Meeting the Needs of Older Adults with Serious Illness

Challenges and Opportunities in the Age of Health Care Reform

  • Amy S. Kelley
  • Diane E. Meier

Part of the Aging Medicine book series (AGME)

Table of contents

  1. Front Matter
    Pages i-xiii
  2. Current Needs of Older Adults with Serious Illness

    1. Front Matter
      Pages 1-1
    2. Shannon Brownlee, Christine Cassel, Vikas Saini
      Pages 3-18
    3. Cardinale B. Smith, Otis W. Brawley
      Pages 19-29
    4. Carol Levine, Carol V. O’Shaughnessy
      Pages 31-44
  3. Settings for the Care of the Seriously Ill

    1. Front Matter
      Pages 45-45
    2. Melissa D. Aldridge, Jean S. Kutner
      Pages 59-72
    3. Mary Ersek, Justine S. Sefcik, David G. Stevenson
      Pages 73-90
  4. Measuring Quality and Paying for the Care of the Seriously Ill

    1. Front Matter
      Pages 91-91
    2. Laura C. Hanson, Anna P. Schenck, Helen Burstin
      Pages 93-108
    3. Judy Feder, Harriet L. Komisar, Robert A. Berenson
      Pages 127-136
    4. Richard H. Bernstein, Karol K. DiBello
      Pages 137-149
  5. Platforms for Improvement

    1. Front Matter
      Pages 151-151
    2. Dorothy Deremo, Monique Reese, Susan D. Block, Vicki A. Jackson, Thomas H. Lee, Lori Bishop et al.
      Pages 153-176
    3. Bernard J. Hammes, Linda A. Briggs, William Silvester, Kent S. Wilson, Sue Schettle, John R. Maycroft et al.
      Pages 177-189

About this book

Introduction

Meeting the Needs of Older Adults with Serious Illness: Challenges and Opportunities in the Age of Health Care Reform provides an introduction to the principles of palliative care, describes current models of delivering palliative care across care settings, and examines opportunities in the setting of healthcare policy reform for palliative care to improve outcomes for patients, families and healthcare institutions. The United States is currently facing a crisis in health care marked by unsustainable spending and quality that is poor relative to international benchmarks. Yet this is also a critical time of opportunity. Because of its focus on quality of care, the Affordable Care Act is poised to expand access to palliative care services for the sickest, most vulnerable, and therefore most costly, 5% of patients- a small group who nonetheless drive about 50% of all healthcare spending. Palliative care is specialized medical care for people with serious illnesses. It focuses on providing patients with relief from the symptoms, pain, and stress of a serious illness—whatever the diagnosis or stage of illness. The goal is to improve quality of life for both the patient and the family. Research has demonstrated palliative care’s positive impact on health care value. Patients (and family caregivers) receiving palliative care experience improved quality of life, better symptom management, lower rates of depression and anxiety, and improved survival. Because patient and family needs are met, crises are prevented, thereby directly reducing need for emergency department and hospital use and their associated costs. An epiphenomenon of better quality of care, the lower costs associated with palliative care have been observed in multiple studies.

Meeting the Needs of Older Adults with Serious Illness: Challenges and Opportunities in the Age of Health Care Reform, a roadmap for effective policy and program design, brings together expert clinicians, researchers and policy leaders, who tackle key areas where real-world policy options to improve access to quality palliative care could have a substantial role in improving value.

Keywords

Care Competencies Hospice Long Term Care Outcomes Palliative Care Quality Measures

Editors and affiliations

  • Amy S. Kelley
    • 1
  • Diane E. Meier
    • 2
  1. 1.Brookdale Department of Geriatrics and Palliative MedicineIcahn School of Medicine at Mount SinaiNew YorkUSA
  2. 2.Brookdale Department of Geriatrics and Palliative MedicineIcahn School of Medicine at Mount SinaiNew YorkUSA

Bibliographic information

  • DOI https://doi.org/10.1007/978-1-4939-0407-5
  • Copyright Information Springer Science+Business Media New York 2014
  • Publisher Name Humana Press, New York, NY
  • eBook Packages Medicine
  • Print ISBN 978-1-4939-0406-8
  • Online ISBN 978-1-4939-0407-5
  • About this book
Industry Sectors
Biotechnology
Pharma