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End Of Life Care Essay

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As people are living longer than ever, the chances of having a chronic disease or multiple chronic diseases increase as we age. In the state of New Jersey, the top two leading causes of death in 2015 were heart disease and cancer at 25.8% and 22.5% respectively (New Jersey State Health Assessment Data [NJSHAD], 2018). So, what does this tell us? There is a high volume of chronic disease patients that may benefit from Hospice for end of life care. In 2015, 1, 381, 182 Medicare beneficiaries were enrolled in hospice (National Hospice and Palliative Care Organization, 2016). Hospice was designed to improve the experience of dying for the patient with the help of interprofessional care. The design also included improving the healthcare costs associated with the end of life (Stevenson, 2012).
Eligibility for hospice is based on a physician documented life expectancy of six months or less. There are four levels of care are covered under the Medicare benefit for hospice. These include in home care, general inpatient care which covers symptom management such as pain control, continuous care, …show more content…
The Institute of Medicine stipulated that all interprofessional disciplines be competent in the chronic illness associated and the management of symptom control such as pain (Ross, 2017). This leads to questions such as, how do we know if we are effective in managing pain in this population? Quality initiatives are utilized as a tool in improving patient care by assessing issues and gauging improvement in organizations. The Hospice Quality Reporting Program is mandated under Affordable Care Act that requires hospices to submit quality reporting. Failure to collect quality measures to improve care are subject to a 2%-point reduction in the market basket which can greatly impact the financial stability of the hospice (Centers for Medicare and Medicaid Services [CMS],

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