Cost Analysis of a Novel Interdisciplinary Model for Advanced Illness Management

Hopp, Faith; Trzcinski, Eileen; Roth, Roxanne; Deremo, Dorothy; Fonger, Evan; Chiv, Sokchay; Paletta, Michael

doi:10.1177/1049909114523827

Cited by 12 publications

(21 citation statements)

References 17 publications

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“…In psychological care context (Tsai et al, ) of chronic conditions, the hospital‐based home healthcare compared to traditional outpatient follow‐up approach showed that the costs of the hospital‐based home care model were lower than those of conventional outpatient follow‐up and that over a 1‐year period, the hospital‐based home‐care model was associated with improvements in mental conditions, social functional outcomes, and service satisfaction . In accordance with the study of Hopp et al (), hospital‐based inter‐professional chronic care model reduced costs significantly for patients older than 65 years , but not for patients younger than 65 years.…”

Section: Resultssupporting

confidence: 85%

“…Still again, no consensus was seen regarding whether these service forms affected length of hospital stay or costs when compared to inpatient care. However, an interprofessional intervention for chronic patients resulted in a significant declination in costs for patients 65 years and older (Hopp et al, ). In advanced care at home, patients and their family caregivers experienced advanced care at home as very secure (Johansson & Westman, ; Lee et al, ; Lundin, ; Pusa et al, ), but the research results on care costs and service use were ambiguous due to different cost calculations (Dowell et al, ; Popejoy et al, ; Ryu, ; Tsai, Chen, & Yin, ) and the fact that informal care by family caregivers is not included in such calculations (Andersson, ).…”

Section: Resultsmentioning

confidence: 99%

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Professional care at home: Patient‐centredness, interprofessionality and effectivity? A scoping review

Vaartio-Rajalin

Fagerström

2019

Health Soc Care Community

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The aim of this scoping review was to describe the state of knowledge on professional care at home with regard to different perspectives on patient-centredness, content of care, interprofessional collaboration, competence framework and effectivity. A scoping review, n = 35 papers, from four databases (EBSCO, CINAHL, Medline, Swemed) were reviewed between May and August 2018 using the terms:hospital-at-home, hospital-in-the-home, advanced home healthcare, hospital-based home care or patient-centered medical home. Criteria for inclusion in this review included full text papers, published between 2001 and 2018, in English, Swedish or Finnish. A descriptive content analysis was conducted. Patient-centredness appears to be one aim of professional care at home, but clarity is lacking regarding patient recruitment and the planning and evaluation of care. Content depends, to a certain degree, on the type of care at home and how it is organised: the more non-acute care needs, the more nurse-coordinated care and family involvement and the less interprofessionality. The competence framework presupposed for care at home was extensive yet not explicit, varying from maturity, clinical experience, collaboration skills, ongoing clinical assessment education to Master's studies or degree. The effectivity of care at home services was discussed in terms of experiential, clinical and economic aspects. Patients and their family caregivers were satisfied with care at home, but there was no consensus on clinical or economic outcomes compared with inpatient care. In the context of professional care at home, there is still a lot to do regarding patient-centredness, patient recruitment, patient and care staff education, the organisation of interprofessional collaboration and the analysis of effectivity. K E Y W O R D S advanced home care, competence, effectivity, home care, hospital at home, hospital in the home, interprofessionality, Patient-centred care | e271 VAARTIO-RAJALIN ANd FAGERSTRÖM

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Section: Resultssupporting

confidence: 85%

Section: Resultsmentioning

confidence: 99%

Professional care at home: Patient‐centredness, interprofessionality and effectivity? A scoping review

Vaartio-Rajalin

Fagerström

2019

Health Soc Care Community

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“…These common elements included the use of comprehensive assessments (Meyer, 2011), focusing on a target population (Naylor et al, 2007), and developing care plans with patient-centered goals (Reuben, 2011). As with LifeCourse, the majority of the programs utilized home visits to some degree and had an interdisciplinary team to provide care (Hoefer, Johnson, & Bender, 2013; Hopp et al, 2015).…”

Section: Methodsmentioning

confidence: 99%

Quality of Life for Late Life Patients: Mixed-Methods Evaluation of a Whole-Person Approach for Patients With Chronic Illnesses

Shippee

Fernstrom

et al. 2017

J Appl Gerontol

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Quality of life (QOL) for patients with serious illness in late life is important for patients and policy makers and has implications for improved care delivery. This mixed-methods evaluation examined the effectiveness of a new whole-person approach to late life care-the LifeCourse-which provides patients with ongoing, across-setting assistance from lay health care workers, supported by a clinical team. We investigated whether participation in LifeCourse improves QOL for intervention patients, compared with usual care controls. QOL was assessed using baseline and 6 months Functional Assessment of Chronic Illness Therapy-Palliative version tool ( n = 181 patients and 126 controls). LifeCourse had a significant positive effect on overall QOL for patients when compared with controls. Interview data revealed that participants adjusted expectations when assessing QOL and actively sought out ways to maintain QOL with meaningful activities and needed services. LifeCourse offers a promising model for improving QOL for late life patients.

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“…One such program is the Hospice of Michigan's At Home Support (AHS) program, 7 which has been demonstrated to reduce health-care costs while providing high-quality care for patients. 8 Although AHS demonstrated mean cost savings, the healthcare utilization of participants was variable. Little is known about what elements of outpatient palliative programs are most valuable and for which participants.…”

Section: Introductionmentioning

confidence: 99%

“…One such program is the Hospice of Michigan’s At Home Support (AHS) program, 7 which has been demonstrated to reduce health-care costs while providing high-quality care for patients. 8…”

Section: Introductionmentioning

confidence: 99%

What Matters Most? A Mixed Methods Study of Critical Aspects of a Home-Based Palliative Program

Ankuda

Kersting

Guetterman

et al. 2017

Am J Hosp Palliat Care

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Cost Analysis of a Novel Interdisciplinary Model for Advanced Illness Management

Abstract: Study findings suggest @HOMe Support is associated with reductions in the use and cost for most health services over time.

Cited by 12 publications

References 17 publications

Professional care at home: Patient‐centredness, interprofessionality and effectivity? A scoping review

Professional care at home: Patient‐centredness, interprofessionality and effectivity? A scoping review

Quality of Life for Late Life Patients: Mixed-Methods Evaluation of a Whole-Person Approach for Patients With Chronic Illnesses

What Matters Most? A Mixed Methods Study of Critical Aspects of a Home-Based Palliative Program

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