Palliative care case management: increasing access to community-based palliative care for Medicaid recipients

Professional Case Management
Barbara A HeadMark Pfeifer

Abstract

The purpose of this pilot project was to integrate palliative care principles and practices into the day-to-day operations of a Medicaid managed care provider. This was accomplished through the following five activities: (1) employment of an experienced palliative care nurse and social worker to serve as expert role models and consultants to the case management staff; (2) development of a palliative care training curriculum for case managers; (3) provision and evaluation of the training; (4) identification of appropriate patients, provision of palliative care case management (PCCM), and tracking of outcomes; and (5) development of a resource/reference manual for case managers. The project involved a managed care organization providing Medicaid services to patients residing in both urban and rural settings. Expert staff was hired and modeled effective PCCM. This, as well as the training program, had significant influence on both the palliative care knowledge and attitudes of existing case managers. Involved patients demonstrated improved symptom management and satisfaction with care. Patient scenarios demonstrated desirable outcomes in healthcare utilization, and timely, appropriate hospice referrals were realized. Integrating P...Continue Reading

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Jun 20, 2012·BMC Health Services Research·Annicka G M van der PlasLuc Deliens
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