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Cleveland Clinic Palliative Care Response Plan to COVID-19 Staff COVID-19 educational resources and tools to facilitate high-quality primary PC by all clinicians • COVID-19 Comfort Care Electronic Medical Record Order Set • COVID-19 Symptom Management Guide, Recovery Possible • COVID-19 Symptom Management Guide, End-of-Life • Electronic Medical Record Documentation Templates (Progress Note and Death Pronouncement) • Communication Guide for Advance Care Planning Conversations • PC Crisis Hotline Pager: 24/7 support available to any caregiver for advice, coaching, or support Stuff Ensuring availability of medications and supplies necessary for symptom management and end-of-life care • Pharmacy and supply chain needs managed by Cleveland Clinic enterprise leadership Space Optimizing physical space and facilities • Cohorting of patients with COVOD-19 in the intensive care unit, and regular nursing floor managed by Cleveland Clinic enterprise leadership • Consideration of cohorting patients with COVID-19 who are receiving comfort-focused, end-of-life care • Consideration of freestanding hospice unit capability for patients with and without COVID-19 Systems Developing systems to facilitate PC delivery • Strategic deployment of the specialty PC workforce • Triage system for specialty PC consultation • Targeted inpatient consultation staffing plan to maximize collaboration, education, and peer support • Transition to telehealth platforms to minimize longitudinal care interruption for existing PC patients • Inclusion of advance care planning conversations in ambulatory monitoring programs for patients with COVID-19
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