Providing Palliative Care in Rural Areas
This report describes key lessons from the California Health Care Foundation rural palliative care initiative, which are intended to help health plans and providers understand the challenges and consider possible solutions to support delivery of palliative care in rural areas.
This environmental scan looks at the current (2016) availability of community-based palliative care in rural California, as well as barriers and opportu- nities for integrating these services more widely into rural health care in the state.3 It is based on a literature review and interviews with experts in rural health care and pallia- tive care.
From 2014 to 2017, the California Health Care Foundation (CHCF) supported a planning and implementation process for six teams of payer and provider organizations committed to strengthening and spreading community-based palliative care services in California. Participating providers included large academic medical centers, hospices, and a specialty palliative care practice (ResolutionCare), while the payers included national insurers, regional insurers, and a Medicaid managed care plan.
Partners in Palliative Care Pilot (5 pages)
Partnership HealthPlan of California (PHC) piloted an intensive outpatient palliative care program – Partners in Palliative Care (PIPC) – with four organizations that began in September 2015. An evaluation of the pilot showed several differences from palliative care programs in other populations and other settings.
Health Care Transformation supported Resolution Care leadership to streamline end of life decision-making and documentation with chronically ill patients through the strategy, development, and implementation of recorded video as a digital asynchronous care delivery tool.