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Monday October 23, 2006
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Judi Lund Person, MPH
Vice President, Division of Quality End-of-Life Care
The National Hospice and Palliative Care Organization
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2:15 pm
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- Examine how prognostic uncertainty and the dynamic nature of patient and family goals drive the need for new approaches to end-of-life care
- Review data supporting the creation of hospital- and home-based palliative care systems to improve care while avoiding unnecessary costs
- Discuss current palliative care system development efforts at Kaiser Permanente
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Daniel Johnson, MD, FAAHPM
Chief, Palliative Care Department
Kaiser Permanente - Colorado
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3:15 pm
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- Identify cost factors in variations between hospital and
non-hospital deaths.
- Discuss the variations found geographically in the
percentage of deaths in the hospital, compared to
deaths found in non-hospital settings participants wishes
and desires
- Identify trends among states for increasing the
number of non-hospital deaths and how that compares
to hospice utilization.
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Judi Lund Person, MPH
Vice President, Division of Quality End-of-Life Care
The National Hospice and Palliative Care Organization
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Tuesday October 24, 2006
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2:15 pm
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- Recognize not enough was effectively being done in pain management and in in most cases it occurred too late for patients to fully benefit from the hospice program
- Establish a mechanism of reimbursement for palliative care specialists to provide consultations; promote earlier hospice referrals for terminally ill patients, establish comprehensive pain assessment and treatment standards and promote acceptance of advanced directives
- Encourage health care institutions to set performance goals and track basic statistics regarding end-of-life care
- Build upon community and end of life care efforts with hospitals, nursing omes, hospice, home care and disease management programs
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Patricia Bomba, MD
Vice President & Medical Director
Geriatrics
Excellus Blue Cross Blue Shield
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3:15 pm -
4:15 pm
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- Determine the impact of end-of-life care costs on employers and
insurers
- Outline the short-comings of programs such as
hospice, palliative care, and care management on controlling
end-of-life care costs.
- Reveal opportunities for employers, insurers, and hospitals
to work together to develop and adopt transformative solutions to the
problems of end-of-life care
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Wednesday October 25, 2006
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12:45 pm
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- Recognize that many health care providers are not properly trained to recognize pain
- Use a mathematical model based on clinical decisons and economics offers more effective pain relief than as needed pain management
- Show that the guideline therapy cost a few more pennies per member per month than the oncology-based care and the non-specialty "usual care"
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