Sean Morrison
speaker
515 appearances
4 recordings
1 series
first heard Apr 2017
last heard Mar 2022
Sean Morrison’s voice in public audio — every appearance, attributed to the second.
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Appearances
So I must admit, it's a ballpark estimate.
And it's an estimate based largely on the work of both.
Your group at UCSF, we call that Mount Sinai West, by the way, and the work of Amy Kelly here at Mount Sinai, who have begun to look at the size of the population that has one or more serious medical illnesses, an element of functional impairment.
and or cognitive impairment superimposed on that.
Because I think that is the complex target population that palliative care geriatrics needs to address.
you look at those estimates, it ranges somewhere from about 5% of the overall Medicare population,
slightly lower in a Medicaid population and obviously higher in a dual eligible population.
So I think sort of the bottom line is about 5%.
But the reality is in hospitals, you tend to get a higher population or percentage of patients with serious illness being hospitalized.
And so I think that number goes up and it probably goes up to about 15, 16%.
And I say that because if we look at
palliative care programs that have been in business for a long time, have a pretty extensive program, have good penetration in the hospital, they're seeing about 15 to 16 percent of the hospitalized population.
So that's where my estimate comes from.
I couldn't agree more, particularly since hospitals are now being penalized for
for unwanted and unnecessary readmissions.
And I think what this speaks to is the ability of palliative care teams to identify patients' goals, to match treatments to those goals, and then to create an effective and safe discharge plan that allows patients to be cared for in the setting of their choice.
And for most people, that is not the hospital.
So providing that added layer of support when
people leave the hospital and go home, I think helps tremendously in terms of preventing those unnecessary and unwanted readmissions.
For example, for a pain crisis, for a breathlessness crisis, because you ran out of medications, because there wasn't enough support in the home to take care of somebody with Alzheimer's disease and related functional impairment.
Showing 461–480 of 515 · page 24 of 26
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