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CAPC Palliative Care Discussion Forum
Data Collection and Measurement

Next Reply: Re:Performance Improvement
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Post Performance Improvement
Author: Sally
Date: Oct 4, 2007 10:20 am
Would anyone be willing to share ideas they have worked on to show the value of palliative care interventions? I am also interested in PI goals or 6 sigma projects. I would be glad to share our ideas with anyone interested. Thanks
Replies: order by [Date] [Author] [Subject]
- Re:Performance Improvement (by NancyGrabb on 10/04/2007)
I have done quite a bit of work showing the value of Palliative Care intervention in total. Quarterly I run a report from Meditech which pulls up all charges for me from before my intervention and after my intervention, and I can demonstrate remarkable cost savings for the quarter (or year). It has impressed everyone who has seen the results. This took months to perfect and is very time consuming but seems to work. I would be happy to discuss specifics if anyone is interested.
+ Re:Re:Performance Improvement (by Sally on 10/04/2007)
Thank you Nancy. I also compare the cost of care and see a significant decrease once palliative care intervenes. Do you look at anything else?
Re:Performance Improvement (by jbcassel on 10/04/2007)
Hi, in a recent CAPC seminar, Kathleen Kerr and I gave a presentation that included a lot of examples of how various programs have demonstrated program success, impact, and outcomes in domains such as pt and provider satisfaction, finances, and clinical outcomes. You can access the presentation and handouts on the CAPC website's Resources page, at http://www.capc.org/support-from-capc/capc_presentations/

Are there any specific goals that you have articulated for your program, which would point to the value you hope it is providing for patients, families, the hospital, etc.? Are there any specific expectations that your hospital administration has of your program?


-Brian Cassel,
VCU Massey Cancer Center
Thomas Palliative Care Program
A Palliative Care Leadership Center
+ Re:Performance Improvement (by TomSmith on 10/04/2007)
I have to answer to the health system administration. Metrics they find important:
1. ICU bed days saved, or offloaded, and attestation from ICU staff that we do indeed open beds for them. We always respond right away.
2. Breaking even on the unit finances.
3. Showing $900K cost avoidance.
4. Number of grants, dollars, publications.
5. # patients seen, bed census/beds available in unit, thank you notes. Stories are important.

Symptom scores are not so useful, since they assume care is excellent.

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