Palliative Illness Management™ - PIM™
A Unique Model that Improves Member and Caregiver Quality of Life
Palliative Illness Management™ is Turn-Key Health’s rapidly scalable solution within insured member populations. This innovative, high-touch, home-based program engages members to better align their goals of care with an individual approach to healthcare services. It is a solution that reduces unplanned care and non-beneficial treatment.
The PIM™ solution is delivered by utilizing predictive analytics/AI for appropriate member identification, by training and deploying networks of palliative care professionals to engage with members in the community, and by managing palliative member engagement in the PIM™ Platform.
Through its proprietary platform, PIM™ brings a systemized process of palliative care delivery, providing consistency across geographic regions. This specialized solution seamlessly integrates with existing case and utilization management programs.
Member Identification & Engagement
Turn-Key Health identifies members through both predictive analytics and referrals from case management staff. Members are engaged by trained local palliative care professionals using scientifically validated tools and techniques to maximize improvement in quality of life.
Extending the reach of physician practices and the medical home, the model provides practical support that complements and enhances care management.
Quality Control & Reporting
Guided by the PIM™ Platform, proprietary tools and assessments, these highly skilled clinicians conduct member outreach, enrollment and engagement.
The Turn-Key Health Difference
Functioning as a palliative medical home, and with unparalleled experience and background in serious illness and end-of-life care, PIM™ extends the reach of care management programs and enhances care coordination.
This unique, structured and consistent approach to delivering palliative care generates documented quality results and validated reduced costs. Read more about Turn-Key Health.
Palliative Activation Scale
PIM™ utilizes a Palliative Activation Scale™ (PAS) to measure a member’s propensity to adopt a palliative care approach. PAS™ evaluates three key domains: care alignment, social determinants of health, and illness trajectory. The interaction and positive progression within these three domains represent leading indicators of positive quality outcomes. Turn-Key utilizes the elements in this scale to guide appropriate interventions and interactions to affect positive outcomes for patients.
- Social Support
- Goals and Expectations
- Clinician Engagement
- Belief System
- Acute Resource Use Patterns
- Treatment Plan
- Functional Status
- Physical and Emotional Status
- Quality of Life
Social Determinantsof Health
- Economic Stability
- Social and Community
- Access to Health Care
- Neighborhood and Environment
PIM prioritizes the importance of care in the home, providing appropriate social services, clinical assessments and referrals, and partnering with the primary care and provider team to deliver a solution that is patient-centered, data-driven and evidence-based.
This structured approach to community-based palliative care delivers a higher return on quality improvement and investment resources.
Improved Quality Results & Decreased Costs
Reduction in Medical Loss Ratio (MLR) comprised of two components:
20% reduction in reduced member healthcare consumption:
- 35% Admissions
- 60% Readmission
- 40% ICU Days
15% reduction related to earlier and appropriate election of the Medicare hospice benefit.
Turn-Key Health's palliative care teams operate within existing healthcare extending the reach of physician practices and the medical home. PIM™ provides practical support that complements and enhances care management.
Palliative Care Teams
Turn-Key has a national, proprietary network of specialized palliative care clinicians - comprised largely of nurses and social workers - that reside as a separate service within local hospice and palliative care organizations.
Focusing on palliative care outside the acute care setting, they address disease understanding, provide symptom control/treatment options, complete goals of care conversations, and provide advance care planning documentation. By aligning treatment with individual preferences, these clinicians improve member and caregiver satisfaction.
PIM™ focuses on improving member and caregiver satisfaction by enhancing care coordination and quality, improving knowledge and understanding, and establishing goals of care for shared decision-making.
This results in quality of life improvement, a reduction in non-beneficial treatment and unplanned care, and a decreased expense. Members benefit from diminished symptom burdens and condition exacerbation through improved medication adherence.