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Christian Sinclair, MD, FAAHPM<br />University of Kansas Medical Center<br />Hospice and Palliative Medicine Fellowship<br...
Blog post on this article at:<br />Slidedeck hosted at:<br />
This slidedeckhas links.<br />Please click on things!<br />
Clinical Case Correlation<br />Palliative Care Consult at a local hospital<br />Hospice referral was appropriate<br />Conv...
Background<br />For-profit hospice agencies growing<br />Nearly half of all hospice agencies are FP<br />1660 FP agencies ...
Methods<br />2007 National Home and Hospice Care Survey<br />1545 agencies randomly selected<br />1036 participated<br />I...
Race/Ethnicity (Table 1)<br />
Diagnosis (Table 2)<br />
Length of Stay Categories (Table 3)<br />
Weak Points of Study<br />Included only discharged patients<br />Lacked agency specific data<br />Lacked costs and revenue...
Conclusions<br />Not sure this adds more than the MedPAC 2008 report<br />Media coverage full of hyperbole<br />
Conclusions for This Study<br />Not sure this adds more than the MedPAC 2008 report<br />Media coverage full of hyperbole<...
If you liked this slide deck…<br />Share your slidedecks<br />Comment<br />Tweet, Share<br />Feel free to download, remix,...
DISCLAIMER   DISCLAIMER       DIS D<br />This slidedeck:<br />does not constitute professional medical advice <br />does n...
   Christian Sinclair, MD, FAAHPM<br /><ul><li>Email
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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

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

    1. 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. 2. Blog post on this article at:<br />Slidedeck hosted at:<br />
    3. 3. This slidedeckhas links.<br />Please click on things!<br />
    4. 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. 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. 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. 7. Race/Ethnicity (Table 1)<br />
    8. 8. Diagnosis (Table 2)<br />
    9. 9. Length of Stay Categories (Table 3)<br />
    10. 10.
    11. 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. 12. Conclusions<br />Not sure this adds more than the MedPAC 2008 report<br />Media coverage full of hyperbole<br />
    13. 13.
    14. 14.
    15. 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. 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. 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. 18. Christian Sinclair, MD, FAAHPM<br /><ul><li>Email
    19. 19. ctsinclair@gmail.com
    20. 20. Blog
    21. 21. Pallimed (iPhone app)
    22. 22. Twitter
    23. 23. @ctsinclair
    24. 24. @Pallimed
    25. 25. Facebook
    26. 26. Personal
    27. 27. Pallimed
    28. 28. LinkedIn:
    29. 29. csinclair
    30. 30. Delicious
    31. 31. ctsinclair
    32. 32. Slideshare
    33. 33. ctsinclair
    34. 34. Wikipedia
    35. 35. ctsinclair
    36. 36. Digg
    37. 37. ctsinclair
    38. 38. Foursquare
    39. 39. ctsinclair
    40. 40. Yelp
    41. 41. Csinclair</li></ul>Let’s get connected!<br />Skype:<br />ctsinclair<br />
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