For Nursing Homes and Hospitals
The healthcare reimbursement landscape is in transition. Nearly 25% of all Americans and two- thirds of Medicare beneficiaries have multiple chronic conditions (MCC). Not surprisingly, nearly three-fourths of adult patients hospitalized in America suffer from MCC. Patients with MCC and other complex healthcare problems have longer lengths of stay, higher in-hospital mortality rates, and higher average hospital costs.
Penalties for 30-day readmissions have ushered in a new payment paradigm that will be results-driven. This will be especially challenging as the number of people living in long-term nursing facilities in the US is expected to double to more than 3 million by 2030, while more than 40% of adults will die there. Furthermore, more than two-thirds of long-stay nursing home residents suffer from moderate-to-severe dementia.
The Center to Advance Palliative Care found that only 5% of patients accounted for a staggering 60% of healthcare costs in 2011. For more than fifteen years, PCMA has provided customized, physician-led palliative, geriatric, and transitional healthcare services to patients with the most challenging medical conditions.
Services for Hospitals and Skilled Nursing Facilities
PCMA’s quality palliative and geriatric care can increase the efficiency of hospitals and nursing homes, resulting in better patient outcomes and cost savings. Services include:
- Routine presence of a physician and/or advanced practice providers in Skilled Nursing Facilities and Assisted Living Communities with patients being evaluated within upon admission, discharge and routinely throughout their stay and as any issues may arise.
- Board-certified clinicians in internal medicine, family medicine and hospice & palliative care allowing for a customized evaluation and treatment plan for each patient and family
- Detailed medication and case review by a staffed doctor of pharmacology to minimize polypharmacy and medication errors
- A fully electronic medical record enabling coordinated, high quality transition of care from health care facilities, nursing homes and patient’s own homes
- Staff training and education sessions
- Participation in monthly Quality Improvement Meetings at each skilled nursing facility
- Completion of annual history & physicals as well as annual wellness visits for all long- term residents to ensure ongoing quality care
- Partnership with the UPMC RAVEN program for a collaborative effort to reduce avoidable hospitalizations for nursing home patients in designated facilities
- Institution of a Chronic Care Management Program for long-term residents in order to augment the quality care already being provided
- Attendance at care conferences and family meetings allowing for improved patient and family satisfaction
- Initiation of monthly Palliative Rounds, an interdisciplinary meeting at facilities to discuss a patient’s pain and symptom management strategies
PCMA’s unique services can benefit hospitals and nursing homes in several ways:
- Increased patient and family comfort and satisfaction
- Improved clinical and quality of care outcomes, reduced pain and other troubling symptoms, and improved patients’ quality of life
- Reduced diagnostic and treatment interventions, duration of stays, and number of in- hospital deaths
- Cost savings, improved staff satisfaction, and enhanced reputation
- Reducing unnecessary 30 day readmissions to the hospital