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SARP: a value-based approach to hospice admissions triage
The Hospice Journal
|January 1, 1995
Summary
Hospice programs can use the SARP triage method to fairly prioritize admissions when waiting lists are necessary. This approach ensures consistent and rational case selection based on seniority, acuity, risk, and political significance.
Area of Science:
- Palliative Care
- Healthcare Management
- Medical Ethics
Background:
- Increasing hospice referrals necessitate efficient patient admission strategies.
- Established hospice programs often face the challenge of managing waiting lists due to high demand.
- A rational, fair, and consistent method is required for prioritizing hospice admissions.
Purpose of the Study:
- To introduce and describe the SARP (Seniority, Acuity, Risk, Political significance) method for hospice admissions triage.
- To outline the operational principles, assumptions, benefits, and drawbacks of the SARP triage system.
- To encourage the evaluation and adoption of the SARP method in diverse hospice settings.
Main Methods:
- The SARP method evaluates prospective hospice cases based on four key criteria: seniority, acuity, risk, and political significance.
- The article details the essential features and underlying assumptions of the SARP triage system.
- Discussion includes the advantages and limitations inherent in the SARP approach.
Main Results:
- The SARP method provides a structured framework for hospice admissions triage.
- It addresses the need for fairness and consistency in prioritizing patients.
- The system's components are designed to manage complex admission decisions.
Conclusions:
- The SARP method offers a viable solution for hospice admissions triage.
- Core hospice values are integrated into the SARP framework.
- Further trials and evaluations of the SARP method in various hospice environments are recommended.