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Partners in Palliative Care Program

What is Palliative Care?. A philosophy of carePrevent and relieve sufferingQuality of life Personal growthAn organized, highly structured care modelEnhancement to disease-based treatmentAssist with decision makingRendered along with life prolonging treatment, or as main focus of carenatio

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Partners in Palliative Care Program

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    2. What is Palliative Care? A philosophy of care Prevent and relieve suffering Quality of life Personal growth An organized, highly structured care model Enhancement to disease-based treatment Assist with decision making Rendered along with life prolonging treatment, or as main focus of care nationalconsensusproject.org

    3. Question… “Would you be surprised if this patient died in the next one to two years?”

    4. Current Healthcare State – Crisis Management So, where do many patients today turn when they have a health crisis? The HOSPITAL

    5. One Solution: Palliative Care Program in Primary Care Office Setting Treatment options Based on patient’s wishes and values Face-to-face or electronic communication (EHR) Proactively avoiding crisis Medical and social conditions addressed Office visits when appropriate

    6. Program Interventions Program Referral Assessment Volunteer Chaplain Care planning w/MD and patient/family Case/Symptom Management Monthly contact by phone or home visit Documentation Data collection

    7. Satisfactions Surveys for Partners Program Patients Very High (4.8/5.0) Providers Excellent (5.0/5.0)

    8. 2007 – Hospice Utilization PROVIDENCE HOSPICE N=898 PARTNERS PROGRAM N=63

    9. Hospital Admission Rate Date Range: 8/4/04 – 10/30/06

    10. Our Goals To empower patients in managing their end of life care To increase Primary care office case mgmt Patient/provider satisfaction Use of community resources Hospice and home health referrals To decrease Unnecessary hospitalizations and ER visits

    11. James Lee MD jlee@everettclinic.com

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