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The impact of a palliative care program in a rural Appalachian community hospital: a quality improvement process
Bernita Armstrong1, Bharat Jenigiri, Sadie P Hutson
1Pikeville Medical Center, Pikeville, KY 41501, USA. bernita.armstrong@pikevillehospital.org
Background:
Hospital inpatient palliative care consultation services (PCCSs) provide high-quality, comprehensive care for seriously ill patients and their families. The objective of the Palliative Care Impact Study was to evaluate the impact of a PCCS in a rural Appalachian community hospital in 4 domains: clinical, customer, operational, and financial.
Methods And Results:
A nonrandomized preintervention-postintervention study enrolled 25 patients. We collected data in the 4 domains listed above after a palliative care (PC) consultation and compared them with preconsultation data. Findings demonstrated a statistically significant improvement in pain and symptom burden scores; customer metrics produced an excellent rating of 88.5% by patients and families and physician/providers; with an associated cost savings of $521 per patient per day after PC consultation was complete.
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