EXTRA Team Photo

Providence Care / Kingston General Hospital / South East Community Care Access Centre (Ontario)

  • Brenda Carter, Vice President, Cancer Services and Diagnostic Imaging; Regional Vice President (RVP), South East Regional Cancer Program, Kingston General Hospital, Kingston, Ontario
  • Laurie French, Senior Manager, Client Services, South East Community Care Access Centre
  • Jenn Goodwin, Senior. Director, Community Relations & Strategy, Providence Care KGH South East, Kingston, Ontario
  • Natalie Kondor, Palliative Medicine physician / Regional Lead, Palliative Care, Kingston General Hospital, Kingston, Ontario

The Kingston Model: Improved access through centralized intake

Our project focuses on establishing a centralized point of intake for patients who are referred for palliative care services, regardless of the care environment or care provider(s). Our target population will be patients with lung, pancreatic and colorectal cancer.

A centralized intake will support referrals made by a patient/patient advocate, primary care provider or specialist provider (eg. oncologist), based on the result of the “surprise question” (Gold Standard Framework1[1]). Once received, an initial assessment using validated tools such as the Edmonton Symptom Assessment Score (ESAS) and the Palliative Performance Scale (PPS) can be completed by allied health professionals.

We see several possible positive outcomes:

  • Increased opportunity to educate patients/families on the role of Palliative Care earlier in the disease trajectory;
  • Patients/families will have an increased ability to self-refer and access palliative care services;
  • Shared access to intake documentation will lead to more timely access to appropriate services, increase collaboration/communication between service providers, and allow patients to remain with their primary care providers for longer;
  • Real-time updates to a patient’s condition at intake and reassessments, enabling earlier identification of patients who need intensive palliative involvement;
  • Establishing a central intake will build upon resources (human and technology) that already exist in Kingston, and improve quality of care and satisfaction for patients/ families;
  • Early referrals and coordinated care planning can lead to reduced visits to the Emergency Department by patients receiving palliative care services and better use of system resources overall.