Sean Morrison on the Current State of Palliative Care
episode
GeriPal - A Geriatrics and Palliative Medicine Podcast
22 min
3 speakers
8 chapters
transcribed 2 days ago
Transcript
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Transcript generated automatically by AI and may contain errors.
What is the new “How We Work” report and why is it important for hospital palliative care?
Welcome to the Jerry Powell Podcast. This is Eric Widera.
This is Alex Smith.
And Alex, who is our guest today?
Today we have the Dr. Sean Morrison, who is Director of the National Palliative Care Research Center and the Hertzberg Palliative Care Institute at Mount Sinai in New York. Welcome to the Jerry Powell Podcast, Sean.
Thanks, gentlemen. Good to be here. And we start this off with our guests making a request to Alex for a song they'd like to hear. Alex, could I have a song?
So I thought that in honor of you, Sean, who is a Beatles fan and made a wonderful joke about the Beatles and a group called the Beach Boys, I believe. They're some sort of historical group that was important in U.S. history, I understand.
Very good memory, Dr. Smith. At
the recent Foley retreat, Sean was introducing Vince Moore, who is an esteemed palliative care researcher in his own right, and said, whenever Vince Moore publishes something, I feel like Brian Wilson, who's the front man for the Beach Boys, did when the Beatles published Sgt. Pepper's Lonely Hearts Club Band.
So let's hear a little of it.
So this is When I'm 64 from that album. One of the few songs I can play from this concept album.
When I get older, losing my hair Many years from now Will you still be sending me a valentine? Birthday greetings, bottle of wine If I've been out till quarter to three Would you lock the door? Will you still need me? Will you still feed me? When I'm sixty-four
It was great. So we should dive into this report here, Sean.
How have hospital palliative care consult rates changed from 2009 to 2015?
It's sponsored, as I understand it, by both the National Palliative Care Research Center and CAPSEA. Is that correct? The Center to Advance Palliative Care?
That is correct.
Absolutely. And the report is titled, How We Work, Trends and Insights in Hospital Palliative Care. We'll have a link to the report on the Jerry Pell website. Okay. And really, we're looking at trends between 2009 and 2015. Sean, do you want to give us a brief overview about the report? Sure.
So this is a report that is based upon the National Palliative Care Registry, which is a joint product of the National Palliative Care Research Center and the Center to Advance Palliative Care, which is a voluntary database where programs throughout the United States input information about the structures and processes associated with palliative care delivery. And we've been collecting data over the past 10 years, and this report really tracks some of the metrics associated with the growth of hospital palliative care in the United States.
One of the first big findings that I saw was that currently in 2015, 4.8% of all hospital admissions received a palliative care consult. And I was just impressed by that number. And per the report, that number has increased from 2.7% of all admissions in 2009 to 4.8%. Are there other things from this report that really stood out for you when you put it together?
I think there are a couple things beside that. Obviously, as you know, the growth in palliative care has been rather rapid in terms of the number of programs since, oh, 2005. And accompanying that has been a growth in the penetration of those programs into various hospitals. So first of all, I think the biggest finding is that palliative care teams on average are seeing almost 5% of hospitalized patients, but some teams are seeing up to 15 or 16%. And the right number is probably somewhere between seven and a half to 15, depending upon the makeup of the hospital. I think the other thing that we've seen that is equally impressive is the growth of teams that now support a full interdisciplinary team of a physician, nurse practitioner, or registered nurse,
Chaplain or social worker and social worker, sorry.
Why is interdisciplinary team composition critical and which disciplines are still under‑represented?
And that that was a very small group of programs many years ago, but is now increasing also rather exponentially.
It's interesting. There are a number of glass-half-full, glass-half-empty sort of storylines in here, aren't there? And I think there's tremendous... I was really impressed with the growth of interdisciplinary teams, and yet I'm flipping through trying to find it.
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Chapters
8 chapters
1
What is the new “How We Work” report and why is it important for hospital palliative care?
0:00–1:54
2
How have hospital palliative care consult rates changed from 2009 to 2015?
1:54–4:31
3
Why is interdisciplinary team composition critical and which disciplines are still under‑represented?
4:31–8:04
4
How can accreditation, research, and funding improve chaplaincy and social work support?
8:04–10:58
5
What strategies can address the workforce shortage across the four core palliative disciplines?
10:58–14:38
6
How should hospitals target palliative care referrals to reduce readmissions and improve outcomes?
14:38–17:20
7
What are the projected trends for interdisciplinary team growth and patient penetration over the next decade?
17:20–20:40
8
How can programs join the National Palliative Care Registry and benefit from its data?
20:40–22:10
Speakers
3 identifiedMore from GeriPal - A Geriatrics and Palliative Medicine Podcast
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