AMDA's 2019 Annual Conference

FR2 - Improving Quality and Value in the Post-Acute Care Setting: Palliative Care in Skilled Nursing Facilities and Long-Term Acute Care Hospitals

Mar 8, 2019 11:00am ‐ Mar 8, 2019 12:00pm


In recent years, hospitals have been under increased pressure to shorten the length of stays for admitted patients. This has led to an increased utilization of post-acute care (PAC) facilities, particularly Skilled Nursing Facilities (SNF) and Long-Term Acute Care Hospitals (LTACH). More and more patients with advanced, life-limiting illnesses transition post-hospitalization to these settings. Palliative care offers an organized and interdisciplinary system of care delivery shown to improve both the quality and value of health care. It is uniquely positioned to support the best quality of life for patients and their families before, during, and after the PAC experience. This session highlights the practice of palliative care in SNFs and LTACHs based on a review of current literature and our own experiences. The session will inform a broad range of participants—physicians, nurses, advance practice providers, social workers, case managers, and program administrators—who are passionate about extending the reach of palliative care. Using a combination of teaching methods, speakers will discuss program development, structure, personnel, and challenges. This session also will bring to light relevant quality initiatives and policy changes, and palliative care’s role in providing value-based care in the PAC arena.

Learning Objectives: 

  • Describe the present landscape of PAC in terms of care transitions, quality initiatives, and policy changes.
  • Explain how palliative care has been integrated into SNFs and LTACHs based on current literature and practice experience.
  • Describe future roles for palliative care in SNFs and LTACHs.
  • Discuss the current value of palliative care in SNFs and LTACHs, as well as its future roles in post-acute care.


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