Potential Influence of Advance Care Planning and Palliative Care Consultation on ICU Costs for Patients With Chronic and Serious Illness.

ABSTRACT:

Objectives

To estimate the potential ICU-related cost savings if in-hospital advance care planning and ICU-based palliative care consultation became standard of care for patients with chronic and serious illness.

Design and setting

Decision analysis using literature estimates and inpatient administrative data from Premier.

Patients

Patients with chronic, life-limiting illness admitted to a hospital within the Premier network.

Interventions

None.

Measurements and main results

Using Premier data (2008-2012), ICU resource utilization and costs were tracked over a 1-year time horizon for 2,097,563 patients with chronic life-limiting illness. Using a Markov microsimulation model, we explored the potential cost savings from the hospital system perspective unde

SUBMITTER: Khandelwal N 

PROVIDER: S-EPMC4949109 | biostudies-literature | 2016 Aug

REPOSITORIES: biostudies-literature