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Community Based Palliative Care - Creating a Continuum of Services

Title: Community Based Palliative Care - Creating a Continuum of Services with Joan Harrold, MD          

CE/CME Offered:

CE/CME Credit Available: Nurse and Physician

Member Price: $105.00
Non-Member Price: $210.00

Payment Options: Add to Cart without CE/CME
Add to Cart with Nurse CE
Add to Cart with Physician CME credit
Length: 1.0 hours

This session was originally presented at NHPCO’s 2015 Virtual Event ‘Creating the Future of Palliative Care’. More people than ever are living with serious progressive illnesses such as CHF, COPD, renal disease, dementia and cancer. They typically receive care in a variety of settings: hospitals, emergency rooms, doctors’ offices, nursing homes and their own homes.  Yet, communication between these care-settings is often poor and can result in the use of non- beneficial and costly interventions that may add burden and suffering for the patient and the patient’s family. Palliative care can be the key to promoting and providing clinical services of a high quality across the continuum of health care services. With its focus on communication and the establishment of clear goals of care, palliative care can be provided wherever the patient is receiving care. Its focus is whole person care provided by an interdisciplinary team of experts.

Palliative care is relatively new and fertile ground which has the potential to change the way we view serious illness, patient-family relationships and healthcare provision.  There is not one model to follow and no particular approach.  Yet, we know that it is the right thing to do.  Perhaps more than any approach thus far, palliative care has the potential to allow each patient to die in his/her own unique way,  free of pain and suffering and surrounded by loved ones.


  • Describe three communication issues that often arise between care settings
  • Discuss two ways in which patients may be identified for palliative care services
  • List strategies for addressing resistance from potential community provider-partners

Joan Harrold, MD, MPH, FACP, FAAHPM

Dr. Harrold is the Medical Director and Vice President of Medical Services of Hospice and Community Care in Lancaster, PA and has more than 18 years of experience in hospice and palliative care. Board certified in Internal Medicine with added qualifications in Hospice and Palliative Medicine, she received her medical degree from the Medical College of Virginia. She also completed a Master of Public Health degree with special emphasis in epidemiology and biostatistics.

Dr. Harrold serves on the Boards of Directors of NHPCO and the Hospice and Palliative Nurses Foundation and previously served as a director on the Boards of the American Academy of Hospice and Palliative Medicine (AAHPM), the American Board of Hospice and Palliative Medicine (ABHPM), and the Pennsylvania Hospice Network.  Dr. Harrold actively participates in NHPCO in a number of capacities including: co-chair of the Palliative Care Advisory Council, Relatedness Workgroup, Physician Education Subcommittee, and the NHPCO/MAC Workgroup.  She has also served as the Physician Section Leader of the National Council of Hospice and Palliative Professionals and on the Governance Committee, Chief Medical Officer Council, and Palliative Care Task Force.  Additionally, Dr. Harrold serves on the inaugural Examination Committee of the Hospice Medical Director Certification Board; she formerly served on the American Board of Internal Medicine Examination Committee for Hospice and Palliative Medicine and the Examination Committee for the American Board of Hospice and Palliative Medicine.

Dr. Harrold is co-author of the Handbook for Mortals: Guidance for People Facing Serious Illness (2nd edition, 2011), has participated in peer-reviewed research in hospice care and is a frequent presenter on national and regional levels.

Disclosure: Planners: Barbara L. Bouton, MA, FT, and Jennifer Kennedy, MA, BSN, RN, have no relevant financial relationships to disclose.

Faculty: Joan Harrold, MD, MPH, FACP, FAAHPM has no relevant financial relationships to disclose.

Credit Hours:
Nurse:  1.0 Contact Hour
Social Worker: 1.0 Contact Hour
Physicians:  1.0 AMA PRA Category 1 Credits™
Completion: In order to complete this online activity, participants must view the course in its entirety, correctly answer all case studies and quiz/test questions (as appropriate) and complete the evaluation. You will have access to the course for 90 days from the date of purchase.
CE/CME Info:


Nurse: NHPCO is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

NHPCO designates this enduring material for a maximum of 1.0 contact hour. Nurses should claim only the contact hour commensurate with the extent of their participation in the activity. Accredited status by ANCC refers only to continuing nursing education and does not imply endorsement of any commercial product discussed in conjunction with this activity.


Physician: The National Hospice and Palliative Care Organization is accredited by the Accreditation Council for  Continuing Medical Education to provide continuing medical  education for physicians.

NHPCO designates this enduring material for a maximum of 1.0 AMA PRA Category 1 credit(s) ™. Physicians should  claim only the credit commensurate with the extent of their  participation in the activity.

release date:
review date: 
Course expiration date: 12/3/2021

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