The past several years have seen a significant increase in interest, demand ,and development of programs that serve patients who do not elect or meet eligibility criteria for home health or hospice, and would otherwise fall between the cracks of traditional health care service lines. Palliative Care and Advanced Illness Management (AIM) programs, remain an enigma because they lack specific regulations or guidance in terms of setting, reimbursement, operations, stage in the disease process, or delivery models. Many homecare organizations are eager to develop such programs but are uncertain how to proceed given the lack of clear structure and reimbursement. This session will review the goals, models and reimbursement for palliative care and advanced illness management programs, and provide guidance on the start-up and funding considerations for these programs.
This session is based upon a HHFMA white paper on palliative care and draft/final copies will be shared with participants who attend this session. The white paper is intended to help you to determine the overall feasibility of creating a great palliative care program at your agency.
Objectives:
- Identify key variables in models of palliative care/advance illness management
- Articulate the primary payment sources and mechanisms for palliative care services, including data that will help you to negotiate with various payment sources, including health systems and insurance companies
- Describe key steps and inputs to assessing the feasibility of a palliative care program
Faculty: Bill Musick, BS, MBA, CHC, Consultant Projects Manager Senior Associate, The Corridor Group; Sharyl Kooyer, RN, BSN, AIM Director, Sutter Health; Carla Braveman, BSN, RN, MEd, CHCE, Vice President, VNA of Manchester and South NH
Continuing education units are not available for this module