Funding Request for

Palliative Care Program

September 2006

1. Describe the purpose of your project and indicate the number of people who will be
served.

St. Francis Medical Center respectfully requests a $150,000 grant to assist in

providing intensive, uninterrupted care and support for families and seriously ill
patients at the End-Of-Life in an acute care setting.
Palliative Care is the active caring for people with life-threatening diseases. By
concentrating on the patient and family as a unit, we are better able to help manage
distressing physical and emotional symptoms. This focus helps maximize quality of
life and assists patients in living out the remainder of their days in such a way that
they can reach their goals with the support of their family.
On a daily basis, SFMC physicians, clinical staff and spiritual care team face complex
End-Of-Life issues as they care for sick and injured patients and their families.
Complex decisions must be made to address medical, bioethical, theological,
philosophical, cultural and human relations concerns and issues.
In response to the need for educational, clinical and financial resources to enhance the
caregivers ability to respond effectively to the needs of their patient, SFMC is
seeking to provide additional academic opportunities for SFMCs physicians and
staff, and enhance SFMCs physician and clinical staffs ability to effectively respond
to End-Of-Life issues. Funding will support:

Educational in-services for physicians and clinical staff to increase their

knowledge and understanding of providing care that relieves human
suffering;
An SFMC-sponsored annual End-of-Life Conference that will bring
academic, scientific, corporate, and spiritual knowledge to those working
with End-Of-Life issues. We believe that fostering the best possible
environment for the dying must be equal to our commitment to those who
will survive. Likewise, if we do not respect the expired patient to the same
degree that we honor the vital one, in all areas of service, we fall short of
our promise to serve Gods children;
A Decedent Affairs/Childrens Burial Fund - The number of fetal demise
cases presenting to our facility has increased dramatically in the past 3
years. This reflects the number of high-risk pregnancies in our service
population, even with clinical intervention. More than 50% of these
women have no funds to bury their babies and are often required to sign a
document in front of others, declaring that are unable to pay for their
babys funeral service. Mothers must read a lengthy disclosure of the
Countys cremation process, which includes very graphic verbiage about
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babies being cremated with others. Bereavement vouchers funded by Endof-Life Conference proceeds and supplemented by the Daughters of
Charity Foundation will reduce the suffering of these parents;
Outreach Publications This will include the creation and sharing of soft
texts and CD ROMs regarding End-Of-Life issues and Decedent Affairs,
with other DOC hospitals, making SFMC a flagship hospital in this arena;
Weekly consultation services by a bioethicist to assist and support
physicians and clinical staff with bioethical end-of-life issues;
Bioethics grand rounds that will give SFMC physicians the opportunity to
review actual cases that illustrate the complex bio-ethical issues
physicians face in the acute care setting; and
Educational seminars that will provide education regarding cutting edge
bioethics issues such as stem cell research, the genome project and EndOf-Life issues.

SFMC has formed a collaborative between SFMCs Mission Services and Decedent
Affairs Departments. As a result of this collaboration, inpatient consultation and
outpatient services will be offered to provide assistance in the areas of pain and
symptom control, medical decision-making and coordination of End-Of-Life care in
an ICU care setting. Additional benefits include the expansion of educational
opportunities that will foster compassionate care of the dying hospital patient and
support for their loved ones, as well as financial support to assist those families that
are unable to pay for funeral services for their immediate family members.
This collaborative will enable us to respond effectively to increasing interest for
education about End-Of-Life issues expressed by physicians, clinicians and spiritual
care team members by assisting with funding several aspects of the Program, (i.e.
scholarships and End-Of-Life symposiums.)
The 320 members of SFMCs Medical Staff, the medical centers 1100 clinical staff,
approximately 23,000 patients each year, and ultimately the community at large, will
benefit from this funding. We are confident that the work of this collaborative will
improve patient outcomes and ensure the dignity of patients facing death and
permanent injury. In addition, SFMC physicians and our associates who serve in
clinical areas will be supported in their commitment to meeting the healthcare needs
body, mind and spirit -- of those for whom they care.
2. Indicate the geographical area to be served. Are you collaborating with others on
this project?

Families served by St. Francis Medical Center generally live within a 5-mile radius
between the 110 Freeway on the West, the 605 Freeway on the East, the 91 Freeway
on the South and the Alameda Industrial Corridor on the North. Our primary service
area includes the communities of Lynwood, South Gate, Downey, Huntington Park,
Bell, Cudahy, Bell Gardens, Maywood and Compton.

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This project will be a joint effort between:

Medical, Administrative and Clinical Staff of St. Francis Medical Center
Mission Services
Decedent Affairs
Archdiocese of Los Angeles.
3. Indicate (a) date when project will begin and (b) date when project will be
completed. Where applicable, have necessary legal requirements/permits been
obtained or researched? The Foundation does not fund project assessment. That
should occur before the project is planned.

The Grand Rounds and seminars will be scheduled within 45 days of notification of
the grant award. The ongoing activities of the Institute at SFMC will continue.
4. Staffing requirements Who will implement the project? Who will administer the
project?

Sister Marion Bill, Vice President of Mission Services along with Elizabeth Carol
Atta, Decedent Affairs Coordinator, will implement and administer the project.
5. What goals have you set to determine the success of the project?

The goals for this project are as follows:

The creation of a Childrens Burial Fund to assist in meeting the needs of the
approximate 75 expected child deaths this fiscal year;
An End-Of-Life conference for 100 attendees;
The design and distribution of soft texts and CD-ROMs focusing on End-OfLife issues;
Development of a survey soliciting feedback from SFMC physicians and
clinical staff regarding their awareness and comfort level with bioethical
issues;
The completion of 4 educational seminars for SFMC physicians and clinical
staff; and
The completion of 4 bioethics grand rounds by SFMC Physicians.
6. If this is phase one of a larger project, please define the number of phases, the
expected cost of each phase, and the estimated time frame.

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No additional phases of this program are planned at this time.

7. List other sources of income that will assist you in the project. Include the names of
other foundations you have approached.

The Foundation will solicit funding for this program from the following:
California Wellness
California Endowment
Bess J. Hodges Foundation
8. Will this project be self-supporting when complete? If not, how do you plan to
continue the project?

The SFMC Foundation will continue to identify and pursue joint funding
opportunities.
9. Show the total budget (income and expense) for the project. This should include a
detailed breakdown of all costs. If the amount being requested from the Foundation
is a portion of the total budget, indicate which line items you are requesting.
Include all costs necessary for this project to work. No request will be considered
without the project budget. Please note the Foundation does not fund
depreciation/amortization expense. If included we will deduct the amount.

Program Budget Palliative Care Program

Expense
Total
Cost
Training
Case Management
Spiritual Care
Educational Programs
Grand Rounds (8x)
Single Day Courses (4x)
Scholarships to Bioethics
Institute
Weekly Rounds in Clinical Units
End-Of-Life Conference
Decedent Affairs Fund
Outreach Publications
(Texts & CD ROMS)
TOTAL PROGRAM COST

SFMC/Other
Funding

TOTAL
D of C
Request
$50,000
$0
$20,000

$150,000
$120,000
$60,000

$100,000
$120,000
$40,000

$8,000
$10,000
$12,000

$4,000
$3,000

$4,000
$7,000
$12,000

$86,000
$9,000
$10,350
$20,000

$46,000
$7,000
$5,350
$10,000

$40,000
$2,000
$5,000
$10,000

$485,350

$335,350

$150,000

10. If this request is for medical equipment, please include a pro forma for the
equipment.

Not Applicable
11. When will funding be required? (We will not begin payments for a program until
that program is underway. Purchases will be reimbursed upon request.)
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Funding for this program will be required within 6 months of the beginning of this
program.
12. Provide any other comments or information that would be helpful in evaluating this
proposal.

Palliative Care is a philosophy regarding the delivery of care to the seriously ill and
dying, and it is emerging as a major new focus of medical and nursing practice. In
response to intense national interest in improving End-Of-Life care, we hope to
expand our educational and clinical care services to better serve our patients.
Presently, about 25% of all dying patients reside in long-term care facilities.
This project focuses on improving institutional standards of care for dying patients in
our community and is dedicated to enhancing the knowledge, skills and attitudes of
all health professionals concerning care for the dying. The program also offers a
range of educational projects and programs designed for all levels of physician
training and nurse education, as well as social workers, and clergy. It combines
clinical care, health professional education, community outreach and efforts toward
institutional change all aimed at improving care for the dying. We appreciate the
past support of the Daughters of Charity Foundation in our efforts to find new ways
to serve the medically underserved community, and hope the DOC Foundation will
partner with us in this effort.

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jo

ST. FRANCIS

.
MEDICAL CENTER FouNDATION
our mission is life

A WARD NOTIFICATION NOTICE

CONGRATULATIONS! St. Francis Medical Center Foundation has received

notification that your program/department has received the following grant:
Grant Name: Palliative Care Program
Grantor: Daughters of Charity Foundation
GrantAmounti~$=15~0=0=0~0~-----------------------------------------

Award Date: November 22 2006

Request Submitted: =S-=-ep"-'t=em=b=er=-1=2=-=2=0..::;.0.;:._6_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Requested Amount: ~$=15~0=0=0::..::0~------------------------------------EXPENDITURESNOTTOEXCEED:~$1~5=0,=00~0~--------------------

Reports Due:

May 2007, and continuing every six months until all funds are spent.

Cost Center: 8049

Fund Number*: - - - * to be provided by Abby in the Foundation

Proposal:

Not Attached: _ _ __

.;:._;:__.=.____ _ _ __

Attached XXXX

Grant Summary: The grant was requested to assist in providing intensive, uninterrupted
care and support for families of seriously ill patients at the End-Of-Life.
Should you have any questions regarding this announcement, please contact Rose M.
Wright, Associate Director, Foundation Relations at ext. 7329.

*Please submit all requests (including any backup documentation) to access your grant
award through the Foundation.