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Flag pole at Hickam AFB, Hawaii on Dec 7th 1941… …and today in 2007

Flag pole at Hickam AFB, Hawaii on Dec 7th 1941… …and today in 2007. “We Honor Veterans” What does this mean?. Asking “Are you a Veteran?” and having staff prepared to deal with the answer Partnering to improve care

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Flag pole at Hickam AFB, Hawaii on Dec 7th 1941… …and today in 2007

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  1. Flag pole at Hickam AFB, Hawaiion Dec 7th 1941… …and today in 2007

  2. “We Honor Veterans” What does this mean? • Asking “Are you a Veteran?” and having staff prepared to deal with the answer • Partnering to improve care • Extending your “reach” to improve care and access • Measuring the impact of your interventions. Scott T. Shreve, DO National Director, Hospice and Palliative Care Depart. Of Veterans Affairs Associate Professor of Clinical Medicine The Pennsylvania State University

  3. Program themes • Veteran-specific • Building capacity • Strategic partnerships • Cultural sensitivity • Veteran-Centric Scott T. Shreve, DO National Director, Hospice and Palliative Care Depart. Of Veterans Affairs Associate Professor of Clinical Medicine The Pennsylvania State University

  4. Asking “Are you a Veteran?” and having staff prepared to deal with the answer… • Military History Checklist • ELNEC: All VISNs have trainers (274); partner Veterans Integrated Service Networks There are 21 VISNs nationwide • Use “We Honor Veterans” materials • Talk to veterans • va,gov

  5. Partnering to improve care… • ELNEC training • VA hospitals, CBOCs, walk-in clinics, etc. • Use “We Honor Veterans” materials • Talk to veterans • Homeless shelters • va.gov

  6. Extending your “reach” to improve care and access… • This is an issue that needs focus • Question? • Does age less than 65 impact access to hospice. Of highly rural/rural: approximately 12% get hospice care Urban compared to highly rural/rural penetration not much better

  7. Measuring the impact of your interventions… • FEHC: families evaluation of hospice care • EROM: Pain management within 48 hrs of admit • FEBS: bereavement service evaluation • FEHC: post- death family perception of care for patient and their own experience • FEPC: post-death perception of quality of care • STAR: job satisfaction for caregivers in the field…..team attitudes and relationships • Ask the family

  8. Haunted by combat… “War means something different to those of us that have looked through the sights of a rifle at another human being’s face. Collateral damage means something different to those of us that have seen the lifeless body of a 9-year-old girl caught in the crossfire. Or for those of us that have struggled to save the life of a 7-year-old boy. I’ve only mentioned a fraction of what still haunts me from Iraq. I’ve been diagnosed with PTSD…” – An Iraq veteran from New Jersey (Meagher, 2007, p. xix)

  9. We Honor Veterans Overview We Honor Veterans, is an NHPCO project in collaboration with the Department of Veterans Affairs (VA). Purpose: invite hospices, state hospice organizations and VA partners to join a pioneering program focused on respectful inquiry, compassionate listening and grateful acknowledgment. The nexus of the campaign is a website, designed to provide opportunities for networking and resources to walk hospices and state hospice organizations through an assessment and implementation process that will result in better care to veterans. Resources in development include online education, examples of program innovation, downloadable templates and much more.

  10. Overview continued… Program will provide hospices, state hospice organizations, Hospice Veteran Partnerships and VA programs with tools and resources that encourage them to: • Commit to honoring veterans at the end of life. • Assess their current ability to serve veterans • Learn more about caring for veterans • Find resources to support veterans at the end of life • Provide veteran-centric education for staff • Measure Quality and Outcomes

  11. Overview Continued…. • Program will provide tiered recognition to organizations that demonstrate a systematic commitment to improving care for veterans • Organizations will assess their ability to serve veterans • Integrate best practices, using resources from the program, for providing end-of-life care to veterans into their organization

  12. Enroll your hospice… • By becoming a We Honor Veteran Partner, your organization will be better prepared to: • Build professional and organizational capacity to provide quality care for Veterans • Develop and/or strengthen partnerships with Veteran organizations • Increase access for Veterans in your community, region and state • Network with other hospices across the country to learn about best practice models

  13. Primary levels and goals of participation… • Recruit: Get oriented and commit to the We Honor Veterans program • Level 1 Provide veteran-centric education for staff and volunteers, and identify patients with military experience • Level 2 Build organizational capacity to provide quality care for veterans • Level 3 Develop and strengthen relationships with VA medical centers and other veteran organizations • Level 4 Increase access and improve quality of care for veterans in your community

  14. We Honor Veterans Partner Activities Report… • Must be completed to achieve recognition for each Partner Level • Report submitted to NHPCO • Upon receipt and verification of a Report for each level, organization will receive: • Special acknowledgement on the We Honor Veterans website home page • Level-appropriate We Honor Veterans logo to place on your organization’s website • We Honor Veterans print materials and We Honor Veterans Partner certificate to display within your organization

  15. Reaching Out to Improve Access to End-of-Life Care for Veterans • Professionals working in end-of-life care might not realize that more than 50,000 veterans die each month Reaching Out: Quality Hospice and Palliative Care for Rural and Homeless Veterans – Executive Summary: • Increase utilization of the Military History Checklist by hospice workers • Improve coordination of care among providers • Better identification and tracking of homeless veterans • Increased use of technology to communicate with veterans • An increase number of contacts between the VA Medical Centers and community hospices.

  16. Helpful resources for working with veterans… • Military History Toolkit • Homeless Veterans at Life’s end (PPT) • Service Related Diseases, Illnesses and Conditions (PPT) • Veterans Benefits (PPT) • Veteran Administration’s Military Facts for Non Military Social Workers • Veteran Administration’s Guide to Understanding the National Guard and Reserves • Veteran Administration’s Hospice-Veteran Partnership Fact Sheet

  17. VA Hospice and Palliative Care Initiative Additional Outreach Materials • America’s Veterans and VA Health System: Facts and Demographics • NHPCO’s Veterans Fact Sheet • Veteran’s Statistics • Caring Connections: • Advance Care Planning • Hospice and Palliative Care • Care giving • Grief • More

  18. Honoring veterans preferences at the end of life…

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