End-of-life care

Innovations

Deaf Community Health Workers Provide Culturally Appropriate Education and Support to Deaf Patients, Improving Patient Knowledge and Engagement 01/22/10

Trained community health workers accompany members of the Minnesota Deaf community on medical appointments and conduct home visits, leading to improved access to culturally appropriate care, improvements in patient understanding, trust and confidence, and better adherence to recommended care.

Counseling and Care Coordination for Patients With Advanced Illness Lead to More Patients Completing Advance Directives and Less Use of Inpatient Care 01/10/10

Counseling and care coordination for patients with advanced illnesses improved patient–provider communication and the quality of medical care and decisionmaking support, leading to more patients completing advance directives and lower inpatient care requirements.

Hospital-Based Palliative Care Program Adds Comprehensive Outpatient Services, Leading to Better Access and High Patient and Provider Satisfaction 12/29/09

A medical center added outpatient palliative services, including symptom management and holistic emotional, psychosocial, and spiritual care, to its comprehensive inpatient palliative care services, leading to improved access and high levels of patient, family, and provider satisfaction.

Multidisciplinary Team Brings Palliative Care to Rural Patients, Leading to Improved Symptom Management and High Levels of Satisfaction 12/09/09

A palliative care program brings holistic physical, spiritual, and psychosocial support and care to patients in rural areas in their setting of choice, leading to improved symptom management and high levels of patient and provider satisfaction.

Community-Wide Education, Trained Facilitators, and Improved Processes Lead to More Advance Care Planning, Consistency Between Plans and End-of-Life Decisions, and Low Care Costs 11/25/09

Standardized, community-wide education, trained facilitators, and improved management processes lead to more advance care planning by patients, high levels of consistency between such plans and actual end-of-life decisions, and low care costs in the last 2 years of life.

Culturally Competent Palliative Care Supports African-American Patients and Families in Dealing With End-of-Life Issues 12/04/08

Providence Hospital's culturally sensitive palliative care service ensures appropriate medical and pain management, provides emotional support, and dispenses accurate information about palliative care to help the hospital's largely African-American population cope with end-of-life issues.

Afterhours Telephone and In-Home Hospice Care Leads to High Satisfaction and Anecdotal Reports of Fewer 911 Calls and Emergency Department Visits 10/31/08

VITAS Telecare service centers address a wide variety of hospice patient and family needs after hours, providing advice and comfort over the telephone and dispatching nurses to patient homes when necessary.

In-Home Palliative Care Allows More Patients to Die at Home, Leading to Higher Satisfaction and Lower Acute Care Utilization and Costs 10/27/08

A home-based model of palliative care uses an interdisciplinary team of providers to manage symptoms and pain, provide emotional and spiritual support, and educate patients and family members about changes in the patient's condition.

Hospital Collaborative-Inspired Improvements in Donation and Procurement Processes Lead to Increase in Organ Donors 09/05/08

As part of a collaborative with other hospitals, a health system developed multiple strategies to improve the organ donation request and procurement process, leading to a high conversion rate (the percentage of potential donors who become actual donors); collaborative participants as a group experienced a marked rise in conversion rates and donors.

Pediatric Palliative Care Program Improves Communication, Reduces Patient Suffering, and Helps Parents Feel More Prepared for Child's End-of-Life Experience 07/16/08

The Pediatric Advanced Care Team is a pediatric palliative care consult service that provides intensive symptom management as well as honest, complete, and sensitive communication with patients and families.

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