SpeakerNotes on End-of-Care Life
FirstSlide (Important Issues on End-of-Life)
Notethat in the year 2011 alone, 13% of the total allocation to thehealth sector ($1627 billion) was spent on palliative care programs.The amount has doubled that allocated in the year 2000 hence theneed to act fast and institute changes in healthcare financing. Notethat if not keenly dealt with, the cost will be high in the futureyears (Barr, 2016).
Thereis need to have an Advanced Care Plan for all patients to enable themaccess high-quality end-of-life care services.
Onmulti-dimensional approach, note that end-of-life care is consideredto be multi-dimensional and it comprises emotional, physical,spiritual, social, and financial domains (“Policy Initiatives,”2017).
Onlong-term care facilities, note that most of these establishmentslack formalized palliative care programs required to address theneeds of the patients.
SecondSlide (Reasons for Policy Change)
Onhigh cost of care, explain to the audience the cost incurred on thiscare and how most people are unable to afford this end-of-life care
Lackof community-based care and supportive services has proved to be achallenge hence the need for the national government and the statesto come together and devise a comprehensive plan on cost reductionbrought about by the lack of these critical facilities (Round, 2016).
Onthe lack of adequate funding, explain how insufficient funding hasproved to be a challenge to hospice facilities. Lack of sufficientfunding has made it hard for these establishments to meet theirfinancial obligations under the current system (Round, 2016).
ThirdSlide (Importance of Policy)
Onthe development of practical procedural guidelines, note that policyhelps develop practical procedural guidelines that contribute tolimit the therapeutic medical interventions thus reducing the costincurred in accessing this care (“Policy Initiatives,” 2017).
Oncare improvement and provision of an ethical framework, policiescontribute to improving the quality of care by providing an ethicalscheme or structure through which the family/patient and professionalconsensus can be reached (Volandes, 2016).
Onguidelines touching end-of-life care, the policy offers guidelines onconcurrence among all healthcare providers, physicians’ subjectiveand objective assessment of therapeutic inefficacy and the dyingprocess, and an accurate, honest, and early revelation of theprognosis to the family.
FourthSlide (Costs to Stakeholders)
Explainhow the allocations or funding by the national government hasincreased over the years. The annual expenditure on palliative careprograms has grown over the years. The annual expenditure in 2011 isalmost double that of 2000 (Round, 2016).
Onhigh costs on the patients’ side, explain how they charge thepatients. The first 60 days, patients are charged higher ratescompared to the remaining days, the average being about $159.55. Mostpeople have to seek loans to cover these costs (Round, 2016).
Oncoverage under the Medicaid program, note that not all patients arecovered under this program. Hospice care is offered to a limitednumber of individuals under this program.
Oninsurance companies, note that most do not provide hospice carecoverage making it hard for many patients to access these services.
FifthSlide (Effects of Policy Change on Stakeholders)
Ondifferent stakeholders within the healthcare system, note that thehealthcare system comprises of an interlocked network of hospitals,patients, service providers like nurses and physicians, and insurancecompanies (Sherman & Matzo, 2014).
Oneffects on patients, explain how policy change will improve thequality of care received, reduce the cost incurred in accessing theservices, and how the establishment of community-based care centerswill decrease the cost incurred (Sherman & Matzo, 2014).
Onthe effect on healthcare service providers, the policy change willimprove the numbers of nurses and physicians offering end-of-lifecare services thus, enhancing the quality of care and reducing thecosts incurred in accessing these services (Sherman & Matzo,2014).
Onthe effect on insurance companies, policy change will ensureinsurance companies offer hospice and end-to-life care coverageenabling many individuals to access this care (Sherman & Matzo,2014).
Onthe impact on palliative care facilities, under the current system,most of these facilities are struggling to meet their financialobligations. Therefore, the policy change will ensure adequatefunding which, in turn, will ensure there is improved quality of careat a reduced price (Barr, 2016).
Barr,D. A. (2016). Introductionto US health policy: the organization, financing, and delivery ofhealth care in America.Baltimore: Johns Hopkins University Press.
PolicyInitiatives to Support Palliative Care. (n.d.). Retrieved April 03,2017, from https://reportcard.capc.org/recommendations/
Round,J. (2016). Careat the end of life: an economic perspective.Cham: Springer.
Sherman,D. W., & Matzo, M. (2014). PalliativeCare Nursing: Quality Care to the End of Life.Springer Publishing Company.
Volandes,A. E. (2016). Theconversation: a revolutionary plan for end-of-life care.Farmington Hills, MI: Thorndike Press, a part of Gale, CengageLearning.
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