Integrated End-of-Life Care
Integrated End-of-Life Care Wednesday, October 24, 2012
The aging of baby boomers and an increased need to contain hospital costs in the United States has led many organizations to fine tune their services for patients who are in need of palliative care. Most patients prefer to remain in their home at this time of their life; palliative and coordinated care can help them maintain control of their care choices, avoid inpatient and emergency department costs, and increase their satisfaction with their end-of-life care.
The featured Innovations describe two programs that used palliative care to help elderly and terminally ill patients make greater use of hospice and home care services. A third program coordinated care for Medicare patients and their families, allowing them to define their wishes and options for end-of-life care, increase their use of hospice services, and reduce the incidence of inpatient stays.
The featured QualityTools provide educational, clinical, and organizational resources and information to help ensure better care for patients and their families as they face end-of-life issues.
- Palliative Care Nurses in Primary Care Clinics Reduce Hospital Admissions, Increase Use of Hospice and Home Care for Patients Nearing End of Life
- In-Home Palliative Care Allows More Patients to Die at Home, Leading to Higher Satisfaction and Lower Acute Care Utilization and Costs
- System-Integrated Program Coordinates Care for People With Advanced Illness, Leading to Greater Use of Hospice Services, Lower Utilization and Costs, and High Satisfaction
Also in This Issue:
- Long-Term Expressive Therapy and Caregiver Support Improves Emotional Health of Low-Income Children Affected by Trauma
- Standardized Order Bundles and Ongoing Care Coordination Expedite Testing and Specialty Consults for Primary Care Patients With Common Conditions
- Intensive Counseling of Students by School Nurses Does Not Have Larger Impact on Long-Term Smoking Rates Than Briefer Sessions