Palliative Care - Health Net
Palliative Care
Health Net Care ConnectionsTM CalViva Health Care Connections California Health & Wellness Care Connections
Presented by:: Marvin Gordon, MD ? Subject Matter Expert Tao Le, MD - Subject Matter Expert Stefan Popoff ? Webinar Host
Agenda
Housekeeping What Is Palliative Care? How Is Palliative Care Different From Hospice? How to Make a Referral Contact Information for Questions Referral Criteria
Q&A
2
Palliative Care
? Specialized care for those with serious progressive illness in need of extra help
? Focus on managing: ? Symptoms ? Advanced care planning needs ? Care coordination with existing providers ? Pain ? Psychosocial support
? Goal is to: ? Improve quality of life for patient and family ? Provide an extra layer of support for the member ? Support: caregivers, family, and friends
? Palliative Care provides a special team of doctors, nurses, and specialists
? Palliative Care can be provided together with curative treatment
3
Transition of Focus
COMPLEX CASE MANAGEMENT
PALLIATIVE CARE
HOSPICE BENEFITS
Chronic / complex
End of life 1-2 years and/or
disease- not contemplating chronic / complex disease
death
End of life 6 months
Concurrent with curative
Symptom relief concurrent with curative
Symptom relief NO curative (for terminal illness)
Primary care physician (PCP) and specialist
PCP, specialist, and palliative consultant
Hospice team including physician
Complex Case Management (CCM) RN/social worker (SW)
Focus: Curative treatment by usual medical team with support for psycho-social issues
Advance directive +/- Physician Orders for Life-Sustaining Treatment (POLST)
Integrated team approach MD/NP/RN/SW
Focus: Transition from curative only to symptom management and goals of care
Advance directive POLST discussion
Integrated team plus aides, chaplain, and respite benefit
Focus: Symptom relief by the hospice team with NO curative treatment of the terminal illness
Advance directive POLST
4
Trajectory of Functional Decline
High
Function
Death
Low
Cancer
Time
Organ Failure (end-stage cardiac or respiratory disease)
Physical frailty and dementia
5
Source: J Am Geriatr Soc ? 2011 Blackwell Publishing
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