The Impact of a Community-Based Serious Illness Care Program on Healthcare Utilization and Patient Care Experience

Journal of the American Geriatrics Society
Timothy P DaalemanLaura C Hanson

Abstract

Healthcare organizations are expanding community-based serious illness care programs to deliver care for homebound patients. Programs typically focus on home-based primary care or home-based palliative care, yet this population may require both services. We developed and evaluated a primary and palliative care program serving seriously ill older adults, called the Reaching Out to Enhance the Health of Adults in Their Communities and Homes (REACH) program. Our objective was to determine the impact of the REACH program on healthcare utilization and the patient care experience. Case study using medical record review and telephone interviews. Home-based serious illness care program in central North Carolina. Patients enrolled in the REACH program from August 2014 to March 2016 (n = 159). Home-based primary and palliative care delivered by an interdisciplinary team for seriously ill older adults. Structured medical record review including demographics, health and functional status, and acute hospitalization and emergency department (ED) visits in the 12 months preceding and following initiation of the REACH program. A convenience sample of participants completed telephone interviews that measured the quality-of-care experience and q...Continue Reading

References

Sep 14, 2000·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·S M GeronL Kasten
Jan 9, 2001·JAMA : the Journal of the American Medical Association·S L HughesUNKNOWN Department of Veterans Affairs Cooperative Study Group on Home-Based Primary Care
Nov 19, 2003·Journal of Palliative Medicine·Richard D BrumleyDavid A Cherin
Aug 30, 2005·International Journal of Law and Psychiatry·Eric Latimer
Jul 5, 2007·Journal of the American Geriatrics Society·Richard BrumleyJorge Gonzalez
Nov 9, 2007·The Gerontologist·Cynthia M BoydStephen Wegener
Apr 20, 2014·Preventing Chronic Disease·Brian W WardRichard A Goodman
Apr 22, 2014·Journal of Pain and Symptom Management·Christopher W KerrAmin M Serehali
Jul 22, 2014·Journal of the American Geriatrics Society·K Eric De JongeGeorge Taler
May 27, 2015·JAMA Internal Medicine·Katherine A OrnsteinSarah L Szanton
Mar 19, 2016·Health Services Research·Amy S KelleyChristine S Ritchie
Oct 13, 2016·The New England Journal of Medicine·Lisa Rosenbaum
Oct 17, 2017·Journal of Pain and Symptom Management·Christine S Ritchie, Bruce Leff
Nov 11, 2017·Journal of Palliative Medicine·Amy S Kelley, Evan Bollens-Lund

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Citations

Oct 24, 2019·Journal of Palliative Medicine·Natalie C ErnecoffDio Kavalieratos
Oct 24, 2019·Journal of Palliative Medicine·Natalie C ErnecoffChristine E Kistler
Mar 13, 2021·Journal of the American Geriatrics Society·Gerardo MorenoEve Gelb
Sep 19, 2020·Journal of Pain and Symptom Management·Brystana G KaufmanDonald H Taylor
Jun 12, 2021·Journal of the American Medical Directors Association·Natalie C ErnecoffMichael Boninger
Jul 12, 2021·Journal of the American Geriatrics Society·Robert M ZimbroffOrla C Sheehan
Nov 9, 2021·Canadian Journal on Aging = La Revue Canadienne Du Vieillissement·Shirin VellaniKatherine S McGilton
Dec 23, 2021·Journal of the American Geriatrics Society·Huong Q NguyenSoo Borson

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