Sandra R. Hernández, MD CEO, California Health Care Foundation Judy Thomas, JD CEO, Coalition for Compassionate Care of California Case Study: Dying in California

Health Care That Works For All Californians The California Health Care Foundation (CHCF) is dedicated to advancing meaningful, measurable improvements in the way the health care delivery system provides care to the people of California, particularly those with low incomes and those whose needs are not well served by the status quo. We work to ensure that people have access to the care they need, when they need it, at a price they can afford. Health Care That Works For All Californians The Coalition for Compassionate Care of California is a statewide coalition of organizations, institutions, healthcare providers, state agencies and individuals working together to promote high-quality, compassionate palliative and end-of-life care for all Californians. We are working to ensure that organizations and communities have the information, knowledge and tools to increase access to palliative care. Health Care That Works For All Californians Ensuring Medical Care is Aligned with Individual Patients’ Wishes

Dying in California: A Status Report on End-of-Life Care dying-calif-status-report

Progress, Gaps & Opportunities The state has made progress increasing access to palliative care services in hospitals. A diverse group of California stakeholders are joining together to support policy reform, outreach, and education around quality palliative care, serving patients earlier than traditional end-of-life care services. Advance care planning and palliative care are not yet an integral part of the standard of care in California. Growing demand for palliative care far outstrips capacity.

Promoting the Report Palliative care in California: Improving, but not everywhere By Lisa M. Krieger October 22, 2015 And spreading the news

IOM Dying in America Recommendations Examples of California Focus Payments and policies Statewide initiatives to increase access to community- based palliative care (CHCF & CCCC) POLST eRegistry planning and pilot (CHCF & CCCC) Clinician-patient communication and advance care planning Spanish translation of online planning tool Prepare for Your Care (CHCF) Health Care Decision Guides (CCCC & CHCF) Award-winning advance care planning model (CCCC) Professional education and development CSU Institute for Palliative Care (CHCF & CCCC) POLST & advance care planning conversations (CHCF & CCCC) End-of-life care through a cultural lens (CCCC) Public education and engagement Community screenings of Atul Gawande’s film Being Mortal (CHCF & CCCC) Faith Leader Toolkits for Advance Care Planning (CCCC) 25 Local coalitions (CHCF & CCCC) Delivery of Care California Advanced Illness Collaborative (CCCC) Payer-Provider Partnerships and outpatient palliative care in the safety net (CHCF) Current/Future Efforts

Orange County, Long Beach, and LA: San Francisco: Northern California: Collabria ResolutionCare Interim Health Care Yolo Hospice Los Angeles: San Diego: Delivery of Care: CHCF Payer- Provider Initiative

Questions & Answers chcf.org Case Study: Dying in California CoalitionCCC.org