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One Hospital's Response to the Institute of Medicine Report, "Dying in America"

Jacobsen, Juliet LU ; Jackson, Vicki ; Asfaw, Shae ; Greenwald, Jeffrey L and Slavin, Peter (2022) In Journal of Pain and Symptom Management 63(2). p.182-187
Abstract

BACKGROUND: In response to the Institute of Medicine (IOM) report, Dying in America, we undertook an institution wide effort to improve the experience of patients and families facing serious illness by engaging leadership and developing a program to promote the practice of generalist palliative care.

MEASURES: The impact of the program was measured with process measures related to its' three parts.

INTERVENTION: We developed a three-part generalist palliative care program that focuses on 1) instructional design, 2) advance care planning, and 3) engagement.

OUTCOMES: Over four years, the program trained 51 interprofessional clinicians in a two-week intensive palliative care course and 1,541 interprofessional clinicians... (More)

BACKGROUND: In response to the Institute of Medicine (IOM) report, Dying in America, we undertook an institution wide effort to improve the experience of patients and families facing serious illness by engaging leadership and developing a program to promote the practice of generalist palliative care.

MEASURES: The impact of the program was measured with process measures related to its' three parts.

INTERVENTION: We developed a three-part generalist palliative care program that focuses on 1) instructional design, 2) advance care planning, and 3) engagement.

OUTCOMES: Over four years, the program trained 51 interprofessional clinicians in a two-week intensive palliative care course and 1,541 interprofessional clinicians in a 90-150 min skills-based training. Clinicians documented 15,791 serious illness conversations. Zoom community engagement sessions were attended by 411 live viewers, and subsequently, 1918 YouTube views. Additionally, we report on the impact of the COIVD-19 crisis on our efforts. Early in the pandemic, over two months, 464 interprofessional clinicians documented 5,168 conversations with patients.

CONCLUSION/LESSONS LEARNED: A broad based strategy resulted wide institutional engagement with serious illness care.

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author
; ; ; and
publishing date
type
Contribution to journal
publication status
published
keywords
Advance Care Planning, Communication, Hospitals, Humans, National Academies of Science, Engineering, and Medicine, U.S., Health and Medicine Division, Palliative Care, United States
in
Journal of Pain and Symptom Management
volume
63
issue
2
pages
182 - 187
publisher
Elsevier
external identifiers
  • scopus:85120377348
  • pmid:34756956
ISSN
1873-6513
DOI
10.1016/j.jpainsymman.2021.10.010
language
English
LU publication?
no
additional info
Copyright © 2021 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.
id
16a38d99-3c2b-4d0d-89cf-22f617bc5c5e
date added to LUP
2024-09-17 14:41:58
date last changed
2024-10-16 08:39:38
@article{16a38d99-3c2b-4d0d-89cf-22f617bc5c5e,
  abstract     = {{<p>BACKGROUND: In response to the Institute of Medicine (IOM) report, Dying in America, we undertook an institution wide effort to improve the experience of patients and families facing serious illness by engaging leadership and developing a program to promote the practice of generalist palliative care.</p><p>MEASURES: The impact of the program was measured with process measures related to its' three parts.</p><p>INTERVENTION: We developed a three-part generalist palliative care program that focuses on 1) instructional design, 2) advance care planning, and 3) engagement.</p><p>OUTCOMES: Over four years, the program trained 51 interprofessional clinicians in a two-week intensive palliative care course and 1,541 interprofessional clinicians in a 90-150 min skills-based training. Clinicians documented 15,791 serious illness conversations. Zoom community engagement sessions were attended by 411 live viewers, and subsequently, 1918 YouTube views. Additionally, we report on the impact of the COIVD-19 crisis on our efforts. Early in the pandemic, over two months, 464 interprofessional clinicians documented 5,168 conversations with patients.</p><p>CONCLUSION/LESSONS LEARNED: A broad based strategy resulted wide institutional engagement with serious illness care.</p>}},
  author       = {{Jacobsen, Juliet and Jackson, Vicki and Asfaw, Shae and Greenwald, Jeffrey L and Slavin, Peter}},
  issn         = {{1873-6513}},
  keywords     = {{Advance Care Planning; Communication; Hospitals; Humans; National Academies of Science, Engineering, and Medicine, U.S., Health and Medicine Division; Palliative Care; United States}},
  language     = {{eng}},
  number       = {{2}},
  pages        = {{182--187}},
  publisher    = {{Elsevier}},
  series       = {{Journal of Pain and Symptom Management}},
  title        = {{One Hospital's Response to the Institute of Medicine Report, "Dying in America"}},
  url          = {{http://dx.doi.org/10.1016/j.jpainsymman.2021.10.010}},
  doi          = {{10.1016/j.jpainsymman.2021.10.010}},
  volume       = {{63}},
  year         = {{2022}},
}