Assessing Progress in End-of-Life and Serious Illness Care May 23, 2016

Panel: Perspectives from Stakeholders Judith Peres Founding Board Member, Social Work Hospice & Palliative Care Network

Dying in America Key Conclusions Major gaps in care near end of life Urgent attention needed from numerous stakeholder groups Person-centered, family-oriented approach to care near the end of life should be a high national priority Compassionate, affordable, and effective care is an achievable goal Released September 17, 2014 Report available: www.nap.edu

Dying in America Five Recommendations 1) Person-centered, family-oriented (palliative) care 2) Clinician-patient communication and advance care planning 3) Professional education and development 4) Policies and payment systems 5) Public education and engagement In learning About … what constitutes good care for people nearing the end of life and the steps necessary to achieve such care.

Social Work ACP Responsibilities by Practice Setting Informing Pts/Families of ACP Options Documenting ACP Preferences Community Hospice 95% 85% Inpatient Hospice 93% 79% Community Pall Care 91% 72% Inpatient Pall Care 66% 44% Oncology 62%

Stakeholders working together Finding Solutions