Table 2 Community-developed, culturally-based inpatient tele-consult intervention
Contact # | When | With whom | Method | Purpose |
|---|---|---|---|---|
#1 Palliative care tele-consult | As soon after randomization as possible | Patient (and family) referring hospitalist and remote palliative clinician Local study coordinator Remote IDT Members | Secure tele-consult Remote IDT review eHR document | 1. Conduct community-developed, culturally based palliative assessment. 2. IDT review (as needed) 3. Develop recommendations and palliative care plan |
#2 Follow-up day 3 | Within 3 days post consult | Patient and (family) Local study coordinator Remote and local clinicians | eHR document Telephone | 1. Provide recommendations and care plan 2. Respond to patient, family and remote team questions 3. Identify community care team and initiate referrals as needed (primary clinician/hospice provider if appropriate). |
#3 Follow-up day 6 | Within 6 days post consult | Patient and family Study coordinator/ Remote palliative care clinician and community care team members | Telephone | 1. Reassess patient and care plan 2. Assess adequacy of discharge plan or home experience 3. Refer to community resources |