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This article is based on a discussion with Fred Bentley, Managing Director for Medicare Innovation and ATI Advisory, Allison Silvers, Chief of Healthcare Transformation at the Center to Advance PalliativeCare and Ryan Klaustermeier, Vice President of Professional Services at Axxess. Hospice News: Excellent.
What is unique about the practice of palliativecare for people experiencing homelessness? We discuss the principles of harm reduction, social determinants of health, and trauma informedcare. Major overlap with substance use disorder issues, which we have covered recently (and frequently) on this podcast.
We all, when bombarded with information have to take certain elements of a decision and focus on those; and in the ICU, you can imagine, we’re bombarded with information a lot. And the same nudge, the withdrawal of life support nudge, also decreased the time to comfort care orders. Were these two resources already there?
In this article, it was availability of hospice services, but we also know availability of ICU services. Liz: Yeah, palliativecare teams is exactly one of those institutional factors. And palliativecare friendliness was definitely a very important factor to this.
We did not want them to already have seen home palliativecare. Eric 20:26 And that includes home hospicecare. And then we also didn’t give them access to palliativecare social work on the stepdarmouse. There was a difference, though, in hospice utilization, right? Jennifer 31:40 About half.
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