This section presents operational procedures for the TriCentral Palliative Care (TCPC) Program. This detailed description is intended to serve as a blueprint for replicating the program in other healthcare organizations. Starting with a discussion of staffing requirements, this section goes on to describe the entire care process, from patient enrollment to discharge. As you read, bear in mind that we are describing how the Palliative Care Program works at Kaiser Permanente. You may want to modify the program to suit the needs of your healthcare organization and its patients. However, the core components of the program (presented in Chapter 2) should remain intact in order to achieve the same positive outcomes.
Staffing: Interdisciplinary Team (IDT)
Core Team Members: Roles and Responsibilities
Team goals and team conference
Staffing requirements
Patient Enrollment
Care Planning: The Plan of Care
Care Plan Checklist
Patient and Family Services
Patient Discharge
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For more information about the TriCentral Palliative Care Toolkit visit www.growthhouse.org/palliative/. All content is Copyright © 2002, 2003 by Richard D. Brumley, M.D. All rights reserved. No part of this toolkit may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without written permission from the publishers. This guide to developing home-based outpatient palliative care services was developed through a grant to the Kaiser Permanente TriCentral Service Area from The Project on Death In America. The Kaiser Permanente TriCentral Palliative Care Program is a Sustaining Member of the Inter-Institutional Collaborating Network On End-of-life Care (IICN) which links major organizations internationally.
