Event Title
Toolkit Development for a Community-Based Palliative Care Program
Location
Hager-Lubbers Exhibition Hall
Description
PURPOSE: The Centers for Medicare and Medicaid Services initiated the Medicare Care Choices Model (MCCM) in January 2016 to provide hospice-like, community-based palliative care (CBPC) services to Medicare beneficiaries. A Midwest Health System with a hospice and palliative care division was included in the first cohort of MCCM. Since initiation in January 2016 through December 2016, 15.93% of patient referred were admitted to the program and 14.29% were directly admitted to hospice. Therefore, 69.78% of patient referred to MCCM did not qualify or receive CBPC services within this organization. The purpose of this DNP scholarly project was to address the gap in supportive care delivery within the organization by answering the clinical question what is an evidence-based CBPC program that is feasible and sustainable within the Midwest Health System? METHODS: This clinical question was answered by reviewing the available literature and analyzing current practice within the organization. The Theory of Symptom Management and the PARIHS Framework were used to guide toolkit development. ANALYSES: Data from the electronic medical records and protected network drive were collected and analyzed to inform a 2016 MCCM program analysis and a pre-post cost savings analysis to substantiate value. RESULTS: The MCCM program analysis indicated a gap in care delivery within the organization. The pre-post cost savings analysis revealed a cost savings per patient of $1,220.34 and $1,686.83 for Medicare and private insurance respectively. CONCLUSION: The toolkit developed includes the care model with correlating budgets, MCCM data analysis, implementation timeline, intake process, educational materials, evaluation tools, and sustainability plan.
Toolkit Development for a Community-Based Palliative Care Program
Hager-Lubbers Exhibition Hall
PURPOSE: The Centers for Medicare and Medicaid Services initiated the Medicare Care Choices Model (MCCM) in January 2016 to provide hospice-like, community-based palliative care (CBPC) services to Medicare beneficiaries. A Midwest Health System with a hospice and palliative care division was included in the first cohort of MCCM. Since initiation in January 2016 through December 2016, 15.93% of patient referred were admitted to the program and 14.29% were directly admitted to hospice. Therefore, 69.78% of patient referred to MCCM did not qualify or receive CBPC services within this organization. The purpose of this DNP scholarly project was to address the gap in supportive care delivery within the organization by answering the clinical question what is an evidence-based CBPC program that is feasible and sustainable within the Midwest Health System? METHODS: This clinical question was answered by reviewing the available literature and analyzing current practice within the organization. The Theory of Symptom Management and the PARIHS Framework were used to guide toolkit development. ANALYSES: Data from the electronic medical records and protected network drive were collected and analyzed to inform a 2016 MCCM program analysis and a pre-post cost savings analysis to substantiate value. RESULTS: The MCCM program analysis indicated a gap in care delivery within the organization. The pre-post cost savings analysis revealed a cost savings per patient of $1,220.34 and $1,686.83 for Medicare and private insurance respectively. CONCLUSION: The toolkit developed includes the care model with correlating budgets, MCCM data analysis, implementation timeline, intake process, educational materials, evaluation tools, and sustainability plan.