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Post Palliative Care research
Author: Kahley
Date: Oct 30, 2008 1:18 pm
Hello, I am mentoring with a Palliative Care and Ethics Director and I am doing research to find;

1. How do established palliative care teams sustain themselves with limited resources and a growing demand?

and...

2. What services are typically provided by outpatient palliative care practices?

Your comments will be very helpful. Thank You!
Replies: order by [Date] [Author] [Subject]
Re:Palliative Care research (by eyellig on 11/03/2008)
We have both inpatient and outpatient aspects to our program. We have not been able to satisfy our need for reimbursements in this setting due to the start-up time to fill our schedules and due to the travel time needed to see our outpatients. We will be working on efficiencies to the program focussing on relationships with LTC facilities because we realized that the patients who convert to hospice (the most important revenue stream in addition to direct billings) have greater lengths of stay compared to those converted from a hospital base. I will also be attending the Texas conference in November for Level II programs. Ned Yellig, MD @ eyallig@hospiceofwake.org
Re:Palliative Care research (by jbcassel on 11/03/2008)
Hi. Good questions! Regarding #1, you must have a compelling business plan which secures the resources you need, or will need, over 3-4 years, as demand for your services grows. This is absolutely necessary in order to prevent your staff from burning out early in your development. There are several sections in this CAPC Connect forum, as well as under Tools on the main CAPC website (as well as at the forthcoming conference in Texas) which address how to achieve this and how to nurture and protect your program staff. Regarding #2, there are several posts under the "Designing a Program" section of this forum as well as other sections which describe outpatient services. In the published literature the best resource is the UCSF controlled trial, Rabow et al., Arch Intern Med. 2004;164:83-91. Also described in JPM 6 (3), Rabow et al., 2003, http://www.liebertonline.com/doi/pdf/10.1089/109662103322144862 See also Meier & Beresford JPM 2008 Jul;11(6):823-8. Hope this helps! Brian Cassel, VCU PCLC, 804-628-1926, jbcassel@vcu.edu

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