A model for effective and efficient hospice care: Proactive telephone-based enhancement of life through excellent caring, "teleCaring" in advanced illness

Malene S. Davis, Krista L. Harrison, James F. Rice, Alanna Logan, Barry Hess, Perry G. Fine, J. Cameron Muir

Research output: Contribution to journalArticlepeer-review

Abstract

Background A community-based non-profit hospice provider implemented "TeleCaring" as a quality improvement intervention to identify and take action on patient or caregiver needs or concerns, such as uncontrolled symptoms or prescription problems. Measures We assessed the rate of acceptance of the intervention, intensity of the intervention, escalations of calls from Specialists to Nurses, and the effect of the intervention on utilization of clinical services, clinical miles traveled, and family satisfaction with care. Intervention TeleCaring consisted of daily proactive phone calls to patients and caregivers by Specialists and Nurses. Outcomes Eighty-eight percent of new home hospice patients accepted TeleCaring when offered. A total of 5.3% of calls by Specialists were escalated to Nurses. TeleCaring participants had lower utilization of clinical services compared with non-participants. Family satisfaction increased and clinical miles decreased across the organization after the implementation of TeleCaring. Conclusions/Lessons Learned TeleCaring is a viable method to proactively identify home hospice patient or caregiver needs and adjust clinical services accordingly.

Original languageEnglish (US)
Pages (from-to)414-418
Number of pages5
JournalJournal of Pain and Symptom Management
Volume50
Issue number3
DOIs
StatePublished - Sep 1 2015

Keywords

  • Hospice
  • advanced illness
  • care model
  • telehealth
  • telehospice

ASJC Scopus subject areas

  • Nursing(all)
  • Clinical Neurology
  • Anesthesiology and Pain Medicine

Fingerprint Dive into the research topics of 'A model for effective and efficient hospice care: Proactive telephone-based enhancement of life through excellent caring, "teleCaring" in advanced illness'. Together they form a unique fingerprint.

Cite this