The Administrative and Clinical Dyad - CAPC
The Administrative and Clinical Dyad
Clarifying Roles and Prioritizing
Effectively Together
Amy Frieman, MD, MBA, FAAHPM
Corporate Medical Director, Palliative Care Services
Hackensack Meridian Health
Kelly Morse Nowicki, MA
Administrator, Enterprise Center for Palliative Medicine
Mayo Clinic
Tom Gualtieri-Reed, MBA (Panel Facilitator)
Partner, Spragens & Associates, LLC
January 22, 2019
Join us for upcoming CAPC events
?
Upcoming Webinars:
¨C Identifying Champions for Palliative Care: Driving Growth through Partnerships
and Coordinated Care with Maria Carney, MD and Tara Liberman, DO
February 6, 2019 at 1:00pm ET
¨C Improving Team Effectiveness: Prevalence and Predictors of Burnout Among
Hospice and Palliative Care Clinicians: An Interdisciplinary Team Perspective
with Constance Dahlin MSN, ANP-BC, ACHPN, FPCN, FAAN, Rev. George Handzo,
BCC, Arif Kamal, MD, MBA, MHS, Victoria Leff, LCSW
February 27, 2019 at 3:30pm ET
?
Virtual Office Hours:
¨C Evaluating Models for Palliative Care in the Community with John Morris, MD,
FAAHPM
January 23, 2019 at 2:00pm ET
¨C Improving Team Effectiveness with Tom Gualtieri-Reed, MBA and Andy Esch,
MD, MBA
January 31, 2019 at 4:00pm ET
Register at providers/webinars-and-virtual-office-hours/
2
The Administrative and Clinical Dyad
Clarifying Roles and Prioritizing
Effectively Together
Amy Frieman, MD, MBA, FAAHPM
Corporate Medical Director, Palliative Care Services
Hackensack Meridian Health
Kelly Morse Nowicki, MA
Administrator, Enterprise Center for Palliative Medicine
Mayo Clinic
Tom Gualtieri-Reed, MBA (CAPC Panel Facilitator)
Partner, Spragens & Associates, LLC
January 22, 2019
Outline
?
The value of an effective administrative and clinical
leadership team
?
Role clarity and responsibilities
?
Six critical areas of joint responsibilities
? Tips
and lessons learned for building an effective
relationship with your administrative/clinical partner
4
Hackensack Meridian Health
Navigational Key
Discharges and
Transitions of Care
Quality
Initiatives
Home-Based
Program
? Serious Chronic or Advanced
Illness, homebound
? Interventions: symptom
management, ACP,
psychosocial and spiritual
support
? Team approach: NP, RN, SW,
Chaplain, MD oversight
? Seen across continuum
5
Palliative Care Database
? Continuous reporting analysis
? Performance Improvement
? Standardization of assessments and care
? Initial, follow-up, psychosocial, spiritual, and family
conferences
Inpatient
? Any of LMH¡¯s 7 Acute Care
Hospitals
? Physician Order
? IDT Team: MD, NP, SW,
Chaplain
? Daily care until discharge or
transition
Skilled Nursing
Facility
? Any of MH¡¯s 5 SNFs and 1
ALF
? Physician Order
? IDT Team: NP, SW, Chaplain,
MD oversight
? Consultative service
Palliative
Care
Service
Outpatient
Practice
? Various locations
¡°without walls¡± (e.g. CHF
and cancer clinics)
? No referral required
? MD, NP, SW, Chaplain
................
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