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Clinical Models and Staffing. Palliative Care Leadership Center University of California, San Francisco. What type of service?. Think about your goals, needs, customers Consider the resources you have (or could get) Personnel Space Funding. What type of service?. Consultation service
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Clinical Models and Staffing Palliative Care Leadership Center University of California, San Francisco
What type of service? • Think about your goals, needs, customers • Consider the resources you have (or could get) • Personnel • Space • Funding
What type of service? • Consultation service • Primary service • Acute inpatient unit (short stay) • Subacute inpatient unit (longer stay) • Swing beds • Outpatient • Combination • Pros and cons to each
Who should be on your team? • Right disciplines • RN, MD, NP or PA, SW, PharmD, DDiv/MDiv, AA • Right titles • Director of Nursing, CMO, Oncology Division Chief, Head Nurse, Chair of ethics committee • Right people • Opinion leaders, champion, early adopters • Right skills • Leadership, organizational, clinical
Who should be on your team? • Recruit the right people with the right skills • Best if you can • Not always possible • Personalities may influence your service • Can work without a physician but in most hospitals that will be difficult
Service Nuts and Bolts • Who do you want to be referred to you? • Who can engage your service? • How do customers reach you? • Pager, voicemail, email, unit • Tell the operator • What happens when I contact you? • Who responds? • How long does it take? • What do they do? • How do I find out about what happened?