Making the Case: Data Collection Made Easy
Topic: Measuring Impact and Value
Background: Palliative Care consultation improves quality and decreases hospital costs. Demonstrating the contribution of palliative care to stakeholders and administrators is challenging.
Methods: Based on published metrics, we developed a web-based tracking tool to improve adherence to standard consult components and quality interventions. It was accessible through a link in our electronic medical record. Providers prospectively completed the tool for each consult. Metrics were analyzed via Excel spreadsheet.
Results: Between July, 2014 and June 2015, 2949 consults were performed with 2286 having completed tools (77.5% completion rate). Although < 10% of consults requested were for symptom management, uncontrolled symptoms were identified and treated in 26% of cases. Eliciting patient/family values resulted in less aggressive medical care at end of life. Forty-eight percent of patient/families chose "no CPR" status; 23% of patients seen were referred to hospice services; 10% were transferred out of a critical care setting; and in 18% there was decrease in resource utilization.
Conclusion: Use of the tool was efficient to quantify interventions commonly performed in palliative care consultation.
Implications: The data tracking tool may be adapted to specific stakeholder interests, whether it is cost based or quality based.
- Jennifer Allen
- Palliative Medicine Consulting Physician
- Lehigh Valley Health Network
- 2166 South 12th Street Suite 402
- Allentown, PA 18103
- D. Ray
- D. Stevens
- R. Schira