1. Compassionate Honesty Quality Forum 2015 Dr Peter Edmunds

2. Its not surprising people are afraid of dying. Receiving healthcare can be very dangerous in the last year of your life.

3. BC deaths Actual Projected BC Vital stats

4. 31000 17 minutes

6. VCH Location of death: 44% Acute Care 26% Res Care 14% Home 15 % Hospice (70% want to die at home)

8. Symptom burden Cancer = others

10. 10 10x Without palliative care:

11. 11 Nobody Without palliative care:

12. 6400 82 minutes

16. 1300 deaths per year 2009 450 7 weeks 2014 780 16 weeks

17. 17 70%

18. 59% fewer ER visits

19. 6077 days

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22. Less pain is better than more pain

23. You are more likely to choose the most beneficial treatment if you have accurate and complete information

24. Fewer ED visits and days in hospital are better than more

25. Dying in ED is to be avoided if at all possible

31. ED Community Acute Care

32. In a complex world… One size never fits all What works here, may not work there Local conditions matter... “This is how we do it here” Bottom up leadership works M. Gardam UHN “Culture eats strategy for breakfast”

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35. Photo by Simon Daniel Photography - Creative Commons Attribution License https://www.flickr.com/photos/63054407@N03Created with Haiku Deck