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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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November 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
November 2020 List
URL Address
<a href="http://doi.org/10.1377/hlthaff.2020.01192" target="_blank" rel="noreferrer noopener">http://doi.org/10.1377/hlthaff.2020.01192</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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Variation In State Medicaid Implementation Of The ACA: The Case Of Concurrent Care For Children
Publisher
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Health Affairs
Date
A point or period of time associated with an event in the lifecycle of the resource
2020
Subject
The topic of the resource
act; affordable care; care coordination; children's health; healthcare providers; hospice; medicaid; nursing; payment; state medicaid
Creator
An entity primarily responsible for making the resource
Laird J; Cozad M J; Keim-Malpass J; Mack J W; Lindley L C
Description
An account of the resource
More than 55,000 children die each year in the United States, and hospice is used for very few of them at the end of their lives. Nearly one-third of pediatric deaths are a result of chronic, complex conditions, and the majority of these children are enrolled in Medicaid because of disability status or the severity of their disease. Changes in Medicaid/Children's Health Insurance Program regulations under Section 2302 of the Affordable Care Act require all state Medicaid plans to finance curative and hospice services for children. The section enables the option for pediatric patients to continue curative care while enrolled in hospice. We examined state-level implementation of concurrent care for Medicaid beneficiaries and found significant variability in guidelines across the US. The implementation of concurrent care has fostered innovation yet has added barriers to how pediatric concurrent care has been implemented.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1377/hlthaff.2020.01192" target="_blank" rel="noreferrer noopener">10.1377/hlthaff.2020.01192</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
ACT
affordable care
Care coordination
Children's Health
Cozad M J
Health Affairs
Healthcare Providers
Hospice
Keim-Malpass J
Laird J
Lindley L C
Mack J W
Medicaid
November 2020 List
Nursing
payment
state medicaid
-
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
A name given to the resource
June 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
June 2020 List
URL Address
<a href="http://doi.org/10.1097/NJH.0000000000000648" target="_blank" rel="noreferrer noopener">http://doi.org/10.1097/NJH.0000000000000648</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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Pediatric Concurrent Hospice Care: A Scoping Review and Directions for Future Nursing Research
Publisher
An entity responsible for making the resource available
Journal of Hospice and Palliative Nursing
Date
A point or period of time associated with an event in the lifecycle of the resource
2020
Subject
The topic of the resource
concurrent hospice care; end-of-life care; hospice care; pediatrics; scoping review
Creator
An entity primarily responsible for making the resource
Lindley L C; Keim-Malpass J; Svynarenko R; Cozad M J; Mack J W; Hinds P S
Description
An account of the resource
In 2010, forgoing curative therapies were removed as a hospice eligibility criterion for children through section 2302 of the Patient Protection and Affordable Care Act called Concurrent Care for Children. Given that concurrent care is a federally mandated option for children and their families, no review of the science has been conducted. The purpose of this study was to systematically collect the evidence on concurrent hospice care, critically appraise the evidence, and identify areas for future nursing research. Of the 186 articles identified for review, 14 met the inclusion and exclusion criteria. Studies in this review described concurrent hospice care from a variety of perspectives: policy, legal, and ethics. However, only 1 article evaluated the impact of concurrent hospice care on outcomes, whereas several studies explained clinical and state-level implementation. There is a need for further studies that move beyond conceptualization and generate baseline and outcomes data. Understanding the effectiveness of concurrent hospice care might provide important information for future nursing research. The approaches used to disseminate and implement concurrent hospice care at state, provider, and family levels should be explored.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1097/NJH.0000000000000648" target="_blank" rel="noreferrer noopener">10.1097/NJH.0000000000000648</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
concurrent hospice care
Cozad M J
End-of-life Care
Hinds P S
Hospice Care
Journal of Hospice and Palliative Nursing
June 2020 List
Keim-Malpass J
Lindley L C
Mack J W
Pediatrics
Scoping review
Svynarenko R
-
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
A name given to the resource
March 2019 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
March 2019 List
URL Address
<a href="http://doi.org/10.1177/1049909118789868" target="_blank" rel="noreferrer noopener"> http://doi.o rg/10.1177/1049909118789868</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
A name given to the resource
Children Enrolled in Hospice Care Under Commercial Insurance: A Comparison of Different Age Groups
Publisher
An entity responsible for making the resource available
American Journal of Hospice & Palliative Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2019
Subject
The topic of the resource
Data Analysis Software; Age Factors; Male; Human; Sex Factors; Length of Stay; Child; Prospective Studies; Female; Child Preschool; Analysis of Variance; Infant; Adolescence; Health Care Costs; Insurance Health; Pediatric Care; Pennsylvania; Descriptive Statistics; Retrospective Design; Funding Source; Chi Square Test; Cross Sectional Studies; Health Resource Utilization; Academic Medical Centers -- Pennsylvania; Chronic Disease -- Classification -- In Infancy and Childhood; Comparative Studies; Geographic Factors; Hospice Care -- Economics -- In Infancy and Childhood; Hospice Patients -- Psychosocial Factors; Pearson's Correlation Coefficient
Creator
An entity primarily responsible for making the resource
Lindley Lisa C; Cohrs A C; Keim-Malpass J; Leslie D L
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1177/1049909118789868" target="_blank" rel="noreferrer noopener"> 10.1177/1049909118789868</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).
Description
An account of the resource
Background: Although most children at end of life have commercial insurance, little is known about their demographic and clinical characteristics, what care they are receiving, and how much it costs. Objectives: To describe commercially insured children who enrolled in hospice care during their last year of life and to examine differences across age-groups. Methods: A retrospective cohort study was conducted using 2005 to 2014 data from the MarketScan Commercial Claims and Encounters database from Truven Health Analytics. Variables were created for demographics, health, utilization, and spending. Analyses included χ2 and analysis of variance tests of differences. Results: Among the 17 062 children who utilized hospice, 49% had a preferred provider organization (PPO). Hospice length of stay averaged less than 5 days. Over 80% of children visited their primary care physician. Eight percent had hospital readmissions, and 38% had emergency department (ED) visits. Average expenditures were US$3686 per month or US$44 232 annually. The most common condition for children less than 1 year was cardiovascular (21.96%). Neuromuscular conditions were the most frequent (7.89%) in children aged 1 to 5 years, while malignancies (10.53% and 11.32%, respectively) were prevalent in ages 6 to 14 and 15 to 17. Children less than 1 year had the highest frequency of hospital readmissions (16.25%) with the lowest ED visits (28.67%) while incurring the highest expenses (US$11 211/month). Conclusions: The findings suggest that commercially insured children, who enroll in hospice, have flexible coverage with a PPO. Hospital readmissions and ED visits were relatively low for a population who was seriously ill. There were significant age-group differences.
2019
Academic Medical Centers -- Pennsylvania
Adolescence
Age Factors
American Journal of Hospice & Palliative Medicine
Analysis of Variance
Chi Square Test
Child
Child Preschool
Chronic Disease -- Classification -- In Infancy and Childhood
Cohrs A C
Comparative Studies
Cross Sectional Studies
Data Analysis Software
Descriptive Statistics
Female
Funding Source
Geographic Factors
Health Care Costs
Health Resource Utilization
Hospice Care -- Economics -- In Infancy and Childhood
Hospice Patients -- Psychosocial Factors
Human
Infant
Insurance Health
Keim-Malpass J
Length Of Stay
Leslie D L
Lindley Lisa C
Male
March 2019 List
Pearson's Correlation Coefficient
Pediatric Care
Pennsylvania
Prospective Studies
Retrospective Design
Sex Factors
-
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
A name given to the resource
December 2018 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
December 2018 List
URL Address
<a href="http://doi.org/10.2147/AHMT.S168501" target="_blank" rel="noreferrer noopener"> http://doi.o
rg/10.2147/AHMT.S168501</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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An economic examination of private insurance claims among adolescents and young adults who were enrolled in hospice during the last year of life
Publisher
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Adolescent Health, Medicine and Therapeutics
Date
A point or period of time associated with an event in the lifecycle of the resource
2018
Subject
The topic of the resource
adolescent; retrospective study; hospital patient; health care utilization; human; article; female; male; adult; young adult; emergency ward; primary medical care; hospice care; length of stay; preliminary data; private health insurance; hospital service
Creator
An entity primarily responsible for making the resource
Keim-Malpass J; Cohrs AC; Lindley LC; Leslie DL
Description
An account of the resource
Purpose: The purpose of this study was to generate baseline data on the health characteristics, health care utilization, and health care spending among privately insured adolescents and young adults (AYA), who were enrolled in hospice care during their last year of life. Methods: A retrospective, nonexperimental design was used to collect and analyze longitudinal claims data from the Truven Health MarketScanTM database. The sample included AYA (aged 15-24 years) who utilized hospice during their last year of life. Results: Totally, 17,408 AYA were included in this analysis. Mean hospice length of stay (LOS) was low overall, but there was a statistically significant difference in hospice LOS in ages 15-19 years (mean 3.56, SD 15.17 days) compared with those aged 20-24 years (mean 2.26, SD 8.24; P<0.001 days). More than a third (37%) of the AYAs used the emergency department during the last year of life and 83% sought care from a primary care visit. However, only 6% of the sample who were hospice enrollees used frequent inpatient hospital services. Conclusions: This study provides preliminary data for private insurance expenditures and clinical utilization for AYA who were enrolled in hospice. This analysis also provides initial evidence to suggest extremely short hospice LOS for AYAs prior to the end of life and represents an area of future research need.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/%2010.2147/AHMT.S168501" target="_blank" rel="noreferrer noopener">10.2147/AHMT.S168501</a>
2018
Adolescent
Adolescent Health, Medicine and Therapeutics
Adult
Article
Cohrs AC
December 2018 List
Emergency Ward
Female
Health Care Utilization
Hospice Care
Hospital Patient
hospital service
Human
Keim-Malpass J
Length Of Stay
Leslie DL
Lindley LC
Male
preliminary data
primary medical care
private health insurance
Retrospective Study
Young Adult