Home-Based Palliative Care

Building Operational Excellence

Effective Communication with a Broad Health Care Team

A palliative approach to care focuses on meeting a person’s and family’s complete needs – physical, psychosocial and spiritual – at all stages of a chronic progressive illness. Care can be provided at any time, not just in the last days of life. There are many options to where palliative and​ end of life care can be provided, in the home, hospital, long-term care facility or free-standing hospice.

An important part of home-based palliative care is effective communication with all the members of a person’s health care team.

Most people receive home-based palliative from their family and friends. This care is supplemented by services from the health care team including: nurses, home support workers, doctors, palliative care specialists, therapists, social workers, and paramedics.

Home-based palliative care requires effective and efficient communication, decision-making and care coordination.  Service providers much consider several operational practices to ensure this happens. They include (but are not limited to): communication skills development; training in a patient-centered approach; practice-based interventions designed to improve interprofessional collaboration; electronic medical records; interdisciplinary team meetings; standardized documentation; and secure e-messaging.

Phase 1. Creating Palliative Care Experience Maps

The CHCA is hosting four workshops across Canada (B.C., AB, ON and PEI) to gain a better understanding of the detailed operational practices in four key priority areas in home-based palliative care:

  • Assessment and care planning
  • Inclusion of advance care plans into care delivery
  • Management of equipment supplies and medication
  • Effective communication strategies and tactics

Participants will create a Palliative Care Experience Map that visually shows the key processes, actions, relationships, communications and decisions that are necessary for communication with the patient, family, and health care team (e.g. nurses, home support workers, doctors, palliative care specialists, therapists, social workers, paramedics).

Following the workshops, the CHCA will conduct an E-Delphi process to gain broader stakeholder input and consensus.  Our goal is to understand the fundamental operational processes, not create one standardized approach.  Each of the four Palliative Experience Maps will form the basis for the next phase of the project – the Call for Innovations in home-based palliative care, that will be launched in mid-August 2018.

Creating a Palliative Care Experience Map

On July 30, 2018 stakeholders from PEI came together to approaches needed to ensure effective and efficient communication, decision-making and care coordination among the home-based palliative care team

Operational Innovations in Home-Based Palliative Care

Successful innovations featured at the 2018 CHCA Home Care Summits in Charlottetown PEI (Oct 1 & 2) and Vancouver BC (Oct 21 & 22).

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