Endorsed Practice Guidelines
The Academy occasionally receives requests from other organizations to endorse clinical practice guidelines and practice statements. Leadership is purposeful about gathering input from subject matter within the Academy to assist in reviewing the guidelines and providing feedback. Practice guidelines endorsed by AAHPM include:
The Heart Rhythm Society
The Heart Rhythm Society presented the Expert Consensus Statement on Management of Cardiovascular Implantable Electronic Devices (CIEDs) in patients nearing the end of life or requesting withdrawal of therapy for endorsement by AAHPM. The new consensus statement is the first to outline common ethical and legal concerns related to withdrawing CIED therapies (device deactivation) and offers guidance to clinicians and industry on the management of CIEDs in patients who are at the end of their lives or have requested withdrawal of device therapy.
The AAHPM Board of Directors endorsed the consensus statement and included the following statements in the endorsement letter:
- The Medicare Hospice Benefit is available for those patients who have a likely prognosis of six (6) months or less, given that the disease runs its usual course. There is no requirement under the Hospice Medicare Benefit that a patient must forgo any specific treatment.
- AAHPM applauds the Heart Rhythm Society for their inclusion of hospice, palliative care, and primary care clinicians in the collaboration, discussion and process of reprogramming/ deactivating CIEDs.
National Consensus Project
In May 2004, the National Consensus Project for Quality Palliative Care published Clinical Practice Guidelines for Quality Palliative Care that guide the development and structure of new and existing palliative care services and promote high quality care. These guidelines are applicable to specialist-level palliative care delivered in a range of treatment settings as well as to the work of providers in primary treatment settings where palliative approaches to care are integrated into clinical practice. The AAHPM contributed to the development of these guidelines and encourages their adoption by other professional societies, medical institutions, medical providers, and insurers. More information.
Pharmacy Pain Summit
Strategic Planning Summit for the Advancement of Pain and Palliative Care Pharmacy
AAHPM was asked to endorse the strategic plan for creating a palliative care specialty within pharmacy and for increasing knowledge of pain and palliative care pharmacy for non-specialist pharmacists. The AAHPM Board endorsed consensus recommendations addressed during the Summit that provide a framework to strengthen the pharmacy profession’s ability to assist in the provision of Pain and Palliative Care to patients.
Renal Physicians Association
The Renal Physicians Association (RPA) presented the Clinical Practice Guideline: Shared Decision-Making in the Appropriate Initiation of and Withdrawal from Dialysis, revised ed. for endorsement by AAHPM. Based on input provided by AAHPM, RPA leadership revised the clinical practice guidleines to incorporate recommendations for shared decision making, advance care planning and palliative care.