October 2015 Wellness along the Cancer Journey: Palliative Care Revised October 2015 Palliative Care- Rev. 10.8.15 Page 355 WELLNESS ALONG THE CANCER JOURNEY: PALLIATIVE CARE Goals: Community health workers and care

More information

Transformative Social Work Practice, Schott & Weiss. Test Bank

Transformative Social Work Practice, Schott & Weiss. Test Bank Test Bank Chapter 2: Palliative and Hospice Care Settings (Dawn Joosten) Multiple Choice 1. Based on their definition and function, what are the two similar factors associated with both palliative and

More information

A Quick Talk About Hospice As a Local Community Resource

A Quick Talk About Hospice As a Local Community Resource A Quick Talk About Hospice As a Local Community Resource 1 Agenda A Very Brief Overview of Hospice Care Your Local Hospice as a Greif & Bereavement Resource 2 David Stone, LCSW, ACSW, CAE Chief Executive

More information

Quality of Life (F309 End of Life) Interpretive Guidance Investigative Protocol

Quality of Life (F309 End of Life) Interpretive Guidance Investigative Protocol 483.25 Quality of Life (F309 End of Life) Interpretive Guidance Investigative Protocol 2 483.25 End of Life Each resident must receive and the facility must provide the necessary care and services to attain

More information

What is palliative care? What is palliative care? Dr Claire L Hookey

What is palliative care? What is palliative care? Dr Claire L Hookey What is palliative care? What is palliative care? Dr Claire L Hookey Palliative Care an approach that improves the quality of life of patients and their families facing the problems associated with life-threatening

More information

Brought to you by the Massachusetts Medical Society and its Committee on Geriatric Medicine

Brought to you by the Massachusetts Medical Society and its Committee on Geriatric Medicine Brought to you by the Massachusetts Medical Society and its Committee on Geriatric Medicine What is palliative care? Care focused on helping support and guide patients who have life limiting and serious

More information

A Population Health Approach to Palliative Care

A Population Health Approach to Palliative Care A Population Health Approach to Palliative Care Steven Pantilat, MD Professor of Medicine Kates-Burnard and Hellman Distinguished Professor in Palliative Care Director, and Palliative Care Quality Network

More information

Palliative Care: Improving quality of life when you re seriously ill.

Palliative Care: Improving quality of life when you re seriously ill. Palliative Care The Relief You Need When You re Experiencing the Symptoms of Serious Illness Palliative Care: Improving quality of life when you re seriously ill. Dealing with the symptoms of any painful

More information

PALLIATIVE CARE IN NEW YORK STATE

PALLIATIVE CARE IN NEW YORK STATE Collaborative for Palliative Care In collaboration with its partners End of Life Choices New York Finger Lakes Geriatric Education Center at the University of Rochester COLLABORATIVE FOR PALLIATIVE CARE

More information

Integration of a Palliative Approach:

Integration of a Palliative Approach: Integration of a Palliative Approach: A Look at Serious Illness 2018 CHPCA Learning Institute June 2018 Objectives 1. Explore what is meant by a palliative approach 2. Describe different conceptual models

More information

Study of Hospice-Hospital Collaborations

Study of Hospice-Hospital Collaborations Study of Hospice-Hospital Collaborations Table of Contents Executive Summary 2 Introduction 3 Methodology 4 Results 6 Conclusion..17 2 Executive Summary A growing number of Americans in the hospital setting

More information

Palliative Care at ARMC

Palliative Care at ARMC Palliative Care at ARMC Jean Andrews, RN, BSN, CHPN November 27, 2012 What is Palliative Care? A service that provides education, comfort, and support for people with serious illnesses. A means of matching

More information

End of Life with Dementia Sue Quist RN, CHPN

End of Life with Dementia Sue Quist RN, CHPN End of Life with Dementia Sue Quist RN, CHPN Objectives: Describe the Medicare hospice benefit and services. Discuss the Medicare admission criteria for hospice patients with dementia due to Alzheimer

More information

12/6/2016. Objective PALLIATIVE CARE IN THE NURSING HOME. Medical Care in the US. Palliative Care

12/6/2016. Objective PALLIATIVE CARE IN THE NURSING HOME. Medical Care in the US. Palliative Care Objective PALLIATIVE CARE IN THE NURSING HOME Deborah Morris, M.D., M.H.S. Assistant Professor of Medicine The Glennan Center for Geriatrics and Gerontology Eastern Virginia Medical School Describe program

More information

Changing the Face of Palliative Care in Oncology Practice

Changing the Face of Palliative Care in Oncology Practice Changing the Face of Palliative Care in Oncology Practice Karin Porter-Williamson MD Associate Professor of Medicine Medical Director Palliative Care Services KU Hospital Amy Velasquez RN BSN OCN Allen

More information

Palliative Care: Mission and Strategic Imperative. Sarah E. Hetue Hill, PhD Ascension Healthcare

Palliative Care: Mission and Strategic Imperative. Sarah E. Hetue Hill, PhD Ascension Healthcare Palliative Care: Mission and Strategic Imperative Sarah E. Hetue Hill, PhD Ascension Healthcare Ascension Palliative Care Definition Palliative Care is person-centered, holistic care delivered by an interdisciplinary

More information

WPCA Policy statement on defining palliative care

WPCA Policy statement on defining palliative care The Worldwide Palliative Care Alliance Hospice House 34-44 Britannia Street London WC1X 9JG info@thewpca.org WPCA Policy statement on defining palliative care Purpose To provide clarification on palliative

More information

Palliative Care and Hospice. University of Illinois at Chicago College of Nursing

Palliative Care and Hospice. University of Illinois at Chicago College of Nursing Palliative Care and Hospice University of Illinois at Chicago College of Nursing 1 Learning Objectives Upon completion of this module, participants will be better able to: 1. Describe Palliative Care 2.

More information

Palliative Care under a Value Based Reimbursement Model. Janet Bull MD, MBA, FAAHPM CMO Four Seasons

Palliative Care under a Value Based Reimbursement Model. Janet Bull MD, MBA, FAAHPM CMO Four Seasons Palliative Care under a Value Based Reimbursement Model Janet Bull MD, MBA, FAAHPM CMO Four Seasons Objectives o Describe palliative care o Discuss benefits of palliative care o Understand differences

More information

Palliative Care in Patients with Brain Tumors: How to maintain hope and quality of life, even when treatments fail

Palliative Care in Patients with Brain Tumors: How to maintain hope and quality of life, even when treatments fail Tobias Walbert MD PhD MPH Assistant Professor Neurology Wayne State University Henry Ford Hospital Detroit twalber1@hfhs.org Palliative Care in Patients with Brain Tumors: How to maintain hope and quality

More information

The Role of Palliative Care in Readmission Reduction Steven Z. Pantilat, MD

The Role of Palliative Care in Readmission Reduction Steven Z. Pantilat, MD The Role of Palliative Care in Readmission Reduction Steven Z. Pantilat, MD Professor of Clinical Medicine Alan M. Kates and John M. Burnard Endowed Chair in Palliative Care Director, Palliative Care Program

More information

HELPGUIDE.ORG. Hospice and Palliative Care. What is hospice and palliative care? Trusted guide to mental, emotional & social health

HELPGUIDE.ORG. Hospice and Palliative Care. What is hospice and palliative care? Trusted guide to mental, emotional & social health HELPGUIDE.ORG Trusted guide to mental, emotional & social health Hospice and Palliative Care Quality of Life at the End of Life For many seriously ill patients, hospice and palliative care offers a more

More information

MODULE 1 PALLIATIVE NURSING CARE

MODULE 1 PALLIATIVE NURSING CARE Curriculum MODULE 1 PALLIATIVE NURSING CARE Objectives Describe the role of the nurse in providing quality palliative care for patients across the lifespan. Identify the need for collaborating with interdisciplinary

More information

Quality of Life (F309 End of Life) Surveyor Train the Trainer: Interpretive Guidance Investigative Protocol

Quality of Life (F309 End of Life) Surveyor Train the Trainer: Interpretive Guidance Investigative Protocol 483.25 Quality of Life (F309 End of Life) Surveyor Train the Trainer: Interpretive Guidance Investigative Protocol 2 483.25 End of Life Each resident must receive and the facility must provide the necessary

More information

Palliative Care Series. Faculty School of Nursing

Palliative Care Series. Faculty School of Nursing Palliative Care Series Faculty School of Nursing Palliative Care Series The purpose of this series of education module is to provide adequate preparation and educational support for LVNs in their practice.

More information

Hospice and Palliative Care: Value-Based Care Near the End of Life

Hospice and Palliative Care: Value-Based Care Near the End of Life Hospice and Palliative Care: Value-Based Care Near the End of Life Mary Dittrich, MD, FASN Senior Medical Director, Remedy Partners Joseph W. Shega, MD National Medical Director, VITAS Healthcare 2017

More information

2017 National Association of Social Workers. All Rights Reserved. 1

2017 National Association of Social Workers. All Rights Reserved. 1 2017 National Association of Social Workers. All Rights Reserved. 1 Palliative Care 101 for Social Workers in Aging Karen Bullock, PhD, LCSW June 15, 2017 NASW Virtual Conference Learning Objectives Overview

More information

PALLIATIVE CARE The Relief You Need When You Have a Serious Illness

PALLIATIVE CARE The Relief You Need When You Have a Serious Illness PALLIATIVE CARE The Relief You Need When You Have a Serious Illness PALLIATIVE CARE: Improving quality of life when you re seriously ill. Dealing with any serious illness can be difficult. However, care

More information

Objectives. ORC Definition. Definitions of Palliative Care. CMS and National Quality Forum Definition (2013) CAPC 9/7/2017

Objectives. ORC Definition. Definitions of Palliative Care. CMS and National Quality Forum Definition (2013) CAPC 9/7/2017 Objectives General overview of palliative care Define the role of palliative care Palliative Care Management and Transition Joan Hanson, Director of WRN Palliative Care, RN, CHPCA Jennifer Martnick, Team

More information

Hospice and Palliative Care: Value-Based Care Near the End of Life

Hospice and Palliative Care: Value-Based Care Near the End of Life Hospice and Palliative Care: Value-Based Care Near the End of Life Mary Dittrich, MD, FASN Senior Medical Director, Remedy Partners Joseph W. Shega, MD National Medical Director, VITAS Healthcare 2017

More information

Palliative Care: A Place on the Quality Scorecard?

Palliative Care: A Place on the Quality Scorecard? Palliative Care: A Place on the Quality Scorecard? J. Randall Curtis, MD, MPH Professor of Medicine Director, Palliative Care Center of Excellence www.uwpalliativecarecenter.com Disclosures and Funding

More information

THE ROLE OF PALLIATIVE CARE IN TREATMENT OF PATIENTS WITH CHRONIC, INFECTIOUS DISEASE

THE ROLE OF PALLIATIVE CARE IN TREATMENT OF PATIENTS WITH CHRONIC, INFECTIOUS DISEASE THE ROLE OF PALLIATIVE CARE IN TREATMENT OF PATIENTS WITH CHRONIC, INFECTIOUS DISEASE JESSICA MCFARLIN MD ASSISTANT PROFESSOR OF NEUROLOGY DIVISION CHIEF, PALLIATIVE AND SUPPORTIVE CARE I HAVE NO COI OR

More information

BACK TO THE FUTURE: Palliative Care in the 21 st Century

BACK TO THE FUTURE: Palliative Care in the 21 st Century BACK TO THE FUTURE: Palliative Care in the 21 st Century Section 3: Hospice 101 I m not afraid of death; I just don t want to be there when it happens. -Woody Allen A Century of Change 1900 2000 Age at

More information

Founded in 1978 as Hospice of the North Shore. Know Your Choices. A Guide for People with Serious Illness

Founded in 1978 as Hospice of the North Shore. Know Your Choices. A Guide for People with Serious Illness Founded in 1978 as Hospice of the North Shore Know Your Choices A Guide for People with Serious Illness Advance Care Planning: Expressing Your Wishes In Massachusetts, all patients with serious advancing

More information

Early Integration of Palliative Care

Early Integration of Palliative Care Early Integration of Palliative Care Dr. Camilla Zimmermann Head, Palliative Care Program University Health Network Toronto November 1, 2014 www.fpon.ca Early Integration of Palliative Care: Evidence and

More information

Jan Jahner, RN-BC, CHPN, OPK Ambercare Hospice April 29 th, 2011

Jan Jahner, RN-BC, CHPN, OPK Ambercare Hospice April 29 th, 2011 Jan Jahner, RN-BC, CHPN, OPK Ambercare Hospice April 29 th, 2011 Guardians, Advocates, Care givers and Family members: We must consider To be true friends and prevent suffering we must engage those for

More information

Tips and Tricks for Successful Navigation in Long Term Care

Tips and Tricks for Successful Navigation in Long Term Care Tips and Tricks for Successful Navigation in Long Term Care Jessica Kalender-Rich, MD Landon Center on Aging Department of Internal Medicine, General and Geriatric Medicine July 5, 2017 Objectives To identify

More information

A Practical Approach to Palliative Care in the ICU

A Practical Approach to Palliative Care in the ICU A Practical Approach to Palliative Care in the ICU Wendy Anderson, MD MS Critical Care Medicine and Trauma May 31, 2013 Disclosure Statement Dr. Anderson has no relevant financial relationships to disclose.

More information

Hospice Basics and Benefits

Hospice Basics and Benefits Hospice Basics and Benefits Goal To educate health care professionals about hospice basics and the benefits for the patient and family. 2 Objectives Describe the history and philosophy of the hospice movement

More information

Palliative Care in the ICU

Palliative Care in the ICU Palliative Care in the ICU David M. Fedor, DO, FACP, HMDC Intermountain Health Care Physician Intensivist-Critical Care Medicine: MckayDee Hospital; Medical Director - Palliative Care at Mckay Dee Hospital;

More information

Understanding Dementia &

Understanding Dementia & Understanding Dementia & Care Options for Those Suffering with the Disease Paige Landry BSN Hospice Care Consultant SouthernCare New Beacon Hospice Objectives Understand Dementia Understand Common Problems

More information

Palliative Care in the ED:

Palliative Care in the ED: Palliative Care in the ED: Don t Just Do Something Stand There Eric Isaacs, MD, FACEP Attending Physician, San Francisco General Hospital and Trauma Center Professor of Emergency Medicine, University of

More information

Pediatric Palliative Care

Pediatric Palliative Care Pediatric Palliative Care { Andrew K. Gormley, M.D. Director, Cardiac Intensive Care Assistant Medical Director, PICU Critical Care Medicine Department of Pediatrics The Children's Hospital at OU Medical

More information

Bring Palliative Care Into Your Office. Renee Baird, MSN, FNP-C, CHPN

Bring Palliative Care Into Your Office. Renee Baird, MSN, FNP-C, CHPN Bring Palliative Care Into Your Office Renee Baird, MSN, FNP-C, CHPN Pal-ee-uh-tiv Kair Palliative care is both a philosophy of care and an organized, highly structured system for delivering care. The

More information

The needs for palliative care in HIV/AIDS care setting. Linlin Lindayani

The needs for palliative care in HIV/AIDS care setting. Linlin Lindayani The needs for palliative care in HIV/AIDS care setting Linlin Lindayani HIV is important indicator in SDGs Target: By 2030, end the epidemics of AIDS HIV: THE FACTS Increase in people receiving ART over

More information

FINANCES OF PALLIATIVE CARE

FINANCES OF PALLIATIVE CARE FINANCES OF PALLIATIVE CARE Andrew Molosky, MBA Vice President of Operations Seasons Hospice & Palliative Care Learning Objectives: Distinguish and identify the unique needs of one's organization as it

More information

The Pulse of Palliative Care

The Pulse of Palliative Care The Pulse of Palliative Care Marianne E. Hess MSN, RN, CCRN-K George Washington University Hospital Disclosures: I do not have any relevant financial interest to disclose. I have no commercial interest

More information

Palliative Care, Hospice, and the Medical Home. Rob Stone MD Director, Palliative Care Indiana Health Bloomington

Palliative Care, Hospice, and the Medical Home. Rob Stone MD Director, Palliative Care Indiana Health Bloomington Palliative Care, Hospice, and the Medical Home Rob Stone MD Director, Palliative Care Indiana Health Bloomington The Patient Centered Medical Home (1) A personal physician (2) Physician-directed medical

More information

Know Your Choices: A Guide for Patients with Serious Advancing Illness

Know Your Choices: A Guide for Patients with Serious Advancing Illness Know Your Choices: A Guide for Patients with Serious Advancing Illness In Massachusetts, all patients with serious advancing illness have a legal right to receive information about their medical conditions,

More information

Palliative Care for Older Adults in the United States

Palliative Care for Older Adults in the United States Palliative Care for Older Adults in the United States Nathan Goldstein, MD Associate Professor Hertzberg Palliative Care Institute Brookdale Department of Geriatrics and Palliative Medicine Icahn School

More information

CareFirst Hospice. Health care for the end of life. CareFirst

CareFirst Hospice. Health care for the end of life. CareFirst Hospice Health care for the end of life 1 What is Hospice? Hospice is a philosophy- When a person in end stages of an illness can no longer receive, or wants to receive, life sustaining treatment, he or

More information

Understanding Hospice, Palliative Care and of-life Issues

Understanding Hospice, Palliative Care and of-life Issues Understanding Hospice, Palliative Care and End-of of-life Issues Huntington's Disease Society of America June 2009 Roseanne Berry, MS, RN RBC Consulting, LLC roseanne@rbcconsultingllc.com The information

More information

Objectives 2/11/2016 HOSPICE 101

Objectives 2/11/2016 HOSPICE 101 HOSPICE 101 Overview Hospice History and Statistics What is Hospice? Who qualifies for services? Levels of Service The Admission Process Why Not to Wait Objectives Understand how to determine hospice eligibility

More information

Palliative Pearls for the Cardiac Patient

Palliative Pearls for the Cardiac Patient Palliative Pearls for the Cardiac Patient 1 Lisa Simonian, DNP, CRNP, SANE-A Geoffrey P. Dunn, MD, FACS Liz Stroup, MSW Objectives Revisit the definition and purpose of Palliative Care Discuss palliative

More information

Pediatric Palliative Care and Having Difficult Conversations

Pediatric Palliative Care and Having Difficult Conversations Pediatric Palliative Care and Having Difficult Conversations UCSF Pediatric Neurology and Palliative Care Audrey Foster-Barber, MD, PhD Pediatric Hospital Medicine Boot Camp 6/14 Palliative Care A philosophy

More information

Integration of Palliative Care into Standard Oncology Care. Esther J. Luo MD Silicon Valley ONS June 2, 2018

Integration of Palliative Care into Standard Oncology Care. Esther J. Luo MD Silicon Valley ONS June 2, 2018 Integration of Palliative Care into Standard Oncology Care Esther J. Luo MD Silicon Valley ONS June 2, 2018 Objectives Become familiar with the literature illustrating the benefits of palliative care in

More information

Palliative Care & Hospice

Palliative Care & Hospice Palliative Care & Hospice Kenneth Brummel-Smith, M.D. Charlotte Edwards Maguire Professor, Department of Geriatrics Florida State University College of Medicine 1 Diane Meier, MD Director, Center to Advance

More information

SERVICE SPECIFICATION 6 Conservative Management & End of Life Care

SERVICE SPECIFICATION 6 Conservative Management & End of Life Care SERVICE SPECIFICATION 6 Conservative Management & End of Life Care Table of Contents Page 1 Key Messages 2 2 Introduction & Background 2 3 Relevant Guidelines & Standards 2 4 Scope of Service 3 5 Interdependencies

More information

Objectives. End-of-Life Exercise. Palliative Care Can Help Patients and Decrease 30-Day Hospital Readmissions.

Objectives. End-of-Life Exercise. Palliative Care Can Help Patients and Decrease 30-Day Hospital Readmissions. Palliative Care Can Help Patients and Decrease 30-Day Hospital Readmissions. Objectives Describe how palliative care meets the needs of the patient and family. Discuss how out-patient palliative care can

More information

Quality and Fiscal Metrics: What Proves Success?

Quality and Fiscal Metrics: What Proves Success? Quality and Fiscal Metrics: What Proves Success? 1 Quality and Fiscal Metrics: What Proves Success? Kathleen Kerr Kerr Healthcare Analytics Creating the Future of Palliative Care NHPCO Virtual Event February

More information

PERINATAL PALLIATIVE CARE SUPPORTING FAMILIES AS THEY PREPARE TO WELCOME THEIR BABY AND TO SAY GOOD-BYE

PERINATAL PALLIATIVE CARE SUPPORTING FAMILIES AS THEY PREPARE TO WELCOME THEIR BABY AND TO SAY GOOD-BYE PERINATAL PALLIATIVE CARE SUPPORTING FAMILIES AS THEY PREPARE TO WELCOME THEIR BABY AND TO SAY GOOD-BYE Kathy Cromwell CT, MSW, LCSW Director, Hinds Hospice Angel Babies HINDS HOSPICE ANGEL BABIES Our

More information

Hospice: Life s Final Journey Are You Ready?

Hospice: Life s Final Journey Are You Ready? Hospice: Life s Final Journey Are You Ready? Anthony D Antonio Senior Director, Business Development Sodexo Senior Living Agenda I. Government Scrutiny and Hospice II. III. IV. What is Hospice? NHPCO Facts

More information

Using Disease Trajectories to Guide Social work Practice with Chronically Ill patients and Their Caregivers. Christina Kulp, LCSW, ACHP-SW

Using Disease Trajectories to Guide Social work Practice with Chronically Ill patients and Their Caregivers. Christina Kulp, LCSW, ACHP-SW Using Disease Trajectories to Guide Social work Practice with Chronically Ill patients and Their Caregivers Christina Kulp, LCSW, ACHP-SW Presenter Biography Christina Kulp, LCSW, ACHP-SW Medical Hospice

More information

Hospice Care vs Palliative Care

Hospice Care vs Palliative Care Hospice Care vs Palliative Care Easing the burden of illness, Improving quality of life Seasons Hospice and Palliative Care Cheryl Ledesma, FNP-BC Jacklyn Griffin, ACNP-BC Objectives After completing this

More information

The Role of Clergy Through the Eyes of a Hospice and Palliative Care Physician. Laurie Hanne DO Aultman Hospice and Palliative Care

The Role of Clergy Through the Eyes of a Hospice and Palliative Care Physician. Laurie Hanne DO Aultman Hospice and Palliative Care The Role of Clergy Through the Eyes of a Hospice and Palliative Care Physician Laurie Hanne DO Aultman Hospice and Palliative Care About Me My Training What led me to hospice and palliative care My new

More information

The Challenge. Bill Frist, M.D.!

The Challenge. Bill Frist, M.D.! The Challenge 5% of U.S. Population Spend 50% of Healthcare Dollars % of Healthcare Spending % of U.S. Population 5% of Medicare beneficiaries die each year accounting for 27.4% of Medicare expenditures

More information

Coordination of palliative care in community settings. Summary report

Coordination of palliative care in community settings. Summary report Coordination of palliative care in community settings Summary report This resource may also be made available on request in the following formats: 0131 314 5300 nhs.healthscotland-alternativeformats@nhs.net

More information

Palliative Care. Treating the patient as well as the disease. Kelly Baxter, APRN Connie Ducharme, RN

Palliative Care. Treating the patient as well as the disease. Kelly Baxter, APRN Connie Ducharme, RN Palliative Care Treating the patient as well as the disease Kelly Baxter, APRN Connie Ducharme, RN CNE Palliative Care Team in collaboration with Healthcentric Advisors, Warwick Coalition Objectives To

More information

3/6/2015. Sandi Hebley RN, CHPN, LMSW

3/6/2015. Sandi Hebley RN, CHPN, LMSW Sandi Hebley RN, CHPN, LMSW 1. Discuss and define comprehensive assessment 2. Describe a psychosocial assessment 3. Describe a spiritual assessment 4. Describe an initial bereavement assessment Medicare

More information

Coach Caregiver: Caregiver Insights into Palliative Care

Coach Caregiver: Caregiver Insights into Palliative Care Coach Caregiver: Caregiver Insights into Palliative Care Coach: Wendy Johnstone, Gerontologist Guests: Katherine Arnup, Dr. David May & Christien Kaaij, Pat Porterfield Host & Moderator: Janet McLean,

More information

Patient Centered Care, But let s Not Forget About The Ending

Patient Centered Care, But let s Not Forget About The Ending Patient Centered Care, But let s Not Forget About The Ending Jennifer Shepherd, LCSW Palliative Care Social Worker Florence Afriyie, RN Carine Wawa, MSN, RN-BC Objectives To introduce our hospital organization

More information

By Crossroads Hospice UNDERSTANDING COMORBIDITIES AND TREATMENT OPTIONS IN HOSPICE CARE

By Crossroads Hospice UNDERSTANDING COMORBIDITIES AND TREATMENT OPTIONS IN HOSPICE CARE By Crossroads Hospice UNDERSTANDING COMORBIDITIES AND TREATMENT OPTIONS IN HOSPICE CARE UNDERSTANDING COMORBIDITIES AND TREATMENT OPTIONS IN HOSPICE CARE No two hospice patients are the same. This statement

More information

Advocate Health Care Palliative Care Service Line

Advocate Health Care Palliative Care Service Line Advocate Health Care Palliative Care Service Line Making the case for Palliative Care Approximately 90 million Americans are living with serious and life-threatening illness, and this number is expected

More information

Understanding the Role of Palliative Care in the Treatment of Cancer Patients

Understanding the Role of Palliative Care in the Treatment of Cancer Patients Understanding the Role of Palliative Care in the Treatment of Cancer Patients Palliative care is derived from the Latin word palliare, to cloak. This is a form of medical care or treatment that concentrates

More information

UNDERSTANDING COMORBIDITIES AND TREATMENT OPTIONS IN HOSPICE CARE

UNDERSTANDING COMORBIDITIES AND TREATMENT OPTIONS IN HOSPICE CARE UNDERSTANDING COMORBIDITIES AND TREATMENT OPTIONS IN HOSPICE CARE By Crossroads Hospice & Palliative Care UNDERSTANDING COMORBIDITIES AND TREATMENT OPTIONS IN HOSPICE CARE No two hospice patients are the

More information

Palliative Care. Providing supportive care when you need it

Palliative Care. Providing supportive care when you need it Palliative Care Providing supportive care when you need it Dealing with the symptoms of any painful or serious illness is difficult. However, special care is available to make you more comfortable. It

More information

PALLIATIVE CARE GOALS of CARE: DNR. Debra Luczkiewicz MD Kelly Denall ANP Supportive Medical Partners

PALLIATIVE CARE GOALS of CARE: DNR. Debra Luczkiewicz MD Kelly Denall ANP Supportive Medical Partners PALLIATIVE CARE GOALS of CARE: DNR Debra Luczkiewicz MD Kelly Denall ANP Supportive Medical Partners OBJECTIVES Understand the scope of palliative care. Describe the differences between Hospice and palliative

More information

Hospitalization-Related Hospice Disenrollment Where Can Palliative Care Make a Difference?

Hospitalization-Related Hospice Disenrollment Where Can Palliative Care Make a Difference? Hospitalization-Related Hospice Disenrollment Where Can Palliative Care Make a Difference? Maria A. Cantu, MD Assistant Professor Division of Geriatrics, Gerontology, and Palliative Medicine University

More information

Improving End-of-Life Cardiac Care Case Studies. Alan T. Kono, MD Associate Professor of Medicine DHMC & Geisel School of Medicine

Improving End-of-Life Cardiac Care Case Studies. Alan T. Kono, MD Associate Professor of Medicine DHMC & Geisel School of Medicine Improving End-of-Life Cardiac Care Case Studies Alan T. Kono, MD Associate Professor of Medicine DHMC & Geisel School of Medicine Palliative Care provides relief from pain and other distressing symptoms

More information

Palliative Care In PICU

Palliative Care In PICU Palliative Care In PICU Professor Lucy Lum University Malaya Annual Scientific Meeting on Intensive Care 15 August 2015 2 Defining Palliative Care: Mistaken perception: For patients whom curative care

More information

Hospice May Prolong Life

Hospice May Prolong Life OBJECTIVES Shatter some myths about Hospice care Revisit difference between Hospice/PC Learn to use a Discussion Guide to clarify GOC Expand the Letterman Technique of Presentation Myths Myth # 20, Prognostic

More information

Palliative Care:It s about Living Better! Akshai Janak, M.D. Huntsville Hospital

Palliative Care:It s about Living Better! Akshai Janak, M.D. Huntsville Hospital Palliative Care:It s about Living Better! Akshai Janak, M.D. Huntsville Hospital If we could give every individual the right amount of nourishment and exercise, not too little and not too much, we would

More information

2011 Public Opinion Research on Palliative Care

2011 Public Opinion Research on Palliative Care 2011 Public Opinion Research on Palliative Care A Report Based on Research by Public Opinion Strategies Research Commissioned by the Center to Advance Palliative Care Support Provided by the American Cancer

More information

Olaitan Soyannwo, MBBS, D.A, M.Med, FWACS, FAS

Olaitan Soyannwo, MBBS, D.A, M.Med, FWACS, FAS ECHO Palliative Care Africa Didactic lecture May 18, 2017 Developing Models of palliative care at various settings Olaitan Soyannwo, MBBS, D.A, M.Med, FWACS, FAS Professor & Visiting Consultant Hospice

More information