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Clinical Models and Staffing

This guide provides insights on developing effective palliative care services at the University of California, San Francisco. It emphasizes the critical aspects of service type selection—including consultation, inpatient, outpatient, and combination models—tailored to meet patient needs and goals. Key recommendations include forming the right interdisciplinary team, identifying essential roles and skills, and fostering efficient communication strategies to ensure seamless patient engagement. Explore practical frameworks for resource allocation, personnel requirements, and service outreach to optimize palliative care delivery.

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Clinical Models and Staffing

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  1. Clinical Models and Staffing Palliative Care Leadership Center University of California, San Francisco

  2. What type of service? • Think about your goals, needs, customers • Consider the resources you have (or could get) • Personnel • Space • Funding

  3. What type of service? • Consultation service • Primary service • Acute inpatient unit (short stay) • Subacute inpatient unit (longer stay) • Swing beds • Outpatient • Combination • Pros and cons to each

  4. Who should be on your team? • Right disciplines • RN, MD, NP or PA, SW, PharmD, DDiv/MDiv, AA • Right titles • Director of Nursing, CMO, Oncology Division Chief, Head Nurse, Chair of ethics committee • Right people • Opinion leaders, champion, early adopters • Right skills • Leadership, organizational, clinical

  5. Who should be on your team? • Recruit the right people with the right skills • Best if you can • Not always possible • Personalities may influence your service • Can work without a physician but in most hospitals that will be difficult

  6. Service Nuts and Bolts • Who do you want to be referred to you? • Who can engage your service? • How do customers reach you? • Pager, voicemail, email, unit • Tell the operator • What happens when I contact you? • Who responds? • How long does it take? • What do they do? • How do I find out about what happened?

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