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Scalable Model for Delivery of Inpatient Palliative Care During a Pandemic
Ebru Kaya1,2, Warren Lewin1,3, David Frost4,5
1Department of Supportive Care, 7989University Health Network, Toronto, ON, Canada.
The American Journal of Hospice & Palliative Care
|April 7, 2021
Summary
A scalable 3-step palliative care model was developed to meet increased demand during the COVID-19 pandemic. This model enhances specialist palliative care capacity and upskills clinicians for improved patient outcomes.
Area of Science:
- Healthcare Management
- Palliative Care
- Pandemic Response
Background:
- COVID-19 pandemic increased demand for palliative care.
- Hospitals faced challenges providing care due to high patient volumes and deaths.
- Existing palliative care programs were insufficient to meet the surge in demand.
Purpose of the Study:
- To develop a scalable model for high-quality palliative care provision during pandemics.
- To support hospitals lacking dedicated palliative care units or beds.
- To ensure continuity of care for critically ill patients.
Main Methods:
- Convened a COVID-19 consultation service working group (CWG) with interdisciplinary stakeholders.
- Developed a 3-step scalable model: consultant, embedded, and cohorted care.
- Created tools and resources for capacity building and clinician upskilling.
Main Results:
- Implemented a 3-step model including virtual care enhancement and cohorted units.
- Provided tools for triage, symptom management, and advance care planning.
- Facilitated rapid upskilling of clinicians and redeployment of medical staff.
Conclusions:
- The 3-step model enables rapid upscaling of palliative care.
- Collaboration with generalist physicians is key for successful implementation.
- The model is adaptable for future pandemics and disasters.
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