Leadership
Needs Assessment
Writing A Business Plan
Reimbursement
Delivery Models
Inter-Disciplinary Team
Program Operations
Quality Assessment






Components of an Operations Plan

Various resources are required to put a program into operation.

Identifying the resources required to put a palliative care program into action may require assistance from a hospital financial planner. The plan may include descriptions of various program components such as:

  • Administrative and management staff
  • Interdisciplinary core clinical team (with staffing mix and core competencies)
  • Space and environment
  • Patient capacity (number of beds and patients to be served per unit of staffing)
  • Medical and office equipment and supplies
  • Formulary for medications
  • Health records and secure storage space
  • Safety and security
  • Policies and procedures, care protocols or pathways (JCAHO pain and end-of-life care standards, transfer policies, sedation policies etc.)1
  • Quality assurance (measurement/evaluation, outcomes database, satisfaction surveys, etc.

Related References

1. McWhinney IR, Bass MJ, Donner A. Evaluation of a palliative care service: Problems and pitfalls. BMJ 1994;309:1340-1342.
http://bmj.com/cgi/content/full/309/6965/1340

PubMed, a service of the National Library of Medicine, provides access to over 11 million citations from MEDLINE and additional life science journals. PubMed includes links to many sites providing full text articles and other related resources.  Visit:  http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed


Additional Resources

Palliative Care & JCAHO Standards
How Palliative Care Helps Hospitals Meet JCAHO Hospital Accreditation Standards (2002)

A Day in the Life of a Palliative Care Team - Grand Rounds
Grand Rounds:
Daniel Fischberg, MD, PhD
Cheryl Avellanet, RN, MS

Funding through Philanthropy -Grand Rounds
Diane Meier, MD, Director of CAPC and of the Hertzberg Palliative Care Institute at Mount Sinai School of Medicine, talks about how Philanthropy can help to fund Palliative Care programs. The audio is available for download.

The Economics of Palliative Care: An Overview
How to Fund Your Palliative Care Program
Opening Session / Introduction
June 2002, Seattle, WA
Bruce C. Vladeck, PhD
PowerPoint Presentation

Careplan Oversight Communication
How to Fund Your Palliative Care Program
Concurrent Session D Part 1
Reinbursement for Hospice Services
June 2002, Seattle, WA
Gretchen M. Brown, MSW & Susan Swinford, BSW, MSW

Documenting the Financial Impact of Palliative Care
How to Fund Your Palliative Care Program
Module 4
June 2002, Seattle, WA
Lynn Hill Spragens, MBA & R. Sean Morrison, MD
PowerPoint Presentation

Funding Palliative Care Through Philanthropy 1/2
Funding Palliative Care Through Philanthropy
How to Fund Your Palliative Care Program
Module 2 Part 1
June 2002, Seattle, WA
Susan S. Paresky, MBA
PowerPoint Presentation

Funding Palliative Care Through Philanthropy 2/2
How to Fund Your Palliative Care Program
Module 2 Part 2
Asking for Money: One Person's View
June 2002, Seattle, WA
Diane E. Meier, MD, FACP
PowerPoint Presentation

Gift Planning Examples
How to Fund Your Palliative Care Program
Module 2 Part 1
Funding Palliative Care Through Philanthropy
June 2002, Seattle, WA
Susan S. Paresky, MBA
Attachment

Hospice Nurse Liaison Job Description
How to Fund Your Palliative Care Program
Concurrent Session D Part 1
Reinbursement for Hospice Services
June 2002, Seattle, WA
Gretchen M. Brown, MSW & Susan Swinford, BSW, MSW

Hospice Physician Billing Chart
How to Fund Your Palliative Care Program
Concurrent Session D Part 1
Reinbursement for Hospice Services
June 2002, Seattle, WA
Gretchen M. Brown, Connie A. Raffa, JD, LLM & Susan Swinford, BSW, MSW

Managing Financial Resources: A Work in Progress-Case Study
How to Fund Your Palliative Care Program
Module 1
June 2002, Seattle, WA
Gretchen Brown, MSW, Susan Swinford, BSW, MSW & Kay Ross, RN, MSN, AOCN
PowerPoint Presentation

Meeting the Legal & Regulatory Requirements for Reimbursement Under Medicare & Medicaid
How to Fund Your Palliative Care Program
Module 3
June 2002, Seattle, WA
Connie A. Raffa, JD, LLM
PowerPoint Presentation

Palliative Care Nurse Specialist Position Description and Performance Review/Planning
How to Fund Your Palliative Care Program
Concurrent Session D Part 1
Reinbursement for Hospice Services
June 2002, Seattle, WA
Gretchen M. Brown, MSW & Susan Swinford, BSW, MSW

Physician Billing Flowchart
How to Fund Your Palliative Care Program
Concurrent Session D Part 1
June 2002, Seattle, WA
Gretchen M. Brown, MSW & Susan Swinford, BSW, MSW PowerPoint Document

Physician Certification
How to Fund Your Palliative Care Program
Concurrent Session D Part 1
Reinbursement for Hospice Services
June 2002, Seattle, WA
Gretchen M. Brown, MSW & Susan Swinford, BSW, MSW

Reimbursement for Hospice Services 1/2
How to Fund Your Palliative Care Program
Concurrent Session D Part 1
June 2002, Seattle, WA
Gretchen M. Brown, Connie A. Raffa, JD, LLM & Susan Swinford, BSW, MSW
PowerPoint Presentation

Reimbursement for Hospice Services 2/2
How to Fund Your Palliative Care Program
Concurrent Session D Part 2
Designing a Health Care Compliance Program for Hospices
June 2002, Seattle, WA
Connie A. Raffa, JD, LLM
PowerPoint Presentation

Reimbursement for Hospital Services
How to Fund Your Palliative Care Program
Concurrent Session C
June 2002, Seattle, WA
Mary Ann Gill, MA & Lynn Hill Spragens, MBA
PowerPoint Presentation

Responding to Objections
How to Fund Your Palliative Care Program
Module 2 Part 1
Funding Palliative Care Through Philanthropy
June 2002, Seattle, WA
Susan S. Paresky, MBA
Attachment

Sample Budget Revenue 2002
How to Fund Your Palliative Care Program
Module 1 Managing Financial Resources
June 2002, Seattle, WA
Gretchen Brown, MSW, Susan Swinford, BSW, MSW & Kay Ross, RN, MSN, AOCN
Attachment

Sample Cover Letter for Stewardship Report
How to Fund Your Palliative Care Program
Module 2 Part 1
Funding Palliative Care Through Philanthropy
June 2002, Seattle, WA
Susan S. Paresky, MBA
Attachment

Sample Designation Term Agreement
How to Fund Your Palliative Care Program
Module 2 Part 1
Funding Palliative Care Through Philanthropy
June 2002, Seattle, WA
Susan S. Paresky, MBA
Attachment

Sample Event Fundraising Letter 1
How to Fund Your Palliative Care Program
Module 2 Part 1
Funding Palliative Care Through Philanthropy
June 2002, Seattle, WA
Susan S. Paresky, MBA
Attachment

Sample Event Fundraising Letter 2
How to Fund Your Palliative Care Program
Module 2 Part 1
Funding Palliative Care Through Philanthropy
June 2002, Seattle, WA
Susan S. Paresky, MBA
Attachment

Sample Fee Schedule 2002 - Palliative Care Center of the Bluegrass
How to Fund Your Palliative Care Program
Module 1 Managing Financial Resources
June 2002, Seattle, WA
Gretchen Brown, MSW, Susan Swinford, BSW, MSW & Kay Ross, RN, MSN, AOCN
Attachment

Sample Organizational Chart-Development Office
How to Fund Your Palliative Care Program
Module 2 Part 1
Funding Palliative Care Through Philanthropy
June 2002, Seattle, WA
Susan S. Paresky, MBA
Attachment

Sample Visit Billing Charts
How to Fund Your Palliative Care Program
Module 1 Managing Financial Resources
June 2002, Seattle, WA
Gretchen Brown, MSW, Susan Swinford, BSW, MSW & Kay Ross, RN, MSN, AOCN
Attachment

Palliative Care: Trends and Treatment Pathways
Detailed PowerPoint presentation ranging from Palliative Care definitions & models to sample patient care flow sheets.

Managed Care System -Grand Rounds Call
Richard Della Penna, MD discusses Kaiser Permanent Aging Network.

Nursing Homes -Grand Rounds
John M. Carter, MD, co-director, Center on Ethics, Jewish Home and Hospital, discusses palliative care in a nursing home setting. This is a Grand Rounds Conference Call. The audio file is available for download.





Marketing a Palliative Care Program: Knowing Your Audiences and Developing Your Messages
A CAPC Management Training Seminar
February, 2002 Tampa, FL
PowerPoint Presentation

Defining Objectives (session 1 worksheet 1)
From a list of Possible Palliative Care Program Objectives, the user of this worksheet will be able to rank their objectives and that of their institution.

Palliative Care in Action - Bridging Gaps in Care
A CAPC Management Training Seminar
February, 2002 Tampa, FL
PowerPoint Presentation

Identifying Stakeholders (session 1 worksheet 2)
Creating an array that broadly identifies people who may be stakeholders is an important step in developing a program design, an approval strategy, and an implementation strategy. The above sheets focus on a “first cut” to help identify players.

Identifying Organizational Priorities (session 2 worksheet 1)
a 1 page form to rank a Hospital's objectives.

Monitoring Impact of a Clinical Program -Grand Rounds
R. Sean Morrison, MD, director of research, Hertzberg Palliative Care Institute, Mount Sinai School of Medicine. Dr. Morrison discusses how to monitor the impact of your palliative care program. Audio file is available for download.

Positioning Palliative Care to meet Organizational Needs (session 2 worksheet 2)
a 1 page form which builds upon the topical areas of worksheet 1 by looking at a palliative care program's potential contributions.

Bridging Clinical and Business Objectives (session 2 worksheet 3)
a 2 page form that builds upon worksheet 2 by asking a series of questions about organizational initiatives, program contributions and financial impact.

Summary Program Assessment (Session 3)
Summary questionaire to assess the goals, scale, needs, type, obstacles, measurements of success, Roles and Responsibilities of a palliative care program.

Intervention Form
This 8 page document by the Hertzberg Palliative Care Institute provides a series of fields to assist in making treatment decisions.

Study Management Form
This 7 page document provided by the Hertzberg Palliative Care Institute lists, has fields for Insurance Status, Diagnosis, Discharge & Follow-up Information.

Changing Physician Behavior -Grand Rounds
Andrew Epstein, MD, partner, and Mark Wenneker, MD, MPH, Senior Consultant, discusses changing physician behavior about palliative care. The audio file is available for download.

Marketing a Program -Grand Rounds
Sharyn Sutton, PhD, president of Sutton Social Marketing, discusses marketing a palliative care program within an institution to a CEO, board, physicians, nurses, healthcare managers and other staff. This is a downloadable audio file.

CAPC State Palliative Care Networks

Palliative Care Consultation Sample Eligibility Criteria

Serving Patients Who May Die Soon and Their Families: The Role of Hospice and Other Services
JAMA 2001

Learning to Die in the 21st Century
In the Winter 2001 edition of Supportive Voice, Last Acts Partners Christine K. Cassel, MD, and Diane E. Meier, MD, write about the need to relearn about the dying process.

Palliative Care in Lexington, KY: Three Hospitals and a Hospice
PowerPoint Presentation

Toolkit of Instruments to Measure Care at the End of Life
An authoritative bibliography of instruments to measure the quality of care and quality of life for dying patients and their families.


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