Current State and Next Steps for Specialty Palliative Care

Current State and Next Steps for Specialty Palliative Care

 

Wui-Leong Koh, MD; Daniel Johnson, MD, FAAHPM

https://doi.org/10.7812/TPP/17-140-25

Introduction: Despite growing evidence that demonstrates the many benefits of Specialty Palliative Care (SPC), access to high-quality, specialty-level support across inpatient and outpatient settings remains highly variable. Most Regions lack a standardized approach to the identification and assessment of seriously ill members with the highest risk of having unmet physical, emotional, practical, and/or spiritual needs. Even in Regions with more consistent access to SPC services, referrals to specialty support are variable and often late during the course of illness.
Methods: The SPC National Quality Initiative (NQI) aims to transform the way Kaiser Permanente delivers high-quality palliative care support. The National Permanente Quality Leadership, in partnership with the Care Management Institute and regional SPC Leadership, have created an initial roadmap to guide NQI design and implementation.
Results: To date, the National Permanente Quality Leadership has endorsed a six-step framework to facilitate the successful spread of high-quality, integrated SPC support: 1) invest in partnership; 2) agree upon high-risk patient population; 3) negotiate expectations, team staffing, and work flows; 4) incorporate standardized patient-family needs assessment; 5) triage and titrate support on the basis of needs; and 6) measure outcomes, learn, and spread. Initially, this framework will guide efforts to integrate SPC support for patients with serious cancer.
Discussion: The SPC NQI aims to ensure more systematic SPC support for high-risk populations. The NQI will accelerate interregional learning, scale, and spread by exposing SPC gaps and opportunities, driving investments in SPC services across settings, leveraging critical partnerships, and standardizing care delivery and quality measurement.

etoc emailClick here to join the eTOC list or text TPJ to 22828. You will receive an Email notice with the Table of Contents of each issue.

The Permanente Journal advances knowledge in scientific research, clinical medicine and innovative health care delivery. It is a peer-reviewed journal of medical science, social science in medicine, and medical humanities.

The Permanente Press

The Permanente Press publishes The Permanente Journal and books related to health care. For information about subscriptions, missing issues, billing, subscription renewal, and back issues, Email: permanente.journal@kp.org.

Circulation

27,000 print readers per quarter, 15,350 eTOC readers, and in 2018, 2 million page views of TPJ articles in PubMed from a broad international readership.

CME

The Kaiser Permanente National CME Program designates this journal-based CME activity for 4 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.


ISSN 1552-5767 Copyright © 2019 thepermanentejournal.org.

All Rights Reserved.