Demonstrate ROI for your Home Based Palliative Care Program

Slides:



Advertisements
Similar presentations
The Advanced Medical Home ACP Attributes of Advanced Medical Home Evidence-based care/clinical decision support Chronic care model approach for all patients.
Advertisements

Telehealth: Pursuing, Planning and Prospering Joyce Doughty, BSN, PHN, RN Director Good Samaritan Home Health Care.
Rebecca M. Johnson, MNPL Mark Meye, CPA
1 Palliative Care and Shared Decision-Making HOW TO BECOME AN INFORMED HEALTHCARE DECISION MAKER.
New All-Payer Model for Maryland Population-Based and Patient-Centered Payment and Care Maryland Health Services Cost Review Commission December 2014.
Paying for Primary Care: Robert Graham Center Primary Care Forum Washington, DC Two CMS/CMMI payment experiments Jay Crosson March 25, 2014.
Budget and Finance Concepts for the CNL Susan J. Penner, RN, MN, MPA, DrPH, CNL.
It’s A Success! Achieving Cost-Effective Disease Management in CHF Sherry Shults, RN BSN CIO South Carolina Heart Center.
Program Development for Safety Net Institutions Catherine Deamant, MD Director, Palliative Care Services Cook County Health and Hospitals System Coleman.
1 Emerging Provider Payment Models Medical Homes and ACOs.
UPDATE NOVEMBER 10, 2011 Money Follows the Person Rebalancing Demonstration.
Where there is valid and reliable literature evidence regarding “best practice”, use it Premier Demo/ Hospital Quality Metrics/ Core Measures HCHAPS for.
Home Based Palliative Care Richard D. Brumley, MD Gretchen Phillips, MSW Kaiser Permanente Downey, CA Practice Change Fellows January 24, 2008.
The Christ Hospital Inpatient Palliative Care Consult Service Easing the Burden of Serious Illness.
Chapter 18 by Sheldon Prial and Schuyler F. Hoss Overview of Home Telehealth.
Improving Patient-Centered Care in Maryland—Hospital Global Budgets
Effectiveness and Cost of a Transitional Care Program for Heart Failure Arch Intern Med. 2011;171(14): September 11, 2012 Brett Stauffer MD MHS.
The Tahoe/Carson Valley Transitions in Care Collaborative “A Solution for Improved Care Management in Rural Environments”
Inputs Outputs Outcomes ActivitiesParticipantsShort TermIntermediateLong Term Georgia Hospital Association Disseminate information on best practices in.
Maryland’s ADRC Evidence Based Transitions Grant Project: the Guided Care Model Ilene Rosenthal Deputy Secretary Maryland Department of Aging.
John A Stoukides MD ScD Regional Chief Medical Officer CharterCare Provider Group RI Chief, Division of Geriatrics and Palliative Medicine Roger Williams.
Joy Hsu, M.S, M.D., Medical Officer National Center for Environmental Health Division of Environmental Hazards and Health Effects Centers for Disease Control.
Critical Dimensions for Transforming Primary Care Chad Boult, MD, MPH, MBA 7 th Annual SNP Leadership Forum October 27, 2011.
Sandra R. Hernández, MD CEO, California Health Care Foundation Judy Thomas, JD CEO, Coalition for Compassionate Care of California Case Study: Dying in.
Professional Transformation: Public Health Nursing Education And RN To BSN Nursing Students Joanne Costello, PhD, RN and Carolyn Wood, PhD, RN Rhode Island.
Mercy Health System Tele-Medicine 2012.
Care Transitions in COPD and beyond
Conceptual Shift for Palliative Care
Telemedicine: The Future of People Caring for People
Post Acute Care in the Changing Health Care Landscape
Contra Costa County Sustainability Audit
Home Based Palliative Care
Department of Health and Human Services Stakeholder Engagement
Home Health Remote Patient Monitoring For Heart Failure
Outpatient Home Based Palliative Care
Table 1: Patient Demographics
Cindy Hatton President & CEO Susan Levitt V.P. Clinical Services/COO
Chapter 41 Health Care Delivery Systems and Financing Issues
CALIFORNIA FOUNDATION FOR IDEPENDENT LIVING CENTERS STATEWIDE MEETING
Nurse Navigators Lead to Cost Savings
Partners and Procedures
Hospitals Student lecture
Expanding Access to Palliative Care: Business Plan Essentials
Paying for Serious Illness Care Under a Global Budget: Opportunities and Challenges Anna Gosline, Senior Director of Health Policy and Strategic Initiatives,
Medi-Cal Medically Tailored Meals Pilot Program
National Academies of Science, Engineering & Medicine
LTC Trend Tracker Peggy Connorton, MS, LNFA
ACO Population Health: Raising the Bar Along the Journey
The National Academies of Sciences, Engineering, and Medicine
Physician Quality and Safety Academy
Making Health Care Decisions End of Life Care
Transitions of Care Project 2C.
Family Voices Health Summit
Community Based Palliative Care
Duke Carolina Visiting Professorship in Geriatric Nursing
Kathy Clodfelter, MSN, MBA, RN, NE-BC
Keck Center: National Academies of Sciences, Engineering, and Medicine
Budget Update Kristine Chong Feb. 8, 2011.
Oregon Hospice and Palliative Care Association September 25, 2018
HOSPITAL READMISSION REDUCTION’S IMPACT ON ASSISTED LIVING
Presented to the System Leadership Team July 9, 2010 Robin Kay, Ph.D.
Action Plan 1: 2017 – 2020 For Information Only.
Optum’s Role in Mycare Ohio
Student loan support to strengthen the health care workforce:
Improving Access to and Equity of Care for People with Serious Illness
Transforming Perspectives
Palliative Care in the Nursing Home Janet Bull, MD FAAHPM, HMDC
National Hospice and Palliative Care Organization Palliative Care Resource Series Should our Hospice Provide Palliative Care? Conducting an Organizational.
National Hospice and Palliative Care Organization Palliative Care Resource Series KEY CONSIDERATIONS FOR BRANDING AND MARKETING YOUR PALLIATIVE CARE.
Chronic Disease Transitional Care Northridge Hospital Medical Center
Presentation transcript:

Demonstrate ROI for your Home Based Palliative Care Program Michelle Dahlkemper, RN, BSN, MBA COO Visiting Nurse and Hospice Care of Santa Barbara

Learning Objectives Describe how to determine the community need for palliative care services Describe the importance of defining program goals and target population Identify at least 3 benefits of palliative care that will engage stakeholders and secure reimbursement Effectively use the ROI calculator to build the business case for palliative care in a hospice organization

Current Payment for Palliative Care Palliative Care programs have not historically generated revenue Medicare does not reimburse Medi-Cal (CA) has passed legislation to reimburse Grants and donations Palliative care can generate cost savings for payors Hospices can increase their length of stay and generate income

Potential Payment The Board (or grantor) Payor or Provider Demonstrate Value Collaboration Sustainability Return on Investment (ROI) Payor or Provider Demonstrate Value Quality Improvement Cost Savings Reduced Hospitalizations (30 day readmissions) Reduced ER Visits Reduced ICU days

Developing a Program Research community need Identify Scope of Services Admission criteria late stage illness chronic disease management Staffing model Training and education Metrics, patient experience survey Supportive Materials Referral Forms Collateral Materials

Engage Stakeholders Present a well written proposal or presentation Include information to assist in decision making – data, budget assumptions, payment models Identify cost savings, return on investment, and sustainability Keep slides minimal – be well versed and able to communicate on topic Don’t over promise – keep initial expectations low/reasonable

Simple ROI Calculator

Included Resources Board Presentation Payor Proposal Payor Presentation Scope of Services Referral form Patient Satisfaction Survey ROI Calculator

Additional Resources Center to Advance Palliative Care (CAPC) California Health Care Foundation (CHCF) Coalition for Compassionate Care of California (CCCC) http://www.dhcs.ca.gov/provgovpart/Documents/DHCSPallCareWebinar090816.pdf The California State University--Institute for Palliative Care Course: The Business Case for Palliative Care – 4 hour self paced online($229)