What is Getting the Most Out of Life (GMOL)?

GMOL is an Alameda County Health Care Services Agency (HCSA) Program designed to increase education and utilization of advance care planning and hospice services in Alameda County. We aim to reduce suffering, by honoring the wishes of patients who are seriously ill, and to reduce health care costs by minimizing repeat emergency room visits and extended hospital stays. Most importantly, we work to create supportive environments that encourage people to consider, communicate and document their health care wishes, long before a medical crisis occurs.

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Jessica Motra

Jessica Motra

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Robert Clave

Robert Clave

SEO & Web Developer

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James Martin

James Martin

Team Leader

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Steve Michael

Steve Michael

Senior Engineer

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WHY GMOL?


Let's get the conversation started

GMOL offers culturally relevant education and support to communities who need advanced planning resources. We conduct Advance Directive and POLST trainings to engage Alameda County residents at all levels of health, especially those who are dealing with illness at end-of-life. We also teach people how to have The Conversation* with others about documenting medical preferences. GMOL has identified a community based organization, Comfort Homesake Inc., to assist in reaching the elderly, the terminally ill and the medically frail within commonly underserved communities.

Since 2012, GMOL has convened a Hospice Providers Coalition, hosted a Physician’s Professional Exchange, produced public events at the Oakland Museum and the Kaiser Center of Oakland, and launched a Conversation Campaign, which reached an estimated 35,000 County residents. GMOL and the Coalition also developed informational and clinical training modules on the benefits of advance care planning and hospice utilization, to enhance understanding among County employees and volunteers.

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Alameda County provides comprehensive health care services through a contracted network of health care providers under the direction of a Board of Supervisors, administered by HCSA. All clinics within the Alameda Health Consortium provide primary care, health education and general medical support. The seriously ill, however are referred to a medical specialist, if they have insurance, or to Highland Hospital. GMOL supports patients and caregivers to document their advance health care wishes and to choose hospice care in their own homes, when the time right.

HCSA, GMOL and the Social Services Agency (SSA) have together created an IHSS Pilot designed for people facing serious or terminal illness. The goal is to increase hospice utilization by educating IHSS workers on advanced care planning and the hospice benefit. IHSS caregivers will be trained and invited to become allies in talking to consumers (patients) about end-of-life care, enabling patients and families to make informed choices about their health. GMOL’s Hospice Provider Coalition will be the driving force behind delivery of service to the patients and their families.

Hospice is a model of health care which provides medical treatment, emotional support and spiritual resources for patients and families dealing with terminal illness. Services are offered by an interdisciplinary team specializing in pain relief, symptom management and minimizing the stress associated with caring for a dying loved one.

The Compassionate Care Coalition reports that 76% of people with serious illness have thought about end-of-life, yet only 17% have actually talked to their doctors. Doctors say they have thought about end-of-life for patients with serious illness but only 16% of those doctors actually spoke with their patients. The doctors are waiting for the patients and the patients are waiting for the doctors!

In Alameda County we need a system that engages end-of-life care. We need to provide options for the terminally ill, beyond the current medical model, which consistently hooks intensive care patients up to machines and tubes. Our goal is to provide patients with an understanding of what to expect from the medical system and allow them to document their end-of-life wishes, whatever those may be.

OUR PROCESS


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