Patient Identification and Assessment

Diane E. Meier
Alison Silvers
Dana Lustbader
Implementation Tool
March 2019

This resource is a toolkit for identifying patients with various physical, functional, emotional, social, and spiritual needs.

  • Patients and families living with serious illness have a range of needs beyond disease treatment, including support for functional limitation, pain and other symptoms, and caregiver burden.
  • This toolkit includes resources for inpatient providers, community-based providers, systems, plans, and accountable care organizations (ACOs).
  • It also includes clinical assessment tools and information for patients about palliative care.
  • Some of the resources in the toolkit are open-access and some are accessible by CAPC members only.
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