The table below outlines the projects from the nine California public health care systems that piloted interventions with support from CHCF’s generalist palliative care implementation program in 2020–21. It is organized by the three major categories of behavior change and skill-building these teams focused on: advance care planning and goals of care discussions, pain assessment and management, and comfort care at the end of life.
In the table, each organization’s entry links to a project profile that includes a project overview, description of the target patient population and project activities, summary of key challenges and takeaways, and description of core measures and select outcomes.
These approaches can be adopted or adapted by any health care system that aims to improve the care of its patients with serious illness.
CHCF Generalist Palliative Care Implementation Projects
Public Hospital | Partner Service Line | Target Audience | Target Population | Project Activities | |||||||||
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Target Behavior: Advance Care Planning (ACP) and Goals of Care (GOC) Discussions | |||||||||||||
Alameda Health System (PDF) | Emergency department | Residents | Seriously ill patients |
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UC Irvine Health (PDF) | Emergency department | Attending physicians, fellows, residents | Seriously ill patients |
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Zuckerberg San Francisco General Hospital and Trauma Center (PDF) | Trauma surgery | Attending physicians, fellows, residents, and nurse practitioners | Seriously injured patients |
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Contra Costa Health Services (PDF) | Primary care | Primary care providers | Seriously ill or older adults |
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Harbor-UCLA Medical Center (PDF) | Cardiology clinic | Nurse practitioners and social worker | Congestive heart failure clinic patients |
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Santa Clara Valley Medical Center (PDF) | Nephrology clinic | Physicians and social workers | Patients age 70 and older with advanced chronic kidney disease |
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Target Behavior: Pain Assessment and Management | |||||||||||||
LAC+USC Medical Center | Radiation oncology | Residents and nurse practitioners | Radiation oncology clinic patients |
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Olive View-UCLA Medical Center | Medical oncology clinic | Fellows and attending physicians | Oncology clinic patients with solid tumors |
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Target Behavior: Comfort Care at the End of Life | |||||||||||||
UC San Diego Health (PDF) | Neurology | Neurology | Patients nearing the end of life |
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