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About Us

Integrated System of Hospice Palliative Care

Target Population

Population Based Planning (PBP):

• Plans for the specific needs of a population as a whole whether services are accessed or not.
• Includes outcome measurement and accountability.
• Requires collaboration within all service providers and partnerships that build community capacity in individual, community and organizations.

Description of patients who may require specialized HPC:

A recent Palliative care consultation team project used the following two question inclusion criteria:

1. Would you be surprised if this patient died in the next 12 months?
2. Does the patient have symptoms and/or support needs?

This practical criterion has been used in ESC using 6 months as the inclusion target.

Quantifying the target population for specialized program:

Several predictive methodologies have been applied using ESC numbers. Outcomes from these calculations illustrate a significant current and future need for specialized HPC services in ESC:

• > 3,000 patients require referrals for assessment.
• > 2,000 patients require ongoing consultation.
• > 550 patients require direct ongoing care.

Quantifying the Entire HPC Target Population

The calculations above are for a specialized program of Palliative care. Much of palliative Care is delivered at a primary and secondary level. As a regional program is developed, integration is required among all levels and so all levels are part of the target population. (the illustration below depicts the various layers of the target population).

A three “layered” understanding of target population is described:

1. Potential target populationThe total number of natural deaths in any region represents the population who could potentially require some form of Palliative Care Services. Much of this care would be delivered by primary care practitioners.
   
   -ESC volumes are in excess of 5000 – i.e. all deaths



2. Regional Program Target Population - The target population for the proposed regional program is “any patient in any sector who is deemed to be receiving palliative care or is defined as “a palliative care patient’’. The volumes cited, by sector, above give an 'order of magnitude’ sense of potential target population. A regional program will begin the process of tracking patients across sectors and enable development of more fulsome identification of program target population.
   
   -ESC current volumes are cited and include almost 800 discharges from Acute care, approximately 500 deaths in CCC,, more than 1300 deaths in LTCHs, over 100 in Residential Hospice, over 1000 patients cared for in their home setting etc.



3. Projected needs for Specialized Hospice Palliative Care (HPC) Services –
   
   -ESC projected need is over 3000 patients