Nursing homes lagging in palliative care, researchers say

Share this article:
David Stevenson, Ph.D.
David Stevenson, Ph.D.

 

Nursing homes have lagged in the area of palliative care, and need to take a seat at the table, according to researchers in a Health Affairs blog.

The lack of intertwinement between nursing homes and palliative care is due to a number of factors: regulations that favor rehabilitation, inadequate staff education around palliative care, financial disincentives, lack of reimbursement and misconceptions, write authors Mary Ersek, Ph.D., RN, David Stevenson, SM, Ph.D., and Justine Sefcik.

They note the Long-Term Care Commission for “the integration of LTSS with health care services in a person- and family-centered approach.” The authors described three models for palliative care in nursing homes.

These include partnerships with hospice agencies that result in fewer hospitalizations, improved pain and symptom management, and higher family satisfaction with care. Another option would be directed care paid for by Medicare Part B, or to offer payment models that integrate LTSS with acute or post-acute care. Another option would be a performance-based payment system.

While nursing homes should be held accountable for the quality of end-of-life care provided for all residents, they also should receive the resources needed to provide care that promotes quality of life, the authors added.

Share this article:

More in News

'Minor' issues at the nursing home can cause disastrous care transitions, expert warns

'Minor' issues at the nursing home can cause ...

What may appear to be minor administrative problems in a nursing home - a fax machine locked away at night or no one designated to copy paperwork - can cause ...

Long-term care facilities approach 80% worker flu vaccination rate after handing power ...

Fourteen long-term care facilities in Pennsylvania dramatically increased their staff flu vaccination rate by having a regional pharmacy take over the process, according to a report issued Thursday by the Agency for Healthcare Quality and Research (AHQR).

RACs were 'most improved' healthcare auditors for getting back money in 2013, ...

Medicare Recovery Audit Contractors dramatically stepped up their overpayment recoveries last year, returning nearly $487 million more to the government than they did in 2012, according to a new report from a federal watchdog agency.