Established in 1990, the Canadian Home Care Association (CHCA) is a national non-profit membership association dedicated to advancing excellence in home and community care.
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An exchange of knowledge, experience, and expertise. The new CHCA Palliative Care ECHO Hub invites home care providers and palliative care specialists to participate in a series of facilitated sessions addressing the identified gaps and challenges in home-based palliative care. Using the Project ECHO philosophy of ‘moving knowledge rather than people in order to increase access to best practices and reduce geographical health disparities’, the CHCA Palliative Care ECHO Hub will improve the ability of local health care teams to provide better palliative care at home.
Working in partnership with Pallium Canada, as part of the Palliative Care ECHO Project, the CHCA Palliative Care ECHO Hub will:
The Canadian Interdisciplinary Palliative Care Competency Framework establishes a minimum national standard for palliative care in Canada and provides a guideline for core competencies for nurses, personal support workers, social workers, doctors, and volunteers. For home-based palliative care providers, the Canadian Interdisciplinary Palliative Care Competency Framework offers a foundation for continuous education, skill-building, and practical application.
Essential Skills is the theme for the 2023-24 Home-Based Palliative Care ECHO sessions. The learning sessions and resources will address the priority competency domains in the Framework and share knowledge, experience, and expertise in specific palliative care domains.
Virtual Care—Evolving Care: Virtual Skills and Strategies
(November 14th,, 2023, 12:00pm to 1:00pm EST)
This ECHO session features the Competency Framework’s domain of “Virtual Care”. Virtual technologies can enhance access to specialized palliative care teams in urban and rural areas. However, healthcare providers must possess unique competencies for effective care. Mastery in communication, adapting to virtual care modalities, and identifying patients and families who would benefit from virtual care are vital skills for home-based palliative care providers.
Discover insights from a national study on virtual care experiences of patients, families, and providers. Gauge your virtual care prowess and mindset in our engaging quiz session — a dynamic test of your readiness and approach!
Subject Matter Experts:
Teaching Presentation: Dr. Jessica Simon, Palliative Care Physician, Professor in the Department of Oncology, Division Head for the Division of Palliative Medicine, University of Calgary, Alberta
Quiz Session Lead: Jennifer Campagnolo, ECHO Project Lead, Canadian Home Care Association
Care Planning and Collaborative Practice—Bridging the Transition Gap: Essential Skills and Strategies
(November 1st, 2023, 12:00pm to 1:00pm EST)
This ECHO Session highlights the Competency Framework’s domain of “Care Planning and Collaborative Practice.” The skills identified within this domain are essential for seamless hospital-to-home transitions, enabling healthcare providers to offer person-centred care and confidently guide patients and families through various care settings.
For children with complex medical needs, successful hospital-to-home transitions demand understanding their unique needs and ensuring long-term safety. Discover discharge planning principles and a new resource for healthcare teams. Our case study showcases real-life transition challenges and solutions.
Subject Matter Expert:
Dr Hema Patel, Professor of Pediatrics, Director, Division of General Pediatrics,
Director, Complex Care Service and Day Hospital Services [former] Montreal Children’s Hospital, McGill University Health Centre (MUHC)
Communication: Engaging with Families in Conversations about Serious Illness (June 14, 2023 12:00pm to 1:00pm EST)
The Communication domain outlines essential skills for the care of those affected by life-limiting illness when patients, caregivers, and the healthcare team may experience uncertainty and strong emotions. Effective communication helps to establish therapeutic relationships, ensures that patients and their caregivers understand and participate in decision-making, enables interdisciplinary teamwork, and facilitates smooth transitions between care settings.
Join our ECHO learning session to learn an adaptation of the Serious Illness Conversation Guide to consider the unique needs of children and their families when receiving palliative care. The session will explore challenging situations, way to collaborate with parents and family members and how to interact and communicate with multiple disciplinary healthcare teams.
Subject Matter Experts:
Presentation slides by:
Camara van Breemen MN, Nurse Practitioner, Canuck Place Children’s Hospice, Rachel Neufeld MN, Nurse Practitioner, Canuck Place Children’s Hospice, Rachael Black RN, BSN, Palliative Care Nurse Clinician Maple Ridge Palliative Care Consult Team. Fraser Health.
Self-Care: Caring for Yourself When You Care for Others (May 10, 2023 12:00pm to 1:00pm EST)
The Self-care domain is paramount for health care providers. It encompasses a spectrum of knowledge, skills, and attitudes, including self-awareness and reflection, maintaining professional boundaries, and practising holistic wellness strategies for the individual provider and the team.
Join our ECHO learning session to learn how to recognize the signs of compassion fatigue, realize the impact on care and take steps to intervene. Explore how individual providers and their employers can effectively address the physical, mental and spiritual impacts of compassion fatigue through practical actions and programs.
Subject Matter Experts:
Teaching Presentation – Michelle O’Rourke, Nurse Consultant
Case Study Discussion Lead – Cherie Gilbeault, VON
Cultural Safety and Humility: Creating Safe Spaces for People with Life-Limiting Illness (April 27, 2023 12:00pm to 1:00pm ET)
The Cultural Safety and Humility domain is built on a foundation of seeking to understand and address power differentials and inequities in the social, political, and historical context of healthcare. Through self-reflection and consideration of the concepts of racism, discrimination, and prejudice, health care providers can practice relationship-based care.
Join our ECHO learning session to discuss how self-reflection and exploring your biases and cultural influence can help to create respectful and trusting relationships with the patient, their caregivers and the care team. Discover the principles home and community-based palliative programs need to consider to embed cultural safety and humility into care.
Subject Matter Experts:
Teaching Presentation – Dr. Sheri Bergeron, Palliative Care Physician
Case Study Discussion Lead – Felicia Kontopedis, Director of Care, Journey Home Hospice, SE Health
The CHCA ECHO Hub Community provides resources to reinforce the Learning Session content and share knowledge with your team.
Self-directed microlearning to enhance your knowledge and skills
Evidence-informed practices and research articles to inform your practice
On-demand video of the Learning Session to reinforce your learning experience
Subject Matter Experts’ content slides to share with your team members
Breathing (Dyspnea): Signs, Symptoms and Responses (April 28, 2022)
The struggle to breath can be terrifying for patients and their caregivers. Health care providers must be aware of high-risk patients and know how to recognize the signs and symptoms of dyspnea, how to plan for care and prepare patients and their caregivers for emergencies. Join our CHCA Palliative Care ECHO Learning Session to discuss strategies to anticipate, identify and manage dyspnea while providing support for the patient and their caregivers to deal with a Breathing emergency at home.
Dr. Christine Jones, Palliative Care Physician, Island Health
Katarina Bvoc Berta R.N. CHPCN(C), Spectrum Health Care
Balance (Hypercalcemia): Signs, Symptoms and Responses (June 8, 2022)
A general feeling of being unwell, weakness, loss of appetite, thirst, constipation, nausea and vomiting and delirium are the range of symptoms people receiving palliative supports in the home may experience when blood calcium levels are out of balance. Hypercalcemia (elevated calcium levels) is a common emergency in palliative care. Which patients may be at risk? What can be done to help manage hypercalcemia in the home? This CHCA Palliative Care ECHO session will provide an overview of hypercalcemia, including symptoms and assessments, and invite participants to discuss approaches to treating and supporting patients and their caregivers.
Dr. Jennifer Shapiro, MD, CCFP
Dr. Aamir Haq, MD, CCFP (PC)
Blockages (Spinal Cord and SVC): Signs, Symptoms and Responses (Sept. 28, 2022)
Advanced illness can result in painful and distressing blockages within the body’s systems. This ECHO learning session addresses blockages frequently seen with clients receiving home-based palliative care: spinal cord compression and super vena cava obstruction. Participants will learn to recognize the signs and symptoms and how to support patients and their caregivers with appropriate interventions guided by a person’s goals of care.
Dr. Carmen Johnson, MD CFPC, FCFP, Medical Director, Palliative Care Services, Saskatchewan Health Authority
Bleeding (Hemorrhage): Signs, Symptoms and Responsess (Nov. 3, 2022, 12–1pm ET)
Catastrophic bleeding is a palliative care emergency which occurs in patients with cancerous and non-cancerous diagnoses. Join this ECHO session to identify patients at risk for a catastrophic bleed and the measures which can be put in place in the home to help manage bleeding and comfort and prepare patients and their caregivers.
Dr. Cortney Smith MD, CFPC(PC), Colchester East Hants Palliative Care Service, Northern Zone
Gayatre Maharaj, RN, MN, CON(C), CHPCN(C) Clinical Practice Leader for Palliative Care and Oncology – Bayshore HealthCare