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Partners in Palliative Care Program
JAMES LEE, MD
THE EVERETT CLINIC
EVERETT, WASHINGTON
VELDA FILZEN, RN, BSN, CHPN, PARTNERS PROGRAM COORDINATOR
PROVIDENCE HOSPICE AND HOME CARE OF SNOHOMISH COUNTY
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What is Palliative Care?
• A philosophy of care– Prevent and relieve suffering– Quality of life – Personal growth
• An organized, highly structured care model– Enhancement to disease-based treatment– Assist with decision making– Rendered along with life prolonging treatment, or as
main focus of care
nationalconsensusproject.org
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Question…
“Would you be surprised if this patient died in the next one to two years?”
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Current Healthcare State – Crisis Management
• So, where do many patients today turn when they have a health crisis?
• The HOSPITAL
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One Solution: Palliative Care Program in Primary Care Office Setting
• Treatment options– Based on patient’s wishes and values
– Face-to-face or electronic communication (EHR)
• Proactively avoiding crisis– Medical and social conditions addressed
– Office visits when appropriate
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Program Interventions
Program ReferralAssessmentVolunteerChaplainCare planning
w/MD and patient/family
Case/Symptom Management
Monthly contact by phone or home visit
DocumentationData collection
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Satisfactions Surveys for Partners Program
• Patients Very High (4.8/5.0)
• Providers Excellent (5.0/5.0)
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2007 – Hospice UtilizationPROVIDENCE HOSPICE N=898 PARTNERS PROGRAM N=63
0102030405060708090
100
National (FY '05) Providence Partners
Ave LOS
Median LOS
5964
86
2622
90
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Hospital Admission Rate
• Date Range: 8/4/04 – 10/30/06
1.27
2.9
1.34
3.5
0
0.5
1
1.5
2
2.5
3
3.5
4
60 days prior to death 30 days prior to death
Ad
mit
s/p
t mth
Days Before Death
Partners Program- Hospital Admissions Per Patient Month
Partners (n=156)
None (n= 113)
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Our Goals
To empower patients in managing their end of life care
To increasePrimary care office case mgmtPatient/provider satisfactionUse of community resourcesHospice and home health referrals
To decreaseUnnecessary hospitalizations and ER visits