The Blog to Transform Advanced Care
Advancing Care through Innovation, Observation and Collaboration.
The Coalition to Transform Advanced Illness Care (C-TAC) published a report on the Serious Illness Program Design and Implementation Framework (SIP Framework). Built on available evidence and extant best practices, the Framework offers a flexible tool for care providers to inform the development, implementation, and evaluation of serious illness care programs. Incrementally developed over several convening sessions of expert stakeholders, and presented over two webinars (available here and here), the SIP Framework reflects the growing landscape and evidence base for serious illness care models.
The SIP Framework is designed to:
- Inform serious illness program development, replication, and scaling
- Integrate with care model payment design
- Inform care model and proforma simulator development
- Inform other aspects of design and development such as policy, standardized measurements, and regulatory analysis
To develop the SIP Framework, C-TAC collaborated with Healthsperien, the Betty Irene Moore School of Nursing at UC Davis, and the Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics at Harvard Law School, with support from the Gordon and Betty Moore Foundation. The framework includes the foundational elements of program design and implementation that contribute to program success, such as:
- Leveraging existing programs and resources
- Recruiting strong program leaders
- Engaging staff
- Assembling experienced multidisciplinary care teams
- Building strong team, patient, and caregiver relationships
- Establishing processes for continuous quality evaluation and improvement
Moving forward, C-TAC plans to use the SIP Framework as foundation for additional work toward improving care for the seriously ill. This includes creating a learning network with experts and collaborators, developing payment model simulator, and advancing policy research and analysis. Ultimately, we hope to pilot the use of the framework with program development and assess its real-world utility for supporting the design and implementation of serious illness programs.