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What are the objectives of the program?
Improved care coordination, Improved health outcomes, Reduced readmissions, Reduced avoidable utilization, Reduced spending
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Please provide a brief description of the program:
Hospital based hospice units are in dedicated spaces, employ hospice staff, and allow easier transition from a hospital unit to the hospice inpatient center. This significantly reduces mortality, length of stay, costs, while increasing patient satisfaction and quality.
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Is this program operated as part of HSCRC's Care Redesign Amendment?
No
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Which Center for Medicare and Medicaid Innovation (CMMI) category does (or would) the program fall under? Choose the best match.
Initiatives_Focused_on_the_Medicare_Medicaid_Enrollees
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What are the major components of the program?
Care coordination/management, Patient assessment tools, Care transitions, Patient education/coaching/self-management, Multidisciplinary care teams, Patient care plans, Advance care plans/advance directives, Protocols/agreements with care partners
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What types of organizations participate in the program?
Hospital/health system, Hospice
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Which population(s) does the program target?
Medicare/older adults, Medicaid, Dual eligibles (Medicare-Medicaid enrollees), Privately insured, Individuals with multiple chronic conditions, Frail/disabled, Younger adults
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How many patients have participated in the program to date?
7200
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In what Maryland jurisdictions do participating patients reside?
Baltimore, Baltimore City, Carroll, Howard, Montgomery, Prince Georges
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Briefly describe the staffing resources required to operate the program:
Staffing consists of a multidisciplinary team including physicians, RNs, Social Workers, Chaplains, Music Therapists, and Aides.
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Briefly describe the key initial steps to implementation:
1. Identify hospital space 2. Establish service and lease agreements 3. File for certificate of need
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Are incentive payments to health care providers part of the program?
False
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What are/were the expected results in improved outcomes, population health, and cost savings?
Reduction in hospital mortality, reduction in hospital length of stay, and reduction in total cost of care.
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Have expected results for improving outcomes and population health been met?
Yes, expected results were achieved
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Please briefly explain your answer to Question 25, and describe any results for improved population health achieved to date:
Patients that pass on a hospice inpatient center within a hospital might have otherwise not accessed the Medicare hospice benefit., Yes, expected results were achieved
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Please briefly explain your answer to Question 27, and describe any cost savings results achieved to date:
Many of the patients come from the ICU and the cost per day of an ICU bed versus a hospice bed are significantly less.
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How to learn more (e.g., website URL)
Dean Forman; dforman@seasons.org; 410-689-7400