Allen, Jennifer, MD

Ray, Daniel, MD

Schira, R

English

Lehigh Valley Health Network: LVHN Scholarly Works

Lehigh Valley Health NetworkLVHN Scholarly WorksDepartment of MedicineMaking the Case: Data Collection Made EasyJennifer Allen MDLehigh Valley Health Network, Jennifer_E.Allen@lvhn.orgDaniel Ray MDLehigh Valley Health Network, Daniel.Ray@lvhn.orgDaniel Ray MDLehigh Valley Health Network, Daniel.Ray@lvhn.orgR SchiraLehigh Valley Health NetworkFollow 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 AtAllen J., Ray, D., Stevens D., Schira R. (2015, November 12). Making the Case: Data Collection Made Easy. Poster presented at: CAPCNational Seminar/ Pathways to Quality Palliative Care, San Antonio TX.Section of Palliative Medicine and Hospice, Lehigh Valley Health Network, Allentown, PennsylvaniaAllen J., Ray, D., Stevens D., Schira R.Making the Case: Data Collection Made Easy © 2015 Lehigh Valley Health NetworkBackground: Palliative Care consultation improves quality and decreases hospital costs.  However, demonstrating the contribution of palliative care to stakeholders and administrators is challenging.Methods: Based on published quality metrics, we developed a web-based tracking tool to improve adherence to standard consult components and quantify interventions.  It was accessible through a link in our electronic medical record.  Providers prospectively completed the tool for each consult. Specific 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 the 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. References:1.  Dy S et al. Measuring What Matters: Top-Ranked Quality Indicators for Hospice and Palliative Care From the American Academy of Hospice and Palliative Medicine and Hospice and Palliative Nurses Association. J Pain Symptom Manage 2015;49:773-781. 2.  Weissman D et al. Center to Advance Palliative Care Palliative Care Consultation Service Metrics: Consensus Recommendations. J Palliat Med 2008;11:1294-1298.

Making the Case: Data Collection Made Easy

https://scholarlyworks.lvhn.org/cgi/viewcontent.cgi?article=1791&context=medicine

Making the Case: Data Collection Made Easy

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Lehigh Valley Health Network: LVHN Scholarly Works