1
40
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Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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October 2019 List
Text
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October 2019 List
URL Address
<a href="http://doi.org/10.1089/jpm.2019.0164" target="_blank" rel="noreferrer noopener">http://doi.org/10.1089/jpm.2019.0164</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Attempting to Define Clinical Productivity Metrics among Pediatric Palliative Care Services at Academic Children's Hospitals
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Journal of Palliative Medicine
Date
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2019
Subject
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United States; article; child; female; human; male; palliative therapy; pediatric palliative care; clinical article; human tissue; program development; billing and coding; burnout; clinical productivity; convenience sample; leadership; productivity; sustainability; workload
Creator
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Mahoney D P; Brook I; Fossa M; Kang T
Description
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Introduction: Pediatric palliative care (PPC) programs have grown in size and number at academic children's hospitals in the United States for the past 20 years. Little is known about the relationships between program workforce staffing, billing and coding practices, clinical service requirements for billing providers, and sustainability of program models for billing providers. Method(s): The authors contacted a convenience sample of 10 PPC program leaders at academic children's hospitals in the United States. Program leaders were asked to provide information about billing provider full-time equivalent (FTE) staffing, billing and coding practices, and productivity metrics for a three-month period, from January 1 to March 31, 2017. Result(s): Ten programs participated in the convenience sample survey, and seven provided information about billing and coding practices. For the seven programs that provided evaluation and management data, calculated estimate of mean work Relative Value Unit (wRVU) production per 1.0 FTE per year was 1626. Calculated estimate of consultations per 1.0 FTE per month was 15. Calculated estimate of total clinical encounters per 1.0 FTE per month was 70. Conclusion(s): The relationships between PPC billing provider productivity and clinical workload are complex and vary widely among a convenience sample of academic PPC programs. Given the high burnout rates in the field, efforts should be made to more clearly define these relationships to promote sustainability of both billing and nonbilling PPC providers.
Identifier
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<a href="http://doi.org/10.1089/jpm.2019.0164" target="_blank" rel="noreferrer noopener">10.1089/jpm.2019.0164</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2019
Article
billing and coding
Brook I
Burnout
Child
Clinical Article
clinical productivity
Convenience Sample
Female
Fossa M
Human
Human Tissue
Journal of Palliative Medicine
Kang T
Leadership
Mahoney D P
Male
October 2019 List
Palliative Therapy
Pediatric Palliative Care
productivity
Program Development
sustainability
United States
workload
-
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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August 2020 List
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
August 2020 List
URL Address
<a href="http://doi.org/10.1016/j.jpainsymman.2020.04.077" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.jpainsymman.2020.04.077</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Poly-Symptomatology in Pediatric Palliative Care Patients: Baseline Evaluation of SHARE Parent-Reported Data (RP409)
Publisher
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Journal of Pain and Symptom Management
Date
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2020
Subject
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symptom management; pediatric palliative care; medical complexity; Poly-Symptomatology; parental report data
Creator
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Feudtner C; Hays R; Friedrichsdorf S; Johnston E; Friebert S; Kang T; Wolfe J
Description
An account of the resource
Objectives: * Describe the study design of this study. * Specify the 5 most prevalent symptoms in pediatric palliative care. * Describe how symptom count, frequency, and severity contribute to poly-symptomatology. Importance: Pediatric palliative care (PPC) teams care for patients with a wide variety of conditions, often with substantial medical complexity, making symptom management challenging. Parental report data regarding the frequency and severity of symptoms in these patients has been limited. Objective(s): Characterize the prevalence, frequency, and severity of specific symptoms, as reported by parents of patients receiving PPC. Method(s): Parent-reported data were gathered from baseline questionnaires in a two-year longitudinal study being conducted at 7 children's hospitals in the Pediatric Palliative Care Research Network (PPCRN) SHARE project. Data included child's demographic and clinical characteristics, and 15 symptoms measured via the Memorial Symptom Assessment Scale, which scores symptom frequency (1, almost never; 2, sometimes; 3, a lot; 4, almost always) and severity (1, slight; 2, moderate; 3, severe; 4, very severe). Result(s): Of the 501 PPC patients thus far enrolled with completed data, 55% were male, 66% white, mean age of 7.3 years (+/-7.3 SD); the most prevalent complex chronic morbidities included neurologic (48%), cardiovascular (47%), and respiratory (34%) conditions; 72% were technology-dependent. Parents reported an average of 4.9 (+/-3.3 SD) symptoms per patient. The five most common symptoms were pain (55%; among patients with pain, mean frequency, 2.6; mean severity, 2.3), lack of energy (53%; 2.8; 2.4), irritability (47%; 2.4; 2.1), drowsiness (43%; 2.6; 2.2), and shortness of breath (39%; 2.7; 2.4). 10% of patients had markedly elevated level of symptoms (minimal frequency and severity scores of "a lot" and "severe" for each symptom), with the typical patient in this subgroup having 6 symptoms. Conclusion(s): A majority of children receiving palliative care are experiencing poly-symptomatology. An important sub-group of patients suffer frequently from numerous severe symptoms. Impact: Assessment and management of poly-symptomatology is a critical aspect of PPC. Copyright © 2020
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/j.jpainsymman.2020.04.077" target="_blank" rel="noreferrer noopener">10.1016/j.jpainsymman.2020.04.077</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2020
August 2020 List
Feudtner C
Friebert S
Friedrichsdorf S
Hays R
Johnston E
Journal of Pain and Symptom Management
Kang T
Medical Complexity
parental report data
Pediatric Palliative Care
Poly-Symptomatology
Symptom Management
Wolfe J