Seven out of ten Americans would prefer to die at home. Yet, nearly 70 percent die in a hospital, nursing home or long-term-care facility. Allina Health created LifeCourse to change that scenario.
A study funded by the Robina Foundation found that LifeCourse not only improved patients quality of life and experience, the integrated advanced illness approach at Allina Health also earned an eight-to-one return on investment.
Compared to patients who received care as usual, LifeCourse patients were more likely to complete advance care plans. They began hospice earlier. They were less likely to be in the hospital or intensive care. On average, their total medical costs were nearly one thousand dollars lower.
Paige Bingham, Allina Health director, will present those results and more at the Coalition to Transform Advanced Care Summit Nov. 28 in Washington, DC, in A Community of Caring: Person and Family-Centered Program Design.
“Too often, the people we care for have additional needs that go beyond what our health care system can provide,” said Bingham. “We must get beyond our institutional and medical selves to listen and support what matters most to people living with advanced illness. The paradigm shift includes health care but more importantly reaches into the heart of the community.”
LifeCourse patients are identified in the electronic medical record by an algorithm, their physicians or both. The care model includes non-clinical care guides who visit patients in their homes. The care guides help patients navigate the health care system and to connect with community resources for social, economic and environmental needs, such as food or transportation.
More information can be found at allinahealth.org/LifeCourse/.