NHPCO NewsLine Winter 2020 - 8
continued
A variety of palliative care services are provided by these programs. The
highest identified services are:
...over 89,609
seriously ill
individuals were
served in 2019
(compared to
85,153 in 2017).
* symptom management (175)
* comprehensive assessment (170)
* patient/family education (174)
* care coordination (164)
* goals of care discussions (173)
* POST/POLST completion (150)
* advance care planning (172)
* medication management (149)
Other notable services provided by some include spiritual care (108),
individual counseling (89) and family counseling (89).
Reimbursement and EMR
Reimbursement is essential to the sustainability of palliative care
services. Medicare B fee-for-service billing is the most common
reimbursement source (136). However, most programs utilize two or
more types of reimbursement. Additional reimbursement categories
include contracts with payers (81), private pay (49), hospital or other
partnership model (27), philanthropy (26), subsidy by parent corporation
(22), grants (22), Medicare home health (21), and arrangements with an
Accountable Care Organization or Medicare Shared Savings Plan (15).
Use of an electronic medical record can improve communication to
health care partners and simplifies data collection for quality reporting
and billing. Over 85 percent of respondents utilize an electronic medical
record (decreased from 90 percent in 2018).
One of the challenges for community-based
organizations are the variety of electronic medical
record vendors (38) and the lack of government
incentives to mandate interoperability in the
community-based care setting. Some participants
use more than one EMR solution. The top five
vendors identified are NetSmart (26), Epic (20),
HomeCareHomeBase (13), Cerner (11), and
MatrixCare/Brightree (9).
In what settings do you provide
palliative care?
Patient's home
192
Assisted living facility
158
Long term care facility
148
Hospital
87
Clinic
Other
51
18
How many years have you been serving
patients in your palliative care program?
< 1 year
23
1-2 years
34
3-5 years
60
> 5 years
88
Number of Patients Served
82020Newsline / Winter 2020
89,609
Data Collection
Leveraging data to manage the patient population
and demonstrate program outcomes is essential as
reimbursement shifts from traditional fee-for-service
to value-based. Approximately 77 percent of
respondents collect data for metrics. However, 34
percent do not participate in any public reporting or
NHPCO NewsLine Winter 2020
Table of Contents for the Digital Edition of NHPCO NewsLine Winter 2020
NHPCO NewsLine Winter 2020 - intro
NHPCO NewsLine Winter 2020 - 1
NHPCO NewsLine Winter 2020 - 2
NHPCO NewsLine Winter 2020 - 3
NHPCO NewsLine Winter 2020 - 4
NHPCO NewsLine Winter 2020 - 5
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