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American Journal of Hospice and Palliative Medicine®
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Developing and Financing a Palliative Care Program

Pat Stanfill Edens, RN, PhD, FACHE

Global Oncology SP, Stillwater Trail, Hendersonville, Tennessee, patedens{at}globaloncology.com

Catherine D. Harvey, DrPH, RN, AOCN

Programs and Publications, American Diabetes Association, Alexandria, Virginia

Karen M. Gilden, BA

The Oncology Group, Corporate Office, Waco, Texas

Although hospice care to assist the dying is widely available, palliative care, which focuses on living with chronic and life threatening illness and preparing the living for dying, is poorly understood. Only recently, palliative care has been mandated by the Joint Commission on Accreditation of Healthcare Organizations as a necessary intervention for facilities. Defining a palliative care model for the community hospital emphasizes total care for the patient beyond the traditional medical model. No specific Medicare reimbursement exists for palliative care in hospitals, and hospital administrators are generally not supportive of programs where no reimbursement exists. Developing a model palliative care program using a cost aversion financial model to quantify benefits of a palliative care programs is one strategy to address the reimbursement shortcomings.

Key Words: palliative care • end of life care • cost aversion • reimbursement

This version was published on October 1, 2008

American Journal of Hospice and Palliative Medicine®, Vol. 25, No. 5, 379-384 (2008)
DOI: 10.1177/1049909108319269
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