On June 5, 2020, the National Academies of Sciences, Engineering, and Medicine will host a webinar on Innovative Hospital-Based Palliative Care Responses to the COVID-19 Pandemic: Perspectives from Program Leaders of Two Large Hospitals.
Palliative care is team-based specialty care that provides an additional layer of support for people facing serious illness through communication and symptom management expertise. Prior to the COVID-19 pandemic, palliative care clinicians were in short supply, and in hard-hit metropolitan areas such as New York City and Boston, the need for palliative care expertise has greatly exceeded the available palliative care workforce.
In New York the Brookdale Department of Geriatrics and Palliative Medicine quickly designed and deployed a number of novel interventions to ensure access to palliative care for patients and families throughout the Mount Sinai Health System (New York City, Nassau, Westchester, and Rockland Counties). These included 1) a novel telephonic support line to extend the reach of palliative care during the covid-19 pandemic to clinicians and family members; 2) Embedded ED teams that partnered with existing clinicians; 3) Embedded clinicians within ICUs; 4) Transformation of an inpatient palliative care unit (PCU) to a COVID-PCU; 5) transformation of a community-based palliative care research project into a full-fledged clinical service adapted to the challenges of COVID-19 (lack of PPE, home healthcare, readily available medications); 6) Training non-palliative care clinicians to act as palliative care “extenders” 7) and targeted outreach to patients at high risk for severe COVID-19 to ensure goals of care were understood and e-MOLSTS completed where appropriate.
At Brigham and Women’s Hospital in Boston, the palliative care team created an online resource for clinicians (pallicovid.app), realigned its consult service to meet the needs of the ED and newly created COVID ICU, and rapidly transformed an Oncology Intensive Palliative Care Unit into a dedicated COVID-19 Palliative Care Unit where patients unlikely to survive could receive expert symptom management and psychosocial care.
The webinar will feature the key principles and lessons learned from these two specific innovative and rapid hospital-based responses to addressing palliative care needs during the pandemic.
Amy Berman, RN, LHD, FAAN , Senior Program Officer, The John A. Hartford Foundation
Elizabeth M. Rickerson, MD, Anesthesia and Pain Management, Palliative Medicine, Brigham and Women’s Hospital
Barbara Reville, DNP, ANP-BC, ACHPN, Nurse Director, Adult Palliative Care , Department of Psychosocial Oncology and Palliative Care , Fellowship Director, Palliative Care Nurse Practitioner Fellowship, Harvard Medical School Center for Palliative Care
Jane deLima Thomas, MD, Director, Inpatient Palliative Care, Dana-Farber Cancer Institute/Brigham and Women's Hospital Comprehensive Cancer Center, Associate Director, Harvard Interprofessional Palliative Care Fellowship, Instructor in Medicine, Harvard Medical School
Emily Chai, MD, Professor, Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai
R. Sean Morrison, MD, Ellen and Howard C. Katz Professor and Chair for the Brookdale Department of Geriatrics and Palliative Medicine at Mount Sinai Director, Lilian and Benjamin Hertzberg Palliative Care Institute , Director, National Palliative Care Research Center
This event is sponsored by the National Academies of Sciences, Engineering, and Medicine’s Roundtable on Quality Care for People with Serious Illness, Board on Population Health and Public Health Practice, and the Forum on Aging, Disability, and Independence.