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Published on: July 4, 2018
Impact of a Centralized Inpatient Hospice Unit in an Academic Medical Center
Briana J Jegier1, Sean O'Mahony2, Julie Johnson3
1Health Services Administration, D'Youville College, Buffalo, NY, USA Health Systems Management, Rush University Medical Center, Chicago, IL, USA jegierb@dyc.edu.
Objective:
Rush University Medical Center (RUMC) and Horizon Hospice opened the first centralized inpatient hospice unit (CIPU) in a Chicago academic medical center in 2012. This study examined if there was a difference in cost or length of stay (LOS) in a CIPU compared to hospice care in scattered beds throughout RUMC.
Study Design And Methods:
This retrospective, cross-sectional study compared cost and LOS for patients admitted to the CIPU (n = 141) and those admitted to hospice scattered beds (SBM) throughout RUMC (n = 56).
Results:
The CIPU patients had a median LOS of 6.0 days versus 2.0 days for SBM patients.
Conclusions:
The CIPU patients had longer hospice LOS but lower hospital costs. Academic medical centers may benefit from aggregating hospice beds.
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