Building New Teams for Late Life Care: Lessons From LifeCourse

Am J Hosp Palliat Care. 2016 Jul;33(6):561-7. doi: 10.1177/1049909115574692. Epub 2015 Mar 5.

Abstract

This article details team development within a longitudinal cohort study designed to bring team-based, whole person care early in the course of serious illness. The primary innovation of this approach is the use of nonclinically trained care guides who support patients and family members by focusing care around what matters most to patients, linking to resources, collaborating with other providers, and offering continuity through care transitions. By describing the development of this team, we document the kinds of questions others may ask during the process of team creation.

Keywords: hiring; innovation; interdisciplinary; support; teams; training.

MeSH terms

  • Advance Care Planning / organization & administration
  • Continuity of Patient Care / organization & administration*
  • Cooperative Behavior
  • Counseling / organization & administration
  • Family
  • Health Education / organization & administration
  • Humans
  • Longitudinal Studies
  • Medication Reconciliation / organization & administration
  • Patient Care Management / organization & administration*
  • Patient Care Team / organization & administration*
  • Terminal Care / organization & administration*