hospital-ity palliative care impact
TRANSCRIPT
Hospital-ity ~ Palliative Care: Impact on Quality of
Care & Cost
Hospitality• A Relationship • The Act & Practice of Being
Hospitable• Hospitality derives from the Latin hospes–The meaning of "host" can be literally read as "lord of strangers
Hospital• "shelter" • "guest-house" • "friendliness to
guests"
Host• He who Receives
Guests," • Clinical 1780:
"pertaining to hospital patients or hospital care," from clinic + -al (2). Meaning "coldly dispassionate" (like a medical report) is recorded from 1928.
Improved Quality
Determine Quality by the Manner of the
People
Case Management Principles
• The Patient is the Focal Point.• Provide Information and Personal
Assistance• Support Informed Choices–More satisfying and less costly.
• Support the patient/physician Relationship• Respect and protect the Patients Right to
Choose• Enable Maximum Effect of Insurance
Benefits
Reduced Costs
Palliative Care Reduces Length of Stay
• Clarifies goals of care with patients and families.• Helps families to select medical treatments that meet
goals.• Assists families in decisions to withhold or withdraw death
prolonging treatments that do not meet goals.
• Mount Sinai Hospital Data -2001– Medicare Data: Palliative Care Patients spent 360 fewer
days in Mt. Sinai as compared to DRG-Matched patients not followed by Palliative care• Medicare patients who passed with LOS >14 days
Reductions in Total Costs for Medicare Beneficiaries in 2001
• Cost savings from palliative care = $757,555 per year for patients with LOS>14days
• Cost savings for Palliative Care = $455,936 per year for patients with LOS >28 days– Cost per day=total per DRG/Avg LOS per DRG for patients
who passed– Costs reduced by palliative care= Cost per day x number
of days saved by Palliative Care
IMPLICATIONS OF LOS REDUCTION
Patients with advanced illness have a long length of stay & high cost/admission.
Palliative Care results in:
Reduction in Length of StayReduction in Total Costs/AdmissionOpportunity for New AdmissionsBetter Quality of CareHighly Satisfied Families
Evaluate yourself by Your Own Standards, not
someone else’s.