Caring for Vulnerable Populations with Serious Illness Will - - PowerPoint PPT Presentation

▶
caring for vulnerable populations
SMART_READER_LITE
LIVE PREVIEW

Caring for Vulnerable Populations with Serious Illness Will - - PowerPoint PPT Presentation

Mar 24, 2023 483 likes •934 views

Caring for Vulnerable Populations with Serious Illness Will Kennedy, DO Senior Medical Director for Advanced Illness CareOregon and Housecall Providers A CareOregon Company Join us for upcoming CAPC events Upcoming Webinars: Bridging

slide-1
SLIDE 1

Caring for Vulnerable Populations with Serious Illness

Will Kennedy, DO Senior Medical Director for Advanced Illness CareOregon and Housecall Providers

A CareOregon Company

slide-2
SLIDE 2

Join us for upcoming CAPC events

➔ Upcoming Webinars:

– Bridging Gaps in the Continuum of Care through Local Partnerships Tuesday, May 14 at 12:30pm ET – Understanding Key Principles (and Math) that Link Team Effectiveness and Staffing Plans Thursday, May 30 at 12:30pm ET

➔ Virtual Office Hours:

– Improving Team Effectiveness Tuesday, April 30 at 4:00pm ET – Business Planning Using the CAPC Impact Calculator Monday, May 6 at 12:30pm ET

Register at www.capc.org/events/ 2

slide-3
SLIDE 3

Caring for Vulnerable Populations with Serious Illness

Will Kennedy, DO Senior Medical Director for Advanced Illness CareOregon and Housecall Providers

A CareOregon Company

slide-4
SLIDE 4

Questions

1.

How do we serve our community’s most vulnerable members living with serious medical illness?

2.

What partnerships do we need to provide this care?

slide-5
SLIDE 5
slide-6
SLIDE 6

“All of us here in this Yard, at one time or another, have seen human tragedies that broke our hearts, and yet we did nothing – not because we didn’t care, but because we didn’t know what to do. If we had known how to help, we would have acted. The barrier to change is not too little caring; it is too much complexity.”

  • Bill Gates
slide-7
SLIDE 7

Photo: Chris Carlsson

slide-8
SLIDE 8

Photo: San Francisco History Center, SF Public Library

slide-9
SLIDE 9
slide-10
SLIDE 10

Photo: Jodo Shu Research Institute

slide-11
SLIDE 11

Photo: Jodo Shu Research Institute

slide-12
SLIDE 12

30% of all Californians are in the safety net population

  • California Health Care Foundation
slide-13
SLIDE 13

“The Institute of Medicine defines the

health care safety net as: Those

providers that organize and deliver a significant level of health care and

  • ther related services to uninsured,

Medicaid, and other vulnerable populations”

IOM, America’s Health Care Safety Net: Intact but Endangered, 2000

slide-14
SLIDE 14
slide-15
SLIDE 15

What We See

YOUNGER AGE MENTAL HEALTH SUBSTANCE USE DISORDER LACK OF SOCIAL SUPPORTS FOOD INSECURITY HOUSING LOWER HEALTH LITERACY SAFETY

slide-16
SLIDE 16

l

slide-17
SLIDE 17
slide-18
SLIDE 18

https://well.blogs.nytimes.com/2013/07/22/nightmares-after-the-i-c-u/

slide-19
SLIDE 19

New York Times Opinion The Trauma of Being Alive By Mark Epstein

  • Aug. 3, 2013

“Trauma is not just the result of major disasters. It does not happen to only some people. An undercurrent of trauma runs through ordinary life.”

slide-20
SLIDE 20

Traditional Palliative Care

Symptom Management Goals of Care Care Coordination

slide-21
SLIDE 21

Safety Net Palliative Care

Relationship

Symptom Management Goals of Care Care Coordination

slide-22
SLIDE 22
slide-23
SLIDE 23
slide-24
SLIDE 24

CareOregon Palliative Care Outcomes

slide-25
SLIDE 25

Expanded Palliative Care Supports

➔Social Determinants ➔Behavioral Health ➔Caregiving ➔Team Roles ➔Pharmacy Access ➔Specialized Advance Care Planning ➔Legacy Building vs. Bereavement

slide-26
SLIDE 26

Photo: Jodo Shu Research Institute

slide-27
SLIDE 27
slide-28
SLIDE 28
slide-29
SLIDE 29

Cave of Forgotten Dreams

slide-30
SLIDE 30

A person is a person because of other people

Photo: David Marks

slide-31
SLIDE 31

Why Now

➔30% of all Americans are uninsured or on Medicaid ➔Lack of structures in place ➔America’s Essential Hospitals ➔Very little data to guide advanced illness strategy in this

population*

2016 (https:/ /essentialhospitals.org/wpcontent/uploads/2016/06/2014-Essential-Data-OurHospitals-Our- Patients.pdf).

slide-32
SLIDE 32

An Inflection Point?

➔Older Minority Americans will increase by 160% compared to

59% for non-Hispanic whites in coming years

➔In some urban, low income neighborhoods, the percentage of

decedents receiving hospice care was less than 5%

➔Opioid epidemic as palliative care access issue

Racial and ethnic disparities in palliative care. J Palliat Med. 2013;16(11):1329-34. O'Mahony S, McHenry J, Snow D, Cassin C, Schumacher D, Selwyn PA. A review of barriers to utilization of the medicare hospice benefits in urban populations and strategies for enhanced access. J Urban Health. 2008;85(2):281-90.

slide-33
SLIDE 33

“For me, an area of moral clarity is: you're in front of someone who's suffering and you have the tools at your disposal to alleviate that suffering or even eradicate it, and you act.”

  • Paul Farmer

Photo : Moupali Das

slide-34
SLIDE 34
slide-35
SLIDE 35
slide-36
SLIDE 36
slide-37
SLIDE 37
slide-38
SLIDE 38
slide-39
SLIDE 39
slide-40
SLIDE 40
slide-41
SLIDE 41

“But humanity’s greatest advances are not in its discoveries – but in how those discoveries are applied to reduce inequity. Whether through democracy, strong public education, quality health care, or broad economic opportunity – reducing inequity is the highest human achievement.”

  • Bill Gates
slide-42
SLIDE 42

Questions?

Please type your question into the questions pane

  • n your WebEx control panel.
slide-43
SLIDE 43