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CAPC Palliative Care Discussion Forum
General Operational Topics

In Reply To: Percent of Hospital Deaths with PC Consult
Next Reply: Re:Re:Percent of Hospital Deaths with PC Consult
Next Message: Re:Percent of Hospital Deaths with PC Consult

Post Re:Percent of Hospital Deaths with PC Consult
Author: Weissman [CAPC/PCLC Faculty]
Date: Jun 9, 2010 5:30 pm
Hi--it depends on the hospital's patient population. If you are a major trauma center with many deaths occurring withing 48 hrs of admission (where the time to obtain a consult may be challenging), the percentage seen by palliative care would be lower than say a community hospital with few trauma ed admissions. In general, a range of 50-75% of deaths seen by palliative care would represent excellent penetration of PC services. A good way to look at this is to obtain data on Length of stay for all patients who died; and dividing the deaths into those < 48 LOS vos > 48 hours. Then set a target for penetration of consults for those with LOS > 48 hours and build a CQI initiative to achieve that benchmark.

David Weissman, MD
Replies: order by [Date] [Author] [Subject]
Re:Re:Percent of Hospital Deaths with PC Consult (by leorabotnick on 06/15/2010)
Thank you for sharing that information. It is indeed helpful to see where we are and how we can gauge our service's penetration. We are a team of 5 with approximately 2.5 FTE and we have gone from 7% in 2006 to 28% in 2007 to 45% in 2008 to, most recently, 74% in 2009. We are a Level One trauma center and have a goal for more referrals from our SICU.

Leora Botnick, LCSW
Social Work Supervisor
Lincoln Medical and Mental Health Center
New York City Health and Hospitals Corporation
Bronx, NY

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