Impact of Palliative Care Consultation on End of Life Care Measures: A Retrospective Analysis of Patients in the Oncology Care Model

Authors

Alison Greidinger, MD, Thomas Jefferson UniversityFollow
Maria Vershvovsky, MD, Thomas Jefferson UniversityFollow
Evan Lapinsky, MD, Thomas Jefferson UniversityFollow
Alison Rhoades, MD, Thomas Jefferson UniversityFollow
Amy Leader, DrPH, Thomas Jefferson UniversityFollow
Vittorio Maio, PharmD, Thomas Jefferson UniversityFollow
Jared Minetola, Thomas Jefferson UniversityFollow
Karen Walsh, MS, MBA, Thomas Jefferson UniversityFollow
Valerie Csik, MPH, CPPS, Thomas Jefferson UniversityFollow
Ruben Rhoades, MD, Thomas Jefferson UniversityFollow

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Description

Introduction

• In 2016 ASCO recommended that patients with advanced cancer receive dedicated palliative care (PC) services1. Early PC involvement is associated with lower spending, fewer 30-day readmission rates, decreased chemotherapy administration at the end of life (EOL) and increased hospice referrals2.
• Many patients are not referred and continue to receive chemotherapy and utilize high-acuity services near the EOL.
• The Oncology Care Model (OCM) is a CMS episode-based alternative payment model promoting high-value care.
• We evaluated the effect of PC visits on EOL outcomes including code status (CS) and spending in the last 30 days of life.

Publication Date

9-6-2019

Keywords

palliative care, impact, patients, cancer, oncology

Disciplines

Medicine and Health Sciences | Oncology | Palliative Care

Comments

Presented at the ASCO Quality Care Symposium

Recommended Citation

Greidinger, MD, Alison; Vershvovsky, MD, Maria; Lapinsky, MD, Evan; Rhoades, MD, Alison; Leader, DrPH, Amy; Maio, PharmD, Vittorio; Minetola, Jared; Walsh, MS, MBA, Karen; Csik, MPH, CPPS, Valerie; and Rhoades, MD, Ruben, "Impact of Palliative Care Consultation on End of Life Care Measures: A Retrospective Analysis of Patients in the Oncology Care Model" (2019). Department of Medical Oncology Posters. 10.
https://jdc.jefferson.edu/medoncposters/10