Vol. 41 No. 1 January 2011 183Schedule with Abstracts

designed to avoid unnecessary rehospitaliza-tions. Case studies will briefly outline three inno-vative service delivery models. A structured workplan will help participants frame next steps in-cluding identification of mechanisms to facili-tate smooth transitions between in-patient andcommunity-based care. Participants will leavethe session with concrete strategies for commu-nity service outreach and alignment of servicesacross a continuum of care. The presenters,both consultants for the Center to Advance Pal-liative Care, will share their wealth of practicalexperience. Amber Jones, MEd, specializes inuniting palliative care delivery between commu-nity and hospital, and Lynn Spragens, MBA, spe-cializes in bridging goals of clinical innovationand business strategy.

DomainStructure and Processes of Care

Incorporating Goals-of-Care ConversationsInto Hospital Admissions at a System-WideLevel: Policy and EducationalStrategies (306)Jocelyn White, MD FAAHPM, Legacy MedicalGroup, Portland, OR. Erik Fromme, MD, Ore-gon Health & Science University, Portland, OR.(All speakers for this session have disclosed norelevant financial relationships.)

Objectives1. Discuss the evidence for the emerging quality

standard of care for assessing patient goals ofcare on admission to the hospital unit andmatching patient goals with the care plan.

2. Identify an approach for efficiently and accu-rately assessing patient goals with two novelcommunication strategies: one for patients ad-mitted without an expected alteration in prog-nosis and the other for those admittedwith life-threatening or prognosis-changing conditions.Tools will be provided to help participantsteach these skills in their own settings.

3. Discuss how to develop in your own settingsa novel system-wide approach to meeting thequality standard with a coordinated approachusing policy, admission order sets, electronicmedical record reminders and educationwith both online and in-person learning mod-ules and video clips.

Patient-centered, cost-effective medical care is atthe core of our daily work. Quality standardsemerging from Europe promote the assessment

of patient goals of care within 12e24 hours ofadmission to the intensive care unit. Patientgoals are then matched to appropriate benefi-cial care. The growth of hospitalist medicine,the advent of rapid response teams on hospitalwards, and the need to provide care that maxi-mizes patient benefit for resources used, meansthe need for early goals assessment and the levelof care documentation on admission to the hos-pital is ever pressing. Yet few health centers havea reliable system for this process. This session re-views the literature evidence for this emergingquality standard of care. Then through casepresentations discussion simulation and videoclips spanning 10 years of interdisciplinary clini-cal practice and teaching presenters will intro-duce two strategies for patient goalsassessment. One strategy, the three-step ‘‘SAM’’discussion, is for non-emergent patients withoutlife-threatening illness and no expected changein prognosis. The second strategy, the five-step‘‘UFO-UFO’’ discussion, is for selected non-emergent patients with life-threatening illnessor expected change in prognosis. Each tool facil-itates patient- and family-centered conversationsconsistent with recommendations in critical careand palliative care literature. Finally the sessionwill share the experience of one six-hospitalhealth system with a concerted system-wide inter-vention to bring system practice in line with thisquality standard. The strategy and tips for policyand admission order development will be pre-sented. The session will provide copies of thepolicy and admission order set and an overviewof the SAM- and UFO-UFOebased system-wideonline educational interventions. Presenterswill share teaching tools and presentation guidesfor those wishing to share this information pol-icy and skills approach to meeting the standard.

DomainStructure and Processes of Care

Innovations in Research and Trainingin Palliative and End-of-Life Care:The Canadian Perspective (307)Kelli I. Stajduhar, PhD RN, University of Victo-ria, Victoria, BC, Canada. S. Robin Cohen,PhD, McGill University, Montr�eal, QC, Canada.Judith Bray, PhD, Canadian Institutes of HealthResearch, Ottawa, ON, Canada.Sponsored by British Columbia Hospice Pallia-tive Care Association