Table 1 Key elements in the business plan for the Champlain Hospice Palliative Care Program

Background Information

 Definitions of palliative care and hospice care

 Real life case examples describing patient journey experiences across diagnoses, illness trajectories, needs and settings

 Evidence from other jurisdictions of the impact of regional programs and support of regionalization

 Key components of successful regional programs internationally

 Listing and description of current hospice palliative care services in Champlain

 The Planning Process that led to the development of the Business Plan

Regional Supporting Data

 Expected population growth and causes of death

 Percentage of cancer patients dying in acute care hospitals in the region^a

 Percentage of cancer patients visiting emergency departments in last two weeks of life^a

 Total number of days patients spent waiting in Ottawa hospitals for admission to the Palliative Care Unit or hospice

 Mean and median number of days waiting for admission to a PCU or hospice

 Total number of new referrals and admissions to the Palliative Care Unit, hospices, home care services, hospital consultation teams

 Total number of PCU beds in region

 Total number of hospice beds in region

 Total number of Long Term Care (LTC) facilities and beds

Provincial Supporting Data

 Costs of EOL care in Ontario

 Study of emergency department use by cancer patients in last 2 weeks of life

Regulatory, legislative and policy barriers

Recommendations

 Foundational, Priority and Supporting recommendations

 Guiding principles for Program Development

Program Implementation Plan

 Governance Structure

 Priority tasks

 Evaluation framework with outcomes

 Terms of Reference^b

 Timelines

Budget And Item Justifications

 Proposed budget items were:

 Executive members: Executive Director (full time), Medical Lead (part-time; 0.2 FTE); Decision Support/Informatics Coordinator (full time); Quality Improvement Coordinator (part-time); Local Network Support Personnel (1.5 FTE); Administrative Assistant (full time), operating expenses (translation, meeting & travel expenses, office rental, office supplies, etc.)

Appendices

 Working Group recommendations