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Why should I consider a focused specialty case management program such as End of Life Care?
Advanced illness/end of life care costs over the last two years of life averages at $58,000. Research shows that end of life programs can decrease costs by about 33 percent. Cost for members enrolled in an end of life program average $12,500 compared to $20,000 - $30,000 for members not enrolled. (Annals of Internal Medicine, July 3, 2012)
End of life programs remove barriers to hospice early access and provide alternatives to treatment and palliative care that do not require forgoing life-sustaining treatment. These programs also ensure that patients and families discuss their preferences before the patient becomes seriously ill, and that providers and family members respect those wishes. KEPRO’s advanced illness/end of life program does just that by providing valuable resources for decision support, quality of life management, and dignity. Our interventions maximize each participant’s quality of life, reduce/manage depression, support advanced illness care decisions, provide advance directive education, and optimize pain management.
Our case managers work with participants to identify care wishes and communicate them to loved ones while they are still able. We help each participant address difficult topics, such as living wills, do not resuscitate orders, palliative care, Medical Powers of Attorney, organ donation, and hospice. Our case managers are trained to understand and respect cultural and spiritual beliefs. We help participants get their affairs in order, and achieve quality of life/peace of mind in their remaining days. Additional program components include:
- Working with providers to prevent service fragmentation and advocating for the participants
- Comprehensive education and discussion to foster shared decision making
- Advance care planning
- Educating and supporting participants and their families
- 24/7 access to palliative care managers
We also make the member as comfortable as possible by ensuring that pain medication is prescribed by the physician, consistent with the participant’s condition/tolerance and the advance directives, and that it is effective. The case manager coordinates with the participant’s physician if/when pain management issues occur. When the time comes, we help with the transition to hospice and provide emotional support for the participant and family.