Cost Savings Vary by Length of Stay for Inpatients Receiving Palliative Care Consultation Services | Abstract

Conclusion: Cost savings due to PC are realized for short and medium LOS but not stays >30 days. These findings suggest savings can be achieved by earlier involvement of palliative care, and support screening efforts to identify patients who can benefit from PC services early in an admission.

via Cost Savings Vary by Length of Stay for Inpatients Receiving Palliative Care Consultation Services | Abstract.

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The difficult transition between the hospital and nursing home

But a rather stunning study in the Journal of the American Geriatrics Society suggests the quality of communication between the hospital and the nursing home is horrendous.  The study was led by researchers from the University of Wisconsin, including nurse researcher, Dr. Barbara King and Geriatrician Dr. Amy Kind.

via The difficult transition between the hospital and nursing home.

Putting Seniors In The Hospital Under ‘Observation’ May Cost Them Thousands – Kaiser Health News

Many seniors think Medicare made a mistake when they find out they were never officially admitted to the hospital despite a several-day stay.

via Putting Seniors In The Hospital Under ‘Observation’ May Cost Them Thousands – Kaiser Health News.

Hospitals should be rated on their care of older people, Royal College of Physicians recommends | BMJ

The Royal College of Physicians is to review its training and assessment processes in light of the Francis inquiry, to ensure that trainee doctors are encouraged to focus on quality and that their competence in raising concerns and treating patients with dignity is assessed.

via Hospitals should be rated on their care of older people, Royal College of Physicians recommends | BMJ.

High Procedure Volume Is Strongly Associated With Improved Survival After Lung Cancer Surgery

Conclusion High-volume hospitals have higher resection rates and perform surgery among patients who are older, have lower socioeconomic status, and have more comorbidities; despite this, they achieve better survival, most notably in the early postoperative period.

via High Procedure Volume Is Strongly Associated With Improved Survival After Lung Cancer Surgery.

In-Hospital Risk Prediction for Post-stroke Depression

Conclusions—The clinical prediction model enables clinicians to estimate the degree of the depression risk for an individual patient within the first week after stroke.

via In-Hospital Risk Prediction for Post-stroke Depression.

Transfers from the Hospital to Nursing Home: An F- Grade For Quality | GeriPal – Geriatrics and Palliative Care Blog

But a rather stunning study in the Journal of the American Geriatrics Society suggests the quality of communication between the hospital and the nursing home is horrendous.  The study was led by researchers from the University of Wisconsin, including nurse researcher, Dr. Barbara King and Geriatrician Dr. Amy Kind.

via Transfers from the Hospital to Nursing Home: An F- Grade For Quality | GeriPal – Geriatrics and Palliative Care Blog.

Seriously Ill Hospitalized Patients’ Perspectives on the Benefits and Harms of Two Models of Hospital CPR Discussions

Participants’ reactions to expert-endorsed discussion components varied. Most would feel uncomfortable receiving a doctor’s recommendation about CPR.

via Seriously Ill Hospitalized Patients’ Perspectives on the Benefits and Harms of Two Models of Hospital CPR Discussions.

Assessment of Reasons for Referral and Activities of Hospital Palliative Care Teams Using a Standard Format: A Multicenter 1000 Case Description

The components of hospital PCT activities were successfully measured using the Standard Format for Reporting Hospital PCT Activity. The results of this study and the format for reporting hospital PCT activity could be effective in improving hospital PCT practice and for the education of new hospital PCT members.

via Assessment of Reasons for Referral and Activities of Hospital Palliative Care Teams Using a Standard Format: A Multicenter 1000 Case Description.

Choosing wisely in adult hospital medicine: Five opportunities for improved healthcare value – Bulger – 2013 – Journal of Hospital Medicine – Wiley Online Library

The 5 recommendations that were subsequently approved by the SHM Board are: (1) Do not place, or leave in place, urinary catheters for incontinence or convenience or monitoring of output for non–critically ill patients (acceptable indications: critical illness, obstruction, hospice, perioperatively for

via Choosing wisely in adult hospital medicine: Five opportunities for improved healthcare value – Bulger – 2013 – Journal of Hospital Medicine – Wiley Online Library.