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Hospital-ity ~ Palliative Care: Impact on Quality of Care & Cost<br />
Hospitality<br />A Relationship <br />The Act & Practice of Being Hospitable<br />Hospitality derives from the Latin hospe...
Host<br />Hospital<br />"shelter" <br />"guest-house" <br />"friendliness to guests"<br />He who Receives Guests," <br />C...
Improved Quality<br />
Determine Quality by the Manner of the People <br />
Case Management Principles<br />The Patient is the Focal Point.<br />Provide Information and Personal Assistance<br />Supp...
Reduced Costs<br />
Palliative Care Reduces Length of Stay<br />Clarifies goals of care with patients and families.<br />Helps families to sel...
Reductions in Total Costs for Medicare Beneficiaries in 2001<br />Cost savings from palliative care = $757,555 per year fo...
Implications of LOS Reduction<br />Patients with advanced illness have a long length of stay & high cost/admission.<br />P...
Evaluate yourself by Your Own Standards, not someone else’s.<br />
Hospital-ity Palliative Care Impact
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Hospital-ity Palliative Care Impact

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Transcript of "Hospital-ity Palliative Care Impact"

  1. 1. Hospital-ity ~ Palliative Care: Impact on Quality of Care & Cost<br />
  2. 2. Hospitality<br />A Relationship <br />The Act & Practice of Being Hospitable<br />Hospitality derives from the Latin hospes<br />The meaning of "host" can be literally read as "lord of strangers<br />
  3. 3. Host<br />Hospital<br />"shelter" <br />"guest-house" <br />"friendliness to guests"<br />He who Receives Guests," <br />Clinical 1780: "pertaining to hospital patients or hospital care," from clinic + -al (2). Meaning "coldly dispassionate" (like a medical report) is recorded from 1928.<br />
  4. 4. Improved Quality<br />
  5. 5. Determine Quality by the Manner of the People <br />
  6. 6. Case Management Principles<br />The Patient is the Focal Point.<br />Provide Information and Personal Assistance<br />Support Informed Choices<br />More satisfying and less costly.<br />Support the patient/physician Relationship<br />Respect and protect the Patients Right to Choose<br />Enable Maximum Effect of Insurance Benefits<br />
  7. 7. Reduced Costs<br />
  8. 8. Palliative Care Reduces Length of Stay<br />Clarifies goals of care with patients and families.<br />Helps families to select medical treatments that meet goals.<br />Assists families in decisions to withhold or withdraw death prolonging treatments that do not meet goals.<br />Mount Sinai Hospital Data -2001<br />Medicare Data: Palliative Care Patients spent 360 fewer days in Mt. Sinai as compared to DRG-Matched patients not followed by Palliative care<br />Medicare patients who passed with LOS >14 days<br />
  9. 9. Reductions in Total Costs for Medicare Beneficiaries in 2001<br />Cost savings from palliative care = $757,555 per year for patients with LOS>14days<br />Cost savings for Palliative Care = $455,936 per year for patients with LOS >28 days<br />Cost per day=total per DRG/Avg LOS per DRG for patients who passed<br />Costs reduced by palliative care= Cost per day x number of days saved by Palliative Care<br />
  10. 10. Implications of LOS Reduction<br />Patients with advanced illness have a long length of stay & high cost/admission.<br />Palliative Care results in:<br />Reduction in Length of Stay<br />Reduction in Total Costs/Admission<br />Opportunity for New Admissions<br />Better Quality of Care<br />Highly Satisfied Families<br />
  11. 11. Evaluate yourself by Your Own Standards, not someone else’s.<br />
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