Operations
How will operations be determined and reviewed?
Standards of Practice
What norms of practice will
you use to guide development of your program's standards
of practice? Who will develop them? What process will be used to
develop the program's standards of practice? Will it be "top-down" or by consensus?
Policies and procedures
Specify the clinical practice guidelines that will be used to guide policy and procedure development.
Measurement tools
Specify the measurement tools that will be used to assess patients and collect data about the effectiveness
of your program
Collaboration
Define those entities within the host organization with which the palliative care program will
collaborate. For example, some palliative care programs work closely with anesthesia pain
services, ethics consultation services, cancer centers, comprehensive geriatric programs, etc.
Continuity
Determine how will the program will facilitate continuity of care across settings of care.
This consideration is particularly important when the palliative care program won't provide
palliative care services in all possible patient care settings.
Frequently, achieving the goal for providing continuity of care will necessitate
collaborative relationships with several community resources.
Sequence of Service Development
The palliative care program is likely to include several elements such as an educational program,
a hospice organizational partner, a consultation service, an inpatient unit and a home
(outpatient) component. Decide in what sequence you will develop and implement each of these.
Programs rarely implement all service components simultaneously. They build over time.
An early partnership with a community hospice organization can "jump start" the delivery
of palliative care across settings.
CAPC Resources:
Additional resources on:
"
Components of an Operations Plan"
"
Preparing a Business Plan"
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Home •
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CAPCManual Attribution:
von Gunten CF,
Ferris FD,
Portenoy RK,
Glajchen M, eds.
CAPCManual: How to Establish A Palliative Care Program.
New York, NY: Center to Advance Palliative Care, 2001.
©
Center for Palliative Studies, San Diego Hospice & Palliative Care, San Diego, CA
and
The Department of Pain Medicine and Palliative Care, Beth Israel Medical Center, New York, NY, 2001
Permission to reproduce for non-commercial educational purposes with display of
attribution and
copyright is granted.
Last updated: February 20, 2002
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Development
Select section:
Change, Groups, Phase 1,
2, 3, 4
•
Change
In Individuals
In Organizations
Stages of Change
Awareness
Adoption
Implementation
Institutionalization
•
Small Group Structure / Function
Leadership
Group Formation
Group Function
•
Phase 1: Prepare to Plan
Potential of Planning Process
How Much is Enough?
Ensuring Impact
Form Initial Workgroup
Elaborate Initial Idea
Stakeholders, Customers
Need, Purpose of Program
Planning Questions
Planning Steps, Timeline
Resources Needed to Plan
Use of Consultants
Use of Retreats
Write Planning Proposal
Selling, Getting Approval
•
Phase 2: Plan the Program
Form Planning Workgroup
Review, Revise Process
Strategic Planning
What is Strategic Planning?
Models
Steps
How Much is Enough?
Resources
Review Stakeholders, Customers
Conduct Needs Assessment
Company
Competition
Customers
Conduct SWOT Analysis
Case Study - United Hospital Fund
Define the Program
Purpose, Values
Mission, Vision
Mission
Vision
Service Delivery Model
Goals, Objectives
Strategies, Tactics
Strategic Decision Points
Business Planning
Case Examples:
Cleveland Clinic
University of Virginia
Organizational Structure, Leadership
Financial Plan
Implementation Plan
Human Resources
Physical Resources
Informational Resources
Community Resources
Operations
Evaluation
Marketing Plan
Targets, Timing
Write Proposal
Suggested Proposal Outline
Sell Plan
•
Phase 3: Implement the Program
Staff Recruitment
Staff Training
High Functioning Team
Standards of Practice, Policies, Procedures
Clinical Evaluation
•
Phase 4: Review Program, Revise Plan
Form Review Workgroup
Program Evaluation
Plan Evaluation
Continuous Quality Improvement
Utilization Review
Appropriateness of Hospitalization
Documentation
Pearls
Respond to Denials
Revise Plan, Further Development
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