Illinois Hospice Unveils Collaborative Care Initiatives
Posted on Thursday, November 21st, 2013 at 3:01 pm by lifemediamatters
In an effort to help teach medical professionals how collaborative and coordinated care for the terminally ill results in improved patient outcomes and decreased hospital spending, Illinois-based Passages Hospice unveiled two new programs this week in celebration of National Palliative Care Month.
Passages was the only U.S. hospice chosen to participate in two new initiatives aiming to reduce hospital readmissions, the INTERACT program and Bridge Model. INTERACT (Interventions to Reduce Acute Care Transfers) provides detailed tracking and observations that could help prevent hospitalizations; Bridge uses community resources to ease patients’ transitions out of hospitals and back into their homes, said Kaitlyn Henderson, Passages communication manager. Both programs are backed by the National Institutes of Health.
“INTERACT is a system for skilled nursing facilities that trains them to look at the resident from every health care perspective, to look at their risks in advance instead of residents having to go to the hospital,” said Shelley Johansen, Passages chief marketing officer. “One of the reasons health care costs are where they are is because chronically ill elderly go in and out of hospitals.” The Bridge Model, Johansnen explained, places a licensed social worker within a patient’s hospital who follows him or her for 30 days after discharge to help ensure their well-being. “The whole goal is to keep patients at home or at a skilled nursing facility,” she said.
Nearly 120 medical professionals attended the unveiling of the programs at Chicago’s Carnivale restaurant; the event featured a flash mob of professional dancers in nursing scrubs. “It’s National Hospice Month, and we wanted to celebrate life,” Johansen said.
Passages Hospice Founder Seth Gillman told Life Matters Media that he works to keep his hospice progressive and cutting-edge because he remembers his own grandmother’s poor end of life care in a south Florida hospice. “She started constantly calling me and asking me for stuff and complaining about her care,” he said. “I saw that there were a lot of areas in the hospice delivery that were not really patient-centered, and it forced me to get involved.”
Gillman recounted memories from childhood, a time when his grandmother used to insist upon looking her best before welcoming visitors into her home. “But her hospice would not pay for makeup artists or beauticians for her, so she didn’t have many visitors while in hospice. I was like, ‘This is a person you’re dealing with- allow her to take visitors and look her best.’”
Now, Gillman says, every patient is like a grandmother. “Give patients everything they need, even that little extra that makes life worth living.”
More From Life Matters Media
POLST Illinois moves forward
Posted on Friday, December 7th, 2012 at 7:35 pm by Life Matters Media
The Physician Orders for Life-Sustaining Treatment (POLST) program, designed to improve the quality of end of life care, is on its way to Illinois. Health care professionals met at Rush University Medical Center Thursday to discuss the form’s development and strategies for raising public awareness.
The Chicago End-of-Life Care Coalition sponsored the discussion led by Julie Goldstein, M.D., a clinical ethicist and palliative care physician at Advocate Illinois Masonic Medical Center.
POLST program forms are more detailed than conventional living wills or other advance directives. They allow patients to indicate preferences regarding resuscitation, intubation, intravenous antibiotics and feeding tubes. Such forms are intended for patients in their last year of life, and they can follow patients across in-state care settings and direct doctors to provide or withhold life saving treatment in emergency situations.
For instance, an individual may choose to decline resuscitation efforts, but of for artificial nutrition. An individual may choose artificial nutrition with set limits or permanent placement.
“POLST improves on the existing uniform DNR form,” said Goldstein. “POLSTs are medical orders and have to be followed by all medical care providers.” To be valid, a POLST form must be signed by an attending physician.
Loretta Downs, president of the CECC, told LMM that POLST is essentially about enhancing personal liberty at end of life. “For Illinois, accepting the POLST form is a statement encouraging people to take advantage of their liberty regarding end of life decisions. It empowers the individual to make a clear statement about whether or not he or she wants end of life care and what level of treatments.”
The POLST form will be available in early 2013, a version of the IDPH DNR Uniform Advance Directive. Goldstein said it will be most similar to the California POLST. The final form awaits approval from state health officials and it may be “ultra pink.”
Many in attendance left hopeful that the form would help their patients. Kriston Kurelic, a social worker at Passages Hospice, says she is excited about the form’s implementation. “I’m very interested in the changes that will happen,” Kurelic said. “It will be very beneficial to long-term care. It will be beneficial to patients and families.”
Christine Nelson, director of nursing at Manor Care, agrees. “I think anything that helps us assess what people’s wishes are more clearly is helpful,” she said. “The only barrier I see is time being taken to explain the form to patients.”
The task of educating patients will likely fall on individual health care providers. Because it is a physician order, it is intended to be accompanied by a meaningful doctor-patient dialogue. Carol Blendowski, a Rainbow Hospice nurse practitioner, says time is what is required to have such conversations, but thinks patients will ultimately find the POLST easy to navigate. “I can see clearly now,” she said. “This form is user friendly.”
POLST was developed in Oregon in the 1990s, and now 15 states have POLST programs. Twenty-eight states are considering the use of POLST forms.
Learn more from the Life Matters Media Newswire:
- Advance Care Planning
- Facing the Darkness
- Health Care
- Health Care
- Hospice and Palliative Care
- In The News
- Life Choices
- Managing Our Mortality
- Politics and Law
- Relationships and Intimacy
- Social Outreach
- Society and Culture
- The Conversation
- Treatments and Illness
- Treatments and Illness
- Zion-Benton News
- When Parents Disagree With The Doctors
- Illinois Prepares For Medical Marijuana
- Jesus Wept. Why?
- Indiana Hunter’s Decision To Stop Life-Sustaining Treatments Spurs Discussion
- Taxes– And The Costs Of Long Term Care
- December 2013
- November 2013
- October 2013
- September 2013
- August 2013
- July 2013
- June 2013
- May 2013
- April 2013
- March 2013
- February 2013
- January 2013
- December 2012
- November 2012
- October 2012
- September 2012
- August 2012
Daniel Gaitan serves as a content producer...More