The impact of a palliative care program in a rural Appalachian community hospital: a quality improvement process.


Journal Article

BACKGROUND: Hospital inpatient palliative care consultation services (PCCSs) provide high-quality, comprehensive care for seriously ill patients and their families. The objective of the Palliative Care Impact Study was to evaluate the impact of a PCCS in a rural Appalachian community hospital in 4 domains: clinical, customer, operational, and financial. METHODS AND RESULTS: A nonrandomized preintervention-postintervention study enrolled 25 patients. We collected data in the 4 domains listed above after a palliative care (PC) consultation and compared them with preconsultation data. Findings demonstrated a statistically significant improvement in pain and symptom burden scores; customer metrics produced an excellent rating of 88.5% by patients and families and physician/providers; with an associated cost savings of $521 per patient per day after PC consultation was complete.

Full Text

Cited Authors

  • Armstrong, B; Jenigiri, B; Hutson, SP; Wachs, PM; Lambe, CE

Published Date

  • June 2013

Published In

Volume / Issue

  • 30 / 4

Start / End Page

  • 380 - 387

PubMed ID

  • 22952127

Pubmed Central ID

  • 22952127

Electronic International Standard Serial Number (EISSN)

  • 1938-2715

International Standard Serial Number (ISSN)

  • 1049-9091

Digital Object Identifier (DOI)

  • 10.1177/1049909112458720


  • eng