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

From: Implementing the first regional hospice palliative care program in Ontario: the Champlain region as a case study

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 regiona
 Percentage of cancer patients visiting emergency departments in last two weeks of lifea
 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 Referenceb
 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
  1. aSource of information: Cancer Care Ontario [8]
  2. bTerms of reference for the Program’s Board, Members, Committees, executive officers (Executive Director, Medical Director, Project Manager, Data Manager and Administrative Assistant) were added later