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End of Life Performance Improvement for Healthcare Provider Systems

End of life is fraught with emotional, physical and psychological problems that often prevent clear decision making to occur within traditional healthcare settings. This has an impact on quality of care and well-being for patients and their families, as well as the huge financial implications for payers and healthcare providers. PDI's service for End of Life Performance Improvement for Healthcare Provider Systems is designed to address this problem.

The goal of PDI, is to provide expert navigation of the health care system and to strengthen patient and family decision-making capacity to determine how they want to live out the rest of their lives and potentially by-pass expensive, invasive and debilitating treatments and long hospital stays. PDI services help promote the needs of patients and families for dignity, respect and appropriate treatment while helping healthcare providers and payers increase quality of care, save money and achieve market differentiation.

The clients for this service are any healthcare provider organization concerned about improving the quality and sensitivity of care for patients and their families who are facing end of life issues. This service also impacts consumers – patients, their families and caregivers – who interact with the healthcare provider system.

The end goal of the PDI service is to:

  • improve quality of care for end stage and end of life
  • reduce use of expensive and unneeded bed days, re-admits, ER visits
  • increase patient/family satisfaction with the provider
  • reduce morbidity after the loss for surviving family members

We help provider organizations, patients and families reach this goal by:

  • Providing information, education and decision aids, as well as coaching (via a Nurse Navigator), for patients and families to:
    • develop their motivation and capability to participate as informed consumers and collaborators
    • better communicate and advocate their wishes with the clinical team early on in the process;
    • inform them, in a way they can understand and integrate, of treatment options and “how” to make decisions in a sea of possibilities (leading to exploring end stage and end of life options earlier on in the process); and 
    • develop skills in self-care and symptom management (leading to reduced bed days, re-admits, ER visits)
  • Provide education to clinical staff to enhance their ability to better understand and intervene more consistently in dealing with the psycho-social issues and treatment options in end stage and end of life and collaborate with patients/families in making decisions for end stage and end of life.

Take a look at a typical PDI intervention, including benefits and a real to life scenario that shows how all this fits together.

For a more in depth discussion of benefits see Key Problems in End of Life Care.


Learn more about the PDI service by reading about what do we do, why we do it and what value and benefits this brings to the stakeholders in the healthcare system. To see the detail click on the numbered, underlined links on the left and the detail will appear in the right frame.

 

Take a look at our "strategy map" that briefly describes the linkage of the components of the PDI service. To see the detail for each bubble click on the bubble and the detail will appear in the right frame.

 

 


 

Information on planned PDI Direct Services to Patients, Their Families and Care Givers.

 

 

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