ExCEL Committee Meeting

November 13th

Minutes

Present: Zail Berry, Annette Blanchard, Fran Brokaw, Diane Caccavo,           John Campbell, Fred Crowley, Ellen Fein, Ginny Fry, Deb LeMoy, Sharon McDonnell, Leitha Mills, Magdeleine Mongan, Judy Murphy, Denise Nemura, Diana Peirce, Barb Segal, Don Shwarz, Olivia Weed

I.  Minutes were approved.

II.  Rallying Points evaluation was completed by Diana Peirce within the requested time frame.

III. Progress Reports:

A. Transition Team

1)   Administrative home at VPQHC - The VPQ project team requested a more in-depth presentation before making a decision about our partnership offer. Zail, Leitha, Madeleine and Diana have met and created a power point presentation for the project team’s December 18th meeting which they will attend.

2)   Mission and Vision statements were reviewed and clarified to the satisfaction of those present (see attached).

3) ExCEL will be guided by an Advisory Board consisting of organizations and agencies with an enduring interest in end of life care, termed “Partners”. One of these Partners will serve as the “home” of ExCEL, providing logistical and  administrative support. The ExCEL Advisory Board will meet once or twice a year to review ExCEL’s progress and determine direction for the following year, with electronic updates and opportunities for feedback in between. Each Partner on the Advisory Board will designate a representative as a primary participant and contact, with a term length determined by the Partner entity.

The leadership of ExCEL projects and activities will be carried jointly by three Co-Chairs. The Co-Chairs will be responsible for the implementation of the Advisory Board’s stated directions, and will be accountable to the Advisory Board. The Co-Chairs will lead the ExCEL Leadership Council (see below), serve as a primary link with the Advisory Board, and work closely with the home entity. Each Co-Chair will serve a three-year term, with one Co-Chair rotating out and another rotating in each year. The three Co-Chairs must represent a diversity of region and discipline.

The majority of the working activities of ExCEL will be carried out by a membership of individuals, many of whom may belong to the Advisory Board entities. Six working committees will be formed. Three of the committees will be specific to the workings of ExCEL:  Membership, Funding, and Communication/Outreach. The other three committees will be project-related, and initially will work within the realms of Pain and Symptom Control, Choices in Planning for End of Life Care, and Access/Availability. The project committees’ activities may include determining current practices, providing education or other methods of effecting system or behavior change, engaging the community, developing standards, and developing resources.

The chairs of the six committees will join with the three ExCEL Co-Chairs and a representative from the home organization to form the ExCEL Leadership Council. The Leadership Council will meet at least quarterly to further the activities of ExCEL, with additional individuals joining the meetings as determined by the meeting agenda. The responsibilities of the Leadership Council will include planning, reporting, evaluation and the promotion of collaboration and teamwork in ExCEL endeavors.

Leadership succession plan includes three-year terms, with one person leaving each year, as well as assuring diversity of region and discipline. The process of nomination and selection of leaders has yet to be determined. We also need a succession plan and process for committee chairs. Don suggested that committee projects be no more than one year in length. Zail noted that we should not fully complete structure plans until our administrative home is determined. This will encourage input from the “home” and help to enhance the partnership.

B. Process/Structure Committees

1) Funding – Seeking funding requests/suggestions from groups. Some of this may be clarified once our administrative home is determined.

 2) Membership – Updating the membership list. Once we know who the membership actually includes, we’ll be able to determine who is missing and issue invitations to assure inclusivity.

C. Project Committees

1) Pain – Continue to research sources of data and information.

2)Choices in Planning for End of Life – (minutes attached). Current focus is out of facility DNR project. It was mentioned that the Attorney General’s office has interest in this project and might work in tandem. Denise briefly outlined new ACLS guidelines which also mirror some of the elements of the project (comfort care by EMT’s, etc.). 3) Communication – A document was circulated outlining how to access our      

current website (attached). Discussion ensued about the current website – changing it, etc. We decided to wait until our administrative home is determined. Perhaps the website can be created and maintained at our new home. Maybe a grant could be obtained to support this endeavor. VMS would likely archive the current information since it really is part of organizational history.

Diana offered a copy of Quality of Life Matters, a newsletter containing information relative to end of life care. Perhaps this publication could be circulated statewide as an example of researched, state-of-the-art information. This could also be a grant-funded project.

Sara Conji of WCAX TV was noted to be a good communication resource. Diana will be serving on an informational panel with her next week and will begin a discussion with her regarding ExCEL.

4) Access/Availability – Committee has not met. Contact will be made with

Roseanne Palmer. Perhaps there’s a role for our administrative home partner here.

IV. Next Steps

It’s clear that much depends upon the identification of our administrative home. The VPQHC project meeting is December 18. Word of their decision will be shared with the membership as soon as it is known.

Next membership meeting was set for January 14, 2004, 5:30-8:30 PM at CVHHH. There was discussion of holding committee meetings for either the first or last hour of this time.

Respectfully submitted,

Diana Peirce, Co-Chair

 

Email: mail@vpqhc.org
Phone: 802.229.2152
Fax: 802.229.5098

Vermont Program for Quality in Health Care, Inc.
132 Main Street, P.O. Box 1356, Montpelier, VT 05601

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