Subject of Clinical Inquiry:
Advanced Directive/Care Planning
Background questions:
• As a result of the passage of health reform, there has been a political controversies surrounding the language, messaging regarding advance care planning, and end-of-life care decisions.
• The Institute of Medicine (IOM) published a report in September 2014, that reassessed the status of end-of-life care in America
• The IOM report recommended for policies and strategies to support care delivery that
• is high-quality, person-centered, and financially sustainable.
• The Personalize Your Care Act was purposed through legislature that offered Medicare and Medicaid coverage for voluntary advanced care planning to be done once every five years
• In a study report done in January 2014, it …show more content…
• The present healthcare system has failed in providing humane care for the dying as a result of serious deficiencies in medical education, health system financing, attitudes and cultures
• Nearly 27% of Medicare’s annual budget of $327 billion is spent toward providing care for patients in their final years of life
• More than 75% is incurred within the month before death
• American are living longer and are facing more chronic illnesses at the final stage of their life
• More than 20% of Americans are predicted to be over the age of 65 by the year 2030
• The cost of long term care is predicted to reach $207 billion dollars in 2020 and $346 billion by the year of 2040
• End- of- life care in the United States is fragmented and uncoordinated with minimal integration of medical and long term services
• Because elderlies are predicted to die first, Medicare and Medicaid pays for the majority of their care
• Nine out of ten elderlies who dies while being coved by Medicare have a chronic condition
• For many of the patient living with chronic illnesses there is no cure or possible preventions
• In addition to the high medical cost, patient’s families and surrogates are facing high financial
Advanced Directive/Care Planning
Background questions:
• As a result of the passage of health reform, there has been a political controversies surrounding the language, messaging regarding advance care planning, and end-of-life care decisions.
• The Institute of Medicine (IOM) published a report in September 2014, that reassessed the status of end-of-life care in America
• The IOM report recommended for policies and strategies to support care delivery that
• is high-quality, person-centered, and financially sustainable.
• The Personalize Your Care Act was purposed through legislature that offered Medicare and Medicaid coverage for voluntary advanced care planning to be done once every five years
• In a study report done in January 2014, it …show more content…
• The present healthcare system has failed in providing humane care for the dying as a result of serious deficiencies in medical education, health system financing, attitudes and cultures
• Nearly 27% of Medicare’s annual budget of $327 billion is spent toward providing care for patients in their final years of life
• More than 75% is incurred within the month before death
• American are living longer and are facing more chronic illnesses at the final stage of their life
• More than 20% of Americans are predicted to be over the age of 65 by the year 2030
• The cost of long term care is predicted to reach $207 billion dollars in 2020 and $346 billion by the year of 2040
• End- of- life care in the United States is fragmented and uncoordinated with minimal integration of medical and long term services
• Because elderlies are predicted to die first, Medicare and Medicaid pays for the majority of their care
• Nine out of ten elderlies who dies while being coved by Medicare have a chronic condition
• For many of the patient living with chronic illnesses there is no cure or possible preventions
• In addition to the high medical cost, patient’s families and surrogates are facing high financial