AAHPM developed the list as a proud partner in the Choosing Wisely campaign. The list included a recommendation to not delay referral for palliative care for seriously ill patients who could benefit from this service and other medical regimens that may be efficacious for these patients.
A Medalogix initiative using data analytics to help physicians identify at-risk patients eligible for hospice and palliative care and then use the information in their decision-making has made the finalist list in the Harvard Health Acceleration Challenge, which carries a $150,000 prize. The projects had to decrease health care costs, improve quality, expand access and be scalable.
Black patients with end-stage renal disease were less likely than whites to have dialysis discontinued or be referred to hospice, and more likely to die in a hospital, University of Washington researchers reported in the Clinical Journal of the American Society of Nephrology. The discrepancies were greater in geographic areas with higher Medicare spending on end-of-life care.