The National Palliative Care Research Center

Curing suffering through palliative care research.


Meaghann Weaver MD, MPH, FAAP

Assistant Professor

Omaha Children's Hospital and Medical Center

Grant Year
Grant Term
2 years
Grant Type
Junior Faculty Career Development

Project Description
Interdisciplinary Pediatric Telehospice Consultations for Hospice Teams

Despite 35+ pediatric hospice discharges to rural providers each year in Nebraska; primary care providers, hospice directors, and hospice nurses in Nebraska report they feel unprepared to manage pediatric hospice patients. In this pilot intervention study guided by the Theory of Unpleasant Symptoms, web conferencing services will connect an inpatient pediatric palliative care team with adult outpatient hospice providers to support local providers in assessing pediatric-specific care needs and implementing developmentally-appropriate pediatric treatment plans for 10-20 medically-complex children. The objective of this CALLiNGS (Care Across Locations Longitudinally in Navigation of Goals and Symptoms) mixed-methods study is to test feasibility, acceptability, and clinical outcomes from using web-conferencing technology to connect a hospital-based interdisciplinary pediatric palliative care with statewide field-based hospice teams during interdisciplinary meetings at a minimum of every 15 calendar days. Randomization will occur at the hospice level with one hospice randomized to receive pediatric palliative care direct patient mentorship and the other hospice randomized to receive general pediatric palliative care educational modules (60-min each session). The study team hypothesizes that telepalliative care for children has the potential to improve the quality of care delivered to pediatric palliative care patients in a rural state by facilitating the confidence and comfort of local providers, enhancing goals of care conversations, improving symptom management for patients and therefore quality of life for family members, and creating a unified and cross-setting shared care model. The study intends to determine whether direct patient-specific pediatric mentorship or general pediatric palliative education is more helpful for hospice staff, for patient symptoms, and for family quality of life. If feasible this model could transform the pediatric palliative care delivery in the state of Nebraska with expanded opportunity for application in settings with similar subspecialty provider shortages.


Meaghann Weaver, MD, MPH, FAAP currently serves as Division Chief, Pediatric Palliative Care at the Children’s Hospital and Medical Center in Omaha, Nebraska. Meaghann graduated from Creighton University Summa Cum Laude with a major in Theology and a co-major in African Studies. After medical school, she completed her pediatric residency in Virginia and then completed a pediatric oncology/hematology fellowship at St Jude Children’s Research Hospital with additional research training at DC Children’s National Health Systems. She then completed an additional fellowship in palliative care and hospice at the National Institutes of Health. Meaghann received her public health degree (global health epidemiology) from George Washington University. Meaghann is interested in supportive care and complex symptom management for patients, spirituality in healthcare, caregiver resilience, patient-provider communication, patient reported outcomes, global health, implementation science, and integrative/complementary modalities.