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A model to improve value: the interdisciplinary palliative care services agreement
Karin Porter-Williamson1, Marilyn Parker, Stewart Babbott
1Department of Internal Medicine, University of Kansas Medical Center, Kansas City, Kansas 66160, USA. Kporter-williamson@kumc.edu
Journal of Palliative Medicine
|July 15, 2009
Summary
This study defines value in palliative care and introduces a framework for financially sustainable services. It establishes quality standards and staffing ratios to ensure competitive positioning for palliative medicine.
Area of Science:
- Palliative Care Medicine
- Healthcare Management
- Health Economics
Background:
- Defining value in medical care is crucial, especially for palliative care patients.
- Existing models may not adequately support the financial sustainability of interdisciplinary palliative care teams.
- Academic medical centers require frameworks to integrate palliative care competitively.
Purpose of the Study:
- To define the concept of value in medical care specifically for palliative care patients.
- To describe an Interdisciplinary Palliative Care Services Agreement as a model for financial sustainability.
- To establish quality standards and staffing ratios for competitive palliative medicine.
Main Methods:
- Examination of value definition in palliative care.
- Development of an Interdisciplinary Palliative Care Services Agreement framework.
- Integration of quality standards as metrics for financial support and team interventions.
- Definition of staffing ratios for sustainable team growth.
Main Results:
- A framework for valued and financially sustainable palliative care was established.
- Quality standards were identified as drivers for interventions and financial metrics.
- Necessary staffing ratios for sustainable team growth were defined.
- A financial model was created to position palliative medicine competitively.
Conclusions:
- The Interdisciplinary Palliative Care Services Agreement provides a viable financial model for palliative care.
- Quality standards are essential for both clinical effectiveness and financial viability.
- This framework supports the competitive integration of palliative medicine within academic medical centers.
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