Revenues from Patient Encounters and Establishment of an Outpatient Palliative Care Program in a Community Oncology Practice

2019 ◽  
Vol 22 (12) ◽  
pp. 1594-1596 ◽  
Author(s):  
Loren L. Friedman
Keyword(s):  
Palliative Care ◽  
Care Program ◽  
Palliative Care Program ◽  
Community Oncology ◽  
Oncology Practice

Northwest Cancer Specialists (NCS) Cares: Coordinated, Advocacy, Resources, Education, and Support: A Palliative Care Program in an Outpatient Oncology Practice

2013 ◽  
Vol 67 (1-2) ◽  
pp. 109-113 ◽  
Author(s):  
Susan Hedlund
Keyword(s):  
Palliative Care ◽  
Care Program ◽  
Pilot Project ◽  
Palliative Care Program ◽  
Community Based ◽  
Interprofessional Communication ◽  
Patient Awareness ◽  
Advance Care ◽  
Cancer Specialists ◽  
Oncology Practice

A large community-based oncology practice developed a pilot project to enhance staff and patient awareness of the benefits of palliative care, advance care planning, and earlier intervention with patients with advancing disease. The results were ongoing implementation of palliative care conferences at all sites, greater numbers of referral to hospice, lessened chemotherapy given in the last 2 weeks of life, and the hiring of two social workers as a result of needs identified. Staff reported greater satisfaction with interprofessional communication.

Using information technology to power an integrated, community-based oncology palliative care model.

2016 ◽  
Vol 34 (7_suppl) ◽  
pp. 166-166
Author(s):  
Dudley Gill ◽  
Andrew Allan Hertler ◽  
Lianne Matthews ◽  
RaeLynn Carr
Keyword(s):  
Information Technology ◽  
Palliative Care ◽  
Hospital Admissions ◽  
Performance Status ◽  
Metastatic Breast ◽  
Care Program ◽  
Palliative Care Program ◽  
Community Based ◽  
Care Community ◽  
Oncology Practice

166 Background: There is a need to improve palliative care program access for patients with cancer. The identification of candidates for palliative care at the point of diagnose can improve care and reduce costs. This pilot program was launched in July 2015 by four stakeholders: Health plan; Regional palliative care provider; Community oncology practice; and Oncology quality management provider. Methods: Objectives are to increase patient satisfaction, reduce unnecessary utilization and costs. Data captured by information technology at the point-of-care are used to: Evaluate Diagnosis, Stage, Treatment Intent, Performance Status, and Line of Therapy criteria to identify patients with recurrent/metastatic disease who would potentially benefit from palliative care; Trigger a palliative care program referral; and Initiate the chemotherapy treatment preauthorization process. Retrospective analysis will evaluate: Patient (Concordance with goals & cultural preferences, Member quality of care at end-of-life, Length of stay on hospice, Death in place of patient’s preference), Hospital (Deaths in acute/facility ICU), and Clinical (Referrals to palliative care and hospice; Use of chemotherapy 2 weeks prior to death). Results: See table below. Conclusions: There is an opportunity to inform physicians and oncology practice mid-level staff about the differences between palliative and hospice care. Community-based supportive care services can prevent avoidable hospital admissions. There have been two instances where having a palliative care nurse visit patients at their homes prevented hospital emergency department admissions. Educating patients about the benefits of palliative care can be challenging. For example, a patient with recurrent/metastatic breast cancer, an ECOG status of 2 and who had received beyond 4th line treatment was not interested in the program. [Table: see text]

Palliative care in a community-based oncology private practice.

2017 ◽  
Vol 35 (31_suppl) ◽  
pp. 107-107
Author(s):  
Loren L. Friedman ◽  
Paul Cronin ◽  
Muhammad M. Siddiqui ◽  
Marie A. Garcia ◽  
Linda C. Anderson
Keyword(s):  
Palliative Care ◽  
Private Practice ◽  
Care Program ◽  
Substantial Part ◽  
Full Time ◽  
Palliative Care Program ◽  
Community Based ◽  
Aggregate Score ◽  
Oncology Practice

107 Background: Integration of palliative care in the outpatient oncology clinic improves the quality of care for patients with advanced cancer. While models of outpatient palliative care (PC) in the academic oncology clinic have been demonstrated, the feasibility of PC in a private practice oncology clinic has not been established. Methods: In 2014 our 8 office oncology practice composed of 30 physicians and 10 advanced practice providers hired a full-time PC physician. Our questions included: 1) Would the PC physician be valued by the oncologists in the practice; 2) Would internal referrals and follow-up encounters provide sufficient activity for PC physician employment; 3) Would the revenue received for patient encounters offset the cost to the practice of the PC physicians? We emailed a survey to providers; we tallied data on patient encounters; and we reviewed the actual dollar amount of reimbursements received from payers for PC evaluation and management codes for a 1 year period. Results: In our second full year, a single palliative care physician saw 487 initial consultations and 1273 follow-up encounters for a total of 1760 encounters. The collected revenue for these encounters covered 102% of the palliative care physician’s combined salary and overhead. This data enabled the additional hiring of a second PC physician in 2016. Of 36 providers surveyed, 24 (67%) completed our 10 question survey. On a 1-5 point scale, when asked to rank the positive influence of the palliative care program on the culture of patient care in the practice, the aggregate score was 4.96. When asked questions on how helpful the palliative care program was to the providers in managing a variety of patient concerns, all items scored between 4.5 and 5. A question on how helpful the PC physicians were as a curbside resource received an aggregate score of 5.0. Conclusions: Based on referral numbers and surveyed attitudes, PC physicians were readily accepted into the fabric of a community based oncology practice. Analysis of financial data demonstrates that the PC physician can cover a substantial part of their salary requirement through billing for patient encounters.

The wish to hasten death among ALS patients in a palliative care program

2007 ◽  
Vol 34 (S 2) ◽  
Author(s):  
R Jox ◽  
S Haarmann-Doetkotte ◽  
M Wasner ◽  
GD Borasio
Keyword(s):  
Palliative Care ◽  
Care Program ◽  
Palliative Care Program ◽  
Wish To Hasten Death ◽  
Als Patients

scholarly journals Development and protocol for a nurse-led telephonic palliative care program

2021 ◽  
Author(s):  
Audrey J. Tan ◽  
Rebecca Yamarik ◽  
Abraham A. Brody ◽  
Frank R. Chung ◽  
Corita Grudzen
Keyword(s):  
Palliative Care ◽  
Care Program ◽  
Palliative Care Program
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