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CAPC Palliative Care Discussion Forum
Billing and Finance
savings on labs and on inpatient dialysisAuthor: susanhbraymd
Date: Jan 7, 2010 1:31 pm
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Arch Intern Med. 2008 Sep 8;168(16):1783-90. Cost savings associated with US hospital palliative care consultation programs. Morrison RS, Penrod JD, Cassel JB, Caust-Ellenbogen M, Litke A, Spragens L, Meier DE; Palliative Care Leadership Centers' Outcomes Group.
Cost savings associated with decreased use of dialysis in palliative care patients is harder to find, primarily because that has not been broken out as a discreet outcome in the larger studies to date. Maybe you could present data on the association of reduction in ICU days with palliative care involvement, which is noted in the literature? Depending on the volume of dialysis undertaken at your facility, this may make an equally compelling financial argument. Or you might be able to look at which patients in your facility receive dialysis. If the majority of patients who receive dialysis and die within a 3-5 day period (suggesting no life extension benefit of dialysis) are dialyzed in the ICU, you might be able to connect the dots for your administrators…
Cost and utilization outcomes of patients receiving hospital-based palliative care consultation.
Penrod JD, Deb P, Luhrs C, Dellenbaugh C, Zhu CW, Hochman T, Maciejewski ML, Granieri E, Morrison RS.
J Palliat Med. 2006 Aug;9(4):855-60. Erratum in: J Palliat Med. 2006 Dec;9(6):1509. PMID: 16910799 [PubMed - indexed for
Integrating palliative and critical care: evaluation of a quality-improvement intervention.
Curtis JR, Treece PD, Nielsen EL, Downey L, Shannon SE, Braungardt T, Owens D, Steinberg KP, Engelberg RA.
Am J Respir Crit Care Med. 2008 Aug 1;178(3):269-75. Epub 2008 May 14.PMID: 18480429 [PubMed - indexed for
Post: Sandra Joyce Crump, BSN, MBA, Program Manager on behalf of
Elizabeth Kvale M.D. Assistant Professor and Medical Director of UAB Palliative & Supportive Care Outpatient Services and PCLC Faculty at UAB
Palliative Care Leadership CentersTM at the University of Alabama at Birmingham
1530 3rd Ave. South
Birmingham, AL