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Councillors discuss community palliative-care access, reimbursement and long-term care education
Summary
Advisory members and providers described outpatient and home-based palliative programs expanding in the state, insurance and workforce constraints limiting growth, and plans for long-term care education and an interactive resource map; participants proposed conversion-to-hospice and length-of-stay metrics as quality indicators.
Multiple council members and providers reported growing outpatient and home-based palliative-care services, but said reimbursement, workforce capacity and credentialing limit expansion into assisted-living and nursing facilities.
"We have now a fairly robust outpatient palliative care program. We have 1 full time APRN…Our census is now 65, so our APRN is maxed out," said a Connecticut Hospice representative during the meeting. The presenter said insurance contracts, Medicare…
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