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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