UT Southwestern's Palliative Care Program: Measurable Patient Impact and Cost-savings.

08:00 EDT 13th June 2019 | BioPortfolio

Summary of "UT Southwestern's Palliative Care Program: Measurable Patient Impact and Cost-savings."

The purpose of this analysis was to measure the impact of palliative care services on hospital charges in the 5 days prior to death-the most expensive time of a patient's life-and identify hospital service categories and patient financial classes yielding the highest savings from palliative care. The analysis population included UT Southwestern patients admitted to the hospital between October 1, 2013, and September 30, 2016. Palliative care patients were defined as any patient who received at least one completed palliative care order. In order to create an accurate comparison group, a propensity score match was generated to identify patients most likely to have qualified for a palliative care consult. Covariates included in the model were age, sex, race, financial class, and number of comorbidities. Comorbidities were identified using the Elixhauser Comorbidity Index, and all charges were pulled for the 5 days prior to death. Total hospital charges were also reported by hospital service and financial class. Statistical significance was then derived using a gamma distributed log-linked generalized linear model. The final population included in the analysis, post the propensity score match, was composed of mostly white, non-Hispanic males. The majority of the patients had five or fewer comorbidities, and the primary preexisting conditions seen among patients were cardiovascular diseases (36.0%) and cancer (23.4%). The hospital service categories yielding the highest mean savings were pharmacy (mean $2,765; < .0001) and labs (mean $1,063; < .0001). Financial classes with the greatest savings were Medicaid and charity/self-pay. Overall, there was a significant difference in charges between those that received a palliative care consult and those that did not. The fact that the highest savings were in pharmacy and laboratory services suggests that unnecessary labs and medications are discontinued in an effort to improve patient care and quality of life while reducing costs during end-of-life care. Palliative care services ease the cost burden of end-of-life services for low-income populations.


Journal Details

This article was published in the following journal.

Name: Journal of pain & palliative care pharmacotherapy
ISSN: 1536-0539
Pages: 1-4


DeepDyve research library

PubMed Articles [28586 Associated PubMed Articles listed on BioPortfolio]

Short-Stay Palliative Pain Management for Southwestern VA: Process Improvement Plan.

The increased demand for palliative care services has led to concerns surrounding workforce knowledge and resiliency, specifically with regard to palliative pain management for patients with life-limi...

Hemato-oncology and palliative care teams: is it time for an integrated approach to patient care?

Integrated palliative care for those with advanced solid tumors yields significant benefits in patient and caregiver outcomes. However, most palliative care clinical trials have excluded patients with...

Non-specialist palliative care: A principle-based concept analysis.

Building palliative care capacity among all healthcare practitioners caring for patients with chronic illnesses, who do not work in specialist palliative care services (non-specialist palliative care)...

You Can't Care for Someone You Don't Understand: Class Helps Med Students See Care From Patients' View.

Today's medical students want to be prepared to provide the best patient care. More than ever, that means understanding not only how to provide quality care, but also the patient's experience accessin...

Characteristics of Care and Outcome Quality within the Specialized Ambulatory Palliative Care (SAPV): Analysis of Patient Characteristics and Indicators of Care of a Palliative Care Team.

The ambulatory specialized palliative care (SAPV) was implemented to enable patients with the need for end-of-life intensive care to die with accompanied professionality and in familiar surroundings. ...

Clinical Trials [18690 Associated Clinical Trials listed on BioPortfolio]

Examining Early Palliative Care in Newly Diagnosed Cancer Patients

To understand the impact of initiation of palliative care in this low-resource setting, and whether palliative care is a cost-reducing intervention that will improve patient-reported outco...

Multidisciplinary Inpatient Palliative Care Intervention

Palliative care is believed to improve care of patients with life-limiting illnesses. This study evaluated the impact of a multi-center randomized trial of a palliative care team intervent...

Palliative Care Comprehensive Tool: A Pilot Randomized Controlled Trial

The purpose of this study is to introduce a palliative care tool that will result in quality, comprehensive management of patients. We anticipate that improving quality and comprehensivene...

Patient-Reported Outcomes (PRO)-Based Palliative and Hospice Care Practice: A Qualitative Study

The goal of this research study is to collect information to plan how to design a computer program for cancer patients receiving palliative care, their caregivers, and doctors and nurses w...

Mount Sinai Palliative Care at Home for Dementia

The proposed project is a randomized controlled trial of a new home-based palliative care program for adults with advanced dementia and their caregivers within the Mount Sinai Health Syste...

Medical and Biotech [MESH] Definitions

The personal cost of acute or chronic disease. The cost to the patient may be an economic, social, or psychological cost or personal loss to self, family, or immediate community. The cost of illness may be reflected in absenteeism, productivity, response to treatment, peace of mind, QUALITY OF LIFE, etc. It differs from HEALTH CARE COSTS, meaning the societal cost of providing services related to the delivery of health care, rather than personal impact on individuals.

Usually a written medical and nursing care program designed for a particular patient.

Studies designed to assess the efficacy of programs. They may include the evaluation of cost-effectiveness, the extent to which objectives are met, or impact.

Facilities or services which are especially devoted to providing palliative and supportive care to the patient with a terminal illness and to the patient's family.

A nursing specialty concerned with care of patients facing serious or life-threatening illnesses. The goal of palliative nursing is to prevent and relieve suffering, and to support the best possible quality of life for patients and their families. Hospice nursing is palliative care for people in their final stages of life.

Quick Search


DeepDyve research library

Relevant Topic

Palliative Care
Palliative care is the active holistic care of patients with advanced progressive illness. Management of pain and other symptoms and provision of psychological, social and spiritual support is paramount. The goal of palliative care is achievement of the ...

Searches Linking to this Article