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ELNEC for Veterans

Overview VA Comprehensive End of Life Care (CELC) Initiative & VA Palliative Care Leadership Centers TM Training. ELNEC for Veterans. End of Life Nurse Education Consortium. ELNEC for Veterans. End of Life Nurse Education Consortium.

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ELNEC for Veterans

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  1. OverviewVA Comprehensive End of Life Care (CELC)Initiative & VA Palliative Care Leadership CentersTM Training

  2. ELNEC for Veterans End of Life Nurse Education Consortium

  3. ELNEC for Veterans End of Life Nurse Education Consortium

  4. CELC Initiative Funding to staff and enhance programs VISN PC Program Managers and Clinical Champions Teams at every facility $ 22 million

  5. CELC Initiative Funding to staff and enhance programs “RFPs”- Competitive funding Staff 54 new units Enhance 37 established programs $ 27 million VISN PC Program Managers and Clinical Champions Teams at every facility $ 22 million

  6. CELC Initiative Funding to staff and enhance VA programs “RFAs”- Template for Success to enhance palliative care programs $ 7 million “RFPs”- Competitive funding Staff 54 new units Enhance 37 established programs $ 27 million VISN PC Program Managers and Clinical Champions Teams at every facility $ 22 million

  7. ELNEC for Veterans End of Life Nurse Education Consortium

  8. ELNEC for Veterans End of Life Nurse Education Consortium

  9. CELC Initiative Funding to improve Leadershipand Expertise • EPEC for Veterans - including Spanish • VISN Palliative Care Team training (postponed) • Disseminate to all PC teams by FY10 • Palliative Care Nursing Assistant Program • Regional training programs in progress • Contact DJones@Ethosconsult.com • ELNEC for Veterans (soon. . .)

  10. ELNEC for Veterans End of Life Nurse Education Consortium

  11. Comprehensive End of Life Care (CELC) Quality and Communication VA Field Staff and Leadership Palliative Care Program Managers and Clinical Champions Implementation Center Carol Luhrs VA-NY Harbor HCS PROMISE Center David Casarett Philadelphia VA VACO Hospice & Palliative Care Program Office QI Resource Center Center Karl Lorenz Great Los Angeles VA

  12. CELC Initiative Funding to improve Quality • PROMISE Center • Bereaved Family Survey (BFS) • Pilot Performance Measure for FY10 • QI Resource Center QuIRC • Palliative Care Consult Template • Quality Measurement - centralized data collection • Implementation Center • PCLC training and mentoring • Quality Improvement on the BFS • National HPC Sharepoint

  13. PROMISE Center

  14. National HPC Sharepoint https://vaww.visn3.portal.va.gov/sites/NationalImplementationCenter/default.aspx Open to Hospice & Palliative Care Mailgroups

  15. Sharepoint for HPCmaintained by the Implementation Center • Tools • Bereavement • Clinical • Education • Financial • Marketing • Measurement • Program Development • Consult Team • Position descriptions/ • Functional statements • Competencies • Case Finding • Documentation Templates • Service Agreements • Program policies • Inpatient Program • Position descriptions/ Functional statements • Admission policies • Competencies • Protocols/ procedures • Documentation templates • HVP • VA 101 Toolkit • Program Development • Marketing • Education • VA-paid Hospice • Resources • CELC Overview • VHA Directives • VHA Handbooks • NCP Guidelines • NQF Preferred Practices • Links • Education • PCNA (HPNA) • EPEC for Veterans • ELNEC for Veterans • VA-PCLC Training • Program Managers • & Clinical Champions • VISN Program Development • Contact List • Quality Initiatives • Bereaved Family Survey • Transformational Measure

  16. Palliative Care Leadership CentersTM (PCLC)

  17. History of CAPC and PCLC • 1999-2003 CAPC National Conferences • Recognition that greater “hands-on” training was needed • 2004 Call for proposals: PCLC training sites • Well established programs embedded in their institution • Financially stable • Track record of data collection • Unique focus: oncology, hospice-hospital, academic medicine, health system

  18. PCLC Program Goals • Assist hospitals and hospices in starting and sustaining a palliative care program. • Measure the impact of the palliative care program. • Build and support palliative care professionals.

  19. Palliative Care Leadership CentersTM Fairview Fairview Health Services Medical College of Wisconsin University of California, San Francisco Mt. Carmel VCU Massey Cancer Center Hospice of the Bluegrass University of Alabama at Birmingham

  20. PCLC Trained Institutions

  21. VA-CAPC Palliative Care Leadership CentersTM (PCLC) Training • Goal: Stimulate development of high quality palliative care programs at all VA facilities • VA-PCLC curriculum • 2 day on-site training; 18 months of mentoring • Assist new programs and strengthen existing programs • Start or expand consultation services and inpatient HPC units • VISN-based training

  22. PCLC Training in VA

  23. PCLC Training in VA VISN 12 MCW VISN 20 VCU VISN 1 MCW VISN 23 MCW VISN 2 Fairview VISN 11 UAB VISN 4 VCU VISN 19 Fairview VISN 21 UCSF VISN 3 VCU VISN 10 Mt Carmel VISN 15 BG VISN 5 VCU VISN 9 BG VISN 6 VCU VISN 22 UAB VISN 18 Fairview VISN 16 MCW VISN 7 UAB VISN 17 UAB VISN 8 VCU

  24. VA-PCLC Curriculum • System Alignment: Meeting the Need • Clinical Service Models • Consult Team, Inpatient Units, Outpatient clinics • Financial Case • Measurement • Marketing • Community Partnerships • Palliative Care Education • Program Implementation

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