Impact of a Hospital Community Based Palliative Care Partnership: Continuum from Hospital to Home
- 1 December 2020
- journal article
- research article
- Published by Mary Ann Liebert Inc in Journal of Palliative Medicine
- Vol. 23 (12), 1599-1605
- https://doi.org/10.1089/jpm.2020.0090
Abstract
Objectives: To discuss the outcomes of a formalized care transition process for palliative care patients from the hospital to the community. Background: Patients who received inpatient palliative care services from the specialist palliative care team in the hospital or who were identified as needing community palliative care services have inadequate support on discharge. Methods: A retrospective review of the medical records of patients admitted to the community based palliative care (CBPC) program, Arizona Palliative Home Care (AZPHC) over a 12-month period (June 2018 to May 2019) was undertaken with a focus on the frequency and pattern of hospital events pre- and postadmission to the program. Patient/family satisfaction data obtained from telephone surveys were evaluated. The medical records from patients (n = 294) with advanced complex illnesses who were admitted to AZPHC from the five Honor Health Network hospitals were included in this study. Results: Of the 294 patients' records reviewed, 80% were in the 65 and older age group and had a mean length of stay on AZPHC of ∼40 days. Comparing acute care utilization pre and post AZPHC admission, there was a reduction of 68.95% at 60 days and 68.22% at 90 days. In addition, 128 avoided hospital events were recorded, and 86% of patients were very likely to recommend AZPHC to family or friends. Discussion: Collaboration between a hospital palliative care team and a CBPC program resulted in high quality transitions across care settings and reduction in acute care utilization.Keywords
This publication has 32 references indexed in Scilit:
- The experience of caring for patients at the end-of-life stage in non-palliative care settings: a qualitative studyBMC Palliative Care, 2018
- Site of Death, Place of Care, and Health Care Transitions Among US Medicare Beneficiaries, 2000-2015Jama-Journal Of The American Medical Association, 2018
- Dying in America: A Constructive Step Forward and an Opportunity to Deepen Partnerships With Patients and FamiliesAnnals of Internal Medicine, 2015
- A Path Forward on Medicare ReadmissionsThe New England Journal of Medicine, 2013
- Community-Based Palliative Care: The Natural Evolution for Palliative Care Delivery in the U.S.Journal of Pain and Symptom Management, 2012
- Transitions of Care Consensus Policy Statement American College of Physicians-Society of General Internal Medicine-Society of Hospital Medicine-American Geriatrics Society-American College of Emergency Physicians-Society of Academic Emergency MedicineJournal of General Internal Medicine, 2009
- Postdischarge Environmental and Socioeconomic Factors and the Likelihood of Early Hospital Readmission Among Community-Dwelling Medicare BeneficiariesThe Gerontologist, 2008
- Palliative Care's Challenge: Facilitating Transitions of CareJournal of Palliative Medicine, 2008
- Family Perspectives on End-of-Life Care at the Last Place of CareJama-Journal Of The American Medical Association, 2004
- Effectiveness of a Home-Based Palliative Care Program for End-of-LifeJournal of Palliative Medicine, 2003