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JOURNAL CLUB: Association of Hospice Agency Profit Status With Patient Diagnosis, Location of Care, and Length of Stay
JOURNAL CLUB: Association of Hospice Agency Profit Status With Patient Diagnosis, Location of Care, and Length of Stay
JOURNAL CLUB: Association of Hospice Agency Profit Status With Patient Diagnosis, Location of Care, and Length of Stay
JOURNAL CLUB: Association of Hospice Agency Profit Status With Patient Diagnosis, Location of Care, and Length of Stay
JOURNAL CLUB: Association of Hospice Agency Profit Status With Patient Diagnosis, Location of Care, and Length of Stay
JOURNAL CLUB: Association of Hospice Agency Profit Status With Patient Diagnosis, Location of Care, and Length of Stay
JOURNAL CLUB: Association of Hospice Agency Profit Status With Patient Diagnosis, Location of Care, and Length of Stay
JOURNAL CLUB: Association of Hospice Agency Profit Status With Patient Diagnosis, Location of Care, and Length of Stay
JOURNAL CLUB: Association of Hospice Agency Profit Status With Patient Diagnosis, Location of Care, and Length of Stay
JOURNAL CLUB: Association of Hospice Agency Profit Status With Patient Diagnosis, Location of Care, and Length of Stay
JOURNAL CLUB: Association of Hospice Agency Profit Status With Patient Diagnosis, Location of Care, and Length of Stay
JOURNAL CLUB: Association of Hospice Agency Profit Status With Patient Diagnosis, Location of Care, and Length of Stay
JOURNAL CLUB: Association of Hospice Agency Profit Status With Patient Diagnosis, Location of Care, and Length of Stay
JOURNAL CLUB: Association of Hospice Agency Profit Status With Patient Diagnosis, Location of Care, and Length of Stay
JOURNAL CLUB: Association of Hospice Agency Profit Status With Patient Diagnosis, Location of Care, and Length of Stay
JOURNAL CLUB: Association of Hospice Agency Profit Status With Patient Diagnosis, Location of Care, and Length of Stay
JOURNAL CLUB: Association of Hospice Agency Profit Status With Patient Diagnosis, Location of Care, and Length of Stay
JOURNAL CLUB: Association of Hospice Agency Profit Status With Patient Diagnosis, Location of Care, and Length of Stay
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JOURNAL CLUB: Association of Hospice Agency Profit Status With Patient Diagnosis, Location of Care, and Length of Stay

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Slidedeck for Journal Club reviewing JAMA article from Feb 2, 2011: Association of Hospice Agency Profit Status With Patient Diagnosis, Location of Care, and Length of Stay

Slidedeck for Journal Club reviewing JAMA article from Feb 2, 2011: Association of Hospice Agency Profit Status With Patient Diagnosis, Location of Care, and Length of Stay

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  • http://www.flickr.com/photos/21560098@N06/3796822070/
  • Odds Ratio for Dementia patient 2.32 (1.44-3.72
  • 15 sec
  • Transcript

    • 1. Christian Sinclair, MD, FAAHPM<br />University of Kansas Medical Center<br />Hospice and Palliative Medicine Fellowship<br />Journal Club<br />February 3rd, 2011<br />Free pdf avail<br />Click me - (as of 2/3/11)<br />
    • 2. Blog post on this article at:<br />Slidedeck hosted at:<br />
    • 3. This slidedeckhas links.<br />Please click on things!<br />
    • 4. Clinical Case Correlation<br />Palliative Care Consult at a local hospital<br />Hospice referral was appropriate<br />Conversation with the case manager about different agencies<br />Does profit status affect the care received?<br />
    • 5. Background<br />For-profit hospice agencies growing<br />Nearly half of all hospice agencies are FP<br />1660 FP agencies in 2007<br />For-profit hospice agencies have higher profit margins1<br />FP profit margin 12 to 16%<br />NP profit margin -2.9 to -4.4%<br />Medicare (CMS) is gathering data to revise the payment structure for hospice benefit<br />Flat per-diem v. U-shaped curve<br />Higher costs at beginning and end of care days<br />1 -MedPAC Report to Congress 2008, Chapter 8 <br />
    • 6. Methods<br />2007 National Home and Hospice Care Survey<br />1545 agencies randomly selected<br />1036 participated<br />Interviewed staff and reviewed med records<br />4705 patients discharged from hospice<br />Due to death or live discharge<br />
    • 7. Race/Ethnicity (Table 1)<br />
    • 8. Diagnosis (Table 2)<br />
    • 9. Length of Stay Categories (Table 3)<br />
    • 10.
    • 11. Weak Points of Study<br />Included only discharged patients<br />Lacked agency specific data<br />Lacked costs and revenues<br />No correlation between data and quality of care<br />
    • 12. Conclusions<br />Not sure this adds more than the MedPAC 2008 report<br />Media coverage full of hyperbole<br />
    • 13.
    • 14.
    • 15. Conclusions for This Study<br />Not sure this adds more than the MedPAC 2008 report<br />Media coverage full of hyperbole<br />Does this pit NP vs FP hospice agencies?<br />Is this good for the field?<br />
    • 16. If you liked this slide deck…<br />Share your slidedecks<br />Comment<br />Tweet, Share<br />Feel free to download, remix, improve upon<br />Please give attribution to:<br />Christian Sinclair, MD, FAAHPM<br />
    • 17. DISCLAIMER DISCLAIMER DIS D<br />This slidedeck:<br />does not constitute professional medical advice <br />does not constitute a doctor-patient relationship<br />Any medical decisions regarding your health should be<br />discussed with your health care providers.<br />Use common sense when researching health issues online.<br />The goal of sharing these slides is to advance medical education.<br />References are included wherever possible.<br />
    • 18. Christian Sinclair, MD, FAAHPM<br /><ul><li>Email
    • 19. ctsinclair@gmail.com
    • 20. Blog
    • 21. Pallimed (iPhone app)
    • 22. Twitter
    • 23. @ctsinclair
    • 24. @Pallimed
    • 25. Facebook
    • 26. Personal
    • 27. Pallimed
    • 28. LinkedIn:
    • 29. csinclair
    • 30. Delicious
    • 31. ctsinclair
    • 32. Slideshare
    • 33. ctsinclair
    • 34. Wikipedia
    • 35. ctsinclair
    • 36. Digg
    • 37. ctsinclair
    • 38. Foursquare
    • 39. ctsinclair
    • 40. Yelp
    • 41. Csinclair</li></ul>Let’s get connected!<br />Skype:<br />ctsinclair<br />

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