Ray, Daniel, MD

Rockwell, Elke H, PhD

Stevens, Donna, BS

English

Lehigh Valley Health Network: LVHN Scholarly Works

Lehigh Valley Health NetworkLVHN Scholarly WorksDepartment of MedicineCoordinating Quality Across the Palliative CareContinuum: OACIS/Palliative Medicine ServicesElke H. Rockwell PhDLehigh Valley Health Network, elke_h.rockwell@lvhn.orgDonna Stevens BSLehigh Valley Health Network, Donna.Stevens@lvhn.orgDaniel Ray MDLehigh Valley Health Network, Daniel.Ray@lvhn.orgFollow this and additional works at: http://scholarlyworks.lvhn.org/medicinePart of the Medical Sciences CommonsThis Poster is brought to you for free and open access by LVHN Scholarly Works. It has been accepted for inclusion in LVHN Scholarly Works by anauthorized administrator. For more information, please contact LibraryServices@lvhn.org.Published In/Presented AtRockwell, E., Stevens, D., & Ray, D. (2013). Coordinating quality across the palliative care continuum: OACIS/Palliative medicine services.Poster presentation.Lehigh Valley Health Network, Allentown, PennsylvaniaCoordinating Quality Across the Palliative Care Continuum: OACIS/Palliative Medicine ServicesElke Rockwell, PhD, MSS; Donna Stevens, BS (donna.stevens@lvhn.org); Daniel Ray, MD, MSPC Quality & Network Alignment/Reporting © 2013 Lehigh Valley Health NetworkKey Activities •	 	Identification/monitoring	of	quality	metrics•	 	Evaluation	of	patient	health	across	the	continuum•	 	Determination	of	access	to	care•	 	Assessment	of	program	processes	and	financial	results•	 	Envision	network	alignment	&	QI	opportunitiesPalliative Care Continuum Home-Based ServiceQuality ProjectConclusionThe	Quality	Council	plays	an	important	role	in	theidentification,	tracking	and	monitoring	of	key	programmetrics,	the	linkage	of	the	Palliative	Medicine	Program	with	quality	efforts	in	other	departments	and	alignment	with	network	priorities.	In	addition,	it	contributesto	the	exploration	of	a	PC	continuum	in	the	context	ofhealthcare	reform.Palliative Care Quality TeamProgram	DirectorMedical	DirectorInpatient	MDClinic	CRNPHome-Based	CRNPSupport	StaffQuality	SpecialistHPM	FellowsReported OutcomesDepartmentOfMedicineCareContinuumDivisionPalliative CareQuality CouncilPhysicianGroupCancerSupportServicesNetworkDirect ReportingQuality Improvement LinkageAdministrative & Quality Improvement LinkageKey:Collaborative RelationshipNetwork Connectionsrt tfi irtii i illi ti rlit ili irrrtr it rDirect ReportingQuality I prove ent LinkageAd inistrative & Quality I prove ent Linkage:Col aborative RelationshipNetwork Connections012345Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May JunPercentofpatientsFiscal Year 2013Percent of Patients w/Palliative Care Consult(Cedar Crest Campus only)05001,0001,5002,000JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUNFY13 Actual wRVUs vs. Budgeted wRVUsCC's 327 and 337 Combined25th %ile Median 75th %ile Budgeted ActualSeven Domains of the SurveyDepartmentof MedicineCare ContinuumNetworkPhysician Group            FY 2012 FY 2013OACIS/Palliative Medicine referrals to Hospice 479 659OACIS/Palliative Medicine referrals to Home Care 320 389Health-RelatedQuality of LifeSelf EfficacySocial SupportPerceived HealthStatusHealth Care AccessCommunity ExchangeParticipationPatient Experience,Communication & RespectOACIS Home-BasedProgram PatientSurvey226131231124-50100150200250FY8-116 MonthsPreceding OACISFY8-11 6MonthsOn Outpatient OACISFY126 MonthsPreceding OACISFY126 Months OnOutpatient OACISHospitalizationsData Collection TimeframeNumber of Hospitalizations 6 Months Pre and Post OACIS Enrollment46%N=11542%N=105FY8-116 MonthsPreceding OACISFY126 MonthsOutpatient OACISFY8-116 MonthsOutpatient OACISFY126 MonthsPreceding OACISPatientFamilyOACIS/Palliative MedicineInpatientConsult ServicePalliative CareOutpatient ClinicOACIS/Palliative Medicine Home-Based Service

Coordinating Quality Across the Palliative Care Continuum: OACIS/Palliative Medicine Services

https://scholarlyworks.lvhn.org/cgi/viewcontent.cgi?article=1362&context=medicine

Coordinating Quality Across the Palliative Care Continuum: OACIS/Palliative Medicine Services

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