Intalere Member Best Practice Spotlight – NYC Health+Hospitals/Sea View – Enhanced Interdisciplinary Palliative Care Services

ISSUE

To provide optimum compassionate and dignified care for residents with an acute or chronic serious illness, NYC Health+Hospitals/Sea View needed to enhance their palliative care services.

SOLUTION

Sea View implemented a Palliative Care Program that fosters an interdisciplinary approach that supports both residents and families alike, where attention to physical, psychological, social and spiritual needs are addressed. This process enables Sea View to align care with resident wishes. At each encounter with the resident or resident surrogate, the principles of palliative care and the benefits of palliative care are discussed. By utilization of education, interactive principles and care paths, unwarranted hospitalizations have decreased. An all-inclusive palliative care policy and procedure was developed in which advance directives, pain management, depression, acute care transfers, as well as quality of life, are linked. A revision of the pain management program, including non-pharmacological interventions was established.

OUTCOME

Over a 14-month period, the facility doubled the number of actively engaged Sea View residents receiving palliative care services. In addition, 98% of residents have advance directives in place. The number of acute care transfers trigger a 7.8%, far below the National Benchmark of 12.9%. Quality of life has been proportionately enhanced, with no residents receiving palliative care services exhibiting pain or depressive symptoms.

ABOUT NYC HEALTH+HOSPITALS/SEA VIEW

Sea View is a 304-bed long-term care facility governed by NYC Health+Hospitals. Sea View is located in Staten Island, N.Y., on a 60-acre campus. Specialty services include dementia and traumatic brain injury. Sea View is the proud recipient of the CMS 5 Star Rating. It ranks nationally in the top 5% of all long-term care facilities.

Check out the project video and view the NYC Health+Hospitals/Sea View page in the 2017 Intalere Best Practices Compendium.

 

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