Clinical Focus

  • Hospice and Palliative Medicine

Academic Appointments

  • Clinical Associate Professor, Pediatrics

Professional Education

  • Board Certification: American Board of Pediatrics, Hospice and Palliative Medicine (2018)
  • Fellowship: Harvard Center for Palliative Care Hospice and Palliative Care Fellowship (2018) MA
  • Board Certification: American Board of Pediatrics, Pediatrics (2017)
  • Residency: Children's Hospital at Vanderbilt Pediatric Residency (2017) TN
  • Medical Education: Louisiana State University Health and Sciences Center Registrar (2014) LA

Contact

  • Academic
    amorva@stanford.edu
    Department: Peds/Quality of Life and Pediatric Palliative Care Position: Clinical Associate Professor
  • Clinical (Primary)  LPCH 725 Welch Rd Palo Alto, CA 94304 (650) 736-9186 (fax)

Additional Clinical Info

Additional Info

  • Mail Code: 5731

All Publications

  • Outpatient Pediatric Palliative Care: A National Survey of Clinic Structures and Operations. Journal of pain and symptom management Autrey, A. K., Stafford, C., James, C., Mothi, S. S., Miller, E. G., Morvant, A., Kaye, E. C. 2025

    Abstract

    CONTEXT: Inpatient pediatric palliative care (PPC) programs are increasingly expanding into the outpatient setting; however, limited information is available to guide clinic operationalization.OBJECTIVES: We asked outpatient PPC (OPPC) clinicians about their clinic structure and operations to support future programmatic growth.METHODS: In 2019, national palliative care organizations reported 48 freestanding children's hospitals with specialty PPC programs. As part of a larger study on OPPC services, a PPC liaison at each hospital was asked to complete an online survey regarding clinic operations and metrics of success.RESULTS: Out of 36 respondents, 28 (78%) reported provision of OPPC in a clinic setting. Most OPPC clinics were located within another subspecialty clinic and managed by PPC (64%) and/or non-PPC subspecialty staff (54%). Respondents reported utilizing various clinic models including floating (62%), freestanding (50%), and/or embedded (39%), with more than half (58%) using more than one model. Fifty percent of PPC clinicians restricted their schedule to specific half day clinics, offering a median of 2.5 half day clinics per week. OPPC clinic schedules typically consisted of two 60-minute initial consultations and one to five 30- to 60-minute follow-up appointments per week. Most respondents self-reported that their OPPC program design and workflow facilitated the provision of high-quality care; however, only half of respondents felt their program design and workflow was successful and promoted team resilience.CONCLUSION: Hospital-based OPPC clinic operationalization varies significantly across the nation, with many programs utilizing more than one clinic model simultaneously. It remains unclear how various clinic structures and workflow practices influence OPPC program sustainability and success.

    View details for DOI 10.1016/j.jpainsymman.2025.08.004

    View details for PubMedID 40846231

  • We Are the People We Have Been Waiting For Rubenstein, J., Hills, T., Morvant, A., Flynn, E., McPoland, P., Stern, N. ELSEVIER SCIENCE INC. 2025

    View details for Web of Science ID 001476359700023

  • Outpatient Pediatric Palliative Care Development: Guidance on Building Sustainable Programs. Journal of palliative medicine James, C., Sarvode Mothi, S., Miller, E. G., Kaye, E. C., Morvant, A., Stafford, C., Autrey, A. K. 2024

    Abstract

    Context: As pediatric palliative care (PPC) expands within institutions and nationally, little guidance is available on building outpatient programs. Objectives: We asked outpatient PPC (OPPC) program leaders in the United States about clinic development experiences to gather advice for growing programs. Methods: As part of a larger OPPC study, 48 freestanding children's hospitals with inpatient PPC programs were invited to complete a survey on OPPC. Self-selected participants were sent a follow-up survey soliciting free-text responses about development experiences. Quantitative data were analyzed with descriptive statistics. Qualitative data underwent inductive content analysis. Results: Thirty-six hospitals completed the initial survey, and 28 (78%) reported practicing clinic-based OPPC. Twenty-two of 28 completed program development questions. More than half (12/22, 55%) recommended a minimum total billable full-time equivalent (FTE) ≥3 before expanding into the outpatient setting. About two-thirds (14/22, 64%) suggested a minimum billable FTE ≥4 for 24/7 coverage. Half (50%) reported that their program grew from subspecialty clinics, most frequently hematology-oncology (10/11, 91%). Half (50%) placed initial limits on referrals, with many restricting schedule availability (7/11, 64%). Six of 12 participants (50%) willing to share more about their development experience completed a follow-up survey, from which three themes emerged: program logistics, expectations and boundaries, and establishing role and workflow. Participants focused advice on slow programmatic growth to optimize sustainability. Conclusion: Program leaders offer tangible guidance informed by their OPPC development experience. Future work is needed to leverage this advice within institutions to promote resilient and sustainable PPC growth.

    View details for DOI 10.1089/jpm.2024.0148

    View details for PubMedID 39167536

  • Respecting Spirituality During Extubations: Holding Spacefor Miracles and Legacy with Reactive Comfort Plans Morvant, A., Mauser, D., Moriarty, J., Norvell, M., Baker, J., Ammon, E. H. ELSEVIER SCIENCE INC. 2024: E663-E664

    View details for Web of Science ID 001282805300257