Outpatient Palliative Care: Clinical and Program Management

{"title":"Outpatient Palliative Care: Clinical and Program Management","authors":"Christian Sinclair MD,&nbsp;Eric Goodlev MD,&nbsp;Kira Skavinski DO,&nbsp;Esme Finlay MD","doi":"10.1016/j.jpainsymman.2025.02.074","DOIUrl":null,"url":null,"abstract":"<div><h3>Outcomes</h3><div>1. By participating in workshop didactics and networking, participants will analyze outpatient operational, clinical, leadership and educational strengths and limitations. Participants will be successful by defining 1-2 opportunities for growth/change.</div><div>2. By participating in workshop didactics and networking, participants will develop 2-4 specific action items to enhance clinic operational, clinical, leadership and/or educational growth in the following year.</div></div><div><h3>Abstract</h3><div>This session focuses on starting, sustaining and growing clinic-based outpatient palliative care programs as well as clinical outpatient direct patient care management. Our target audience includes program leaders, physicians, fellows, nurses, nurse practitioners, PAs, social workers, pharmacists, and researchers. Major topics covered: Leadership (starting clinics, growing clinics, partnerships, stakeholders, finding space, managing the clinic team) Education (incorporating fellows, fellow curriculum, non-fellow learners) Clinical (insurance, opioid prescribing, OUD, survivorship, non-cancer populations) Operations (metrics, onboarding, billing, patient panel, clinic structure, interdisciplinary team practice)</div></div><div><h3>References</h3><div>1: Zimmermann C, Buss MK, Rabow MW, Hannon B, Hui D. Should Outpatient Palliative Care Clinics in Cancer Centers be Stand Alone or Embedded? J Pain Symptom Manage. 2023 Feb;65(2):e165-e170. doi: 10.1016/j.jpainsymman.2022.11.008. Epub 2022 Nov 25. PMID: 36437178. 2: DiScala S, Uritsky TJ, Brown ME, Abel SM, Humbert NT, Naidu D. Society of Pain and Palliative Care Pharmacists White Paper on the Role of Opioid Stewardship Pharmacists. J Pain Palliat Care Pharmacother. 2023 Mar;37(1):3-15. doi: 10.1080/15360288.2022.2149670. Epub 2022 Dec 15. PMID: 36519288. 3: Kollas CD, Ruiz K, Laughlin A. Effectiveness of Long-Term Opioid Therapy for Chronic Pain in an Outpatient Palliative Medicine Clinic. J Palliat Med. 2024 Jan;27(1):31-38. doi: 10.1089/jpm.2023.0251. Epub 2023 Aug 8. PMID: 37552851; PMCID: PMC10790545. 4: Shah R, Georgousopoulou EN, Al-Rubaie Z, Sulistio M, Tee H, Melia A, Michael N. Impact of ambulatory palliative care on symptoms and service outcomes in cancer patients: a retrospective cohort study. BMC Palliat Care. 2022 Mar 4;21(1):28. doi: 10.1186/s12904-022-00924-5. PMID: 35241067; PMCID: PMC8896341. 5: Bristol AA, Chaudhry S, Assis D, Wright R, Moriyama D, Harwood K, Brody AA, Charytan DM, Chodosh J, Scherer JS. An Exploratory Qualitative Study of Patient and Caregiver Perspectives of Ambulatory Kidney Palliative Care. Am J Hosp Palliat Care. 2021 Oct;38(10):1242-1249. doi: 10.1177/1049909120986121. Epub 2021 Jan 13. PMID: 33438435; PMCID: PMC8275690. 6: Finlay EE, Goodlev ER, Biewald MA, Skavinski KA, Sinclair CT. An Educational Needs Assessment for Outpatient Palliative Care Clinicians. J Palliat Med. 2023 Apr;26(4):464-471. doi: 10.1089/jpm.2022.0059. Epub 2022 Oct 18. PMID: 36260354. 7: Finlay E, Newport K, Sivendran S, Kilpatrick L, Owens M, Buss MK. Models of Outpatient Palliative Care Clinics for Patients With Cancer. J Oncol Pract. 2019 Apr;15(4):187-193. doi: 10.1200/JOP.18.00634. Epub 2019 Mar 25. PMID: 30908140.</div></div>","PeriodicalId":16634,"journal":{"name":"Journal of pain and symptom management","volume":"69 5","pages":"Pages e456-e457"},"PeriodicalIF":3.2000,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of pain and symptom management","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0885392425001344","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}