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TriCentral PC Toolkit : Your Guide To Creating An Outpatient Palliative Care Program : Appendices

To view a file, click the file name.

FileContent
sorostoolkitfinal120902.docMicrosoft Word document, 51 pages. This is the main document describing the Toolkit.
cc033.xlsMicrosoft Excel spreadsheet. Telephone screening tool for initial phone contact with patient or family. Used to screen and document initial referrals.
eol_care_checksheet_0699.docMicrosoft Word document, 1 page. EOL Checklist. Reminder of all the things you must do as a team to ensure quality care.
homehealth_qualprogdescription_2002_1apr02.docMicrosoft Word document, 13 pages. General Kaiser Permanente document describing the quality assurance program at a high level.
pain.pptMicrosoft PowerPoint Presentation. Content is two slides with showing a flowchart algorithm of pain management standards.
pain_iws_hh_apr02.docMicrosoft Word document, 2 pages. Home Health Pain Indicator Worksheet. A tabular form showing metrics for pain control for a quarterly report.
painstds_hh_apr02.docMicrosoft Word document, 2 pages. Policy outline for procedures on management of pain.
palliative_care_pt_ho_0201.doc Microsoft Word document, 2 pages. Folded brochure format. Handout printed on 8.5" x 14" paper given to patients and family.
palperfscaleweb_0998.docMicrosoft Word document, 1 page. Palliative Performance Scale, single table.
patient_satisfaction_survey_0298.docMicrosoft Word document, 2 pages. Two-sided survey designed for folding. Part of the quality improvement program. Survey is mailed to patients and families a couple of weeks after admission.
qm_plan_hhpc_2002.docMicrosoft Word document, 4 pages. Quality Improvement Plan for the department showing monitoring indicators for quality improvement.

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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.

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