The Center to Advance Palliative Care (CAPC)'s podcast, Program Spotlight, highlights successes and challenges faced by organizations of all sizes and settings. Each episode features an in-depth interview with a palliative care program leader or specialist covering common themes such as managing growth, improving the referral process, team wellness, organizational buy-in, relationship building, and much more.
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Expanding Access to Palliative Care within a Rural Health System (00:29:18)
In this episode, we hear from Dr. Patricia Fogelman, DNP, about being brought in to lead the palliative care program at Guthrie Clinic, a rural integrated health system located in north central Pennsylvania and upstate New York, serving 12 counties. We hear about the many ways she's proving the value of palliative care by engaging within and outside of her institution, creatively finding solutions to showcase what high-quality palliative care looks, while overcoming limited resources. We also learn how the pandemic positioned her to accelerate her team's visibility, which allowed her to assume an institutional leadership role.
How Research Informed a Home-Based Palliative Care Program from the Start (00:26:47)
In this episode, we hear from Drs. Robert Friedman and Kate Tindall of Austin Palliative Care in Texas about their journey in establishing a home-based palliative care program. They discuss the challenges of designing their program, and how they used years of strategic research to identify their patient population, understand the unique needs in their city, and ultimately drive referrals. They share insights on balancing growth with delivering high-quality care, and how palliative care can be a model for value-based care – with the potential to improve quality of care and reduce costs.
Building a Systemwide Palliative Care Collaborative (00:15:03)
Dr. Jessica Israel, senior vice president of geriatrics and palliative care at RWJ Barnabus Health in New Jersey, shares how she built a palliative care service line across the largest academic health care system in the state. She discusses how her communication skills expertise (from palliative care training) set the stage to achieve systemwide collaboration, and how she purposefully sought to unify, improve, and streamline the teams and processes, while allowing each site to retain its own personality and structure.
A Program Leader's Journey from Despair to Success (00:16:23)
Dr. Chin-Lin Ching, medical director of palliative care at Highland Hospital, joins her mentor, Dr. Diane E. Meier, director of the Center to Advance Palliative Care for an interview. In this episode, Dr. Ching shares how she turned around her program, which was considered successful on paper (based on high and rising volume), but unsustainable due to strains on staffing — causing her team to feel overwhelmed and burnt out. Instead of walking away, Dr. Ching took steps to overcome her feelings of despair, which included research, planning, and implementing change. For more information, click here.
Teachable Moments: Proving the Value of Palliative Care (00:12:05)
Dr. Diana Martins-Welch, Palliative Care Physician at Northwell Health Long Island, discusses how she built the outpatient palliative care practice as part of the center's cancer institute. She shares observations about growing from a sole provider to a small team, achieving earlier referrals from her oncology colleagues, and expanding the team's visibility to support more patients.
Building a Program from the Ground Up (00:26:39)
Dr. Kathy Selvaggi, Director of the Butler Health System Palliative Care Program, steps into the program spotlight to discuss how she helped build a palliative care program from scratch beginning in 2015. In this episode, Dr. Selvaggi shares how being direct and transparent with institutional leaders, her staff, and partners in the community is the key ingredient to her program's continued success. She also talks about the importance of marketing the program in the community and details how and why she transitioned from oncology to palliative care.
Music and Memory: Improving Alzheimer's and Dementia Care (00:38:57)
Music and Memory: Improving Alzheimer's and Dementia Care by Center to Advance Palliative Care
Marketing Your Palliative Care Team (00:20:52)
This episode of the Palliative Care Program Spotlight features a phone interview with Chautauqua Hospice & Palliative Care in Lakewood, NY. The conversation includes a discussion on how to find the right palliative care staff as well as a fascinating look at the team's investment into radio and print marketing which is showing real results.
Facing the Challenge of Budget Barriers (00:19:08)
What happens when your palliative care program's budget is cut significantly? How do you evolve and survive when your institution isn't providing the support you need to meet patients in need? This episode of the Palliative Care Program Spotlight tries to tackle these very questions. Our guest is Jeanne Elnadry, MD who serves as Director of Supportive/Palliative Care at Yuma Regional Medical Center. Her role is to develop palliative care programs, systems, and initiatives throughout the institution, and to provide education in palliative care principles and practices. She is developing clinical programs to provide symptom management and supportive care for patients at Yuma Regional greater Yuma community.
Showing Your Program's Value and Return on Investment (00:14:45)
Dr. Stephanie Houck heads up the palliative care program at UT Southwestern Medicine. In this episode, she discusses proving her program's value through data and metrics in the face of a potentially changing funding program. Dr. Houck also discusses promoting palliative care and it's expansion into additional hospital settings, including the emergency department, oncology, intensive care and ambulatory care units.
Embracing Change and Innovation in Palliative Care (00:24:26)
Dr. Carl Robert Grey is a Geriatric Medicine Specialist and Co-Director of the Palliative Care Program at Wake Forest Baptist Health in North Carolina. At the time of recording, Dr. Grey was only weeks into his position at Wake Forest. In this episode, he discusses the importance of mentorship, embracing new ideas and innovations, and why he believes having a healthy work/life balance is a key ingredient to successful palliative care staff.
Overcoming the Challenges of Successful Growth (00:32:56)
In this episode of the program spotlight series, Mary Alfano-Torres, Medical Director for Chapters Health Palliative Care in Florida, discusses how she prepared her staff to handle the enormous growth her program has experienced. With success comes growing pains and the need to balance the business and patient services is never more important.
How to Better Care for Dementia Patients (00:37:20)
How to Better Care for Dementia Patients by Center to Advance Palliative Care
Reducing Hospital Readmissions through Palliative Care (00:24:47)
In this episode, Dr. Bob Bergamini of Mercy Palliative Care Services in St. Louis steps into the program spotlight to discuss how his program has fought to reduce readmission rates for his institution. This engaging chat is brought to you by the Center to Advance Palliative Care.
How to Create a Culture of Palliative Care (00:23:20)
Adriane Mackie RN and Jennifer Blechman MD of Partners in Care in Oregon step into the program spotlight to discuss building and growing an outpatient palliative care program. In this episode, Jennifer and Adriane chat about working with referring physicians to create a culture where upstream palliative care is seen as an extension of their care.
Expanding into the Outpatient Setting: Challenges and Success Stories (00:20:25)
The Rev. Kelley Woggon, M.Div., BCC of Norton Healthcare in Louisville, Kentucky steps into the palliative care program spotlight to discuss her palliative care program's push to move into the outpatient setting. In this chat, Kelley breaks down her challenges and successes into branching out which include staff training, communication with referring physicians, and maintaining institutional support. Kelley also describes the process of how her team recently became Joint Commission Certified in palliative care.
Team Wellness: Avoiding and Overcoming Burnout (00:31:10)
Palliative care specialists can often feel spread thin especially if the team is understaffed or overbooked with consults. Dr. Wendy L. Knowlton, a Hospice and Palliative Care Specialist with Providence Sacred Heart Medical Center in Spokane, Washington, understands firsthand what it's like to feel burnt out. In this engaging conversation, Wendy opens up about a time when she felt overwhelmed and exhausted from the difficulties of the job and how that moment changed the way she manages her team today.
Building Relationships to Grow a Palliative Care Program (00:20:41)
Inge DiPasquale, RN steps into the Program Spotlight to discuss how building relationships with referring physicians helped build her program from the ground up in just three years.
Integrating a Pharmacist into the Palliative Care Team (00:20:38)
Julie Lehn, PharmD, is a Clinical Pharmacy Specialist in Palliative Care at Banner Health in Phoenix, AZ. in this podcast, she discusses how adding a Pharmacist to a palliative care team can save an institution money, increase referrals, and reduce readmissions. Find out how in this engaging chat.
Navigating Success and Managing Growing Pains (00:23:41)
With great success comes even greater challenges. How do you staff appropriately when your consults grow in big numbers? How do you scale your business model to continue to reach the right patients? Our guest on this episode is Teresa Harvey of Transitions Lifecare in Raleigh, NC whose program recently jumped from 300 consults to 800. In this chat, Teresa discusses her bundled payment model, her need for finding and training the right staff, and her desire to expand the program's reach in the community setting. If you have questions about growing, sustaining, and managing a palliative care program, visit www.CAPC.org.
Hiring, Training, and Retaining Palliative Care Staff (00:18:01)
Our latest guest on the Palliative Care Program Spotlight is Doctor Parag Bharadwaj. Parag is Chief of Palliative Care Medicine at Sentara Health in Norfolk, Virginia. In this conversation, Parag discusses his challenges with hiring the right staff and shares some of his recipes for keeping staff engaged for the long term.
The Big 3: Quality of Care, Provider Satisfaction, Cost Effectiveness (00:17:00)
Our guest on this episode is Greg Kimura, Director of Palliative Care for Monarch Healthcare in Orange County, California. In this engaging chat, Greg discusses caring for patients through the continuum of care as well as the importance of patient satisfaction and physician training.
Using Data to Find the Right Patients (00:23:30)
In this episode we chat with Abi Katz, Medical Director of Advanced Illness Management at Fidelity Health Care and Premier Health. In this conversation, Abi breaks down the ways her palliative care programs use data to assess their biggest issues such as finding the right consults, staffing properly, and showing their value to institutional leaders. Abi has a lot to teach us about maximizing the return on investment of collecting impactful data.
Establishing and Growing a Palliative Care Team (00:34:01)
How do you create a palliative care culture at an institution when there isn't one? How do you take the idea of palliative care and turn that into a real program that meets the needs of its patients? For the answers, we turned to Dr. Alexander Gamble, the Medical Director of Supportive Care at Phelps County Regional Medical Center in Rolla, Missouri. In this chat, Dr. Gamble discusses how he is growing a palliative care team from the ground up. Host Dan Altano and Dr. Gamble also chat about building lasting relationships with referring clinicians and the challenges of branching out into the rural setting. .
Breaking Down Barriers with Referring Clinicians (00:19:12)
Our guest in this episode of the Program Spotlight is Kristin Edwards who oversees the palliative care service line at Bridgeport Hospital, within a multisite hospital system. Responsible for clinical supervision, hospital staff education, as well as metrics and measurement, Kristin has a lot to share about building lasting relationships with referring clinicians. In this episode, Kristin shares successes in attracting the right referrals, breaks down her lessons learned in building an outpatient palliative care business plan, and details how she's scaling up to deliver palliative care to the patients who need it most.
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