Outpatient Palliative Care: Clinical and Program Management

IF 3.2 2区医学 Q2 CLINICAL NEUROLOGY

Journal of pain and symptom management Pub Date : 2025-04-10 DOI:10.1016/j.jpainsymman.2025.02.074

Christian Sinclair MD, Eric Goodlev MD, Kira Skavinski DO, Esme Finlay MD

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引用次数: 0

Outcomes

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.

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.

Abstract

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)

References

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.

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门诊姑息治疗：临床和项目管理

Outcomes1。通过参加研讨会教学和网络，参与者将分析门诊业务，临床，领导和教育的优势和局限性。参与者将通过定义1-2个成长/改变的机会而获得成功。通过参加研讨会教学和网络，参与者将制定2-4个具体的行动项目，以加强诊所的运作，临床，领导和/或教育在接下来的一年里的增长。【摘要】本次会议的重点是启动，维持和发展基于临床的门诊姑息治疗项目以及临床门诊直接患者护理管理。我们的目标受众包括项目负责人、医生、研究员、护士、执业护士、私人助理、社会工作者、药剂师和研究人员。主要涉及的主题：领导力（开办诊所，发展诊所，合作伙伴关系，利益相关者，寻找空间，管理诊所团队）教育（纳入研究员，同事课程，非同事学习者）临床（保险，阿片类药物处方，OUD，幸存者，非癌症人群）运营（指标，入职，计费，患者小组，诊所结构，跨学科团队实践）参考文献1：齐默曼C， Buss MK, Rabow MW, Hannon B, Hui D.姑息治疗门诊应该是独立的还是嵌入的？[J]中华疼痛杂志，2011;16(2):555 - 557。doi: 10.1016 / j.jpainsymman.2022.11.008。2022年11月25日。PMID: 36437178。[2]张建军，张建军，张建军，张建军，等。美国疼痛与姑息治疗学会阿片类药物管理药师的研究进展。[J] .疼痛缓和护理与药学杂志，2013;37(1):3-15。doi: 10.1080 / 15360288.2022.2149670。2022年12月15日。PMID: 36519288。[3]张丽娟，张丽娟。阿片类药物治疗慢性疼痛的临床疗效分析。[J]中华医学杂志，2014;27(1):31-38。doi: 10.1089 / jpm.2023.0251。Epub 2023 Aug 8。PMID: 37552851;PMCID: PMC10790545。[4]张建军，张建军，张建军，张建军。门诊姑息治疗对癌症患者症状和服务结果的影响：一项回顾性队列研究。中华医学会姑息治疗杂志。2022年3月4日；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。门诊肾脏姑息治疗的病人和护理者观点的探索性质的研究。[J] .中国临终关怀与护理杂志，2011;38(10):1242-1249。doi: 10.1177 / 1049909120986121。2021年1月13日PMID: 33438435;PMCID: PMC8275690。6: Finlay EE, Goodlev ER, Biewald MA, Skavinski KA, Sinclair CT。门诊姑息治疗临床医生的教育需求评估。中华检验医学杂志，2016;26(4):464-471。doi: 10.1089 / jpm.2022.0059。2022年10月18日PMID: 36260354。[7]张建军，张建军，李建军，等。姑息治疗对肿瘤患者临床预后的影响。中华肿瘤学杂志，2019;15(4):187-193。doi: 10.1200 / JOP.18.00634。Epub 2019年3月25日PMID: 30908140。

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来源期刊

Journal of pain and symptom management 医学-临床神经学

CiteScore

8.90

自引率

6.40%

发文量

821

审稿时长

26 days

期刊介绍： The Journal of Pain and Symptom Management is an internationally respected, peer-reviewed journal and serves an interdisciplinary audience of professionals by providing a forum for the publication of the latest clinical research and best practices related to the relief of illness burden among patients afflicted with serious or life-threatening illness.