Summary: Making the Case

1. Summary: Making the Case • Palliative care improves quality of care for our sickest and most vulnerable patients and families. • Universal human experience and universal health professional obligation.

2. How Do You Use this Information to Start a Palliative Care Program? The next three days will help you: • Tailor the case made here to your hospital • Create compelling business marketing plans • Design and launch a program • Measure your success

3. CAPC The Nation’s Leading Resource for Palliative Care Program DevelopmentTools – Training – Technical Assistance • www.capc.org • Essential seminars • Palliative Care Leadership CentersSM (PCLC) training and mentoring • Practical audio conferences • Useful tools and resources • Publications: • A Guide to Establishing a Hospital-Based Palliative Care Program • The Case for Hospital Based Palliative Care

4. 2 d. visits, hands-on training, +1 full yr. distance mentoring at any one of six exemplary programs. Consistent, in-depth curriculum, different hospital settings and locations. • “The program made all the difference. Because of what our staff learned, our palliative care program has more patients, a larger budget, and much more legitimacy throughout the hospital. It really helped to have a leader in the field behind our efforts.” Erin Rhatigan, RN, HPNC/ Community Hospital of the Monterey Peninsula

5. Fairview Health System - Minneapolis, MN • Mt. Carmel Health System - Columbus, OH • Medical College Wisconsin - Milwaukee, WI • Palliative Care Center of the Bluegrass - Lexington, KY • University of California San Francisco - San Francisco, CA • VCU Massey Cancer Center - Richmond, VA

6. NEW! Strengthening Your Palliative Care Program: Level II Seminar for Growth and Sustainability June 21-23, 2007 Disney’s Contemporary Resort Orlando, Florida

7. Tackling the challenges of growth. . . • Making the business case for multi-year sustainability • Interdisciplinary team dynamics • Leadership development • Running a family meeting • Hospice-hospital interface • Long-term care models • Consult 202 • Coding and billing • Measuring success • “Lab time” and “Office Hours”

8. Who Should Attend • Hospital and Hospice physicians, nurses, social workers, financial managers and administrators from palliative care programs up and running for a day, a month or for years • Those poised to launch a program • Those who want to restart a program • PCLC-trained and CAPC seminar-trained team members

9. Does all of this work? Successful outcome = new or established palliative care program • CAPC Seminar attendees reporting a new PC program: 59% • PCLC attendees reporting a new PC program 2 years post-training: 88%

10. Report of the Citizens Health Care Working GroupMandated by Congress, appointed by Comptroller General of the U.S. After 6 hearings, 50 community meetings in 30 states and DC, review of all major public opinion polls 2002-06, 10,000 responses to web polls, review of 5,000 individual commentaries, concludes: “A picture has been sketched for us of a health care system that is unintelligible to most people. They see a rigid system with a set of ingrained operating procedures that long ago became disconnected from the mission of providing people with humane, respectful and technically excellent health care.” June 1, 2006, page 1 www.citizenshealthcare.gov

11. And Recommendation 6 (out of 6): “Fundamentally restructure the way that palliative care, hospice care and other end-of-life services are financed and provided so that people living with advanced incurable conditions have increased access to these services in the environment they choose.”

12. Although the world is full of suffering, it is also full of the overcoming of it. Helen Keller Optimism 1903