Table 1 Eight-step implementation strategy
| Strategies | Objective | Setting | Deliverable |
|---|---|---|---|
| Education | Inform healthcare providers, families, health care professionals in order to raise awareness | Hospitalization, emergency, PICU, NICU, CCU | Educational discussion meetings, conferences for caregivers, patients, and families. |
| Institutional Support | To establish collaborative support between board directors/decision-makers and PPC program leader |
Board of directors Education committee Management committee | Reports and meetings that showed the enhancement of humanized care, improvement in patient experience and healthcare personnel experience, health outcomes, and finally resource optimization. |
| Academic Support | To educate HCW in PPC and its impact in the healthcare services | All HCW from hospitalization, PICU, NICU, CCU, BMTU |
Meetings Conferences Workshops Educational material |
| Advocacy With Other Actors In The Health System | To promote PPC with healthcare authorities, scientific societies, the academic community, and stakeholders | health insurance, scientific associations, patient associations, national palliative care scientific associations, territorial health entities |
Boards Meetings Conferences, Diplomacy |
| Capacity Building | To train and educate the TCY program team in PPC |
Postgraduate education: -Universidad Internacional de La Rioja Continued education: -Harvard Medical School courses |
Master’s degree Palliative care education and practice course |
| Multidisciplinary Team | To organize a multidisciplinary team in PPC that guarantees a comprehensive and holistic approach for the patient and their family needs | FVL | Inclusion of different healthcare workers including a psychologist, social worker, nurse, and spiritual counselor |
| Specialized Pediatric Team Leader | To guarantee a comprehensive approach to the pediatric medical conditions in PC | FVL, Pediatrician leader, Department of Palliative Care | A physician with specific training in pediatrics and PPC |
| Research | To create an information system that characterizes the population and identifies clinical, economic, and social problems that may contribute to solving scientific gaps and support multilevel decision-making. | FVL |
PPC research group Support of research assistant |