With baby boomers now hitting their seventh decade, hospice is expected to become an even more important part of the healthcare landscape, according to Wharton faculty and industry analysts.
Action Points Be aware that increasing obesity was associated with less hospice use during the last 6 months of life among community-dwelling individuals, according to a retrospective study. Note that despite shorter duration of hospice, individuals with obesity experienced more in Medicare expenses during the last 6 months of life than did individuals without obesity.
Increasing obesity status was tied to less hospice use among community-dwelling individuals during the last 6 months of life, according to a retrospective cohort study.
Additionally, individuals with obesity had a 3. Patients with obesity are less likely to receive high quality end-of-life care," stated Harris in a press release.
They may need extra help. They deserve the best healthcare and better health outcomes.
All participants were Medicare fee-for-service beneficiaries living in a private residence, and died between Data for measuring BMI status was self-reported. These expenses were slightly offset by lower hospice rates, durable medical equipment, and skilled-nursing expenses. The authors suggested variations in referrals for individuals with obesity may account for many of these hospice differences.
Patients with obesity may not display "profound cachexia," and therefore, may not be recognized as a candidate for hospice sooner.
Individuals with obesity may also experience a more rapid decline in health leading to more sudden deaths compared to individuals without obesity.
Variations in hospice enrollment policies may also moderate the difference reported in the analysis. Since patients with obesity may require more costly in-home hospice care, for example, the need for a mechanical lift or additional nurse support, access to care may be limited compared to nonobese individuals.
Co-author Jennifer Griggs, MD, MPHof the University of Michigan in Ann Arbor, explained that "For hospice teams, as for hospital and home-health teams, it can require more staff to take care of people who are obese, but Medicare hospice reimbursement is capped no matter what a person's BMI.
Because the analysis was limited to those in community-dwellings with a fee-for-service Medicare plan, the results should not be generalized to the larger population, particularly among those with a managed care Medicare plan, the authors cautioned.
Healthcare provider bias against obesity may also play a role in the quality of end-of-life care, they stressed. Harris and Griggs disclosed no relevant relationships with industry. One co-author disclosed support from the National Institute on Aging. Reviewed by Henry A.INDIANAPOLIS — As hospice for nursing home patients grows dramatically, a new study from the Regenstrief Institute and the Indiana University Center for Aging Research compares the characteristics of hospice patients in nursing homes with hospice patients living in the community.
The study also provides details on how hospice patients move in and out of these two settings. why we did this study Recent investigations by the Office of Inspector General have shown a number of instances in which hospices inappropriately billed Medicare for hospice general inpatient care (GIP).
The study authors reported an increase in the use of hospice care, particularly for cancer patients, but also an increase in ICU usage, health care transitions in the last 90 days of life, and referrals to hospice care in the last three days of life.
For hospice use as a dependent variable, we considered any use of hospice during the last year of life recorded in the Medicaid Program Analysis data file as use of hospice (hospice = 1, no hospice use .
Hospice enrollment within 30 days of death or days of death lowers Medicare expenditures, according to a study in the March edition of Health Affairs.. Hospice enrollment during these periods also lowers hospital and intensive care unit use, day hospital readmissions and in-hospital death, the study . How the Study Was Conducted: The authors examined the association between hospice profit status and the provision of community benefits (charity care, research and serving as training sites), populations served and community outreach in Medicare-certified hospices around the country. The accredited online Certificate of Advanced Study in Holistic Hospice and Palliative Care provides students with a mind-body-spirit approach to end of life care. Graduates of the program develop mastery in providing compassionate spiritual care to patients and their families.
Our study also showed that early outpatient palliative care for patients with advanced cancer can alter the use of health care services, including care at the end of life.
Dec 11, · The hospice developed three General Inpatient Hospice (GIP) Scatter Bed programs at three different hospitals. At each hospital, we contracted with two physicians per hospital, they all were hospitalist, to do the GIP initial visit work- up and follow-up visits.