Download the original CARE Recommendations, published in February 2010 [PDF].
POLST QAPI Toolkit
Designed to provide skilled nursing facilities with useful, QAPI-based tools which can be used to improve POLST utilization in California’s nursing homes and assure that residents’ end-of-life treatment wishes are understood, documented and followed.
Download the QAPI Toolkit as a PDF
POLST Model Policy for Skilled Nursing Facilities PDF / DOC
POLST Cover Sheet PDF
Preparing Residents for End-Of-Life Plans and Respecting End-Of-Life Decisions
In 2007, CCCC’s PREPARED project established collaboration between four hospital systems and 18 Sacramento-area nursing homes to improve advance care planning and reduce unnecessary transfers for residents with advanced chronic illnesses.
As a direct result of the project, over 1,000 nursing home staff were educated on end-of-life issues, goals of care, symptom management and advance care planning. Key nursing home staff received mentoring and role modeling in facilitating advance care planning discussions with nursing home residents and family members.
ECHO Nursing Home Recommendations [PDF]
Recommendations for Improving End-of-Life Care for Persons Residing in California Skilled Nursing and Intermediate Care Facilities
The purpose of these recommendations is to facilitate institutional processes, enhance provider competence and strengthen organizational relationships to improve two broad domains of end-of-life care:
- Advance care planning: The process of identifying the resident’s personal perspectives and values, which – in conjunction with the resident’s current and anticipated medical status – provide the basis for making end-of-life medical decisions.
- Palliative care services: Services that provide physical, emotional, psychological, social and spiritual comfort and that together compose appropriate care of the dying person.
Promising Practices to Improve End-of-Life Care in California [PDF]
In 2002, CCCC worked with a small group of California nursing facilities that were excelling in various aspects of end-of-life care for a project called the Promising Practices Initiative.
The Initiative developed technical assistance and mentoring to refine these practices into replicable models that were adopted by other nursing facilities at the state and national levels. Learn more about these models.
Learn more about how CCCC promotes quality, compassionate care for California’s nursing home residents.