Case Study - United Hospital Fund
The United Hospital Fund of New York
promoted a Palliative Care Initiative in
12 acute care hospitals in New York City. All of the hospitals did a palliative
care needs assessment. Those data collection efforts yielded the following:
- Documented existing resources for palliative care service delivery available within some
facilities.
- Fostered discussion among clinicians about the need for palliative care in their settings
and the changes that had to be made to provide it effectively, uncovering significant
enthusiasm and interest among clinical staff and creating a legitimate and credible
forum for discussion.
- Validated the need for palliative care in each hospital both quantitatively and
qualitatively, moving the statement of problems onto a firm basis where barriers could
be identified and solutions made possible.
- Uncovered the extent of certain problems, awakening a sense of urgency on which
these hospitals could capitalize. Inspired institutional leaders to recognize publicly
the problem of poor quality end-of-life care and support efforts for change.
Ref:
The Challenge of Caring for Patients near the End of Life: Findings from the Hospital Palliative Care Initiative
Paper Series. New York, NY: United Hospital Fund, March 1998.
CAPC Resources:
Additional resources on "How to Conduct a Hospital and Community Needs Asssessment"
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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
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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
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Strategic Planning
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Review Stakeholders, Customers
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Case Study - United Hospital Fund
Define the Program
Purpose, Values
Mission, Vision
Mission
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Service Delivery Model
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Strategies, Tactics
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Case Examples:
Cleveland Clinic
University of Virginia
Organizational Structure, Leadership
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Phase 3: Implement the Program
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Phase 4: Review Program, Revise Plan
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