一个不断增长的息护理团队提前计费的护理计划对话:从五年审查的见解
Renato V Samala1, Meena Bhaskaruni1, Brittany T Peterre2
1The Lois U. and Harry R. Horvitz Palliative Medicine Program, Department of Palliative and Supportive Care, Taussig Cancer Institute, Cleveland Clinic, Cleveland, Ohio, USA.
Journal of palliative medicine
|March 28, 2025
概括
在引入新的代码后,提前护理计划 (ACP) 计费大幅增加. 息护理团队记录了更多的ACP对话,主要是针对住院患者,观察到特定的人口趋势.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 医疗保健服务研究 医疗服务研究
- 医学经济学 医学经济学
背景情况:
- 目前的预先护理规划 (ACP) 程序术语 (CPT) 代码于2015年建立.
- 这些代码使息护理 (PC) 团队能够系统地跟踪非洲与非洲的讨论.
- 这项研究调查了五年来这些代码的使用情况.
研究的目的:
- 分析了五年 (2017-2021) 间收费的ACP对话的趋势.
- 为了确定与ACP计费相关的患者人口统计和服务地点.
- 了解缓和护理团队使用的ACP代码的模式.
主要方法:
- 追溯分析来自美国中西部大型医疗保健系统的计费数据.
- 在研究期间包括息治疗患者.
- 收集的数据包括人口统计信息,服务地点和ACP账单代码.
主要成果:
- 付费的ACP对话数量从2017年的381次升至2021年的5718次.
- 参与计费的PC临床医生人数也从27人增加到41人.
- 在10,307名独特患者中,大多数是女性 (52%),白人 (74%) 和非西班牙裔 (96%);32%来自未充分利用的医疗保健领域.
- 81%的对话发生在医院,其中81%使用单一的30分钟计费代码.
结论:
- 在ACP账单代码整合到息护理服务中,已导致ACP对话记录的数量大幅增加.
- 息护理团队已经扩大了他们的非洲和非洲国家和地区 (ACP) 记录工作,特别是在医院环境中.
- 分析显示,在ACP计费中,某些患者人口统计和地理区域占主导地位,突出了潜在的差异或重点领域.
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