Program Certification and Clinician Credentialing PALLIATIVE CARE PROGRAM

Program Certification and Clinician Credentialing

PALLIATIVE CARE PROGRAM Presented by: Dr. Tarek Mahdi Martha Uribe, LCSW Raul Moreno, RN Jackie Eskandr, RN Chaplain Kenneth Ross

Parkview Community Hospital Parkview is a 193 -bed acute care hospital located in Riverside, CA. We opened in 1957 with 50 beds. We are the only non-profit community hospital in Riverside (since 1967). Our mission is to be a community hospital focused on the needs of the local population, 50% of which are Latino. Services include a very busy emergency room, maternal/child services, and general medical and surgical services (no cardiac or neurosurgery).

Centers of Excellence Joint Replacement - Been given the Blue Shield Center of Distinction for Quality. Offer the MAKOplasty robotic arm for hip replacement and partial knee replacement/ resurfacing Maternity Care – Given “Baby Friendly” designation - one of only 119 in the entire nation--sponsored by W. H. O. in recognition of hospitals and birthing centers that offer an optimal level of care for breastfeeding. Sweet Success, gestational diabetes care—diabetes education for pregnant women. Neonatal ICU (NICU)- Community Level/Level III. (provides care to seriously ill newborns, except those needing surgery). And Parkview is the only hospital in the area with NICView Webcam.

Centers of Excellence, cont. Bariatric (weight loss) Surgery – ASMBS Center of Excellence, Blue Cross, Blue Shield, Aetna, CIGNA Centers of Distinction. Resolves or improves many other diseases, ie, diabetes and hypertension. Pulmonary Care – for treatment of COPD; we have a “Better Breathers” support group. Palliative Care – Joint Commission Advanced Certification - 19 th in the nation. Palliative care will be key to providing better care for patients with serious, chronic conditions.

The Palliative Care Program JCAHO Certified on August 23, 2012 Team Members: Martha Uribe, LCSW/Program Coordinator Chaplain Ken Ross Jackie Eskandr, RN Raul Moreno, RN Tarek Mahdi, MD

Road to Certification Administration support Full time coordinator Team building Job descriptions Policy & Procedures Education Weekly meetings

2013 Data Area Count Total Patients 137 Average LOS 17 Average Time to Admission to PC Program 8

2013 Data

2013 Data

2013 Data

JCAHO Performance Improvement Areas Palliative Care Nursing Screening Patient Satisfaction Survey Pain Management POLST

Performance Improvement #1 Palliative Care Nursing Screening Goal: To insure all patients admitted to Parkview Community Hospital have a valid Palliative Care Nursing screening. Barriers: Developing a simple screening tool Having it embedded in the nursing assessment electronically Low tool utilization

Performance Improvement #1 Palliative Care Nursing Screening

Palliative Care Nursing Screening Tool Two or more hospitalizations in the past year Prolonged lengths of stay >5 days Diagnosis of cancer Admissions from a nursing home Diagnosis of Dementia No needs identified

Performance Improvement #2 Patient Satisfaction Goal: To asses the effectiveness of the program. Barriers: Developing a survey Having it completed within 30 days after discharge Sensitivity of the call

Performance Improvement #2 Patient Satisfaction

Performance Improvement #2 Patient Satisfaction Survey

Performance Improvement #3 Pain Management � Goals: To ensure patients receive appropriate pain management.

Performance Improvement #4 POLST completion � � Goals: To ensure patients with live discharges have a completed POLST. Barriers: � Lack of understanding from nursing and Physicians � Hospital policy

Performance Improvement #4 POLST completion

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