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Developing and financing a palliative care program.

Pat Stanfill Edens¹, Catherine D Harvey, Karen M Gilden

¹Global Oncology SP, Stillwater Trail, Hendersonville, Tennessee 37075, USA. patedens@globaloncology.com

The American Journal of Hospice & Palliative Care

|June 10, 2008

Summary

This summary is machine-generated.

Palliative care, focusing on living with serious illness, is poorly understood despite its mandate. Developing a financial model can demonstrate its value and address reimbursement challenges in hospitals.

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Area of Science:

Healthcare Management
Palliative Care Medicine
Health Economics

Background:

Hospice care is widely available, but palliative care remains poorly understood.
Palliative care, focusing on living with chronic illness and end-of-life preparation, is a recent mandate by the Joint Commission on Accreditation of Healthcare Organizations.
Existing healthcare models often do not encompass the comprehensive needs addressed by palliative care.

Purpose of the Study:

To define a palliative care model suitable for community hospitals.
To address the lack of specific Medicare reimbursement for hospital-based palliative care.
To propose a strategy for hospital administrators to support palliative care programs.

Main Methods:

Defining a palliative care model that emphasizes holistic patient care beyond the traditional medical approach.
Analyzing the financial viability of palliative care programs within a hospital setting.
Developing a cost aversion financial model to quantify the benefits of palliative care.

Main Results:

Community hospitals require a defined palliative care model for effective implementation.
The absence of Medicare reimbursement and administrative support hinders palliative care program development.
A cost aversion financial model can quantify program benefits, potentially overcoming financial barriers.

Conclusions:

Palliative care models are essential for community hospitals to provide comprehensive patient support.
Addressing reimbursement and financial concerns is crucial for the successful integration of palliative care.
Financial modeling offers a strategy to demonstrate the value and secure support for palliative care programs.