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Table 3 Accomplishments and activities of the Champlain regional HPC program in the first 3 years

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

Activities

Description

Activities Completed

 Ottawa Hospice Plan Phases 1 and 2

New 10-bed residential hospice in Ottawa and opened hospice in city’s west end.

 Service Agreements between the LHIN and HPC  Service Providers (entities providing HPC services)

Ensure standards and coordination.

 Vetting of Proposals for HPC services to the LHIN

All proposals related to HPC services submitted to the LHIN by various service providers have to be first vetted by the Regional HPC Program Board.

 Standards for HPC services across different settings

Standards to guide performance indictor development across sectors created.

 Performance Indicators for the Region

22 priority performance indicators have been identified for the region, as well 40 other micro indicators for individual service providers.

 Central Referral and Triage System for referrals to  Hospices and the Palliative Care Unit (PCU) in Ottawa

One single referral point for patients being referred to Ottawa’s hospices and PCU; can be done online.

 Merger of PPSMCS and NPs to establish strong regional  community-based consultation and support team  (Regional Palliative Consultation Team (RPCT))

(The only region in province to do this).

 Expected Death in the Home (EDITH) Protocol

Protocol that allows funeral homes to collect bodies of deceased patients who die at home (expected deaths) without requiring a death certificate to move the body; the death certificate is then completed within 24 h.

 Madawaska Rural Program Plan

Rural Hospice Palliative Program in rural and remote south western part of region.

 Telelink Project

Video conferencing link ups between all the region’s hospice and palliative care programs for education and telemedicine.

 Information Strategy for health professionals and public

Development of a Program website with information for the public, patients and health professionals (http://www.champlainpalliative.ca).

 Engaging Family Health Teams Project

Increasing involvement of three out of four family health teams in providing palliative care.

 Testing of Emergency Medications and Supplies Box

A rural model and an urban model.

 Rural Hospice Palliative Care Retreat

Initiate the process of developing a framework for the implementation of rural- and remote-based HPC.

 Framework for Rural and Remote HPC Services

Begin to implement framework.

 Coordinated Education Strategy for the region  targeting physicians, nurses and pharmacists

Using, amongst others, the Pallium LEAP courseware and online learning modules.

 3-Year Work Plan

Work Plan for 2012 to 2015.

Activities Underway

 Palliative and EOL Care in Long-Term Care Framework

 

 Family Physician Registry

Registry of Family Physicians who provide palliative and end-of-life care for their own patients and those who are interested in taking on new palliative patients.

  1. EOL Care End-of-Life Care, LEAP Learning Essential Approaches to Palliative and End-of-Life Care, PPSMCS Palliative Pain and Symptom Management Consultation Service; now: RPCT Regional Palliative Consultation Team, NP Nurse Practitioner; in 2012 the Ministry of Health and Long-Term Care allocated 5 NPs to each region, hosted by CCAC