Summary of the Cleveland Clinic palliative care response plan to the pandemic
| 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 |