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Palliative Care Program 2008 Highlights Timothy Quill, MD Program Director

Palliative Care Program 2008 Highlights Timothy Quill, MD Program Director. Our Multidisciplinary Team includes:. Our Multidisciplinary Team. What Palliative Care Teams Do. The Goals of Palliative Care. Palliative Care Settings. How many patients do we see?.

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Palliative Care Program 2008 Highlights Timothy Quill, MD Program Director

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  1. Palliative Care Program2008 HighlightsTimothy Quill, MDProgram Director

  2. Our Multidisciplinary Team includes:

  3. Our Multidisciplinary Team

  4. What Palliative Care Teams Do

  5. The Goals of Palliative Care

  6. Palliative Care Settings

  7. How many patients do we see? Number of Hospitalized Patients Referred per Calendar Year with projection for 2009

  8. Number of new outpatient referrals Projected number for 2009 is over 240 • Four palliative care trained physicians currently offer outpatient consults and follow-up care

  9. What illnesses do our patients have?

  10. Why are patients referred to us?

  11. Our patients are very ill Performance Status* of Inpatients at First Consult in 2008 Scale 70 - 100 Scale 10 - 30 Scale 40 - 60 * Performance Status Scale assesses functional ability, and ranges from 0 (dead) to 100 ( normal)

  12. Where do our patients go? Discharge Dispositions

  13. Pediatric Palliative Care Highlights

  14. Impact of Palliative Care Improved Symptom Management Scale 0 = None 1 = Mild 2 = Moderate 3 = Severe

  15. Impact of Palliative Care Proactive Palliative Care in the MICU: Study Results Norton SA, Hogan LA, Holloway RG, Temkin-Greener H, Buckley MJ, Quill TE. Proactive palliative care in the medical intensive care unit: effects on length of stay for selected high-risk patients.Crit Care Med 2007; 35:1350-5.

  16. Impact of Palliative Care Cost of Care at the End-of-Life Study Results Summary Is Palliative Care at the End of Life Cost Saving? Poster Presentation at 2008 Academy Health Conference, unpublished. I Pesis-Katz PhD; H Temkin-Greener, PhD MPH; T Quill, MD; S Ladwig, MPH; S Norton, PhD, RN, FNAP; N Lindenmuth, MD; and D Mukamel, PhD.

  17. Representative Grants Aetna Foundation, “A Home-based Palliative Care Program for Patients with Advanced Cancer and Congestive Heart Failure." 7/05 – 6/08. Robert Wood Johnson Grant, through the Medical College of Wisconsin to promote student education in Palliative Care, 2006 – 2010. Physician’s Foundation for Health Systems Excellence. “Mindful Communication”. In collaboration with the NY Chapter of the American College of Physicians. 1/07 – 6/09 Arthur Vining Davis Foundation. A Curriculum in Mindful Practice to Promote Caring Attitudes and Professional Behavior of Medical Students and Residents.” 1/07 – 6/09.

  18. Educational Initiatives

  19. Fellowship Training Our program features a rigorous ACGME-certified fellowship training program with 2 fellows per year

  20. Research and Quality Improvement Representative Plans and Opportunities

  21. Recent Developments Ribbon-cutting Ceremony for the new Sussman Palliative Care Unit on 4-1200 April 6, 2009

  22. Recently published Evaluation of a required palliative care rotation for internal medicine residents. Olden AM, Quill TE, Bordley D, Ladwig S. J Palliat Med. 2009 Feb;12(2):150-4. A qualitative report of dual palliative care/ethics consultations: intersecting dilemmas and paradigmatic cases. Childers JW, Demme R, Greenlaw J, King DA, Quill T. J Clin Ethics. 2008 Fall;19(3):204-13. Responding to a request for hastening death #159. Quill T, Arnold RM. J Palliat Med. 2008 Oct;11(8):1152-3. Evaluating requests for hastened death #156. Quill T, Arnold RM. J Palliat Med. 2008 Oct;11(8):1151-2. Physician-assisted death in the United States: are the existing "last resorts" enough? Quill TE. Hastings Cent Rep. 2008 Sep-Oct;38(5):17-22. Suicidal thoughts and actions in cancer patients: the time for exploration is now. Quill TE. J Clin Oncol. 2008 Oct 10;26(29):4705-7.

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