How to submit a Palliative Pathway Activation (PPA)
My Practice, Medtech and Evolution PMS Users:
Submit your PPA via your PMS system
If this is your first time, you will need to install the form - SEE HERE
For all other users
You will need to submit your PPA using the Poi Web Portal - HERE
If you are new to this, please contact your local Poi team for your User ID and Password
The Poi Proactive Advisory Service response will be available within the Poi Web Portal once completed.
Having issues setting up the PMS form or logging in for the first time?
Please let us know as soon as possible so we can get you set up correctly. Email firstname.lastname@example.org
Receiving the Proactive Advisory Service (PAS) feedback
The PAS feedback will be submitted to the Lead Clinician which will be received in the PMS inbox, or will be available within the Poi Web Portal by logging in using the facility or practice credentials.
Preparing for the meeting
The purpose of the plan is three fold:
- A quality plan for clinical care and for organising system response to meet patient needs and goals.
- A plan that can be printed out and given to the patient and their family/whanau.
- A plan that can be shared with the local hospice so they can provide informed advice and support.
- Preparing for the Palliative Care Family/Whanau Meeting
It is recommended the Auckland Regional HealthPathways are consulted prior to the meeting. View the Adult Palliative Care pathway here
Offer and arrange a meeting with the patient and those they wish to invite, indicating it is to explore further where they are in their illness and plan towards the future.
- This would be precipitated by identifying a person requiring a palliative approach to care. The SPICT tool helps to inform clinicians about when to define a condition as palliative. Link to this tool can be found here
- The Palliative Pathway Activation (PPA) would ideally be completed about six months before the patient is expected to die. This is a broad guide only as estimating time left to live is imprecise, with significant variability. Clinicians should use their judgement and knowledge of the patient to identify the best time to have this palliative plan discussion.
- For most people preceding this meeting would be a conversation around the need for a palliative approach to their illness.
Consider the role of the GP and nurse leadership in the meeting and in preparing the plan. There is flexibility in how the meeting is managed and the plan prepared.
When inviting the patient to this meeting:
- Suggest they bring their Advance Care Plan, if they have completed one
- Suggest they think about questions and hopes or plans so an overall plan of care can be developed with them
- Ensure key clinical information is easily accessible for the discussion
- Ensure the form is prepopulated as much as possible so basic information can be checked rather than entered through the meeting.
Lead clinicians may wish to involve other members of the care team in the meeting with the consent of the patient.
Schedule about 40 minutes for the meeting (or consider 2 x 20 minute appointments). Familiarise yourself with the Care Planning Document so there is a patient-centred conversation.