New Model Of Home-Based Palliative Care For Patients With Serious Illnesses
Written exclusively for Health Affairs, this article provides key information about Turn-Key’s community-based palliative care model Palliative Illness Management™. Readers will learn how the TKH model is improving quality of life for persons with serious illness while lowering cost of care for payers.
Here are some key take-aways:
Optimal Allocation of Resources
Turn-Key contracts with local hospice and palliative care organizations throughout the country for a dedicated team of specially trained nurses and clinical social workers to provide community-based palliative care beyond the hospital and into the home. Recognized in this program as Palliative Extensivists™ (PEs), these clinical resources are available in far greater numbers than palliative physician specialists or Nurse Practitioners. PE-led teams enable payers to offer home-based palliative care services to their members, wherever they live.
Training, Oversight and Support
Turn-Key provides these clinical teams with training, oversight, and support, and makes available to them health assessment tools to guide and document all home and telephonic visits. This results in a structured approach to community-based palliative care that is consistent nationwide. Payers leverage Turn-Key’s infrastructure, experience and care management processes, enabling PIM™ teams to perform comprehensive baseline and follow-up palliative assessments embedded in our population health record.
PIM™ predictive analytics identify members who are high opportunity, not simply high cost. This includes predictive identification of members and a standardized platform to guide, capture and monitor interventions.
Improved Outcomes and Enhanced Quality of Life
PE-led teams review the patient’s symptoms, perform medication reconciliation, discuss and document goals of care, and create a plan of care based upon the needs of the patient and family. This results in improved care quality, lower economic burdens, and enhanced quality of life for members and family caregivers.
Lowers Total Cost of Care
The provision of home-based palliative care is instrumental in identifying and documenting the patient and family’s goals of care so that future treatments are aligned with the individual’s personal wishes. This approach avoids over-medicalization and non-beneficial, unwanted care, resulting in lower hospitalizations, readmissions and days spent in the ICU. The Health Affairs article provides a full description of these outcomes and validates the positive impact on the total cost of care.
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“Changing The Conversation: New Model Of Home-Based Palliative Care For Patients With Serious Illnesses” is authored by Terri Maxwell, Ph.D., APRN, chief clinical officer, Turn-Key Health, Ian Duncan, FSA, FIA, FCIA, FCA, MAAA, adjunct associate professor, Statistics & Applied Probability, University of California Santa Barbara, and Matthew Harker, MBA, MPH, associate director, Health Policy Hub, Duke Clinical Research Institute.