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Palliative Care Program 2008 Highlights Timothy Quill, MD Program Director. Our Multidisciplinary Team includes:. Our Multidisciplinary Team. What Palliative Care Teams Do. The Goals of Palliative Care. Palliative Care Settings. How many patients do we see?.

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Palliative Care Program2008 HighlightsTimothy Quill, MDProgram Director







How many patients do we see l.jpg
How many patients do we see?

Number of Hospitalized Patients Referred per Calendar Year with projection for 2009


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Number of new outpatient referrals

Projected number for 2009 is over 240

  • Four palliative care trained physicians currently offer outpatient consults and follow-up care




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Our patients are very ill

Performance Status* of Inpatients at First Consult in 2008

Scale 70 - 100

Scale 10 - 30

Scale 40 - 60

* Performance Status Scale assesses functional ability, and ranges from 0 (dead) to 100 ( normal)


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Where do our patients go?

Discharge Dispositions



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Impact of Palliative Care

Improved Symptom Management

Scale

0 = None

1 = Mild

2 = Moderate

3 = Severe


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Impact of Palliative Care

Proactive Palliative Care in the MICU: Study Results

Norton SA, Hogan LA, Holloway RG, Temkin-Greener H, Buckley MJ, Quill TE. Proactive palliative care in the medical intensive care unit: effects on length of stay for selected high-risk patients.Crit Care Med 2007; 35:1350-5.


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Impact of Palliative Care

Cost of Care at the End-of-Life Study Results Summary

Is Palliative Care at the End of Life Cost Saving? Poster Presentation at 2008 Academy Health Conference, unpublished.

I Pesis-Katz PhD; H Temkin-Greener, PhD MPH; T Quill, MD; S Ladwig, MPH; S Norton, PhD, RN, FNAP; N Lindenmuth, MD; and D Mukamel, PhD.


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Representative Grants

Aetna Foundation, “A Home-based Palliative Care Program for Patients with Advanced Cancer and Congestive Heart Failure." 7/05 – 6/08.

Robert Wood Johnson Grant, through the Medical College of Wisconsin to promote student education in Palliative Care, 2006 – 2010.

Physician’s Foundation for Health Systems Excellence. “Mindful Communication”. In collaboration with the NY Chapter of the American College of Physicians. 1/07 – 6/09

Arthur Vining Davis Foundation. A Curriculum in Mindful Practice to Promote Caring Attitudes and Professional Behavior of Medical Students and Residents.” 1/07 – 6/09.



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Fellowship Training

Our program features a rigorous ACGME-certified fellowship training program with 2 fellows per year


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Research and Quality Improvement

Representative Plans and Opportunities


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Recent Developments

Ribbon-cutting Ceremony for the new Sussman Palliative Care Unit on 4-1200

April 6, 2009


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Recently published

Evaluation of a required palliative care rotation for internal medicine residents.

Olden AM, Quill TE, Bordley D, Ladwig S. J Palliat Med. 2009 Feb;12(2):150-4.

A qualitative report of dual palliative care/ethics consultations: intersecting dilemmas and paradigmatic cases. Childers JW, Demme R, Greenlaw J, King DA, Quill T. J Clin Ethics. 2008 Fall;19(3):204-13.

Responding to a request for hastening death #159.

Quill T, Arnold RM. J Palliat Med. 2008 Oct;11(8):1152-3.

Evaluating requests for hastened death #156.

Quill T, Arnold RM. J Palliat Med. 2008 Oct;11(8):1151-2.

Physician-assisted death in the United States: are the existing

"last resorts" enough? Quill TE. Hastings Cent Rep. 2008 Sep-Oct;38(5):17-22.

Suicidal thoughts and actions in cancer patients: the time for exploration is now. Quill TE. J Clin Oncol. 2008 Oct 10;26(29):4705-7.


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